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EDITORIAL14/07/2021
Enfermagem e doenças infecciosas: três lições da história
Revista Brasileira de Enfermagem. 2021;74(3):e740301
Resumen
EDITORIALEnfermagem e doenças infecciosas: três lições da história
Revista Brasileira de Enfermagem. 2021;74(3):e740301
DOI 10.1590/0034-7167.2021740301
Visualizações5Há 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, […]Ver más -
EDITORIAL14/07/2021
Enfermería y enfermedades infecciosas: tres lecciones de la historia
Revista Brasileira de Enfermagem. 2021;74(3):e740301
Resumen
EDITORIALEnfermería y enfermedades infecciosas: tres lecciones de la historia
Revista Brasileira de Enfermagem. 2021;74(3):e740301
DOI 10.1590/0034-7167.2021740301
Visualizações11Hay 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 […]Ver más -
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 ARTICLEEthical 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
Visualizações6Ver másABSTRACT
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 ARTICLEIndicadores 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
Visualizações9RESUMO
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.
Palavras-chave: DocumentaçãoIndicadores de Qualidade em Assistência à SaúdePesquisa Metodológica em EnfermagemProcessos de EnfermagemRegistros de EnfermagemVer más -
ORIGINAL ARTICLE23/07/2021
Perceptions about the Therapeutic Itinerary after stroke: a qualitative research
Revista Brasileira de Enfermagem. 2021;74(3):e20201140
Resumen
ORIGINAL ARTICLEPerceptions about the Therapeutic Itinerary after stroke: a qualitative research
Revista Brasileira de Enfermagem. 2021;74(3):e20201140
DOI 10.1590/0034-7167-2020-1140
Visualizações6Ver másABSTRACT
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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ORIGINAL ARTICLE14/07/2021
Aging: the experience of nurses working in a hospital
Revista Brasileira de Enfermagem. 2021;74(3):e20201187
Resumen
ORIGINAL ARTICLEAging: the experience of nurses working in a hospital
Revista Brasileira de Enfermagem. 2021;74(3):e20201187
DOI 10.1590/0034-7167-2020-1187
Visualizações9Ver másABSTRACT
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 ARTICLEAssociation 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
Visualizações14Ver másABSTRACT
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 ARTICLEChallenges for adherence to bacterial resistance actions in large hospitals
Revista Brasileira de Enfermagem. 2021;74(3):e20200510
DOI 10.1590/0034-7167-2020-0510
Visualizações10Ver másABSTRACT
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.


