Assistência de enfermagem ao paciente com infarto agudo do miocárdio em uma urgência e emergência: relato de experiência Nursing care for patients with acute myocardial infarction in an urgency and emergency: experience report

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Objective To evaluate the impact of the race (Black versus non-Black) on maternal and perinatal outcomes of pregnant women with COVID-19 in Brazil. Methods This is a subanalysis of REBRACO, a Brazilian multicenter cohort study designed to evaluate the impact of COVID-19 on pregnant women. From February 2020 until February 2021, 15 maternity hospitals in Brazil collected data on women with respiratory symptoms. We selected all women with a positive test for COVID-19; then, we divided them into two groups: Black and non-Black women. Finally, we compared, between groups, sociodemographic, maternal, and perinatal outcomes. We obtained the frequency of events in each group and compared them using X2 test; p-values < 0.05 were considered significant. We also estimated the odds ratio (OR) and confidence intervals (CI). Results 729 symptomatic women were included in the study; of those, 285 were positive for COVID-19, 120 (42.1%) were Black, and 165 (57.9%) were non-Black. Black women had worse education (p = 0.037). The timing of access to the health system was similar between both groups, with 26.3% being included with seven or more days of symptoms. Severe acute respiratory syndrome (OR 2.22 CI 1.17–4.21), intensive care unit admission (OR 2.00 CI 1.07–3.74), and desaturation at admission (OR 3.72 CI 1.41–9.84) were more likely to occur among Black women. Maternal death was higher among Black women (7.8% vs. 2.6%, p = 0.048). Perinatal outcomes were similar between both groups. Conclusion Brazilian Black women were more likely to die due to the consequences of COVID-19.

ObjectiveThe aim was to explore women’s perceptions of violence, its causes, manifestations, consequences and responses to prevent and confront domestic violence against women in Brazilian society.DesignWe conducted a qualitative study with individual, semistructured interviews. We used thematic analysis and discussed the data considering the ecological framework.SettingThe study was conducted in an antenatal and postnatal care service in the Brazilian National Health System. Data collection was conducted in October 2022.ParticipantsThe sample selection was intentional and sampling was conducted according to the data saturation criterion. Twelve women who attended an antenatal and postnatal care service were interviewed. The participants reported different experiences of domestic and family violence throughout their lives.ResultsBased on the analysis, four themes were identified: (1) between the public and the private spheres: violence against women and its manifestations, causes and particularities; (2) factors that increase vulnerability; (3) protection system and support network: strengths and weaknesses; and (4) alternatives for the prevention and elimination of violence.ConclusionsThe perceptions of Brazilian women during pregnancy and the postpartum period regarding domestic violence included a multifaceted view of violence. The women’s discourse demonstrated the difficulties that they faced in interrupting the cycle of violence and accessing support networks.

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Direitos para esta edição cedidos pelos autores à Amplamente Cursos e Formação Continuada.Todo o conteúdo deste livro está licenciado sob uma Licença de atribuição Creative Commons. Atribuição-NãoComercial-SemDerivações 4.0 Internacional (CC-BY-NC-ND).Este e-book contém textos escritos por autores de diversos lugares do Brasil e, possivelmente, de fora do país. Todo o conteúdo escrito nos capítulos, assim como correção e confiabilidade são de inteira responsabilidade dos autores, inclusive podem não representar a posição oficial da Editora Amplamente Cursos.

Phlebitis is one of the local complications related to intravenous therapy, which must be managed by the nursing team. This study analyzed the knowledge of the nursing team about phlebitis and its main risk factors, prevention, and control measures. This is a cross-sectional study with a quantitative design carried out with 124 nursing professionals from a Brazilian university hospital. The data collection was carried out between the period of August 2018 to July 2019 for that, the researchers applied a multiple-choice questionnaire. The results showed the equivalence of the three nursing categories in terms of knowledge about phlebitis, however, there was a discrepancy concerning the phlebitis visualization scale, use of warm compresses, dressings, chemical properties of the solutions and factors intrinsic to the patient. The need to implement permanent education among professionals became evident.

Objetivo: avaliar o conhecimento dos profissionais de enfermagem sobre as veias periféricas superiores (mão, antebraço e braços) para escolha do sítio de punção e as novas recomendações brasileiras sobre terapia infusional por cateter periférico. Método: estudo quantitativo, transversal, prospectivo realizado em três unidades de internação de um hospital universitário no norte do Brasil. Foram abordados profissionais da equipe enfermagem. Os dados foram descritos por frequência absoluta e relativa, desvio padrão e média aritmética, para a análise estatística foi utilizado o software EpiInfoTM, versão 7.2.2.6 empregando-se o Teste G, com p valor < 0,005. Resultados: observou-se que o percentual de acertos nas categorias analisadas foi em sua maioria aceitável, principalmente os relacionados a higiene das mãos, seleção de cateter e cuidados com o sítio de inserção. Contudo, observou-se déficit de conhecimento nos itens relacionados as coberturas dos cateteres e avaliação dos cateteres periféricos em todos os profissionais. Adicionalmente, houve divergência de conhecimento entre as categorias profissionais nos itens referentes a estabilização (p=0.005) e remoção do dispositivo periférico (p=0.002), com maior nível de acertos entre os profissionais com maior nível de instrução. Conclusão: nota-se que ainda existem lacunas no conhecimento dos profissionais, indicando a necessidade de educação continuada para melhoria da assistência.