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ARTÍCULO ORIGINAL09/07/2021
Brazilian Nursing Association: fight for space in the new federal capital
Revista Brasileira de Enfermagem. 2021;74(3):e20200701
Resumen
ARTÍCULO ORIGINALBrazilian Nursing Association: fight for space in the new federal capital
Revista Brasileira de Enfermagem. 2021;74(3):e20200701
DOI 10.1590/0034-7167-2020-0701
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Objectives:
to analyze the transfer process of the Brazilian Nursing Association to its new headquarters in Brasília/Federal District.
Methods:
qualitative, socio-historical, and documental study. The analysis generated the following characteristics: Associate reorganization: the transfer from the Central ABEn headquarters; and the Strategies used in the struggle for the appropriation of space.
Results:
the Brazilian Nursing Association was engaged in a struggle, which lasted nine years, for the acquisition of land in the new Federal Capital, Brasília, to ensure a prestigious place for the Association, and for nursing as well.
Final Considerations:
together with their sections, undertook efforts and implemented strategies to find a space in the new Federal Capital, allowing visibility and recognition to the nursing profession.
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ARTÍCULO DE REVISIÓN09/07/2021
Good practices for physical restraint in intensive care units: integrative review
Revista Brasileira de Enfermagem. 2021;74(3):e20201166
Resumen
ARTÍCULO DE REVISIÓNGood practices for physical restraint in intensive care units: integrative review
Revista Brasileira de Enfermagem. 2021;74(3):e20201166
DOI 10.1590/0034-7167-2020-1166
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Objectives:
to describe the available evidence on indications, complications, care and alternative strategies in the use of physical restraint in adult patients in Intensive Care Units.
Results:
the final selection was of 19 articles, from which the indications, complications, care and alternative strategies were extracted. The studies were conducted between the years 2003 and 2018, with a predominance of the United States; they were mostly classified (58%) in level 6 evidence, being performed by nurses, with multi-professional participation of psychologists, pharmacists, physicians, and nurses.
Conclusions:
the most common practices regarding physical restriction were described, and the need for the elaboration and implementation of protocols on intervention to support decision making was observed.
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ARTÍCULO ORIGINAL09/07/2021
Evaluación de diferentes métodos de monitoreo de limpieza de superficie en sala operatoria
Revista Brasileira de Enfermagem. 2021;74(3):e20201263
Resumen
ARTÍCULO ORIGINALEvaluación de diferentes métodos de monitoreo de limpieza de superficie en sala operatoria
Revista Brasileira de Enfermagem. 2021;74(3):e20201263
DOI 10.1590/0034-7167-2020-1263
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Objetivos:
evaluar diferentes métodos de monitoreo de la presencia de materia orgánica o biológica entre la limpieza y desinfección de la sala quirúrgica.
Métodos:
estudio transversal utilizando la inspección visual, muestras de adenosina trifosfato y cultura microbiológica como indicadores para evaluación de la limpieza y desinfección.
Resultados:
93,3% de las áreas evaluadas visualmente en este estudio se presentaban visualmente limpias, mismo en la presencia de altos niveles de bioluminiscencia en el resultado de adenosina trifosfato y análisis microbiológicos detectando la presencia de microorganismos relevantes para la formación de biofilms.
Conclusiones:
el proceso de limpieza y desinfección redujo la carga microbiana y materia orgánica de las superficies evaluadas, demostrada por los resultados obtenidos por el adenosina trifosfato y evaluación microbiológica, pero la inspección visual como herramienta única para evaluar la eficacia de la limpieza de las superficies, puede generar una falsa impresión de ambiente limpio.
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ARTÍCULO ORIGINAL09/07/2021
Self-management support of adolescents with type 1 Diabetes Mellitus in the light of healthcare management
Revista Brasileira de Enfermagem. 2021;74(3):e20201252
Resumen
ARTÍCULO ORIGINALSelf-management support of adolescents with type 1 Diabetes Mellitus in the light of healthcare management
Revista Brasileira de Enfermagem. 2021;74(3):e20201252
DOI 10.1590/0034-7167-2020-1252
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Objectives:
to analyze the self-management support needs of adolescents with type 1 diabetes mellitus.
Methods:
this qualitative research was carried out between September and December 2017 with nine adolescents in the pediatric outpatient clinic of a university hospital and in their homes. The material collected through semi-structured interviews was interpreted by thematic inductive analysis in the light of the healthcare management concept.
Results:
adolescents’ self-management support needs include longitudinal monitoring by health teams; family support in their training; support from the social network; and a careful look by government officials in the construction of guidelines for dispensing the essential inputs for treatment. However, these needs are not always met satisfactorily, resulting in gaps in this support.
Final Considerations:
these gaps interfere in resolving health demands. Self-care with fragmented support affects the healthcare management dimensions, making it impossible to meet the uniqueness of adolescents in a comprehensive, expanded and ethical way.
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ARTÍCULO ORIGINAL09/07/2021
Trend and factors associated with Tuberculosis-Diabetes Mellitus comorbidity in a Northeastern Brazilian municipality
Revista Brasileira de Enfermagem. 2021;74(3):e20201238
Resumen
ARTÍCULO ORIGINALTrend and factors associated with Tuberculosis-Diabetes Mellitus comorbidity in a Northeastern Brazilian municipality
Revista Brasileira de Enfermagem. 2021;74(3):e20201238
DOI 10.1590/0034-7167-2020-1238
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Objectives:
to identify the trend and factors associated with Tuberculosis-Diabetes Mellitus comorbidity in Imperatriz, Maranhão.
Methods:
epidemiological temporal-series study, conducted in a Northeastern Brazilian municipality. The population consisted of Tuberculosis cases with Diabetes Mellitus-associated aggravation notified in the Notifiable Diseases Information System (SINAN) between 2009 and 2018. We determined the prevalence and trend of comorbidity using Prais-Winsten regressions and to identify associated factors employed Poisson regression.
Results:
prevalence ranged from 3.23% in 2014 to 19.51% in 2018, with a mean of 11.5% for the period, showing an increasing trend. Age groups 30 to 59 years and ≥ 60 years, education < 8 years, and clinical form of pulmonary Tuberculosis were risk factors for comorbidity.
Conclusions:
The increasing trend of comorbidity and its associated factors alert us to the need to improve customer service at all levels of health care.
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09/07/2021
Mortality in community-dwelling elderly: coefficient and associated factors
Revista Brasileira de Enfermagem. 2021;74:e20200612
Resumen
Mortality in community-dwelling elderly: coefficient and associated factors
Revista Brasileira de Enfermagem. 2021;74:e20200612
DOI 10.1590/0034-7167-2020-0612
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Objective:
Analyze the coefficient, associated factors, and causes of mortality in community-dwelling elderly.
Method:
Longitudinal and analytical study. Data collection, at baseline, was performed in the elderly’s home. The first wave occurred after 42 months. Complementary data collection identified the cause of death. Variables analyzed: demographic, social, economic, and clinical. Logistic regression was used for data analysis.
Results:
The coefficient of mortality was 7.9%. The variables associated with mortality were longevity, inability to read, absence of religious practice, stroke, consultation, and hospitalization in the last 12 months. The main groups of primary causes of death were ill-defined and unspecified causes of mortality, respiratory system diseases, and neoplasms.
Conclusion:
The coefficient of mortality in community-dwelling elderly was lower than national and international studies investigated.
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09/07/2021
Algorithm for transitional care for caregivers of dependent older adults: a validation study
Revista Brasileira de Enfermagem. 2021;74:e20200625
Resumen
Algorithm for transitional care for caregivers of dependent older adults: a validation study
Revista Brasileira de Enfermagem. 2021;74:e20200625
DOI 10.1590/0034-7167-2020-0625
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Objective:
To construct and validate an algorithm for transitional care for caregivers of dependent older adults.
Method:
This was a methodological study developed in three phases: a literature review, designing an algorithm, and its validation by a peer panel with twenty-seven experts selected according to pre-defined inclusion criteria.
Results:
The algorithm predicted interventions in transitional care (hospital stay, at discharge, and 30 days at home post-discharge) aimed at the exercise of the caregiver role; needs assessment; training in care management of dependent older adults and management of self-care, and ensuring continuity of care (of older adults and caregivers).
Conclusion:
Agreement between expert raters and a reliability test of 0.92 indicate that the algorithm can be used by professionals to decide the transitional care interventions to be administered to the caregivers of dependent older adults. Future studies should be conducted to perform its clinical validation.
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09/07/2021
Sexuality is associated with the quality of life of the elderly!
Revista Brasileira de Enfermagem. 2021;74:e20201272
Resumen
Sexuality is associated with the quality of life of the elderly!
Revista Brasileira de Enfermagem. 2021;74:e20201272
DOI 10.1590/0034-7167-2020-1272
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Objective:
to analyze the association between sexuality and quality of life of Brazilian elderly residents in the community.
Methods:
a cross-sectional study conducted with 477 Brazilian elderly. The data were collected between August and October 2020. We used the EVASI and WHOQOL-OLD (World Health Organization Quality of Life). Data analysis was performed with Mann-Whitney, Spearman and Kruskal-Wallis correlation tests, with Bonferroni post-hoc application when necessary, considering a 95% confidence interval.
Results:
there was a statistical association between all dimensions of sexuality and the general quality of life of the elderly (p<0.05).
Conclusion:
the stimulation of sexuality can be configured as an innovative and holistic strategy focused on the promotion of health and active aging, since this study found the association between sexuality and the general quality of life of elderly people.
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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 -
ARTÍCULO ORIGINAL13/07/2020
Dermatite associada à incontinência em idosos: prevalência e fatores de risco
Revista Brasileira de Enfermagem. 2020;73:e20180475
Resumen
ARTÍCULO ORIGINALDermatite associada à incontinência em idosos: prevalência e fatores de risco
Revista Brasileira de Enfermagem. 2020;73:e20180475
DOI 10.1590/0034-7167-2018-0475
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Objetivo:
Determinar prevalência e fatores de risco para dermatite associada à incontinência em idosos.
Método:
Estudo transversal exploratório realizado em hospitais públicos. Obtevese prevalência da dermatite e associações pelo cálculo da razão. A dimensão do efeito foi estimada pela razão de chances com intervalo de confiança de 95% e significância estatística p < 0,05.
Resultados:
Incluíram-se 138 idosos, média de idade 77,2 anos (± 9,3); 69 (50%) com incontinência fecal e urinária combinadas. A prevalência de dermatite foi 36,2% (50); 28% (14) apresentavam lesão por pressão; 14% (7), candidose. Foram fatores de risco: maior tempo de internação (Odds Ratio = 5,8 [2,6-12,9]), obesidade (Odds Ratio = 3,6 [1,2-10,4]), alto nível de dependência (Odds Ratio = 2,4 [1,1-5,0]) e alto risco para lesão por pressão (Odds Ratio = 6,1 [1,4-26,9]).
Conclusão:
Houve alta prevalência de dermatite associada à incontinência. O reconhecimento precoce dos fatores de risco favorece ações preventivas efetivas.
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ARTÍCULO ORIGINAL21/10/2019
Nursing care systematization: perceptions and knowledge of the Brazilian nursing
Revista Brasileira de Enfermagem. 2019;72(6):1547-1553
Resumen
ARTÍCULO ORIGINALNursing care systematization: perceptions and knowledge of the Brazilian nursing
Revista Brasileira de Enfermagem. 2019;72(6):1547-1553
DOI 10.1590/0034-7167-2018-0606
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Objective:
to present the perception and knowledge of Brazilian nursing nurses and academics regarding Nursing Care Systematization.
Method:
a descriptive study, carried out in the first half of 2018.
Results:
of the 596 respondents, 86% perceived Nursing Care Systematization as very important, but only 60.9% used it in their care practice. Its use was statistically associated with a higher level of training. Non-utilization was associated with the perception that it is irrelevant and with little knowledge on the Nursing Process, even in the face of recognition of its obligation. Among professionals who wish to learn more about the subject, understanding the application of the process, especially the planning step, is perceived as a necessity.
Conclusion:
the relevance perception of systematization and levels of knowledge of the professional/academic are directly related to the use or not of Nursing Care Systematization principles.
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ARTÍCULO DE REVISIÓN05/12/2019
Vulnerability of the elderly: a conceptual analysis
Revista Brasileira de Enfermagem. 2019;72:337-344
Resumen
ARTÍCULO DE REVISIÓNVulnerability of the elderly: a conceptual analysis
Revista Brasileira de Enfermagem. 2019;72:337-344
DOI 10.1590/0034-7167-2018-0728
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Objective:
To analyze the concept of vulnerability of the elderly.
Method:
A concept analysis, according to the method proposed by Walker and Avant, operationalized through integrative review through search in scientific data portals using the
Descriptors:
Health vulnerability, aged, health services for the aged, health of the elderly, vulnerable populations and geriatric health services. To compose the literary corpus, 36 studies were selected.
Results:
Concept antecedents, as well as its attributes, were identified in individual, social and programmatic characteristics, which make up the characteristics of “vulnerability of the elderly”, besides consequences of the phenomenon. These characteristics were analyzed with emphasis on aspects that contribute to the process of vulnerability of the elderly.
Conclusion:
The study demonstrated the multidimensionality of the phenomena studied, highlighting the peculiarities of vulnerability during aging. However, there is a need for further studies on the construct.
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ARTÍCULO ORIGINAL21/10/2019
Workloads and burnout of nursing workers
Revista Brasileira de Enfermagem. 2019;72(6):1435-1441
Resumen
ARTÍCULO ORIGINALWorkloads and burnout of nursing workers
Revista Brasileira de Enfermagem. 2019;72(6):1435-1441
DOI 10.1590/0034-7167-2017-0659
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Objective:
to identify workloads in nursing work and its association with nursing worker burnout.
Method:
a cross-sectional study, including 211 nursing workers from a university hospital, between July and August 2016. For the analysis, the descriptive statistics, Chi-Square Test, Fisher’s Exact Test and Mann Whitney U-Test were used.
Results:
the most evidenced loads were biological. A significant association was found between workloads and workers’ occupation, as well as a significant association between workloads and worker burnout. Burnout caused upper limb pain, neck and lumbar pain, lower limb pain, muscle spasm, lower limb edema, mental fatigue, headache, nervousness, and forgetfulness.
Conclusion:
workloads identification is a subsidy for the promotion of interventions that minimize the burnout generated to the health of the nursing worker.
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19/08/2019
La intervención humor en la interacción enfermero-paciente
Revista Brasileira de Enfermagem. 2019;72(4):1078-1085
Resumen
La intervención humor en la interacción enfermero-paciente
Revista Brasileira de Enfermagem. 2019;72(4):1078-1085
DOI 10.1590/0034-7167-2018-0609
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Objetivo:
Describir los factores que influencian el uso del humor en el cuidado de enfermería, su aplicabilidad y beneficios.
Método:
Revisión de alcance según la metodología de Arksey y O’Mally. Se investigaron artículos publicados entre 2008 y 2018, en las plataformas EBSCO Host, Biblioteca Virtual en Salud y Google Académico.
Resultados:
Se han identificado 465 artículos e incluidos 17 de ellos. Se encontró información sobre la definición de humor; su aplicabilidad como intervención de enfermería; el humor como herramienta para mejorar la comunicación y la relación entre el enfermero y el paciente; factores de influencia; el tipo de intervenciones de humor; beneficios del humor en la atención de salud y; las limitaciones y precauciones de intervención del humor.
Conclusión:
El humor promueve la comunicación, las relaciones y el bienestar; ayuda a manejar situaciones difíciles y desagradables, reduce la tensión, la incomodidad y el estrés; y fortalecer el sistema inmunológico. Esta intervención debe usarse con precaución.
Palavras-chave: ComunicaciónEnfermeríaEvaluación del Resultado de la Atención al PacienteIngenio y Humor como AsuntoRelaciones Enfermera-PacienteVer mais -
29/01/2021
Violência doméstica contra a mulher na pandemia: estratégias de enfrentamento divulgadas pelas mídias digitais
Revista Brasileira de Enfermagem. 2021;74:e20200631
Resumen
Violência doméstica contra a mulher na pandemia: estratégias de enfrentamento divulgadas pelas mídias digitais
Revista Brasileira de Enfermagem. 2021;74:e20200631
DOI 10.1590/0034-7167-2020-0631
Visualizações0RESUMO
Objetivo:
conhecer as estratégias de enfrentamento da violência doméstica contra a mulher divulgadas pelas mídias digitais no início da pandemia de COVID-19.
Métodos:
estudo documental de abordagem qualitativa. A busca aconteceu de 11 de março a 30 de abril de 2020, em quatro fontes: jornais e portais online, rede social, páginas oficiais governamentais e portais do terceiro setor. Realizou-se análise de conteúdo temática dos achados.
Resultados:
foram identificadas 77 estratégias na imprensa jornalística, 93 na rede social, 45 nos portais governamentais e 40 nas organizações do terceiro setor. Da análise, emergiram três categorias empíricas: Estratégias para comunicação com as mulheres; Estratégias adotadas pelos serviços de atendimento; Estratégias para informar a população.
Considerações finais:
a maior parte das estratégias foram adaptações de serviços já existentes, centradas na denúncia da violência pelas mulheres.
Palavras-chave: Estratégias NacionaisMeios de ComunicaçãoPandemiasViolência Contra a MulherViolência DomésticaVer mais -
20/01/2021
Burnout Syndrome and Associated Factors in Intensive Care Unit Nurses
Revista Brasileira de Enfermagem. 2021;74:e20190535
Resumen
Burnout Syndrome and Associated Factors in Intensive Care Unit Nurses
Revista Brasileira de Enfermagem. 2021;74:e20190535
DOI 10.1590/0034-7167-2019-0535
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Objective:
to estimate prevalence and factors associated with Burnout Syndrome in intensive care nurses in a city in the state of Bahia.
Methods:
a cross-sectional, population-based study carried out with 65 intensive care nurses through a self-administered questionnaire, from July to November 2016, containing sociodemographic data, lifestyle, work characteristics. To define burnout syndrome, the Maslach Burnout Inventory was used.
Results:
Burnout Syndrome prevalence was 53.6%, an association was observed with age, tobacco consumption, alcohol use, weekly night shift hours, employment relationship, having an intensive care specialist title, number of patients on duty, monthly income and considering active or high-strain job.
Conclusion:
the results of this study can contribute to expanding the discussion on stressful working conditions in Intensive Care Units.
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