Mario Sergio Bruggmann, Dulcinéia Ghizoni Schneider, Flávia Regina Souza Ramos, Graziele de Lima Dalmolin, Jeferson Rodrigues, Ácmon Bhering
{"title":"Intensity and frequency of moral distress in mental health nurses in Brazil.","authors":"Mario Sergio Bruggmann, Dulcinéia Ghizoni Schneider, Flávia Regina Souza Ramos, Graziele de Lima Dalmolin, Jeferson Rodrigues, Ácmon Bhering","doi":"10.1590/1980-220X-REEUSP-2023-0122en","DOIUrl":"10.1590/1980-220X-REEUSP-2023-0122en","url":null,"abstract":"<p><strong>Objective: </strong>To assess the intensity and frequency of moral distress in mental health nurses in Brazil.</p><p><strong>Method: </strong>Cross-sectional study with 173 nurses from the Psychosocial Care Network in Brazil. The Brazilian Scale of Moral Distress in Nurses, adapted for the context of mental health, was used. For data processing, descriptive and inferential statistical analysis was used.</p><p><strong>Results: </strong>Mostly moderate levels of intensity and frequency of moral distress (medians between 2.25 - 3.73 and 2.00 - 3.22, respectively) were observed, with emphasis on the factors working conditions and social conflicts.</p><p><strong>Conclusion: </strong>The level of moral distress evidenced in mental health nurses in Brazil reflects the dimension and amplitude of the phenomenon in different points of the Psychosocial Care Network. The relevance of discussions on coping strategies for moral distress is highlighted, articulating elements such as sensitivity, resilience, and moral courage, so that ethical deliberation is applied in care and management settings.</p>","PeriodicalId":21229,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10476911/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10223606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alice Blukacz, Báltica Cabieses, Alexandra Obach, Alejandra Carreño, Carolina Stefoni, Claudia Pérez
{"title":"Access to health services for international migrants during the COVID-19 pandemic: a qualitative study.","authors":"Alice Blukacz, Báltica Cabieses, Alexandra Obach, Alejandra Carreño, Carolina Stefoni, Claudia Pérez","doi":"10.1590/1980-220X-REEUSP-2022-0443en","DOIUrl":"10.1590/1980-220X-REEUSP-2022-0443en","url":null,"abstract":"<p><strong>Objective: </strong>To explore the experience and perception of international migrants in Chile regarding access to health services during the pandemic.</p><p><strong>Method: </strong>Collective case study following the qualitative paradigm. Forty semi-structured interviews were carried out with 30 migrants from different countries in Latin America and the Caribbean and 10 key actors from the health or social sector in November and December 2020. The interviews were analyzed thematically.</p><p><strong>Results: </strong>Perceived facilitators for general access to health services are related to formal work, support networks, and good treatment, while barriers are linked to immigration status, information gaps, discrimination, lack of cross-cultural skills, and personal limits of the system. In the context of access to COVID-19 diagnosis and treatment, the main barriers identified are: cultural approach to the disease, communication gaps, experiences of discrimination, costs, and lack of support networks.</p><p><strong>Conclusion: </strong>Access to health services is related to social vulnerability and violation of international migrants rights.</p>","PeriodicalId":21229,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10513483/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10053209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rodrigo Mota de Oliveira, Álvaro Francisco Lopes de Sousa, Anderson Reis de Sousa, Agostinho Antônio Cruz Araújo, Vinícius de Oliveira Muniz, Inês Fronteira, Isabel Amélia Costa Mendes
{"title":"Misinformation about COVID-19 among middle-aged and older migrants residing in Brazil and Portugal.","authors":"Rodrigo Mota de Oliveira, Álvaro Francisco Lopes de Sousa, Anderson Reis de Sousa, Agostinho Antônio Cruz Araújo, Vinícius de Oliveira Muniz, Inês Fronteira, Isabel Amélia Costa Mendes","doi":"10.1590/1980-220X-REEUSP-2022-0401en","DOIUrl":"10.1590/1980-220X-REEUSP-2022-0401en","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to assess the prevalence of COVID-19 misinformation among migrants aged 50 or older residing in Brazil and Portugal.</p><p><strong>Method: </strong>This was a cross-sectional analytical study conducted among migrants from Portuguese-speaking countries living in Brazil and Portugal, who were 50 years of age or older. The prevalence ratios (PR) were estimated using the Poisson regression model.</p><p><strong>Results: </strong>Out of the 304 participants included in the study, 188 (61.8%) agreed with at least one piece of misinformation. Factors such as having a religious affiliation (aPR: 1.24), higher educational attainment (aPR: 1.17), knowing someone who died from COVID-19 (aPR: 1.78), and having no intention to get vaccinated (aPR: 1.36) were associated with a higher likelihood of agreeing with COVID-19 misinformation.</p><p><strong>Conclusion: </strong>The findings suggest that access to misinformation was influenced by social, economic, and religious factors among elderly migrants with low digital literacy, thus contributing to the dissemination of false content within this population.</p>","PeriodicalId":21229,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10513484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10047681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Higor Pacheco Pereira, Izabela Linha Secco, Andrea Moreira Arrué, Letícia Pontes, Mitzy Tannia Reichembach Danski
{"title":"Implementation of modified Seldinger technology for percutaneous catheterization in critically ill newborns.","authors":"Higor Pacheco Pereira, Izabela Linha Secco, Andrea Moreira Arrué, Letícia Pontes, Mitzy Tannia Reichembach Danski","doi":"10.1590/1980-220X-REEUSP-2022-0347en","DOIUrl":"10.1590/1980-220X-REEUSP-2022-0347en","url":null,"abstract":"<p><strong>Objective: </strong>To describe the implementation of Modified Seldinger Technology for percutaneous catheterization in critically ill newborns.</p><p><strong>Method: </strong>A quasi-experimental before- and-after study, carried out with neonatologist nurses in a Neonatal Intensive Care Unit.</p><p><strong>Results: </strong>Seven nurses participated in the research. Catheter pre-insertion, insertion and maintenance were assessed using the conventional and modified Seldinger technique. Reliability was satisfactory in pre-test, 5.40 (Md = 6.00), and post-test, 5.94 (Md = 7.00), and perfect in the items about device insertion and maintenance. There was low assertiveness in the items on indication, microintroduction procedure via ultrasound, limb repositioning and disinfection of connections/connectors.</p><p><strong>Conclusion: </strong>Despite the Modified Seldinger Technique expanding some stages of execution over the traditional method of percutaneous catheterization, nurses were more assertive after theoretical-practical training. The technology was implemented and is in the process of being implemented in the health service.</p>","PeriodicalId":21229,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9764548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sheila Nascimento Pereira de Farias, Norma Valéria Dantas de Oliveira Souza, Thereza Christina Mó Y Mó Loureiro Varella, Karla Biancha Silva de Andrade, Samira Silva Santos Soares, Eloá Carneiro Carvalho
{"title":"Pejotização and implications for nursing work in Brazil: repercussions of neoliberalism.","authors":"Sheila Nascimento Pereira de Farias, Norma Valéria Dantas de Oliveira Souza, Thereza Christina Mó Y Mó Loureiro Varella, Karla Biancha Silva de Andrade, Samira Silva Santos Soares, Eloá Carneiro Carvalho","doi":"10.1590/1980-220X-REEUSP-2022-0396en","DOIUrl":"10.1590/1980-220X-REEUSP-2022-0396en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze pejotização in the context of nursing work and the respective implications for the protection and health of these professionals.</p><p><strong>Method: </strong>Documentary study, which had news, resolutions, and recommendations issued by the Federal Nursing Council and the Regional Nursing Councils as data collection source, which underwent lexical analysis, based on data processing using the software Iramuteq.</p><p><strong>Results: </strong>Six news items were captured for analysis. The similitude analysis was built with 40 active forms and six discussion centers were generated, with the most expressive lexicons in each of these being outsourcing, economic, pejotização, deputy, Federal Nursing Council, Bill of Law.</p><p><strong>Conclusion: </strong>In the quest to increase capital based on neoliberal ideas, strategies are produced that put the workers' and users' health and safety at risk. Pejotização leads to loss of labor rights, as it deprives the worker of consolidated labor achievements, such as the 13th salary, paid vacations, sick leave and, above all, insecurities are generated in relation to the future, with few guarantees, causing negative impacts on these workers' health.</p>","PeriodicalId":21229,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10263183/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9691943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Carine Sanches Zani Ribeiro, Ellen Cristina Gondim, Luiz Guilherme Dacar Silva Scorzafave, Flávia Azevedo Gomes-Sponholz, Daniel Domingues Dos Santos, Débora Falleiros de Mello
{"title":"Parental stress during pregnancy and maternity.","authors":"Carine Sanches Zani Ribeiro, Ellen Cristina Gondim, Luiz Guilherme Dacar Silva Scorzafave, Flávia Azevedo Gomes-Sponholz, Daniel Domingues Dos Santos, Débora Falleiros de Mello","doi":"10.1590/1980-220X-REEUSP-2022-0351en","DOIUrl":"10.1590/1980-220X-REEUSP-2022-0351en","url":null,"abstract":"<p><strong>Objective: </strong>To identify factors related to parental stress of women during pregnancy and the child's first month of life.</p><p><strong>Method: </strong>Prospective longitudinal study in two stages. Analysis of home interviews with 121 participants, Gestational Stress Scale, and Parental Stress Scale. Fisher's exact test, Spearman's correlation, and linear and logistic multivariate regression were applied, with p < 0.05.</p><p><strong>Results: </strong>Most of the participants were between 18 and 35 years old, had 11 to 13 years of education, had no paid work, had a partner, usually the child's father, planned pregnancy, were multiparous, and underwent prenatal care. During pregnancy, 67.8% had stress. In the first month after the child's birth, most had low parental stress (52.1%). High parental stress correlated with some gestational stress. Planning pregnancy decreased parental stress.</p><p><strong>Conclusion: </strong>Gestational and parental stress in the child's first month of life were correlated and pregnancy planning was a factor that reduced stress levels. Timely actions to reduce parental stress are essential for parenting and the child's overall health.</p>","PeriodicalId":21229,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10081624/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9654721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Raymara Melo de Sousa, Camila Maria Cenzi, Juliano Bortolini, Fábio de Souza Terra, Marília Duarte Valim
{"title":"Common mental disorders, productivity and presenteeism in nursing workers.","authors":"Raymara Melo de Sousa, Camila Maria Cenzi, Juliano Bortolini, Fábio de Souza Terra, Marília Duarte Valim","doi":"10.1590/1980-220X-REEUSP-2022-0296en","DOIUrl":"10.1590/1980-220X-REEUSP-2022-0296en","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the association between the occurrence of common mental disorders with loss of productivity and presenteeism in nursing workers at a public health service.</p><p><strong>Method: </strong>This is a cross-sectional study, with 291 workers from Midwestern Brazil. Data collection carried out from October 2019 to January 2020, with instruments for sociodemographic characterization, labor and health conditions: Self Reporting Questionnaire-20, Standford Presenteeism Scale and Work Limitations Questionnaire. Data were analyzed using descriptive and inferential statistics, with Mann-Whitney tests and logistic regression, respecting a significance level of 5%.</p><p><strong>Results: </strong>The occurrence of common mental disorders was 4.27 times more likely to experience presenteeism, 10.17% of compromised overall productivity, and impairment of mental/interpersonal and production demands.</p><p><strong>Conclusion: </strong>The occurrence of common mental disorders was associated with presenteeism, with repercussions in loss of productivity of nursing workers.</p>","PeriodicalId":21229,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10081644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9669137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anna Carla Bento Sabeh, H. Cecilio, C. Campos, Helca Franciolli Teixeira Reis, Anneliese Domingues Wysocki, Edirlei Machado dos Santos
{"title":"Social representations of nurses of the Emergency Care Unit towards people with mental disorder","authors":"Anna Carla Bento Sabeh, H. Cecilio, C. Campos, Helca Franciolli Teixeira Reis, Anneliese Domingues Wysocki, Edirlei Machado dos Santos","doi":"10.1590/1980-220X-REEUSP-2022-0298en","DOIUrl":"https://doi.org/10.1590/1980-220X-REEUSP-2022-0298en","url":null,"abstract":"ABSTRACT Objective: To understand the Social Representations of nurses from an Emergency Care Unit about the care provided to people with mental disorders. Method: Qualitative exploratory study, supported by the theoretical and methodological framework of the Theory of Social Representations. Interviews were conducted from July to August 2021. The data were processed using the IRaMuTeQ software. Results: 22 nurses were interviewed. From the processed data, three discursive categories were constructed: the tortuousness of the Psycho-Social Care Network (RAPs): in search of a path; the abyss between the health professional and the person with mental disorder; and unveiling the care of nurses in the Mental Health Emergency Care Unit. Conclusion: We identified a lack of knowledge about the Psychosocial Care Network, anchoring elements associated with previous negative experiences that influence the professional-patient relationship, and nursing care permeated by cognitive barriers. Such findings are unprecedented in the locality studied and relevant to promote the qualification of the work of nurses in mental health in the Emergency Care Unit.","PeriodicalId":21229,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43352080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Heloísa de Góes Gigueira Menezes, Andrea Bernardes, Simone Coelho Amestoy, Isabel Cristina Kowal Olm Cunha, Maria Lúcia Alves Pereira Cardoso, Alexandre Pazetto Balsanelli
{"title":"Relationship between leadership coaching and nurses' resilience in hospital environments.","authors":"Heloísa de Góes Gigueira Menezes, Andrea Bernardes, Simone Coelho Amestoy, Isabel Cristina Kowal Olm Cunha, Maria Lúcia Alves Pereira Cardoso, Alexandre Pazetto Balsanelli","doi":"10.1590/1980-220X-REEUSP-2022-0265en","DOIUrl":"10.1590/1980-220X-REEUSP-2022-0265en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the relationship between leadership coaching and nurses' resilience in hospital environments.</p><p><strong>Method: </strong>This is a cross-sectional study, carried out with nurses, nursing assistants and technicians. Nurses answered the Nurse Self-Perception Questionnaire in Leadership Exercise Questionnaire (QUAPEEL) and the Connor-Davidson Scale for Brazil-25 (CD-RISC-25BRASIL). Nursing technicians/assistants answered the Nursing Technician and Assistant Perception in Leadership Exercise Questionnaire (QUEPTAEEL). Student's t test and Pearson's correlation were used (p ≤ 0.05).</p><p><strong>Results: </strong>There was a statistically significant difference between nurses' self-perception and nursing technicians/assistants' hetero-perception in coaching leadership exercise for the total score (p = 0.002) and in the \"Give and receive feedback\" (p < 0.001), \"Delegate power and exert influence\" (p < 0.001) and \"Support the team so that the organizational results are reached\" (p = 0.020) domains. There was a statistically significant correlation between all the Nurse Self-Perception Questionnaire in Leadership Exercise Questionnaire Coaching and Resilience domains.</p><p><strong>Conclusion: </strong>Resilience was positively related to nurses' self-perception of coaching leadership.</p>","PeriodicalId":21229,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10116884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9702997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Khelyane Mesquita de Carvalho, Maria do Livramento Fortes Figueiredo, Nelson Miguel Galindo Neto, Guilherme Guarino de Moura Sá, Cynthia Roberta Dias Torres Silva, Polyana Norberta Mendes
{"title":"Comparison of the effectiveness of two educational interventions on sleep quality in older adults: a randomized clinical trial.","authors":"Khelyane Mesquita de Carvalho, Maria do Livramento Fortes Figueiredo, Nelson Miguel Galindo Neto, Guilherme Guarino de Moura Sá, Cynthia Roberta Dias Torres Silva, Polyana Norberta Mendes","doi":"10.1590/1980-220X-REEUSP-2022-0326en","DOIUrl":"10.1590/1980-220X-REEUSP-2022-0326en","url":null,"abstract":"<p><strong>Objective: </strong>to compare the effectiveness of an educational intervention mediated by a booklet with verbal nursing guidelines in improving sleep quality in older adults.</p><p><strong>Method: </strong>this is a randomized, single-blind clinical trial, carried out with 126 older adults, of which 62 were allocated in group 1, who received health education using an educational booklet, and 64 in group 2, who were exposed to health education with verbal nursing guidelines. Sleep quality was verified by the Pittsburgh Index, Epworth Sleepiness Scale and variable minutes that it takes to sleep. In order to compare the pre and post-tests, within the group, the Wilcoxon and chi-square tests were used. Status change was assessed using McNemar's chi-square test. To compare groups, Mann-Whitney and chi-square were used. The significance level was 5%.</p><p><strong>Results: </strong>older adults in both groups showed improvement in sleep quality (p > 0.05) after the interventions. There was no statistically significant difference between the interventions.</p><p><strong>Conclusion: </strong>the educational intervention mediated by a booklet and verbal nursing guidelines were equally effective in improving older adults' sleep quality. RBR-993xf7.</p>","PeriodicalId":21229,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10088524/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9299051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}