João Miguel Almeida Ventura-Silva, Maria Manuela Ferreira Pereira da Silva Martins, Letícia de Lima Trindade, Ana da Conceição Alves Faria, Sónia Cristina da Costa Barros, Mariana Mendes, Ricardo Manuel da Costa Melo, Olga Maria Pimenta Lopes Ribeiro
{"title":"Nurses' perspectives on nurses' work methods.","authors":"João Miguel Almeida Ventura-Silva, Maria Manuela Ferreira Pereira da Silva Martins, Letícia de Lima Trindade, Ana da Conceição Alves Faria, Sónia Cristina da Costa Barros, Mariana Mendes, Ricardo Manuel da Costa Melo, Olga Maria Pimenta Lopes Ribeiro","doi":"10.1590/0034-7167-2023-0374","DOIUrl":"10.1590/0034-7167-2023-0374","url":null,"abstract":"<p><strong>Objectives: </strong>To analyze nurses' perspectives on nurses' work methods in the hospital context.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.\"</p><p><strong>Final considerations: </strong>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.</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/PMC11290740/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856393","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":"Profile of patients in private home care who developed ventilator-associated pneumonia.","authors":"Fabiana Schimidt Cezar, Fabiana Camolesi Jacober, Heloísa Amaral Gaspar Gonçalves, Katia Vanessa Cantarini, Claudio Flauzino de Oliveira","doi":"10.1590/0034-7167-2023-0146","DOIUrl":"10.1590/0034-7167-2023-0146","url":null,"abstract":"<p><strong>Objectives: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>patients in home care showed a low incidence and mortality rate from ventilator-associated pneumonia.</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/PMC11290723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856397","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}
Francisco Fernandes, Francine Casarin, Patrícia Bitencourt Toscani Greco, Dirce Stein Backes, Oclaris Lopes Munhoz, Silomar Ilha
{"title":"Nursing Process for institutionalized older adults: contributions from knowledge awareness workshop.","authors":"Francisco Fernandes, Francine Casarin, Patrícia Bitencourt Toscani Greco, Dirce Stein Backes, Oclaris Lopes Munhoz, Silomar Ilha","doi":"10.1590/0034-7167-2023-0349","DOIUrl":"10.1590/0034-7167-2023-0349","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the knowledge of professionals working in a Nursing Home about the Nursing Process before and after the awareness workshop.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</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/PMC11290737/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856395","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}
Letícia Pickler, Margarete Maria de Lima, Ariane Thaise Frello Roque, Laís Antunes Wilhelm, Felice Curcio, Dionara Guarda, Roberta Costa, Isadora Ferrante Boscoli de Oliveira Alves
{"title":"Adaptation strategies for preparing for childbirth in the context of the pandemic: Roy's Theory.","authors":"Letícia Pickler, Margarete Maria de Lima, Ariane Thaise Frello Roque, Laís Antunes Wilhelm, Felice Curcio, Dionara Guarda, Roberta Costa, Isadora Ferrante Boscoli de Oliveira Alves","doi":"10.1590/0034-7167-2023-0159","DOIUrl":"10.1590/0034-7167-2023-0159","url":null,"abstract":"<p><strong>Objectives: </strong>to understand the process of adapting to childbirth during the COVID-19 pandemic from the perspective of a group of pregnant women.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Final considerations: </strong>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.</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/PMC11290742/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856343","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}
Rosa Ladi Lisbôa, Kaihara de Freitas Furtado, Vitória Silva da Rosa, Caroline Schacker Evangelista, Adriana Aparecida Paz
{"title":"Educational technology for multidisciplinary training for managing waiting lists for elective patients.","authors":"Rosa Ladi Lisbôa, Kaihara de Freitas Furtado, Vitória Silva da Rosa, Caroline Schacker Evangelista, Adriana Aparecida Paz","doi":"10.1590/0034-7167-2023-0299","DOIUrl":"10.1590/0034-7167-2023-0299","url":null,"abstract":"<p><strong>Objectives: </strong>to construct and assess an educational technology for managing patient waiting lists for multidisciplinary training.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</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/PMC11290741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856383","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}
Ana Paula Dias de Oliveira, Lucas Garcia Lima, Vinicius Batista Santos, Larissa Maiara da Silva Alves Souza, Juliana de Lima Lopes, Alba Lucia Bottura Leite de Barros
{"title":"Nursing diagnoses for people hospitalized with heart failure: an integrative review.","authors":"Ana Paula Dias de Oliveira, Lucas Garcia Lima, Vinicius Batista Santos, Larissa Maiara da Silva Alves Souza, Juliana de Lima Lopes, Alba Lucia Bottura Leite de Barros","doi":"10.1590/0034-7167-2023-0471","DOIUrl":"10.1590/0034-7167-2023-0471","url":null,"abstract":"<p><strong>Objectives: </strong>to identify in the literature the main nursing diagnoses according to the NANDA-I diagnostic classification for people hospitalized with heart failure.</p><p><strong>Methods: </strong>an integrative literature review, carried out in February 2019 and updated in July 2023, in the MEDLINE via PubMed, LILACS, SciELO and CINAHL databases. Given the use of acronym PEO, studies without a time cut in Portuguese, English and Spanish were included. Descriptive analysis was carried out to present the identified information.</p><p><strong>Results: </strong>analysis of 27 articles identified 24 nursing diagnoses, with emphasis on Decreased Cardiac Output, Excessive Fluid Volume, Decreased Activity Tolerance and Fatigue.</p><p><strong>Final considerations: </strong>evidence can contribute to better diagnostic decisions centered on people with heart failure in search of more assertive health results and have the potential to support future studies on a possible syndromic pattern in this population.</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/PMC11290743/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856394","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}
Maria Ribeiro Lacerda, Rudval Souza da Silva, Nadirlene Pereira Gomes, Silvana Regina Rossi Kissula Souza
{"title":"Reflections on theoretical framework use in nursing research.","authors":"Maria Ribeiro Lacerda, Rudval Souza da Silva, Nadirlene Pereira Gomes, Silvana Regina Rossi Kissula Souza","doi":"10.1590/0034-7167-2024-0486","DOIUrl":"10.1590/0034-7167-2024-0486","url":null,"abstract":"<p><strong>Objectives: </strong>to reflect on theoretical framework use in nursing research.</p><p><strong>Methods: </strong>a theoretical-reflexive study, based on concepts and constructs pertinent to using nursing theories and other sciences, considering issues of epistemology or philosophy of science.</p><p><strong>Results: </strong>we presented what it is and why to do nursing research and what a theoretical framework is and why to use it, in addition to some considerations regarding theoretical framework use in nursing research, essential for constructing disciplinary knowledge, which enables the materialization of researchers' work and the presentation of propositions resulting from investigations in and for nursing as a discipline and science.</p><p><strong>Final considerations: </strong>based on a reflection based on epistemological conceptions, it is possible to affirm that a theoretical framework is the core of researchers' thinking, delimiting a problem to be investigated and, based on it, outlining methodological strategies to be followed, supporting nursing action and thinking as discipline and science.</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/PMC11290724/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856347","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}
Laura Rizardi Dos Santos Andrade, Lanay Dourado Dos Anjos, Ana Paula Freitas Aguiar, Edvone Alves de Lima, Erika de Sá Vieira Abuchaim, Juliana de Lima Lopes, Camila Tákao Lopes, Vinicius Batista Santos
{"title":"Sexual counseling for people with acute coronary syndrome: educational video development.","authors":"Laura Rizardi Dos Santos Andrade, Lanay Dourado Dos Anjos, Ana Paula Freitas Aguiar, Edvone Alves de Lima, Erika de Sá Vieira Abuchaim, Juliana de Lima Lopes, Camila Tákao Lopes, Vinicius Batista Santos","doi":"10.1590/0034-7167-2023-0416","DOIUrl":"10.1590/0034-7167-2023-0416","url":null,"abstract":"<p><strong>Objective: </strong>to assess validity evidence of an educational video on safe sexual activity after acute coronary syndrome.</p><p><strong>Method: </strong>study in three phases: video development; content validity analysis by 11 experts; and analysis of validity based on response processes by seven people with coronary disease. The content validity ratio (CVR) was calculated with critical values for the second phase of 0.63 and for the third of 1.0.</p><p><strong>Results: </strong>the video addressed the importance of resuming sexual activity and positions that consume less energy, clinical warning signs, the importance of adhering to treatment and a welcoming environment for sexual practice. A CVR above the critical value was obtained with a total of 4 minutes and 41 seconds.</p><p><strong>Conclusion: </strong>the educational video brings together adequate content validity evidence and can be used as a tool for patients after acute coronary syndrome.</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/PMC11290733/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856348","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}
Eliana Roldão Dos Santos Nonose, Rosane Meire Munhak da Silva, Eliane Tatsch Neves, Débora Falleiros de Mello, Adriana Zilly, Aline Cristiane Cavicchioli Okido, Regina Aparecida Garcia de Lima
{"title":"Mental health of parents of children and adolescents who require special health care.","authors":"Eliana Roldão Dos Santos Nonose, Rosane Meire Munhak da Silva, Eliane Tatsch Neves, Débora Falleiros de Mello, Adriana Zilly, Aline Cristiane Cavicchioli Okido, Regina Aparecida Garcia de Lima","doi":"10.1590/0034-7167-2023-0457","DOIUrl":"10.1590/0034-7167-2023-0457","url":null,"abstract":"<p><strong>Objective: </strong>To identify the manifestations presented by parents of children and adolescents who require special health attention that can impact their mental health.</p><p><strong>Methods: </strong>exploratory, qualitative research, based on the concept of vulnerability, with data collection carried out through interviews with 18 parents of children and adolescents with special health care needs, hospitalized in the pediatric ward of a hospital in Paraná, between May/2017 and May/ 2018. Data analyzed by inductive thematic analysis.</p><p><strong>Results: </strong>parents experienced situations of vulnerability when providing care at home, with repercussions on their mental health, expressed by manifestations of lack of protection, anxiety and depression.</p><p><strong>Final considerations: </strong>It is important that health professionals seek to expand actions to promote care and reduce situations that generate threats, insecurities, concerns and damage to the health of parents, which can impact and further weaken care for children and adolescents who need attention especially health.</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/PMC11290732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856392","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}
Viviane Cristina de Albuquerque Gimenez, Graziela Maria Ferraz de Almeida, Claudia Maria Silva Cyrino, Cassiane de Santana Lemos, Carolina Favoretto, Marla Andreia Garcia de Avila
{"title":"Telenursing in the postoperative period: a scoping review.","authors":"Viviane Cristina de Albuquerque Gimenez, Graziela Maria Ferraz de Almeida, Claudia Maria Silva Cyrino, Cassiane de Santana Lemos, Carolina Favoretto, Marla Andreia Garcia de Avila","doi":"10.1590/0034-7167-2024-0066","DOIUrl":"10.1590/0034-7167-2024-0066","url":null,"abstract":"<p><strong>Objectives: </strong>to map available evidence on telenursing use in the postoperative period and its impact on patient outcomes.</p><p><strong>Methods: </strong>a scoping review, conducted according to the JBI model and the PRISMA-ScR checklist. The search was carried out in the CINAHL, Embase, LILACS, PubMed, Web of Science, SciELO, Scopus and Cochrane Library databases.</p><p><strong>Results: </strong>twelve studies were included, published between 2011 and 2023, 66.6% of which were in developed countries. Of the positive outcomes, we highlight improved levels of disability, autonomy and quality of life, lower rates of post-operative complications, pain and reduced costs. Telephone monitoring was the most widely used modality, but there were few studies in the pediatric context and in Brazil.</p><p><strong>Conclusions: </strong>of the studies, 11 (91.6%) identified at least one positive outcome in telenursing use and none showed negative aspects in the postoperative period. The role of nurses in digital health needs further study.</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/PMC11290728/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856349","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}