Rev Enferm UFPI

Social representations of pregnant women about pregnancy during prenatal care

qui, 25 jan 2024 00:00:00 +0000

Objective: To understand the social representations of pregnant women about pregnancy during the prenatal period. Methods: A qualitative study, guided by the theoretical assumptions of the Social and Methodological Representations of the Convergent Care Research, carried out with 11 pregnant women accompanied by the family health strategy, after approval by the Ethics Committee. For data collection, an in-depth individual interview and the convergence group method were carried out during September to November 2016. The data obtained was subjected to content analysis. Results: Data analysis resulted in two categories: discovery of pregnancy and; pregnancy as a state of change. It was evident that representations of pregnancy are anchored in the realization of the dream and in the religious belief that involves motherhood, as well as in the family constitution and increased sense of responsibility. Final considerations: It is understood from the study that pregnancy, even causing physical, psychological and social changes, is something expected by women and that generates multiple feelings and causes changes.

Predictive validity of the EVARUCI scale for intensive care patients

Larissa Milena Carvalho Gomes , Vitória de Barros Siqueira — sáb, 17 fev 2024 00:00:00 +0000

Objective: To evaluate the predictive validity of the EVARUCI scale for intensive care patients. Methods: This is a retrospective longitudinal study with secondary data carried out in a reference ICU in neurology and trauma-orthopedics. The study population consisted of all users who were admitted to the ICU between January and December 2020, excluding those with a length of stay of less than 48 hours, and those who died as an outcome. Data were collected regarding admission, the first 48 hours of hospitalization and discharge. Results: The profile found was of young men, victims of external causes. The incidence of PI was 18.9%, higher EVARUCI scores were recorded on admission. The sensitivity of the test was 90.9% and 72.73%, the specificity was 16.9% and 48.9%, the positive predictive validity was 20.27% and 24.74%, and the negative validity was 88.89% and 88.46% at admission and first 48 hours, respectively. Conclusion: The scale was unable to satisfactorily predict high risk. However, it was satisfactory to predict the low risk for PI, patients who scored less than 10 on the scale were less likely to develop the lesions.

Academic-professional trajectory of black nurses in a teaching hospital

sex, 05 abr 2024 00:00:00 +0000

Objective: To know the academic-professional trajectory of black nurses in a teaching hospital. Methods: Qualitative, exploratory and descriptive study carried out at the Teaching Hospital of the Federal University of Pelotas, Rio Grande do Sul, Brazil. The participants were five self-declared black nurses, aged between 35 and 47 years, graduated nine to twenty years ago, working in the aforementioned teaching hospital for five to six years. The interviews were conducted virtually from May to June 2022. The content produced was transcribed in full and treated through content analysis. The research followed all ethical principles. Results: Black nurses reported difficulties, mainly financial, which impacted the access and the possibility to continue in university education during training. In addition, they revealed situations of racism experienced in daily life, whether in structural, institutional forms or in the form of microaggressions. Despite this, they understand the importance of their protagonism in the anti-racist struggle. Conclusion: There is a need for more studies involving black women and nursing, the impact of racism on the mental health of black professionals, in addition to greater efforts to combat racism.

Obstetric violence as perceived by nursing students

Kamila Machado Correa, Josemar Batista, Suellen da Rocha Lage Moraes — sex, 05 abr 2024 00:00:00 +0000

Objective: To identify the perception of Nursing students about the understanding, causes, and prevention actions of obstetric violence. Method: A descriptive, exploratory, and qualitative study carried out at a private university center in Paraná. The data was collected from June to July 2022, using a semi-structured questionnaire for 10 Nursing students and submitted to thematic content analysis. Results: The following category emerged: knowledge of Nursing students about obstetric violence, made up of two subcategories: obstetric violence: concept, types, and understanding of the causes in the perception of Nursing students; and empowerment of women, active listening and training of health professionals to prevent practices that constitute obstetric violence. According to the interviewees, obstetric violence is characterized by abuse and mistreatment by health professionals, in its physical, verbal, moral, psychological, and sexual forms. Professional and structural issues were identified as the main causes, while professional training and women's empowerment were identified as factors for preventing the problem. Final considerations: The students understood the practices characterized as obstetric violence, were familiar with their main causes, and pointed to professional training and the need to provide women with preventive actions against this type of violence in obstetric services.

The performance of nurses: practices, potential and weaknesses in high-risk prenatal care

sáb, 17 fev 2024 00:00:00 +0000

Objective: To analyze the potential and weaknesses of nurses in the provision of high-risk prenatal care. Methods: Qualitative research, carried out with six nurses from the high-risk outpatient clinic of a reference maternity hospital in the municipality of Teresina, Piauí. Data were collected from February to March 2020 through semi-structured interviews and examined according to content analysis. Results: Nurses can provide high-risk prenatal care with emotional support, embracement and educational practices that directly impact maternal morbidity and mortality. The potentialities were the adequate physical space and the length of service in the institution and the fragility was the lack of nursing consultation. Conclusion: It was evidenced that nurses do not fully develop all the practices recommended by the Ministry of Health. Despite this, there is potential in the performance, namely, their acquired knowledge, and physical space, and the materials. These aspects facilitate the development of care practices that can promote a healthy birth and reduce maternal mortality. In addition, nurses aim for recognition and greater protagonism in specialized prenatal care.

Reduction in life activities after hospitalization for COVID-19 in intensive care units

sáb, 17 fev 2024 00:00:00 +0000

Objective: To verify the factors associated with reduction in life activities in patients 12 months after discharge from the COVID-19 ICU. Methods: This is a cross-sectional, analytical study with a quantitative approach, based on primary data from patients at the Hospital Universitário Regional dos Campos Gerais, Paraná, Brazil. The final sample consisted of 32 patients discharged from the ICU between March 2020 and March 2021. Results: There was statistical evidence of a difference between the means of the groups in the domains Life Activities (p= 0.0001) and Disability (p< 0.0001), confirming that the disabled group has a worse indicator of disability in this domain; as also occurs between the geometric means of the groups. Conclusion: The most prevalent factors associated with reduction in life activities were those involving the physical and psychological domains, directly influencing their recovery. In addition, future research could focus on specific intervention strategies to minimize the impact of these sequelae and improve rehabilitation in COVID-19 patients.

Health education for people living with HIV in partial virologic suppression: convergent care research

sáb, 17 fev 2024 00:00:00 +0000

Objective: To analyze the process of implementing health education for people living with HIV in partial viral suppression with a view to rescuing adherence to antiretroviral therapy. Methods: Convergent Care Research carried out with 13 HIV-infected people, with partial viral suppression. Through the stages of conception, instrumentation, scrutiny and analysis, the reasons for treatment failures were identified, health education was implemented and the process was analyzed with interviews and content analysis. The educational process took place with the support of educational technology: Educational Material on HIV (INPI: BR 10 2020 003765 0). Results: Treatment failures were due to the following reasons: side effects, prejudice, family problems, difficulty in accessing the health service and forgetfulness. Three categories emerged from the speeches after the intervention: 1- Awakening to the importance of the correct use of antiretroviral therapy; 2- Feelings arising from the educational process; 3- Knowledge and overcoming social stigmas. Conclusion: Educational technology, added to the choice of participatory research as a method, provided learning for all involved, making it possible to perceive the importance of strengthening the teaching-service bond, the use of dialogue in the context of collectivity and investigative convergence for care practice.

Sexual education in health: ways to empower women who have sex with women

qui, 25 jan 2024 00:00:00 +0000

Objective: To understand how health education on sexual health can contribute to the empowerment of women who have sex with women. Methods: This is a descriptive study with a qualitative approach, mediated by action research. It corresponds to the intervention stage, which was based on the situational diagnosis, the focus of another article. Results: Three educational actions were carried out with the study participants, with the aim of transforming the reality experienced by these women in terms of the obstacles encountered in promoting sexual health. Each intervention focused on problems found in the situational diagnosis, based on semi-structured interviews with seven university students. Conclusion: The promotion of sexual health education expands the role of women who have sex with women through the construction of knowledge, enabling them to be less susceptible to Sexually Transmitted Infections (STIs).

Psychoactive substances: consumption among workers from the mobile urgency care system

sáb, 17 fev 2024 00:00:00 +0000

Objective: To evaluate the consumption of psychoactive substances by health workers from the Mobile Urgency Care Service. Methods: A cross-sectional study conducted at a Public Health service located in a city in Piauí. Data collection took place from January to March 2019 by applying the following instruments in personal interviews: one with occupational, sociodemographic and economic characteristics; and the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST). The data were organized and processed in the Statistical Package for the Social Sciences (SPSS) software (version 19.0). Results: Of the 68 health professionals, 42 were male, with a mean age of 49.8 years old. Among them, 44 were married and 48 were Catholics. The most prevalent professional category was Nursing Technician, accounting for 46.2%. Among these workers, alcohol was the most used psychoactive substance (54 professionals), followed by tobacco consumption (25) and hypnotics (8). It is noted that tobacco was the substance most commonly used on a daily basis. Conclusion: Consumption of psychoactive substances among health professionals was evident and can be related to the pressure resulting from these positions. Attention is drawn to the importance of expanding this debate and addressing health workers' mental health.

(Survivig) living on the streets in times of the Covid-19 pandemic

sáb, 17 fev 2024 00:00:00 +0000

Objective: To understand the repercussions and ways of coping with Covid-19 in the daily lives of the homeless population. Method: Qualitative study, carried out in a capital of the Northeast of Brazil, from May to July 2021. Thirty-one people who are part of the homeless population participated through an interview. Data processing took place using the IRaMuTeQ 0.7 alpha 2 software, resulting in analyses: similarity, word cloud and dendrogram. Thematic analysis was used, according to Bardin. Results: From the discourse of the homeless population with Covid-19, it was observed in relation to health care: provision of aid in the pandemic period; fear of becoming ill by Covid-19 and acquisition of barrier measures; needs faced during the pandemic and implementation of hygiene measures. Living on the streets increased its vulnerability during the pandemic period, although in our study it was observed that health care gained potential through the availability of the office on the street, with its humanization of assistance and welcoming care. Conclusion: The impacts of Covid-19 on the ways of coping with HLP occurred in socio-emotional aspects, in the provision of prevention measures and social support.

Palliative care for people with neoplastic wounds: perceptions and practices of the nursing team

sáb, 17 fev 2024 00:00:00 +0000

Objective: To understand the perceptions and practices of the nursing team in assisting people in palliative care with neoplastic wounds. Method: A descriptive study with a qualitative approach, carried out with 12 nursing professionals working in a Level II High Complexity Oncology Hospital, located in the interior of Minas Gerais, Brazil, in 2022. Data was collected through semi-structured interviews and analyzed according to the method proposed by Bardin. Results: Three thematic categories emerged: Nursing care that transcends the management of neoplastic wounds; The role of the nursing team in the assessment and care of neoplastic wounds; and Feelings that involve nursing professionals in the context of palliative care. Conclusion: It is essential to approach the person holistically. The management of neoplastic wounds has its own particularities, since pain is a symptom that usually accompanies the lesion, in addition to the odor and discomfort that the person and their family may feel. Palliative care is relevant to help manage the symptoms of these lesions. Workers often experience feelings such as anguish, fear, sadness and frustration.

Knowledge and practice of primary care nurses about autism spectrum disorder

sáb, 17 fev 2024 00:00:00 +0000

Objective: To evaluate the knowledge and practice of nurses from primary health care units about autism spectrum disorder. Method: Cross-sectional, quantitative study with 42 primary care nurses from Teresina, Piauí. A questionnaire on professional characteristics and knowledge was used. Simple frequency analyses and associations between variables were performed, adopting a maximum likelihood test with p‹0.05. Results: There was a predominance of nurses aged 23 to 72 years, female (95.2%) and with more than ten years of experience (78.6%). Most (95.2%) reported insufficient knowledge during the graduation, 88.1% assisted or suspected of children with characteristics of autism spectrum disorder in childcare consultations, 85.7% did not know screening instruments and none received training from the service. Medium level of knowledge (66.7%) prevailed, but with deficits in content on characteristics and etiology. There was a statistically significant association between level of knowledge and age group (p=0.033). Conclusion: There is a need for appropriate undergraduate training and continuing education for professionals.

Breastfeeding in primary health care: weaknesses and potentialities of nursing care

sex, 05 abr 2024 00:00:00 +0000

Objective: To identify the weaknesses and potentialities of nursing care for breastfeeding in Primary Health Care (PHC). Methods: A qualitative study developed through workshops held in September 2021 with 43 nursing professionals. Results: Two categories emerged: “Weaknesses of breastfeeding nursing care in PHC” and “Potentialities of breastfeeding nursing care in PHC”. Weaknesses permeate the discourse, which is often not in line with the reality of the postpartum period, lack of theoretical and practical knowledge, cultural influences, short maternity and paternity leave, shortage of professionals, absence of meetings, inappropriate physical space, limited time for care, failure to address the issue and lack of training. Presented as potentialities are the availability of professionals for guidance in different environments, the work of community health agents, the existence of the Women’s, Children’s and Adolescents’ Health Center, the Municipal Breastfeeding Support Network, the use of technology and encouraging the participation of partners from prenatal to postpartum. Conclusion: It is necessary to consider the weaknesses identified in order to develop improvement actions focused on increasing breastfeeding indices. As for the strengths, they reflect successful practices that can support and guide other nursing services.

Educational technology for pregnant women on rapid HIV testing: validation study

sex, 05 abr 2024 00:00:00 +0000

Objective: To describe the process of validating a booklet for pregnant women on the rapid test for the Human Immunodeficiency Virus. Method: Methodological research with a quantitative approach, with an emphasis on content and appearance validation. Data collection took place between January and August 2020, with the application of two online questionnaires, one for 14 health judges and the other for four judges from other areas. Descriptive statistics were used to obtain the Content Validity Index (minimum 0.7) and the Suitability Assessment of Materials score (minimum ten points). Results: The Content Validity Index was 0.8 and the SAM score was 25.25. Conclusion: The booklet was considered adequate in terms of content and appearance, and can mediate educational actions with pregnant women on rapid HIV testing.

Mortality due to cervical cancer in a capital of the brazilian Amazon

sáb, 17 fev 2024 00:00:00 +0000

Objective: To analyze mortality from cervical cancer in the city of Belém-Pará-Brazil. Methods: Epidemiological, cross-sectional, descriptive study with data on mortality from cervical cancer for the period 2013-2020, obtained from the Mortality Information System and made available by the Pará State Department of Public Health. All reported deaths of women living in the municipality of Belém were included. Data were obtained in June 2022. A descriptive analysis of the socio-epidemiological profile was carried out; mortality rates were calculated according to the year of occurrence; and trend analysis was performed using simple linear regression. Results: A total of 695 deaths were analyzed, with the highest proportion identified in women aged between 50 and 69 years old (43%; n=149), housewives (59%; n=410), single women (39.9%; n=277) and low education, proportionally. The rates were high and tended to increase in the series studied. The period 2015-2017 stands out as the most significant indices. Conclusion: The evidence obtained points to a higher proportion of deaths from CC among women with low education, housewives, single women, aged between 50 and 69 years old. The findings suggest improving actions to promote women's health and prevent cervical cancer, with improvements in screening actions for the disease.

Nursing diagnoses of patients with heart failure: a scoping review

Alyne Santos Borges, Paola Pugian Jardim, Ana Carla Dantas Cavalcanti — sex, 05 abr 2024 00:00:00 +0000

Objective: To map the nursing diagnoses of patients with heart failure. Methods: A scoping review, using the Joanna Briggs Institute approach. Studies describing nursing diagnoses of patients with heart failure in health services were included. Twelve databases/directories were used to search for publications. Results: Forty-two nursing diagnoses were mapped in 40 studies included in the qualitative synthesis. Conclusion: The most researched nursing diagnoses were: decreased cardiac output; excessive fluid volume; activity intolerance; and fatigue.

Characteristics of self-medication assessment instruments in Brazil: an integrative review

sex, 05 abr 2024 00:00:00 +0000

Objective: To describe the characteristics of self-medication assessment instruments with evidence of validity in Brazil. Methods: An integrative review, without temporal delimitation, with collection in the LILACS, Scopus, PubMed, MEDLINE and Web of Science databases. Ten studies related to five instruments were included. Results: The most convergent domains were sociodemographic aspects, self-medication practice, reasons, medications used and recommendation/sources. Self-medication was assessed by only one instrument with evidence of validity, but it was multidimensional, making its application difficult. The instruments showed good reliability indices, however, of the five, one did not measure reliability. The good psychometric properties of the self-medication and temporomandibular pain instrument stand out (Kappa: 0.810, Cronbach’s alpha: 0.844). Conclusion: The different instruments analyzed present limitations in evidence of validity, showing the need to develop an instrument focused on self-medication that is reliable and valid.

Characteristics of children and adolescents with gender dysphoria for their health care: scoping review

qui, 25 jan 2024 00:00:00 +0000

Objective: To identify the demographic and psychosocial characteristics of children and adolescents with gender dysphoria and of the health professionals involved in their care. Methods: Scoping review according to PRISMA-ScR with the databases Web of Science, Science Direct, Scopus, Virtual Health Library and Pubmed, using the descriptors: children, adolescents, gender dysphoria, pediatrics and health professionals. Inclusion criteria: primary and secondary research on gender dysphoria and sexual diversity in health care, with students or health professionals. Exclusion criteria: adult population, other context of health care, treatments, comorbidities and gray publication. Fifteen articles were included. Results: Children present with dysphoria around 6 years of age, with late diagnosis and treatment. They have a greater tendency toward mental health problems such as anxiety, depression and eating disorders, and family support is crucial. Health professionals have low undergraduate training, scarce continuous training and multidisciplinary work. Conclusion: It is necessary to incorporate subjects on diversity, gender identity and dysphoria into the training of health professionals, as well as continuous training with tools that allow a comprehensive approach, increasing confidence and security in the provider-patient relationship, in order to improve the well-being of children.

School as a space for nursing: a review of health literacy

sex, 05 abr 2024 00:00:00 +0000

Objective: To understand the role of school nursing in the context of child and adolescent health literacy. Methods: An integrative review using the Web of Science, MEDLINE/Pubmed, Scopus, Cinahl, Virtual Health Library databases, and search terms related to child and adolescent health, health literacy, and school nursing. No time or language limits were considered. Results: 419 articles were identified and, after excluding duplicates and applying the eligibility criteria, seven articles made up the final sample, none of them developed in Brazil. Despite being a field of research that is still little studied, the results revealed the positive impact of nursing in the school context in promoting physical and mental health literacy, preventing preventable illnesses, and managing chronic non-communicable diseases. This evidence leads to reflections on the recognition of school nursing in Brazil. Conclusion: Nurses are references in the implementation of health literacy programs and in the construction of health literate organizations. In the Brazilian context, there is an urgent need to expand the training of nurses trained to work in schools.

Effective communication in nursing shift handover: scoping review

sex, 05 abr 2024 00:00:00 +0000

Objective: To map available scientific evidence regarding effective communication during the shift handover in nursing. Methods: Scoping review based on the research question "What scientific evidence is available about effective communication in the safe shift handover in nursing?" The selection of studies took place in November 2023, with searches in the MEDLINE, Embase, Web of Science and LILACS databases, Google Scholar screening and manual search in the references of the documents that were part of the sample, with time lapse from 2004, without language restriction. The evaluation was conducted using the data reduction method. Results: The study identified several barriers in communication during the shift handover of the nursing team, including diversification in documentation and lack of privacy. Errors such as omission of information and lack of time were highlighted. Effective strategies involve early preparation, face-to-face communication, an enabling environment, and the inclusion of the patients in the process. Conclusion: The available scientific evidence on effective communication during safe shift handover in nursing was mapped. The study revealed challenges in nursing communication during the shift handover, emphasizing the need for standardization, early preparation and patients’ involvement for better continuity in care.

A glance at the use of IRaMuTeQ® software in scientific research: a bibliometric study

qui, 25 jan 2024 00:00:00 +0000

Objective: To analyze and map the national and international scientific production on IRAMuTeQ^®use software in scientific research in health in the historical series from 2012 to August 2022. Methods: This is a descriptive bibliometric and scientometric research and exploratory. Collection was carried out in August 2022 through institutional online access to the CAPES Journals Portal, in the Scopus database (Elsevier). To guide the research, the keyword “IRaMuTeQ” was used. After the selection process of included studies, data set was saved in a single file in CSV Excel format and later exported to the VOSviewer^® software. Results: It was observed a greater number of articles on the topic in 2021 (127; 34.70%). In Brazil, there is the largest number of authors who publish using IRaMuTeQ^® (271; 74.04%). Social sciences and nursing are the two professional areas that most use the software in their articles. Of the 15 authors who most publish with IRaMuTeQ^®, 12 are Brazilian. Conclusion: IRaMuTeQ^® use assessment in scientific research allows us to point out the expressive role of Brazil in using this tool in scientific research.

Relevance of intersubjectivity for understanding the low self-esteem of nursing students

qui, 25 jan 2024 00:00:00 +0000

Objective: To reflect on the low self-esteem of nursing students in the light of the theoretical framework of the philosopher Alfred Schütz. Methods: This is a theoretical-reflective study, based on scientific literature and authorial experience as a research resource, developed from September to December 2020. Results: The self-esteem phenomenon can be seen through an intersubjective dimension, making it possible to understand the influence of life contexts (personal, social, professional) and academic experiences on the psychic illness of nursing students. Low self-esteem can impair academic performance, interpersonal relationships, and quality of life. And also cause self-destructive behavior, lower self-efficacy and abandonment of the course. Conclusion: Recognizing the intersubjectivity in this phenomenon enables the awakening and encouragement for discussions about the factors that affect psychological well-being and helps in the process of identifying the human responses of students with low self-esteem and planning comprehensive and holistic care.

Mental health in postgraduate programs: thoughts and perspectives on mental illness among the students

Márcia Astrês Fernandes, Amanda Alves de Alencar Ribeiro — qui, 25 jan 2024 00:00:00 +0000

Postgraduate education represents a path of important value in professional training and in the development of remarkable research and studies for the scientific community. For this purpose, postgraduate programs are permanently aiming to provide proper teaching qualification achieved through a joint collective effort made by coordinators, teachers and students, as well as partnerships with other national and international higher education institutions.

However, although the paths are generally prosperous, postgraduate programs also bring challenges and difficulties that may turn into obstacles in this experience. Recent research on mental health has highlighted the presence of symptoms related to depression, anxiety, or stress among postgraduate students. Although mental illness among master's and doctoral students is a complex and multifaceted phenomenon, some guiding questions can be highlighted to understand this scenario.

The numerous requirements demanded by the course and the intense dedication necessary to construct a research project combined with a multidimensional set of social, individual, economic and/or interpersonal factors have the potential to significantly impact the psycho-emotional balance of postgraduate students and can also be predictive factors for mental distress.

Furthermore, the continuous pressure to maintain a significant production of high-quality original research papers in journals of great scientific impact

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