Elizangela Domiciano Garcia Barreto, Valcieny Souza Sandes, Gustavo Cattelan Nobre, Monica Martins, Sima Esther Ferman, Elisangela Costa Lima
{"title":"Root cause analysis of safety incidents in antineoplastic use in children.","authors":"Elizangela Domiciano Garcia Barreto, Valcieny Souza Sandes, Gustavo Cattelan Nobre, Monica Martins, Sima Esther Ferman, Elisangela Costa Lima","doi":"10.1590/0034-7167-2021-0139","DOIUrl":"https://doi.org/10.1590/0034-7167-2021-0139","url":null,"abstract":"<p><strong>Objectives: </strong>to identify and analyze the factors that contribute to safety incident occurrence in the processes of prescribing, preparing and dispensing antineoplastic medications in pediatric oncology patients.</p><p><strong>Methods: </strong>a quality improvement study focused on oncopediatric pharmaceutical care processes that identified and analyzed incidents between 2019-2020. A multidisciplinary group performed root cause analysis (RCA), identifying main contributing factors.</p><p><strong>Results: </strong>in 2019, seven incidents were recorded, 57% of which were prescription-related. In 2020, through active search, 34 incidents were identified, 65% relating to prescription, 29% to preparation and 6% to dispensing. The main contributing factors were interruptions, lack of electronic alert, work overload, training and staff shortages.</p><p><strong>Conclusions: </strong>the results showed that adequate recording and application of RCA to identified incidents can provide improvements in the quality of pediatric oncology care, mapping contributing factors and enabling managers to develop an effective action plan to mitigate risks associated with the process.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141627573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Quevellin Alves Dos Santos Francisco, Maria Regina Martinez
{"title":"Invisibility of nursing work: technology as a means of combat.","authors":"Quevellin Alves Dos Santos Francisco, Maria Regina Martinez","doi":"10.1590/0034-7167.202477suppl0301","DOIUrl":"10.1590/0034-7167.202477suppl0301","url":null,"abstract":"","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11253833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141627570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B. Ribeiro, Fabio Scorsolini-Comin, Maria Lucia Robazzi, Sérgio Valverde Marques dos Santos, Fábio de Souza Terra, R. Dalri
{"title":"Factors associated with Burnout Syndrome in police officers: a scoping review","authors":"B. Ribeiro, Fabio Scorsolini-Comin, Maria Lucia Robazzi, Sérgio Valverde Marques dos Santos, Fábio de Souza Terra, R. Dalri","doi":"10.1590/0034-7167-2023-0444","DOIUrl":"https://doi.org/10.1590/0034-7167-2023-0444","url":null,"abstract":"ABSTRACT Objectives: to synthesize research on factors associated with Burnout Syndrome (BS) in police officers. Methods: a scoping review was conducted without temporal or language restrictions. Data were exported to EndNote to remove duplicates and then imported into the Rayyan app for organization, article selection, and data extraction. Results: a total of 4559 publications were identified, with 50 studies included in the review. Research conducted in Brazil and the United States predominated. Certain occupational factors were found to be more closely linked to police officers compared to other professions, including law enforcement, frequency of interaction with suspects and criminals, rank, dissatisfaction with the organization, and civilian confrontations. Conclusions: certain aspects of the police profession contribute to BS, even in countries with better working conditions in public security. It is recommended to prioritize health promotion initiatives for these professionals.","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141833168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Can nursing contribute to reducing mortality from land transport accidents?","authors":"Rogério Silva Lima, Ariane Aparecida Rodrigues","doi":"10.1590/0034-7167.2024770401","DOIUrl":"10.1590/0034-7167.2024770401","url":null,"abstract":"","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11253832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Iara Bezerra da Silva Ximenes, Cassiano Richel Ferreira Leal, Odinéia Maria Amorim Batista, Maria Eliete Batista Moura, Maria Zélia de Araújo Madeira, Andreia Rodrigues Moura da Costa Valle, Pedro Emílio Gomes Prates, Álvaro Francisco Lopes de Sousa, Denise de Andrade
{"title":"Clinical outcomes in newborns of pregnant women with COVID-19: integrative review.","authors":"Iara Bezerra da Silva Ximenes, Cassiano Richel Ferreira Leal, Odinéia Maria Amorim Batista, Maria Eliete Batista Moura, Maria Zélia de Araújo Madeira, Andreia Rodrigues Moura da Costa Valle, Pedro Emílio Gomes Prates, Álvaro Francisco Lopes de Sousa, Denise de Andrade","doi":"10.1590/0034-7167-2023-0400","DOIUrl":"10.1590/0034-7167-2023-0400","url":null,"abstract":"<p><strong>Objectives: </strong>to analyze clinical outcomes in newborns of pregnant women with COVID-19.</p><p><strong>Methods: </strong>integrative review conducted in PubMed, Web of Knowledge, SCOPUS, CINHAL; 2,111 studies were obtained, and 8 articles comprised the final sample.</p><p><strong>Results: </strong>clinical outcomes in neonates of pregnant women positive for COVID-19 were classified according to the following categories: a) contamination by COVID-19, reported in 62.5% of the studies; b) hospital discharge due to improvement, mentioned in 37.5% of the articles; c) death, representing rare cases in 25% of the sample. The most prevalent gestational complication was prematurity, mentioned in 75% of the studies. This complication has been observed due to cases of premature rupture of membranes and placental abruption.</p><p><strong>Conclusions: </strong>despite the knowledge of asymptomatic and mildly symptomatic behavior in neonates, it is important to continue the search for new clinical data, as this public has uncertain reactions to SARS-CoV-2 infection.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11213543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141493208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Katia Maria Rosa Vieira, Francisco Ubaldo Vieira Junior, Zélia Zilda Lourenço de Camargo Bittencourt
{"title":"COVID-19 pandemic: what factors compromised the mental capacity to work of nursing technicians?","authors":"Katia Maria Rosa Vieira, Francisco Ubaldo Vieira Junior, Zélia Zilda Lourenço de Camargo Bittencourt","doi":"10.1590/0034-7167-2022-0783","DOIUrl":"10.1590/0034-7167-2022-0783","url":null,"abstract":"<p><strong>Objectives: </strong>to identify the factors that influenced the mental capacity to work of nursing technicians during the COVID-19 pandemic.</p><p><strong>Methods: </strong>a cross-sectional study, carried out at two reference hospitals in assisting the population during the COVID-19 pandemic. A total of 237 professionals from Intensive Care Units participated and answered a questionnaire. Multiple linear regression models were used to assess the correlation between mental capacity to work and variables related to risks of contamination, institutional support and health.</p><p><strong>Results: </strong>lack of COVID-19 tests, lack of knowledge of routine, absences in 2021 and mental illness contributed to worse mental capacity to work. Management embracement and physical capacity were considered protective factors.</p><p><strong>Conclusions: </strong>reduced work capacity in relation to mental demands can affect professional performance and quality of care, with implications for patients and health institutions.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11213538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141493209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Monalisa Maria Leandro da Silva Oliveira, Gabriela Ferreira de Oliveira Butrico, Vanessa da Silva Carvalho Vila, Katarinne Lima Moraes, Marina Aleixo Diniz Rezende, Laidilce Teles Zatta Santos, Larissa Silva Magalhães, Sergiane Bisinoto Alves
{"title":"Quality of life at work for health professionals during the COVID-19 pandemic.","authors":"Monalisa Maria Leandro da Silva Oliveira, Gabriela Ferreira de Oliveira Butrico, Vanessa da Silva Carvalho Vila, Katarinne Lima Moraes, Marina Aleixo Diniz Rezende, Laidilce Teles Zatta Santos, Larissa Silva Magalhães, Sergiane Bisinoto Alves","doi":"10.1590/0034-7167-2023-0461","DOIUrl":"10.1590/0034-7167-2023-0461","url":null,"abstract":"<p><strong>Objective: </strong>to evaluate the quality of life at work of health professionals in direct and indirect care of COVID-19 cases.</p><p><strong>Methods: </strong>this was a cross-sectional study with 156 health professionals from a referral hospital. The relationship between sociodemographic and work-related variables and perceived stress and domains of the Quality of Life at Work Scale was investigated using inferential statistics and regression.</p><p><strong>Results: </strong>Satisfaction with Compassion was moderate (mean: 38.2), with low perception of stress, Burnout and Secondary Traumatic Stress (means: 18.8, 21.6 and 19.1). There were associations between: education, salary, multiple jobs and direct care with Compassion Satisfaction; low income, being a nurse and working overtime with Burnout; and working more than 12 hours, underlying disease and hospitalization for COVID-19 with Secondary Traumatic Stress.</p><p><strong>Conclusion: </strong>quality of life at work was satisfactory, despite the presence of Burnout and Secondary Traumatic Stress.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11213535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141493213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marilia Alves Furtado, Vitória Pessoa Nogueira, Maria Clara Passos Araújo, Virna Ribeiro Feitosa Cestari, Vera Lúcia Mendes de Paula Pessoa
{"title":"Palliative Care for SARS-CoV-2 Patients in the Intensive Care Unit: A Comprehensive Study.","authors":"Marilia Alves Furtado, Vitória Pessoa Nogueira, Maria Clara Passos Araújo, Virna Ribeiro Feitosa Cestari, Vera Lúcia Mendes de Paula Pessoa","doi":"10.1590/0034-7167-2023-0218","DOIUrl":"10.1590/0034-7167-2023-0218","url":null,"abstract":"<p><strong>Objective: </strong>To comprehend the multiprofessional actions regarding palliative care for patients in the Intensive Care Unit affected by SARS-CoV-2.</p><p><strong>Methods: </strong>A comprehensive qualitative study conducted with 31 professionals from the Intensive Care Units of a university hospital, based on the Theory of Peaceful End of Life.</p><p><strong>Results: </strong>The analysis of the discourse led to the identification of two categories: \"Multidisciplinary actions to promote comfort at the end of life\" and \"Palliative care during the pandemic period and the promotion of emotional and spiritual comfort.\"</p><p><strong>Final considerations: </strong>It became evident that local administration needs to invest in measures that reduce barriers to the implementation of palliative care during times of crisis. Understanding the discourse highlighted that non-specialized professionals can provide basic palliative care appropriately, without diminishing the importance and necessity of the presence of palliative care specialists in various hospital areas.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11213540/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141493211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cinthia Rafaela Amaro Gonçalves Andrade, Laís de Miranda Crispim Costa, Ingrid Martins Leite Lúcio, Janaina Ferro Pereira, Herika do Nascimento Lima, Renata Lira do Nascimento
{"title":"Uncertainties experienced by nursing professionals who contracted Covid-19: a priori, everyone is human.","authors":"Cinthia Rafaela Amaro Gonçalves Andrade, Laís de Miranda Crispim Costa, Ingrid Martins Leite Lúcio, Janaina Ferro Pereira, Herika do Nascimento Lima, Renata Lira do Nascimento","doi":"10.1590/0034-7167-2023-0142","DOIUrl":"10.1590/0034-7167-2023-0142","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the uncertainties experienced by nursing professionals who contracted COVID-19.</p><p><strong>Methods: </strong>This qualitative research was conducted with 20 nursing professionals who fell ill from COVID-19. Data collection was carried out through semi-structured interviews; the data were then organized using thematic analysis and discussed in the context of Merle Mishel's Reconceptualized of Uncertainty in Illness Theory.</p><p><strong>Results: </strong>The antecedents of the disease had a strong influence on how nursing professionals who contracted COVID-19 perceived uncertainty. The media coverage of the increasing number of cases, the collapse of the healthcare system, and the high mortality rate contributed to associating the disease with fear and panic.</p><p><strong>Final considerations: </strong>Viewing it from the perspective of the disease's antecedents, the illness of a nursing professional from COVID-19 underscores that before being professionals, they are human beings just like anyone else, undergoing adversities and facing the possibilities associated with being ill.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11213537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141493214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Patrícia Alves Galhardo Varanda, Gilberto Tadeu Reis da Silva, Simone Coelho Amestoy, Vânia Marli Schubert Backes, Gabriela Marcellino de Melo Lanzoni, Augusto Ferreira Umpiérrez
{"title":"Nursing leadership strategies in addressing COVID-19 in light of John Kotter's framework.","authors":"Patrícia Alves Galhardo Varanda, Gilberto Tadeu Reis da Silva, Simone Coelho Amestoy, Vânia Marli Schubert Backes, Gabriela Marcellino de Melo Lanzoni, Augusto Ferreira Umpiérrez","doi":"10.1590/0034-7167-2023-0289","DOIUrl":"10.1590/0034-7167-2023-0289","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the leadership strategies of nurses in university hospitals in response to care management changes during the COVID-19 pandemic, informed by John Kotter's insights.</p><p><strong>Methods: </strong>This multicentric study utilized qualitative and analytical methods. It was conducted through semi-structured interviews with 139 lead nurses from 10 university hospitals in Brazil. Data analysis included Bardin's content analysis and the webQDA software.</p><p><strong>Results: </strong>The primary category identified was \"Nursing Leadership Strategies in the Battle Against COVID-19,\" encompassing five subcategories. This category underscored the importance of strategic vision in nursing leadership for combating COVID-19 within hospital settings, as well as the necessity of working collaboratively with their teams and other healthcare professionals.</p><p><strong>Final considerations: </strong>The results highlight the strategies used by lead nurses in confronting COVID-19, which can be associated with John Kotter's theoretical framework and his model of change.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11213536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141493210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}