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Rev Gaucha Enferm ; 43(spe): e20210348, 2022.
Artigo em Inglês, Português | MEDLINE | ID: mdl-36383826


OBJECTIVE: To verify the association between a multiprofessional round with the use of checklists and patient safety practices by health professionals in an intensive care unit. METHOD: Mixed-method study, delineated by the sequential explanatory approach, conducted in a hospital in southern Brazil. Quantitative data were analyzed using Poisson regression, and qualitative data, using content analysis. The integrated analysis was performed through the explained/connected combination. RESULTS: In the post-implementation period of the rounds with systematic use of the checklist, there was a significant improvement in the prophylaxis of venous thromboembolism, light sedation, reduction in the days of use of mechanical ventilation, central venous catheter and indwelling urinary catheter. CONCLUSION: The multiprofessional round with the systematic use of checklist, associated with the improvement in patient safety practices, was considered as a strategy that ensures better care in intensive care and favors job satisfaction.

Lista de Checagem , Visitas com Preceptor , Humanos , Segurança do Paciente , Cuidados Críticos/métodos , Unidades de Terapia Intensiva
Rev Bras Enferm ; 75Suppl 2(Suppl 2): e20210958, 2022.
Artigo em Inglês, Português | MEDLINE | ID: mdl-36259880


OBJECTIVES: to understand how people living with HIV who have abandoned treatment face their health condition. METHODS: a qualitative study, based on the Chronic Care Model theoretical precepts. Data were collected between April and August 2021, through interviews with 24 people registered in a specialized service in the Brazilian Midwest. RESULTS: coping with the health condition included good and bad moments and is influenced by individual behaviors and the way in which the network was organized. Treatment abandonment was motivated by the absence of signs and symptoms, the way care is provided and medication side effects. FINAL CONSIDERATIONS: care actions focusing on behavior change and maintenance become necessary in order to favor continuity of treatment. Furthermore, the gaps identified in the way health services are organized are subject to intervention.

Adaptação Psicológica , Infecções por HIV , Humanos , Pesquisa Qualitativa , Serviços de Saúde , Brasil , Infecções por HIV/complicações , Infecções por HIV/tratamento farmacológico
Rev Bras Enferm ; 75(3): e20210934, 2022.
Artigo em Inglês, Português | MEDLINE | ID: mdl-36169502


OBJECTIVES: to analyze the implementation of multidisciplinary checklist-directed rounds before health indicators and multidisciplinary team perception of an Intensive Care Unit. METHODS: a mixed methods study, with an explanatory sequential design, carried out at a hospital in southern Brazil, from September 2020 to August 2021. The integration of quantitative and qualitative data was combined by connection. RESULTS: after the implementation of checklist-directed rounds, there was a significant reduction in hospital stay from ventilator-associated pneumonia, urinary tract infection and daily invasive device use. The investigated practice is essential for comprehensive care, harm reduction, effective work and critical patient safety. CONCLUSIONS: the multidisciplinary rounds with checklist use reduced data on health indicators of critically ill patients and was considered a vital practice in the intensive care setting.

Pneumonia Associada à Ventilação Mecânica , Visitas com Preceptor , Lista de Checagem , Cuidados Críticos/métodos , Humanos , Unidades de Terapia Intensiva
Sao Paulo Med J ; 2022 Sep 12.
Artigo em Inglês | MEDLINE | ID: mdl-36102457


BACKGROUND: The burnout syndrome can be avoided and/or have its signs and symptoms reduced by knowing the five associated factors that help identify the health and working conditions of the professors of graduate programs. OBJECTIVE: To analyze the factors associated with burnout among faculty members of graduate stricto sensu programs. DESIGN AND SETTING: A cross-sectional study was conducted among 585 faculty members of Graduate Programs in Language Teaching and Linguistics in Brazil. METHODS: Data were collected through an online questionnaire. The outcomes were the dimensions of burnout and its related factors identified through multiple templates of logistic regression. RESULTS: Faculty members with increased chances of emotional exhaustion and depersonalization mentioned the use of medications due to labor activities. The negative influence of pace and intensity of work, thoughts about quitting the program, and having to produce three or more scientific articles were associated with higher chances of emotional exhaustion, while having to achieve nine hours per week in undergraduate programs was related to reduced personal accomplishment. Having a conjugal relationship, satisfaction with health and work, post-doctoral degree, autonomy, and good interpersonal relationships with faculty members of the program reduced the chances of emotional exhaustion. Reduced chances of depersonalization occurred among those who were satisfied with work, had good interpersonal relationships with advisees and faculty members, and received productivity funding. CONCLUSION: Sociodemographic, health, and occupational factors related to the dimensions of burnout were identified.

Rev Bras Enferm ; 75(5): e20210535, 2022.
Artigo em Inglês, Português | MEDLINE | ID: mdl-35976274


OBJECTIVES: to know the repercussions of a Reiki therapy intervention on the sleep quality of nursing professionals working in a general hospital. METHODS: a qualitative-quantitative study conducted with 16 professionals from the nursing team of a hospital in northwest Paraná, who participated in an intervention consisting of six weekly Reiki sessions. Data collected from September, 2019 to March, 2020 through semi-structured interviews and application of the Pittsburgh Sleep Quality Index before and after the intervention. RESULTS: better sleep quality, characterized by a reduction in the time to fall asleep and in nightmares, and an increase in sleeping hours. CONCLUSIONS: reiki intervention had a positive impact on the sleep quality of participants.

Toque Terapêutico , Promoção da Saúde , Hospitais , Humanos , Pesquisa Qualitativa , Qualidade do Sono
Nursing (Säo Paulo) ; 25(291): 8304-8317, ago.2022.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1392101


Objetivo: apreender como os familiares vivenciaram o período de hospitalização do seu ente com a forma grave da Covid-19. Método: trata-se de um estudo qualitativo realizado junto a doze familiares de pacientes que apresentaram a forma grave da Covid-19. Os dados foram coletados, por meio de entrevistas individuais em profundidade, e a análise guiada pelas etapas analíticas da Grounded Theory. Resultados: emergiram-se duas categorias "O impacto da internação hospitalar na família" e "A importância do apoio social ao familiar". Conclusão: Viver o internamento de um familiar em decorrência da Covid-19, propicia o surgimento de vários sentimentos e emoções, tornando-se um momento difícil, permeado de incertezas e angustias perante o desfecho do internamento do seu familiar. Destaca-se a importância dos profissionais da saúde e da comunidade, destacando-os como importantes fatores de proteção neste período.(AU)

Objective: to learn how family members experienced the period of hospitalization of their loved one with the severe form of Covid-19. Methods: this is a qualitative study carried out with twelve family members of patients who had the severe form of Covid-19. Data were collected through in-depth individual interviews, and the analysis was guided by the analytical steps of the Grounded Theory. Results: two categories emerged "The impact of hospitalization on the family" and "The importance of social support to the family". Conclusion: Experiencing the hospitalization of a family member as a result of Covid-19, provides the emergence of various feelings and emotions, making it a difficult time, permeated with uncertainties and anguish in the face of the outcome of the hospitalization of your family member. The importance of health professionals and the community is highlighted, highlighting them as important protective factors in this period.(AU)

Objetivo: conocer cómo los familiares vivieron el período de hospitalización de su ser querido con la forma grave de Covid-19. Métodos: se trata de un estudio cualitativo realizado con doce familiares de pacientes que tenían la forma grave de Covid-19. Los datos fueron recolectados a través de entrevistas individuales en profundidad, y el análisis fue guiado por los pasos analíticos de la Grounded Theory. Resultados: surgieron dos categorías "El impacto de la hospitalización en la familia" y "La importancia del apoyo social a la familia". Conclusión: Vivir la hospitalización de un familiar a consecuencia del Covid-19, propicia el surgimiento de diversos sentimientos y emociones, haciendo que sea un momento difícil, permeado de incertidumbres y angustias ante el desenlace de la hospitalización de su familiar miembro. Se destaca la importancia de los profesionales de la salud y de la comunidad, destacándolos como importantes factores protectores en este período.(AU)

Família , Pesquisa Qualitativa , COVID-19 , Hospitalização
Rev Bras Enferm ; 75Suppl 2(Suppl 2): e20210205, 2022.
Artigo em Inglês, Português | MEDLINE | ID: mdl-35858021


OBJECTIVE: To analyze the prevalence and factors associated with non-communicable chronic diseases in deaf people. METHODS: Cross-sectional study with 110 deaf people in Maringá-Paraná, selected using the snowball sampling technique. Data were collected from February to August 2019, using a structured instrument; and, in the analysis, multiple logistic regression was used. RESULTS: The self-reported prevalence of chronic diseases was 43.6%, the most frequent being: arterial hypertension (12.7%), depression (6.4%), diabetes mellitus (5.4%), respiratory disease (5.4%) and hypothyroidism (4.5%). Using health services for routine consultations was significantly associated with being bimodal bilingual. The only risk behavior significantly associated with chronic disease was excessive consumption of sweet foods. CONCLUSION: The prevalence of chronic diseases in this population may be higher than that found, as there is a possibility of underdiagnosis due to the low demand for routine consultations and the difficulty of communication with health professionals.

Diabetes Mellitus , Hipertensão , Doenças não Transmissíveis , Doença Crônica , Estudos Transversais , Diabetes Mellitus/epidemiologia , Humanos , Hipertensão/epidemiologia , Doenças não Transmissíveis/epidemiologia , Prevalência , Fatores de Risco
Rev Bras Enferm ; 75(6): e20210534, 2022.
Artigo em Inglês, Português | MEDLINE | ID: mdl-35674579


OBJECTIVES: to assess the association between breastfeeding and diseases prevalent in the first two years of a child's life. METHODS: a retrospective cross-sectional study that analyzed electronic medical records of 401 children. Data on birth, growth, breastfeeding and medical care in the first two years of life were collected. In the analysis, Poisson regression with robust variance was used. RESULTS: 27.9% of children were exclusively breastfed until six months, and, at 24 months, 93.3% had already had some prevalent childhood disease. In the crude analysis, 5-minute Apgar association, length, weight at 12 months, exclusive and non-exclusive breastfeeding time had association. In the adjusted analysis, only the variable breastfeeding at six months maintained the association with prevalent childhood diseases. CONCLUSIONS: children who were not breastfed, exclusively or not, up to six months of age, had a higher prevalence of diseases compared to breastfed children.

Aleitamento Materno , Parto , Criança , Estudos Transversais , Feminino , Humanos , Lactente , Gravidez , Prevalência , Estudos Retrospectivos
Cogit. Enferm. (Online) ; 27: e80860, Curitiba: UFPR, 2022. tab
Artigo em Português | LILACS-Express | LILACS, BDENF - Enfermagem | ID: biblio-1394315


RESUMO Objetivo: identificar os desvios no peso corporal aos 12 e 24 meses de vida e sua associação com a prática do aleitamento materno. Método: estudo de coorte realizado com crianças assistidas na Atenção Primária de município no noroeste do Estado do Paraná, Brasil. Dados coletados no período de março a outubro de 2020, referentes aos dois primeiros anos de 401 crianças. Análise dos dados com testes qui-quadrado e regressão logística. Resultados: verificou-se que 66,3% e 44,6% das crianças apresentavam peso corporal adequado aos 12 e 24 meses respectivamente; com adequação de 93% e 83% para aleitamento exclusivo; 53,6% e 29% para aleitamento materno e 64,6% e 32,3% para as que não receberam aleitamento. Entre crianças com peso inadequado, prevaleceu o peso elevado 60%. Conclusão: esses resultados poderão subsidiar a atuação do enfermeiro durante o acompanhamento do crescimento e desenvolvimento da criança no âmbito da atenção primária à saúde.

ABSTRACT Objective: to identify the deviations in body weight at 12 and 24 months of life and their association with the breastfeeding practice. Method: a cohort study conducted with children treated in the Primary Care services of a municipality in northeastern Paraná, Brazil. The data were collected from March to October 2020 and referred to 401 children's first two years of life. Data analysis was performed by means of chi-square and logistic regression tests. Results: it was verified that 66.3% and 44.6% of the children presented adequate body weight at 12 and 24 months, respectively; with adequacy values of 93% and 83% for exclusive breastfeeding, of 53.6% and 29% for breastfeeding, and of 64.6% and 32.3% for those who were not breastfed. Among the children with inadequate weight there was 60% prevalence of excess weight. Conclusion: these results may come to subsidize nurses' performance during follow-up of the children's growth and development in the Primary Health Care scope.

RESUMEN Objective: identificar las desviaciones en el peso corporal a los 12 y 24 meses de vida y su asociación con la práctica de la lactancia materna. Método: estudio de cohorte realizado con infantes asistidos en los servicios de Atención Primaria de un municipio del noroeste del estado de Paraná, Brasil. Los datos se recolectaron entre marzo y octubre de 2020, en relación con los primeros años de vida de 401 niños. El análisis de los datos se realizó por medio de las pruebas de chi-cuadrado y regresión logística. Resultados: se descubrió que el 66,3% y el 44,6% de los niños tenían peso corporal adecuado a los 12 y 24 meses de vida, respectivamente; con adecuación del 93% y 83% para lactancia materna exclusiva, del 53,6% y 29% para lactancia materna y del 64,6% y 32,3% para los que no fueron amamantados. Entre los niños con peso no adecuado prevaleció el exceso de peso, con el 60%. Conclusión: estos resultados podrán servir de apoyo al desempeño de los enfermeros durante el control del crecimiento y desarrollo de los niños en el ámbito de la Atención Primaria de la Salud.

Rev Bras Enferm ; 75(4): e20200847, 2022.
Artigo em Inglês, Português | MEDLINE | ID: mdl-35442302


OBJECTIVE: To understand how people with lupus experience the diagnosis and how they deal with complications arising from the disease. METHOD: Qualitative study, whose data were collected between February and July 2019, through semi-structured interviews with 26 individuals and submitted to content analysis. RESULTS: Three categories emerged that show illness from lupus as a difficult experience, permeated by sadness, fear and suffering, which, in addition to being linked to society's lack of knowledge about the disease, negatively impacts the lives of those who experience it. Furthermore, they show that the time of living with the disease favors the development of self-care strategies and greater therapeutic adherence and, consequently, longer periods of disease remission. CONSIDERATIONS: More disclosure about the disease and its implications in the daily lives of those affected is essential, culminating in greater understanding of family, friends and colleagues and improvements in health care and quality of life for these people.

Lúpus Eritematoso Sistêmico , Qualidade de Vida , Humanos , Lúpus Eritematoso Sistêmico/complicações , Lúpus Eritematoso Sistêmico/terapia , Pesquisa Qualitativa , Autocuidado
Rev Bras Enferm ; 75(4): e20210499, 2022.
Artigo em Inglês, Português | MEDLINE | ID: mdl-35442309


OBJECTIVE: To analyze the time trend, spatial distribution, and the cases of human immunodeficiency virus/acquired immunodeficiency syndrome cases with social determinants of health. METHODS: Ecological and analytical study, carried out based on the cases of human immunodeficiency virus/acquired immunodeficiency syndrome notified in a state in the Brazilian Midwest, from 2009 to 2018. The study used descriptive analysis, polynomial regression, and geospatial analysis. RESULTS: In 10 years, there were 9,157 notifications, growing each year. There was a growing trend for both sexes (p<0.001, r2=0.94). The City Human Development Index was related to the higher number of cases (city of notification, p=0.01; and city where the person lives, p=0.02). The highest concentration was in cities that house health macro-regions. CONCLUSION: Social determinants have a relationship with the time trend and the spatial distribution of cases and can direct strategies for prevention and care.

Síndrome de Imunodeficiência Adquirida , Infecções por HIV , Síndrome de Imunodeficiência Adquirida/epidemiologia , Feminino , Infecções por HIV/complicações , Infecções por HIV/epidemiologia , Humanos , Masculino , Comportamento Sexual , Determinantes Sociais da Saúde , Fatores de Tempo
Rev Bras Enferm ; 75(4): e20210616, 2022.
Artigo em Inglês, Português | MEDLINE | ID: mdl-35442310


OBJECTIVES: to understand families' behaviors and eating practices in the face of childhood obesity. METHODS: a qualitative study, which used the Grounded Theory as a methodological framework and the Complexity Theory as a theoretical framework. Twenty-six informants participated in the study, who were part of two sample groups. Data were collected through intensive interviews, using a semi-structured script. RESULTS: "The family system seeking to change eating behavior patterns in the face of childhood obesity" emerged as a central concept, relating three conceptual categories: "Recognizing its behavior patterns and eating practices"; "Reorganizing in the face of childhood obesity"; "Responding to change". FINAL CONSIDERATIONS: the family influences children's eating behavior and contributes to changes that occur in it, which highlights the relevance of the family approach in childhood obesity care, raising reflection on the current nursing practice together with families who experience the same problem.

Obesidade Pediátrica , Criança , Família , Comportamento Alimentar , Teoria Fundamentada , Humanos , Pesquisa Qualitativa
Collegian ; 29(3): 288-295, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35316973


Background: Coronaphobia is an excessive fear of becoming infected by the COVID-19 virus. Situations of coronaphobia against health professionals have been identified. Therefore, there is a need to develop studies to understand family impact and experience of COVID-19 pandemic and coronaphobia. Aim: To describe the coronaphobia experience of health professionals and of one of their family members during the first wave of the COVID-19 pandemic. Methods: Exploratory qualitative study using narrative inquiry was used. This study was guided by the concept of coronaphobia and Family Systems Nursing as conceptual frameworks. Face-to-face and telephone interviews were conducted from September to November 2020 with 14 health professionals, including nurses and physicians and one of their family members (n = 14). Findings: Three descriptive themes were identified which highlight professional-family dyads' experience of coronaphobia as a reciprocal and relational process. Coronaphobia was demonstrated by unknown or close people, in a disguised or explicit way, and generated suffering in the dyads and in the family unit. Consequently, individual and/or family strategies were developed to allow for the protection of the family system and the maintenance of its functioning. Discussion: This study describes how the dyads of health professionals and their family members identify the experiences of coronaphobia. In addition, it was possible to analyze the repercussions of coronaphobia on the dyad and the strategies they used to deal with it. Conclusions: This study extends understanding about the relationships between the experience of coronaphobia among health professionals and one of their family members and the experience of physical, cognitive and emotional suffering during the COVID-19 pandemic.

Saude e pesqui. (Impr.) ; 15(1): e9571, abr./jun. 2022.
Artigo em Português | LILACS-Express | LILACS | ID: biblio-1368035


Verificar a efetividade do gerenciamento clínico por telemonitoramento de beneficiários com doenças crônicas da saúde suplementar. Estudo quase-experimental, de 2019, com beneficiários de operadora de plano de saúde, de médio porte, do Paraná-PR. O único grupo não aleatorizado contou com 109 adultos, independentes para as atividades básicas e que participaram desta intervenção educativa, de suporte à autogestão, por telefonemas mensais, coordenada por enfermeiro, durante 12 meses. Os indicadores comportamentais e clínicos foram extraídos do prontuário eletrônico e comparados pelos testes de McNemar, Wilcoxon e T pareado. No início, predominaram participantes com hábitos alimentares saudáveis. Após a intervenção, aumentou em 46,3% (p= 0,690) a ocorrência de atividade física suficiente e diminuiu em 78,0% (p= 0,000) o consumo de bebida alcóolica, e em 1,4% (p= 0,005) o índice de massa corporal. Tais mudanças nos indicadores estudados sugerem a efetividade do gerenciamento clínico por telemonitoramento em estimular e manter hábitos saudáveis.

To verify the effectiveness of clinical follow-up by telemonitoring of beneficiaries with chronic diseases in supplementary health. Quasi-experimental study, from 2019, with beneficiaries of a medium-sized health plan operator in Paraná, state of Paraná. The only non-randomized group had 109 adults, independent for basic activities and who participated in this educational intervention, to support self-management, by monthly phone calls, coordinated by a nurse, for 12 months. Behavioral and clinical indicators were extracted from electronic medical records and compared using McNemar, Wilcoxon and paired t-tests. In the beginning, participants with healthy eating habits predominated. After the intervention, the occurrence of sufficient physical activity increased by 46.3% (p= 0.690) and the consumption of alcoholic beverages decreased by 78.0% (p= 0.000) and by 1.4% (p= 0.005), the body mass index. Such changes in the studied indicators suggest the effectiveness of clinical follow-up by telemonitoring in stimulating and maintaining healthy habits.

J Clin Nurs ; 31(23-24): 3338-3349, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-35083808


AIM: To map the factors associated with nurses' positive attitudes towards families' involvement in nursing care and to identify any existing gaps in knowledge. BACKGROUND: Several tools have been proposed to assess the attitudes, beliefs and practices of nurses towards families in different care contexts. However, there is a knowledge gap on how the results of these tools can identify the factors that are associated with more positive attitudes of nurses. DESIGN: A scoping review based on the steps proposed by the Joanna Briggs Institute. METHODS: Three independent reviewers searched the databases: PUBMED/Medline; LILACS; Virtual Health Library; PsycInfo; Google Scholar; SCOPUS and CINAHL, from 2006 to August 2021, guided by the question: What are the factors associated with nurses' positive attitudes towards families´ involvement in nursing care, in studies that used one or both of the following two scales 'Families' Importance in Nursing Care- Nurses' Attitudes' and 'Family Nursing Practice Scale'? This review was conducted in accordance with PRISMA-ScR. RESULTS: Twenty-six primary studies were identified, in which 9,620 nurses participated. Positive attitudes were associated with three types of variables: (a) personal-longer working career (42.3%) and older age (26.9%); (b) educational-higher level of academic education (30.8%) and family nursing education (23.0%); and (c) workplace-working in primary health care and/or outpatient clinics (34.6%) or in a unit with philosophy/approach to families (23.0%). CONCLUSIONS: Personal variables such as age and time of service are non-modifiable aspects, but educational and workplace variables are subject to intervention to improve nurses' attitudes towards families' involvement in nursing care. Continuing development programmes about family care can constitute important strategies to improve positive attitudes of nurses towards families in practice. RELEVANCE TO CLINICAL PRACTICE: Recognising the characteristics associated with nurses´ positive attitudes towards families may enable the development of tailored interventions that promote family-focused care.

Enfermagem Familiar , Enfermeiras e Enfermeiros , Cuidados de Enfermagem , Humanos , Atitude do Pessoal de Saúde , Otimismo
Online braz. j. nurs. (Online) ; 21(supl.1): e20226524, 14 janeiro 2022. ilus
Artigo em Inglês, Espanhol, Português | LILACS, BDENF - Enfermagem | ID: biblio-1359631


OBJETIVO: mapear, em estudos que utilizaram o Families' Importance in Nursing Care ­ Nurses' Attitudes e/ou o Family Nursing Practice Scale, os fatores associados à atitude positiva dos enfermeiros em relação às famílias dos pacientes, em distintos cenários do cuidado. MÉTODO: protocolo de scoping review, elaborado conforme as recomendações do Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR), que seguirá as etapas preconizadas pelo Joanna Briggs Institute (JBI). Os documentos serão identificados, por três revisores independentes, nas bases de dados: PUBMED/Medline; LILACS; BVS; PsycInfo; Google Acadêmico; SCOPUS e CINAHL, utilizando-se os títulos dos instrumentos e suas siglas, que serão localizados no título e/ou resumo dos artigos. As referências dos estudos primários incluídos também serão consultadas. Após aplicação dos critérios de elegibilidade, as informações pertinentes serão sistematicamente registradas e analisadas, sendo os dados apresentados de forma narrativa e tabular, de modo que atendam ao objetivo proposto

OBJECTIVE: to map the factors associated with nurses' positive attitudes toward the families of patients cared for in different healthcare settings reported by studies adopting the Families' Importance in Nursing Care ­ Nurses' Attitudes and/or Family Nursing Practice Scale. METHOD: scoping review protocol developed according to the guidelines provided by the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) and the steps proposed by the Joanna Briggs Institute (JBI). Three independent reviewers will identify the documents in the following databases: PUBMED/Medline, LILACS, BVS, PsycInfo, Academic Google, SCOPUS, and CINAHL, using the instruments' titles and/or their acronyms located in the documents' titles and/or abstracts. The primary studies' references will also be consulted. After applying eligibility criteria, relevant information will be systematically recorded and analyzed. Finally, the results will be described and tabulated to meet the objective proposed.

OBJETIVO: mapear, en estudios que utilizaron el Families' Importance in Nursing Care ­ Nurses' Attitudes y/o el Family Nursing Practice Scale, los factores asociados a la actitud positiva de los enfermeros en relación a las familias de los pacientes, en distintos escenarios del cuidado. MÉTODO: protocolo de scoping review, elaborado conforme a las recomendaciones del Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR), que seguirá las etapas preconizadas por el Joanna Briggs Institute (JBI). Los documentos serán identificados, por tres revisores independientes, en las bases de datos: PUBMED/Medline; LILACS; BVS; PsycInfo; Google Académico; SCOPUS y CINAHL, utilizando los títulos de los instrumentos y sus siglas, que serán localizados por el título y/o resumen de los artículos. Las referencias, de los estudios primarios incluidos, también serán consultadas. Después de la aplicación de los criterios de elegibilidad, las informaciones pertinentes serán sistemáticamente registradas y analizadas; los datos serán presentados de forma narrativa y tabular, de modo que atiendan al objetivo propuesto.

Humanos , Relações Profissional-Família , Conhecimentos, Atitudes e Prática em Saúde , Enfermagem Familiar , Cuidados de Enfermagem
Acta sci., Health sci ; 44: e58112, Jan. 14, 2022.
Artigo em Inglês | LILACS | ID: biblio-1363999


Objective: to understand the perception and performance of the Nursing team in a hospital emergency service in the care of patients after attempting suicide. Methods: exploratorystudy, with a qualitative approach, carried out through semi-structured interviews with Nursing professionals who work in an Emergency Service. The interviews were transcribed and analyzed as to their content following Bardin's thematic model. Results: seven nurses and four Nursing technicians participated in the study, with an average age of 36 years, most of them female. Suicide attempts are often associated with 'psychic pain' that is opposed to the principles of life preservation; such an attitude has caused suicidal behavior to be misinterpreted by health professionals. Conclusion: most professionals demonstrated a stereotyped 'pre-concept' and full of taboos about patients who attempted suicide, which triggered a service more directed to physical needs and protocol formalities. Few professionals reported carrying out holistic and empathic care, which is so necessary for these people. In this sense, the importance and urgency of training the team in the identification of suicide risks and in the continuity of treatment of surviving individuals is emphasized.

Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Tentativa de Suicídio/psicologia , Cuidados de Enfermagem/psicologia , Equipe de Enfermagem/organização & administração , Dor/psicologia , Pacientes/psicologia , Religião , Suicídio/psicologia , Saúde Mental , Enfermagem em Emergência/ética , Morte , Necessidades e Demandas de Serviços de Saúde , Hospitais de Emergência/provisão & distribuição , Enfermeiras e Enfermeiros/psicologia
ANS Adv Nurs Sci ; 45(1): E1-E14, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-34267047


This study aimed to explore the experiences of patients, relatives, and health professionals about family presence during emergency care. In this grounded theory, 42 participants were interviewed from October 2016 to February 2017 in 2 Brazilian emergency rooms. Data collection and analysis were based on the constant comparative method. Findings identified that there is a social meaning about family presence during emergency care, which is conditioned, sporadic, and variable, and health professionals are responsible for the decision. The implementation of family systems care in emergency rooms is required to meet the needs of both patients and families. A Supplemental Digital Content video abstract is available at

Serviços Médicos de Emergência , Pessoal de Saúde , Coleta de Dados , Família , Teoria Fundamentada , Humanos , Projetos de Pesquisa
Rev. baiana enferm ; 36: e43380, 2022. tab, graf
Artigo em Inglês | LILACS, BDENF - Enfermagem | ID: biblio-1376446


Objective: to evaluate the effects of supported self-care developed by nurses on knowledge related to disease, self-care, psychological adjustment and self-efficacy of men with type 2 Diabetes Mellitus. Method: randomized clinical trial (REBEC: RBR-46zk89; ClinicalTrials: NCT02974413), which involved ten clusters, 73 men aged 40 to 70 years, with Type 2 Diabetes Mellitus, distributed in the Intervention (n=30) and Control (n=43) groups. Intervention performed individually or in groups. Generalized Estimator equations were used for intra- and intergroup comparisons. Results: statistically significant effect was only observed in relation to increased knowledge about the disease (p<0.001), especially in individual participation (p=0.005). Regarding the type of participation, in a non-significant way, better psychological adjustment and self-care for the participants of the group intervention. Conclusion: the self-care supported by nurses improved the knowledge of men with type 2 Diabetes Mellitus and, in a non-significant way, promoted psychological adjustment and self-care in-group participation.

Objetivo: evaluar los efectos del autocuidado apoyado desarrollado por las enfermeras sobre el conocimiento relacionado con la enfermedad, el autocuidado, el ajuste psicológico y la autoeficacia de los hombres con Diabetes Mellitus tipo 2. Método: ensayo clínico aleatorizado (REBEC: RBR-46zk89; ClinicalTrials: NCT02974413), que involucró a diez clusters, 73 hombres de 40 a 70 años, con Diabetes Mellitus Tipo 2, distribuidos en los grupos de Intervención (n=30) y Control (n=43). Intervención realizada individualmente o en grupos. Se utilizaron ecuaciones de estimación generalizada para las comparaciones intra e intergrupales. Resultados: sólo se observó efecto estadísticamente significativo en relación con un mayor conocimiento sobre la enfermedad (p<0,001), especialmente en la participación individual (p=0,005). En cuanto al tipo de participación, se evidenció, de manera no significativa, un mejor ajuste psicológico y autocuidado para los participantes de la intervención grupal. Conclusión: el autocuidado apoyado por enfermeras mejoró el conocimiento de los hombres con Diabetes Mellitus tipo 2 y, de manera no significativa, promovió el ajuste psicológico y el autocuidado en la participación grupal.

Objetivo: avaliar os efeitos do autocuidado apoiado desenvolvido por enfermeiros sobre o conhecimento referente à doença, autocuidado, ajustamento psicológico e autoeficácia de homens com Diabetes Mellitus tipo 2. Método: ensaio clínico randomizado (REBEC: RBR-46zk89; ClinicalTrials: NCT02974413), que envolveu dez clusters, 73 homens de 40 a 70 anos, com Diabetes Mellitus tipo 2, distribuídos nos Grupos Intervenção (n=30) e Controle (n=43). Intervenção realizada individualmente ou em grupo. Utilizaram-se Equações de Estimações Generalizadas para comparações intra e intergrupos. Resultados: efeito estatisticamente significante só foi observado em relação ao aumento do conhecimento sobre a doença (p<0,001), especialmente na participação individual (p=0,005). Referente ao tipo de participação, evidenciou-se, de forma não significante, melhor ajustamento psicológico e autocuidado para os participantes da intervenção em grupo. Conclusão: o autocuidado apoiado por enfermeiro melhorou o conhecimento de homens com Diabetes Mellitus tipo 2 e, de forma não significante, promoveu ajustamento psicológico e autocuidado na participação em grupo.

Humanos , Masculino , Adulto , Pessoa de Meia-Idade , Idoso , Autocuidado , Diabetes Mellitus , Saúde do Homem , Cuidados de Enfermagem , Atenção Primária à Saúde
Acta Paul. Enferm. (Online) ; 35: eAPE039015634, 2022. tab, graf
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1374007


Resumo Objetivo Apreender como enfermeiros da Estratégia Saúde da Família (ESF) percebem uma intervenção educativa sobre competências gerenciais. Métodos Pesquisa qualitativa compreensiva do tipo intervenção, operacionalizada em seis encontros semanais. Participaram 14 enfermeiros que trabalhavam em equipes da ESF de um município da região Sul do Brasil. Os dados foram coletados após o término da intervenção, mediante a realização de grupo focal e analisados de acordo com os pressupostos da Teoria Fundamentada nos Dados. Resultados No componente consequências do modelo paradigmático da Teoria Fundamentada nos Dados emergiu a categoria: "Aprimorando competências gerenciais entre enfermeiros da ESF", sustentada por duas subcategorias: Potencialidades da intervenção para o aprimoramento de competências gerenciais e Benefícios da intervenção sobre competências gerenciais no trabalho dos enfermeiros. Conclusão Os enfermeiros perceberam a intervenção educativa como importante estratégia de educação permanente para aprimoramento de suas competências gerenciais, avaliaram positivamente a metodologia escolhida e os conteúdos trabalhados, considerando a sua aplicabilidade no contexto da prática profissional.

Resumen Objetivo Comprender de qué forma enfermeros de la Estrategia Salud de la Familia (ESF) perciben una intervención educativa sobre competencias administrativas, Métodos Estudio cualitativo comprensivo tipo intervención, realizado en seis encuentros semanales. Participaron 14 enfermeros que trabajaban en equipos de la ESF de un municipio de la región sur de Brasil. Los datos fueron recopilados después de finalizar la intervención, mediante la realización de un grupo focal y analizados de acuerdo con los presupuestos de la teoría fundamentada en los datos. Resultados En el componente consecuencias del modelo paradigmático de la teoría fundamentada en los datos, surgió la categoría "Perfeccionando competencias administrativas entre enfermeros de la ESF", basada en dos subcategorías: Potencialidad de la intervención para el perfeccionamiento de competencias administrativas y Beneficios de la intervención sobre competencias administrativas en el trabajo de los enfermeros. Conclusión Los enfermeros percibieron la intervención educativa como una importante estrategia de educación permanente para el perfeccionamiento de sus competencias administrativas, evaluaron de forma positiva la metodología escogida y los contenidos trabajados, y fue considerada aplicable en el contexto de la práctica profesional.

Abstract Objective To learn how nurses from Family Health Strategy (FHS) perceive an educational intervention on managerial skills. Methods This is a comprehensive qualitative intervention research, carried out in six weekly meetings. Fourteen nurses who worked in FHS teams from a municipality in the southern region of Brazil participated. Data were collected after the end of intervention, through a focus group and analyzed according to the Grounded Theory assumptions. Results In the component consequences of the paradigm model of Grounded Theory, the category "Improving managerial skills among FHS nurses" emerged, supported by the subcategories "Potentials of intervention to improve managerial skills" and "Benefits of intervention on managerial skills in nurses' work". Conclusion Nurses perceived the educational intervention as an important continuing education strategy to improve their managerial skills, positively assessed the chosen methodology and the contents worked, considering its applicability in the context of professional practice.

Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Competência Profissional , Estratégias de Saúde Nacionais , Gestão em Saúde , Papel do Profissional de Enfermagem , Educação Continuada em Enfermagem , Liderança , Atenção à Saúde , Pesquisa Qualitativa