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ARTÍCULO DE REVISIÓN
Health of quilombola children as a challenge for the Sustainable Development Goals: a scoping review
Revista Brasileira de Enfermagem. 2024;77:e20240106
10/01/2024
Resumo
ARTÍCULO DE REVISIÓNHealth of quilombola children as a challenge for the Sustainable Development Goals: a scoping review
Revista Brasileira de Enfermagem. 2024;77:e20240106
10/01/2024DOI 10.1590/0034-7167-2024-0106
Visualizações0Ver maisABSTRACT
Objective:
to map the literature on quilombola children’s health and its relationship with the Sustainable Development Goals.
Method:
a scoping review, which followed the JBI protocol and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews. Searches were conducted in the LILACS, BDENF, Web of Science, Scopus, MEDLINE databases and Google Scholar platform. The research protocol was registered in the Open Science Framework.
Results:
eighteen articles out of 2,055 studies were selected as relevant for this study. The articles were grouped into four axes: Access to healthcare services; Nutritional aspects of quilombola children; Health problems of quilombola children; and Care for quilombola children. The relationship between these articles and SDGs 1, 3, 4, 6 and 10 was observed.
Final considerations:
the study provided an extremely important mapping of the theme of quilombola children’s health and themes related to the Sustainable Development Goals.
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ARTÍCULO DE REVISIÓN
Prevalence and exposure variables of latent infection by mycobacterium tuberculosis in healthcare workers
Revista Brasileira de Enfermagem. 2024;77:e20240052
10/01/2024
Resumo
ARTÍCULO DE REVISIÓNPrevalence and exposure variables of latent infection by mycobacterium tuberculosis in healthcare workers
Revista Brasileira de Enfermagem. 2024;77:e20240052
10/01/2024DOI 10.1590/0034-7167-2024-0052
Visualizações0Ver maisABSTRACT
Objectives:
To identify in the scientific literature the prevalence, diagnostic methods, and exposure variables of latent infection by Mycobacterium tuberculosis in healthcare workers.
Methods:
An integrative review of the scientific literature based on the following review question: What are the available scientific evidence in the literature that address the prevalence of latent infection by Mycobacterium tuberculosis in healthcare workers and its association with possible risk factors among these workers?
Results:
Being a physician or nurse, being older, and being male were generally associated with higher prevalences. The study also showed that interferon-gamma release assays were more commonly used as a diagnostic method compared to skin tests.
Conclusions:
More studies are needed regarding the epidemiology of latent infection by Mycobacterium tuberculosis in the context of healthcare workers, aiming for higher impact actions that contribute to the reduction of tuberculosis worldwide.
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ARTÍCULO ORIGINAL
Childbirth dynamics in the riverside region of the Brazilian Amazon from the perspective of geospatialization
Revista Brasileira de Enfermagem. 2024;77:e20240038
10/01/2024
Resumo
ARTÍCULO ORIGINALChildbirth dynamics in the riverside region of the Brazilian Amazon from the perspective of geospatialization
Revista Brasileira de Enfermagem. 2024;77:e20240038
10/01/2024DOI 10.1590/0034-7167-2024-0038
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Objective:
to analyze the spatial-temporal pattern of childbirths and flow of postpartum women assisted at a regional reference maternity hospital.
Methods:
ecological study of 4,081 childbirths, between September 2018 and December 2021, at a public maternity hospital in the Baixo Tocantins region, Pará, Brazil. With data collected from five sources, a geographic database was constructed, and spatial analysis was used with Kernel density interpolator. Maps were generated using QGis/3.5 and TerraView/4.3, calculating chi-square (p<0.05).
Results:
the highest concentrations of normal and cesarean childbirths were observed in Barcarena (n=2,558/62.68%), Abaetetuba (n=750/18.38%), Moju (n=363/8.89%) and Igarapé-Miri (n=219/5.37%). Among the municipalities in the region, ten had obstetric beds, totaling 210 beds. In this scenario, postpartum women traveled up to 288 km to reach the maternity hospital.
Conclusions:
long distances between certain municipalities of residence and maternity hospital, and low supply of obstetric beds, were identified as risk factors for unfavorable obstetric outcomes.
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ARTÍCULO ORIGINAL
COVID-19: Training activities, adherence, and use of personal protective equipment in Primary Health Care
Revista Brasileira de Enfermagem. 2024;77:e20230179
10/01/2024
Resumo
ARTÍCULO ORIGINALCOVID-19: Training activities, adherence, and use of personal protective equipment in Primary Health Care
Revista Brasileira de Enfermagem. 2024;77:e20230179
10/01/2024DOI 10.1590/0034-7167-2023-0179
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Objective:
to analyze the association between participation in training activities and the adherence to and use of personal protective equipment by workers and professionals involved in Health Residency Programs in Primary Health Care during the COVID-19 pandemic.
Methods:
a cross-sectional study in Brazil between August/2020 and March/2021. We utilized the EPI-APS COVID-19 instrument and its adapted version for resident professionals.
Results:
455 PHC workers and 102 residents participated in the study. Among them, 54.5% and 55.9%, respectively, engaged in training activities. We observed an association between participation in training activities and the proper use of gloves (p<0.001), gowns (p=0.009), goggles/face shields (p=0.002), and overall adherence (p<0.001) among PHC workers, and the proper use of surgical masks (p=0.028) among residents. Adherence rates of ≥75% were identified in 6.9% of PHC workers and none among the residents.
Conclusion:
training activities are associated with increased adherence to and proper use of PPE.
Palavras-chave: COVID-19Health PersonnelPersonal Protective EquipmentPrimary Health CareTraining ActivitiesVer mais -
ARTÍCULO ORIGINAL
Morbidity and factors associated with frailty in post-COVID-19 elderly patients attended at a reference center
Revista Brasileira de Enfermagem. 2024;77:e20230454
10/01/2024
Resumo
ARTÍCULO ORIGINALMorbidity and factors associated with frailty in post-COVID-19 elderly patients attended at a reference center
Revista Brasileira de Enfermagem. 2024;77:e20230454
10/01/2024DOI 10.1590/0034-7167-2023-0454
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Objective:
To assess the morbidity profile and identify factors associated with frailty syndrome in post-COVID-19 elderly patients treated at the only Reference Center for Elderly Health Care in northern Minas Gerais.
Methods:
This is a case series study, utilizing the Clinical-Functional Vulnerability Index-20 (CFVI-20) and Comprehensive Geriatric Assessment (CGA) to characterize and evaluate the health condition of the group. To define the variables associated with frailty, a multivariate analysis was conducted.
Results:
The study included 204 elderly individuals, with a predominance of females (63.7%). The variables associated with frailty were cognitive impairment (OR: 2.95; 95% CI: 1.12-7.80; p=0.029), the presence of five or more comorbidities (OR: 11.55; 95% CI: 2.22-60.01; p=0.004), and impairment in instrumental activities of daily living (OR: 41.97; 95% CI: 5.47-321.93; p<0.001).
Conclusions:
The results of this study highlight the need for a well-established and prepared coordination of integrated care to meet the demands of the post-COVID-19 elderly population.
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ARTÍCULO ORIGINAL
Clinical and epidemiological characteristics and outcomes of patients affected by COVID-19 in the Intensive Care Unit
Revista Brasileira de Enfermagem. 2024;77:e20230527
10/01/2024
Resumo
ARTÍCULO ORIGINALClinical and epidemiological characteristics and outcomes of patients affected by COVID-19 in the Intensive Care Unit
Revista Brasileira de Enfermagem. 2024;77:e20230527
10/01/2024DOI 10.1590/0034-7167-2023-0527
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Objective:
To understand the clinical and epidemiological characteristics, outcomes, and nursing care of adult patients affected by COVID-19 in the Intensive Care Unit.
Methods:
This is a quantitative, retrospective, and descriptive study. The study participants were clinical and epidemiological statistical reports. Variables analyzed included age, gender, race, comorbidities, signs and symptoms, length of hospital stay, use of mechanical ventilation, medications, infections, monitoring, invasive devices, positioning, diet, comfort, and clinical outcomes.
Results:
The majority of individuals were men, of white race, with a mean age of 63 years, hypertensive, diabetic, and obese. The average length of hospital stay was 16 days. Most required invasive mechanical ventilation, vasopressor drugs, sedoanalgesia, and neuromuscular blockers.
Conclusion:
Nursing care is related to monitoring, ventilation, medication administration, installation of devices, prone positioning, diet administration, and providing comfort.
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ARTÍCULO ORIGINAL
Pain management in hospitalized infants: recommendations for achieving the Sustainable Development Goals
Revista Brasileira de Enfermagem. 2024;77:e20230421
10/01/2024
Resumo
ARTÍCULO ORIGINALPain management in hospitalized infants: recommendations for achieving the Sustainable Development Goals
Revista Brasileira de Enfermagem. 2024;77:e20230421
10/01/2024DOI 10.1590/0034-7167-2023-0421
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Objective:
to assess pain management in infants in a Neonatal Intensive Care Unit (NICU) and discuss its articulation with the Sustainable Development Goals, with a focus on promoting neonatal well-being.
Method:
a documentary study, retrospective in nature and quantitative approach, conducted in a NICU of a public hospital in Paraná, Brazil, between January and July 2022, with 386 medical records of infants, hospitalized for more than 24 hours, between 2019 and 2021. Data were subjected to descriptive and inferential analysis, considering p-value<0.05 as a statistical difference. National ethical guidelines were respected.
Results:
all infants underwent at least one painful procedure, but only 13.7% had documented pain. Pharmacological interventions, such as fentanyl (25.9%), and non-pharmacological interventions, such as breastfeeding encouragement (86%) were used. Only 2.8% were reassessed.
Conclusion:
there was a devaluation of neonatal pain management that may perpetuate neonatal well-being and sustainable development.
Palavras-chave: Intensive Care UnitsNeonatal NursingNeonatologyPain ManagementSustainable DevelopmentVer mais
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ARTÍCULO ORIGINAL
Validação de cartilha educativa: uma tecnologia educacional na prevenção da dengue
Revista Brasileira de Enfermagem. 2019;72(5):1318-1325
16/09/2019
Resumo
ARTÍCULO ORIGINALValidação de cartilha educativa: uma tecnologia educacional na prevenção da dengue
Revista Brasileira de Enfermagem. 2019;72(5):1318-1325
16/09/2019DOI 10.1590/0034-7167-2018-0771
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Objetivo:
validar uma cartilha sobre prevenção da dengue, a fim de torná-la uma tecnologia educacional para ser utilizada com a população.
Método:
estudo metodológico, realizado com dois grupos de juízes especialistas da Saúde e de outras áreas. Para a análise dos dados, foi realizado o cálculo de Índice de Validade de Conteúdo.
Resultados:
a cartilha, em geral, foi considerada válida pelos juízes especialistas, visto que obteve um IVC global de 70%. Entretanto, passou por uma reelaboração textual e estética. As alterações recaíram sobre a substituição de expressões, frases, acréscimo de informações e adequação de linguagem. As ilustrações foram refeitas, acrescentando clareza, expressividade, movimento, interação e contextualização.
Conclusão:
a cartilha é válida a ser utilizada para a população, com o objetivo de informar, de maneira lúdica, as formas de prevenção e combate ao mosquito transmissor da dengue.
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ARTÍCULO ORIGINAL
Coping religioso/espiritual e nível de esperança em pacientes com câncer em quimioterapia
Revista Brasileira de Enfermagem. 2019;72(3):640-645
27/06/2019
Resumo
ARTÍCULO ORIGINALCoping religioso/espiritual e nível de esperança em pacientes com câncer em quimioterapia
Revista Brasileira de Enfermagem. 2019;72(3):640-645
27/06/2019DOI 10.1590/0034-7167-2018-0358
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Objetivo:
demonstrar a relação entre o coping religioso/espiritual e a esperança em pacientes com câncer em tratamento quimioterápico.
Método:
trata-se de um estudo transversal, descritivo, com abordagem quantitativa, realizado em um ambulatório de referência em tratamento quimioterápico de Caruaru-PE, entre agosto e outubro de 2017. Participaram da pesquisa 82 pessoas com câncer em tratamento quimioterápico, utilizando-se a escala de coping religioso/espiritual breve (CRE-Breve) e a escala de esperança de Herth (EEH).
Resultados:
a amostra apresentou escores médios de CRE positivo (3,03 ± 0,41), e o nível de esperança foi considerado alto (42,7 pontos; ± 3,67). Verificou-se que os pacientes que tiveram classificação alta do CRET apresentaram maior média do nível de esperança de Herth (44,12 pontos).
Conclusão:
este estudo torna-se relevante aos profissionais de enfermagem ao encorajar cuidados que contemplem a dimensão espiritual do paciente a fim de estimular os mecanismos positivos do CRE e, consequentemente, elevar os níveis de esperança.
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ARTÍCULO DE REVISIÓN
Mental health of healthcare professionals in China during the new coronavirus pandemic: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20200338
18/09/2020
Resumo
ARTÍCULO DE REVISIÓNMental health of healthcare professionals in China during the new coronavirus pandemic: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20200338
18/09/2020DOI 10.1590/0034-7167-2020-0338
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Objective:
to identify publishing related to the mental health of health professionals working in the front line of the COVID-19 pandemic.
Methods:
an integrative review that included primary articles indexed in the Latin American and Caribbean Literature in Health Sciences, Medical Literature Analysis and Retrieval System Online, Cumulative Index to Nursing and Allied Health Literature, Scopus, Embase, Web of Science, Science Direct databases and US National Library of Medicine databases. The result analysis was performed descriptively, in four analytical categories.
Results:
The publishing involved aspects related to insufficient personal protective equipment, feelings of fear and stigma, the need for psychological and psychiatric support and the possibility of post-outbreak mental disorders.
Conclusion:
All mentioned aspects have a direct impact on the mental health of professionals, demanding the creation of strategies that minimize the emotional burnout of workers, considering that each country and culture reacts differently to the disease.
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ARTÍCULO ORIGINAL
Construção e validação de cartilha educativa sobre cuidados para crianças com gastrostomia
Revista Brasileira de Enfermagem. 2020;73(3):e20190108
22/04/2020
Resumo
ARTÍCULO ORIGINALConstrução e validação de cartilha educativa sobre cuidados para crianças com gastrostomia
Revista Brasileira de Enfermagem. 2020;73(3):e20190108
22/04/2020DOI 10.1590/0034-7167-2019-0108
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Objetivos:
descrever o processo de construção e validação de uma cartilha educativa direcionada a cuidadores sobre cuidados para crianças com gastrostomia.
Métodos:
estudo metodológico desenvolvido em cinco etapas: levantamento bibliográfico; diagnóstico situacional; construção das ilustrações, layout, design e textos; validação com especialistas e cálculo do Índice de Legibilidade de Flesch; e validação com o público-alvo. Na etapa de análise dos especialistas, foram aplicados o Índice de Validade de Conteúdo e o instrumento Suitability Assessmente of Materials.
Resultados:
o Índice de Validade de Conteúdo obteve escore global de 0,93 e, no escore Suitability Assessmente of Materials, a cartilha alcançou pontuação de 85,2%. Obteve-se percentual de legibilidade satisfatório, com pontuação global de 72%. O material educativo construído foi considerado coerente com a avaliação das cuidadoras na validação com o público-alvo, além de explicativo, importante e adequado.
Conclusões:
a cartilha educativa desenvolvida foi considerada válida para ser utilizada pelos cuidadores e poderá contribuir para a manutenção de boas práticas nos cuidados da criança com gastrostomia.
Palavras-chave: Cuidado da CriançaEducação em SaúdeEnfermagem PediátricaGastrostomiaTecnologia EducacionalVer mais -
ARTÍCULO DE REVISIÓN
Cuidados de transição hospitalar à pessoa idosa: revisão integrativa
Revista Brasileira de Enfermagem. 2019;72:294-301
05/12/2019
Resumo
ARTÍCULO DE REVISIÓNCuidados de transição hospitalar à pessoa idosa: revisão integrativa
Revista Brasileira de Enfermagem. 2019;72:294-301
05/12/2019DOI 10.1590/0034-7167-2018-0286
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Objetivo:
identificar evidências da produção científica sobre os cuidados de transição hospitalar prestado à pessoa idosa.
Método:
revisão integrativa, com busca de publicações nas bases de dados MEDLINE, PubMed, LILACS, BDENF, Index Psicologia e SciELO, com as palavras-chave e Mesh terms: idoso, hospitalização, alta do paciente, saúde do idoso e cuidado transicional, entre 2013 e 2017, nos idiomas inglês, português e espanhol. A análise dos 14 artigos selecionados deu-se por meio da leitura exploratória e crítica dos títulos, resumos e dos resultados das pesquisas.
Resultados:
os cuidados de transição podem evitar re-hospitalizações, à medida que permitem a reabilitação, promoção e cura de enfermidades na pessoa idosa.
Considerações finais:
os cuidados transicionais implicam na melhoria da qualidade de vida da pessoa idosa, sendo necessários profissionais de saúde habilitados e que envolvam a família através de comunicação acessível.
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ARTÍCULO ORIGINAL
Burnout among nursing students: predictors and association with empathy and self-efficacy
Revista Brasileira de Enfermagem. 2020;73(1):e20180280
10/02/2020
Resumo
ARTÍCULO ORIGINALBurnout among nursing students: predictors and association with empathy and self-efficacy
Revista Brasileira de Enfermagem. 2020;73(1):e20180280
10/02/2020DOI 10.1590/0034-7167-2018-0280
Visualizações0Ver maisABSTRACT
Objective:
to analyze burnout, its predictors and association with empathy and self-efficacy among nursing students.
Method:
cross-sectional analytical study with 284 students from five state universities in the state of Parana, Brazil. The instruments applied were: social and academic questionnaire, Maslach Burnout Inventory, Interpersonal Reactivity Index and Occupational Self-Efficacy Scale (Short Form). Spearman’s correlation and univariate and multivariate logistic analysis were used.
Results:
6.0% of the students presented high burnout, 36.3% presented high emotional exhaustion, 37.7% presented high depersonalization and 28.2% presented low personal accomplishment. The burnout predictors were: absence of physical activity; weekly workload >24 hours; low empathic concern. There were negative correlations between empathy (empathic concern and perspective taking) and depersonalization; self-efficacy and emotional exhaustion; and positive correlations between personal accomplishment and empathy and self-efficacy.
Conclusion:
Personal factors and an academic variable were burnout predictors among nursing students. The correlations suggest that self-efficacy and empathy can prevent burnout.
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ARTÍCULO DE REVISIÓN
Positive aspects of authentic leadership in nursing work: integrative review
Revista Brasileira de Enfermagem. 2020;73(6):e20190118
07/08/2020
Resumo
ARTÍCULO DE REVISIÓNPositive aspects of authentic leadership in nursing work: integrative review
Revista Brasileira de Enfermagem. 2020;73(6):e20190118
07/08/2020DOI 10.1590/0034-7167-2019-0118
Visualizações0Ver maisABSTRACT
Objective:
To identify and analyze the existing scientific production on the positive aspects of authentic leadership in the nurse’s work process.
Method:
This is an integrative literature review. The databases used were Scientific Electronic Library Online; Latin American and Caribbean Literature on Health Sciences; and National Library of Medicine – National Institutes of Health.
Results:
In this study, 17 articles were selected for analysis; 1 study (6%) was published in a national journal, and 16 (94%) were international studies. Of the 17 (100%) articles studied, 11 (65%) were developed in Canada. The hospital environment was present in the 17 (100%) articles.
Final considerations:
Authentic leadership has several positive aspects that significantly influence the nurse’s work process, such as engagement and job satisfaction, retention of new nurses, organizational commitment, among others.
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ARTÍCULO ORIGINAL
Development of an appearance validity instrument for educational technology in health
Revista Brasileira de Enfermagem. 2020;73:e20190559
21/12/2020
Resumo
ARTÍCULO ORIGINALDevelopment of an appearance validity instrument for educational technology in health
Revista Brasileira de Enfermagem. 2020;73:e20190559
21/12/2020DOI 10.1590/0034-7167-2019-0559
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Objectives:
to develop and evaluate the convergence of the instrument for the appearance validity of educational technologies in health.
Methods:
methodological study conducted in two steps. In step 1, the instrument items were developed, with subsequent content validity by nine specialists in the development of educational technologies in health. In step 2, the convergent validity between another instrument and the appearance instrument was performed. Correlation results above r> 0.3 and p <0.05 were considered as plausible convergent validity.
Results:
the ten items of the initial version of the appearance instrument were submitted to content validity that resulted in a final version with 12 items (Content Validity Index = 0.93). The correlation indexes were strong with the objective and appearance domains; moderate with motivation, organization and total; and weak with writing style.
Conclusions:
the appearance instrument demonstrated content validity and convergent validity, in addition to a strong correlation with the other instrument.
Palavras-chave: Educational TechnologyHealth EducationMethodological Research in NursingTechnological DevelopmentValidation StudiesVer mais
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