Pub Date : 2022-09-20DOI: 10.15253/2175-6783.20222380688
Rute Xavier Silva, G. G. D. M. Sá, R. Q. Souto, Josicleide Montenegro da Silva Guedes Alcoforado, Lívia Moreira Barros, Hákilla Pricyla de Jesus Souza, Nelson Miguel Galindo Neto
Objective: to unveil experts’ experiences on traces not preserved by health and safety professionals. Methods: qualitative research developed with 27 criminal experts through telephone interview. Data were processed in IraMuTeQ and analyzed by the Descending Hierarchical Classification. Results: four thematic classes were obtained that evidenced the existence of a communication gap with the pre-hospital service experienced by experts, who believe that training of these professionals and police officers is necessary. In cases of differentiation between suicide and homicide, experts experience corpse mobilization, in addition to weapon removal from the original location. Health professionals mischaracterize the victim’s corpse and leave health care objects, such as gloves and syringes, in place, while police mischaracterize the scene, move objects and do not adequately isolate the scene. Conclusion: experts experience forensic traces not preserved by health and safety professionals in the position of objects and the victim’s corpse, feel a communication gap and point out the need for training and awareness of professionals. Contribution to practice: the findings can redirect the training of police officers and health professionals who work with crime situations.
{"title":"Criminal experts’ experience on forensic traces not preserved by health and safety professionals","authors":"Rute Xavier Silva, G. G. D. M. Sá, R. Q. Souto, Josicleide Montenegro da Silva Guedes Alcoforado, Lívia Moreira Barros, Hákilla Pricyla de Jesus Souza, Nelson Miguel Galindo Neto","doi":"10.15253/2175-6783.20222380688","DOIUrl":"https://doi.org/10.15253/2175-6783.20222380688","url":null,"abstract":"Objective: to unveil experts’ experiences on traces not preserved by health and safety professionals. Methods: qualitative research developed with 27 criminal experts through telephone interview. Data were processed in IraMuTeQ and analyzed by the Descending Hierarchical Classification. Results: four thematic classes were obtained that evidenced the existence of a communication gap with the pre-hospital service experienced by experts, who believe that training of these professionals and police officers is necessary. In cases of differentiation between suicide and homicide, experts experience corpse mobilization, in addition to weapon removal from the original location. Health professionals mischaracterize the victim’s corpse and leave health care objects, such as gloves and syringes, in place, while police mischaracterize the scene, move objects and do not adequately isolate the scene. Conclusion: experts experience forensic traces not preserved by health and safety professionals in the position of objects and the victim’s corpse, feel a communication gap and point out the need for training and awareness of professionals. Contribution to practice: the findings can redirect the training of police officers and health professionals who work with crime situations.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90774289","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 : 2022-09-20DOI: 10.15253/2175-6783.20222380876
B. H. Fiorin, Beatriz Costa, Lucas Dalvi Armond Rezende, Alcy Leal Aranha, Bruna Moraes Barbieri, Walckiria Garcia Romero Sipolatti, R. L. Moreira
Objective: to identify the risk factors for surgical site infection in patients after heart procedure. Methods: integrative literature review by searching the Medical Literature Analyses and Retrieval System online, Latin American and Caribbean Literature on Health Sciences, Scientific Electronic Library Online, Nursing Database. The search for the articles occurred during the month of February 2022. Results: 24 articles were eligible for the review. In all studies, the population was mostly male, aged between 51 and 70 years, who underwent elective myocardial revascularization surgery. The main comorbidities presented were diabetes mellitus, hypertension, and obesity. The infection rates ranged from 2.4% to 38.9%, and the main pathogen identified was Staphylococcus aureus. Conclusion: the main comorbidities present in patients who manifested surgical site infection were diabetes, hypertension, obesity, and smoking. The risk factors were gender, age, and prolonged preoperative hospitalization. Antibiotic prophylaxis, trichotomy, nasal decolonization, and adequate skin antisepsis were the most adopted prophylactic measures. Contributions to practice: knowing the profile of patients who developed infection may favor planning risk control actions.
{"title":"Surgical site infection in adult patients after heart procedures: an integrative review","authors":"B. H. Fiorin, Beatriz Costa, Lucas Dalvi Armond Rezende, Alcy Leal Aranha, Bruna Moraes Barbieri, Walckiria Garcia Romero Sipolatti, R. L. Moreira","doi":"10.15253/2175-6783.20222380876","DOIUrl":"https://doi.org/10.15253/2175-6783.20222380876","url":null,"abstract":"Objective: to identify the risk factors for surgical site infection in patients after heart procedure. Methods: integrative literature review by searching the Medical Literature Analyses and Retrieval System online, Latin American and Caribbean Literature on Health Sciences, Scientific Electronic Library Online, Nursing Database. The search for the articles occurred during the month of February 2022. Results: 24 articles were eligible for the review. In all studies, the population was mostly male, aged between 51 and 70 years, who underwent elective myocardial revascularization surgery. The main comorbidities presented were diabetes mellitus, hypertension, and obesity. The infection rates ranged from 2.4% to 38.9%, and the main pathogen identified was Staphylococcus aureus. Conclusion: the main comorbidities present in patients who manifested surgical site infection were diabetes, hypertension, obesity, and smoking. The risk factors were gender, age, and prolonged preoperative hospitalization. Antibiotic prophylaxis, trichotomy, nasal decolonization, and adequate skin antisepsis were the most adopted prophylactic measures. Contributions to practice: knowing the profile of patients who developed infection may favor planning risk control actions.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82239787","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 : 2022-09-20DOI: 10.15253/2175-6783.20222378693
C. Santana, Magda Lúcia Féllix de Oliveira, Mirella Machado Ortiz Modesto, Márcia Regina Jupi Guedes, Paola Kallyanna Guarneri Carvalho de Lima, Giovana Alves Santos
Objective: to analyze readmissions and deaths of hospitalized patients due to the effects of alcohol abuse. Methods: documentary, longitudinal and retrospective study, by analysis of hospital records, carried out in a teaching hospital, by descriptive analysis, univariate association, using Pearson's chi-square test. Results: 399 readmissions of 278 patients were analyzed. Two hospitalizations predominated (69.6%). Most were male (85.2%), and the mean age was 47.15 years (± 13.91); 91.2% were readmissions due to the use of alcoholic beverages, with 45.3% of complications associated with injuries, poisoning and external causes of morbidity and mortality. Twenty-seven (9.7%) patients died. The readmissions of retirees/housewives had an odds ratio of 3.0 of progressing to death. Conclusion: the analysis showed prevalent readmissions and mortality in males, productive age group, with a significant association of risk in intensive care patients and cause of death associated with complications of chronic alcohol use. Contributions to practice: the identification of the causes of readmissions helps nursing professionals in the early recognition of signs of severity and serves as a subsidy for the development of prevention strategies and actions to improve the care network.
{"title":"Readmissions and deaths from complications associated with alcohol abuse","authors":"C. Santana, Magda Lúcia Féllix de Oliveira, Mirella Machado Ortiz Modesto, Márcia Regina Jupi Guedes, Paola Kallyanna Guarneri Carvalho de Lima, Giovana Alves Santos","doi":"10.15253/2175-6783.20222378693","DOIUrl":"https://doi.org/10.15253/2175-6783.20222378693","url":null,"abstract":"Objective: to analyze readmissions and deaths of hospitalized patients due to the effects of alcohol abuse. Methods: documentary, longitudinal and retrospective study, by analysis of hospital records, carried out in a teaching hospital, by descriptive analysis, univariate association, using Pearson's chi-square test. Results: 399 readmissions of 278 patients were analyzed. Two hospitalizations predominated (69.6%). Most were male (85.2%), and the mean age was 47.15 years (± 13.91); 91.2% were readmissions due to the use of alcoholic beverages, with 45.3% of complications associated with injuries, poisoning and external causes of morbidity and mortality. Twenty-seven (9.7%) patients died. The readmissions of retirees/housewives had an odds ratio of 3.0 of progressing to death. Conclusion: the analysis showed prevalent readmissions and mortality in males, productive age group, with a significant association of risk in intensive care patients and cause of death associated with complications of chronic alcohol use. Contributions to practice: the identification of the causes of readmissions helps nursing professionals in the early recognition of signs of severity and serves as a subsidy for the development of prevention strategies and actions to improve the care network.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76399336","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 : 2022-09-20DOI: 10.15253/2175-6783.20222378534
Luípa Michele Silva, Ana Carolina de Souza, Jack Roberto Silva Fhon, R. A. Rodrigues, Larissa Azevedo dos Santos, Maria Fernanda Costa Troncha Gomes
Objective: to identify the factors associated with the use of assistive technologies by elders in their home environment. Methods: cross-sectional, analytical, and exploratory study with 127 elders capable of answering the data collection instruments. Analyses were carried out using Student's t, Pearson's correlation, and linear regression. Results: in regard to the type of assistive device used, 52.8% of interviewees used orthoses or prostheses, 48.8% used shower chairs, and 47.2% used wheelchairs. In the comparative analysis of the means, there was a statistically significant association between basic daily life activities and cognitive state. In basic daily life activities (r=0.52), as the score of the elderly in Katz's Index increases, the use of assistive devices also increases. In turn, as the Lawton and Brody Scale (r=-0.279) increases, the number of devices decreases. Conclusion: the prevalence of elders who use assistive devices in their homes was high, showing a direct association with their functional capacity and their performance of basic and instrumental daily life activities. Contributions to practice: this research contributes for the organization of elderly assistance by nursing workers, encouraging elder independence and autonomy.
{"title":"Factors associated with the use of assistive technologies in elders in their home environments","authors":"Luípa Michele Silva, Ana Carolina de Souza, Jack Roberto Silva Fhon, R. A. Rodrigues, Larissa Azevedo dos Santos, Maria Fernanda Costa Troncha Gomes","doi":"10.15253/2175-6783.20222378534","DOIUrl":"https://doi.org/10.15253/2175-6783.20222378534","url":null,"abstract":"Objective: to identify the factors associated with the use of assistive technologies by elders in their home environment. Methods: cross-sectional, analytical, and exploratory study with 127 elders capable of answering the data collection instruments. Analyses were carried out using Student's t, Pearson's correlation, and linear regression. Results: in regard to the type of assistive device used, 52.8% of interviewees used orthoses or prostheses, 48.8% used shower chairs, and 47.2% used wheelchairs. In the comparative analysis of the means, there was a statistically significant association between basic daily life activities and cognitive state. In basic daily life activities (r=0.52), as the score of the elderly in Katz's Index increases, the use of assistive devices also increases. In turn, as the Lawton and Brody Scale (r=-0.279) increases, the number of devices decreases. Conclusion: the prevalence of elders who use assistive devices in their homes was high, showing a direct association with their functional capacity and their performance of basic and instrumental daily life activities. Contributions to practice: this research contributes for the organization of elderly assistance by nursing workers, encouraging elder independence and autonomy.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75245830","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 : 2022-09-20DOI: 10.15253/2175-6783.20222378412
Nery José de Oliveira Junior, D. Lourenção, V. B. Poveda, Caren de Oliveira Riboldi, Fabiana Zerbieri Martins, A. Magalhães
Objective: to evaluate the safety culture through an observation of the safety climate of health workers from a Surgical Center. Methods: cross-sectional study in eight surgical centers from a hospital complex. A validated Brazilian version of the Safety Attitudes Questionnaire/Operating Room was applied to a convenience sample of 172 health and support workers (physicians and nurses). The Chi-squared, Student's T, and Mann-Whitney's tests were used. Results: the general evaluation showed a positive safety climate. Only the nursing professionals reached the minimum score that indicates a positive result in the domain Quality of communication and collaboration. The domains Safety climate, Stress recognition, Communication in the surgical environment, and Perception of professional performance showed positive results, while Perception of management and Work conditions had the worst scores. Conclusion: the safety climate was positive. Nonetheless, communication showed shortcomings pointed out by the workers. Contributions to practice: identifying domains that need to be improved helps fomenting safety culture in surgical centers, leading to better care outcomes and work environments.
{"title":"Safety culture in surgical centers from the perspective of the multiprofessional team","authors":"Nery José de Oliveira Junior, D. Lourenção, V. B. Poveda, Caren de Oliveira Riboldi, Fabiana Zerbieri Martins, A. Magalhães","doi":"10.15253/2175-6783.20222378412","DOIUrl":"https://doi.org/10.15253/2175-6783.20222378412","url":null,"abstract":"Objective: to evaluate the safety culture through an observation of the safety climate of health workers from a Surgical Center. Methods: cross-sectional study in eight surgical centers from a hospital complex. A validated Brazilian version of the Safety Attitudes Questionnaire/Operating Room was applied to a convenience sample of 172 health and support workers (physicians and nurses). The Chi-squared, Student's T, and Mann-Whitney's tests were used. Results: the general evaluation showed a positive safety climate. Only the nursing professionals reached the minimum score that indicates a positive result in the domain Quality of communication and collaboration. The domains Safety climate, Stress recognition, Communication in the surgical environment, and Perception of professional performance showed positive results, while Perception of management and Work conditions had the worst scores. Conclusion: the safety climate was positive. Nonetheless, communication showed shortcomings pointed out by the workers. Contributions to practice: identifying domains that need to be improved helps fomenting safety culture in surgical centers, leading to better care outcomes and work environments.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84913590","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 : 2022-09-20DOI: 10.15253/2175-6783.20222378620
E. D. F. Corpes, K. M. Leite, Denise Montenegro da Silva, Ana Cínthia Silva Alves, R. B. Castro, Andrea Bezerra Rodrigues
Objective: to analyze the impacts of the COVID-19 pandemic on breast cancer screening and early diagnosis. Methods: an ecological retrospective study of data from the Department of Informatics of the Unified Health System collected between 2016 and 2020 was carried out. The data collection was guided by a semi-structured script, and the impact of the pandemic on breast cancer screen and diagnosis was established by using a formula and comparing the period of interest to 2020. Results: in Brazil, there was a significant drop in mammograms performed during the COVID-19 pandemic, with a decrease of 361,855 exams from 2016 to 2020. Most diagnostic investigations were conducted with patients between 50 and 59 years, and there was a significant drop in mammograms in women aged under 40 years. Conclusion: the COVID-19 pandemic has negatively impacted screening and early diagnosis of breast cancer due to reduced availability. Contributions to practice: the study reinforces the importance of investing in public policies to face the pandemic scenario so that screening and treatment protocols be well targeted to guarantee better care for cancer patients.
{"title":"Impact of the COVID-19 pandemic on breast cancer screening and early diagnosis","authors":"E. D. F. Corpes, K. M. Leite, Denise Montenegro da Silva, Ana Cínthia Silva Alves, R. B. Castro, Andrea Bezerra Rodrigues","doi":"10.15253/2175-6783.20222378620","DOIUrl":"https://doi.org/10.15253/2175-6783.20222378620","url":null,"abstract":"Objective: to analyze the impacts of the COVID-19 pandemic on breast cancer screening and early diagnosis. Methods: an ecological retrospective study of data from the Department of Informatics of the Unified Health System collected between 2016 and 2020 was carried out. The data collection was guided by a semi-structured script, and the impact of the pandemic on breast cancer screen and diagnosis was established by using a formula and comparing the period of interest to 2020. Results: in Brazil, there was a significant drop in mammograms performed during the COVID-19 pandemic, with a decrease of 361,855 exams from 2016 to 2020. Most diagnostic investigations were conducted with patients between 50 and 59 years, and there was a significant drop in mammograms in women aged under 40 years. Conclusion: the COVID-19 pandemic has negatively impacted screening and early diagnosis of breast cancer due to reduced availability. Contributions to practice: the study reinforces the importance of investing in public policies to face the pandemic scenario so that screening and treatment protocols be well targeted to guarantee better care for cancer patients.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85928067","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 : 2022-09-20DOI: 10.15253/2175-6783.20222378179
Hellen Lívia Oliveira Catunda Ferreira, Cícero Mendes Siqueira, Nicolau da Costa, Edienovi da Costa Pereira, Adine de Andrade Fiúza, S. G. Ribeiro, A. B. Pinheiro
Objective: to analyze factors associated with knowledge, attitude, and practice of schoolgirls about vaccination against Human Papillomavirus in large and medium-sized cities. Methods: cross-sectional analytical study conducted with 210 schoolgirls. The knowledge, attitude and practice survey was applied, and the vaccination scheme was verified. Association tests, prevalence ratio and Poisson regression with robust variance were used. Results: girls from the large metropolitan area had lower knowledge and practice (p=0.000). Adequacy of Knowledge in the big metropolis among white and catholic girls was higher, as well as that of Attitude. Family income of up to two thousand reais revealed lower adequacy of Attitude and Practice, and age below 12 years was lower for Attitude. Conclusion: factors associated with adequate knowledge about the vaccine against Human Papillomavirus were race and religion; to adequate attitude, were age, race, and income; and to adequate practice, was income. Contributions to practice: enable reflection and awareness about the importance of vaccination against Human Papillomavirus among schoolgirls as well as stimulate the planning of more effective strategies, to incite individuals to establish information exchanges on sexual and reproductive health, considering the social space of each municipality.
{"title":"Factors associated with knowledge, attitude, and practice of schoolgirls about vaccination against Human Papillomavirus","authors":"Hellen Lívia Oliveira Catunda Ferreira, Cícero Mendes Siqueira, Nicolau da Costa, Edienovi da Costa Pereira, Adine de Andrade Fiúza, S. G. Ribeiro, A. B. Pinheiro","doi":"10.15253/2175-6783.20222378179","DOIUrl":"https://doi.org/10.15253/2175-6783.20222378179","url":null,"abstract":"Objective: to analyze factors associated with knowledge, attitude, and practice of schoolgirls about vaccination against Human Papillomavirus in large and medium-sized cities. Methods: cross-sectional analytical study conducted with 210 schoolgirls. The knowledge, attitude and practice survey was applied, and the vaccination scheme was verified. Association tests, prevalence ratio and Poisson regression with robust variance were used. Results: girls from the large metropolitan area had lower knowledge and practice (p=0.000). Adequacy of Knowledge in the big metropolis among white and catholic girls was higher, as well as that of Attitude. Family income of up to two thousand reais revealed lower adequacy of Attitude and Practice, and age below 12 years was lower for Attitude. Conclusion: factors associated with adequate knowledge about the vaccine against Human Papillomavirus were race and religion; to adequate attitude, were age, race, and income; and to adequate practice, was income. Contributions to practice: enable reflection and awareness about the importance of vaccination against Human Papillomavirus among schoolgirls as well as stimulate the planning of more effective strategies, to incite individuals to establish information exchanges on sexual and reproductive health, considering the social space of each municipality.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82756586","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 : 2022-09-20DOI: 10.15253/2175-6783.20222381328
Natália de Luna Leite, Andellyhose Clébia Lima dos Santos, Amanda Carla Borba de Souza Cavalcanti, A. Cavalcanti, E. T. Gomes, V. A. Püschel
Objective: to understand the meanings attributed by nurses to preoperative care provided to terminal disease patients. Methods: qualitative research that used the Grounded Theory as methodological reference and was conducted in the surgical wards of a university hospital. Results: eleven nurses participated in the research. A theory was elaborated for the central phenomenon: Nurses caring for terminal disease patients in the preoperative period in the context of a surgical ward. Conclusion: nurses attribute meanings to this care that has its own particularities, that requires professional preparation and that demands, even more, an effective communication within the multidisciplinary team and in the relationship with the patient and family. Contributions to practice: the theory presented allows professionals to reflect on their praxis, understand the intervening conditions for ethical dilemmas and conflicts involved and consequences, as well as strategies to improve care in this scenario.
{"title":"Preoperative care for patients in terminal stage of disease from the perspective of nurses","authors":"Natália de Luna Leite, Andellyhose Clébia Lima dos Santos, Amanda Carla Borba de Souza Cavalcanti, A. Cavalcanti, E. T. Gomes, V. A. Püschel","doi":"10.15253/2175-6783.20222381328","DOIUrl":"https://doi.org/10.15253/2175-6783.20222381328","url":null,"abstract":"Objective: to understand the meanings attributed by nurses to preoperative care provided to terminal disease patients. Methods: qualitative research that used the Grounded Theory as methodological reference and was conducted in the surgical wards of a university hospital. Results: eleven nurses participated in the research. A theory was elaborated for the central phenomenon: Nurses caring for terminal disease patients in the preoperative period in the context of a surgical ward. Conclusion: nurses attribute meanings to this care that has its own particularities, that requires professional preparation and that demands, even more, an effective communication within the multidisciplinary team and in the relationship with the patient and family. Contributions to practice: the theory presented allows professionals to reflect on their praxis, understand the intervening conditions for ethical dilemmas and conflicts involved and consequences, as well as strategies to improve care in this scenario.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89267849","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 : 2022-09-20DOI: 10.15253/2175-6783.20222381354
T. S. Garces, G. J. B. Sousa, V. Cestari, S. M. Mattos, R. Florêncio, M. L. D. Pereira, T. Moreira
Objective: to estimate the prevalence of severity of hospitalized cases of COVID-19 and its association with diabetes mellitus. Methods: a cross-sectional study, which used secondary data from the Influenza Epidemiological Surveillance Information System, totaling 405,294 confirmed cases. To verify the association of diabetes and severity in hospitalized patients with COVID-19, Poisson regression models with robust variance estimator were used. Initially, the association of disease with outcome was verified; next, several adjustments for potential confounders were performed. Results: the prevalence of diabetes in the 405,294 hospitalized and positive cases was 25.7% (Confidence Interval: 25.5% - 25.8%). After adjustments, diabetes was found to increase the severity of COVID-19 by 19% (Confidence Interval: 1.17 - 2.21). Conclusion: a significant association of diabetes mellitus with severe cases of COVID-19 infection has been identified. Contributions to practice: the evidence generated by the study guides the risk stratification of patients and directs clinical management.
{"title":"Diabetes mellitus and severity by COVID-19 in hospitalized Brazilians","authors":"T. S. Garces, G. J. B. Sousa, V. Cestari, S. M. Mattos, R. Florêncio, M. L. D. Pereira, T. Moreira","doi":"10.15253/2175-6783.20222381354","DOIUrl":"https://doi.org/10.15253/2175-6783.20222381354","url":null,"abstract":"Objective: to estimate the prevalence of severity of hospitalized cases of COVID-19 and its association with diabetes mellitus. Methods: a cross-sectional study, which used secondary data from the Influenza Epidemiological Surveillance Information System, totaling 405,294 confirmed cases. To verify the association of diabetes and severity in hospitalized patients with COVID-19, Poisson regression models with robust variance estimator were used. Initially, the association of disease with outcome was verified; next, several adjustments for potential confounders were performed. Results: the prevalence of diabetes in the 405,294 hospitalized and positive cases was 25.7% (Confidence Interval: 25.5% - 25.8%). After adjustments, diabetes was found to increase the severity of COVID-19 by 19% (Confidence Interval: 1.17 - 2.21). Conclusion: a significant association of diabetes mellitus with severe cases of COVID-19 infection has been identified. Contributions to practice: the evidence generated by the study guides the risk stratification of patients and directs clinical management.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72394773","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 : 2022-08-16DOI: 10.15253/2175-6783.20222380608
Keila Cristina Costa Barros, R. Moreira, Jeane Freitas de Oliveira, Daine Ferreira Brazil do Nascimento, Marília Emanuela Ferreira de Jesus, Ricardo Bruno Santos Ferreira
Objective: to unveil the vulnerabilities of homeless women linked to the social markers of gender and race/color. Methods: qualitative study, developed with ten homeless women through participant observation, field diary, and sociodemographic questionnaire, systematized based on content analysis. Results: it was found that gender identity and race/color act as potentiators of the situation of vulnerability of women. It is believed that structural racism and machismo feed back into the streets and perpetuate themselves in a perverse cycle of denial of women's rights, which is potentiated by the omission of the State and extensive social and economic inequality. Conclusion: gender and race/color potentiate the vulnerabilities of homeless women that intersect precarious social conditions, denial of rights, and favor illness. Contributions to practice: to present information that enables reflections and creation of care strategies for homeless women, understood in their singularities.
{"title":"Vulnerabilities of homeless women: social markers of gender and race/color","authors":"Keila Cristina Costa Barros, R. Moreira, Jeane Freitas de Oliveira, Daine Ferreira Brazil do Nascimento, Marília Emanuela Ferreira de Jesus, Ricardo Bruno Santos Ferreira","doi":"10.15253/2175-6783.20222380608","DOIUrl":"https://doi.org/10.15253/2175-6783.20222380608","url":null,"abstract":"Objective: to unveil the vulnerabilities of homeless women linked to the social markers of gender and race/color. Methods: qualitative study, developed with ten homeless women through participant observation, field diary, and sociodemographic questionnaire, systematized based on content analysis. Results: it was found that gender identity and race/color act as potentiators of the situation of vulnerability of women. It is believed that structural racism and machismo feed back into the streets and perpetuate themselves in a perverse cycle of denial of women's rights, which is potentiated by the omission of the State and extensive social and economic inequality. Conclusion: gender and race/color potentiate the vulnerabilities of homeless women that intersect precarious social conditions, denial of rights, and favor illness. Contributions to practice: to present information that enables reflections and creation of care strategies for homeless women, understood in their singularities.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87355753","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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