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Knowledge, Attitude and Practice survey on healthy lifestyle in people with HIV HIV感染者健康生活方式知识、态度与行为调查
Pub Date : 2023-01-01 DOI: 10.1590/2177-9465-ean-2022-0082en
G. H. Cunha, Marina Soares Monteiro Fontenele, M. V. Lopes, Maria Amanda Correia Lima, M. Galvão, Maria Elisa Curado Gomes
Abstract Objective to develop and assess a Knowledge, Attitude and Practice survey on healthy lifestyle in people with human immunodeficiency virus. Method a development study, with the elaboration of survey through of an integrative review and analysis of the guidelines; content and appearance analysis by 22 expert judges; and semantic analysis by 22 outpatients. The proportion of positive assessments of the items was measured, considering a percentage equal to or greater than 85%. Results the survey had three domains and seven axes: chronic diseases in people with human immunodeficiency virus; body weight control; healthy eating; physical exercise; avoiding smoking, alcohol and illicit drugs; stress control/reduction; antiretroviral and other medication compliance. Knowledge and attitude domains had 10 questions, and practice domains had 11. In the assessment by expert judges, nurses, doctors and nutritionists participated, with positive agreement of items above 85%. Patients underwent semantic analysis, with 100% positive agreement in the domains. Conclusion and implications for practice the survey had adequate evidence of validity, to be used by nurses and other health professionals, to support care, educational strategies and research with people living with the human immunodeficiency virus.
摘要目的开展人体免疫缺陷病毒感染者健康生活方式知识、态度和行为调查。方法一是发展研究,结合调查的阐述,通过对指导方针的综合回顾和分析;22位专家评委对内容及外观进行分析;22个门诊病人的语义分析。测量对项目的积极评价的比例,考虑到百分比等于或大于85%。结果调查有3个领域和7个轴:人类免疫缺陷病毒感染者的慢性病;控制体重;健康饮食;体育锻炼;避免吸烟、酗酒和使用非法药物;应力控制/减少;抗逆转录病毒和其他药物依从性。知识和态度领域有10个问题,实践领域有11个问题。在专家评委的评估中,护士、医生和营养学家参与了评估,对项目的肯定度在85%以上。患者进行了语义分析,在域上100%的积极一致。结论和对实践的影响调查有充分的有效性证据,可供护士和其他保健专业人员使用,以支持对人体免疫缺陷病毒感染者的护理、教育战略和研究。
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引用次数: 0
Nursing team's perceptions on care for children and adolescents hospitalized with mental disorders 护理团队对精神障碍住院儿童及青少年护理的认知
Pub Date : 2023-01-01 DOI: 10.1590/2177-9465-ean-2022-0187en
Gabriela Morilhas Barbosa, Aldair Weber, Ana Paula Rigon Francischetti Garcia, Vanessa Pellegrino Toledo
Abstract Objective to know the perceptions of the nursing team about the care of hospitalized children and adolescents with mental disorders. Method social phenomenological qualitative study whose data collection was carried out with 12 members of the nursing teams by means of phenomenological interviews. Results “Reasons why” described in two categories: the perception of the nursing team in view of the care provided and actions and care of the nursing team of the child with mental disorders. “Reasons for” expressed in the category: the recovery of the child with mental disorder and his return home. Conclusions and Implications for practice The possibility of establishing a face-to-face relationship between the team, the family, and the child to apprehend the biographical situation and the body of knowledge of the subjects involved, and then understand their real needs and demands promotes comprehensive care. Through Alfred Schutz's social phenomenology, it brings as implications for practice the possibility of understanding the perception of the nursing staff about the relevance of the face-to-face relationship in caring for children and adolescents with mental disorders.
摘要目的了解护理团队对住院儿童和青少年精神障碍患者护理的认知。方法采用社会现象学的定性研究方法,对12名护理团队成员进行现象学访谈。结果“原因”分为两大类:护理团队对所提供护理的认知和护理团队对精神障碍患儿的行动和护理。“原因”在类别中表示:患有精神障碍的儿童康复并返回家中。在团队、家庭和儿童之间建立面对面的关系的可能性,以了解所涉及的受试者的传记情况和知识体系,从而了解他们的真实需求和需求,从而促进全面护理。通过Alfred Schutz的社会现象学,它为理解护理人员在照顾患有精神障碍的儿童和青少年时对面对面关系的相关性的感知提供了实践意义。
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引用次数: 0
Children and adolescents with special healthcare needs: care in home care services 有特殊保健需要的儿童和青少年:家庭护理服务
Pub Date : 2023-01-01 DOI: 10.1590/2177-9465-ean-2022-0160en
Amanda Marques Bezerra, Kadija Mohamad Ali El Akra, Renata Mello Barbosa de Oliveira, Fernanda Ribeiro Baptista Marques, Eliane Tastch Neves, B. Toso, Maria Angélica Marcheti
ABSTRACT Objective to describe the care provided to children with special health needs in the Home Care Services of the State of Mato Grosso do Sul - Brazil. Methods research, descriptive and exploratory. Study participants were professionals from home care services in Mato Grosso do Sul. Data collection took place through the application of two online forms, from 2019 to 2020, one containing descriptive data of the services and their care and the other for validation of the home care flow protocol for children. It was used for data analysis and descriptive statistics. Results there was a predominance of 25 children with brain flexibility. Most classified as complex average according to the complexity and demands of care. Professionals and guidelines, procedures, assessment are responsible for training the family. The services do not have a flow protocol for the care of children. Conclusion Implications for Practice Services Present ability to deliver care and use the care plan and single use, advances in child care and solutions may still be presented. There is a practice of elaborating flow protocols and organization proposals that help professionals in their.
目的描述在巴西南马托格罗索州的家庭护理服务中为有特殊健康需求的儿童提供的护理。方法研究,描述性和探索性。研究参与者是来自南马托格罗索州家庭护理服务的专业人员。从2019年到2020年,通过申请两份在线表格收集数据,其中一份包含服务及其护理的描述性数据,另一份用于验证儿童家庭护理流程协议。它被用于数据分析和描述性统计。结果25例患儿以脑柔韧为主。根据护理的复杂性和要求,大多数被分类为复杂平均。专业人员和指导方针、程序、评估负责培训家庭。这些服务机构没有一个照顾儿童的流程协议。结论对实践服务的启示目前提供护理和使用护理计划和单次使用的能力,儿童护理和解决方案的进展可能仍然存在。有一个详细阐述流程协议和组织建议的实践,可以帮助专业人员在他们的。
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引用次数: 1
Use of the WhatsApp® group in the post-discharge follow-up of the premature infant: implications for nursing care 在早产儿出院后随访中使用WhatsApp®组:对护理的影响
Pub Date : 2023-01-01 DOI: 10.1590/2177-9465-ean-2022-0205en
Heloisa Gasparini Marigheti Brassarola, Taison Regis Penariol Natarelli, L. M. Fonseca
Abstract Objective to analyze the use of the WhatsApp® application, as a technological tool, to help mothers in the post-discharge follow-up of their premature infant. Method a qualitative study conducted with 18 mothers of preterm infants who had been admitted to the neonatal units of a university hospital in the interior of São Paulo. Data were collected from July to November 2021 through messages left in a WhatsApp® group for the post-discharge follow-up of preterm infants. The messages were analyzed using Thematic Content Analysis. Results the WhatsApp® group had good acceptance and adhesion by the mothers, who were able to share their experiences, knowledge, and feelings. The main topics raised were: Breastfeeding the premature baby; Management of infant colic; Basic care of the premature baby at home; Experiences in the hospitalization of the premature baby; Challenges faced at home; Mothers' perception of the WhatsApp® group. Conclusion and implications for the practice the mothers showed insecurities and doubts about the basic care of the premature baby at home. The strategy of using the WhatsApp® application in the health monitoring of premature babies showed satisfactory results, favoring the continuity of care and support to mothers.
摘要目的分析使用WhatsApp®应用程序作为一种技术工具,帮助母亲对早产儿进行出院后随访。方法对圣保罗市内一所大学附属医院新生儿科收治的18名早产儿母亲进行定性研究。数据收集于2021年7月至11月,通过在WhatsApp®群组中留下的信息收集,用于早产儿出院后随访。使用主题内容分析对信息进行分析。结果WhatsApp®组具有良好的接受度和粘附性,妈妈们可以分享自己的经验、知识和感受。提出的主要议题是:母乳喂养早产儿;婴儿绞痛的处理;家中早产儿的基本护理;早产儿住院治疗的体会国内面临的挑战;母亲对WhatsApp®群组的看法。结论:母亲对家中早产儿基本护理存在不安全感和疑虑。在早产儿健康监测中使用WhatsApp®应用程序的策略显示了令人满意的结果,有利于对母亲的持续关怀和支持。
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引用次数: 0
Political activism of union chilean nurses: a grounded theory study 智利护士工会的政治行动主义:一个有根据的理论研究
Pub Date : 2023-01-01 DOI: 10.1590/2177-9465-ean-2022-0208en
Greys González González, Edith Rivas Riveros, Maggie Campillay Campillay
Abstract Objective To explain the political activism of professional nurses affiliated with Nursing union organizations in Chile, through a theory based on data. Method It is approached from the interpretive paradigm, qualitative methodology, and with a systematic Grounded Theory design of Strauss and Corbin. The sample corresponds to 14 nurses who actively participate in union organizations. Conducting in-depth interviews, with several rounds of data analysis and interpretation for conceptual refinement, following the TF trajectory: open, axial and selective phase. Results Four codes are obtained, with 16 subcodes, which are expressed in the selective phase, through the political activism central code, which maintains professional depoliticization as a causal, intervening and contextual condition, which develops as a consequence of political disinterest, as well as the professional defense that groups the strategies carried out or identified to maintain professional activism arises. Conclusions and implications for practice The theory highlights political activism as the central code, and reveals weak collective strategies to promote professional political participation. This opens up interesting lines of research, and challenges for the teaching and community work of nurses.
摘要目的通过基于数据的理论来解释智利护理工会组织附属专业护士的政治活动。方法从解释范式、定性方法论出发,采用Strauss和Corbin的系统扎根理论设计。样本对应于14名积极参与工会组织的护士。进行深度访谈,并进行多轮数据分析和解释,以完善概念,遵循TF轨迹:开放,轴向和选择阶段。结果通过政治行动主义中心代码,获得了四个代码,其中包含16个子代码,这些代码在选择阶段表达,政治行动主义中心代码将职业去政治化作为一种因果、干预和语境条件,作为政治不感兴趣的结果而发展,以及将实施或确定的维持职业行动主义的策略分组的专业辩护。该理论强调政治行动主义是核心准则,并揭示了促进职业政治参与的弱势集体策略。这为护士的教学和社区工作开辟了有趣的研究方向和挑战。
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引用次数: 0
Interprofessional education in teaching-service-community integration practices: perspectives of professors in the health area 教学-服务-社区整合实践中的跨专业教育:卫生领域教授的观点
Pub Date : 2023-01-01 DOI: 10.1590/2177-9465-ean-2022-0212en
Angélica Lucion Farinha, Fernanda Pires Jaeger, Mara Teixeira Caino Marchiori, Luciele Janner Budel, J. Colomé
Abstract Objective to know the challenges inherent to interprofessional education in teaching-service-community integration practices from the perspective of professors in the health area. Method a descriptive and exploratory study with a qualitative approach. Data collection took place between September and December 2021, in a Higher Education Institution from the central region of Rio Grande do Sul. The research participants were eleven professors who coordinate internships in the Collective Health scope. The data were submitted to Discursive Textual Analysis. Results as main challenges, the data pointed out the scarce integration moments, the restricted physical space in the services, some professionals' resistance to work in teams and the schedules of the academic practices. On the other hand, the programs that induce training for the Unified Health System and the existence of a Collective Health collegiate group proved to be strategies to promote interprofessional education. Conclusion it is concluded that interprofessional education still faces obstacles to its strengthening; however, there are already initiatives that demonstrate potential for teaching-service-community integration. Implications for the practice the study can contribute to identifying the challenges inherent to interprofessional education and, thus, enabling strategies in the context of training and work in health, from an interprofessional perspective.
摘要目的从卫生领域教授的角度,了解教学-服务-社区融合实践中跨专业教育面临的挑战。方法采用定性方法进行描述性、探索性研究。数据收集于2021年9月至12月期间在南大德州中部地区的一所高等教育机构进行。研究参与者是11位教授,他们负责协调集体健康领域的实习。数据提交给语篇分析。结果:研究结果表明,整合时间不足、服务空间受限、部分专业人员对团队合作的抗拒以及学术实践的时间安排等是主要挑战。另一方面,促进统一医疗体系培训的项目和集体医疗学院团体的存在被证明是促进跨专业教育的策略。结论跨专业教育的加强仍面临诸多障碍;然而,已经有一些倡议显示了教学-服务-社区整合的潜力。这项研究对实践的影响有助于从跨专业的角度确定跨专业教育所固有的挑战,从而确定在卫生培训和工作方面的扶持战略。
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引用次数: 0
Analysis of nursing professionals’ knowledge about pressure ulcer prevention: a cross-sectional study 护理专业人员预防压疮知识的横断面分析
Pub Date : 2023-01-01 DOI: 10.1590/2177-9465-ean-2022-0219en
Igor de Sousa Nóbrega, Tamires Paula Gomes Medeiros, Kalyne Araújo Bezerra, Emanuella de Castro Marcolino, Renata Clemente dos Santos-Rodrigues, Maria Cidney da Silva Soares
ABSTRACT Objectives to analyze and compare the level of knowledge about pressure ulcer prevention among nurses and nursing technicians who work in Intensive Care Units and nursing students in the last year of the course. Method a cross-sectional, descriptive-exploratory study with a quantitative approach, using the Pieper’s Pressure Ulcer Knowledge Test. Data were analyzed using the Statistical Package for Social Science, using descriptive and inferential statistics (ANOVA-One Way, Shapiro-Wilk normality test and assumption of homogeneity using Levene’s test). Results the research sample included 70 participants, being 22 nurses, 14 nursing technicians and 34 undergraduate nursing students. It was observed that only 22.7% of nurses, 7.1% of technicians and 0.0% of students reached the percentage of correct answers ≥ 90% recommended by the knowledge test. Conclusion and implications for practice the results found in this study made it possible to identify an insufficient level of knowledge and a mistaken perception of aptitude, related to the pressure ulcer prevention, among the study participants, with emphasis on technicians and undergraduates in nursing. Therefore, this research points to the need for educational actions aimed at training the aforementioned public.
【摘要】目的分析比较重症监护室护士、护理技师与护生最后一年对压疮预防知识的了解程度。方法:采用Pieper压疮知识测试,采用定量方法进行横断面描述性探索性研究。使用社会科学统计软件包(Statistical Package for Social Science)对数据进行分析,采用描述性统计和推理统计(ANOVA-One Way、Shapiro-Wilk正态检验和采用Levene检验的同质性假设)。结果共纳入70人,其中护士22人,护理技师14人,本科护生34人。结果发现,仅有22.7%的护士、7.1%的技术人员和0.0%的学生达到知识测验推荐的正确率≥90%。结论和实践意义本研究发现的结果可以确定研究参与者中与压疮预防相关的知识水平不足和对能力的错误认识,重点是护理技术人员和本科生。因此,这项研究指出需要采取旨在培训上述公众的教育行动。
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引用次数: 0
The quality of professional practices in infection control programs in Brazil: a cross-sectional study 巴西感染控制项目的专业实践质量:一项横断面研究
Pub Date : 2023-01-01 DOI: 10.1590/2177-9465-ean-2022-0229en
A. Alvim, B. Couto, A. Gazzinelli
ABSTRACT Objective To analyze the quality of professional practices in infection control programs regarding structure, process, and outcome. Method This is a quantitative, descriptive, and cross-sectional study carried out in 114 hospital infection control services in the five official regions of Brazil. The data were collected using a structured instrument whose psychometric properties were previously validated. Data treatment was performed by principal component analysis and non-parametric Kruskal-Wallis test. Results The best quality index of infection control programs was attributed to the South region, to hospitals that had 300 beds or more, to those that used the National Healthcare Safety Network criterion for infection surveillance and to places that carried out an active prospective search as their surveillance method. Conclusion and implications for practice: The quality of infection control programs is related to hospital location, size, and infection surveillance method. The creation of a quality index, hitherto unheard of in Brazilian studies, draws attention to the precarious performance of health services.
【摘要】目的分析感染控制专业实践的结构、流程和结果。方法:这是一项定量、描述性和横断面研究,在巴西五个官方地区的114家医院感染控制服务中进行。数据是使用结构化仪器收集的,其心理测量特性先前已得到验证。数据处理采用主成分分析和非参数Kruskal-Wallis检验。结果感染控制项目质量指标最好的地区为南方地区、床位300张及以上的医院、采用国家医疗安全网络感染监测标准的医院和采用主动前瞻性搜索监测方法的医院。结论和实践启示:感染控制程序的质量与医院的位置、规模和感染监测方法有关。迄今在巴西的研究中闻所未闻的质量指数的建立,使人们注意到卫生服务的不稳定表现。
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引用次数: 0
Intersectoral network professionals’ perspective on educational intervention to coping with gender violence 跨部门网络专业人员对应对性别暴力的教育干预的看法
Pub Date : 2023-01-01 DOI: 10.1590/2177-9465-ean-2022-0317en
Lucimara Fabiana Fornari, R. Fonseca
Abstract Objective to identify professionals’ perception about a qualifying educational intervention to cope with gender violence. Method a qualitative study, carried out with 28 professionals from Casas da Mulher Brasileira: Brasília (Distrito Federal), Campo Grande (Mato Grosso do Sul) and Curitiba (Paraná). Data collection took place through Critical-emancipatory Workshops, between October 2020 and October 2021. Speeches were subjected to thematic content analysis, and the images were analyzed using the documentary interpretation method, with the support of software. Results psychologists, social workers and administrative technicians participated in the study, most of whom had more than four years of work experience in the institution. Four empirical categories emerged from the analyses: Educational intervention as a motivation for knowledge construction; The importance of group dynamics for collaborative learning; The active methodology as a tool for professional recognition; Educational intervention as a possibility to (re)think professional practice. Conclusion and implications for practice professionals perceive the potential of educational intervention for understanding and transforming the reality of their work, made possible by the playful, critical, and participatory dynamics. Moreover, it allowed expanding and deepening knowledge to cope with gender violence.
摘要目的了解专业人士对性别暴力教育干预的看法。方法采用定性研究方法,对来自Casas da Mulher Brasileira: Brasília(联邦区)、Campo Grande(南马托格罗索州)和Curitiba (paran)的28名专业人员进行研究。2020年10月至2021年10月期间,通过关键解放讲习班收集了数据。演讲采用主题内容分析,影像采用文献解读法分析,辅以软件支持。结果心理学家、社会工作者和行政技术人员参与了研究,其中大多数人在该机构工作了四年以上。从分析中可以得出四个经验范畴:教育干预作为知识建构的动机;小组动力对协作学习的重要性作为专业认可工具的主动方法论;教育干预作为一种可能(重新)思考专业实践。结论和对实践的启示专业人员认识到教育干预的潜力,理解和改变他们工作的现实,通过游戏、批判和参与的动态使之成为可能。此外,它还扩大和深化了应对性别暴力的知识。
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引用次数: 0
Breastfeeding in the first hour of life in a city in the countryside of Rio de Janeiro: associated factors 里约热内卢农村城市婴儿出生后一小时的母乳喂养:相关因素
Pub Date : 2023-01-01 DOI: 10.1590/2177-9465-ean-2022-0346en
Ingrid Lucchese, F. G. B. Góes, Iasmym Alves de Andrade Soares, M. C. Goulart, Aline Cerqueira Santos Santana da Silva, Fernanda Maria Vieira Pereira-Ávila
Abstract Objective to analyze breastfeeding in the first hour of life and associated factors in a city in the countryside of Rio de Janeiro. Method a cross-sectional online study, carried out between May 2021 and August 2022, with 97 parturient women in the municipality of Rio das Ostras. In the association between variables, the chi-square test and logistic regression were used. Results among the participants, 77.3% gave birth in the public maternity hospital and 22.7% in the private maternity hospital. The prevalence of breastfeeding in the first hour of life in the delivery room and in rooming-in was, respectively, 21.6% and 58.3%, with significant differences between maternity hospitals. Postpartum women from the public maternity hospital were more likely to not breastfeed in the first hour of life. Having basic education increased the chances of the baby not being breastfed in the delivery room and not having early skin-to-skin contact and not breastfeeding breastfed in rooming-in. Conclusion and implications for practice breastfeeding in the first hour of life did not reach recommended levels and different factors associated with its occurrence were identified, such as education level, place of childbirth and skin-to-skin contact. It is recommended that maternity hospitals implement humanized practices in newborn care to increase breastfeeding rates in the first hour of life.
摘要目的分析巴西巴西某农村城市婴儿出生后1小时母乳喂养情况及相关因素。方法采用横断面在线研究,于2021年5月至2022年8月期间对奥斯特拉斯市的97名产妇进行研究。变量间的关联采用卡方检验和logistic回归。结果77.3%的产妇在公立妇产医院分娩,22.7%的产妇在私立妇产医院分娩。在产房和住院部,婴儿出生后1小时内母乳喂养的比例分别为21.6%和58.3%,妇产医院之间存在显著差异。公立妇产医院的产后妇女更有可能在出生后的第一个小时不进行母乳喂养。接受基础教育增加了婴儿在产房没有母乳喂养的机会,也增加了婴儿在产房没有早期皮肤接触的机会,增加了婴儿在产房没有母乳喂养的机会。结论:出生后1小时母乳喂养未达到建议水平,并确定了与其发生相关的不同因素,如教育水平、分娩地点和皮肤接触。建议妇产医院在新生儿护理中实施人性化做法,以提高生命最初一小时的母乳喂养率。
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引用次数: 1
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Escola Anna Nery
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