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ARTÍCULO ORIGINAL
Profile of patients in private home care who developed ventilator-associated pneumonia
Revista Brasileira de Enfermagem. 2024;77(3):e20230146
29/07/2024
Resumo
ARTÍCULO ORIGINALProfile of patients in private home care who developed ventilator-associated pneumonia
Revista Brasileira de Enfermagem. 2024;77(3):e20230146
29/07/2024DOI 10.1590/0034-7167-2023-0146
Visualizações0ABSTRACT
Objectives:
to analyze the profile and clinical outcomes of patients who developed Ventilator-Associated Pneumonia (VAP) in private home care and to compare the incidence with national data.
Methods:
this was a retrospective study with data collected from July 2021 to June 2022 from patient records at a private clinic. Patients using intermittent ventilation or without ventilatory support were excluded.
Results:
the utilization rate of mechanical ventilation was 15.9%. The incidence density of pneumonia in pediatrics was 2.2 cases per 1000 ventilation-days and in adults was 1.7 cases per 1000 ventilation-days, figures lower than those reported by the National Health Surveillance Agency. There were 101 episodes of pneumonia in 73 patients, predominantly male (65.8%), adults (53.4%), and those with neurological diseases (57.5%). The treatment regimen predominantly took place at home (80.2%), and there was one death.
Conclusions:
patients in home care showed a low incidence and mortality rate from ventilator-associated pneumonia.
Palavras-chave: ArtificialHealth Systems AgenciesHome Care ServicesIntensive Care UnitsPneumoniaRespirationVentilator-AssociatedVer mais -
ARTÍCULO ORIGINAL
Adaptation strategies for preparing for childbirth in the context of the pandemic: Roy’s Theory
Revista Brasileira de Enfermagem. 2024;77(3):e20230159
29/07/2024
Resumo
ARTÍCULO ORIGINALAdaptation strategies for preparing for childbirth in the context of the pandemic: Roy’s Theory
Revista Brasileira de Enfermagem. 2024;77(3):e20230159
29/07/2024DOI 10.1590/0034-7167-2023-0159
Visualizações0Ver maisABSTRACT
Objectives:
to understand the process of adapting to childbirth during the COVID-19 pandemic from the perspective of a group of pregnant women.
Methods:
a qualitative, descriptive-exploratory study was conducted with 23 women. Data were collected between October and December 2021 through documentation and semi-structured interviews, which were analyzed using Minayo’s methodology and Roy’s Adaptation Model.
Results:
various types of stimuli – focal, contextual, and residual – were identified as influencing childbirth preparation. The online group was essential for facilitating pregnant women’s adaptation, offering significant support and generating positive feedback for childbirth preparation.
Final Considerations:
the importance of pregnant women’s groups as a strategy for improving adaptation to childbirth was identified, underscoring the effectiveness of this support among professionals and participants, as well as among pregnant women. This support network strengthened preparation for childbirth during a challenging period like the pandemic.
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ARTÍCULO ORIGINAL
Family refusal of skin donation for transplantation: trends and associated factors
Revista Brasileira de Enfermagem. 2024;77(3):e20230209
29/07/2024
Resumo
ARTÍCULO ORIGINALFamily refusal of skin donation for transplantation: trends and associated factors
Revista Brasileira de Enfermagem. 2024;77(3):e20230209
29/07/2024DOI 10.1590/0034-7167-2023-0209
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Objectives:
to analyze the trends and factors associated with family refusal of skin donation for transplantation.
Methods:
this cross-sectional study was conducted in the State of São Paulo, with family authorization terms collected from 2001 to 2020. The variables analyzed included year, age, gender, cause of death, and type of institution. Data were analyzed using linear and multiple logistic regression, with the Odds Ratio estimated at p<0.05 for statistical significance.
Results:
1,355 individuals refused skin donation. The trend of refusals decreased between 2001 and 2009 in the age groups of 0-11 years and 12-19 years, but increased in the group aged ≥60 years. This trend continued to decrease in the 0-11 years group from 2010 to 2020, and increased in the 20-40 years group. Males and the age groups of 20-40 years, 41-59 years, and ≥60 years exhibited 27%, 34%, 47%, and 53% lower chances of refusal, respectively.
Conclusions:
there is an urgent need for measures to mitigate the high number of refusals associated with skin donation.
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ARTÍCULO ORIGINAL
Excessive daytime sleepiness in nursing technicians: association with sleep quality and memory
Revista Brasileira de Enfermagem. 2024;77(3):e20230332
29/07/2024
Resumo
ARTÍCULO ORIGINALExcessive daytime sleepiness in nursing technicians: association with sleep quality and memory
Revista Brasileira de Enfermagem. 2024;77(3):e20230332
29/07/2024DOI 10.1590/0034-7167-2023-0332
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Objective:
to investigate excessive daytime sleepiness prevalence among nursing technicians and the association with sleep quality and memory.
Methods:
a cross-sectional, inferential study, carried out in a hospital unit in the state of Goiás between December 2020 and January 2021. Assessments were carried out using the Epworth Sleepiness Scale, the Pittsburgh Sleep Quality Index and the Prospective and Retrospective Memory Questionnaire, instruments validated for the Brazilian context. Bivariate and multivariate logistic regression analyzes were performed.
Results:
the sample consisted of 189 nursing technicians with a 40.9% excessive daytime sleepiness prevalence. In multivariate models, excessive daytime sleepiness was not associated with sleep quality, however there was a significant association with overall memory failures.
Conclusions:
study results demonstrate a high excessive daytime sleepiness occurrence, an association with overall memory failures and the need for psychosocial interventions for nursing technicians.
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ARTÍCULO ORIGINAL
Nurses’ perspectives on nurses’ work methods
Revista Brasileira de Enfermagem. 2024;77(3):e20230374
29/07/2024
Resumo
ARTÍCULO ORIGINALNurses’ perspectives on nurses’ work methods
Revista Brasileira de Enfermagem. 2024;77(3):e20230374
29/07/2024DOI 10.1590/0034-7167-2023-0374
Visualizações0Ver maisABSTRACT
Objectives:
To analyze nurses’ perspectives on nurses’ work methods in the hospital context.
Methods:
A descriptive study with a qualitative approach was conducted in a hospital in northern Portugal, involving 17 nurses. Semi-structured interviews were used for data collection. Data collected between May and June 2023 underwent content analysis, supported by Atlas.ti software.
Results:
Three thematic areas emerged: “Nurses’ work methods in a hospital context,” highlighting the conception and components of work methods and the methods in use; “Implementation of nurses’ work methods,” emphasizing influencing factors and challenges to implementation; and “Impact of nurses’ work methods on patients, nurses, and institutions.”
Final Considerations:
Nurses’ work methods constitute the structure of nursing care. Some factors influence and some challenges arise in the implementation of these methods, producing impacts on patients, nurses, and institutions.
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ARTÍCULO ORIGINAL
Nursing Process for institutionalized older adults: contributions from knowledge awareness workshop
Revista Brasileira de Enfermagem. 2024;77(3):e20230349
29/07/2024
Resumo
ARTÍCULO ORIGINALNursing Process for institutionalized older adults: contributions from knowledge awareness workshop
Revista Brasileira de Enfermagem. 2024;77(3):e20230349
29/07/2024DOI 10.1590/0034-7167-2023-0349
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Objective:
To analyze the knowledge of professionals working in a Nursing Home about the Nursing Process before and after the awareness workshop.
Methods:
This is strategic action research, developed with nursing professionals and managers of a Nursing Home in Rio Grande do Sul, Brazil. Data were collected between January and June 2023, through semi-structured interviews before and after an awareness workshop. Discursive textual analysis of the data was carried out.
Results:
The central category “Understanding about the Nursing Process in Nursing Homes” emerged, which was unitized into two units of meaning and three categories of analysis.
Conclusion:
Data revealed non-use and lack of knowledge of the Nursing Process before awareness raising. Afterwards, a deeper understanding of the topic and its importance was identified. Awareness-raising workshops contribute to transformation of knowledge.
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ARTÍCULO ORIGINAL
Evidence of validity of the Risk Self-Medication Questionnaire focused on Health Literacy
Revista Brasileira de Enfermagem. 2024;77(3):e20230386
29/07/2024
Resumo
ARTÍCULO ORIGINALEvidence of validity of the Risk Self-Medication Questionnaire focused on Health Literacy
Revista Brasileira de Enfermagem. 2024;77(3):e20230386
29/07/2024DOI 10.1590/0034-7167-2023-0386
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Objectives:
to analyze the validity evidence of the internal structure of the Risk Self-Medication Questionnaire Focused on Health Literacy.
Methods:
a psychometric study with 499 adults. The internal structure was assessed with exploratory and confirmatory factor analysis to prove the adjustment. Internal consistency was measured by composite reliability and McDonald’s omega coefficient (ω).
Results:
the parameters revealed a model of 35 items distributed across four factors, explaining 56% of the total variance, with factor loadings ranging from 0.31 to 0.85 and adequate communalities. Accuracy (0.79
Conclusions:
an instrument was obtained with good evidence of structural validity for measuring self-medication.
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ARTÍCULO ORIGINAL
Educational technology for multidisciplinary training for managing waiting lists for elective patients
Revista Brasileira de Enfermagem. 2024;77(3):e20230299
29/07/2024
Resumo
ARTÍCULO ORIGINALEducational technology for multidisciplinary training for managing waiting lists for elective patients
Revista Brasileira de Enfermagem. 2024;77(3):e20230299
29/07/2024DOI 10.1590/0034-7167-2023-0299
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Objectives:
to construct and assess an educational technology for managing patient waiting lists for multidisciplinary training.
Methods:
study supported by Instructional Design – ADDIE model, whose stages of construction of educational technology were developed in the form of a multi-professional training course. Its respective content assessment was carried out by a committee of experts from 2021 to 2022. The analysis occurred based on the proportion of content adequacy with 95% Confidence Interval.
Results:
seventeen products were created as educational technology learning objects: five storyboards; four videos; three comic books; two pedagogical action plans; a mind map; and a YouTube® playlist. Nine experts assessed content adequacy, which reached 0.89.
Conclusions:
this educational technology contributes to the performance of professionals who manage waiting lists by reducing inequalities, alleviating differences, in addition to promoting equity in care and good health for patients in the Brazilian Health System.
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ARTÍCULO ORIGINAL
Validação de cartilha educativa: uma tecnologia educacional na prevenção da dengue
Revista Brasileira de Enfermagem. 2019;72(5):1318-1325
16/09/2019
Resumo
ARTÍCULO ORIGINALValidação de cartilha educativa: uma tecnologia educacional na prevenção da dengue
Revista Brasileira de Enfermagem. 2019;72(5):1318-1325
16/09/2019DOI 10.1590/0034-7167-2018-0771
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Objetivo:
validar uma cartilha sobre prevenção da dengue, a fim de torná-la uma tecnologia educacional para ser utilizada com a população.
Método:
estudo metodológico, realizado com dois grupos de juízes especialistas da Saúde e de outras áreas. Para a análise dos dados, foi realizado o cálculo de Índice de Validade de Conteúdo.
Resultados:
a cartilha, em geral, foi considerada válida pelos juízes especialistas, visto que obteve um IVC global de 70%. Entretanto, passou por uma reelaboração textual e estética. As alterações recaíram sobre a substituição de expressões, frases, acréscimo de informações e adequação de linguagem. As ilustrações foram refeitas, acrescentando clareza, expressividade, movimento, interação e contextualização.
Conclusão:
a cartilha é válida a ser utilizada para a população, com o objetivo de informar, de maneira lúdica, as formas de prevenção e combate ao mosquito transmissor da dengue.
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ARTÍCULO ORIGINAL
Coping religioso/espiritual e nível de esperança em pacientes com câncer em quimioterapia
Revista Brasileira de Enfermagem. 2019;72(3):640-645
27/06/2019
Resumo
ARTÍCULO ORIGINALCoping religioso/espiritual e nível de esperança em pacientes com câncer em quimioterapia
Revista Brasileira de Enfermagem. 2019;72(3):640-645
27/06/2019DOI 10.1590/0034-7167-2018-0358
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Objetivo:
demonstrar a relação entre o coping religioso/espiritual e a esperança em pacientes com câncer em tratamento quimioterápico.
Método:
trata-se de um estudo transversal, descritivo, com abordagem quantitativa, realizado em um ambulatório de referência em tratamento quimioterápico de Caruaru-PE, entre agosto e outubro de 2017. Participaram da pesquisa 82 pessoas com câncer em tratamento quimioterápico, utilizando-se a escala de coping religioso/espiritual breve (CRE-Breve) e a escala de esperança de Herth (EEH).
Resultados:
a amostra apresentou escores médios de CRE positivo (3,03 ± 0,41), e o nível de esperança foi considerado alto (42,7 pontos; ± 3,67). Verificou-se que os pacientes que tiveram classificação alta do CRET apresentaram maior média do nível de esperança de Herth (44,12 pontos).
Conclusão:
este estudo torna-se relevante aos profissionais de enfermagem ao encorajar cuidados que contemplem a dimensão espiritual do paciente a fim de estimular os mecanismos positivos do CRE e, consequentemente, elevar os níveis de esperança.
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ARTÍCULO DE REVISIÓN
Mental health of healthcare professionals in China during the new coronavirus pandemic: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20200338
18/09/2020
Resumo
ARTÍCULO DE REVISIÓNMental health of healthcare professionals in China during the new coronavirus pandemic: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20200338
18/09/2020DOI 10.1590/0034-7167-2020-0338
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Objective:
to identify publishing related to the mental health of health professionals working in the front line of the COVID-19 pandemic.
Methods:
an integrative review that included primary articles indexed in the Latin American and Caribbean Literature in Health Sciences, Medical Literature Analysis and Retrieval System Online, Cumulative Index to Nursing and Allied Health Literature, Scopus, Embase, Web of Science, Science Direct databases and US National Library of Medicine databases. The result analysis was performed descriptively, in four analytical categories.
Results:
The publishing involved aspects related to insufficient personal protective equipment, feelings of fear and stigma, the need for psychological and psychiatric support and the possibility of post-outbreak mental disorders.
Conclusion:
All mentioned aspects have a direct impact on the mental health of professionals, demanding the creation of strategies that minimize the emotional burnout of workers, considering that each country and culture reacts differently to the disease.
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ARTÍCULO ORIGINAL
Construção e validação de cartilha educativa sobre cuidados para crianças com gastrostomia
Revista Brasileira de Enfermagem. 2020;73(3):e20190108
22/04/2020
Resumo
ARTÍCULO ORIGINALConstrução e validação de cartilha educativa sobre cuidados para crianças com gastrostomia
Revista Brasileira de Enfermagem. 2020;73(3):e20190108
22/04/2020DOI 10.1590/0034-7167-2019-0108
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Objetivos:
descrever o processo de construção e validação de uma cartilha educativa direcionada a cuidadores sobre cuidados para crianças com gastrostomia.
Métodos:
estudo metodológico desenvolvido em cinco etapas: levantamento bibliográfico; diagnóstico situacional; construção das ilustrações, layout, design e textos; validação com especialistas e cálculo do Índice de Legibilidade de Flesch; e validação com o público-alvo. Na etapa de análise dos especialistas, foram aplicados o Índice de Validade de Conteúdo e o instrumento Suitability Assessmente of Materials.
Resultados:
o Índice de Validade de Conteúdo obteve escore global de 0,93 e, no escore Suitability Assessmente of Materials, a cartilha alcançou pontuação de 85,2%. Obteve-se percentual de legibilidade satisfatório, com pontuação global de 72%. O material educativo construído foi considerado coerente com a avaliação das cuidadoras na validação com o público-alvo, além de explicativo, importante e adequado.
Conclusões:
a cartilha educativa desenvolvida foi considerada válida para ser utilizada pelos cuidadores e poderá contribuir para a manutenção de boas práticas nos cuidados da criança com gastrostomia.
Palavras-chave: Cuidado da CriançaEducação em SaúdeEnfermagem PediátricaGastrostomiaTecnologia EducacionalVer mais -
ARTÍCULO DE REVISIÓN
Cuidados de transição hospitalar à pessoa idosa: revisão integrativa
Revista Brasileira de Enfermagem. 2019;72:294-301
05/12/2019
Resumo
ARTÍCULO DE REVISIÓNCuidados de transição hospitalar à pessoa idosa: revisão integrativa
Revista Brasileira de Enfermagem. 2019;72:294-301
05/12/2019DOI 10.1590/0034-7167-2018-0286
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Objetivo:
identificar evidências da produção científica sobre os cuidados de transição hospitalar prestado à pessoa idosa.
Método:
revisão integrativa, com busca de publicações nas bases de dados MEDLINE, PubMed, LILACS, BDENF, Index Psicologia e SciELO, com as palavras-chave e Mesh terms: idoso, hospitalização, alta do paciente, saúde do idoso e cuidado transicional, entre 2013 e 2017, nos idiomas inglês, português e espanhol. A análise dos 14 artigos selecionados deu-se por meio da leitura exploratória e crítica dos títulos, resumos e dos resultados das pesquisas.
Resultados:
os cuidados de transição podem evitar re-hospitalizações, à medida que permitem a reabilitação, promoção e cura de enfermidades na pessoa idosa.
Considerações finais:
os cuidados transicionais implicam na melhoria da qualidade de vida da pessoa idosa, sendo necessários profissionais de saúde habilitados e que envolvam a família através de comunicação acessível.
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ARTÍCULO ORIGINAL
Burnout among nursing students: predictors and association with empathy and self-efficacy
Revista Brasileira de Enfermagem. 2020;73(1):e20180280
10/02/2020
Resumo
ARTÍCULO ORIGINALBurnout among nursing students: predictors and association with empathy and self-efficacy
Revista Brasileira de Enfermagem. 2020;73(1):e20180280
10/02/2020DOI 10.1590/0034-7167-2018-0280
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Objective:
to analyze burnout, its predictors and association with empathy and self-efficacy among nursing students.
Method:
cross-sectional analytical study with 284 students from five state universities in the state of Parana, Brazil. The instruments applied were: social and academic questionnaire, Maslach Burnout Inventory, Interpersonal Reactivity Index and Occupational Self-Efficacy Scale (Short Form). Spearman’s correlation and univariate and multivariate logistic analysis were used.
Results:
6.0% of the students presented high burnout, 36.3% presented high emotional exhaustion, 37.7% presented high depersonalization and 28.2% presented low personal accomplishment. The burnout predictors were: absence of physical activity; weekly workload >24 hours; low empathic concern. There were negative correlations between empathy (empathic concern and perspective taking) and depersonalization; self-efficacy and emotional exhaustion; and positive correlations between personal accomplishment and empathy and self-efficacy.
Conclusion:
Personal factors and an academic variable were burnout predictors among nursing students. The correlations suggest that self-efficacy and empathy can prevent burnout.
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ARTÍCULO DE REVISIÓN
Positive aspects of authentic leadership in nursing work: integrative review
Revista Brasileira de Enfermagem. 2020;73(6):e20190118
07/08/2020
Resumo
ARTÍCULO DE REVISIÓNPositive aspects of authentic leadership in nursing work: integrative review
Revista Brasileira de Enfermagem. 2020;73(6):e20190118
07/08/2020DOI 10.1590/0034-7167-2019-0118
Visualizações0Ver maisABSTRACT
Objective:
To identify and analyze the existing scientific production on the positive aspects of authentic leadership in the nurse’s work process.
Method:
This is an integrative literature review. The databases used were Scientific Electronic Library Online; Latin American and Caribbean Literature on Health Sciences; and National Library of Medicine – National Institutes of Health.
Results:
In this study, 17 articles were selected for analysis; 1 study (6%) was published in a national journal, and 16 (94%) were international studies. Of the 17 (100%) articles studied, 11 (65%) were developed in Canada. The hospital environment was present in the 17 (100%) articles.
Final considerations:
Authentic leadership has several positive aspects that significantly influence the nurse’s work process, such as engagement and job satisfaction, retention of new nurses, organizational commitment, among others.
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ARTÍCULO ORIGINAL
Development of an appearance validity instrument for educational technology in health
Revista Brasileira de Enfermagem. 2020;73:e20190559
21/12/2020
Resumo
ARTÍCULO ORIGINALDevelopment of an appearance validity instrument for educational technology in health
Revista Brasileira de Enfermagem. 2020;73:e20190559
21/12/2020DOI 10.1590/0034-7167-2019-0559
Visualizações0ABSTRACT
Objectives:
to develop and evaluate the convergence of the instrument for the appearance validity of educational technologies in health.
Methods:
methodological study conducted in two steps. In step 1, the instrument items were developed, with subsequent content validity by nine specialists in the development of educational technologies in health. In step 2, the convergent validity between another instrument and the appearance instrument was performed. Correlation results above r> 0.3 and p <0.05 were considered as plausible convergent validity.
Results:
the ten items of the initial version of the appearance instrument were submitted to content validity that resulted in a final version with 12 items (Content Validity Index = 0.93). The correlation indexes were strong with the objective and appearance domains; moderate with motivation, organization and total; and weak with writing style.
Conclusions:
the appearance instrument demonstrated content validity and convergent validity, in addition to a strong correlation with the other instrument.
Palavras-chave: Educational TechnologyHealth EducationMethodological Research in NursingTechnological DevelopmentValidation StudiesVer mais
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