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ARTÍCULO ORIGINAL15/04/2022
Professionals’ beliefs in patient involvement for hospital safety
Revista Brasileira de Enfermagem. 2022;75(4):e20210359
Resumen
ARTÍCULO ORIGINALProfessionals’ beliefs in patient involvement for hospital safety
Revista Brasileira de Enfermagem. 2022;75(4):e20210359
DOI 10.1590/0034-7167-2021-0359
Visualizações0Ver maisABSTRACT
Objectives:
to analyze the beliefs of health care professionals about the benefits of patient involvement in care during hospitalization.
Methods:
a descriptive, exploratory, qualitative study was conducted with 87 health professionals from a teaching hospital. Semi-structured interviews were conducted between December 2019 and January 2020 – data was submitted to content analysis and interpreted in light of Rosenstock’s Model of Beliefs in Health.
Results:
participants included nursing technicians, nurses, doctors, and other professionals. The categories “Professionals’ beliefs about patient involvement in care”, “Practices of patient involvement in care” and “Factors favoring patient involvement in hospital care” emerged. The perception of professionals revealed the influence of patient involvement in care outcomes and benefits for the safety of care.
Final Considerations:
involving the patient in care is associated with the healthcare professional’s belief in the benefits of this practice for reducing incidents.
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REFLEXIÓN15/04/2022
Nursing in hemotherapy services: considerations on public policies associated with blood and blood components
Revista Brasileira de Enfermagem. 2022;75(4):e20210417
Resumen
REFLEXIÓNNursing in hemotherapy services: considerations on public policies associated with blood and blood components
Revista Brasileira de Enfermagem. 2022;75(4):e20210417
DOI 10.1590/0034-7167-2021-0417
Visualizações0Ver maisABSTRACT
Objective:
Reflect on how the evolution of legislation related to blood and blood-based products has shaped the role of nurses in hemotherapy services.
Methods:
A reflective study, carried out employing surveys in databases, about the evolution of the nurse’s role in hemotherapy services.
Results:
Several legislations, published since 1950, have encouraged blood donation and shaped the work of nurses in hemotherapy services, being the most relevant Law #10.205/2001 (Lei nº 10.205/2001), about blood collection, processing, storage, distribution, and blood transfusion; and COFEN’s resolution # 629/2020 (COFEN nº 629/2020), which addresses in detail the practice of these services.
Final considerations:
The evolution of legislation related to blood and blood-based products contributed to the consolidation of nurses’ attributions in hemotherapy services since it guaranteed legal support and defined the practices in these services.
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ARTÍCULO ORIGINAL15/04/2022
Longitudinal treatment of smoking in Primary Health Care: an evaluation research
Revista Brasileira de Enfermagem. 2022;75(4):e20210420
Resumen
ARTÍCULO ORIGINALLongitudinal treatment of smoking in Primary Health Care: an evaluation research
Revista Brasileira de Enfermagem. 2022;75(4):e20210420
DOI 10.1590/0034-7167-2021-0420
Visualizações0Ver maisABSTRACT
Objectives:
to evaluate the coordination of the attention for continuing treatment for smoking cessation in the Primary Health Care, from the perspective of users.
Methods:
the conceptual base was longitudinal care, which is an attribute of the National Policy of Primary Care. The methodological framework was that of an evaluative research, as informed by theory-based evaluation. Data collection used observation with moderate participation in the groups to abandon smoking, intensive interviews with 22 users, and analysis of medical records. The interviews used initial and focused coding, which are analytical stages of the Grounded Theory, with the aid of the MaxQDA® software.
Results:
the interviewees had a positive evaluation of their treatment for smoking, although they mentioned limitations for medium- and long-term continuity.
Final Considerations:
the smoking treatment sessions, even if infrequent, were found to be a successful experience for smoking cessation.
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ARTÍCULO ORIGINAL15/04/2022
Meanings attributed to changes occurring after bariatric surgery: an analysis in the light of Grounded Theory
Revista Brasileira de Enfermagem. 2022;75(4):e20210463
Resumen
ARTÍCULO ORIGINALMeanings attributed to changes occurring after bariatric surgery: an analysis in the light of Grounded Theory
Revista Brasileira de Enfermagem. 2022;75(4):e20210463
DOI 10.1590/0034-7167-2021-0463
Visualizações0Ver maisABSTRACT
Objectives:
to understand the meanings attributed to the changes experienced after bariatric surgery by people with obesity.
Methods:
this is a study with a qualitative approach, with a theoretical framework in Symbolic Interactionism; and methodological, in the Grounded Theory. There were 12 participants who underwent bariatric surgery in two health services (bariatric surgery clinic; general hospital). Data collection took place between July and October 2020, through an intensive interview. Testimonies were recorded using an electronic device and transcribed in full. Data were coded in the MAXQDA 2020 software and analyzed considering the adopted theoretical framework.
Results:
two categories emerged: Rebuilding a social life; and Rediscovering self-esteem. From the articulation of these categories, the phenomenon “Re-signifying life after bariatric surgery” was constructed.
Final Considerations:
bariatric surgery contributed to significant changes in the daily lives of participants, and Symbolic Interactionism allowed the understanding of how participants interpreted their meanings.
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ARTÍCULO ORIGINAL15/04/2022
Risk factors for Central Nervous System drug use among nursing students
Revista Brasileira de Enfermagem. 2022;75(4):e20210756
Resumen
ARTÍCULO ORIGINALRisk factors for Central Nervous System drug use among nursing students
Revista Brasileira de Enfermagem. 2022;75(4):e20210756
DOI 10.1590/0034-7167-2021-0756
Visualizações0Ver maisABSTRACT
Objectives:
to verify sociodemographic, academic and health risk factors for Central Nervous System drug use among nursing students.
Methods:
a cross-sectional study with 199 public undergraduate students from Ceará, using Characterization Instrument, Antonovsky’s Sense of Coherence Questionnaire, Beck Depression Inventory and Beck Anxiety Inventory. Fischer’s exact test and Pearson’s chi-square test were performed, verifying an association between variables. Prevalence ratio was used.
Results:
a total of 34 used such drugs, with predominance of use of anxiolytics, associated with age (p=0.026), dissatisfaction with the relationship between classmates (p=0.003), insomnia (p=0.009), chronic disease (p=0.001), depression (p=0.035), and severe anxiety (p=0.023).
Conclusions:
using Central Nervous System drugs among students was associated with sociodemographic, academic and health factors, evidencing the need for actions promoting undergraduate students’ mental health.
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ARTÍCULO ORIGINAL15/04/2022
Evaluation of oscillometric blood pressure measurement devices available for online sale
Revista Brasileira de Enfermagem. 2022;75(4):e20210658
Resumen
ARTÍCULO ORIGINALEvaluation of oscillometric blood pressure measurement devices available for online sale
Revista Brasileira de Enfermagem. 2022;75(4):e20210658
DOI 10.1590/0034-7167-2021-0658
Visualizações0Ver maisABSTRACT
Objectives:
to characterize oscillometric blood pressure measurement devices for sale in the virtual market and identify which ones have undergone a validation study.
Methods:
this was a cross sectional study. The search for devices for sale was conducted on websites, and the sample was composed of 137 devices obtained from 644 ads. We conducted a bibliographic survey in five databases and web pages enlisting devices submitted for validation. The Kolmogorov-Smirnov test was used to check data distribution, followed by Mann-Whitney and Kruskal-Wallis tests for comparisons, using the SAS 9.4 program.
Results:
only 16.7% of the devices were validated. The home devices ranged from USD 10.57 to USD 275.67. Only 102 ads informed the cuff size, with different nomenclatures.
Conclusions:
most ads contained non-validated devices, which were cheaper. We identified some ads falsely informing validation.
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ARTÍCULO ORIGINAL15/04/2022
Correlation between fatigue and quality of life self-reported by adolescents with cerebral palsy
Revista Brasileira de Enfermagem. 2022;75(4):e20210716
Resumen
ARTÍCULO ORIGINALCorrelation between fatigue and quality of life self-reported by adolescents with cerebral palsy
Revista Brasileira de Enfermagem. 2022;75(4):e20210716
DOI 10.1590/0034-7167-2021-0716
Visualizações0Ver maisABSTRACT
Objectives:
to investigate the correlation between fatigue and quality of life in adolescents with cerebral palsy who are susceptible to more significant fatigue and lower quality of life.
Methods:
cross-sectional study conducted with 101 adolescents with cerebral palsy. Instruments such as the Pediatric Quality of Life Inventory and Gross Motor Function Classification System were used, and Kolmogorov-Smirnov, Mann-Whitney, and Spearman tests were applied.
Results:
older adolescents self-reported higher fatigue levels, and female adolescents, quadriplegic, with worse motor function, older, and not attending school had lower quality of life scores. Higher fatigue levels correlated with lower quality of life in all domains (p<0.01), especially in tiredness (general and mental) and functioning (social, academic, and psychosocial).
Conclusions:
fatigue correlated negatively with the quality of life of adolescents with cerebral palsy, showing that the higher the level of fatigue, the more compromised is the adolescents’ life.
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ARTÍCULO ORIGINAL15/04/2022
Analysis of the temporal trend of mortality from sickle cell anemia in Brazil
Revista Brasileira de Enfermagem. 2022;75(4):e20210640
Resumen
ARTÍCULO ORIGINALAnalysis of the temporal trend of mortality from sickle cell anemia in Brazil
Revista Brasileira de Enfermagem. 2022;75(4):e20210640
DOI 10.1590/0034-7167-2021-0640
Visualizações0Ver maisABSTRACT
Objectives:
To analyze the temporal trend of mortality from sickle cell anemia in Brazil, by region, in the period 1997-2017.
Methods:
epidemiological study, with an ecological design, with a temporal trend, carried out with data from the Mortality Information System. For descriptive analysis, absolute and relative frequencies were used. In the correlation analysis, the ANOVA test was used, followed by Tukey’s post-test. The temporal trend was obtained using the cubic polynomial regression test.
Results:
6,813 deaths from sickle cell anemia were registered. Brown individuals (50.87%) were more frequent, with a predominance of males (50.4%), aged between 25 and 34 years and a higher incidence of deaths in the Midwest (0.25/100 thousand inhabitants). The time curve showed an increasing trend of deaths in the country between 1997 and 2015 (R2 = 0.98).
Conclusions:
sickle cell anemia showed increasing mortality in the 21 years analyzed and alerts health professionals and managers.
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ARTÍCULO ORIGINAL21/10/2019
Occupational stress and engagement in primary health care workers
Revista Brasileira de Enfermagem. 2019;72(6):1580-1587
Resumen
ARTÍCULO ORIGINALOccupational stress and engagement in primary health care workers
Revista Brasileira de Enfermagem. 2019;72(6):1580-1587
DOI 10.1590/0034-7167-2018-0681
Visualizações0Ver maisABSTRACT
Objective:
To evaluate levels of occupational stress and work engagement among primary health care workers.
Method:
A descriptive, correlational and transversal study was carried out in a small municipality in the countryside of São Paulo, with a non-probabilistic sample of convenience, with 85 workers. Three self-applied instruments were used: one developed by researchers, containing sociodemographic variables; Work Stress Scale (WSS) and Utrech Work Engagement Scale (UWES).
Results:
Prevalence of women (72.6%), 40 years old or more (45.9%), 4 years and 4 months of mean working time in primary care. Thirty-one workers (36.5%) presented significant stress (scores ≥2.5). Work engagement showed a mean of 4.1 (±1.2) to 4.4 (±1.4), classified as high in all dimensions. Occupational stress and work engagement correlated negatively.
Conclusion:
Workers presented high levels of work engagement; more than one-third had significant occupational stress. Workers with high levels of occupational stress tend to have lower work engagement.
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ARTÍCULO ORIGINAL01/07/2020
Patient safety culture: perception of nursing professionals in high complexity institutions
Revista Brasileira de Enfermagem. 2020;73(5):e20190174
Resumen
ARTÍCULO ORIGINALPatient safety culture: perception of nursing professionals in high complexity institutions
Revista Brasileira de Enfermagem. 2020;73(5):e20190174
DOI 10.1590/0034-7167-2019-0174
Visualizações1Ver maisABSTRACT
Objectives:
to analyze the perception of nursing professionals about patient safety culture in three highly complex hospital institutions.
Methods:
descriptive and quantitative study with professionals working in care. The Hospital Survey on Patient Safety Culture questionnaire was applied, classifying its dimensions according to the percentage of positive responses (strengthened: ≥75.0%; potential for improvement: <75.0% to> 50.0%; weakened: ≤50.0%).
Results:
four hundred sixty-seven professionals (79.6%), mostly women (88.4%), nursing technicians/assistants (57.2%), 20 to 39 years (60.8%), less than five years in the institution (57.8%) and exclusive bond (79.2%) participated in the study. Safety culture was considered fragile, seven dimensions assessed as such, highlighting “Openness to communication” and “Non-punitive responses to errors” with <30.0% positive responses.
Conclusions:
evidence of the need for discussion of the subject and strategies for change that promote quality and safety of care.
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ARTÍCULO DE REVISIÓN06/11/2020
Cuidado transicional aos cuidadores de idosos dependentes: revisão integrativa da literatura
Revista Brasileira de Enfermagem. 2020;73:e20200394
Resumen
ARTÍCULO DE REVISIÓNCuidado transicional aos cuidadores de idosos dependentes: revisão integrativa da literatura
Revista Brasileira de Enfermagem. 2020;73:e20200394
DOI 10.1590/0034-7167-2020-0394
Visualizações0Ver maisRESUMO
Objetivo:
Identificar as necessidades dos cuidadores de idosos dependentes para o autocuidado na transição do hospital para casa.
Métodos:
Revisão integrativa que seguiu um protocolo pré-definido, realizada de março a maio de 2019, nas plataformas EBSCO, B-On, Scopus, Web of Science e Joanna Briggs Institute. Foram definidos descritores e critérios de elegibilidade para a amostra bibliográfica, que ficou constituída por dez artigos. Pela atualidade da evidência, limitou-se a pesquisa aos anos de 2015 a 2019.
Resultados:
As necessidades de cuidados transicionais para os cuidadores agrupam-se em cinco categorias: necessidades na transição para o papel de cuidador, necessidades de autocuidado dele próprio, necessidades de saúde, necessidades econômicas e necessidades sociais e comunitárias.
Considerações finais:
O cuidado transicional para os cuidadores deve ter dois focos de atenção, por parte dos enfermeiros: a gestão dos cuidados ao familiar dependente e a gestão das necessidades e dos cuidados ao próprio cuidador.
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ARTÍCULO ORIGINAL24/05/2021
PEDCARE: validação de um aplicativo móvel sobre o autocuidado com o pé diabético
Revista Brasileira de Enfermagem. 2021;74:e20200856
Resumen
ARTÍCULO ORIGINALPEDCARE: validação de um aplicativo móvel sobre o autocuidado com o pé diabético
Revista Brasileira de Enfermagem. 2021;74:e20200856
DOI 10.1590/0034-7167-2020-0856
Visualizações0RESUMO
Objetivo:
descrever o processo de validação de aplicativo multimídia em plataforma móvel para a promoção de cuidado com os pés de pessoas com diabetes.
Método:
estudo de produção tecnológica, do tipo metodológico. O conteúdo e a aparência foram validados por 39 juízes (29 juízes na área de enfermagem e dez com experiência profissional em tecnologia da informação e comunicação e 15 pessoas do público-alvo).
Resultados:
os juízes na área de enfermagem possibilitaram a validação do material com Índice de Validade do Conteúdo total de 0,95, teste binomial não significativo para maioria dos itens e alfa de Cronbach de 0,92, juízes da área de tecnologia da informação e comunicação com Suitability Assessment of Materials de 99,2% e o público-alvo com Índice de Concordância de 98%.
Conclusão:
o aplicativo mostrou-se válido e confiável para uso na prática clínica como tecnologia educacional para promoção de cuidados com os pés de pessoas com diabetes.
Palavras-chave: Aplicativos MóveisDiabetes MellitusEducação em SaúdeEstudos de ValidaçãoPé DiabéticoVer mais -
INFORME DE EXPERIENCIA09/04/2020
Implantação de algoritmo de inteligência artificial para detecção da sepse
Revista Brasileira de Enfermagem. 2020;73(3):e20180421
Resumen
INFORME DE EXPERIENCIAImplantação de algoritmo de inteligência artificial para detecção da sepse
Revista Brasileira de Enfermagem. 2020;73(3):e20180421
DOI 10.1590/0034-7167-2018-0421
Visualizações0RESUMO
Objetivos:
apresentar a experiência de enfermeiros com inovações tecnológicas computacionais no apoio à identificação precoce da sepse.
Métodos:
relato de experiência de pré e pós-implantação de algoritmos baseados em inteligência artificial para a prática clínica em um hospital filantrópico, no primeiro semestre de 2018.
Resultados:
descrevem a motivação, para criação e uso do algoritmo, o papel do enfermeiro no desenvolvimento e na implantação dessa tecnologia e os seus efeitos no processo de trabalho da enfermagem.
Considerações Finais:
inovações tecnológicas precisam contribuir para a melhoria das práticas profissionais em saúde. Assim, enfermeiros devem reconhecer seu papel em todas as etapas desse processo, de modo a garantir o cuidado seguro, efetivo, centrado no paciente. No caso apresentado, a participação dos enfermeiros no processo de incorporação tecnológica potencializa a rápida tomada de decisão na identificação precoce da sepse.
Palavras-chave: Fidelidade a DiretrizesInformática em EnfermagemInteligência Artificial SepseTomada de DecisõesVer mais -
ARTÍCULO DE REVISIÓN24/03/2021
Development of clinical competence in nursing in simulation: the perspective of Bloom’s taxonomy
Revista Brasileira de Enfermagem. 2021;74(1):e20200135
Resumen
ARTÍCULO DE REVISIÓNDevelopment of clinical competence in nursing in simulation: the perspective of Bloom’s taxonomy
Revista Brasileira de Enfermagem. 2021;74(1):e20200135
DOI 10.1590/0034-7167-2020-0135
Visualizações0Ver maisABSTRACT
Objectives:
to investigate the scientific evidence on the use of Bloom’s taxonomy for developing competence in nursing professionals and students in clinical simulation.
Methods:
integrative review of the National Library of Medicine (NLM), National Institutes of Health (NIH), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Latin American and Caribbean Literature in Health Sciences (LILACS), Web of Science and SCOPUS databases, using the Rayyan application.
Results:
a total of 871 studies were identified; four composed the sample. The development of clinical competence occurred through the coordination of knowledge, skills, and attitudes. To develop the cognitive domain, the objectives of knowledge and comprehension of the Bloom’s taxonomy were mobilized. The psychomotor domain required development of the skills demanded by the proposed clinical care. The affective domain was developed through will and motivation to learn.
Conclusions:
it is possible to develop clinical competence in nursing by adopting Bloom’s taxonomy in each phase of clinical simulation.
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27/03/2020
Coronavirus 2020
Revista Brasileira de Enfermagem. 2020;73(2):e2020n2
Resumen
Coronavirus 2020
Revista Brasileira de Enfermagem. 2020;73(2):e2020n2
DOI 10.1590/0034-7167-2020730201
Visualizações0Las enfermedades infecciosas emergentes y reemergentes son desafíos constantes para la salud pública en todo el mundo. Los casos recientes de neumonía de causa desconocida en Wuhan, China, han llevado al descubrimiento de un nuevo tipo de Coronavirus (2019-nCoV), que son virus de RNA envueltos, comúnmente encontrados en humanos, otros mamíferos y aves, capaces de […]Ver mais -
ARTÍCULO ORIGINAL04/12/2020
Lesão por pressão relacionada ao uso de equipamentos de proteção individual na pandemia da COVID-19
Revista Brasileira de Enfermagem. 2020;73:e20200670
Resumen
ARTÍCULO ORIGINALLesão por pressão relacionada ao uso de equipamentos de proteção individual na pandemia da COVID-19
Revista Brasileira de Enfermagem. 2020;73:e20200670
DOI 10.1590/0034-7167-2020-0670
Visualizações0RESUMO
Objetivo:
Descrever prevalência e fatores associados da lesão por pressão relacionada ao uso de equipamentos de proteção individual durante a pandemia da COVID-19.
Métodos:
Estudo transversal realizado por meio de instrumento disponibilizado em redes sociais com 1.106 profissionais de saúde. Os dados foram analisados por meio de estatística descritiva e comparada, considerando valor de p < 0,05.
Resultados:
Houve prevalência de 69,4% para lesão por pressão relacionada ao uso do equipamento de proteção individual, com uma média de 2,4 lesões por profissional. Os fatores significativos foram: menores de 35 anos de idade, trabalhar e fazer uso de equipamentos de proteção individual por mais de seis horas no dia, em unidades hospitalares e sem o uso de insumos para proteção.
Conclusão:
A lesão por pressão relacionada ao uso de dispositivos médicos apresentou alta prevalência nessa população. O reconhecimento da lesão nesses profissionais possibilita avançar em estratégias de prevenção.
Palavras-chave: CoronavírusEquipamento de Proteção IndividualLesão por PressãoPandemiasPessoal de SaúdeVer mais
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