Rev Enferm [keywords]
- The experience of grandmothers of children with cancer. [JOURNAL ARTICLE]
- Rev Bras Enferm 2016 Jun; 69(3):559-565.
to understand, from grandmothers' perspectives, the experience of having a grandchild with cancer.qualitative study, guided by philosophical hermeneutics. Eight grandmothers of children who had finished an oncology treatment participated in this study. Data were collected through interviews, which were recorded, transcribed, and analyzed according to the principles of hermeneutics.the grandmothers underwent an experience of multiplied, silent, transformative, and permanent suffering. They believe it is their role to be present, but they recognize their adult children's independence and self-determination. Grandmothers highlighted that their experience has been very little accessed and considered by health care professionals.we recommend including grandparents in the context of care and in additional research.
- Knowledge of healthcare professionals on the evaluation and treatment of neonatal pain. [JOURNAL ARTICLE]
- Rev Bras Enferm 2016 Jun; 69(3):552-558.
to identify knowledge of healthcare professionals on the management, evaluation and treatment of pain in a neonatal unit in a municipality of Rio de Janeiro.descriptive, exploratory study with quantitative analysis. Data were analyzed using the software R. Core Team Results: of the 96 healthcare professionals who participated in the study, 42 nursing aides/technicians responded, along with 22 nurses, 20 physicians and 2 physical therapists. The results showed that 40.5% of the nursing aides/technicians, 50% of the physicians and 50% of the physical therapists confirmed that they coordinate/perform/assist in the care of babies' pain while performing procedures (lumbar puncture, chest tube insertion and central line). There was a significant difference of agreement in relation to the nursing aides/technicians and physicians. Most (69.8%) of the healthcare professionals knew of some non-pharmacological measure effective for relief of acute pain.there is a need for an educational intervention program, with participation of those involved, in the process to change professional practice.
- Moments for hand hygiene in Material and Sterilization Center. [JOURNAL ARTICLE]
- Rev Bras Enferm 2016 Jun; 69(3):546-551.
to characterize the moments when there is a need for hand hygiene (HH) by employees who work in Material and Sterilization Center (MSC).we conducted a descriptive cross-sectional study in the MSC of a large hospital, from July to November 2012, in Goiânia, state of Goiás, Brazil. Data obtained through observation of workers, following a previously evaluated and tested checklist.to the dirty area, standardized moments of HH were enough. In the clean area, "Extra moments with indication" for HH, resulting from the work process, such as: after disinfecting benches, after verification and inventory of consigned products, before assembling boxes/trays, before loading and unloading the autoclave, before handling and distributing health care products, among others, were necessary.the moments of HH in the dirty area coincide with indications of the clinical practice; and, in the clean area, characteristic moments of the work process were captured.
- The experience of family care in transitional support houses. [JOURNAL ARTICLE]
- Rev Bras Enferm 2016 Jun; 69(3):538-545.
to present the theoretical model that represents the experience of care in transitional homes of support to families of children in a period of post-transplantation of hematopoietic stem cells.grounded theory, performed with 18 participants from three different samples. For analysis, we used the QSR Nvivo10 software.we elaborated four categories: living in the transitional support home; experiencing care of children in post-transplantation of hematopoietic stem cells; taking care of the family caregiver; and returning to a new life at home, which interrelate according to the theoretical code of the interactive family.this research contributes to understanding the experience of care in transitional support homes of families with children in post-transplantation of hematopoietic stem cells and subsidizes nursing and health actions provided to this population; it also contributes to the development of a hospital discharge guidance and care directed to this clientele.
- Social representations of nurses on tuberculosis. [JOURNAL ARTICLE]
- Rev Bras Enferm 2016 Jun; 69(3):532-537.
to describe the social representation of nurses on tuberculosis and identify the implications on nursing care.qualitative research with the participation of 52 nurses from 23 Basic Health Units of Belém, Pará. A semi-structured interview was conducted with subsequent analysis of the thematic content according to the Theory of Social Representations.the social representations of tuberculosis were organized into two categories: infection, evidencing the clinical-epidemiological aspects of the disease, and stigma and prejudice, representing the social aspect. Care is affected by fear - a fact that explains the distance adopted by some nurses when handling ill people.the social representations of nurses on tuberculosis remain grounded in fear, leading professionals to keep a certain distance from patients and generating stigma and prejudice, which may affect adherence to treatment.
- Health care for children and adolescents with HIV: a comparison of services. [JOURNAL ARTICLE]
- Rev Bras Enferm 2016 Jun; 69(3):522-531.
compare the quality of different types of health care for children and adolescents with HIV, in the experience of family members and caregivers.a cross-sectional study was conducted with 71 family members and caregivers, using the children's version of the Primary Care Assessment Tool (PCATool-Brazil). The Mann-Whitney or Student's t-test and Pearson's chi-square or Fisher's exact test were used for the analysis.primary care services and, predominantly, specialized HIV services, were identified as the regular health care sources. There were no significant differences in quality, since their scores were close to the ideal level.the attributes of these services need to be improved, which would entail reformulating their structural and performance aspects. In addition, it is imperative to recognize primary health care as an integral place for promoting the health of children and adolescents with HIV.
- Nursing care in Specialized HIV/Aids Outpatient Services. [JOURNAL ARTICLE]
- Rev Bras Enferm 2016 Jun; 69(3):515-521.
to analyze the discourses about the care provided by nurses operating in Specialized HIV/Aids Outpatient Services in four public institutions of the city of Fortaleza, Ceará, Brazil.descriptive and exploratory study with a qualitative approach, which used as a method the discourse analysis.when titling the "care as negative", such title came from the analogy proposed by Freud (1912) with the photographic negative, represented by what that care can configure from the unconscious movement, since nurses did not perceive themselves in the care actions developed by supporting the work of other occupational categories, contributing to maintain the ideology of biomedicine.it is necessary to justify and theorize a nursing clinical practice from epistemological issues of the profession, in such a way that nurses can understand their relevance within the care provided.
- Notification of health problems among nursing workers in university hospitals. [JOURNAL ARTICLE]
- Rev Bras Enferm 2016 Jun; 69(3):507-514.
to identify the health problems of nursing workers and describe their consequences.an epidemiological, descriptive study with a quantitative approach. The survey was conducted through the Health Monitoring System for Nursing Workers (SIMOSTE) in three university hospitals in São Paulo within a 12-month period.a total of 970 records related to health problems were identified; most of these were related to sick leave, occupational accidents with leave, absences, and occupational accidents without leave, with a predominance of musculoskeletal and respiratory system diseases, infectious and parasitic diseases, and nervous system diseases, among others. A total of 4,161 days of work were lost because of the mentioned health problems.the results evidence the need to propose preventive strategies to mitigate and reduce health problems in nursing workers.
- Association between self-care and hospital readmissions of patients with heart failure. [JOURNAL ARTICLE]
- Rev Bras Enferm 2016 Jun; 69(3):500-506.
to assess the association between self-care and the number of hospital readmissions of patients with heart failure (ADHF) and test the applicability of two self-care assessment tools. longitudinal study, performed in a cardiology reference hospital in southern Brazil.it included 82 patients with a mean age of 61.85±12.33 years, 57.3% male. The mean score of self-care assessment found the scales European Heart Failure Self-care Behavior Scale and Self-care Scale for Patients with Heart Failure was unsatisfactory.it was observed an average of 2.57±1.66 rehospitalization last year for decompensated heart failure. There was a correlation between self-care scores with the number of hospital readmissions for decompensated HF. Education and age were associated to self-care of HF patients.both scales assess self-care in a relevant way, and correlated their indexes.
- Knowledge management in Portuguese healthcare institutions. [JOURNAL ARTICLE]
- Rev Bras Enferm 2016 Jun; 69(3):492-499.
Knowledge management imposes itself as a pressing need for the organizations of several sectors of the economy, including healthcare.to evaluate the perception of healthcare institution collaborators in relation to knowledge management in the institution where they operate and analyze the existence of differences in this perception, based on the institution's management model.a study conducted in a sample consisting of 671 collaborators from 10 Portuguese healthcare institutions with different models of management. In order to assess the knowledge management perception, we used a score designed from and based on items from the scores available in the literature.the perception of moderate knowledge management on the healthcare institutions and the statistically significant differences in knowledge management perception were evidenced in each management model.management knowledge takes place in healthcare institutions, and the current management model determines the way staff at these institutions manage their knowledge.