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ARTÍCULO ORIGINAL08/12/2023
Efecto de la deambulación temprana y la terapia dhikr en el movimiento peristáltico de pacientes sometidos a colecistectomía abierta
Revista Brasileira de Enfermagem. 2023;76:e20220636
Resumen
ARTÍCULO ORIGINALEfecto de la deambulación temprana y la terapia dhikr en el movimiento peristáltico de pacientes sometidos a colecistectomía abierta
Revista Brasileira de Enfermagem. 2023;76:e20220636
DOI 10.1590/0034-7167-2022-0636
Visualizações1RESUMEN
Objetivos:
analizar y determinar el efecto de una intervención que combinó la deambulación temprana y la terapia dhikr sobre la recuperación peristáltica intestinal de pacientes sometidos a colecistectomía abierta.
Métodos:
se utilizó un diseño preexperimental con un grupo pretest y postest. Las muestras incluyeron 15 pacientes sometidos a colecistectomía abierta y seleccionados mediante muestreo intencional. Los datos se recopilaron por medio de fichas de observación del instrumento y se analizaron mediante la prueba de Wilcoxon. La deambulación temprana utilizó el procedimiento operativo estándar en el hospital y la terapia dhikr se realizó durante 10 a 15 minutos, dos horas después de la operación.
Resultados:
la deambulación temprana asociada con la terapia dhikr afectó la recuperación peristáltica intestinal de los pacientes que se sometieron a colecistectomía abierta con anestesia general (Z =-3,442; p=0,001).
Conclusiones:
la combinación de la deambulación temprana con la terapia dhikr puede recomendarse como una intervención para mejorar el movimiento peristáltico intestinal de los pacientes después de una colecistectomía abierta con anestesia general.
Palavras-chave: Anestesia GeneralColecistectomiaDeambulación TempranaEnfermería PerioperatoriaTerapias ComplementariasVer mais -
ARTÍCULO ORIGINAL08/12/2023
Systematization of perioperative nursing care in robotic surgery: instrument validation
Revista Brasileira de Enfermagem. 2023;76:e20220666
Resumen
ARTÍCULO ORIGINALSystematization of perioperative nursing care in robotic surgery: instrument validation
Revista Brasileira de Enfermagem. 2023;76:e20220666
DOI 10.1590/0034-7167-2022-0666
Visualizações0Ver maisABSTRACT
Objective:
To develop and validate an instrument to assist in the systematization of perioperative nursing care in robotic surgery.
Methods:
Methodological study developed in four phases: content survey; textual elaboration; content validation by the group of expert judges and target audience; and elaboration of the electronic instrument layout.
Results:
Eleven expert judges and seven evaluators of the target audience participated. For validation, the Content Validity Index (CVI) was used with a 0.78 cutoff point. The instrument total CVI after evaluation was 0.90 by the expert judges and 0.88 by the target audience.
Conclusion:
The tool built was proved satisfactory for the systematization of perioperative nursing care. The instrument construction was based on the updated scientific literature and validated by the expert judges and target audience.
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08/12/2023
Nursing experiences in specialized services in child and adolescent mental health: a systematic review of qualitative studies
Revista Brasileira de Enfermagem. 2023;76:e20220550
Resumen
Nursing experiences in specialized services in child and adolescent mental health: a systematic review of qualitative studies
Revista Brasileira de Enfermagem. 2023;76:e20220550
DOI 10.1590/0034-7167-2022-0550
Visualizações1Ver maisABSTRACT
Objective:
to synthesize evidence from qualitative studies on nursing experiences regarding child and adolescent mental health care in specialized services.
Method:
a systematic review with meta-synthesis of qualitative studies according to JBI guidelines. CINAHL, EMBASE, MEDLINE, LILACS, PSYCinfo, Scopus and Web of Science databases were used. The findings were classified according to the level of reliability and credibility and categorized by similarity between contents.
Results:
229 articles were identified, and five were included in the final sample and organized into the categories: Emotional impact; and Understanding nursing role. The level of evidence found was moderate.
Final considerations:
nursing experiences are permeated by emotional exhaustion, feelings of frustration and difficulty in understanding their professional role. The need for training spaces that qualify this care is highlighted.
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ARTÍCULO ORIGINAL08/12/2023
La relación entre el nivel de conocimiento y la conducta de prevención del flujo vaginal para estudiantes de enfermería
Revista Brasileira de Enfermagem. 2023;76:e20220602
Resumen
ARTÍCULO ORIGINALLa relación entre el nivel de conocimiento y la conducta de prevención del flujo vaginal para estudiantes de enfermería
Revista Brasileira de Enfermagem. 2023;76:e20220602
DOI 10.1590/0034-7167-2022-0602
Visualizações1Ver maisRESUMEN
Objetivo:
la salud reproductiva de las adolescentes es muy importante. Determinar la relación entre el nivel de conocimientos y la conducta de prevención del flujo vaginal en estudiantes de enfermería.
Métodos:
estudio cuantitativo, transversal, con 155 estudiantes de primer año de una facultad privada de enfermería. Los datos se recopilaron de febrero a marzo de 2022 a través de un cuestionario electrónico.
Resultados:
los participantes con buen nivel de conocimientos correspondieron al 98,1% y los que practican buenas conductas para prevenir el flujo vaginal, el 92,3%.
Conclusión:
un buen conocimiento produce conductas de prevención adecuadas. El resultado de este estudio puede contribuir con reflexiones y referencias para un estudio más profundo de los factores que influyen en el nivel de conocimiento y comportamiento sobre la enfermedad de los genitales y los peligros del flujo vaginal patológico.
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ARTÍCULO ORIGINAL08/12/2023
Fear of COVID-19 when experiencing pregnancy or childbirth in the pandemic: what are the associated factors?
Revista Brasileira de Enfermagem. 2023;76:e20220755
Resumen
ARTÍCULO ORIGINALFear of COVID-19 when experiencing pregnancy or childbirth in the pandemic: what are the associated factors?
Revista Brasileira de Enfermagem. 2023;76:e20220755
DOI 10.1590/0034-7167-2022-0755
Visualizações0Ver maisABSTRACT
Objective:
to identify factors associated with fear of COVID-19 among women who experienced pregnancy or childbirth during the pandemic.
Methods:
a cross-sectional study, nested within a prospective cohort, using an online survey, from August 2021 to February 2022, based on descriptive data analysis.
Results:
of the 431 participants, 52.8% were postpartum women and 20.1% were pregnant women. With regard to fear of COVID-19, a mean score of 20.46 was obtained (moderate fear). The highest fear scores were present in women whose newborns were admitted to hospital in neonatal critical units (p=0.032), and the lowest among those covered by supplementary health (insurance) (p=0.016).
Conclusion:
among pregnant and postpartum women, high fear of COVID-19 translated into the possibility of having newborns admitted to hospital in a critical unit. The importance of supporting actions to support pregnant/postpartum women’s mental health in relation to COVID-19 or other threats that may influence the neonatal outcome stands out.
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ARTÍCULO ORIGINAL08/12/2023
Care for older adults with disabilities in Long Term Care Facility
Revista Brasileira de Enfermagem. 2023;76:e20220767
Resumen
ARTÍCULO ORIGINALCare for older adults with disabilities in Long Term Care Facility
Revista Brasileira de Enfermagem. 2023;76:e20220767
DOI 10.1590/0034-7167-2022-0767
Visualizações0Ver maisABSTRACT
Objective:
to analyze the constitution of care offered to older adults with disabilities, from Long Term Care Facility professionals’ perspective.
Methods:
this is a discourse analysis based on the post-structuralist framework. Participants in this study are professionals involved in the care for older adults, totaling 14 respondents, 13 women and one man.
Results:
from professionals’ perspective, there is a fine line between caring for older adults with disabilities and maintaining their autonomy. Care in which autonomy is restricted predisposes older adults to a process of dependency.
Final considerations:
caring for older adults with disabilities constitutes the challenge between caring and maintaining independence. Thus, older adult-centered care should be taken as a premise so that their individualities are respected.
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ARTÍCULO ORIGINAL08/12/2023
Polypharmacy, potentially inappropriate medications and associated factors among older adults with hypertension in primary care
Revista Brasileira de Enfermagem. 2023;76:e20220785
Resumen
ARTÍCULO ORIGINALPolypharmacy, potentially inappropriate medications and associated factors among older adults with hypertension in primary care
Revista Brasileira de Enfermagem. 2023;76:e20220785
DOI 10.1590/0034-7167-2022-0785
Visualizações0Ver maisABSTRACT
Objective:
to identify the prevalence and associations of polypharmacy and potentially inappropriate medication use among older adults with hypertension treated in primary care.
Methods:
a cross-sectional study carried out with older adults with hypertension treated at a Family Health Strategy unit. Data collection included analysis of medical records, interviews and multidimensional assessment of older adults. Socio-demographic information and clinical variables were collected. Statistical analysis was performed by multiple logistic regression.
Results:
polypharmacy prevalence was 38.09%, and potentially inappropriate medication (PIM), 28.57%. There was a significant association between polypharmacy and PIM use, altered sleep and ethnicity. PIM use was associated with polypharmacy, worse family functioning, and absence of a caregiver. Cognitive decline reduces the prevalence of these medications.
Conclusions:
polypharmacy and PIM use among older adults with hypertension represent a problem in this population, especially among the most vulnerable.
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ARTÍCULO ORIGINAL08/12/2023
Social support networks and life cycle stage of Venezuelan immigrant families
Revista Brasileira de Enfermagem. 2023;76:e20220790
Resumen
ARTÍCULO ORIGINALSocial support networks and life cycle stage of Venezuelan immigrant families
Revista Brasileira de Enfermagem. 2023;76:e20220790
DOI 10.1590/0034-7167-2022-0790
Visualizações0Ver maisABSTRACT
Objective:
To understand the structures of social networks of interiorized Venezuelan immigrant families and the life cycle stage they are in.
Methods:
Qualitative multiple-case study with families from the Interiorization Program residing in the Greater Florianópolis, Brazil. Screening occurred through social networks and key informants. For data collection, the photovoice technique and semi-structured interviews were used, categorized with the help of the Atlas.ti software. Genograms and ecomaps were elaborated.
Results:
Of the 4 families interviewed, totaling 7 members with young children, the nuclear family was identified as the main informal support network. Formal networks included schools, churches, and civil society.
Conclusion:
Families rely heavily on their nuclear structure for support, with formal institutions acting as secondary resources. The predominant life cycle stage is focused on families with young children. More efforts are needed to strengthen formal support networks.
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ARTÍCULO DE REVISIÓN18/09/2020
Mental health of healthcare professionals in China during the new coronavirus pandemic: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20200338
Resumen
ARTÍCULO DE REVISIÓNMental health of healthcare professionals in China during the new coronavirus pandemic: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20200338
DOI 10.1590/0034-7167-2020-0338
Visualizações0Ver maisABSTRACT
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 ORIGINAL22/04/2020
Construção e validação de cartilha educativa sobre cuidados para crianças com gastrostomia
Revista Brasileira de Enfermagem. 2020;73(3):e20190108
Resumen
ARTÍCULO ORIGINALConstrução e validação de cartilha educativa sobre cuidados para crianças com gastrostomia
Revista Brasileira de Enfermagem. 2020;73(3):e20190108
DOI 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 REVISIÓN05/12/2019
Cuidados de transição hospitalar à pessoa idosa: revisão integrativa
Revista Brasileira de Enfermagem. 2019;72:294-301
Resumen
ARTÍCULO DE REVISIÓNCuidados de transição hospitalar à pessoa idosa: revisão integrativa
Revista Brasileira de Enfermagem. 2019;72:294-301
DOI 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 DE REVISIÓN07/08/2020
Positive aspects of authentic leadership in nursing work: integrative review
Revista Brasileira de Enfermagem. 2020;73(6):e20190118
Resumen
ARTÍCULO DE REVISIÓNPositive aspects of authentic leadership in nursing work: integrative review
Revista Brasileira de Enfermagem. 2020;73(6):e20190118
DOI 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 ORIGINAL21/12/2020
Development of an appearance validity instrument for educational technology in health
Revista Brasileira de Enfermagem. 2020;73:e20190559
Resumen
ARTÍCULO ORIGINALDevelopment of an appearance validity instrument for educational technology in health
Revista Brasileira de Enfermagem. 2020;73:e20190559
DOI 10.1590/0034-7167-2019-0559
Visualizações1Ver maisABSTRACT
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.
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ARTÍCULO ORIGINAL10/02/2020
Burnout among nursing students: predictors and association with empathy and self-efficacy
Revista Brasileira de Enfermagem. 2020;73(1):e20180280
Resumen
ARTÍCULO ORIGINALBurnout among nursing students: predictors and association with empathy and self-efficacy
Revista Brasileira de Enfermagem. 2020;73(1):e20180280
DOI 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 REVISIÓN01/06/2020
Acesso da população negra a serviços de saúde: revisão integrativa
Revista Brasileira de Enfermagem. 2020;73(4):e20180834
Resumen
ARTÍCULO DE REVISIÓNAcesso da população negra a serviços de saúde: revisão integrativa
Revista Brasileira de Enfermagem. 2020;73(4):e20180834
DOI 10.1590/0034-7167-2018-0834
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Objetivos:
evidenciar e discutir como ocorre o acesso da população negra aos serviços de saúde.
Métodos:
revisão integrativa da literatura com a seguinte pergunta: Como ocorre o acesso da população negra aos serviços de saúde? A busca foi realizada nas bases de dados Scholar, LILACS e SciELO e utilizou o descritor “acesso aos serviços de saúde” e o termo “população”, resultando em uma amostra de doze artigos.
Resultados:
estudos demonstram que a dificuldade de acesso é um fator fundamental para a qualidade de vida das pessoas, comprometendo diretamente serviços preventivos, principalmente para a saúde da mulher e, ainda, é impactante para o processo de adoecimento da população negra dentro de suas particularidades.
Considerações Finais:
diversos fatores limitantes comprometem o acesso da população negra aos serviços de saúde, desde institucionais a estruturais.
Palavras-chave: Acesso aos Serviços de SaúdeAtenção Primária à SaúdeGrupo com Ancestrais do Continente AfricanoPolítica de SaúdeSaúde das Minorias ÉtnicasVer mais -
ARTÍCULO DE REVISIÓN19/10/2020
Métodos de validação de protocolos assistenciais de enfermagem: revisão integrativa
Revista Brasileira de Enfermagem. 2020;73:e20200050
Resumen
ARTÍCULO DE REVISIÓNMétodos de validação de protocolos assistenciais de enfermagem: revisão integrativa
Revista Brasileira de Enfermagem. 2020;73:e20200050
DOI 10.1590/0034-7167-2020-0050
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Objetivo:
identificar a produção científica acerca dos métodos de validação de protocolos assistenciais de enfermagem.
Método:
revisão integrativa, com busca nas bases de dados Scielo, PubMed/MEDLINE, Biblioteca Virtual em Saúde, Web of Science, Scopus e EBSCOhost, utilizando os descritores validation studies, validation studies as topic, protocols, clinical protocols, practice guidelines as topic, nursing e nursing assessment e o descritor não controlado validation.
Resultados:
foram selecionados 32 artigos, sendo a maioria brasileiros. A validação de conteúdo por especialistas foi o método mais frequente, sem consenso sobre o número de participantes para o processo. Os instrumentos de coleta foram majoritariamente elaborados pelos autores. A análise dos dados foi realizada por estatística descritiva e Índice de Validade de Conteúdo, com taxa de concordância variável nos artigos analisados.
Conclusão:
protocolos validados por especialistas constituem ferramentas robustas para o uso na prática clínica, sendo o rigor metodológico no desenvolvimento imprescindível para a qualidade do mesmo.
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