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ARTÍCULO ORIGINAL06/09/2024
Effect of Brazilian green propolis in chronic ulcer treatment: a randomized clinical trial
Revista Brasileira de Enfermagem. 2024;77(4):e20230418
Resumen
ARTÍCULO ORIGINALEffect of Brazilian green propolis in chronic ulcer treatment: a randomized clinical trial
Revista Brasileira de Enfermagem. 2024;77(4):e20230418
DOI 10.1590/0034-7167-2023-0418
Visualizações0Ver maisABSTRACT
Objective:
to assess the effectiveness of 5% Brazilian green propolis (ointment) in individuals with chronic ulcers.
Methods:
a randomized clinical trial, developed with 40 patients randomized equally to control group (treated with essential fatty acid) and experimental group (treated with 5% green propolis) for 30 days. The outcomes of interest were sociodemographic, clinical and laboratory characteristics, lesion characteristics, such as type of tissue in the bed, presence of exudate, edge characteristics, microbial content and pain.
Results:
regarding sociodemographic, clinical and laboratory characteristics, the two groups did not show statistically significant differences. After assessment in 30 days, an effect was observed for both treated groups, but for the experimental group, greater effectiveness in terms of the type of tissue in the bed, type of exudate, edge characteristics, microbial content and pain.
Conclusion:
propolis-based ointment showed a healing effect, presenting itself as a potential tool in healing chronic ulcers.
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ARTÍCULO ORIGINAL06/09/2024
Construction and validation of an instrument for event-related sterility of processed healthcare products
Revista Brasileira de Enfermagem. 2024;77(4):e20240021
Resumen
ARTÍCULO ORIGINALConstruction and validation of an instrument for event-related sterility of processed healthcare products
Revista Brasileira de Enfermagem. 2024;77(4):e20240021
DOI 10.1590/0034-7167-2024-0021
Visualizações0Ver maisABSTRACT
Objective:
To construct and validate an instrument to assess events related to maintaining the sterility of processed healthcare products.
Methods:
This methodological study developed the instrument through analysis by a panel of experts, focusing on the integrity of commonly used packaging: spunbond-meltblown-spunbond and medical-grade paper. The instrument was analyzed using the Content Validity Index and Content Validity Ratio (≥ 0.80) and modified Kappa (≥ 0.74). The instrument underwent pre-testing.
Results:
Six experienced professionals participated in the expert panel. After two rounds, the final version of the instrument contained five dimensions. In the pre-test, 30 nursing professionals participated, of whom 86.67% considered the instrument good, and 90% found it understandable.
Conclusion:
The construction and validation followed literature recommendations. The instrument is available, aiding in the safe use of processed healthcare products.
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ARTÍCULO ORIGINAL06/09/2024
Reflective practice of nurse residents in the teaching-learning process in teaching hospitals
Revista Brasileira de Enfermagem. 2024;77(4):e20230540
Resumen
ARTÍCULO ORIGINALReflective practice of nurse residents in the teaching-learning process in teaching hospitals
Revista Brasileira de Enfermagem. 2024;77(4):e20230540
DOI 10.1590/0034-7167-2023-0540
Visualizações0Ver maisABSTRACT
Objective:
To analyze reflective practice in the teaching-learning process of nurses in residency programs in teaching hospitals in Minas Gerais, Brazil.
Methods:
Case study, based on the reflective practice framework, conducted in two teaching hospitals. Observation and interviews were conducted with first and second-year residents, and five participants were included for in-depth analysis, with their data subjected to frequency distribution analysis and Critical Discourse Analysis.
Results:
In 519 observed activities, elements of reflection were identified in 22.2%, especially active listening and expression of doubts. Discourses indicated practice as the best moment for teaching-learning due to its potential to generate reflections. Learning by doing and case discussion were considered potential strategies for reflective learning.
Conclusion:
Know-in-action reflection was evidenced as the predominant formative aspect for residents, with few opportunities for reflection on reflection-in-action.
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ARTÍCULO DE REVISIÓN06/09/2024
Parents’ or legal guardians’ beliefs and attitudes about childhood vaccination: a scoping review
Revista Brasileira de Enfermagem. 2024;77(4):e20240126
Resumen
ARTÍCULO DE REVISIÓNParents’ or legal guardians’ beliefs and attitudes about childhood vaccination: a scoping review
Revista Brasileira de Enfermagem. 2024;77(4):e20240126
DOI 10.1590/0034-7167-2024-0126
Visualizações0Ver maisABSTRACT
Objective:
to map scientific evidence about perceptions, beliefs, knowledge and attitudes of parents or legal guardians of children under 5 years of age regarding routine childhood vaccination.
Methods:
a scoping review, conducted in accordance with the JBI framework. The searches were carried out in the PubMed/MEDLINE, Web of Science, Scopus and LILACS databases. A total of 5,535 studies were returned and 77 were selected, which met the inclusion criteria.
Results:
perceptions related to interaction with healthcare professionals and services, with family organization and structure, with social interaction and public policies, cultural, religious and personal beliefs, knowledge about vaccination schedule, vaccination and immunization process and sources of information are the main factors mapped and which can positively or negatively influence parents’ or legal guardians’ attitudes towards vaccinating children.
Conclusions:
the findings allow us to identify factors related to parents’ perception and beliefs about childhood vaccination.
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ARTÍCULO ORIGINAL06/09/2024
Middle-Range theory of the nursing diagnosis of sedentary lifestyle in young adults
Revista Brasileira de Enfermagem. 2024;77(4):e20230516
Resumen
ARTÍCULO ORIGINALMiddle-Range theory of the nursing diagnosis of sedentary lifestyle in young adults
Revista Brasileira de Enfermagem. 2024;77(4):e20230516
DOI 10.1590/0034-7167-2023-0516
Visualizações1Ver maisABSTRACT
Objective:
To construct a middle-range theory for the nursing diagnosis of Sedentary Lifestyle in young adults.
Methods:
A methodological study for the validation of a nursing diagnosis based on a Middle-Range Theory, carried out in six stages: definition of the approach; definition of theoretical-conceptual models; definition of main concepts; development of a pictorial scheme; construction of propositions; establishment of causal relationships and evidence for practice. The theory construction was operationalized through an integrative review and supported by Roy’s adaptation model.
Results:
Three essential attributes were identified; 10 antecedents; 7 clinical consequences; a pictogram, 9 propositions, and 11 causal relationships and evidence for practice.
Conclusion:
The middle-range theory for the nursing diagnosis of Sedentary Lifestyle in young adults was constructed, expanding the understanding of this phenomenon, to be applied in clinical practice by nurses.
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ARTÍCULO ORIGINAL06/09/2024
Factors associated with burnout in military police officers in a city in Paraná
Revista Brasileira de Enfermagem. 2024;77(4):e20230510
Resumen
ARTÍCULO ORIGINALFactors associated with burnout in military police officers in a city in Paraná
Revista Brasileira de Enfermagem. 2024;77(4):e20230510
DOI 10.1590/0034-7167-2023-0510
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Objective:
to analyze the association between burnout and sociodemographic, work factors, lifestyle habits and health conditions of military police officers in a municipality in the state of Paraná, Brazil.
Method:
cross-sectional research with 131 military police officers. Data were analyzed using the Statistical Package for the Social Sciences software and the R program. Chi-square, Fisher’s exact and Poisson Generalized Linear Model tests were used.
Results:
most participants (65.6%) had a high level of burnout. In relation to protective factors, those who carried out leisure activities had a 33.6% chance of not developing burnout. Conjugality was also a protective factor. Not practicing physical activity and leisure activities are factors that can contribute to the occurrence of burnout.
Conclusions:
important factors and high rates of burnout were observed in the police officers investigated. It is necessary to implement public health policies to reduce burnout with attention focused on this professional category.
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ARTÍCULO ORIGINAL06/09/2024
Adherence to sepsis protocol in a high-risk maternity reference center
Revista Brasileira de Enfermagem. 2024;77(4):e20230453
Resumen
ARTÍCULO ORIGINALAdherence to sepsis protocol in a high-risk maternity reference center
Revista Brasileira de Enfermagem. 2024;77(4):e20230453
DOI 10.1590/0034-7167-2023-0453
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Objective:
To describe the adherence to the sepsis protocol by obstetric nurses in the obstetric triage of a high-risk maternity reference center.
Methods:
This was a quantitative, documental, and retrospective study involving 105 pregnant women treated in obstetric triage under sepsis criteria. Data were collected through electronic medical records using structured forms and were organized into tables employing descriptive statistics. This research adhered to ethical principles concerning human studies.
Results:
Of the checklists for initiating the SEPSIS protocol by obstetric nurses, 105 were identified. Regarding the protocol steps performed, lactate was collected in 97.1% of cases and blood cultures in 98.1%, antibiotic therapy was administered in 94.3%, and hydration was carried out in 51.4% of the cases.
Conclusion:
The initiation of the sepsis protocol for all women meeting the criteria was confirmed. However, the steps were not fully implemented as recommended by the institutional protocol, and the recommended broad-spectrum antibiotic was not administered.
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ARTÍCULO ORIGINAL06/09/2024
Physical and psychological changes of the COVID-19 infodemic by the older adult population
Revista Brasileira de Enfermagem. 2024;77(4):e20230339
Resumen
ARTÍCULO ORIGINALPhysical and psychological changes of the COVID-19 infodemic by the older adult population
Revista Brasileira de Enfermagem. 2024;77(4):e20230339
DOI 10.1590/0034-7167-2023-0339
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Objective:
to analyze the physical and psychological changes of the COVID-19 infodemic for the older adult population of Rio de Janeiro.
Method:
a cross-sectional, web-based survey to find out about access to news and information about COVID-19 among older adult in Rio de Janeiro, between July and December 2020. Univariate analysis and bivariate analysis were carried out using non-parametric statistical methods.
Results:
390 older adults took part, predominantly female (75.1%), aged between 66 and 75 (35.4%), married (51.0%), white (60.3%), owning their own home (81.8%), located in urban areas (91%), with complete or incomplete primary education (31.8%) and retired or pensioners (79.2%). Younger people were significantly affected both physically and psychologically by social networks when compared to television (<0.001).
Conclusion:
Physical and psychological changes from exposure to information about COVID-19 have affected the lives of the older adult, having an impact on this population.
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ARTÍCULO ORIGINAL18/05/2020
Avaliação por especialistas do curso online “Programa de Avaliação da Dor Neonatal”
Revista Brasileira de Enfermagem. 2020;73(4):e20180392
Resumen
ARTÍCULO ORIGINALAvaliação por especialistas do curso online “Programa de Avaliação da Dor Neonatal”
Revista Brasileira de Enfermagem. 2020;73(4):e20180392
DOI 10.1590/0034-7167-2018-0392
Visualizações2RESUMO
Objetivos:
avaliar a qualidade do layout, da identidade visual e do conteúdo do curso online “Programa de Avaliação da Dor Neonatal”.
Métodos:
estudo exploratório descritivo. O curso foi avaliado por 24 especialistas nas áreas de dor, neonatologia e educação. Foi utilizado um formulário contendo 20 questões sobre aspectos técnicos, de interface e educacionais. Para cada item, a pontuação variou de 0 a 1. Escores médios acima de 0,7 foram considerados indicativos de alta qualidade dos itens. Utilizou-se estatística descritiva para análise dos dados.
Resultados:
foram avaliados: navegação livre, clareza, facilidade de localização, pertinência do conteúdo, contextualização, correção de conteúdo, múltiplas janelas, facilidade de aprendizagem, eficiência de utilização, facilidade de retorno, ergonomia, estética, marcas especiais, recursos audiovisuais, informações e portabilidade. Todos os aspectos obtiveram média ≥ 0,70, não sendo necessárias modificações.
Conclusões:
considera-se o Programa de Avaliação da Dor Neonatal como tecnologia educacional de qualidade e estratégia promissora para a educação em saúde.
Palavras-chave: Avaliação da DorEducação a DistânciaEnfermagem NeonatalRecém-NascidoTecnologia EducacionalVer mais -
ARTÍCULO ORIGINAL16/09/2019
Saberes de estudantes de enfermagem sobre a prevenção de Infecções Sexualmente Transmissíveis
Revista Brasileira de Enfermagem. 2019;72(5):1145-1152
Resumen
ARTÍCULO ORIGINALSaberes de estudantes de enfermagem sobre a prevenção de Infecções Sexualmente Transmissíveis
Revista Brasileira de Enfermagem. 2019;72(5):1145-1152
DOI 10.1590/0034-7167-2017-0801
Visualizações0RESUMO
Objetivo:
Identificar o conhecimento e ações de autocuidado tomadas por estudantes de graduação em Enfermagem de uma Universidade Federal do Sul do Brasil, frente às Infecções Sexualmente Transmissíveis.
Método:
Estudo qualitativo exploratório, realizado 40 entrevistas com estudantes de graduação do início e do final do curso. A análise foi temática, resultando em três categorias.
Resultados:
O conhecimento acerca da temática é um fator decisivo para o autocuidado, sendo que quanto mais conhecimento, maior a prevenção. A disseminação de conhecimentos dos estudantes de final do curso não só influenciam no autocuidado como também na promoção de saúde no âmbito social.
Considerações finais:
O conhecimento é importante no autocuidado e no cuidado ao próximo. A disseminação de conhecimento se torna evidente conforme a complexidade do curso. Os relacionamentos estáveis podem interferir no uso ou desuso dos preservativos nas relações sexuais, equivoco presente na sociedade atual.
Palavras-chave: AutocuidadConhecimentDoenças Sexualmente TransmissíveiEstudantes de EnfermagemPrevenção de DoençaVer mais -
ARTÍCULO DE REVISIÓN05/12/2019
Health promotion of frail elderly individuals and at risk of frailty
Revista Brasileira de Enfermagem. 2019;72:319-327
Resumen
ARTÍCULO DE REVISIÓNHealth promotion of frail elderly individuals and at risk of frailty
Revista Brasileira de Enfermagem. 2019;72:319-327
DOI 10.1590/0034-7167-2018-0575
Visualizações0Ver maisABSTRACT
Objective:
To identify interventions for the health promotion of frail elderly individuals and those at risk of frailty.
Method:
Integrative review of the literature performed in the following databases: LILACS, CINAHL, MEDLINE, Web of Science, COCHRANE and Scopus, using the
Descriptors:
“frail elderly”, “aging”, “health services for the aged” and “health promotion” combined with Boolean operators “AND” and “OR”.
Results:
Randomized controlled clinical trials (RCTs) classified as level of evidence II represented 82.6% of studies. Interventions were analyzed according to the following categories: Interventions for the elderly at risk of frailty and Interventions for the frail elderly.
Conclusion:
The following interventions were identified: educational multiprofessional group meetings, physical training, home visit/home care program, nutrition assessment and supplementation, health maintenance programs and cognitive training; models/programs of management and monitoring, use of assistive technology devices and hospitalization program for geriatric rehabilitation.
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ARTÍCULO ORIGINAL17/02/2020
Social network of children with cronic disease: knowledge and practice of nursing
Revista Brasileira de Enfermagem. 2020;73(2):e20180371
Resumen
ARTÍCULO ORIGINALSocial network of children with cronic disease: knowledge and practice of nursing
Revista Brasileira de Enfermagem. 2020;73(2):e20180371
DOI 10.1590/0034-7167-2018-0371
Visualizações0Ver maisABSTRACT
Objectives:
To identify the knowledge and practice of primary care nurses about the social network approach for families of children with chronic diseases.
Methods:
Qualitative research, conducted by means of interviews with 23 family health nurses, from one municipality in Paraíba and one in Rio de Janeiro, from June to July of 2017. The data were interpreted using thematic analysis.
Results:
Social network meant institutional support offered by services outside the unit, and socioeconomic problems involved the family context. In practice, nurses find it difficult to provide comprehensive care and establish ties with families. When referring to other professionals, a weakness in the counter-referral to the family health unit is found.
Final considerations:
Some gaps were found regarding the knowledge and practice of nurses regarding the social network approach, which requires professional training to strengthen social relationships and the necessary support for families of children with chronic diseases.
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ARTÍCULO ORIGINAL15/08/2022
Construction and validation of an educational video for patients in the perioperative period of robotic surgery
Revista Brasileira de Enfermagem. 2022;75(5):e20210952
Resumen
ARTÍCULO ORIGINALConstruction and validation of an educational video for patients in the perioperative period of robotic surgery
Revista Brasileira de Enfermagem. 2022;75(5):e20210952
DOI 10.1590/0034-7167-2021-0952
Visualizações1Ver maisABSTRACT
Objectives:
to build and validate educational technology, of the video type, aimed at teaching about the perioperative period of robotic surgery.
Methods:
methodological development study, following the integrative review phases: pre-production, production, post-production, and validation. The video was evaluated for content and appearance by 14 judges. Content validity (CVI) and appearance (AVI) and agreement (CI) indices were calculated, and the exact binomial test was applied, considering p>0.05 and a proportion of 0.80 of agreement.
Results:
the video included 13 themes, with a duration of seven minutes and 33 seconds. The items of the three dimensions evaluated presented excellent CVI, ranging between 0.86 and 1.00 (p>0.05), with a total CVI of 0.95, VAT of 0.94 and CI equal to 61.5%.
Conclusions:
the video included 13 themes, with a duration of seven minutes and 33 seconds. The items of the three dimensions evaluated presented excellent CVI, ranging between 0.86 and 1.00 (p>0.05), with a total CVI of 0.95, VAT of 0.94 and CI equal to 61.5%.
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05/03/2021
Sofrimento moral em profissionais de saúde: retrato do ambiente de trabalho em tempos de COVID-19
Revista Brasileira de Enfermagem. 2021;74:e20200653
Resumen
Sofrimento moral em profissionais de saúde: retrato do ambiente de trabalho em tempos de COVID-19
Revista Brasileira de Enfermagem. 2021;74:e20200653
DOI 10.1590/0034-7167-2020-0653
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Objetivo:
Analisar potenciais desencadeadores de vivências de sofrimento moral de profissionais da saúde, veiculadas nas mídias, durante a pandemia de COVID-19 e propor um constructo teórico de análise.
Métodos:
Estudo com abordagem qualitativa cuja fonte dos dados foram 50 reportagens publicadas on-line, coletadas de forma passiva e ativa, submetidas à Análise de Conteúdo com auxílio do software ATLAS.ti.
Resultados:
Os potenciais problemas morais desencadeadores de sofrimento moral relacionam-se à ameaça à integridade moral, aos problemas de infraestrutura/logística e da equipe de trabalho e aos aspectos emocionais, revelando sua articulação com prejuízos aos fundamentos do ambiente de trabalho saudável, o que gerou a proposta de um constructo.
Considerações finais:
A articulação entre as vivências de sofrimento moral e o comprometimento dos fundamentos do ambiente de trabalho saudável trouxe importantes contribuições para a adoção de estratégias de proteção e de estímulo à deliberação moral pelos profissionais em favor da prática e da sociedade.
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ARTÍCULO ORIGINAL28/10/2020
Conflict management strategies used by Portuguese nurse managers
Revista Brasileira de Enfermagem. 2020;73:e20190336
Resumen
ARTÍCULO ORIGINALConflict management strategies used by Portuguese nurse managers
Revista Brasileira de Enfermagem. 2020;73:e20190336
DOI 10.1590/0034-7167-2019-0336
Visualizações0Ver maisABSTRACT
Objectives:
to analyze the perception and conflict management strategies used by nurses in the management of people in Portuguese health services.
Methods:
descriptive, correlational study, carried out in Portuguese health services, with an intentional non-probabilistic sample, totaling 95 nurse managers. A questionnaire and Conflict Management Scale were used, analyzing the variables of managerial activities and conflict management, with the aid of software.
Results:
it was identified that 60% of the managers, report having to mediate conflicts daily, and the majority report adopting dialogue in conduct. However, through the Kruskal-Wallis test, it was shown that enforcement strategies in conflict management prevail (p = 0.008), with collaborative ones being more restricted to monthly intervals (p = 0.049).
Conclusions:
managers perceive the importance of collaboration in the mediation of conflicts, however, in their daily lives; they tend to maintain imposing behaviors, signaling for a little transformational leadership style.
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