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ARTÍCULO ORIGINAL16/12/2024
Respectful care for postpartum women with sickle cell disease: a netnographic study
Revista Brasileira de Enfermagem. 2024;77(6):e20230545
Resumen
ARTÍCULO ORIGINALRespectful care for postpartum women with sickle cell disease: a netnographic study
Revista Brasileira de Enfermagem. 2024;77(6):e20230545
DOI 10.1590/0034-7167-2023-0545
Visualizações1Ver maisABSTRACT
Objectives:
to analyze principles of respectful maternity care in narratives of postpartum women with sickle cell disease, relating them to Sustainable Development Goals.
Methods:
netnographic study, with two videos published in 2020. Deductive iconographic and thematic analysis by Respectful Maternity Care Charter, organized in MAXQDA.
Results:
principles identified were the right to: freedom from harm and ill-treatment; information, informed consent, refusal of medical procedures, and respect for their choices and preferences including companion; be considered a person from birth, with dignified and respectful treatment; health at the highest possible level; newborns being with their parents or guardians. The Sustainable Development Goals for women by 2030 were not positively contemplated in postpartum women’s experience.
Final Considerations:
it is appropriate that health workers qualify themselves to provide respectful maternity care, with qualified listening, understanding, and resolution of unique demands of postpartum women with sickle cell disease, seeking equality in care for women.
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16/12/2024
GerenciaDOR™: development of digital technology by nurses for the assessment of patients with chronic pain
Revista Brasileira de Enfermagem. 2024;77(6):e20240050
Resumen
GerenciaDOR™: development of digital technology by nurses for the assessment of patients with chronic pain
Revista Brasileira de Enfermagem. 2024;77(6):e20240050
DOI 10.1590/0034-7167-2024-0050
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Objectives:
to develop a digital technological solution (prototype) for assessing patients with chronic pain.
Methods:
this is a methodological and technological development study based on the Human-Centered Design framework and the principles of Patient-Centered Care. The prototype guides patients through a body diagram and directs them to an evaluation using specific instruments that address the multidimensional aspects of chronic pain.
Results:
the GerenciaDOR* project enables navigation through the Web App screens, providing access to pain assessment features up to the presentation of results.
Final Considerations:
the study describes a systematic approach to pain assessment and expands nurses’ knowledge in pain management. Additionally, it can promote the development of other digital technologies for chronic pain assessment and contribute to a multidisciplinary, patient centered treatment.
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ARTÍCULO ORIGINAL16/12/2024
Psychometric analysis of ProQOL-BR in nursing: building hospital safety and protection
Revista Brasileira de Enfermagem. 2024;77(6):e20240085
Resumen
ARTÍCULO ORIGINALPsychometric analysis of ProQOL-BR in nursing: building hospital safety and protection
Revista Brasileira de Enfermagem. 2024;77(6):e20240085
DOI 10.1590/0034-7167-2024-0085
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Objectives:
to analyze the psychometric properties of the ProQOL-BR instrument in hospital nursing professionals.
Methods:
a methodological study to validate the ProQOL-BR. Confirmatory factor analysis, assessment of local and global adjustment quality, Pearson hypothesis testing and Cronbach’s alpha internal consistency analysis were used.
Results:
a total of 490 professionals participated. The model presents adequate quality due to factor weights (λ≥ 0.40), acceptable overall fit quality and adequate chi-square ratio and degrees of freedom (χ2/g.1=2.51) for the parameters of CFI (0.923), GFI (0.902), TLI (0.914) and RMSEA (0.042). In terms of validity, it was shown to be adequate with CC=0.89. The internal consistency obtained by standardized Cronbach’s alpha was 0.761. Criterion validity was shown to be favorable with significant correlations (0.001).
Conclusions:
the instrument was validated regarding content, criteria and reliability. Three questions were removed from the original instrument, ProQOL-BR, leaving the final instrument with 25 questions.
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ARTÍCULO DE REVISIÓN16/12/2024
Recommendations for guidelines for promoting mental health in the workplace: an umbrella review
Revista Brasileira de Enfermagem. 2024;77(6):e20240086
Resumen
ARTÍCULO DE REVISIÓNRecommendations for guidelines for promoting mental health in the workplace: an umbrella review
Revista Brasileira de Enfermagem. 2024;77(6):e20240086
DOI 10.1590/0034-7167-2024-0086
Visualizações1Ver maisABSTRACT
Objectives:
to summarize the recommendations of guidelines for promoting mental health in the workplace.
Methods:
an umbrella review, according to Joanna Briggs Institute and Preferred Reporting Items for Systematic reviews and Meta-Analyses methodological assumptions. Data collection was carried out in January 2021 and updated in July 2023 in the American Psychological Association, Cochrane Library, EMBASE, National Library of Medicine, and Scopus databases. Systematic reviews that assessed guidelines with recommendations for mental health care for workers were included. PROSPERO registration CRD42023461845.
Results:
four systematic reviews published between 2015 and 2018 were identified. The abstracts highlighted actions that facilitate and inhibit the recommendations as well as three categories of intervention: primary prevention – worker protection; secondary prevention – promoting workers’ mental health; and tertiary prevention – supporting, monitoring and rehabilitating workers upon returning to work.
Conclusions:
the interventions are based on prevention, promotion and early recognition, support and rehabilitation of mental health problems.
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ARTÍCULO ORIGINAL16/12/2024
Analysis of omission of antimicrobial doses in Intensive Care Units
Revista Brasileira de Enfermagem. 2024;77(6):e20240102
Resumen
ARTÍCULO ORIGINALAnalysis of omission of antimicrobial doses in Intensive Care Units
Revista Brasileira de Enfermagem. 2024;77(6):e20240102
DOI 10.1590/0034-7167-2024-0102
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Objectives:
to analyze the rate of antimicrobial dose omission in intensive care units.
Methods:
cross-sectional study carried out between March 1 and September 30, 2023, in intensive care units of a University Hospital in Rio de Janeiro.
Results:
the sample consisted of 452 prescriptions and 1467 antimicrobial doses. The dose omission rate was 4.29%. Each antimicrobial prescribed increased the chance of omission by 51%. The strategy of double-checking prescriptions helped prevent 30% of antimicrobial dose omissions (p=0.0001).
Conclusions:
monitoring the omission of antimicrobial doses can guide nursing actions to improve quality and patient safety, contributing to the prevention of medication errors, antimicrobial stewardship and the fight against antimicrobial resistance.
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ARTÍCULO ORIGINAL16/12/2024
Health literacy development of Primary Health Care patients: qualitative research
Revista Brasileira de Enfermagem. 2024;77(6):e20240154
Resumen
ARTÍCULO ORIGINALHealth literacy development of Primary Health Care patients: qualitative research
Revista Brasileira de Enfermagem. 2024;77(6):e20240154
DOI 10.1590/0034-7167-2024-0154
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Objectives:
to identify the process of health literacy development among primary care patients, relating it to their self-care practices.
Methods:
qualitative, prospective research with 22 patients from two Family Health Strategy units. Data were obtained through individual semi-structured interviews, examined through descriptive statistics and thematic content analysis.
Results:
the results discuss how participants learn about health and how this resonates in their behaviors, culminating in two thematic categories: “Health knowledge construction”; and “Dialogue between health knowledge construction and patient care actions”.
Final Considerations:
health knowledge is developed mainly through interpersonal relationships, mediated by health professionals through bonding and communication. Community educational actions and training of health professionals in communication can promote health literacy and self-care among patients.
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ARTÍCULO ORIGINAL16/12/2024
Bladder ultrasound: evidence of content validity of a checklist for training nurses
Revista Brasileira de Enfermagem. 2024;77(6):e20230183
Resumen
ARTÍCULO ORIGINALBladder ultrasound: evidence of content validity of a checklist for training nurses
Revista Brasileira de Enfermagem. 2024;77(6):e20230183
DOI 10.1590/0034-7167-2023-0183
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Objectives:
to develop and analyze evidence of content validity of a checklist for training nurses in measuring bladder volume through ultrasound.
Methods:
a methodological study, consisting of three stages: literature review; instrument item preparation; and analysis of evidence of content validity. The Content Validity Index (CVI) and Gwet’s AC2 were used for content validity analyses.
Results:
the checklist consisted of 23 items. The CVIs for clarity, relevance and dimensionality were 0.99, 0.99 and 0.98 respectively, and the CVIs for Gwet’s AC2 with coefficients for clarity, relevance and dimensionality were 0.89, 0.97 and 0.95, respectively, with p<0.001.
Conclusions:
the checklist developed for training nurses in measuring bladder volume through ultrasound achieved adequate evidence of content validity, and can be used to train nurses in clinical practice and future research.
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16/12/2024
A relação entre gênero, formação educacional e ambiente de aprendizagem com a ansiedade do estudante de enfermagem
Revista Brasileira de Enfermagem. 2024;77(6):e20220615
Resumen
A relação entre gênero, formação educacional e ambiente de aprendizagem com a ansiedade do estudante de enfermagem
Revista Brasileira de Enfermagem. 2024;77(6):e20220615
DOI 10.1590/0034-7167-2022-0615
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Objetivos:
identificar las variables asociadas a la práctica clínica relacionadas con la ansiedad de los estudiantes de enfermería.
Métodos:
se utilizó un diseño descriptivo, cuantitativo, correlacional con las recomendaciones STROBE, EQUATOR. La población fue de 233 estudiantes de enfermería con una muestra de 135 personas. Los datos se recopilaron de marzo a abril de 2022 utilizando instrumentos validados.
Resultados:
la prueba de chi-cuadrado y razón de verosimilitud significativa para género, formación académica y entorno de aprendizaje son superiores a 0.05, por lo que no existe una relación significativa entre las variables y la ansiedad de los estudiantes.
Conclusiones:
los estudiantes necesitan prepararse nuevamente antes de ingresar al campo de la práctica. Investigaciones cualitativas también son necesarias.
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ARTÍCULO ORIGINAL29/11/2022
Outlining the therapeutic itineraries of children with disabilities in the professional health care subsystem
Revista Brasileira de Enfermagem. 2022;75(3):e20210169
Resumen
ARTÍCULO ORIGINALOutlining the therapeutic itineraries of children with disabilities in the professional health care subsystem
Revista Brasileira de Enfermagem. 2022;75(3):e20210169
DOI 10.1590/0034-7167-2021-0169
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Objectives:
to identify the outlining of therapeutic itineraries of families of children with disabilities in the professional health care subsystem.
Methods:
qualitative research carried out in two specialized services in the state of Ceará, with 41 family members interviewed using the life path technique and reports submitted to descending hierarchical classification and similitude analysis, with the help of the IRaMuTeQ software and the theoretical framework of health care systems.
Results:
the classes described the families’ itineraries in five paths, related to faith, support structures, medical behaviors, professionals, and health services. The professional subsystem stood out as deficient in outlining the therapeutic itinerary for access to health care for children with disabilities, without promoting integration between services in the Care Network.
Final considerations:
the families’ therapeutic itineraries showed homogeneous discourse with themes related to the care of professionals and spiritual aspects.
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ARTÍCULO DE REVISIÓN02/02/2022
Storage of gastrointestinal endoscopes: when is the safe time for re-use?
Revista Brasileira de Enfermagem. 2022;75(3):e20210216
Resumen
ARTÍCULO DE REVISIÓNStorage of gastrointestinal endoscopes: when is the safe time for re-use?
Revista Brasileira de Enfermagem. 2022;75(3):e20210216
DOI 10.1590/0034-7167-2021-0216
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Objectives:
to identify the safe storage time for the use of flexible gastrointestinal endoscopes after high-level disinfection, as well as the defining criteria for this time.
Methods:
an integrative literature review was carried out in the Virtual Health Library, PubMed, Scopus, and Web of Science, considering original articles published since 2000.
Results:
eleven articles were selected, whose storage times ranged from 1 to 56 days, with a predominance of one to seven days (73%). Several criteria were used to define this time, predominantly the premise of efficient processing (100%), use of alcohol flush (64%), use of drying cabinets (18%), among others.
Conclusions:
the criteria for determining the storage time did not show a consensus for clinical practice. Expanding the discussion of this theme with the definition of the minimum necessary conditions is of fundamental importance for the reduction of risks and safety of the procedure and the patient.
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REFLEXIÓN23/09/2022
Perioperative nursing education in Brazil: reviewing the past to survive the future
Revista Brasileira de Enfermagem. 2022;75(3):e20210331
Resumen
REFLEXIÓNPerioperative nursing education in Brazil: reviewing the past to survive the future
Revista Brasileira de Enfermagem. 2022;75(3):e20210331
DOI 10.1590/0034-7167-2021-0331
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Objectives:
to summarize historical aspects related to perioperative nursing education in Brazil and to outline future perspectives.
Methods:
a descriptive-reflexive essay about the historical process of Brazilian perioperative teaching at undergraduate and graduate levels.
Results:
the reflection addresses the historical axes of perioperative nursing, teaching perioperative nursing, curriculum changes, graduate studies and relationship with the perioperative period and trends in perioperative nursing education. Curriculum changes reduced time available for teaching and learning, with a focus on the perioperative period, and diluted contents of surgical nursing in other subjects, which could cause irreversible losses for generalist nurses’ training.
Final Considerations:
when reviewing historical aspects of national nursing curricula, it was found that the nomenclature perioperative nursing was never used in the curriculum, however, the surgical area has always been contemplated in undergraduate and graduate studies. Future trends indicate the need to integrate themes and prepare professionals with perspectives focused on global health and technology.
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ARTÍCULO ORIGINAL25/02/2022
Relações interprofissionais na Estratégia Saúde da Família: percepção da gestão em saúde
Revista Brasileira de Enfermagem. 2022;75(3):e20210636
Resumen
ARTÍCULO ORIGINALRelações interprofissionais na Estratégia Saúde da Família: percepção da gestão em saúde
Revista Brasileira de Enfermagem. 2022;75(3):e20210636
DOI 10.1590/0034-7167-2021-0636
Visualizações0RESUMO
Objetivos:
analisar o trabalho em equipe na Estratégia Saúde da Família, na perspectiva de profissionais do Departamento de Atenção Básica e do gestor municipal/secretário municipal de saúde de uma Secretaria Municipal de Saúde.
Métodos:
estudo exploratório/qualitativo. Participaram todos os profissionais do Departamento e gestor municipal/secretário municipal de saúde/interior de Minas Gerais. Coleta de dados por meio de entrevistas semiestruturadas/maio a novembro/2019. Análise de dados: Análise de Conteúdo/modalidade temática e referencial teórico de processo de trabalho.
Resultados:
emergiram três categorias: Relações interprofissionais permeadas por instrumentos não materiais do trabalho; Formação, experiência e perfil profissionais influenciam o trabalho em equipe; Propostas para concretização do trabalho em equipe na Estratégia Saúde da Família. Resultados revelaram pressupostos para trabalho em equipe na referida Estratégia, facilitadores/dificultadores/estratégias para efetivação, segundo os profissionais. Considerações Finais: colaboração/ comunicação/proatividade facilitam trabalho em equipe. Necessidade de aproximação entre gestão municipal e Estratégia Saúde da Família para concretização do trabalho em equipe.
Palavras-chave: Atenção Primária à SaúdeEquipe de Assistência ao PacienteEstratégia Saúde da FamíliaGestão em SaúdeRelações InterprofissionaisVer mais -
ARTÍCULO ORIGINAL15/04/2022
Do diagnóstico às complicações: experiências de quem convive com lúpus eritematoso sistêmico
Revista Brasileira de Enfermagem. 2022;75(4):e20200847
Resumen
ARTÍCULO ORIGINALDo diagnóstico às complicações: experiências de quem convive com lúpus eritematoso sistêmico
Revista Brasileira de Enfermagem. 2022;75(4):e20200847
DOI 10.1590/0034-7167-2020-0847
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Objetivo:
Compreender como pessoas com lúpus experienciaram o diagnóstico e como lidam com as complicações advindas da doença.
Método:
Estudo qualitativo, cujos dados foram coletados entre fevereiro e julho de 2019, mediante entrevistas semiestruturadas com 26 indivíduos e submetidos à análise de conteúdo.
Resultados:
Emergiram três categorias que mostram o adoecimento por lúpus como uma experiência difícil, permeada por tristeza, medo e sofrimento, que além de estar atrelado ao desconhecimento da sociedade sobre a doença, impacta negativamente na vida de quem o vivencia. Para além disso, evidenciam que o tempo de convivência com a doença favorece o desenvolvimento de estratégias de autocuidado e maior adesão terapêutica e, por consequência, maiores períodos de remissão da doença.
Considerações:
Imprescindível mais divulgação sobre a doença e suas implicações no cotidiano dos acometidos, culminando em maior compreensão de familiares, amigos e colegas e melhorias na atenção à saúde e qualidade de vida destas pessoas.
Palavras-chave: ComplicaçõesDiagnósticoDoenças AutoimunesExperiência de VidaLúpus Eritematoso SistêmicoVer mais -
ARTÍCULO ORIGINAL25/02/2022
Nursing students: the use of digital social network to profile nurses
Revista Brasileira de Enfermagem. 2022;75(4):e20200865
Resumen
ARTÍCULO ORIGINALNursing students: the use of digital social network to profile nurses
Revista Brasileira de Enfermagem. 2022;75(4):e20200865
DOI 10.1590/0034-7167-2020-0865
Visualizações0Ver maisABSTRACT
Objectives:
to analyze the profile of nursing students at a university in southern Brazil and verify the effectiveness of the use of social networks in students’ location and adherence.
Methods:
a quantitative, descriptive and exploratory study, carried out with 314 students through a questionnaire prepared on Google Forms, made available through digital social networks and e-mails.
Results:
students were women, without training in a technical/assistance nursing course, participants in projects and research groups, with a graduate degree. Furthermore, more than 75% obtained their first job within six months after graduation, more than 80% worked in healthcare, with public employment, workload of up to 40 hours a week, income between four and ten minimum wages, and 92% indicated that they were satisfied and/or very satisfied with the course.
Conclusions:
the strategic use of social networks enabled greater adherence by the target audience and nursing students’ profile design.
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REFLEXIÓN30/03/2022
Formação de professores na área da Saúde sob a ótica da educação interprofissional
Revista Brasileira de Enfermagem. 2022;75(4):e20201369
Resumen
REFLEXIÓNFormação de professores na área da Saúde sob a ótica da educação interprofissional
Revista Brasileira de Enfermagem. 2022;75(4):e20201369
DOI 10.1590/0034-7167-2020-1369
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Objetivos:
refletir sobre a formação de professores em saúde sob a ótica da educação interprofissional.
Métodos:
ensaio fundamentado no diálogo entre a literatura científica, as políticas indutoras para a formação em saúde e estudos nos campos da pesquisa e da atuação docente em projetos pedagógicos fundamentados na educação interprofissional.
Resultados:
a docência em saúde desvela-se como prática social que se constrói em múltiplos movimentos de colaboração e momentos formativos. Nesse sentido, reconhece-se a presença de ecos e ressonâncias das políticas indutoras necessárias à reorientação da formação em saúde nas propostas de desenvolvimento docente. Considerações Finais: articular o desenvolvimento docente e a educação interprofissional demanda um processo dinâmico de ampliação e incorporação de práticas interprofissionais e colaborativas como campo de estudo/pesquisa e de intervenção, na perspectiva de fortalecer a educação continuada dos professores.
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ARTÍCULO ORIGINAL25/02/2022
Death of children by domestic accidents: unveiling the maternal experience
Revista Brasileira de Enfermagem. 2022;75(4):e20210435
Resumen
ARTÍCULO ORIGINALDeath of children by domestic accidents: unveiling the maternal experience
Revista Brasileira de Enfermagem. 2022;75(4):e20210435
DOI 10.1590/0034-7167-2021-0435
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Objectives:
to unveil the meanings of mothers whose children died as a result of domestic accidents in childhood.
Methods:
a qualitative research, in the light of Heideggerian phenomenology, with ten mothers whose children died from domestic accidents. It was carried out in a municipality of the Northeast Region of Brazil through phenomenological interviews between May and June 2017. The existential analytic was constituted by the comprehensive moments of the Heideggerian method.
Results:
the meanings unveiled pointed out that, to understand the sudden death of her child, the mother oscillates between feeling guilty, pointing and denying guilt. She reports emptiness, permanent pain, non-acceptance of her child’s death, and the desire to keep him in her life. In this journey, the fear that brings limitations to her life and that of her other children is revealed. Final Considerations: it was revealed that the death of the child in infancy compromises the integrality of being a mother, indicating the need for systematic and continuous care for the adequate management of the emotional and social effects.
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