Revista Brasileira de Enfermagem

  • EDITORIAL14/07/2021

    Enfermagem e doenças infecciosas: três lições da história

    Revista Brasileira de Enfermagem. 2021;74(3):e740301

    Resumen

    EDITORIAL

    Enfermagem e doenças infecciosas: três lições da história

    Revista Brasileira de Enfermagem. 2021;74(3):e740301

    DOI 10.1590/0034-7167.2021740301

    Visualizações5
    Há algo estranho no fato de que o bicentenário do nascimento de Florence Nightingale e o Ano dos Profissionais de Enfermagem e Obstetrícia da OMS foram lançados com uma pandemia e a mensagem de volta ao futuro de “lave as mãos”. Em Notes on Nursing, sua cartilha doméstica extremamente popular sobre como cuidar dos doentes, […]
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  • EDITORIAL14/07/2021

    Enfermería y enfermedades infecciosas: tres lecciones de la historia

    Revista Brasileira de Enfermagem. 2021;74(3):e740301

    Resumen

    EDITORIAL

    Enfermería y enfermedades infecciosas: tres lecciones de la historia

    Revista Brasileira de Enfermagem. 2021;74(3):e740301

    DOI 10.1590/0034-7167.2021740301

    Visualizações11
    Hay algo extraño en el hecho de que el bicentenario del nacimiento de Florence Nightingale y el Año del Personal de Enfermería y de Partería de la OMS se lanzaran con una pandemia y el mensaje de regreso al futuro de “lávate las manos”. En Notes on Nursing, su manual doméstico extremadamente popular sobre cómo […]
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  • ORIGINAL ARTICLE23/07/2021

    Ethical Conciliation Hearings held by the Regional Nursing Council of São Paulo

    Revista Brasileira de Enfermagem. 2021;74(3):e20201213

    Resumen

    ORIGINAL ARTICLE

    Ethical Conciliation Hearings held by the Regional Nursing Council of São Paulo

    Revista Brasileira de Enfermagem. 2021;74(3):e20201213

    DOI 10.1590/0034-7167-2020-1213

    Visualizações6

    ABSTRACT

    Objectives:

    to analyze the Ethical Conciliation Hearings held by the Regional Nursing Council of São Paulo.

    Methods:

    this is a retrospective study, of a quantitative approach, with documentary analysis. To obtain the data, documents related to ethical processes were analyzed. The time frame established for the study was from January 1, 2011 to December 31, 2017.

    Results:

    513 Ethical Conciliation Hearings were held and ratified. Nurses represent the category that most denunciate and are most accused. The highest percentages of ethical conciliations were in events related to public and hospital institutions. The Conduct Adjustment Term was the modality with the highest number of agreements. The main reason of conciliation failure was the non-attendance of at least one of the parties.

    Conclusions:

    the Ethical Conciliation Hearings represent an effective alternative instrument for the resolution of ethical-disciplinary processes in nursing.

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  • ORIGINAL ARTICLE23/07/2021

    Indicadores de qualidade da documentação do processo de enfermagem na prática clínica

    Revista Brasileira de Enfermagem. 2021;74(3):e20201355

    Resumen

    ORIGINAL ARTICLE

    Indicadores de qualidade da documentação do processo de enfermagem na prática clínica

    Revista Brasileira de Enfermagem. 2021;74(3):e20201355

    DOI 10.1590/0034-7167-2020-1355

    Visualizações9

    RESUMO

    Objetivos:

    propor indicadores de qualidade da documentação clínica de enfermagem.

    Métodos:

    estudo metodológico em que revisão da literatura norteou a composição de um instrumento de avaliação da documentação de enfermagem. Dois profissionais independentes avaliaram 204 prontuários de pacientes adultos. A análise dessa avaliação gerou indicadores de qualidade da documentação clínica de enfermagem. A concordância interavaliadores foi analisada pelo kappa de Cohen.

    Resultados:

    a revisão bibliográfica, análise pelos especialistas e pré-teste originaram 88 itens de avaliação distribuídos em sete tópicos; em 88,5% dos itens, observou-se concordância interavaliadores entre forte e quase perfeita (k=0,61-1,0). Análises das avaliações geraram um indicador global e sete indicadores parciais de qualidade da documentação. A conformidade nos dois serviços variou entre 62,3% e 93,4%. O indicador global mostrou diferença de 2,1% entre os serviços.

    Conclusões:

    foram propostos sete indicadores de qualidade da documentação clínica de enfermagem e seu método de aplicação em prontuários hospitalares.

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  • ORIGINAL ARTICLE23/07/2021

    Perceptions about the Therapeutic Itinerary after stroke: a qualitative research

    Revista Brasileira de Enfermagem. 2021;74(3):e20201140

    Resumen

    ORIGINAL ARTICLE

    Perceptions about the Therapeutic Itinerary after stroke: a qualitative research

    Revista Brasileira de Enfermagem. 2021;74(3):e20201140

    DOI 10.1590/0034-7167-2020-1140

    Visualizações6

    ABSTRACT

    Objectives:

    to analyze the understanding of the Therapeutic Itinerary of people affected by stroke in the Unified Health System context of a medium-sized city in the state of São Paulo.

    Methods:

    this is a clinical-qualitative, using in-depth semi-structured interviews, conducted in 2019 with 6 patients, a number determined by theoretical saturation.

    Results:

    qualitative content analysis allowed the construction of four categories that emerged from the data: a) You are having a stroke! - Identifying the problem; b) Anguish and expectations in waiting for assistance; c) Helplessness and guidance for rehabilitation after hospital discharge; d) Spirituality in rehabilitation after stroke.

    Final Considerations:

    the affected people expressed feelings and meanings, such as fear, anguish, sadness, beliefs and uncertainties, in order to shed light on the complexity inherent to the experiences of Therapeutic Itinerary of stroke.

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    Perceptions about the Therapeutic Itinerary after stroke: a qualitative research
  • ORIGINAL ARTICLE14/07/2021

    Aging: the experience of nurses working in a hospital

    Revista Brasileira de Enfermagem. 2021;74(3):e20201187

    Resumen

    ORIGINAL ARTICLE

    Aging: the experience of nurses working in a hospital

    Revista Brasileira de Enfermagem. 2021;74(3):e20201187

    DOI 10.1590/0034-7167-2020-1187

    Visualizações9

    ABSTRACT

    Objectives:

    to understand the experience of aging in the perspective of nurses working in a hospital environment.

    Methods:

    descriptive study with a qualitative approach, with interviews based on six guiding questions analyzed through Martín Heidegger’s perspective on Phenomenology.

    Results:

    eleven nurses with a mean age of 46.2 years old participated in the study. The study unveiled the phenomenon of being a nurse in the process of aging. The speeches were divided into three categories: Being-there and the different faces of aging; Being-in-the-world of work; Being-in-the-world of old age.

    Final Considerations:

    there was a trend towards a positive search for aging and active old age, but aspects such as fear of loneliness and abandonment (“Being-in-the-world of old age”) emerged through fearful speeches. There is a need for gerontological education so that nurses can properly discuss and plan a healthy aging process and achieve a dignified old age.

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  • ORIGINAL ARTICLE14/07/2021

    Association between family dynamics and use of alcohol, tobacco, and other drugs by adolescents

    Revista Brasileira de Enfermagem. 2021;74(3):e20200829

    Resumen

    ORIGINAL ARTICLE

    Association between family dynamics and use of alcohol, tobacco, and other drugs by adolescents

    Revista Brasileira de Enfermagem. 2021;74(3):e20200829

    DOI 10.1590/0034-7167-2020-0829

    Visualizações14

    ABSTRACT

    Objectives:

    to analyze, in the light of systemic thinking, the association between family dynamics and the use of alcohol, tobacco, and other drugs by adolescents throughout life.

    Methods:

    a cross-sectional descriptive study was conducted in nine public schools in the city of Recife. Three hundred and sixty-four adolescents aged 14 to 19 years participated. We used three questionnaires: The Alcohol, Smoking, and Substance Involvement Screening Test, a reduced version of the Drug Use Screening Inventory; and a sociodemographic questionnaire.

    Results:

    there was an association between parents/guardians ignoring what the child considers meaningful to him and the consumption of alcohol and tobacco by adolescents; we also verified an association between the occurrence of conflicting relationships and the consumption of illicit drugs by adolescents.

    Conclusions:

    it confirmed that disorganization in the family system, marked by impairments in emotional connections among members, and fragility in the sense of belonging are associated with the consumption of drugs in life by adolescents.

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  • ORIGINAL ARTICLE14/07/2021

    Challenges for adherence to bacterial resistance actions in large hospitals

    Revista Brasileira de Enfermagem. 2021;74(3):e20200510

    Resumen

    ORIGINAL ARTICLE

    Challenges for adherence to bacterial resistance actions in large hospitals

    Revista Brasileira de Enfermagem. 2021;74(3):e20200510

    DOI 10.1590/0034-7167-2020-0510

    Visualizações10

    ABSTRACT

    Objectives:

    to identify the challenges to actions to contain bacterial resistance.

    Methods:

    cross-sectional study, carried out in 30 large-sized hospitals in Minas Gerais, from 2018 to 2019. The professionals were interviewed, and the environment and actions to prevent bacterial resistance were observed.

    Results:

    regarding the knowledge of health care professionals about the measures of bacterial resistance prevention, 78.3% did not correctly describe the five moments of hand hygiene, and 76.6% did not correctly describe the measures to control bacterial resistance. The simple hygiene of hands, followed by alcohol rubbing was predominant (48.3%) among workers, and soap dispensers were next to alcohol dispensers in 58.3% of the nursing stations in care units.

    Conclusions:

    the insufficient knowledge from the professionals, which is a failure related to the physical structure and to personal protection equipment, are factors that difficult the adherence to measures to contain bacterial resistance in hospitals.

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