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ARTÍCULO ORIGINAL
Interpersonal violence in the state of Espírito Santo: analysis of mandatory notifications between 2011 and 2018
Revista Brasileira de Enfermagem. 2024;77(5):e20230081
22/11/2024
Resumo
ARTÍCULO ORIGINALInterpersonal violence in the state of Espírito Santo: analysis of mandatory notifications between 2011 and 2018
Revista Brasileira de Enfermagem. 2024;77(5):e20230081
22/11/2024DOI 10.1590/0034-7167-2023-0081
Visualizações0ABSTRACT
Objective:
To identify the frequency of notifications of interpersonal violence in Espírito Santo from 2011 to 2018, and the factors associated with this issue.
Methods:
This is a cross-sectional study in which all cases of interpersonal violence from the Information System for Notifiable Diseases in the state of Espírito Santo during the period from 2011 to 2018 were analyzed. Absolute and relative frequencies and 95% confidence intervals were calculated, as well as Poisson regression.
Results:
During the analyzed period, 27,277 cases were reported in Espírito Santo (P: 75%; 95% CI: 74.5-75.4), being more prevalent among females, children, and the elderly, individuals of black/mixed race, people without disabilities, and residents of urban areas. Regarding the perpetrator, there was a higher prevalence of individuals aged 25 years and older, males, with a current or former intimate partner relationship with the victim, and suspected alcohol use at the time of the aggression. In terms of the characteristics of the aggression, there was a higher prevalence of repeat violence, involving a single aggressor, and occurring in the residence.
Conclusions:
The notification of interpersonal violence in Espírito Santo showed a high prevalence and was associated with characteristics of the victim, aggressor, and event. This scenario reinforces the need for interventions such as professional qualification, expansion of intersectoral actions, and reformulation of public policies.
Palavras-chave: EpidemiologyExposure to ViolenceHealth Information SystemsMandatory ReportingViolenceVer mais -
ARTÍCULO ORIGINAL
Prevalence of prescription and effectiveness of analgesia for treating vaginal delivery pain
Revista Brasileira de Enfermagem. 2024;77(5):e20230327
22/11/2024
Resumo
ARTÍCULO ORIGINALPrevalence of prescription and effectiveness of analgesia for treating vaginal delivery pain
Revista Brasileira de Enfermagem. 2024;77(5):e20230327
22/11/2024DOI 10.1590/0034-7167-2023-0327
Visualizações0Ver maisABSTRACT
Objectives:
to assess pain management during labor.
Methods:
a cross-sectional study was carried out by reviewing medical records and conducting postpartum interviews. Prevalence and effectiveness of analgesia were assessed.
Results:
the prevalence of non-pharmacological analgesia was 61.86% of 215 women in labor in Obstetric Center and 82.51% of 62 in midwife-led unit. Prevalence of severe pain, on the Visual Analogue Scale, before and after non-pharmacological analgesia, was from 92.16% to 64.04% (p=0.00) in Obstetric Center and from 85.96% to 52.63% (p=0.01) in midwife-led unit. Prevalence of pharmacological analgesia in Obstetric Centers was 15.81%, with no variation in severe pain (p=0.57). Patients’ request for analgesia was associated with education (p=0.00) and pain intensity (p=0.02).
Conclusions:
non-pharmacological analgesia improved pain intensity. Prevalence of pharmacological analgesic prescription was lower than that identified in developed countries. Pain management needs to consider the preferences and needs of women in labor.
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ARTÍCULO DE REVISIÓN
Transition to family parenting in the face of the first child: a scoping review
Revista Brasileira de Enfermagem. 2024;77(5):e20230487
22/11/2024
Resumo
ARTÍCULO DE REVISIÓNTransition to family parenting in the face of the first child: a scoping review
Revista Brasileira de Enfermagem. 2024;77(5):e20230487
22/11/2024DOI 10.1590/0034-7167-2023-0487
Visualizações0Ver maisABSTRACT
Objectives:
to identify and summarize the elements that characterize the family transition process in relation to the first child.
Methods:
a scoping review was carried out based on JBI methodology, in six databases, following the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews checklist.
Results:
ten articles were included with factors characterizing the transition, such as hindering/facilitating conditions that influence the process, important support structures in adaptation and strategies/responses used in the transition process.
Final Considerations:
elements characterizing the transition process in relation to the first child were identified. However, no theoretical explanation for this was identified. Further research should be carried out to obtain a deeper understanding of this process.
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ARTÍCULO ORIGINAL
Rondas a beira leito no ambiente hospitalar na perspectiva de equipes multiprofissionais de saúde
Revista Brasileira de Enfermagem. 2024;77(5):e20230493
22/11/2024
Resumo
ARTÍCULO ORIGINALRondas a beira leito no ambiente hospitalar na perspectiva de equipes multiprofissionais de saúde
Revista Brasileira de Enfermagem. 2024;77(5):e20230493
22/11/2024DOI 10.1590/0034-7167-2023-0493
Visualizações0RESUMEN
Objetivo:
Analizar la configuración de las relaciones de poder entre el equipo multiprofesional en el proceso de rondas de cabecera en el hospital.
Método:
Investigación cualitativa con datos analizados a través del análisis del discurso, basado en el marco teórico de Michel Foucault. De septiembre a diciembre de 2022, realizamos entrevistas y observaciones de campo con el equipo multiprofesional de un hospital de Belo Horizonte, Minas Gerais, Brasil, así como entrevistas cualitativas semiestructuradas con 37 profesionales.
Resultados:
Los participantes señalaron que las experiencias de los profesionales involucrados en las rondas de cabecera dependen de cómo el médico conduce el proceso, y el proceso centrado en el médico dificulta la participación de otros profesionales del equipo.
Consideraciones finales:
La forma en que los hospitales organizan las rondas de cabecera no promueve la articulación del conocimiento de sus profesionales. Además, dificulta la circulación del poder y perjudica el trabajo interdisciplinario en un proceso que mantiene al médico como actor principal de las decisiones clínicas.
Palavras-chave: Conhecimentos, Atitudes e Prática em SaúdeEquipe de Assistência MultidisciplinarHospitaisPrática ProfissionalRelações InterprofissionaisVer mais -
ARTÍCULO DE REVISIÓN
Telenursing contributions in Primary Health Care in the COVID-19 pandemic context: an integrative review
Revista Brasileira de Enfermagem. 2024;77(5):e20240093
22/11/2024
Resumo
ARTÍCULO DE REVISIÓNTelenursing contributions in Primary Health Care in the COVID-19 pandemic context: an integrative review
Revista Brasileira de Enfermagem. 2024;77(5):e20240093
22/11/2024DOI 10.1590/0034-7167-2024-0093
Visualizações0Ver maisABSTRACT
Objective:
to identify telenursing contributions in Primary Health Care during the COVID-19 pandemic.
Methods:
an integrative literature review, conducted between January and August 2022 in the PubMed, CINAHL, LILACS, BDENF, Scopus, WoS, EMBASE and SciELO databases. A total of 493 studies was found, 62 were read in full, and of these, 16 were selected. For analysis, a dynamic reading of the studies and synthesis of the main results were carried out.
Results:
the main results highlighted telenursing practice as a challenge for professionals and the population. Among the contributions and positive points and aspects that require improvement, practice showed promise when considered in a post-pandemic scenario.
Final considerations:
through telenursing, the population’s access to Primary Health Care was guaranteed in the face of the COVID-19 pandemic. However, a critical look at current technological advances in healthcare is necessary.
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ARTÍCULO ORIGINAL
Safe practices for prevention and management of antineoplastic agent extravasation: development of an educational video
Revista Brasileira de Enfermagem. 2024;77(5):e20240172
22/11/2024
Resumo
ARTÍCULO ORIGINALSafe practices for prevention and management of antineoplastic agent extravasation: development of an educational video
Revista Brasileira de Enfermagem. 2024;77(5):e20240172
22/11/2024DOI 10.1590/0034-7167-2024-0172
Visualizações0ABSTRACT
Objectives:
to develop, validate, and evaluate an educational video on the prevention and management of antineoplastic agent extravasation, aimed at nursing professionals.
Methods:
this methodological study was developed according to Falkembach’s theoretical framework, which outlines five phases in the production of educational video materials: analysis and planning, modeling, implementation, evaluation, and distribution.
Results:
content validation demonstrated agreement above the minimum threshold stipulated. The overall Content Validity Index was 90.8%, and it was 94.2% among the content and technical evaluation judges, respectively. The target audience evaluated the video positively, highlighting the importance of the content, the clarity of the language used, and the understanding of the information pertinent to the topic.
Conclusions:
the video proved to be an appropriate strategy for instructing interventions on the prevention and management of extravasation, with the potential to improve educational practices among nursing professionals.
Palavras-chave: Antineoplastic AgentsEducational TechnologyExtravasation of Diagnostic and Therapeutic MaterialsInstructional Film and VideoNursingVer mais
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ARTÍCULO ORIGINAL
Nurse safety culture in the services of a university hospital
Revista Brasileira de Enfermagem. 2019;72(3):767-773
27/06/2019
Resumo
ARTÍCULO ORIGINALNurse safety culture in the services of a university hospital
Revista Brasileira de Enfermagem. 2019;72(3):767-773
27/06/2019DOI 10.1590/0034-7167-2018-0376
Visualizações0Ver maisABSTRACT
Objective:
To evaluate nurse safety culture in a teaching hospital, as well as to verify differences in the safety culture dimensions between services.
Method:
cross-sectional, quantitative study, conducted from October to December 2015, in a university hospital. The instrument Hospital Survey on Patient Safety Culture was applied.
Results:
A total of 195 nurses from four different services participated in the study. Significant difference between services were identified for five dimensions of safety culture: organizational learning (P=0.012); return of information and communication about error (P=0.014); management support for patient safety (P=0.001); general perceptions about patient safety (P=0.005); and frequency of event notification (P=0.003).
Conclusion:
The medical clinic service had the highest statistical difference between the dimensions. These evaluations allow managers to identify the differences between the same hospital’s services, serving as a warning and assisting in the services’ improvement.
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Hospital care and urinary incontinence in the elderly
Revista Brasileira de Enfermagem. 2019;72:284-293
05/12/2019
Resumo
Hospital care and urinary incontinence in the elderly
Revista Brasileira de Enfermagem. 2019;72:284-293
05/12/2019DOI 10.1590/0034-7167-2018-0273
Visualizações0Ver maisABSTRACT
Objective:
to identify factors inherent in hospital care that favor urinary incontinence in the elderly.
Method:
an integrative review with Scopus, CINAHL and Pubmed searches. Includes original articles, no language restriction, published between 2008 and 2018. Rated level of recommendation and level of evidence were assessed using the Oxford Center for Evidence-Based Medicine classification. Exploited content through thematic analysis in light of the Donabedian model.
Results:
13 articles constituted the sample. There were factors such as the unjustified and indiscriminate use of devices such as the geriatric diaper; hospital structure adversely affecting the needs of the elderly; and deficit in screening, risk identification and underreporting of the problem favor urinary incontinence in the hospitalized elderly.
Conclusion:
modifiable factors related to hospital structures and care processes favor both the onset and worsening of urinary incontinence in the elderly.
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ARTÍCULO DE REVISIÓN
Internet influence on the biopsychosocial health of adolescents: an integratitive review
Revista Brasileira de Enfermagem. 2020;73(2):e20180766
30/03/2020
Resumo
ARTÍCULO DE REVISIÓNInternet influence on the biopsychosocial health of adolescents: an integratitive review
Revista Brasileira de Enfermagem. 2020;73(2):e20180766
30/03/2020DOI 10.1590/0034-7167-2018-0766
Visualizações0Ver maisABSTRACT
Objectives:
To identify scientific evidence on the influence of internet use on adolescents’ biopsychosocial health.
Methods:
Integrative review, with database search, using the descriptors “internet”, “adolescent health” and “adolescent behavior”. After applying the inclusion and exclusion criteria, 16 articles were selected.
Results:
Knowledge convergence produced for three main themes was demonstrated: “Internet exposure time and possible damages to adolescent health”; “Internet, adolescent and cyberbullying”; and “Internet as a source of information for adolescent health”.
Final considerations:
The network involves an intricate network of interactions, providing varied behaviors and attitudes that reflect on adolescent health. Therefore, it is important to articulate nursing actions with the school community and the family, in order to carry out health education.
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ARTÍCULO DE REVISIÓN
Aplicação da metodologia Lean Seis Sigma nos cenários de assistência à saúde: revisão integrativa
Revista Brasileira de Enfermagem. 2020;73:e20190861
21/12/2020
Resumo
ARTÍCULO DE REVISIÓNAplicação da metodologia Lean Seis Sigma nos cenários de assistência à saúde: revisão integrativa
Revista Brasileira de Enfermagem. 2020;73:e20190861
21/12/2020DOI 10.1590/0034-7167-2019-0861
Visualizações0RESUMO
Objetivo:
analisar a produção científica sobre os resultados da metodologia Lean Six Sigma nas instituições de assistência à saúde.
Métodos:
revisão integrativa da literatura, com a seguinte pergunta: quais são os resultados nas instituições de saúde com a utilização da metodologia Lean Six Sigma e Six Sigma? A busca foi realizada nas bases de dados MEDLINE, LILACS, BDENF, CINAHL, Web of Science e Scopus, sem recorte temporal.
Resultados:
foram incluídos 34 artigos, publicados entre 2005 e 2019, sendo 52,9% provenientes dos Estados Unidos da América. As melhorias mais comumente encontradas foram em instituições hospitalares e na perspectiva dos clientes e processos internos.
Conclusão:
a utilização da metodologia Lean Six Sigma se demonstrou eficaz nos diversos cenários de assistência à saúde, se destacando uma lacuna em sua aplicação quanto ao engajamento e capacitação de pessoas.
Palavras-chave: Administração em SaúdeAssistência à SaúdeControle de QualidadeGestão da Qualidade TotalMelhoria de QualidadeVer mais -
ARTÍCULO ORIGINAL
Qualidade de vida relacionada à saúde em pacientes com insuficiência cardíaca
Revista Brasileira de Enfermagem. 2019;72:140-146
05/12/2019
Resumo
ARTÍCULO ORIGINALQualidade de vida relacionada à saúde em pacientes com insuficiência cardíaca
Revista Brasileira de Enfermagem. 2019;72:140-146
05/12/2019DOI 10.1590/0034-7167-2018-0368
Visualizações0RESUMO
Objetivo:
Avaliar a qualidade de vida relacionada à saúde dos pacientes com insuficiência cardíaca e relacionar aos dados sociodemográficos e clínicos.
Método:
Trata-se de estudo observacional, de corte transversal, com abordagem quantitativa realizado em ambulatório de insuficiência cardíaca no estado de Pernambuco.
Resultados:
Na amostra (n=101) houve predominância de homens, maiores de 60 anos, casados, profissionalmente inativos. A qualidade de vida relacionada à saúde, a partir do questionário Minnesota Living With Heart Failure Questionnaire foi considerada moderada (34,3±21,6), apresentando relação significativa com idade (p=0,004), classe funcional (p<0,001) e em pacientes com cardiopatia chagásica (p=0,02).
Conclusão:
A qualidade de vida no grupo IC de etiologia chagásica esteve mais comprometida, especialmente na dimensão emocional. Sugere-se a realização de estudos abordando as hipóteses de que maior tempo de acompanhamento ambulatorial melhora a qualidade de vida e que ter doença de Chagas interfere negativamente na qualidade de vida de pacientes com insuficiência cardíaca.
Palavras-chave: Assistência AmbulatorialDoença de ChagasEnfermagemInsuficiência CardíacaQualidade de VidaVer mais -
REFLEXIÓN
Pre-hospital assistance by ambulance in the context of coronavirus infections
Revista Brasileira de Enfermagem. 2021;74:e20200657
15/02/2021
Resumo
REFLEXIÓNPre-hospital assistance by ambulance in the context of coronavirus infections
Revista Brasileira de Enfermagem. 2021;74:e20200657
15/02/2021DOI 10.1590/0034-7167-2020-0657
Visualizações0ABSTRACT
Objective:
To reflect on the safe care exercised by the pre-hospital care team by emergency ambulance in times of coronavirus infection.
Method:
A reflection and description of how to provide safe care to the patient and the professional during pre-hospital care in times of coronavirus infection.
Results:
To ensure the health of all those involved in the care, health professionals who work in pre-hospital care by emergency ambulance should use the recommended Personal Protective Equipment (PPE), such as the use of surgical masks and N95, N99, N100, PFF2 or PFF3, the use of an apron or overall, goggles and face shield, gloves and a hat. The entire team must receive training and demonstrate the ability to use PPE correctly and safely.
Final considerations:
The professional working in the pre-hospital care by ambulance is exposed to a series of occupational risks that need to be discussed and minimized through professional training.
Palavras-chave: AmbulanceCoronavirus InfectionsEmergency Medical ServicesPatient SafetyPre-Hospital AssistanceVer mais -
ARTÍCULO ORIGINAL
Análise dos registros de técnicos de enfermagem e enfermeiros em prontuários
Revista Brasileira de Enfermagem. 2020;73(2):e20180542
17/02/2020
Resumo
ARTÍCULO ORIGINALAnálise dos registros de técnicos de enfermagem e enfermeiros em prontuários
Revista Brasileira de Enfermagem. 2020;73(2):e20180542
17/02/2020DOI 10.1590/0034-7167-2018-0542
Visualizações0RESUMO
Objetivos:
analisar as principais não conformidades dos registros de enfermagem de um hospital público do Nordeste na cidade de Natal.
Métodos:
estudo descritivo, transversal, abordagem quantitativa. Realizado em enfermarias médicas e cirúrgicas. Amostra composta de 120 prontuários de pacientes internados entre outubro e dezembro de 2016. Os dados obtidos foram tabulados e analisados por estatística simples em frequência absoluta e relativa com o software Microsoft Excel 2013. Para avaliar as não conformidades dos registros, usou-se o Diagrama de Pareto.
Resultados:
como principais problemas nos registros de enfermagem, destacou-se a ausência da categoria profissional e número do conselho, responsáveis por 41,8% das não conformidades nos registros de técnicos de enfermagem, enquanto nas anotações dos enfermeiros foram a ausência de hora e as letras ilegíveis, com 61,2%.
Conclusões:
o estudo evidenciou que os profissionais de enfermagem realizam seus registros de forma incompleta e que muitas vezes não documentam o cuidado prestado.
Palavras-chave: ComunicaçãoEnfermagemPesquisa sobre Serviços de SaúdeRegistros de EnfermagemSegurança do PacienteVer mais -
ARTÍCULO ORIGINAL
Cervical cancer: knowledge, attitude and practice on the prevention examination
Revista Brasileira de Enfermagem. 2019;72:25-31
13/12/2019
Resumo
ARTÍCULO ORIGINALCervical cancer: knowledge, attitude and practice on the prevention examination
Revista Brasileira de Enfermagem. 2019;72:25-31
13/12/2019DOI 10.1590/0034-7167-2017-0645
Visualizações0ABSTRACT
Objective:
to evaluate the knowledge, attitude and practice of women on the cervical-uterine cancer screening and to investigate their association with sociodemographic variables.
Method:
a cross-sectional study, carried out from July to September 2015, with 500 women enrolled in the Basic Health Units of the Health District V, of the city of Recife-PE. For data collection, a semi-structured form was used. In statistical analysis, the Chi-square test and Fisher’s Exact Test were applied and, in the multivariate analysis, the Poisson model and Wald statistic.
Results:
the prevalence of adequate knowledge, attitude and practice was 35.2%, 98% and 70.6%, respectively. Adequate knowledge was associated with having no children, having a family income of two minimum wages and Spiritist/Afro-Brazilian religion.
Conclusion:
women carry out the examination, deem it necessary, but do not have adequate knowledge, which demonstrates the need for educational actions by nurses and other health professionals.
Palavras-chave: Knowledge, Attitudes and Practice in HealthNursingPapanicolaou TestUterine Cervical NeoplasmsWomen's HealthVer mais
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