Revista Brasileira de Enfermagem
ISSN / EISSN : 0034-7167 / 1984-0446
Published by: Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia (10.1590)
Total articles ≅ 6,036
Latest articles in this journal
Published: 16 July 2021
Revista Brasileira de Enfermagem, Volume 74Suppl 2; https://doi.org/10.1590/0034-7167-2020-1334
To analyze the correlation between the quality of life, depression, life satisfaction, and functional capacity in elderly people living with the Human Immunodeficiency Virus (HIV). A cross-sectional study developed in reference hospitals for treatment and follow-up of people with HIV. 241 elderly people participated by applying a questionnaire containing sociodemographic variables, the HIV/AIDS target quality of Life, the Barthel Index, the Life Satisfaction Scale, and the abbreviated version with 15 items of the Yesavage Geriatric Depression Scale. The analyses showed an inverse correlation between the dimensions of the HAT-Qol with depression, a positive correlation in the domain satisfaction with life, and statistically significant, but weak, with functionality. Depression impairs quality of life in all dimensions, while life satisfaction influences this aspect more positively than functional capacity. Quality of Life; Depression; Personal Satisfaction; Aged; HIV.
Revista Brasileira de Enfermagem, Volume 74; https://doi.org/10.1590/0034-7167-2021-0079
Objectives: to assess the effects of floral therapy in the face of factors that boost pain in the parturition process and its results in the duration of labor. Methods: this is a randomized, controlled and triple-blind clinical trial. We selected 164 pregnant women with gestational age ≥37 weeks, cervical dilation ≥4 cm, randomly divided into floral therapy and placebo group. Results: the Five Flower floral essence proved to be effective, considering the factors that boost pain in labor. Experimental Group did not show an increase in contractions, unlike Control Group, which presented an increase of one contraction for mothers in active phase and amniorrhexis. The Five Flower essence proved to be effective in reducing labor time by 1:30h from the beginning of the intervention at birth. Conclusions: floral therapy proved to be effective in pain management, reflecting positively in its brevity, qualifying its outcome.
Revista Brasileira de Enfermagem, Volume 74; https://doi.org/10.1590/0034-7167-2021-0032
Objectives: to validate, for the Portuguese population, the Clinical Decision-Making Nursing Scale© (CDMNS©). Methods: this methodological study involved 496 nursing students who filled in a questionnaire created using sociodemographic and academic data, and the scale to evaluate the making of decisions in nursing. Results: the confirmatory factorial analysis showed that the adjustment of the factorial structure has good quality, being made up by three factors (X2/gl = 2.056; GFI = 0.927; CFI = 0.917; RMSEA = 0.046; RMR = 0.039; SRMR = 0.050). For the scale to be reliable, it had to include only the reliability of the scale required it to be constituted by 23 items, with correlation values that varied from 0.184 and 0.610, and a global Cronbach's Alpha of 0.851, which showed its good reliability. Conclusions: the CDMNS-PT© is valid and reliable, showing a high potential to be used in clinical practice and investigation.
Revista Brasileira de Enfermagem, Volume 74; https://doi.org/10.1590/0034-7167-2020-1166
Objectives: to describe the available evidence on indications, complications, care and alternative strategies in the use of physical restraint in adult patients in Intensive Care Units. Methods: an integrative review conducted in the LILACS, Nursing Database, Índice Bibliográfico Español en Ciencias de la Salud, Scopus and CINAHL databases and the PubMed portal, in the period from June to August 2018. Results: the final selection was of 19 articles, from which the indications, complications, care and alternative strategies were extracted. The studies were conducted between the years 2003 and 2018, with a predominance of the United States; they were mostly classified (58%) in level 6 evidence, being performed by nurses, with multi-professional participation of psychologists, pharmacists, physicians, and nurses. Conclusions: the most common practices regarding physical restriction were described, and the need for the elaboration and implementation of protocols on intervention to support decision making was observed.
Revista Brasileira de Enfermagem, Volume 74; https://doi.org/10.1590/0034-7167-2020-1272
Objective: to analyze the association between sexuality and quality of life of Brazilian elderly residents in the community. Methods: a cross-sectional study conducted with 477 Brazilian elderly. The data were collected between August and October 2020. We used the EVASI and WHOQOL-OLD (World Health Organization Quality of Life). Data analysis was performed with Mann-Whitney, Spearman and Kruskal-Wallis correlation tests, with Bonferroni post-hoc application when necessary, considering a 95% confidence interval. Results: there was a statistical association between all dimensions of sexuality and the general quality of life of the elderly (p<0.05). Conclusion: the stimulation of sexuality can be configured as an innovative and holistic strategy focused on the promotion of health and active aging, since this study found the association between sexuality and the general quality of life of elderly people.
Revista Brasileira de Enfermagem, Volume 74; https://doi.org/10.1590/0034-7167-2019-0910
Objective: to report an experience using the Team-Based Learning methodology for the development of a standard model for Birth Plans by health professionals. Methods: experience report on the use of Team-Based Learning to develop care technology, with the participation of 120 professionals from two municipalities located in the Midwest Region. Results: the use of Team-Based Learning in this experience enabled the construction of a Child Delivery Plan model based on the theoretical approach to the theme, a critical reflection exercise, an in-depth discussion, decision-making, after what a consensus was reached. The methodology enabled the (co) construction of knowledge in small groups, teamwork, accountability, and satisfaction among the participants. Final Considerations: the use of the TeamBased Learning methodology proved to be effective as a discussion strategy, building consensus and syntheses for the elaboration of a care technology aimed at the pregnancy-parturition period.
Revista Brasileira de Enfermagem, Volume 74; https://doi.org/10.1590/0034-7167-2020-0869
Objectives: to assess the sustainability of the Breastfeeding-Friendly Primary Care Initiative by analyzing compliance with the Ten Steps in accredited units; and association with maternal satisfaction and exclusive breastfeeding. Methods: a cross-sectional study conducted in 2016. An assessment of compliance, conducted by interviews with health professionals, pregnant women, and mothers. An association between compliance and satisfaction, analyzed by Spearman›s correlation test; and association between contextual/individual characteristics and exclusive breastfeeding, by the multilevel Poisson regression. Results: compliance was 5.4-10 points and satisfaction was 36.8%-100%. Prevalence of exclusive breastfeeding was 56.7%. There was a correlation between compliance and satisfaction. Higher education, prenatal orientation, hospital discharge on exclusive breastfeeding, attendance in mixed units, and female gender of the child were associated with higher prevalence of exclusive breastfeeding; on the other hand, increasing age and pacifier use were associated with lower prevalence. Conclusions: the Initiative proved to be sustainable; compliance with the Ten Steps was high and was reflected in maternal satisfaction.
Revista Brasileira de Enfermagem, Volume 74; https://doi.org/10.1590/0034-7167-2020-1240
Objectives: to understand the meaning of aging for caregivers of senile elderly people. Methods: qualitative study carried out with 12 caregivers of elderly people registered in the Home Care Service, adopting the Explanatory Model of Kleinman’s Disease as a theoretical framework. Data were collected from April to June 2019, through semi-structured, audio-recorded interviews, carried out at home and submitted to content analysis. Results: taking care of senile elderly people triggers reflections on aging that sometimes lead to a new meaning of this process, besides stimulating the recognition of the factors that influence it, with emphasis on the life history, occupation and deleterious behaviors adopted throughout life. Final Considerations: the care experience influences the meaning attributed to aging, favoring: the identification of modifiable and non-modifiable aspects and behaviors that make it healthy; reflection on aging itself, with a new meaning of habits and behaviors to be adopted.
Revista Brasileira de Enfermagem, Volume 74; https://doi.org/10.1590/0034-7167-2020-0265
Objective: Identify the theoretical concepts that have been used in the context of nursing care for hospitalized children. Methods: Scoping review was carried out according to the PRISMA-ScR methodology. The research limitations included: primary studies dealing with the use of theoretical concepts of nursing in the provision of care to hospitalized children, access in full text, in Portuguese or English and published between 2000 and 2019. Research was carried out on grassroots platforms (EBSCOhost, PubMed, SciELO and Web of Science), gray literature and in the bibliography of selected articles. Results: 21 studies were found and 10 theoretical conceptions of nursing were identified, with family-centered care being the most used. Final considerations: The variability of the identified theoretical conceptions is emphasized, with no evidence to support the use of one in detriment of the other. A more integrative theoretical conception, which adds care centered both on the family and the child, emerges as a research trend.
Revista Brasileira de Enfermagem, Volume 74; https://doi.org/10.1590/0034-7167-2020-0401
Objective: to report the experience of a nursing student with mental health care during a clinical internship. Method: an experience report based on data from a Singular Therapeutic Project developed by a nursing student during 16 days of practice in a Day Hospital as part of an undergraduate course. The findings were analyzed based on the theory of interpersonal relationships and psychosocial rehabilitation. Results: the care process was organized between the weeks and phases of the relationship in: 1) from the unknown to relationship of trust; 2) reflections and reframing as a care proposal; 3) from limitation to leading role; 4) from care resolution to mutual transformations. Final considerations: it was concluded that despite the limitations of the practice context, the student was able to conduct psychosocial interventions in mental health in line with the expected goals and produce meanings in both involved.