{"title":"O conforto em contexto de urgência: A experiência da família da pessoa em situação crítica","authors":"E. Lima, Patrícia Sousa, Rita Marques","doi":"10.12707/rv21118","DOIUrl":"https://doi.org/10.12707/rv21118","url":null,"abstract":"","PeriodicalId":36785,"journal":{"name":"Revista de Enfermagem Referencia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48489724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Guarda, G. Vieira, T. Castral, A. Fernandes, José Santos, Adriana Leite, L. Ribeiro
{"title":"Efeito da estratégia multifacetada EPIQ para melhoria da gestão da dor na vacinação em crianças","authors":"L. Guarda, G. Vieira, T. Castral, A. Fernandes, José Santos, Adriana Leite, L. Ribeiro","doi":"10.12707/rv21125","DOIUrl":"https://doi.org/10.12707/rv21125","url":null,"abstract":"","PeriodicalId":36785,"journal":{"name":"Revista de Enfermagem Referencia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41561819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Camargo, M. Urasaki, R. Albuquerque, Ana Serra, Maria Mendonça, Manuela Néné, M. Grande
Background: The model for care provided during water birth is interpersonal, comprehensive, and respected. Objective: To identify women’s perceptions of the care provided by nurses specialized in maternal and obstetric health nursing nurses specialized in maternal and obstetric health nursing during water birth from the perspective of Jean Watson’s nursing theory. Methodology : Empirical, qualitative, and interpretative research with 24 Portuguese women who had a water birth in hospitals or at home. Data were analyzed using Bardin’s content analysis method. Results: Five categories emerged from the narratives: welcoming environment; women in control during labor; trusting relationship; expectations fulfilled; and the partner as part of the process. Conclusion: The Clinical Caritas Process was perceived in the narratives through respect and affection during care delivery to develop a relationship and promote cooperation, leading to inner healing through this care process. Participants’ perceptions of the care received during their water birth revealed a safe, intimate, respectful, welcoming, and favorable environment, without unnecessary interventions and supported by the partner.
{"title":"Perceção das mulheres sobre os cuidados recebidos durante o parto na água","authors":"J. Camargo, M. Urasaki, R. Albuquerque, Ana Serra, Maria Mendonça, Manuela Néné, M. Grande","doi":"10.12707/rv21099","DOIUrl":"https://doi.org/10.12707/rv21099","url":null,"abstract":"Background: The model for care provided during water birth is interpersonal, comprehensive, and respected. Objective: To identify women’s perceptions of the care provided by nurses specialized in maternal and obstetric health nursing nurses specialized in maternal and obstetric health nursing during water birth from the perspective of Jean Watson’s nursing theory. Methodology : Empirical, qualitative, and interpretative research with 24 Portuguese women who had a water birth in hospitals or at home. Data were analyzed using Bardin’s content analysis method. Results: Five categories emerged from the narratives: welcoming environment; women in control during labor; trusting relationship; expectations fulfilled; and the partner as part of the process. Conclusion: The Clinical Caritas Process was perceived in the narratives through respect and affection during care delivery to develop a relationship and promote cooperation, leading to inner healing through this care process. Participants’ perceptions of the care received during their water birth revealed a safe, intimate, respectful, welcoming, and favorable environment, without unnecessary interventions and supported by the partner.","PeriodicalId":36785,"journal":{"name":"Revista de Enfermagem Referencia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46665536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Family health nurses develop interventions aimed at the family as a unit, considering the transitions that occur throughout its life cycle, such as those resulting from the diagnosis of a chronic disease in one of its members, like diabetes. Objective: Identify the interventions performed by the family health nurse in the diabetes surveillance consultation. Methodology: Cross-sectional, exploratory, and descriptive study with a quantitative approach, using a simple randomized sample of 106 people with diabetes, who received nursing consultations from November to December 2019 in three family health units. Results: Twenty-seven assessing interventions were carried out, out of the 30 planned in the data collection tool. The eight planned monitoring interventions were performed. Of the educating type, 15 of the 19 interventions were carried out. Conclusion: Knowledge about the interventions carried out, most of which are diagnostic assess-ments, can contribute to the management of safe staffing of family health nurses, considering the care provided at all stages of the nursing process.
{"title":"Intervenções do enfermeiro de família na consulta de vigilância da diabetes","authors":"M. Dantas, M. Figueiredo, Virgínia Guedes","doi":"10.12707/rv21084","DOIUrl":"https://doi.org/10.12707/rv21084","url":null,"abstract":"Family health nurses develop interventions aimed at the family as a unit, considering the transitions that occur throughout its life cycle, such as those resulting from the diagnosis of a chronic disease in one of its members, like diabetes. Objective: Identify the interventions performed by the family health nurse in the diabetes surveillance consultation. Methodology: Cross-sectional, exploratory, and descriptive study with a quantitative approach, using a simple randomized sample of 106 people with diabetes, who received nursing consultations from November to December 2019 in three family health units. Results: Twenty-seven assessing interventions were carried out, out of the 30 planned in the data collection tool. The eight planned monitoring interventions were performed. Of the educating type, 15 of the 19 interventions were carried out. Conclusion: Knowledge about the interventions carried out, most of which are diagnostic assess-ments, can contribute to the management of safe staffing of family health nurses, considering the care provided at all stages of the nursing process.","PeriodicalId":36785,"journal":{"name":"Revista de Enfermagem Referencia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43700927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ana Duarte, Cláudia Augusto, Maria Silva, S. Martins, Luís Lopes, G. Carvalho, Rafaela Rosário
Background : The importance of promoting healthy lifestyles in the first years of life is recognized. Identifying priority areas for intervention related to the promotion of healthy lifestyles is an urgent challenge. Objective : To explore the perspectives of family members and experts on priority areas for intervention related to the promotion of healthy lifestyles in early childhood. Methodology : Qualitative, exploratory, and descriptive study, using focus group sessions. Seven experts from the health, social, education, and media areas and three family members of young children participated in the study. Semi-structured interviews were conducted, and Bardin’s content analysis technique was used. Results : Two major priority areas emerged: determinants of diet and determinants of movement (physical activity, sedentary behavior, and sleep). Conclusion : The determinants of diet and movement are priority areas for intervention. The in-volvement of caregivers (e.g., parents, early childhood educators) is essential to promoting healthy lifestyles.
{"title":"Promoção de estilos de vida saudáveis na primeira infância: A voz de familiares e peritos","authors":"Ana Duarte, Cláudia Augusto, Maria Silva, S. Martins, Luís Lopes, G. Carvalho, Rafaela Rosário","doi":"10.12707/rv21083","DOIUrl":"https://doi.org/10.12707/rv21083","url":null,"abstract":"Background : The importance of promoting healthy lifestyles in the first years of life is recognized. Identifying priority areas for intervention related to the promotion of healthy lifestyles is an urgent challenge. Objective : To explore the perspectives of family members and experts on priority areas for intervention related to the promotion of healthy lifestyles in early childhood. Methodology : Qualitative, exploratory, and descriptive study, using focus group sessions. Seven experts from the health, social, education, and media areas and three family members of young children participated in the study. Semi-structured interviews were conducted, and Bardin’s content analysis technique was used. Results : Two major priority areas emerged: determinants of diet and determinants of movement (physical activity, sedentary behavior, and sleep). Conclusion : The determinants of diet and movement are priority areas for intervention. The in-volvement of caregivers (e.g., parents, early childhood educators) is essential to promoting healthy lifestyles.","PeriodicalId":36785,"journal":{"name":"Revista de Enfermagem Referencia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44744535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Vaz, V. Milbrath, R. Gabatz, Maria Motta, E. Neves, E. Vaz
Background: Vulnerability is classified as a triad consisting of individual, social and programmatic elements. Objective: To understand the situations of individual, social, and programmatic vulnerabilities expe- rienced by family members during the hospitalization of their chronically ill children. Methodology: This is a qualitative research study using thematic analysis and conducted with ten family members of hospitalized chronically ill children. Data were collected between June and August 2018 through simple observation, semi-structured interviews, and a field diary. Results: This study identified family members’ caregiver burden as the individual vulnerability, family members’ accommodations as the social vulnerability, and the geographic distance between families’ homes and the hospital as the programmatic vulnerability. Health care services and health profession-als’ care delivery were identified as conditions minimizing vulnerabilities. Conclusion: Understanding the situations of vulnerability experienced by families allows implement-ing more inclusive and efficient care strategies to expand access to health services and professionals, respond to families’ needs, encourage family participation, and create support networks.
{"title":"Situações de vulnerabilidade vivenciadas por familiares na hospitalização de crianças com condição crónica","authors":"J. Vaz, V. Milbrath, R. Gabatz, Maria Motta, E. Neves, E. Vaz","doi":"10.12707/rv21098","DOIUrl":"https://doi.org/10.12707/rv21098","url":null,"abstract":"Background: Vulnerability is classified as a triad consisting of individual, social and programmatic elements. Objective: To understand the situations of individual, social, and programmatic vulnerabilities expe- rienced by family members during the hospitalization of their chronically ill children. Methodology: This is a qualitative research study using thematic analysis and conducted with ten family members of hospitalized chronically ill children. Data were collected between June and August 2018 through simple observation, semi-structured interviews, and a field diary. Results: This study identified family members’ caregiver burden as the individual vulnerability, family members’ accommodations as the social vulnerability, and the geographic distance between families’ homes and the hospital as the programmatic vulnerability. Health care services and health profession-als’ care delivery were identified as conditions minimizing vulnerabilities. Conclusion: Understanding the situations of vulnerability experienced by families allows implement-ing more inclusive and efficient care strategies to expand access to health services and professionals, respond to families’ needs, encourage family participation, and create support networks.","PeriodicalId":36785,"journal":{"name":"Revista de Enfermagem Referencia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66231632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Isabel Moreira, Catarina Lobão, Maria Carrageta, Rui Gonçalves
da evidência. Palavras-chave: enfermagem; aprendizagem AbstractBackground: The Journal Club (JC) is defined as an informal educational meeting providing a forum of discussion that seeks consensus and promotes knowledge sharing and transfer while translating scientific evidence into clinical practice. Objectives: To explore nursing students’ perceptions of the JC as a pedagogical strategy in Clinical Teaching. Methodology: Descriptive and exploratory study with a mixed-methods approach to data analysis. The sample consisted of 55 students. The questionnaire was designed and made available online. Results: Students made a positive assessment of this teaching-learning strategy. As main advantages, they identified the possibility of bringing clinical practice closer to scientific evidence and developing critical appraisal skills. One of the disadvantages was the requirement of search skills. Conclusion: The JC proved to be a rewarding and promising strategy because it adapts to the various challenges of nurses’ training, namely the translation of scientific evidence into clinical practice, the development of search skills, and the synthesis of evidence.
{"title":"Avaliação do Journal Club como estratégia pedagógica na formação em enfermagem: Perspetiva dos estudantes","authors":"Isabel Moreira, Catarina Lobão, Maria Carrageta, Rui Gonçalves","doi":"10.12707/rv21054","DOIUrl":"https://doi.org/10.12707/rv21054","url":null,"abstract":"da evidência. Palavras-chave: enfermagem; aprendizagem AbstractBackground: The Journal Club (JC) is defined as an informal educational meeting providing a forum of discussion that seeks consensus and promotes knowledge sharing and transfer while translating scientific evidence into clinical practice. Objectives: To explore nursing students’ perceptions of the JC as a pedagogical strategy in Clinical Teaching. Methodology: Descriptive and exploratory study with a mixed-methods approach to data analysis. The sample consisted of 55 students. The questionnaire was designed and made available online. Results: Students made a positive assessment of this teaching-learning strategy. As main advantages, they identified the possibility of bringing clinical practice closer to scientific evidence and developing critical appraisal skills. One of the disadvantages was the requirement of search skills. Conclusion: The JC proved to be a rewarding and promising strategy because it adapts to the various challenges of nurses’ training, namely the translation of scientific evidence into clinical practice, the development of search skills, and the synthesis of evidence.","PeriodicalId":36785,"journal":{"name":"Revista de Enfermagem Referencia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49287928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Schneider, Flávia Ramos, Isabela Saioron, M. Bruggmann, F. Silva, Beatriz Lorençoni
Knowing how to identify them and seeking prudent solutions is essential to promoting ethical and safe care. Objective : To know the experiences and understanding of nursing students and professionals regard- ing ethical issues and decision-making in hospital nursing practice. Methodology : Qualitative, exploratory-descriptive research was carried out with thirty undergradu- ate nursing students and twenty nursing professionals from a University Hospital in Southern Brazil. Data were collected through two questionnaires containing open questions and submitted to Discur- sive Textual Analysis. Results : Students perceive the ethical problem based on concrete experiences of disrespect and insult to principles and rules. Professionals conceptualize it as a challenge to judgment in the complex boundaries between right and wrong. The experiences and decision-making share similarities and have their specificities. Conclusion : Students and professionals display moral sensitivity to understand the ethical problems of practice; critical awareness and reflection are crucial to identifying and responding to workplace ethical conflicts.
{"title":"Problemas éticos na experiência clínica hospitalar de estudantes e profissionais de enfermagem","authors":"D. Schneider, Flávia Ramos, Isabela Saioron, M. Bruggmann, F. Silva, Beatriz Lorençoni","doi":"10.12707/rv21111","DOIUrl":"https://doi.org/10.12707/rv21111","url":null,"abstract":"Knowing how to identify them and seeking prudent solutions is essential to promoting ethical and safe care. Objective : To know the experiences and understanding of nursing students and professionals regard- ing ethical issues and decision-making in hospital nursing practice. Methodology : Qualitative, exploratory-descriptive research was carried out with thirty undergradu- ate nursing students and twenty nursing professionals from a University Hospital in Southern Brazil. Data were collected through two questionnaires containing open questions and submitted to Discur- sive Textual Analysis. Results : Students perceive the ethical problem based on concrete experiences of disrespect and insult to principles and rules. Professionals conceptualize it as a challenge to judgment in the complex boundaries between right and wrong. The experiences and decision-making share similarities and have their specificities. Conclusion : Students and professionals display moral sensitivity to understand the ethical problems of practice; critical awareness and reflection are crucial to identifying and responding to workplace ethical conflicts.","PeriodicalId":36785,"journal":{"name":"Revista de Enfermagem Referencia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47787675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lia Araújo, Susana Fonseca, Maria Amante, Paula Xavier, Carla Silva, Leandra Cordeiro, Cátia Magalhães
{"title":"Saúde mental em estudantes do ensino superior politécnico na pandemia COVID-19","authors":"Lia Araújo, Susana Fonseca, Maria Amante, Paula Xavier, Carla Silva, Leandra Cordeiro, Cátia Magalhães","doi":"10.12707/rv21109","DOIUrl":"https://doi.org/10.12707/rv21109","url":null,"abstract":"","PeriodicalId":36785,"journal":{"name":"Revista de Enfermagem Referencia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43703100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Nursing theories contribute to the development of the identity of the nursing profes-sion and promote its expansion as a science and a discipline, pointing to the relevance of conducting theoretical studies in nursing. Objectives: To analyze the utility of Orem’s general self-care theory and describe its structural components based on Meleis’ model for theory analysis. Main topics under analysis: A descriptive-reflective study was conducted using the criteria for analyzing utility and describing the structural components of the self-care deficit nursing theory. The description of the structural components involved the analysis of concepts (abstract-concrete dimension, degree of generality, and variable/non-variable dimension), assumptions (explicit or implicit), and propositions (existence, explanation/relational, reversible, deterministic, stochastic, sequential, coexisting, sufficient, conditional/contingent, necessary, or substitutable). In the analysis of the utility of a theory for practice, this study sought to answer the questions posed by Meleis. Conclusion: The application of Meleis’ model for theory analysis confirmed the utility of Orem’s self-care deficit nursing theory in nursing practice.
{"title":"Teoria geral do autocuidado segundo o modelo de análise de teorias de Meleis","authors":"M. Santos, G. Bittencourt, P. Beserra, M. Nóbrega","doi":"10.12707/rv21047","DOIUrl":"https://doi.org/10.12707/rv21047","url":null,"abstract":"Background: Nursing theories contribute to the development of the identity of the nursing profes-sion and promote its expansion as a science and a discipline, pointing to the relevance of conducting theoretical studies in nursing. Objectives: To analyze the utility of Orem’s general self-care theory and describe its structural components based on Meleis’ model for theory analysis. Main topics under analysis: A descriptive-reflective study was conducted using the criteria for analyzing utility and describing the structural components of the self-care deficit nursing theory. The description of the structural components involved the analysis of concepts (abstract-concrete dimension, degree of generality, and variable/non-variable dimension), assumptions (explicit or implicit), and propositions (existence, explanation/relational, reversible, deterministic, stochastic, sequential, coexisting, sufficient, conditional/contingent, necessary, or substitutable). In the analysis of the utility of a theory for practice, this study sought to answer the questions posed by Meleis. Conclusion: The application of Meleis’ model for theory analysis confirmed the utility of Orem’s self-care deficit nursing theory in nursing practice.","PeriodicalId":36785,"journal":{"name":"Revista de Enfermagem Referencia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46311346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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