Ieda Carla Almeida Dos Santos de Souza Pastana, Gabriela Arantes Wagner, Geisa Colebrusco de Souza Gonçalves, Mariana Cabral Schveitzer
{"title":"Bioethical issues in the family health strategy: Considerations for nursing care management.","authors":"Ieda Carla Almeida Dos Santos de Souza Pastana, Gabriela Arantes Wagner, Geisa Colebrusco de Souza Gonçalves, Mariana Cabral Schveitzer","doi":"10.1590/0034-7167-2022-0818","DOIUrl":"10.1590/0034-7167-2022-0818","url":null,"abstract":"<p><strong>Objective: </strong>To understand the bioethical issues involved in the care management of nurses working in the Family Health Strategy.</p><p><strong>Method: </strong>A qualitative study was conducted through five focus groups with 36 nurses selected in the sample. Thematic content analysis was performed based on the bioethical framework, and the synthesis was presented in a conceptual map.</p><p><strong>Results: </strong>Bioethical issues were identified in the nursing care practice, related to both specific bioethical themes and the peculiarities of the work. Additionally, challenges and facilitators that interfere with addressing these issues were identified.</p><p><strong>Final considerations: </strong>Understanding the bioethical issues involved in the care management of nurses was possible with the theoretical support of different bioethical perspectives. The identified issues relate to persistent and current themes in the field of bioethics. However, some aspects intrinsic to daily practice are still imperceptible to professionals, contributing to the difficulty of discussing bioethics in this care model.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11338529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142018493","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}
Ricardo Jardim Neiva, João Felício Rodrigues Neto, Ana Paula Oliveira Nascimento Alves, Patrícia de Sousa Fernandes Queiroz, Leila das Graças Siqueira, Clara Cynthia Melo E Lima, Francisca Souza Santos Dias, Renê Ferreira da Silva-Júnior
{"title":"The use of individual tracking programs in public health: a bioethics dilemma.","authors":"Ricardo Jardim Neiva, João Felício Rodrigues Neto, Ana Paula Oliveira Nascimento Alves, Patrícia de Sousa Fernandes Queiroz, Leila das Graças Siqueira, Clara Cynthia Melo E Lima, Francisca Souza Santos Dias, Renê Ferreira da Silva-Júnior","doi":"10.1590/0034-7167-2023-0041","DOIUrl":"10.1590/0034-7167-2023-0041","url":null,"abstract":"<p><strong>Objective: </strong>to understand the bioethical perspectives on mobile tracking device use.</p><p><strong>Methods: </strong>theoretical study based on action research, carried out with eight graduate students from a public university. A focus group was used, with a thematic content analysis methodology with a codebook structure, approved by the Research Ethics Committee.</p><p><strong>Results: </strong>from the analysis, there was a concern about using devices after the pandemic ended. Using or not the device, rights inherent to humans, legislation and effectiveness of methods deepen interpretations, moving participants from a personalistic conception of the topic to a vision focused on professional implications about the methods.</p><p><strong>Final considerations: </strong>the debate on the impact of using technological devices on health, especially those that imply restriction of rights that refer to individuals' private life, involves a discussion of a professional nature, in addition to requirement for clear rules on the topic.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11338528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142018495","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}
Fernando Conceição de Lima, Taís Dos Passos Sagica, João Lucas Moraes Souza, Marta Lenise do Prado, Mary Elizabeth de Santana, Ivonete Vieira Pereira Peixoto, Rubenilson Caldas Valois
{"title":"Profile of scientific production on nursing technology construction, validity and application: a bibliometric study.","authors":"Fernando Conceição de Lima, Taís Dos Passos Sagica, João Lucas Moraes Souza, Marta Lenise do Prado, Mary Elizabeth de Santana, Ivonete Vieira Pereira Peixoto, Rubenilson Caldas Valois","doi":"10.1590/0034-7167-2023-0452","DOIUrl":"10.1590/0034-7167-2023-0452","url":null,"abstract":"<p><strong>Objective: </strong>to analyze the profile of scientific production on nursing technology construction, validity and application.</p><p><strong>Methods: </strong>this is a bibliometric study, carried out in six databases, based on the Methodi Ordinatio application, arranged in nine stages. To represent the findings, the VOSviewer® software was used.</p><p><strong>Results: </strong>346 studies were identified, obtained from BDENF, CINAHL, EMBASE, LILACS, PubMed/MEDLINE, Scopus and Web of Science. There was a predominance of the English language, and 20% of the authors hold more than 25% of studies. Only two journals account for 25% of studies in the period studied. Twenty-six studies were selected for the InOrdinatio classification. Nursing Process (23%) stood out among the studies. The most produced technology was software (27%), and 50% of works describe construction and validity.</p><p><strong>Conclusions: </strong>there is an emphasis on the creation of educational technologies, especially information technology. The data demonstrates opportunities for future research in the area.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11290734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856346","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}
Virginia Barbosa Pereira, Síntia Nascimento Dos Reis, Fernanda Gontijo Araújo, Torcata Amorim, Eunice Francisca Martins, Mariana Santos Felisbino-Mendes
{"title":"Trends in cesarean section rates in Brazil by Robson classification group, 2014-2020.","authors":"Virginia Barbosa Pereira, Síntia Nascimento Dos Reis, Fernanda Gontijo Araújo, Torcata Amorim, Eunice Francisca Martins, Mariana Santos Felisbino-Mendes","doi":"10.1590/0034-7167-2023-0099","DOIUrl":"10.1590/0034-7167-2023-0099","url":null,"abstract":"<p><strong>Objectives: </strong>to evaluate the trends in cesarean sections from 2014 to 2020 across both public and private sectors, utilizing the Robson Classification.</p><p><strong>Methods: </strong>this time series study analyzed the proportion of women who underwent cesarean sections between 2014 and 2020, considering both the Robson classification and the type of healthcare service. Trend analysis was conducted using the Prais-Winsten regression.</p><p><strong>Results: </strong>higher proportions of cesarean sections were observed in all Robson groups within the private sector compared to the public sector. This was despite a decreasing trend in the private sector and an increasing trend in the public sector. Notably, elevated proportions of cesarean sections were recorded in groups that are typically favorable to normal childbirth (Robson 1, 4, and 5).</p><p><strong>Conclusions: </strong>although there was a decreasing trend in cesarean sections within the private sector, an increasing trend was observed in the public sector. Additionally, there was a high proportion of cesarean sections among women with conditions favorable to normal childbirth. It is crucial to continuously monitor these indicators to evaluate and implement interventions aimed at reducing unnecessary cesarean sections.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11290736/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856350","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}
Juliane Andrade, Kendra Yanne da Silva Santos, Ana Paula Freneda de Freitas, Mariana Alice Oliveira Ignácio, Emmanuel Zullo Godinho, Marli Teresinha Cassamassimo Duarte
{"title":"Fuzzy Logic: vulnerability of women who have sex with women to sexually transmitted infections.","authors":"Juliane Andrade, Kendra Yanne da Silva Santos, Ana Paula Freneda de Freitas, Mariana Alice Oliveira Ignácio, Emmanuel Zullo Godinho, Marli Teresinha Cassamassimo Duarte","doi":"10.1590/0034-7167-2023-0271","DOIUrl":"10.1590/0034-7167-2023-0271","url":null,"abstract":"<p><strong>Objective: </strong>To describe the possibility of applying Fuzzy Logic in analyzing the vulnerability of Women Who Have Sex with Women to Sexually Transmitted Infections/HIV/AIDS.</p><p><strong>Methods: </strong>We developed a Fuzzy Logic system with 17 input variables and one output variable, using data related to vulnerability in a municipality located in the Midwest region of the State of São Paulo, Brazil.</p><p><strong>Results: </strong>The factor with the greatest positive impact was the confirmation that a low understanding of Sexually Transmitted Infections/HIV/AIDS is associated with higher vulnerability. Conversely, the statement \"Not disclosing sexual activity to healthcare professionals,\" where individuals do not admit to having sex with women, had the least impact.</p><p><strong>Conclusions: </strong>Fuzzy Logic facilitates the identification of vulnerability, expressed through the analysis of interaction between variables in each dimension. This makes it a promising method to assist in analyzing the vulnerability of specific populations.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11290739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856388","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}
{"title":"Healthcare judicialization: an analysis of indicators and official data on medications.","authors":"Nádia Bernardinis, Vanessa Terezinha Gubert, Cristiane Munaretto Ferreira, Jorge Otávio Maia Barreto","doi":"10.1590/0034-7167-2022-0413","DOIUrl":"10.1590/0034-7167-2022-0413","url":null,"abstract":"<p><strong>Objectives: </strong>to analyze judicial demands for medications in Campo Grande, Brazil, between July 2018 and June 2020.</p><p><strong>Methods: </strong>the four dimensions of the Manual of Indicators for Evaluation and Monitoring of Judicial Demands for Medications were examined.</p><p><strong>Results: </strong>676 judicial processes were identified, corresponding to 1006 requests for 284 different medications. In 92.74% of the processes, access to medications was granted, with 88.80% granted on an urgent basis. The median time between the decision and delivery of the medication was 146 days. The average monthly cost of acquiring medications was R$ 2,183.68 Brazilian reais. Among the identified medications, 90.22% had at least one therapeutic alternative available in the public healthcare system.</p><p><strong>Conclusions: </strong>characterizing and analyzing judicial demands related to medications can support discussions on updating medication lists and clinical protocols, organizing healthcare services, allocating resources, and implementing actions to reduce judicialization.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11290738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856389","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}
Wesley Rocha Grippa, Raphael Manhães Pessanha, Larissa Soares Dell'Antonio, Cristiano Soares da Silva Dell'Antonio, Luciane Bresciani Salaroli, Luís Carlos Lopes-Júnior
{"title":"Completeness of variables in Hospital-Based Cancer Registries for prostatic malignant neoplasm.","authors":"Wesley Rocha Grippa, Raphael Manhães Pessanha, Larissa Soares Dell'Antonio, Cristiano Soares da Silva Dell'Antonio, Luciane Bresciani Salaroli, Luís Carlos Lopes-Júnior","doi":"10.1590/0034-7167-2023-0467","DOIUrl":"10.1590/0034-7167-2023-0467","url":null,"abstract":"<p><strong>Objectives: </strong>to analyze the completeness of variables from Hospital-Based Cancer Registries of cases of prostate neoplasm in the Oncology Care Network of a Brazilian state between 2000 and 2020.</p><p><strong>Methods: </strong>an ecological time series study, based on secondary data on prostate cancer Hospital-Based Cancer Registries prostate. Data incompleteness was classified as excellent (<5%), good (between 5%-10%), fair (10%-20%), poor (20%-50%) and very poor (>50%), according to the percentage of lack of information.</p><p><strong>Results: </strong>there were 13,519 cases of prostate cancer in the Hospital-Based Cancer Registries analyzed. The variables \"family history of cancer\" (p<0.001), \"alcoholism\" (p<0.001), \"smoking\" (p<0.001), \"TNM staging\" (p<0.001) had a decreasing trend, while \"clinical start of treatment\" (p<0.001), \"origin\" (p=0.008) and \"occupation\" (p<0.001) indicated an increasing trend.</p><p><strong>Conclusions: </strong>most Hospital-Based Cancer Registries variables showed excellent completeness, but important variables had high percentages of incompleteness, such as TNM and clinical staging, in addition to alcoholism and smoking.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11290746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856344","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}
Mailson Marques de Sousa, Adriana Meira Tiburtino Nepomuceno, Rayana Pereira Feitosa, Lara de Sá Neves Loureiro, Renan Alves Silva, Maria das Graças Melo Fernandes, Simone Helena Dos Santos Oliveira
{"title":"Contribution of informal caregivers to self-care in individuals with heart failure.","authors":"Mailson Marques de Sousa, Adriana Meira Tiburtino Nepomuceno, Rayana Pereira Feitosa, Lara de Sá Neves Loureiro, Renan Alves Silva, Maria das Graças Melo Fernandes, Simone Helena Dos Santos Oliveira","doi":"10.1590/0034-7167-2023-0492","DOIUrl":"10.1590/0034-7167-2023-0492","url":null,"abstract":"<p><strong>Objectives: </strong>to evaluate the contribution of informal caregivers to the self-care of individuals with heart failure.</p><p><strong>Methods: </strong>a cross-sectional study was conducted with 87 caregivers from March to October 2022 in the city of João Pessoa/PB. The caregivers' contribution was assessed using the Caregiver Contribution to Self-Care of Heart Failure Index instrument. Scores ≥ 70 points indicate adequate contribution. Data were analyzed using descriptive statistics and Spearman's correlation.</p><p><strong>Results: </strong>the sample consisted of 81.6% female caregivers. Median scores obtained for the self-care contribution scales were: 63.3 for maintenance; 55.5 for management; and 66.6 for confidence. Caregivers never or rarely recommended monitoring body weight, regular physical exercise, extra use of diuretics, and fluid restriction.</p><p><strong>Conclusions: </strong>informal caregivers showed inadequate contribution in the areas of maintenance, management, and confidence in self-care of individuals with heart failure.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11290721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856345","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}
Adriana Bitencourt Magagnin, Kenia Lara da Silva, Giane Zupellari Dos Santos Melo, Ivonete Teresinha Schulter Buss Heidemann
{"title":"Primary Health Care in transitional care of people with stroke.","authors":"Adriana Bitencourt Magagnin, Kenia Lara da Silva, Giane Zupellari Dos Santos Melo, Ivonete Teresinha Schulter Buss Heidemann","doi":"10.1590/0034-7167-2024-0468","DOIUrl":"10.1590/0034-7167-2024-0468","url":null,"abstract":"<p><strong>Objectives: </strong>to understand the role of Primary Health Care teams in caring for people with stroke after hospital discharge.</p><p><strong>Methods: </strong>single case study, with integrated units of analysis, with a qualitative approach. Data triangulation occurred through interviews with professionals and family caregivers involved in transition of care, in addition to direct observations in rounds and document analysis. For the analyses, the analytical strategies of theoretical propositions and construction of explanations were used, with the help of ATLAS.ti®.</p><p><strong>Results: </strong>the importance of counter-referral, the role of community health workers and the multidisciplinary team, health promotion, secondary prevention, home visits as a visceral attribute and nurses as care managers are evident.</p><p><strong>Final considerations: </strong>the high demand on teams and the Social Determinants of Health interfere with adequate continuity of care. Transitional care programs that enable continuity of care are recommended.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11290722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856396","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}
Jefferson Wildes da Silva Moura, Aline de Souza Bitencourt, Thiago Lopes Silva, Andréia Cristina Feitosa do Carmo, Luciano Marques Dos Santos, Patrícia Kuerten Rocha
{"title":"Utilization of local pressure devices in pain management during injections: scoping review.","authors":"Jefferson Wildes da Silva Moura, Aline de Souza Bitencourt, Thiago Lopes Silva, Andréia Cristina Feitosa do Carmo, Luciano Marques Dos Santos, Patrícia Kuerten Rocha","doi":"10.1590/0034-7167-2023-0399","DOIUrl":"10.1590/0034-7167-2023-0399","url":null,"abstract":"<p><strong>Objective: </strong>to map scientific evidence regarding the use of local pressure devices in pain relief during injection procedures in patients.</p><p><strong>Methods: </strong>scoping review, following the recommendations of the JBI Manual for Evidence Synthesis and PRISMA-ScR, with searches conducted in the PubMed, EMBASE, CINAHL, LILACS, and PsycINFO databases, without temporal restrictions and with a cutoff date of March 2023.</p><p><strong>Results: </strong>a total of 1,514 studies were identified, with 20 articles included in the final sample. The ShotBlocker® device was utilized during subcutaneous and intramuscular injections in children and adults, proving beneficial in reducing pain, anxiety, and fear associated with the procedure.</p><p><strong>Final considerations: </strong>the ShotBlocker® is a low-cost, easy-to-use device that can enhance nursing clinical practice during painful procedures. However, studies involving the Brazilian Pikluc® device are scarce. Further research involving both local pressure devices is recommended.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11290735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856352","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}