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Hasdeu S, Beliera A, Alvarez J, Sanchez-Viamonte J. [Asymmetries between national articulation and the autonomy of state governments in implementing health technologies to fight COVID-19 in Argentina]. CAD SAUDE PUBLICA 2024; 40:e00117923. [PMID: 38695457 PMCID: PMC11057482 DOI: 10.1590/0102-311xes117923] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Revised: 01/26/2024] [Accepted: 02/21/2024] [Indexed: 05/06/2024] Open
Abstract
Argentina, as other countries, showed several public policies related to the health technologies implemented to fight and treat the COVID-19 pandemic. This study sought to analyze how articulation vs. cooperation and autonomy vs. division of powers between entities occurred in Argentina, exploring asymmetries between several entities in implementing public policies related to health technologies during the pandemic and the influences of other actors. For this, a documentary research was carried out related to 2020-2021 (technical reports published by the World Health Organization, national agencies and scientific societies, laws, court decisions, press, and research and in-depth interviews with members of the Argentine Ministries of Health). The processes and results of decision-making in the Ministries of Health were analyzed, outlining the coverage and orientations of each technology and the political party in power in the province. This study found heterogeneous results and processes between Ministries and disputes within them. It also observed the poor adherence to official guidelines due to technical-political criteria (power relations, social, media, academic, judiciary, and legislative pressure). Some cases showed a strong tension between the government and its opposition over the discussion of technologies. Each province in Argentina has autonomously defined its policies on health technologies for COVID-19, and decision-making in public administration was disorderly, complex, and non-linear during the pandemic.
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Affiliation(s)
- Santiago Hasdeu
- Universidad Nacional del Comahue, Neuquén, Argentina
- RedARETS, Neuquén, Argentina
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Acosta AM, Nora CRD, Fontenele RM, Aued GK, Silveira CDS, Sanseverino AX. Transition and continuity of care after hospital discharge for COVID-19 survivors. Rev Esc Enferm USP 2023; 57:e20230083. [PMID: 37997878 PMCID: PMC10669132 DOI: 10.1590/1980-220x-reeusp-2023-0083en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2023] [Accepted: 09/04/2023] [Indexed: 11/25/2023] Open
Abstract
OBJECTIVE To assess care transition quality and compare it with the clinical characteristics and continuity of care after hospital discharge of COVID-19 survivors. METHOD This is a descriptive, observational and cross-sectional study, carried out with 300 patients with COVID-19 who were discharged from a hospital in southern Brazil. The Care Transitions Measure (CTM-15) and question guide about symptoms, difficulties and use of health services after discharge were used. Student's t-test, Pearson and Spearman correlation were used. RESULTS The mean score for care transition quality was 74.2 (±18.2). Factors associated with higher quality were receiving care in intensive care (p = 0.001), using non-invasive mechanical ventilation (p = 0.05), using vasopressors (p = 0.027) and having an appointment at the hospital after discharge (p = 0.014). Positive correlated factors were length of stay (p = 0.017), and negative factors were post-discharge symptoms of fatigue (p = 0.001), weakness (p = 0.008), difficulty doing moderate activities (p = 0.003) and how difficult recovery is (p = 0.003). CONCLUSION Most participants had a satisfactory perception of care transition. However, aspects such as care plans, referrals and follow-up after hospital discharge require improvements.
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Affiliation(s)
- Aline Marques Acosta
- Universidade Federal do Rio Grande do Sul, Escola de Enfermagem, Departamento de Assistência e Orientação Profissional, Porto Alegre, RS, Brazil
| | - Carlise Rigon Dalla Nora
- Universidade Federal do Rio Grande do Sul, Escola de Enfermagem, Departamento de Assistência e Orientação Profissional, Porto Alegre, RS, Brazil
| | - Raquel Malta Fontenele
- Universidade Federal do Rio Grande do Sul, Escola de Enfermagem, Departamento de Assistência e Orientação Profissional, Porto Alegre, RS, Brazil
| | - Gisele Knop Aued
- Universidade Federal do Rio Grande do Sul, Escola de Enfermagem, Departamento de Assistência e Orientação Profissional, Porto Alegre, RS, Brazil
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Mendes LMC, da Silva AS, Barbosa NG, Cardoso LDF, de Andrade RF, Gomes-Sponholz FA. Representations of COVID-19: the pandemic in the context of international commuting migration from mining. Rev Esc Enferm USP 2023; 57:e20220382. [PMID: 37992302 PMCID: PMC10665081 DOI: 10.1590/1980-220x-reeusp-2022-0382en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2022] [Accepted: 09/16/2023] [Indexed: 11/24/2023] Open
Abstract
OBJECTIVE To analyze the conceptions about COVID-19 among Brazilians who carry out commuting to work in clandestine mines located on the borders between Brazil, French Guiana and Suriname. METHOD This is qualitative research, from an analytical perspective, based on Social Representation Theory. Semi-structured, audio-recorded interviews were carried out with 10 Brazilians who experience work routine in clandestine mining on the border between Brazil, French Guiana and Suriname. RESULTS Two analytical categories emerged: "The disease of otherness"; and "Health access dimension". CONCLUSION Disease severity was attributed to another or a human body organ, and not to individuals as a whole. Access to health services was established on issues of inequity, violence and illegal practices. The nature of a transient population, which carries out commuting and informal and clandestine work, demonstrates vulnerability to COVID-19 and a lower propensity to receive care.
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Affiliation(s)
- Lise Maria Carvalho Mendes
- Universidade de São Paulo, Programa de Pós-Graduação em Enfermagem em Saúde Pública, Ribeirão Preto, SP, Brazil
| | | | - Nayara Gonçalves Barbosa
- Universidade Federal de Juiz de Fora, Departamento de Enfermagem Materno-Infantil e Saúde Pública, Juiz de Fora, MG, Brazil
| | - Larissa de Freitas Cardoso
- Universidade de São Paulo, Programa de Pós-Graduação em Enfermagem em Saúde Pública, Ribeirão Preto, SP, Brazil
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Dantas MNP, de Sousa ES, Faustino SLF, de Azevedo IC, Santos VEP. Transition of care in post-hospitalization patients due to covid-19 in a hospital in northeastern Brazil. Rev Bras Enferm 2023; 76Suppl 1:e20230030. [PMID: 37820107 PMCID: PMC10561925 DOI: 10.1590/0034-7167-2023-0030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Accepted: 04/23/2023] [Indexed: 10/13/2023] Open
Abstract
OBJECTIVE To analyze the transition of care for post-hospitalization patients due to covid-19 in a hospital in northeastern Brazil. METHODS Quantitative, cross-sectional, descriptive, and analytical study carried out between 2020 and 2021. The sample had 78 patients. Data collection took place by telephone with the support of a sociodemographic questionnaire and the care transition assessment instrument (Care Transitions Measure). RESULTS The average length of stay was 24.04 days. The average score for care transition was 71.68 (±11.71). "Self-management training" and "Understanding of medications" had higher averages, 75.15 (±13.76) and 74.10 (±16.20). CONCLUSIONS The average length of stay was 24.04 days. The average score for care transition was 71.68 (±11.71). "Self-management training" and "Understanding of medications" had higher averages, 75.15 (±13.76) and 74.10 (±16.20).
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Leite FDMC, Oliveira EDS, da Silva BVS, de Melo EBB, Dantas RAN, Dantas DV. Patient safety with covid-19 in hospital units: a scoping review. Rev Bras Enferm 2023; 76Suppl 1:e20220557. [PMID: 37820105 PMCID: PMC10561936 DOI: 10.1590/0034-7167-2022-0557] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2022] [Accepted: 03/29/2023] [Indexed: 10/13/2023] Open
Abstract
OBJECTIVE Map, in the scientific literature, the actions taken to promote the safety of patients with covid-19 in the hospital context. METHODS This is a scoping review according to the Joanna Briggs Institute, using the Checklist Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews. In April 2022, searches were performed on nine data sources. The results were summarized in a table and analyzed descriptively. RESULTS Fifteen studies were selected to compose the final sample. Most articles refer to cohort studies, followed by clinical trials. As for the areas of activity, there was a predominance of surgical centers, followed by adult and pediatric Intensive Care Units. CONCLUSIONS With this review, it was possible to map measures such as contingency plans and reorganization of beds, rooms, and operating rooms, in addition to the isolation and distancing practiced by patients and professionals.
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Salafi KA, Widianti E, Praptiwi A. Self-compassion among Undergraduate Nursing Students at a State University in Indonesia during the COVID-19 Pandemic. Rev Bras Enferm 2023; 76:e20220585. [PMID: 37820145 PMCID: PMC10561944 DOI: 10.1590/0034-7167-2022-0585] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Accepted: 05/07/2023] [Indexed: 10/13/2023] Open
Abstract
OBJECTIVE To determine the level of self-compassion and investigate the relationships between sociodemographic variables and self-compassion among undergraduate nursing students at a state university in Indonesia during the COVID-19 Pandemic. METHODS This study used a cross-sectional design. Samples were selected using a proportionate stratified random sampling technique (n=260). Data were collected using an Indonesian version of the Self-compassion Scale, which consists of 6 subscales: self-kindness, self-judgment, common humanity, isolation, mindfulness, and overidentification. Data were analyzed using univariate and bivariate analysis. RESULTS 60% of students had moderate self-compassion. Students scored the highest in self-kindness (3,93±1,02) and over-identification (3,58±0,94), indicating that they often tried to love themselves when they felt emotional pain and often get carried away when something upsetting happened. Subsequently, a significant correlation was found between age and self-compassion (p<0.05). CONCLUSION Self-compassion among nursing students should be improved through interventions such as compassion literacy, mindfulness training, and compassion-based experiential techniques.
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Affiliation(s)
| | - Efri Widianti
- Universitas Padjadjaran, Faculty of Nursing. Bandung, Indonesia
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Vieira-Meyer APGF, Forte FDS, Guimarães JMX, Farias SF, Oliveira ALSD, Dias MSDA, Monteiro CFDS, Guedes da Silva Júnior FJ, Morais APP, Moreira MRC, Castro MC, Yousafzai AK. Community health workers perspective on the COVID-19 impact on primary health care in Northeastern Brazil. CAD SAUDE PUBLICA 2023; 39:e00007223. [PMID: 37585900 PMCID: PMC10494696 DOI: 10.1590/0102-311xen007223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Revised: 04/23/2023] [Accepted: 05/04/2023] [Indexed: 08/18/2023] Open
Abstract
This article evaluates the COVID-19 pandemic impacts on the Family Health Strategy (FHS) team's work routines across a range of northeast Brazilian cities as perceived by community health workers (CHW). Data on COVID-19, CHW activities, and FHS teams were collected in 2021 by a structured questionnaire. A total of 1,935 CHWs from four state capitals (Fortaleza - Ceará State, João Pessoa - Paraíba State, Recife - Pernambuco State, Teresina - Piauí State) and four hinterland cities (Crato, Juazeiro do Norte, Barbalha, Sobral - Ceará State) participated in the study. Most CHWs were women (82.42%), with mean age 46.25±8.54 years. Many (39.92%) were infected with COVID-19, of which 70.78% believed they were infected in the workplace. A total of 77.82% defined their role as frontline in the fight against COVID-19, 16.07% reported receiving training for COVID-19, and 13.74% had access to sufficient protective equipment. Most (90.27%) believed their work routines were modified by the pandemic, either strengthening (41.46%) or weakening (44.41%) the team spirit. Home visits (60.55%), health promotion actions in schools (75.66%) and in specific community groups (93.96%), and other on-site community services (66.01%) showed a reduction in frequency. The sampled cities revealed a significant heterogeneity regarding responses to the COVID-19 pandemic, possibly associated with a lack of coordination by the Federal Government. Regardless of context, the pandemic led to a reconfiguration of local health systems, workflows, and primary care protocols for FHS teams. The importance of the Brazilian Unified National Health System (SUS) and its potential for reorganization during crisis should be acknowledged while preserving the headway made thus far.
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Vale MF, Camargo-Júnior EB, Magalhães FAC, de Almeida-Júnior JJ, Gherardi-Donato ECDS, Fernandes MNDF. Risk factors for the population's mental health amidst the COVID-19 pandemic. Rev Esc Enferm USP 2023; 57:e20220324. [PMID: 37470726 PMCID: PMC10409497 DOI: 10.1590/1980-220x-reeusp-2022-0324en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2022] [Accepted: 04/25/2023] [Indexed: 07/21/2023] Open
Abstract
OBJECTIVE To identify risk factors for mental health in the population in times of COVID-19 through the analysis of levels of socio-cognitive mindfulness and perception of stress in individuals. METHOD This is a cross-sectional observational study with a quantitative approach, carried out through online data collection using the Perceived Stress Scale and the Langer Mindfulness Scale in a sample of 955 individuals from different regions of Brazil. RESULTS Women, younger people and individuals with low socioeconomic conditions had higher levels of perceived stress; on the other hand, older men and individuals with high socioeconomic status had higher levels of mindfulness. CONCLUSION Socio-cognitive mindfulness was not a protective factor for perceived stress in the context of the COVID-19 pandemic.
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da Cunha QB, Freitas EDO, Pai DD, dos Santos JLG, Lourenção LG, da Silva RM, Magnago TSBDS, Miranda FMD, Camponogara S. Factors associated with the SARS-CoV-2 infection among health professionals from university hospitals. Rev Lat Am Enfermagem 2023; 31:e3917. [PMID: 37194895 PMCID: PMC10202233 DOI: 10.1590/1518-8345.6482.3917] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2022] [Accepted: 01/14/2023] [Indexed: 05/18/2023] Open
Abstract
to investigate factors associated with the SARS-CoV-2 infection among health professionals from university hospitals. a multicenter, mixed approach study with concomitant incorporated strategy, carried out with 559 professionals in the quantitative stage, and 599 in the qualitative stage. Four data collection instruments were used, applied by means of an electronic form. The quantitative analysis was performed with descriptive and inferential statistics and the qualitative data were processed by means of content analysis. the factors associated with the infection were as follows: performance of the RT-PCR test (p<0.001) and units offering care to COVID-19 patients (p=0.028). Having symptoms increased 5.63 times the prevalence of infection and adhering to social distancing most of the time in private life reduced it by 53.9%. The qualitative data evidenced difficulties faced by the professionals: scarcity and low quality of Personal Protective Equipment, work overload, physical distancing at work, inadequate processes and routines and lack of a mass screening and testing policy. the factors associated with the SARS-CoV-2 infection among health professionals were mostly related to occupational issues.
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Affiliation(s)
- Quézia Boeira da Cunha
- Universidade Federal de Santa Maria, Hospital Universitário de Santa Maria, Santa Maria, RS, Brasil
| | | | - Daiane Dal Pai
- Universidade Federal do Rio Grande do Sul, Escola de Enfermagem, Porto Alegre, RS, Brasil
| | | | | | | | | | | | - Silviamar Camponogara
- Universidade Federal de Santa Maria, Departamento de Enfermagem, Santa Maria, RS, Brasil
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Zeladita-Huaman JA, Huyhua-Gutierrez SC, Castillo-Parra H, Zegarra-Chapoñan R, Tejada-Muñoz S, Díaz-Manchay RJ. Technological variables predictors of academic stress in nursing students in times of COVID-19. Rev Lat Am Enfermagem 2023; 31:e3851. [PMID: 37194890 PMCID: PMC10202226 DOI: 10.1590/1518-8345.6386.3851] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2022] [Accepted: 09/26/2022] [Indexed: 05/18/2023] Open
Abstract
OBJECTIVE to analyze which technological variables, derived from the use of electronic devices, predict academic stress and its dimensions in Nursing students. METHOD analytical cross-sectional study carried out with a total of 796 students from six universities in Peru. The SISCO scale was used and four logistic regression models were estimated for the analysis, with selection of variables in stages. RESULTS among the participants, 87.6% had a high level of academic stress; time using the electronic device, screen brightness, age and sex were associated with academic stress and its three dimensions; the position of using the electronic device was associated with the total scale and the stressors and reactions dimensions. Finally, the distance between the face and the electronic device was associated with the total scale and size of reactions. CONCLUSION technological variables and sociodemographic characteristics predict academic stress in nursing students. It is suggested to optimize the time of use of computers, regulate the brightness of the screen, avoid sitting in inappropriate positions and pay attention to the distance, in order to reduce academic stress during distance learning.
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Affiliation(s)
| | | | - Henry Castillo-Parra
- Universidad de San Buenaventura, Facultad de Psicología, Medellín, Antioquia, Colombia
| | - Roberto Zegarra-Chapoñan
- Universidad María Auxiliadora, Escuela Profesional de Enfermería, Lima, Lima, Perú
- Ministerio de Salud, Escuela Nacional de Salud Pública, Lima, Lima, Perú
| | - Sonia Tejada-Muñoz
- Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas, Facultad de Ciencia de la Salud, Amazonas, Amazonas, Perú
| | - Rosa Jeuna Díaz-Manchay
- Universidad Católica Santo Toribio de Mogrovejo, Facultad de Medicina, Lambayeque, Lambayeque, Perú
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Sara Ardila-Gómez, Marina Fernández, Andrés Matkovich, Melina Rosales, Rocío Alonso, Martín Agrest, Julia Paternina, Alberto Velzi Díaz. Repercussions of COVID-19 on psychiatric inpatient care in Latin America and the Caribbean. Rev Colomb Psiquiatr (Engl Ed) 2023. [PMID: 37031017 PMCID: PMC10036298 DOI: 10.1016/j.rcpeng.2021.05.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/10/2020] [Accepted: 05/29/2021] [Indexed: 03/26/2023]
Abstract
Objetive To characterise the impact of the COVID-19 pandemic on psychiatric hospitalisations in the Latin American and Caribbean (LAC) region. Methods Descriptive study. 85 semi-structured interviews were conducted with health workers involved with psychiatric hospitalisations in general hospitals (GHs) and specialised psychiatric hospitals (SHs) from 18 LAC countries. The interviews were done between 8 May and 30 June 2020. The data were analysed quantitatively and qualitatively. Results An initial decrease in the demand for hospitalisation is reported, attributed to the population’s fear of approaching health services as well as restrictions on mobility. Stricter criteria for hospitalisation were reported with a double focus on the acute within the acute. The length of hospitalisations were mixed, with both increases and decreases in GHs and SHs. The therapeutic offer was drastically reduced, and interaction between hospitalised people and their support networks was restricted. Conclusions In the COVID-19 context, hospitalisation seems to be not the last but the only alternative for psychiatric treatment. The decrease in the number of beds in SHs could be a positive aspect for the reform of psychiatric care, but it is questioned since this reduction also occurs in GHs.
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do Prado E, Camparoto CW, Takemoto AY, Ichisato SMT, Miguel MEGB, Marcon SS. Palliative care strategies in the management of people with serious cases of COVID-19. Rev Bras Enferm 2023; 76Suppl 1:e20220308. [PMID: 36888747 PMCID: PMC9987459 DOI: 10.1590/0034-7167-2022-0308] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2022] [Accepted: 10/13/2022] [Indexed: 03/08/2023] Open
Abstract
OBJECTIVES to analyze the assistance strategies in palliative care developed in the COVID-19 pandemic for critically ill patients and their families. METHODS an integrative review carried out in August 2021 and updated in April 2022 in the Base de Dados de Enfermagem (BDENF), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medical Literature Analysis and Retrieval System Online (MEDLINE), US National Library of Medicine (PubMed), Web of Science databases, and presented in the PRISMA flowchart. RESULTS thirteen works were selected for reading and content analysis, from which emerged the two main themes that reflect the reality evidenced in this context: The sudden advent of COVID-19 with impacts on palliative care; and The strategies used in palliative care to mitigate these impacts. FINAL CONSIDERATIONS palliative care is the best strategy for providing health care, used as a comfort to bring relief and comfort to patients and families.
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Dias TO, Assad LG, de Paula VG, de Almeida LF, de Moraes EB, Nassar PRB. Good practices in central venous catheter maintenance in time of covid-19: an observational study. Rev Bras Enferm 2022; 75:e20210397. [PMID: 36197429 PMCID: PMC9728808 DOI: 10.1590/0034-7167-2021-0397] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2021] [Accepted: 04/15/2022] [Indexed: 12/23/2022] Open
Abstract
OBJECTIVES to assess adherence to good practices for central venous catheter maintenance by the nursing team during the COVID-19 pandemic. METHODS observational, cross-sectional, quantitative research with non-participant observation. Data collection was guided by an instrument developed for this study, consisting of five dimensions. It took place in the intensive care unit of a university hospital in the city of Rio de Janeiro. RESULTS a total of 700 observations were carried out, which resulted, in general, in 402 (57.4%) procedures for adherence to good practices. Hand hygiene (8%) and Performing the dressings (10%) were the dimensions with the lowest adherence. CONCLUSIONS good practices for central venous catheter maintenance were partially present in the routine of the nursing team during the COVID-19 pandemic. In critical moments, intensifying the qualification of the teams for a better adaptation to the new work processes is a strategy to sustain the patient safety culture.
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Affiliation(s)
- Taís Oliveira Dias
- Universidade do Estado do Rio de Janeiro. Rio de Janeiro, Rio de Janeiro, Brazil
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de Faria RM, Jantsch LB, Neves ET, Hausen CF, de Barros APZ, Sehnem GD, de Miranda MJ. Social and territorial inequalities in the mortality of children and adolescents due to COVID-19 in Brazil. Rev Bras Enferm 2022; 75:e20210482. [PMID: 35946619 PMCID: PMC9728821 DOI: 10.1590/0034-7167-2021-0482] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2021] [Accepted: 03/31/2022] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE To analyze the mortality rate of COVID-19 among children and adolescents aged 0 to 14 years. METHODS Ecological and exploratory study of children's mortality rate by COVID-19 in Brazil, from February to October 2020. The study used the Severe Acute Respiratory Syndrome database to collect the data and made the analysis using descriptive spatial statistics by age and race/color classification. RESULT The mortality rate due to COVID-19 represented 1.34 deaths per one hundred thousand in the total group evaluated. The age group with the highest frequency and mortality rate was 1 to 4 years of age. There is a higher frequency of deaths in the brown and Indigenous population. CONCLUSION The distribution of deaths due to COVID-19 is unequal in the national territory, and there is a wide variation in the mortality rate by age and race/color groups.
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Teixeira OFB, Xavier SPL, Félix NDDC, da Silva JWM, de Abreu RMSX, Miranda KCL. Repercussions of the COVID-19 pandemic for people with autism and their family members: A scoping review. Rev Lat Am Enfermagem 2022; 30:e3729. [PMID: 36629727 PMCID: PMC9818295 DOI: 10.1590/1518-8345.5965.3729] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2022] [Accepted: 07/08/2022] [Indexed: 01/11/2023] Open
Abstract
OBJECTIVE to map the diverse scientific evidence available about the repercussions of the COVID-19 pandemic for people with Autism Spectrum Disorder and their family members. METHOD a scoping review conducted in the following databases: MEDLINE, CINAHL, SciELO, SCOPUS, EMBASE and Wiley Online Library, in August and September 2021. The protocol of this review was registered at the Open Science Framework under DOI 10.17605/OSF.IO/JYTVD. The data were analyzed and synthesized in a narrative way. RESULTS a total of 46 publications identified indicate that the pandemic period brought about countless repercussions for the population with autism and their family members when experiencing serious difficulties in the changes or irregularities of the scheduled routines and limited access to education, therapies and social support. CONCLUSION the diverse evidence suggests that the COVID-19 pandemic intensified the inequalities already experienced by individuals with autism and their family members, with negative consequences in the emotional, psychological, behavioral and social aspects, interfering with the quality of life and mental health of this population segment. Future studies on individuals with autism and their families during public health crisis periods are of fundamental importance for planning psychiatric, psychosocial and educational interventions.
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Affiliation(s)
- Olga Feitosa Braga Teixeira
- Universidade Federal de Campina Grande, Unidade Acadêmica da Escola Técnica De Saúde de Cajazeiras, Cajazeiras, PB, Brazil
- Universidade Estadual do Ceará, Fortaleza, CE, Brazil
| | - Samyra Paula Lustoza Xavier
- Universidade Estadual do Ceará, Fortaleza, CE, Brazil
- Universidade Regional do Cariri, Centro de Ciências Biológicas e da Saúde, Iguatu, CE, Brazil
| | | | - José Wagner Martins da Silva
- Universidade Estadual do Ceará, Fortaleza, CE, Brazil
- Universidade Regional do Cariri, Centro de Ciências Biológicas e da Saúde, Iguatu, CE, Brazil
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Gir E, Menegueti MG, Sousa LRM, Pereira-Caldeira NMV, de Carvalho MJ, Reis RK. Reusing and/or reprocessing the N95 face respirator mask or equivalent: An integrative review. Rev Lat Am Enfermagem 2021; 29:e3492. [PMID: 34730768 PMCID: PMC8570250 DOI: 10.1590/1518-8345.5135.3492] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2021] [Accepted: 07/04/2021] [Indexed: 12/03/2022] Open
Abstract
OBJECTIVE to analyze the scientific evidence available on the different reprocessing methods and the necessary conditions for reuse of the N95 face respirator mask or equivalent. METHOD an integrative literature review. The PICO strategy was used to elaborate the question. The search was conducted in four databases: PubMed, SciVerse Scopus, WebofScience and EMBASE, considering any period of time. RESULTS a total of 32 studies were included from the 561 studies identified, and they were presented in two categories: "Conditions for reuse" and "Reprocessing the masks". Of the evaluated research studies, seven(21.8%) addressed the reuse of the N95 face respirator mask or equivalent and 25(78.1%) evaluated different reprocessing methods, namely: ultraviolet germicidal irradiation(14); hydrogen peroxide(8); vapor methods(14); using dry heat(5) and chemical methods(sodium hypochlorite[6], ethanol[4] and sodium chloride with sodium bicarbonate and dimethyldioxirane[1]). We emphasize that different methods were used in one same article. CONCLUSION no evidence was found to support safe reprocessing of face respirator masks. In addition, reuse is contraindicated due to the risk of self-contamination and inadequate sealing.
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Affiliation(s)
- Elucir Gir
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto,
PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP,
Brazil
| | - Mayra Gonçalves Menegueti
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto,
PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP,
Brazil
| | - Laelson Rochelle Milanês Sousa
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto,
PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP,
Brazil
| | - Natália Maria Vieira Pereira-Caldeira
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto,
PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP,
Brazil
| | | | - Renata Karina Reis
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto,
PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP,
Brazil
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17
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Yacobitti A, Otero LJ, Doldan Arruabarrena VS, Arano J, Lage S, Silberman M, Zubieta M, Erbetta I, Danei P, Baeck G, Vallejos V, Cavalli F, Calderón N, Di Gregorio M, Hernández V, Bruno D, Rodera B, Parisi D, Macherett I, Gallastegui M, Paz A, Bernardi R, Azcárate S, Hraste A, Caridi I, Boechi L, Kochen S. Hospitalized population diagnosed with Covid-19 in public health centers in the southeastern region of Greater Buenos Aires. Rev Fac Cien Med Univ Nac Cordoba 2021; 78:17-24. [PMID: 33787017 PMCID: PMC8713370 DOI: 10.31053/1853.0605.v78.n1.31146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2020] [Accepted: 02/07/2021] [Indexed: 11/21/2022] Open
Abstract
Introduction The present work describes the clinical characteristics and interventions to minimize morbidity and mortality in hospitalized patients diagnosed with COVID-19. Methods It is a prospective cohort investigation of patients who received a response from the Health Centers in the southeast region (RS) of the metropolitan area (AMBA) from April 8 to September 30, 2020. A Situation Room was used epidemiological with two monitoring and follow-up boards, one for bed management and the other for patient management. Results During the analyzed period, 2,588 patients with confirmed COVID-19 diagnosis were admitted, 1,943 with suspected COVID-19 pathology, and 1,464 subjects with other pathologies. 55% of the patients were men and the mean age was 51 years. There were 82.8% patients with pre-existing diseases, hypertension and diabetes were the most frequent. 14% were hospitalized in the Intensive Care Unit. The mortality of the cohort was 15.05%, mortality was higher for men, with a mean age of 60 years, 92.65% had some pre-existing disease. Conclusion Our cohort is younger than other published works. Older people, men, and people with comorbidities are at increased risk for COVID-19-related mortality. The public health system was able to respond to the demand without collapsing the hospital institutions.
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Affiliation(s)
- Alejandro Yacobitti
- Dirección de Gestión de Pacientes en Red Hospital El Cruce de Florencio Varela.
| | | | | | | | | | | | | | - Ilda Erbetta
- Área administrativa, Módulo Hospitalario N° 11 de Florencio Varela.
| | | | - Gertrudis Baeck
- Ingreso de pacientes, Hospital Mi Pueblo de Florencio Varela.
| | | | | | | | | | | | - Daniela Bruno
- Área Estadística, Hospital Oñativia de Almirante Brown.
| | | | - David Parisi
- Unidad de Terapia Intensiva, Hospital Iriarte, Quilmes.
| | | | | | - Andrea Paz
- Área administrativa, UPA N° 17, Quilmes.
| | - Rubén Bernardi
- Unidad de Terapia Intensiva, Hospital Evita Pueblo, Berazategui.
| | | | - A Hraste
- Hospital Evita Pueblo, Berazategui.
| | | | | | - Silvia Kochen
- ENyS, CONICET, Hosp. El Crucede Florencio Varela, Univ. Nacional A. Jauretche (UNAJ).
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18
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Tavares DMDS, Oliveira NGN, Marchiori GF, Guimarães MSF, Santana LPM. Elderly individuals living by themselves: knowledge and measures to prevent the novel coronavirus. Rev Lat Am Enfermagem 2020; 28:e3383. [PMID: 33174993 PMCID: PMC7647413 DOI: 10.1590/1518-8345.4675.3383] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2020] [Accepted: 07/12/2020] [Indexed: 02/06/2023] Open
Abstract
OBJECTIVE to describe the occurrence of COVID-19 and the health services used by elderly individuals living by themselves; identify the knowledge held by elderly individuals regarding the transmission, signs and symptoms of COVID-19, as well as factors associated with poor knowledge of preventive measures according to sociodemographic and clinical variables. METHOD cross-sectional survey conducted by telephone or mobile with 123 elderly individuals living by themselves in the Health Macro-Region of Triângulo Sul in the state of Minas Gerais, Brazil. Descriptive analysis was performed along with bivariate and multiple linear regression (p<0.05). RESULTS most elderly individuals did not present COVID-19 signs and symptoms (97.5%), were aware of how it is transmitted (86.6%), and of its signs and symptoms (90.8%). The elderly individuals were familiar with four preventive measures on average. After social distancing began, 85.7% of them left home and implemented three preventive measures on average, the most frequent of which was the use of face masks (99.0%). Being a man (p=0.001), 80 years old or older (p=0.045), and having fewer years of schooling (p=0.010) were associated with having less knowledge regarding the COVID-19 preventive measures. CONCLUSION the elderly individuals were knowledgeable on COVID-19, but did not implement all the preventive measures. Male elderly individuals living by themselves with a low educational level are more vulnerable to COVID-19.
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Affiliation(s)
- Darlene Mara dos Santos Tavares
- Universidade Federal do Triângulo Mineiro, Departamento de
Enfermagem em Educação e Saúde Comunitária, Uberaba, MG, Brazil
- Scholarship holder at the Conselho Nacional de Desenvolvimento
Científico e Tecnológico (CNPq), Brazil
| | | | | | - Mariana Silva Freitas Guimarães
- Universidade Federal do Triângulo Mineiro, Uberaba, MG,
Brazil
- Scholarship holder at the Coordenação de Aperfeiçoamento de Pessoal
de Nível Superior (CAPES), Brazil
| | - Lenniara Pereira Mendes Santana
- Universidade Federal do Triângulo Mineiro, Uberaba, MG,
Brazil
- Scholarship holder at the Coordenação de Aperfeiçoamento de Pessoal
de Nível Superior (CAPES), Brazil
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19
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Fhon JRS, Silva LM, Leitón-Espinoza ZE, Matiello FDB, de Araujo JS, Rodrigues RAP. Hospital care for elderly COVID-19 patients. Rev Lat Am Enfermagem 2020; 28:e3396. [PMID: 33174997 PMCID: PMC7647414 DOI: 10.1590/1518-8345.4649.3396] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2020] [Accepted: 07/16/2020] [Indexed: 01/10/2023] Open
Abstract
OBJECTIVE to analyze the newspaper articles on hospital care for elderly COVID-19 patients in online newspapers. METHOD documentary, retrospective, descriptive and exploratory research. The data were collected from articles published on open-access websites of 12 newspapers from the following countries: Brazil, Spain, United States, France, Italy and Portugal. RESULTS out of 4,220 newspaper articles identified in this regard, 101 were selected after applying the inclusion criteria, the majority coming from Italy. The data analysis revealed three thematic categories: the care for patients with COVID-19 in the health system; the work process of the health team and its concern with contagion; and ethical dilemma in care for the elderly during hospitalization. CONCLUSION the COVID-19 pandemic presented itself quickly and was widely reported in all countries. The health systems need to reorganize for care to the global population, especially the elderly, considering their weaknesses and also the lack of prior professional training to offer care to this population.
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Affiliation(s)
| | - Luipa Michele Silva
- Universidade Federal de Goiás Regional Catalão, Escola de
Enfermagem, Catalão, GO, Brazil
| | | | - Fernanda de Brito Matiello
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto,
PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP,
Brazil
| | - Jessica Silva de Araujo
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto,
PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP,
Brazil
| | - Rosalina Aparecida Partezani Rodrigues
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto,
PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP,
Brazil
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20
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Geremia DS, Vendruscolo C, Celuppi IC, Adamy EK, Toso BRGDO, de Souza JB. 200 Years of Florence and the challenges of nursing practices management in the COVID-19 pandemic. Rev Lat Am Enfermagem 2020; 28:e3358. [PMID: 32901771 PMCID: PMC7478888 DOI: 10.1590/1518-8345.4576.3358] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2020] [Accepted: 06/15/2020] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE to analyze the main challenges of nursing in facing Coronavirus Disease-19 under the perspective of nurse managers in the west macro-region of Santa Catarina. METHOD it consists of a qualitative study, whose data collection was done through interviews with nurses who represent the management of health care network in the region. The analysis technique used was the Discourse of the Collective Subject (DCS). RESULTS the legacy of Florence Nightingale to contemporary nursing practice; the weaknesses and the technical operational capacity with which nursing faces in the Unified Health System (Sistema Único de Saúde - SUS); the strategies for strengthening the Unified Health System and qualification of nursing practices; and the potentialities identified in the pandemic scenario were the main ideas that emerged. In the bicentennial year of Florence Nightingale, nurses recognize her legacy to public health practice and management. Several variables interfere in professional practice, such as epidemiological aspects, working conditions, and care management in a pandemic. CONCLUSION the pandemic scenario has taken nursing to a position of practical and scientific protagonism as a result of its proactivity and leadership in the search for knowledge based on scientific evidence.
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Affiliation(s)
| | - Carine Vendruscolo
- Universidade do Estado de Santa Catarina, Curso de Enfermagem,
Chapecó, SC, Brazil
| | - Ianka Cristina Celuppi
- Universidade Federal de Santa Catarina, Florianópolis, SC,
Brazil
- Scholarship holder at the Conselho Nacional de Desenvolvimento
Científico e Tecnológico (CNPq), Brazil
| | - Edlamar Kátia Adamy
- Universidade do Estado de Santa Catarina, Curso de Enfermagem,
Chapecó, SC, Brazil
| | | | - Jeane Barros de Souza
- Universidade Federal da Fronteira Sul, Curso de Enfermagem, Chapecó,
SC, Brazil
- Bolsista da Scholarship holder at the Coordenação de Aperfeiçoamento
de Pessoal de Nível Superior (CAPES), Brazil
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21
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Lima MMDS, Cavalcante FML, Macêdo TS, Galindo-Neto NM, Caetano JÁ, Barros LM. Cloth face masks to prevent Covid-19 and other respiratory infections. Rev Lat Am Enfermagem 2020; 28:e3353. [PMID: 32785565 PMCID: PMC7417132 DOI: 10.1590/1518-8345.4537.3353] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2020] [Accepted: 05/28/2020] [Indexed: 12/24/2022] Open
Abstract
Objective to analyze scientific evidence on the efficacy of cloth masks in preventing COVID-19 and other respiratory infections. Method integrative literature review based on the following guiding question: What is the efficacy of cloth face masks in absorbing particles that cause respiratory infection? The search was conducted in eight electronic databases, without any restriction in terms of language or period. Results low coverage cloth face masks made of 100% cotton, scarf, pillowcase, antimicrobial pillowcase, silk, linen, tea towel, or vacuum bag, present marginal/reasonable protection against particles while high coverage cloth masks provide high protection. Conclusion cloth face masks are a preventive measure with moderate efficacy in preventing the dissemination of respiratory infections caused by particles with the same size or smaller than those of SARS-CoV-2. The type of fabric used, number of layers and frequency of washings influence the efficacy of the barrier against droplets.
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Affiliation(s)
- Magda Milleyde de Sousa Lima
- Universidade Federal do Ceará, Departamento de Enfermagem,
Fortaleza, CE, Brazil
- Scholarship holder at the Conselho Nacional de Desenvolvimento
Científico e Tecnológico (CNPq), Brazil
| | | | - Thamires Sales Macêdo
- Universidade Estadual Vale do Acaraú, Centro de Ciências da Saúde,
Sobral, CE, Brazil
| | - Nelson Miguel Galindo-Neto
- Instituto Federal de Educação, Ciência e Tecnologia de Pernambuco,
Campus Pesqueira, Pesqueira, PE, Brazil
| | - Joselany Áfio Caetano
- Universidade Federal do Ceará, Departamento de Enfermagem,
Fortaleza, CE, Brazil
- Scholarship holder at the Conselho Nacional de Desenvolvimento
Científico e Tecnológico (CNPq), Brazil
| | - Lívia Moreira Barros
- Universidade da Integração Internacional da Lusofonia
Afro-Brasileira, Curso de Enfermagem, Redenção, CE, Brazil
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22
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Mascarenhas VHA, Caroci-Becker A, Venâncio KCMP, Baraldi NG, Durkin AC, Riesco MLG. COVID-19 and the production of knowledge regarding recommendations during pregnancy: a scoping review. Rev Lat Am Enfermagem 2020; 28:e3348. [PMID: 32609284 PMCID: PMC7319759 DOI: 10.1590/1518-8345.4523.3348] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Accepted: 05/14/2020] [Indexed: 05/07/2023] Open
Abstract
OBJECTIVE to map the production of knowledge regarding recommendations for providing care to pregnant women dealing with the novel coronavirus. METHOD scoping review, using a broadened strategy to search databases and repositories, as well as the reference lists in the sources used. Data were collected and analyzed by two independent reviewers. Data were analyzed and synthesized in the form of a narrative. RESULTS the final sample was composed of 24 records, the content of which was synthesized in these conceptual categories: clinical manifestations, diagnosis, treatment, working pregnant women, vaccine development, complications, prenatal care, vertical transmission, and placental transmissibility. It is recommended to confirm pregnancy and disease early on, to use technological resources for screening and providing guidance and support to pregnant women. CONCLUSION recommendations emphasize isolation, proper rest, sleep, nutrition, hydration, medications, and in the more severe cases, oxygen support, monitoring of vital signs, emotional support, and multiprofessional and individualized care. Medications should be used with caution due to a lack of evidence. Future research is needed to analyze the impact of the infection at the beginning of pregnancy and the psychological aspects of pregnant women infected with the virus.
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Affiliation(s)
- Victor Hugo Alves Mascarenhas
- Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP,
Brazil
- Scholarship holder at the Conselho Nacional de Desenvolvimento
Científico e Tecnológico (CNPq), Brazil
| | - Adriana Caroci-Becker
- Universidade de São Paulo, Escola de Artes, Ciências e Humanidades,
São Paulo, SP, Brazil
| | | | - Nayara Girardi Baraldi
- Universidade de São Paulo, Escola de Artes, Ciências e Humanidades,
São Paulo, SP, Brazil
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23
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Sousa GJB, Garces TS, Cestari VRF, Moreira TMM, Florêncio RS, Pereira MLD. Estimation and prediction of COVID-19 cases in Brazilian metropolises. Rev Lat Am Enfermagem 2020; 28:e3345. [PMID: 32609282 PMCID: PMC7319758 DOI: 10.1590/1518-8345.4501.3345] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Accepted: 05/06/2020] [Indexed: 01/12/2023] Open
Abstract
OBJECTIVE to estimate the transmission rate, the epidemiological peak, and the number of deaths by the new coronavirus. METHOD a mathematical and epidemiological model of susceptible, infected, and recovered cases was applied to the nine Brazilian capitals with the highest number of cases of the infection. The number of cases for the 80 days following the first case was estimated by solving the differential equations. The results were logarithmized and compared with the actual values to observe the model fit. In all scenarios, it was considered that no preventive measures had been taken. RESULTS the nine metropolises studied showed an upward curve of confirmed cases of COVID-19. The prediction data point to the peak of the infection between late April and early May. Fortaleza and Manaus had the highest transmission rates (≥2·0 and ≥1·8, respectively). Rio de Janeiro may have the largest number of infected people (692,957) and Florianópolis the smallest (24,750). CONCLUSION the estimates of the transmission rate, epidemiological peak, and number of deaths from coronavirus in Brazilian metropolises presented expressive and important numbers the Brazilian Ministry of Health needs to consider. The results confirm the rapid spread of the virus and its high mortality in the country.
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Affiliation(s)
- George Jó Bezerra Sousa
- Universidade Estadual do Ceará, Fortaleza, CE, Brazil
- Scholarship holder at the Fundação Cearense de Apoio ao
Desenvolvimento Científico e Tecnológico (FUNCAP), Brazil
| | - Thiago Santos Garces
- Universidade Estadual do Ceará, Fortaleza, CE, Brazil
- Scholarship holder at the Coordenação de Aperfeiçoamento de Pessoal
de Nível Superior (CAPES), Brazil
| | - Virna Ribeiro Feitosa Cestari
- Universidade Estadual do Ceará, Fortaleza, CE, Brazil
- Scholarship holder at the Coordenação de Aperfeiçoamento de Pessoal
de Nível Superior (CAPES), Brazil
| | - Thereza Maria Magalhães Moreira
- Universidade Estadual do Ceará, Fortaleza, CE, Brazil
- Scholarship holder at the Conselho Nacional de Desenvolvimento
Científico e Tecnológico (CNPq), Brazil
| | - Raquel Sampaio Florêncio
- Universidade Estadual do Ceará, Fortaleza, CE, Brazil
- Scholarship holder at the Coordenação de Aperfeiçoamento de Pessoal
de Nível Superior (CAPES), Brazil
| | - Maria Lúcia Duarte Pereira
- Universidade Estadual do Ceará, Fortaleza, CE, Brazil
- Scholarship holder at the Conselho Nacional de Desenvolvimento
Científico e Tecnológico (CNPq), Brazil
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