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ARTÍCULO ORIGINAL04/12/2023
Work and Mental Distress among Nurses in the Amazon Region of Brazil during the COVID-19 Pandemic
Revista Brasileira de Enfermagem. 2023;76(6):e20220792
Resumen
ARTÍCULO ORIGINALWork and Mental Distress among Nurses in the Amazon Region of Brazil during the COVID-19 Pandemic
Revista Brasileira de Enfermagem. 2023;76(6):e20220792
DOI 10.1590/0034-7167-2022-0792
Visualizações0Ver maisABSTRACT
Objective:
To assess the relationship between psychopathological symptoms and the social, clinical, and occupational profile of nurses in the Amazon region of Brazil during the COVID-19 pandemic.
Methods:
A descriptive cross-sectional online study was conducted in 2020 with 261 nurses. The Symptom Assessment Scale-40 was utilized.
Results:
The presence of pre-existing conditions before the pandemic was associated with psychotism (p=0.044). Experiencing constraints and/or violence at work during the pandemic was associated with somatization (p=0.025), and working hours were associated with anxiety (p=0.025). Nurses predominantly exhibited symptoms related to fear (33.7%), tension (34.5%), and a sense that something is wrong in the mind (22.6%).
Conclusions:
A significant association was observed between working hours and anxiety symptoms, the experience of constraints and/or violence at work during the COVID-19 pandemic and somatization symptoms, as well as between pre-existing conditions and psychotism symptoms related to COVID-19.
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ARTÍCULO ORIGINAL04/12/2023
Social representation of spiritual surgeries in Umbanda: culture, religion and contributions of nursing theory
Revista Brasileira de Enfermagem. 2023;76(6):e20220787
Resumen
ARTÍCULO ORIGINALSocial representation of spiritual surgeries in Umbanda: culture, religion and contributions of nursing theory
Revista Brasileira de Enfermagem. 2023;76(6):e20220787
DOI 10.1590/0034-7167-2022-0787
Visualizações1Ver maisABSTRACT
Objective:
to analyze the social representation of spiritual surgeries in Umbanda for Bantu-Amerindian ritual mediums and their contributions to the cross-cultural care proposed by Madeleine Leininger.
Methods:
a descriptive-exploratory, qualitative study, supported by the procedural approach of Social Representation Theory and Transcultural Nursing Theory, carried out with 30 Umbanda mediums of the Bantu-Amerindian ritual through interviews, submitted to the Iramuteq software for lexical analysis.
Results:
mostly women, white, with an average of 46 years old and approximately 14 years of practice in Umbanda participated. The social representation of spiritual surgeries in Umbanda is objectified and anchored through a biomedical vision of care, encompassing a set of beliefs, values and practices as religious treatments, through faith, whose main objective is healing.
Final considerations:
spiritual surgeries are a form of transcultural care, according to Madeleine Leininger’s propositions, as they integrate the culture of a group through health care in Umbanda.
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ARTÍCULO ORIGINAL04/12/2023
Sexual behavior according to undergraduate students: perspective of cross-cultural nursing and intersectional framing
Revista Brasileira de Enfermagem. 2023;76(6):e20220786
Resumen
ARTÍCULO ORIGINALSexual behavior according to undergraduate students: perspective of cross-cultural nursing and intersectional framing
Revista Brasileira de Enfermagem. 2023;76(6):e20220786
DOI 10.1590/0034-7167-2022-0786
Visualizações0Ver maisABSTRACT
Objective:
to discuss undergraduate students’ sexual behavior from the perspective of social markers and cross-cultural care proposed by Madeleine Leininger.
Methods:
descriptive-exploratory qualitative research, with a theoretical-philosophical foundation in the Transcultural Theory. Convenience sample was composed of 57 young people from two universities in Rio de Janeiro. The focus groups’ content were analyzed lexically using the IRAMUTEQ software.
Results:
four classes emerged: Young people’s sexual scripts: between the fear of an unplanned pregnancy and the risk of exposure to sexually transmitted infections; Affective relationships: trust in steady sexual partners, apparent sense of security and disuse of condoms; Sexual practices, gender and cultural determinants: distinction in men’s and women’s role; Sexual partnerships, negotiation of condom use and vulnerability to sexually transmitted infections.
Final considerations:
challenges are perceived for the attention to undergraduate students’ sexual health, who verbalized risky sexual behaviors due to sociocultural vulnerabilities.
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ARTÍCULO ORIGINAL04/12/2023
Hospital discharge planning in care transition of patients with chronic noncommunicable diseases
Revista Brasileira de Enfermagem. 2023;76(6):e20220772
Resumen
ARTÍCULO ORIGINALHospital discharge planning in care transition of patients with chronic noncommunicable diseases
Revista Brasileira de Enfermagem. 2023;76(6):e20220772
DOI 10.1590/0034-7167-2022-0772
Visualizações0Ver maisABSTRACT
Objective:
to analyze care transition in hospital discharge planning for patients with chronic noncommunicable diseases.
Method:
a qualitative study, based on the Care Transitions Intervention theoretical model, with four pillars of intervention, to ensure a safe transition. Twelve professionals participated in a public hospital in the countryside of São Paulo. Data were collected through observation, document analysis and semi-structured interviews.
Results:
there was a commitment of a multidisciplinary team to comprehensive care and involvement of family members in patient care. The documents facilitated communication between professionals and/or levels of care. However, the lack of time to prepare for discharge can lead to fragmented care, impairing communication and jeopardizing a safe transition.
Final considerations:
they were shown to be important elements in discharge planning composition, aiming to ensure a safe care transition, team participation with nurses as main actors, early discharge planning and family involvement.
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ARTÍCULO ORIGINAL04/12/2023
Psychometric Properties of an Instrument for Assessing University Administrators’ Knowledge on Gender-Based Violence
Revista Brasileira de Enfermagem. 2023;76(6):e20220770
Resumen
ARTÍCULO ORIGINALPsychometric Properties of an Instrument for Assessing University Administrators’ Knowledge on Gender-Based Violence
Revista Brasileira de Enfermagem. 2023;76(6):e20220770
DOI 10.1590/0034-7167-2022-0770
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Objective:
To evaluate the factorial structure of the instrument measuring university administrators’ knowledge of gender-based violence.
Methods:
This cross-sectional methodological study was conducted from August to November 2020 with 101 university administrators. Data on demographic and functional characteristics were collected, and the “QUEST VBG UNIV” instrument was applied. Descriptive analysis was performed, the structure of the questionnaire was assessed using exploratory factor analysis (EFA), and the stability of the factors was verified through ORION and FDI tests.
Results:
Of the original 38 items across the 4 sections of the questionnaire, 19 were retained within 2 factors, with appropriate factor loadings. Factor 1 had an explained variance of 15.69%, and Factor 2 had an explained variance of 9.10%. The reliability was deemed satisfactory (ORION > 0.900, FDI > 0.900).
Conclusions:
The questionnaire presented a valid and reliable factorial structure for measuring knowledge about gender-based violence, thereby representing a suitable option for situational assessments in universities.
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04/12/2023
Maternal Concerns in Home Care for the Premature Newborn: An Integrative Review
Revista Brasileira de Enfermagem. 2023;76(6):e20220769
Resumen
Maternal Concerns in Home Care for the Premature Newborn: An Integrative Review
Revista Brasileira de Enfermagem. 2023;76(6):e20220769
DOI 10.1590/0034-7167-2022-0769
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Objective:
To identify and analyze the scientific literature, both national and international, concerning the primary maternal concerns about caring for premature newborns at home.
Methods:
This integrative review is based on the guiding question: “What scientific publications from 2012 to 2021 address maternal concerns about the care of premature newborns at home?”. Searches were conducted in the electronic databases: Embase, Medline, Web of Science, Lilacs, Scielo, and Cochrane Library.
Results:
A total of 21 articles were identified. The qualitative analysis showed that maternal concerns pertained to breastfeeding, hygiene, sunbathing practices, managing infant colic, identifying signs, symptoms, and clinical changes, temperature control, and the third phase of the kangaroo method.
Conclusions:
Maternal uncertainties underscore the importance of enhancing strategies focused on supporting families and ensuring continued care for neonates at home.
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ARTÍCULO ORIGINAL04/12/2023
Social representation of young people in higher education about sexually transmitted infections
Revista Brasileira de Enfermagem. 2023;76(6):e20220406
Resumen
ARTÍCULO ORIGINALSocial representation of young people in higher education about sexually transmitted infections
Revista Brasileira de Enfermagem. 2023;76(6):e20220406
DOI 10.1590/0034-7167-2022-0406
Visualizações0Ver maisABSTRACT
Objective:
to analyze the social representations about sexually transmitted infections elaborated by undergraduate students.
Methods:
a descriptive, qualitative study, in the light of the structural approach of Social Representation Theory, carried out with 160 young undergraduate students, in the second half of 2019, in the city of Rio de Janeiro. Data were collected using a sociodemographic characterization questionnaire, knowledge and practices for preventing sexually transmitted infections, analyzed using descriptive statistics and a form of free evocations with the inducing term STD, analyzed using prototypical and similarity analysis.
Results:
the representation’s possible central nucleus is composed of lexicons aids, disease and HIV; the peripheral system by syphilis, sex, condoms, gonorrhea, prevention, infection, carelessness, HPV, herpes, ignorance, treatment, fear, unprotected-sex and danger.
Final considerations:
social thinking about sexually transmitted infections is characterized by their recognition as diseases, which require barrier prevention measures, associating with unsafe sexual practices that arouse fear.
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ARTÍCULO ORIGINAL04/12/2023
Translation, cross-cultural adaptation and validity study of the “Play Nicely Program: The Healthy Discipline Handbook” for use in Brazil
Revista Brasileira de Enfermagem. 2023;76(6):e20220281
Resumen
ARTÍCULO ORIGINALTranslation, cross-cultural adaptation and validity study of the “Play Nicely Program: The Healthy Discipline Handbook” for use in Brazil
Revista Brasileira de Enfermagem. 2023;76(6):e20220281
DOI 10.1590/0034-7167-2022-0281
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Objective:
to describe the translation, cross-cultural adaptation and validity process of the “Play Nicely Program: The Healthy Discipline Handbook” for use in Brazil.
Methods:
a methodological study that followed the translation, back-translation, expert committee assessment, and pre-test steps. The Content Validity Index (CVI) was calculated for both the judge population and the pre-test population. Four translators, seven expert judges in the field of child health and thirty participants in the pre-test, including parents, teachers and healthcare professionals, participated in the study.
Results:
in experts’ analysis (98.4%), a value of 100% of adequate assessments was obtained, and in the target population’s analysis (89.5%), there were 100% of adequate assessments. In both analyses, suggested adaptations were made.
Conclusios:
cross-cultural adaptation and content validity into Brazilian Portuguese of the “Play Nicely Program: The Healthy Discipline Handbook” were considered adequate for application in the target population.
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ARTÍCULO ORIGINAL06/07/2020
Associação entre conhecimento e adesão às práticas de autocuidado com os pés realizadas por diabéticos
Revista Brasileira de Enfermagem. 2020;73(5):e20190430
Resumen
ARTÍCULO ORIGINALAssociação entre conhecimento e adesão às práticas de autocuidado com os pés realizadas por diabéticos
Revista Brasileira de Enfermagem. 2020;73(5):e20190430
DOI 10.1590/0034-7167-2019-0430
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Objetivos:
verificar a associação entre o conhecimento e a adesão às práticas de autocuidado com os pés realizadas por pacientes com diabetes mellitus tipo 2. Métodos: estudo transversal, descritivo, realizado com 197 pacientes em unidades básicas de saúde localizadas na região Nordeste do Brasil. Para a coleta de dados, foi utilizado um questionário semiestruturado que abordava questões inerentes ao conhecimento e às Atividades de Autocuidado com o Diabetes.
Resultados:
observou-se que os pacientes com conhecimento moderado sobre as práticas de autocuidado tiveram mais chances de realizar autoexame dos pés, secar os espaços interdigitais, hidratar os pés com cremes e óleos, observar a presença de micose e unha encravada, quando comparados aos pacientes com conhecimento insuficiente.
Conclusões:
o nível de conhecimento dos pacientes apresentou estreita relação com as atividades de autocuidado realizadas, o que reforça a importância de o enfermeiro atuar na capacitação daqueles sobre os cuidados essenciais com sua saúde.
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ARTÍCULO ORIGINAL18/05/2020
Liderança autêntica entre profissionais de enfermagem: conhecimento e perfil
Revista Brasileira de Enfermagem. 2020;73(4):e20180888
Resumen
ARTÍCULO ORIGINALLiderança autêntica entre profissionais de enfermagem: conhecimento e perfil
Revista Brasileira de Enfermagem. 2020;73(4):e20180888
DOI 10.1590/0034-7167-2018-0888
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Objetivos:
identificar o conhecimento dos profissionais de enfermagem sobre modelos de liderança e avaliar o perfil de liderança autêntica entre eles.
Métodos:
estudo analítico, realizado entre agosto e dezembro de 2015, que envolveu 84 profissionais de enfermagem atuantes em um hospital público e terciário. Utilizaram-se dois instrumentos: Questionário Sociodemográfico com questões sobre liderança e o Authentic Leadership Questionnaire.
Resultados:
tanto enfermeiros quanto técnicos de enfermagem desconheciam a liderança autêntica. Ambos apontaram a comunicação, o planejamento e a organização como competências do líder (n = 58, 95%). Referente ao perfil de liderança autêntica, observou-se que o escore foi “alto” entre enfermeiros e “baixo” entre os técnicos. Exercer cargo de liderança e atualizar-se influenciou positivamente o maior perfil de liderança autêntica.
Conclusões:
os enfermeiros demonstraram conhecer a liderança comportamental, enquanto os técnicos de enfermagem mostraram conhecimento sobre a liderança situacional. Os enfermeiros apresentaram escore alto de comportamentos de liderança autêntica, ao passo que os técnicos de enfermagem apresentaram escore baixo, contudo, não se evidenciou diferença significante entre eles. Exercer cargo de liderança e atualizar-se influenciou positivamente o comportamento de liderança autêntica.
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22/01/2021
HIV infection in pregnant women and its challenges for the prenatal care
Revista Brasileira de Enfermagem. 2021;74:e20190784
Resumen
HIV infection in pregnant women and its challenges for the prenatal care
Revista Brasileira de Enfermagem. 2021;74:e20190784
DOI 10.1590/0034-7167-2019-0784
Visualizações0Ver maisABSTRACT
Objective:
To analyze the epidemiological profile of HIV infections in pregnant women.
Methods:
Analytical study with a quantitative approach.
Results:
The HIV rate in pregnant women increased from 1.5/1000 babies born alive, in 2010, to 3.3/1000 in 2017. There was a significant association between the prenatal and the variables educational level (p<0.0001), occupation (p=0.0105), gestational age (p < 0.0001), and type of delivery (p < 0.0001). The mean rate of adherence to the antiretroviral treatment in the prenatal was 68.8% (DP = ± 3.7).
Conclusion:
The high rates of HIV detection in pregnant women suggest the need to intensify the health care to women during the prenatal, guaranteeing an integral care, early diagnoses, and enhancing the strategies to improve the adherence to the antiretroviral treatment, aiming to achieve the viral suppression of the mother by the time of childbirth, thus diminishing the risk of a vertical transmission.
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01/06/2020
Salud mental: enfoque en los profesionales de la salud
Revista Brasileira de Enfermagem. 2020;73:e73supl01
Resumen
Salud mental: enfoque en los profesionales de la salud
Revista Brasileira de Enfermagem. 2020;73:e73supl01
DOI 10.1590/0034-7167.202073supl01
Visualizações0Es indiscutible que la salud mental es una parte inseparable de nuestra salud y que los temas relacionados con la salud mental han atraído la atención de la población, las instituciones y los administradores, especialmente en este momento de la pandemia de COVID-19. También es cierto que la vida cotidiana de los profesionales de la […]Ver mais -
ARTÍCULO ORIGINAL24/06/2020
Serious Game e-Baby Família: an educational technology for premature infant care
Revista Brasileira de Enfermagem. 2020;73(4):e20190116
Resumen
ARTÍCULO ORIGINALSerious Game e-Baby Família: an educational technology for premature infant care
Revista Brasileira de Enfermagem. 2020;73(4):e20190116
DOI 10.1590/0034-7167-2019-0116
Visualizações0Ver maisABSTRACT
Objectives:
to develop and assess the serious game e-Baby Família with parents of premature infants.
Methods:
a methodological study regarding the development of the serious game, with participatory design in scope definition, starting from parents’ learning needs about premature infant care. A qualitative approach was performed in the assessment stage with parents, with content analysis of the speech of the eight participants.
Results:
the following categories emerged: Realistic appearance of the virtual setting and game content and Gameplay implications for the use of e-Baby Família. The game was satisfactorily assessed regarding content, appearance and dynamics use, motivating participants to learn.
Final Considerations:
in the context of prematurity as a public health problem in Brazil and the need to strengthen family health education for care, the serious game was assessed as motivating and appropriate for health learning.
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ARTÍCULO ORIGINAL05/12/2019
Spirituality and religiosity for the transcendence of the elderly being
Revista Brasileira de Enfermagem. 2019;72:259-265
Resumen
ARTÍCULO ORIGINALSpirituality and religiosity for the transcendence of the elderly being
Revista Brasileira de Enfermagem. 2019;72:259-265
DOI 10.1590/0034-7167-2018-0840
Visualizações0Ver maisABSTRACT
Objective:
to understand the life experiences that favor transcendence of the elderly being.
Method:
a qualitative phenomenological hermeneutic study, in two groups of elderly coexistence. The selection of participants was by intentional sampling: 11 elderly, achieving theoretical saturation. Data collection was carried out through a phenomenological interview with a detonating question. Ethical principles of the General Health Law in health research were fulfilled. Analysis with Heideggerian hermeneutic circle was performed.
Results:
unity of meaning on the consciousness of a higher power for transcendence is highlighted, where spirituality and religiosity are resources of the elderly for strength, feel protected, overcome difficult situations and reach fullness; both favor the understanding of their historicity by manifesting enlightenment.
Final considerations:
transcendence of the elderly being is favored with spirituality and the experiences of their daily life are imbued with a spiritual and religious relationship that give meaning to their existence.
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ARTÍCULO ORIGINAL18/05/2020
Construção e validação de vídeo educacional para vacinação contra o papilomavírus humano
Revista Brasileira de Enfermagem. 2020;73(4):e20180900
Resumen
ARTÍCULO ORIGINALConstrução e validação de vídeo educacional para vacinação contra o papilomavírus humano
Revista Brasileira de Enfermagem. 2020;73(4):e20180900
DOI 10.1590/0034-7167-2018-0900
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Objetivos:
validar um vídeo educacional direcionado à adesão da vacinação contra o papilomavírus humano.
Métodos:
estudo metodológico, em que se identificou o conhecimento sobre a temática e a tecnologia a ser construída em seis grupos focais; organizou-se um referencial teórico e levantou-se os vídeos existentes. Após, seguiram-se os estágios de pré-produção, produção e pós-produção. Na validação de conteúdo, participaram 22 especialistas e, na de aparência, dez adolescentes, dez mães, dez professores e dez profissionais da área de audiovisuais. Calculou-se frequência absoluta, Teste Binomial e Content Validity Index.
Resultados:
a concordância foi satisfatória na maioria dos itens. Quanto à relevância, 20 itens tiveram índices acima de 0,80 entre os juízes. A avaliação foi positiva entre meninas e mães. Apenas três itens apresentaram índices menores que 0,80 entre os professores e profissionais de vídeo.
Conclusões:
o vídeo educacional foi validado, conferindo credibilidade para contribuir nas ações educativas e melhorar os índices vacinais.
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ARTÍCULO ORIGINAL05/12/2019
Envelhecimento, sexualidade e cuidados de enfermagem: o olhar da mulher idosa
Revista Brasileira de Enfermagem. 2019;72:71-78
Resumen
ARTÍCULO ORIGINALEnvelhecimento, sexualidade e cuidados de enfermagem: o olhar da mulher idosa
Revista Brasileira de Enfermagem. 2019;72:71-78
DOI 10.1590/0034-7167-2018-0015
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Objetivo:
analisar a percepção da mulher idosa sobre sexualidade e a prática do cuidado de enfermagem nesse contexto.
Método:
estudo qualitativo descritivo. Foram entrevistadas 50 mulheres idosas de Guanambi – Bahia, em 2016. A técnica de coleta de dados foi a entrevista direta com utilização de um roteiro não estruturado. Foi feita a análise de conteúdo semântica descrita, e foram levantadas duas categorias empíricas: o olhar da mulher idosa sobre o cuidado de enfermagem na promoção da saúde sexual e na vivência da sexualidade na terceira idade; o processo do cuidar de enfermagem no contexto do envelhecimento da mulher.
Resultados:
notou-se que as idosas têm receio de falar sobre sexualidade, principalmente com os profissionais da saúde. Pelas próprias influências da sociedade, muitas vezes excluem essa temática do cuidado da saúde da mulher idosa.
Considerações finais:
ressalta-se que mudanças devem ser pensadas sobre a assistência prestada no que cerne à sexualidade.
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