Pub Date : 2023-04-12DOI: 10.15253/2175-6783.20232483089
Samara dos Santos Paiva, Erika Lorena Ramos de Oliveira Silva, Gisele Martins
Objective: to map the evidence on web-based technologies and their applicability in outpatient and home care in pediatric urology. Methods: this is a scoping review, with searches conducted in six databases, with no time limit, in Portuguese, English, and Spanish. Results: 2,200 articles were obtained, with 19 publications eligible for the final sample. The most used web-based technologies were telehealth and telemedicine (47.3%), online intervention programs (21.0%), and mobile apps (15.8%), with a lower rate of use of serious games, social media, and urination videos (5.3%), mostly in the home setting. Conclusion: the mapping of technological evidence in outpatient and home care in pediatric urology allowed us to identify the types of technology and their applications focused on self-management of symptoms and self-efficacy, for monitoring and follow-up of urologic care. Contributions to practice: the synthesized evidence contributes to an expanded, qualified, and innovative professional practice with the pediatric population with urinary and bowel symptoms, characteristics related to advanced nursing practice, in addition to favoring early diagnosis and greater therapeutic adherence, particularly by supporting interventions tailored to the needs of the pediatric patient and his family.
{"title":"Technological evidence for outpatient and home care in pediatric urology: a scoping review","authors":"Samara dos Santos Paiva, Erika Lorena Ramos de Oliveira Silva, Gisele Martins","doi":"10.15253/2175-6783.20232483089","DOIUrl":"https://doi.org/10.15253/2175-6783.20232483089","url":null,"abstract":"Objective: to map the evidence on web-based technologies and their applicability in outpatient and home care in pediatric urology. Methods: this is a scoping review, with searches conducted in six databases, with no time limit, in Portuguese, English, and Spanish. Results: 2,200 articles were obtained, with 19 publications eligible for the final sample. The most used web-based technologies were telehealth and telemedicine (47.3%), online intervention programs (21.0%), and mobile apps (15.8%), with a lower rate of use of serious games, social media, and urination videos (5.3%), mostly in the home setting. Conclusion: the mapping of technological evidence in outpatient and home care in pediatric urology allowed us to identify the types of technology and their applications focused on self-management of symptoms and self-efficacy, for monitoring and follow-up of urologic care. Contributions to practice: the synthesized evidence contributes to an expanded, qualified, and innovative professional practice with the pediatric population with urinary and bowel symptoms, characteristics related to advanced nursing practice, in addition to favoring early diagnosis and greater therapeutic adherence, particularly by supporting interventions tailored to the needs of the pediatric patient and his family.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"14 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85226900","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}
Pub Date : 2023-04-12DOI: 10.15253/2175-6783.20232483087
Maísa Mara Lopes Macedo, Nayara Luiza Henriques, S. Deodato, E. D. Duarte
Objective: to describe how families experienced the care of children in chronic condition during the pandemic by COVID-19. Methods: qualitative study, guided by the Family Management Style Model, conducted with 24 families of children in chronic condition. The data, collected by telephone contact through semi-structured interviews, were submitted to thematic analysis. Results: data analysis resulted in three thematic categories: Changes in the routine of family members; Emotions triggered in family members and children due to the pandemic; and Implications of the pandemic by COVID-19 for the continuity of care. They highlighted: incorporation of hygiene care, social distancing concomitant to domestic and professional activities at home; and feelings of fear and concern about the children's health and development and the need for caregivers to provide rehabilitation and support for school activities. Conclusion: it was observed that the pandemic changed the family routine, produced negative feelings in families, modified care demands and compromised access to services. Contributions to practice: these results contribute to the identification of the repercussions of COVID-19 on families and children with chronic conditions and can help establish strategies to reduce the consequences of this pandemic and other future health emergencies.
{"title":"Family care of children with chronic conditions in the context of the pandemic by COVID-19","authors":"Maísa Mara Lopes Macedo, Nayara Luiza Henriques, S. Deodato, E. D. Duarte","doi":"10.15253/2175-6783.20232483087","DOIUrl":"https://doi.org/10.15253/2175-6783.20232483087","url":null,"abstract":"Objective: to describe how families experienced the care of children in chronic condition during the pandemic by COVID-19. Methods: qualitative study, guided by the Family Management Style Model, conducted with 24 families of children in chronic condition. The data, collected by telephone contact through semi-structured interviews, were submitted to thematic analysis. Results: data analysis resulted in three thematic categories: Changes in the routine of family members; Emotions triggered in family members and children due to the pandemic; and Implications of the pandemic by COVID-19 for the continuity of care. They highlighted: incorporation of hygiene care, social distancing concomitant to domestic and professional activities at home; and feelings of fear and concern about the children's health and development and the need for caregivers to provide rehabilitation and support for school activities. Conclusion: it was observed that the pandemic changed the family routine, produced negative feelings in families, modified care demands and compromised access to services. Contributions to practice: these results contribute to the identification of the repercussions of COVID-19 on families and children with chronic conditions and can help establish strategies to reduce the consequences of this pandemic and other future health emergencies.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"42 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82219806","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}
Pub Date : 2023-04-12DOI: 10.15253/2175-6783.20232483198
Willian Martins de Araujo, Flávio Adriano Borges, Janaína Ferreira de Lima, Walkiria Jéssica de Araújo Silveira, José Francisco Sampaio Souza, N. Stofel, D. Carlos
Objective: to analyze nursing students' perceptions about their professional training for health care of LGBTQIA+ people. Methods: qualitative study, conducted with 19 nursing students through semi-structured interviews. Data were processed and worked through lexical analysis using IRaMuTeQ® software. Results: the textual corpus gave rise to two categories: professional nursing training on health of LGBTQIA+ people (subdivided into: curricular spaces addressing health of LGBTQIA+ people and Formative deficits for health care of LGBTQIA+ people) and Extracurricular spaces of professional training on health of LGBTQIA+ people (subdivided into: informal and extracurricular learning on health of LGBTQIA+ people and Work context and autonomy in learning about LGBTQIA+ health). Conclusion: addressing the health of LGBTQIA+ people in the training of nurses needs to expand beyond specific classes, which demands the creation of spaces within the curricular matrices that address the specificities required by this population, without, however, relegating them to extracurricular activities. Contributions to practice: problematization of the training of nurses for the health care of LGBTQIA+ people.
{"title":"Nursing students' perceptions of teaching health care to LGBTQIA+ people","authors":"Willian Martins de Araujo, Flávio Adriano Borges, Janaína Ferreira de Lima, Walkiria Jéssica de Araújo Silveira, José Francisco Sampaio Souza, N. Stofel, D. Carlos","doi":"10.15253/2175-6783.20232483198","DOIUrl":"https://doi.org/10.15253/2175-6783.20232483198","url":null,"abstract":"Objective: to analyze nursing students' perceptions about their professional training for health care of LGBTQIA+ people. Methods: qualitative study, conducted with 19 nursing students through semi-structured interviews. Data were processed and worked through lexical analysis using IRaMuTeQ® software. Results: the textual corpus gave rise to two categories: professional nursing training on health of LGBTQIA+ people (subdivided into: curricular spaces addressing health of LGBTQIA+ people and Formative deficits for health care of LGBTQIA+ people) and Extracurricular spaces of professional training on health of LGBTQIA+ people (subdivided into: informal and extracurricular learning on health of LGBTQIA+ people and Work context and autonomy in learning about LGBTQIA+ health). Conclusion: addressing the health of LGBTQIA+ people in the training of nurses needs to expand beyond specific classes, which demands the creation of spaces within the curricular matrices that address the specificities required by this population, without, however, relegating them to extracurricular activities. Contributions to practice: problematization of the training of nurses for the health care of LGBTQIA+ people.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"56 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89977078","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}
Pub Date : 2023-03-08DOI: 10.15253/2175-6783.20232481790
Isabelle Pereira da Silva, Iraktânia Vitorino Diniz, Luana Souza Freitas, Pétala Tuani Cândido de Oliveira Salvador, Helena Megumi Sonobe, Simone Karine da Costa Mesquita, I. F. Costa
Objective: to develop a mobile application to support self- -care for people with intestinal stomas. Methods: descriptive study of technological innovation, guided by Theory of Self-Care to organize the application´s content and production. Design Science Research that followed the steps: problem knowledge identified in practice; determination of the artifact objectives; development; demonstration. Before the technology development, a qualitative study was conducted to understand difficulties in self-care and a scope review to map the content. Two specialized professionals helped in the application development. Results: ostocuide application has 36 screens subdivided into menus: registration and record; feeding; self-care; stomas types; health care; laws; curiosities; contact and interactive questions. The application offers the diary function for photos and texts records about care performed with the stoma and the possibility of sending questions to researchers responsible for the application. Conclusion: the application was successfully developed and gathered resources that may collaborate with the self-care of people with intestinal stomas. Contributions to practice: the application can contribute to the population learning with intestinal stomas and to health education carried out by nurses.
{"title":"Development of a mobile application to support self-care for people with intestinal stomas","authors":"Isabelle Pereira da Silva, Iraktânia Vitorino Diniz, Luana Souza Freitas, Pétala Tuani Cândido de Oliveira Salvador, Helena Megumi Sonobe, Simone Karine da Costa Mesquita, I. F. Costa","doi":"10.15253/2175-6783.20232481790","DOIUrl":"https://doi.org/10.15253/2175-6783.20232481790","url":null,"abstract":"Objective: to develop a mobile application to support self- -care for people with intestinal stomas. Methods: descriptive study of technological innovation, guided by Theory of Self-Care to organize the application´s content and production. Design Science Research that followed the steps: problem knowledge identified in practice; determination of the artifact objectives; development; demonstration. Before the technology development, a qualitative study was conducted to understand difficulties in self-care and a scope review to map the content. Two specialized professionals helped in the application development. Results: ostocuide application has 36 screens subdivided into menus: registration and record; feeding; self-care; stomas types; health care; laws; curiosities; contact and interactive questions. The application offers the diary function for photos and texts records about care performed with the stoma and the possibility of sending questions to researchers responsible for the application. Conclusion: the application was successfully developed and gathered resources that may collaborate with the self-care of people with intestinal stomas. Contributions to practice: the application can contribute to the population learning with intestinal stomas and to health education carried out by nurses.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"25 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74818051","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}
Pub Date : 2023-03-08DOI: 10.15253/2175-6783.20232481786
Renata Ferreira de Araújo, Alexsandro Silva Coura, Isabella Joyce Silva de Almeida Carvalho, Rayssa Gabrielle da Costa Farias, Jamilly da Silva Aragão, Inácia Sátiro Xavier de França
Objective: to understand the perspective of nurses regarding the obstacles faced by physically disabled women in regard to cytopathological examinations. Methods: qualitative study with 11 nurses from Basic Health Units, including urban and rural areas. Data was processed and analyzed using the software IRAMUTEQ (R pour les Analyses Multidimensionnelles de Textes et de Questionnaires). Results: classes 1 and 5 were grouped into the class “Inadequate infrastructure”; class 2 was “Results of the collected exams”; class 3, “Feelings at the time of examination”; and 4 “Team training”. Conclusion: we revealed that women presented negative feelings during the examination, professionals lacked further training, there were no strategies to deal with the situation in the unit, and facilities were inadequate to attend the needs of the users. Contributions to practice: we demonstrated that it is essential to provide care to physically disabled women and carry out routine exams in this population. Furthermore, this study can give support to strategies to adapt and improve the knowledge of the workers who provide care.
目的:了解护士对残障妇女在细胞病理检查中遇到的障碍的看法。方法:对11名城乡基层卫生保健单位护士进行定性研究。使用IRAMUTEQ (R pour les Analyses Multidimensionnelles de Textes et de questionnaire)软件对数据进行处理和分析。结果:1级和5级被归为“基础设施不足”类;第二课是“收集的考试结果”;第三课“考试时的感受”;4 .“团队训练”。结论:我们发现妇女在检查过程中表现出消极情绪，专业人员缺乏进一步的培训，单位没有应对这种情况的策略，设施不足以满足用户的需求。对实践的贡献:我们证明了为身体残疾妇女提供护理和在这一人群中进行常规检查是至关重要的。此外，本研究可提供策略支持，以适应和提高护理工作者的知识。
{"title":"Nurse perception regarding cytopathological exams in physically disabled women","authors":"Renata Ferreira de Araújo, Alexsandro Silva Coura, Isabella Joyce Silva de Almeida Carvalho, Rayssa Gabrielle da Costa Farias, Jamilly da Silva Aragão, Inácia Sátiro Xavier de França","doi":"10.15253/2175-6783.20232481786","DOIUrl":"https://doi.org/10.15253/2175-6783.20232481786","url":null,"abstract":"Objective: to understand the perspective of nurses regarding the obstacles faced by physically disabled women in regard to cytopathological examinations. Methods: qualitative study with 11 nurses from Basic Health Units, including urban and rural areas. Data was processed and analyzed using the software IRAMUTEQ (R pour les Analyses Multidimensionnelles de Textes et de Questionnaires). Results: classes 1 and 5 were grouped into the class “Inadequate infrastructure”; class 2 was “Results of the collected exams”; class 3, “Feelings at the time of examination”; and 4 “Team training”. Conclusion: we revealed that women presented negative feelings during the examination, professionals lacked further training, there were no strategies to deal with the situation in the unit, and facilities were inadequate to attend the needs of the users. Contributions to practice: we demonstrated that it is essential to provide care to physically disabled women and carry out routine exams in this population. Furthermore, this study can give support to strategies to adapt and improve the knowledge of the workers who provide care.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"37 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76526594","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}
Pub Date : 2023-03-08DOI: 10.15253/2175-6783.20232481537
Taís dos Passos Sagica, Sandra Beatriz Silva de Oliveira, Odenilce Vieira Pereira, A. Ramos
Objective: to map studies on nursing care for patients with bone metastases undergoing radiotherapy. Methods: scoping review conducted in nine databases, according to the guidelines of the Joanna Briggs Institute. Scientific articles available for full open access, in any language, regardless of the method used, were included. Results: 13 studies were analyzed, with a predominance of literature reviews. The themes were: health education to patients and companions about events related to the skeleton; pain assessment and management; prevention of pathological fractures; management of spinal cord compression; assessment of hypercalcemia; ensuring safety in the administration of oral bisphosphonates; quality of life assessment; and monitoring of progress, adverse events, and therapeutic outcomes. Conclusion: nurses provide important ongoing support to patients, monitor progress, side effects, and therapeutic outcomes, and prevent and manage skeletal-related events. Contributions to practice: the study highlighted the main nursing care to patients with bone metastases in radiotherapy treatment, being relevant to give theoretical subsidy to professionals directing their assistance, especially in the oncology area.
{"title":"Nursing care for patients with bone metastases undergoing radiotherapy: a scoping review","authors":"Taís dos Passos Sagica, Sandra Beatriz Silva de Oliveira, Odenilce Vieira Pereira, A. Ramos","doi":"10.15253/2175-6783.20232481537","DOIUrl":"https://doi.org/10.15253/2175-6783.20232481537","url":null,"abstract":"Objective: to map studies on nursing care for patients with bone metastases undergoing radiotherapy. Methods: scoping review conducted in nine databases, according to the guidelines of the Joanna Briggs Institute. Scientific articles available for full open access, in any language, regardless of the method used, were included. Results: 13 studies were analyzed, with a predominance of literature reviews. The themes were: health education to patients and companions about events related to the skeleton; pain assessment and management; prevention of pathological fractures; management of spinal cord compression; assessment of hypercalcemia; ensuring safety in the administration of oral bisphosphonates; quality of life assessment; and monitoring of progress, adverse events, and therapeutic outcomes. Conclusion: nurses provide important ongoing support to patients, monitor progress, side effects, and therapeutic outcomes, and prevent and manage skeletal-related events. Contributions to practice: the study highlighted the main nursing care to patients with bone metastases in radiotherapy treatment, being relevant to give theoretical subsidy to professionals directing their assistance, especially in the oncology area.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74226664","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}
Pub Date : 2023-03-08DOI: 10.15253/2175-6783.20232481594
Bruna Rodrigues Monteiro, Valéria Gomes Fernandes da Silva, Cinthia Daniele da Silva Bezerra, Érika Simone Galvão Pinto, Nilba Lima de Souza
Objective: to compare population and care characteristics of adherence to immediate contact between mother and newborn in the first hour of life in two public maternity hospitals at usual risk. Methods: cross-sectional study with 105 mothers after normal delivery and their respective newborns in the first hour of life in two maternity hospitals with Prepartum, Labor, and Puerperium units. We used an instrument with 36 questions based on the National Guidelines of Assistance to Normal Birth. Analysis was based on the chi-square test for homogeneity and Fisher's exact test to compare the assistance provided in maternity hospitals. Results: both maternity hospitals attended the usual risk binomials. Regarding the assistance provided, only the federal maternity promoted encouragement of immediate contact between mother and newborn in the first hour of life, besides favouring 7.1% (n=3) of the binomials with the golden hour in a correct and significant way (p=0.037). Conclusion: despite the similarity of the assistance profile, only one maternity hospital performed the golden hour, being necessary the insertion of good practices in maternity hospitals. Contributions to practice: direct observation of the assistance provided to binomial identified gaps in the format and and durability of the immediate contact in maternity hospitals.
{"title":"Immediate contact between mother and newborn in the first hour of life: a cross-sectional study","authors":"Bruna Rodrigues Monteiro, Valéria Gomes Fernandes da Silva, Cinthia Daniele da Silva Bezerra, Érika Simone Galvão Pinto, Nilba Lima de Souza","doi":"10.15253/2175-6783.20232481594","DOIUrl":"https://doi.org/10.15253/2175-6783.20232481594","url":null,"abstract":"Objective: to compare population and care characteristics of adherence to immediate contact between mother and newborn in the first hour of life in two public maternity hospitals at usual risk. Methods: cross-sectional study with 105 mothers after normal delivery and their respective newborns in the first hour of life in two maternity hospitals with Prepartum, Labor, and Puerperium units. We used an instrument with 36 questions based on the National Guidelines of Assistance to Normal Birth. Analysis was based on the chi-square test for homogeneity and Fisher's exact test to compare the assistance provided in maternity hospitals. Results: both maternity hospitals attended the usual risk binomials. Regarding the assistance provided, only the federal maternity promoted encouragement of immediate contact between mother and newborn in the first hour of life, besides favouring 7.1% (n=3) of the binomials with the golden hour in a correct and significant way (p=0.037). Conclusion: despite the similarity of the assistance profile, only one maternity hospital performed the golden hour, being necessary the insertion of good practices in maternity hospitals. Contributions to practice: direct observation of the assistance provided to binomial identified gaps in the format and and durability of the immediate contact in maternity hospitals.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"9 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72852104","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}
Pub Date : 2023-01-24DOI: 10.15253/2175-6783.20232481811
Liniker Scolfild Rodrigues da Silva, Lusanira Maria da Fonseca de Santa Cruz, Luiz Arnaldo Pereira da Cunha Júnior, Hélio Monteiro da Silva Filho, Danilo Martins Roque Pereira, E. C. Araújo
Objective: to describe obstacles to the access to health services of the transvestite and transgender population. Methods: integrative review, conducted from July to August 2022, in the following databases: LILACS, MEDLINE, Web of Science and SCOPUS. Results: 472 primary studies were found; however, at the end of the analysis process, 14 productions were included in the study. Obstacles to access to health were observed, such as the invisibility of health specificities, the lack of information and preparation of professionals, the susceptibility, which appears in the juvenile stage, and the resistance to care for sexually transmitted infections, highlighting the need to invest in the production of policies that affirm the right to health for this segment of the population. Conclusion: there was a lack of studies on the access of transvestites and transgenders to health services. These difficulties are associated with conservatism, heteronormativity, lack of implementation and regulation of public policies for them. Contributions to practice: this article presents information about access to health care for the transvestite and transgender population, facilitating the view of the specific needs of this population.
目的:描述异装癖者和变性人获得保健服务的障碍。方法:于2022年7月至8月在LILACS、MEDLINE、Web of Science和SCOPUS数据库中进行综合评价。结果:共发现472项初步研究;然而，在分析过程结束时，14部作品被纳入研究。他们观察到获得保健服务的障碍，例如不了解保健特点、缺乏专业人员的信息和准备、易受感染(这在青少年阶段出现)以及对性传播感染的护理的抗拒，强调需要投资于制定确认这部分人口的健康权的政策。结论:缺乏对异装癖者和变性人获得卫生服务的研究。这些困难与保守主义、异质性、缺乏对他们的公共政策的执行和管理有关。对实践的贡献:本文介绍了易装癖和跨性别人群获得医疗保健的信息，有助于了解这一人群的具体需求。
{"title":"Obstacles in the access to public health services by transvestites and transgender persons: an integrative review","authors":"Liniker Scolfild Rodrigues da Silva, Lusanira Maria da Fonseca de Santa Cruz, Luiz Arnaldo Pereira da Cunha Júnior, Hélio Monteiro da Silva Filho, Danilo Martins Roque Pereira, E. C. Araújo","doi":"10.15253/2175-6783.20232481811","DOIUrl":"https://doi.org/10.15253/2175-6783.20232481811","url":null,"abstract":"Objective: to describe obstacles to the access to health services of the transvestite and transgender population. Methods: integrative review, conducted from July to August 2022, in the following databases: LILACS, MEDLINE, Web of Science and SCOPUS. Results: 472 primary studies were found; however, at the end of the analysis process, 14 productions were included in the study. Obstacles to access to health were observed, such as the invisibility of health specificities, the lack of information and preparation of professionals, the susceptibility, which appears in the juvenile stage, and the resistance to care for sexually transmitted infections, highlighting the need to invest in the production of policies that affirm the right to health for this segment of the population. Conclusion: there was a lack of studies on the access of transvestites and transgenders to health services. These difficulties are associated with conservatism, heteronormativity, lack of implementation and regulation of public policies for them. Contributions to practice: this article presents information about access to health care for the transvestite and transgender population, facilitating the view of the specific needs of this population.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"30 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84371919","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}
Pub Date : 2023-01-24DOI: 10.15253/2175-6783.20232481737
Simone Graziele Silva Cunha, S. Deodato, Maria José Menezes Brito
Objective: to understand the ethical problems experienced by nurse managers in the context of the COVID-19 pandemic. Methods: qualitative study, conducted with 19 nurse managers. The inclusion criteria were nurses who had held a management position for at least six months, and the exclusion criteria were those who held an assistance position. Data were collected through individual interviews with a semi-structured script and document analysis and analyzed using Content Analysis. Results: the ethical problems were related to duplicity and lack of information about norms and routines; lack of patient flow; routine changes without communication with the nurse coordinators; absenteeism and presenteeism of the nursing team; refusal of reassignment by technicians; nursing professionals who chose to work in the COVID-19 sector and earn additional unhealthy salary and those who did not choose due to fear of disease; and conflicts arising from the patient. Conclusion: the analysis revealed situations marked by ethical problems that compromise the dynamics of work and the quality of care. Contributions to practice: understanding ethical problems contributes to the promotion of improvements in planning, intervention, and preparation of professionals to deal with conflicting issues experienced in hospital management.
{"title":"Ethical problems experienced by nurse managers in the pandemic of COVID-19 in a university hospital","authors":"Simone Graziele Silva Cunha, S. Deodato, Maria José Menezes Brito","doi":"10.15253/2175-6783.20232481737","DOIUrl":"https://doi.org/10.15253/2175-6783.20232481737","url":null,"abstract":"Objective: to understand the ethical problems experienced by nurse managers in the context of the COVID-19 pandemic. Methods: qualitative study, conducted with 19 nurse managers. The inclusion criteria were nurses who had held a management position for at least six months, and the exclusion criteria were those who held an assistance position. Data were collected through individual interviews with a semi-structured script and document analysis and analyzed using Content Analysis. Results: the ethical problems were related to duplicity and lack of information about norms and routines; lack of patient flow; routine changes without communication with the nurse coordinators; absenteeism and presenteeism of the nursing team; refusal of reassignment by technicians; nursing professionals who chose to work in the COVID-19 sector and earn additional unhealthy salary and those who did not choose due to fear of disease; and conflicts arising from the patient. Conclusion: the analysis revealed situations marked by ethical problems that compromise the dynamics of work and the quality of care. Contributions to practice: understanding ethical problems contributes to the promotion of improvements in planning, intervention, and preparation of professionals to deal with conflicting issues experienced in hospital management.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"39 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80660962","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}
Pub Date : 2023-01-24DOI: 10.15253/2175-6783.20232481453
A. C. Ribeiro, Priscila Poli, S. Uehara
Objective: to analyze the risk of mortality from COVID-19 in people with obesity. Methods: observational, retrospective, and analytical study. Data were collected in the State System of Data Analysis. For the comparative analysis of people with and without obesity, n=168,808 was adopted. The analyses were performed using the log-binomial regression model and relative risk calculation. The comparative model was adjusted for sex, age group, heart disease and diabetes. Results: in more than 95% of COVID-19 notifications, information regarding the risk factor obesity was recorded as ignored. Obese individuals with COVID-19 had 26% higher risk of death when compared to those without obesity. Obese individuals in the 11 to 60 age groups had the highest mortality risks compared to individuals without obesity. Obese women in the age groups 31 to 50 years and elderly women over 71 years had the lowest mortality risk when compared to obese men. Conclusion: obese people, especially adults, have an increased risk of mortality from COVID-19. Contributions to practice: to help establish public health strategies to identify the profiles of individuals considered at high risk in the SARS-CoV-2 pandemic.
{"title":"Increased risk of mortality from COVID-19 in people with obesity","authors":"A. C. Ribeiro, Priscila Poli, S. Uehara","doi":"10.15253/2175-6783.20232481453","DOIUrl":"https://doi.org/10.15253/2175-6783.20232481453","url":null,"abstract":"Objective: to analyze the risk of mortality from COVID-19 in people with obesity. Methods: observational, retrospective, and analytical study. Data were collected in the State System of Data Analysis. For the comparative analysis of people with and without obesity, n=168,808 was adopted. The analyses were performed using the log-binomial regression model and relative risk calculation. The comparative model was adjusted for sex, age group, heart disease and diabetes. Results: in more than 95% of COVID-19 notifications, information regarding the risk factor obesity was recorded as ignored. Obese individuals with COVID-19 had 26% higher risk of death when compared to those without obesity. Obese individuals in the 11 to 60 age groups had the highest mortality risks compared to individuals without obesity. Obese women in the age groups 31 to 50 years and elderly women over 71 years had the lowest mortality risk when compared to obese men. Conclusion: obese people, especially adults, have an increased risk of mortality from COVID-19. Contributions to practice: to help establish public health strategies to identify the profiles of individuals considered at high risk in the SARS-CoV-2 pandemic.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"56 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81456243","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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