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Aims: To explore retrospective descriptions about benefits, negative experiences and preparatory information related to waterbirths. Design: A qualitative study. Methods: Women who gave birth in water with healthy pregnancies and low‐risk births were consecutively recruited between December 2015–October 2018 from two birthing units in Sweden. All who gave birth in water during the recruitment period were included (N = 155) and 111 responded to the survey. Women were emailed a web‐based survey six weeks postpartum. Open‐ended questions were analysed with qualitative content analysis. Results: Two themes were identified related to benefits: (a) physical benefits: the water eases labour progression while offering buoyancy and pain relief; and (b) psychological benefits: improved relaxation and control in a demedicalized and safe setting. Two themes were identified related to negative experiences: (a) equipment‐related issues due to the construction of the tub and issues related to being immersed in water; and (b) fears and worries related to waterbirth. In regard to preparatory information, respondents reported a lack of general and specific information related to waterbirths, even after they contacted birthing units to ask questions. Supplemental web‐based information was sought, but the trustworthiness of these sources was questioned and a need for trustworthy web‐based information was articulated. Conclusion: Women who give birth in water experience physical and psychological benefits, but need better equipment and sufficient information. There is room for improvement with regard to prenatal and intrapartum care of women who give birth in water. Impact: Judging from women's recounts, midwives and nurses should continue advocating waterbirth in low‐risk pregnancies. The lack of adequate equipment in Swedish birthing units articulated by women challenge current routines and resources. The findings illustrate unfulfilled needs for preparatory information about waterbirth, further strengthening that midwives should discuss the possibility of waterbirth when meeting expectant parents in the antenatal setting. [ABSTRACT FROM AUTHOR]

Copyright of Acta Paulista de Enfermagem is the property of Universidade Federal de Sao Paulo, Escola Paulista de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To describe experience of workers/researchers in performing the Webinar: Obstetric Nursing and its workforce in COVID-19 pandemic: a portrait of actions in Brazil. Method: Experience report on there flections regarding the work force of Obstetric Nurses represented by five regions of Brazil in Webinar of the actions of the Brazilian Association of Obstetrics and Nurses Obstetricians. Results: The experience demonstrated the work force of Obstetric Nursing articulated to the women's health rights in reproductive phase in COVID-19 pandemic from critical thinking, communication, collaboration, and creativity. Conclusion: The need for interaction, through the use of available technologies, among obstetric nursing professionals from all regions of the country is fundamental, in order to share experiences and find new possibilities for the care of women in pregnancy and postpartum a this time of crisis. [ABSTRACT FROM AUTHOR]

The measures aimed at assistance and humanization at the moment f childbirth, they favor woman in the pregnancy period, since they contribute in an effective way to minimize pain, decreasing the chances of interventions throughout the childbirth process. This study aimed to identify non pharmacological methods (NPMs) for the control of pain during labor, used and reported in the literature by health professionals. A research was accomplished in the bases of data LILACS, SciElo e MEDLINE with the descriptors of health: Labor pain, obstetric nursing, labor, obstetric .Of the 32 brazilian articles found, only 14 met the eligibility criteria, being they published among 2010 and 2016. The NPMs has been used more often and contribute in the comfort and pain relief during labor and childbirth. [ABSTRACT FROM AUTHOR]

Copyright of Acta Paulista de Enfermagem is the property of Universidade Federal de Sao Paulo, Escola Paulista de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: to analyze the performance of doulas in the public health service, based on their vision and management at a local maternity hospital. Method: qualitative, descriptive study, anchored in Martin Heidegger's existential phenomenological perspective, involving four doulas and three managers. In the data analysis, Discourse Analysis was used. Results: the fields of action of the doulas that emerged were primary care and hospital, and the main difficulty of action was the resistance of the medical team to accept this caregiver in the delivery scenario. The acquisition of information by professionals was presented by doulas as a possibility to mitigate the difficulties experienced in the hospital environment. The managers recognize the importance of the doula in the process of delivery and birth. Conclusion: The study provided an expanded view of the possibilities of doulas' performance in the public health service. [ABSTRACT FROM AUTHOR]

To understand the role of nurses in promoting humanized childbirth, and to contribute indirectly to the care and safety of the entire parturitive process. This is an integrative review study, with search of articles in databases, Scientific Electronic Library Online (SciELO) and Google Scholar, published in the last 5 years (between 2015 and 2019). The nurse brings as benefits to humanized childbirth, insertion of good practices, such as reducing pain with non-pharmacological methods, providing safety, autonomy and active participation of women throughout the parturition process. It concludes that the nurse is a fundamental part in the process of parturition, in the empowerment and autonomy of the parturient. [ABSTRACT FROM AUTHOR]

Objective: to understand the experience of puerperal women with the conventional practices of childbirth and obstetric violence. Method: qualitative, descriptive and exploratory study, conducted with eight women in Basic Care units of a city in Bahia. Data were collected through a semi-structured interview. The data were analyzed according to the Bardin's technique. Results: the study revealed a scenario of poor obstetric care, disrespectful, medicalized, centered on the decision of the professional and sometimes violent, transforming the experience of childbirth for many women into a negative, frustrating and even traumatic experience. Conclusion: the scenario of obstetric care in some maternity hospitals in the city of study maintains conventional practices of assisted childbirth, which, in many cases, constitute as obstetric violence, given the lack of evidence to suggest the benefits and justify their use. [ABSTRACT FROM AUTHOR]

Objective: to analyze the relationship between maternal self-efficacy to breastfeed and sociodemographic, obstetric, and neonatal variables; between the duration of exclusive breastfeeding and sociodemographic variables; and between the breastfeeding self-efficacy and the duration of exclusive breastfeeding at the intervals of 30, 60, and 180 days postpartum. Method: a longitudinal and prospective study conducted with 224 women. A sociodemographic questionnaire, the Breastfeeding Self-Efficacy Scale -- Short Form, and a questionnaire on breastfeeding and child feeding were used for collecting the data. Fisher's exact test and Pearson's correlation coefficient test were used for analysis. Results: there was no association between breastfeeding self-efficacy and the duration of exclusive breastfeeding identified at 30, 60, and 180 days. Self-efficacy was associated with the type of delivery and complications in the postpartum period. There was also an association between religion and exclusive breastfeeding 30 and 60 days postpartum, and assistance with baby care and exclusive breastfeeding at 60 days. Conclusion: It was identified that the type of delivery, complications in the postpartum period, religion, and assistance with baby care corroborate to increase maternal confidence in the ability to breastfeed. [ABSTRACT FROM AUTHOR]

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. [ABSTRACT FROM AUTHOR]

Objective: to assess the effect of a breastfeeding educational intervention on the counseling provided to postpartum women. Method: this is a randomized controlled trial including 104 postpartum women (intervention group = 52 and control group = 52) from a private hospital, whose educational intervention was based on the pragmatic theory and on the use of a soft-hard technology called Breastfeeding Educational Kit (Kit Educativo para Aleitamento Materno, KEAM). Women were followed-up for up to 60 days after childbirth. Chi-Squared Test, Fischer's Exact Test, and Generalized Estimating Equation were used, with a significance level of 5% (p-value <0.05). The analyses were performed using the Statistical Package for the Social Sciences, version 24. Results: the postpartum women in the intervention group had fewer breastfeeding difficulties and a higher percentage of exclusive breastfeeding at all time points compared with those in the control group. Conclusion: the educational intervention based on active methodologies and stimulating instructional resources was effective in developing greater practical mastery among postpartum women with regard to adherence and maintenance of exclusive breastfeeding. Registry REBEC RBR -- 8p9v7v. [ABSTRACT FROM AUTHOR]

Objective: to assess the technical quality of a decision support system for reception and risk classification in obstetrics. Method: a methodological study of assessment of the system. 12 nurses and 11 information technology (IT) professionals were invited to evaluate the Obstetrics Reception and Risk Classification System (Sistema de Acolhimento e Classificação de Risco em Obstetrícia, SACR-O). Based on the standards of the International Organization for Standardization, the minimum number of evaluators and the characteristics to be evaluated were established: functional suitability, reliability, usability, performance efficiency, compatibility, safety, maintainability, and portability. The characteristics assessed should be given a ≥70% positive assessment to be considered suitable. Results: the characteristics assessed by the nurses and the IT professionals, respectively, were considered adequate: Functional suitability (97% and 98%), Reliability (91% and 94%), Usability (89% and 93%), Performance efficiency (97% and 98%), Compatibility (93% and 100%), and System security (95% and 97%). Maintainability (87%) and Portability (97%) were also evaluated by IT professionals. Conclusion: the technical quality of the SACR-O system was considered excellent by nurses and IT professionals. [ABSTRACT FROM AUTHOR]

Objective: to develop and validate with a panel of experts a scenario of maternal-child clinical simulation, related to humanized childbirth and birth. Method: methodological study based on the Jeffries framework and standardized guides of the International Nursing Association for Clinical Simulation in Learning, which used analysis with descriptive statistics for general aspects of adherence to the aforementioned guide and inferential statistics for validating the checklist of actions through the Intraclass Correlation Coefficient (ICC). Results: the scenario contains learning objectives, necessary resources, prebriefing and debriefing of guidelines, description of the simulated situation, participants and roles, and checklist of expected actions. The validation obtained an agreement level above 80% in all aspects evaluated by 31 experts, highlighting realism of the environment and setting, vital sign parameters, alignment with scientific literature and encouragement of critical thinking and problem solving. In addition, the checklist of actions was validated with 0.899 agreement among experts, statistically analyzed by the ICC and Cronbach's alpha 0.908 (95% confidence interval). Conclusion: the simulated scenario on humanized childbirth and birth can strengthen the articulation between women's and children's health disciplines, and was validated by experts. [ABSTRACT FROM AUTHOR]

Copyright of Revista de Pesquisa: Cuidado é Fundamental is the property of Revista de Pesquisa: Cuidado e Fundamental Online and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Pesquisa: Cuidado é Fundamental is the property of Revista de Pesquisa: Cuidado e Fundamental Online and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Pesquisa: Cuidado é Fundamental is the property of Revista de Pesquisa: Cuidado e Fundamental Online and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Pesquisa: Cuidado é Fundamental is the property of Revista de Pesquisa: Cuidado e Fundamental Online and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of SMAD Revista Electronica Salud Mental, Alcohol y Drogas is the property of Universidade de Sao Paulo, Escola de Enfermagem de Ribeirao Preto and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of SMAD Revista Electronica Salud Mental, Alcohol y Drogas is the property of Universidade de Sao Paulo, Escola de Enfermagem de Ribeirao Preto and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Rev Rene is the property of Rev Rene and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Rev Rene is the property of Rev Rene and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Gaucha de Enfermagem is the property of Revista Gaucha de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Gaucha de Enfermagem is the property of Revista Gaucha de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The objective in this study was to develop an integrative review to identify publications on moxibustion and acupuncture to turn fetuses in breech position. The research tool Patient, Intervention, Comparison and Outcome, available through the database of the United States National Library of Medicine, was used to produce a list of articles. The words used for the search were: breech, moxibustion, acupuncture and cephalic. The search was undertaken in March 2016. Twenty-four registers were found, 18 of which were analyzed, seven of them favorable to the use of moxibustion and five unfavorable. Based on the studies developed on the theme, there is evidence that moxibustion is safe and effective to try and “correct” breech presentations, as a tool to complement the care midwifery professionals provide.

Objective: to evaluate the effects of educational video on the knowledge, attitude and practice of pregnant women for active childbirth. Methods: a quasi-experimental study, developed in ten basic family health units, with 167 pregnant women in the last trimester, through a built and validated instrument to survey knowledge, attitude and practice. In the Intervention Group, the research was applied, accompanied by an educational session, with video exposure. For the Control Group, routine prenatal investigation and consultation were applied. Results: the Intervention Group presented greater adequacy in knowledge, attitude and practice, with significant statistics in all variables, highlighting the influence of educational video for active childbirth. Conclusion: the use of educational video stood out positively as educational technology for knowledge, attitude and practice of pregnant women in relation to active childbirth.

Objective: to understand the perceptions of nursing professionals regarding the humanization of childbirth. Methods: a qualitative research, developed with 20 nursing professionals from a university hospital. Data collected through a non-participant observation and semi-structured interviews, recorded audio, guided by the following question: how do you perceive the humanization of childbirth in your work context? The interviews were fully transcribed and subjected to content analysis, thematic mode. Results: the following categories emerged: Characteristics attributed to the humanization of childbirth and Difficulties hindering humanization of childbirth. Conclusion: the professionals highlighted both the actions taken that reflect on the humanization of childbirth, and also the difficulties related to the structural and resource issues, that negatively reflect on the care quality provided, besides transferring the responsibility for improving the service, which belongs to everyone, not only to managers.

Objective: describe in-service teaching of obstetrical nursing residents based on the tutors’ perceptions. Method: qualitative research developed at four public maternity hospitals in the city of Rio de Janeiro in 2015. Sixteen nurse-midwives were interviewed. The hermeneutical-dialectical method was applied and the interpretive and critical process was guided by Paulo Freire’s pedagogical concepts on the development of critical consciousness. Results: the tutors’ in-service teaching takes place in accordance with the care demand, with weaknesses in the dialogue between the academy and the service. The tutors value the theoretical-practical unity and care humanization. Nevertheless, they do not stimulate critical thinking on the care and work context the residency takes place in.Conclusion: in-service teaching presents limits for the development of critical consciousness in the residents on the reality of hospital-based obstetrical care.

The aim of this article was to develop a reflection about care given to women during childbirth. To this end, we used theoretical frameworks of care as understood by Ayres and the assumptions of the existentiality of being by Buber. Care in relationships with the other, in health practices, especially in obstetrics, regards the capacity of creating interactions between health professionals and women during childbirth, associating technical and humanistic aspects. Understanding the theoretical conceptions about the relationship between professionals and women in childbirth in the health care is necessary to reaffirm the paradigm of humanization and care in the process of childbirth. This reflection contributes to reorganizing the healthcare model focused on humanized practices, based on scientific evidence and the recognition of health practices based on caring for women during childbirth.

Objective: identify the midwifery practices adopted during delivery and birth care. Method: cross-sectional, analytic study, undertaken at a public maternity in Aracaju - Sergipe, between November 2015 and February 2016, involving 373 postpartum women with gestational age ≥ 37 weeks, who experienced at least 30 minutes of prepartum. The chi-squared and Fisher’s exact test were applied. Results: the following level A midwifery practices were offered: lukewarm bath 109 (29.2%), massage 62 (16.6%), Swiss ball 50 (13.4%), walking 223 (59.8%), skin-to-skin contact 250 (66.7%) and the presence of a companion 89 (23.9%). Level B and D practices were executed, such as oxytocin 236 (63.3%), amniotomy 171 (45.8%), episiotomy 51 (19.8%) and Kristeller’s 129 (34.6%). Conclusion: this study reveals the need to adapt the ambience and implement the best practices unrestrictedly in order to guarantee safe delivery and birth care and to contribute to the training of new professionals.

Objective: to identify the care technologies used by obstetric nurses in a Normal Birth Center. Method: a descriptive study, performed at the Normal Birth Center of a maternity hospital in the city of Rio de Janeiro, with eighteen obstetric nurses, using semi-structured interviews between June and September 2016. The data collected were submitted to thematic type content analysis. Result: the obstetric nurse uses non-pharmacological methods such as a spray bath, massage, Swiss ball, horse, aromatherapy, music therapy, free movement, warm environment and presence of the companion, as care practices together with the women. Conclusion: the use of care technologies allows obstetric nurses to valorize humanized practices in the context of the delivery and birth

ABSTRACT Objective: To know maternal near-miss situations during labor and delivery according to technologies in health. Method: A quantitative study conducted with puerperal women in a public institution in which the maternity department is a reference for high risk care. Data collection was performed from October 2016 to August 2017, and data were processed in SPSS 20.0. Technologies in health were used for discussing the results. Results: Participation of 319 puerperal women. Primiparous women (p=0.027), previous diagnosis of hypertension (p=0.0001), preeclampsia (p=0.0001) and urinary tract infection (p=0.002) were items with statistical significance for the maternal near-miss outcome in labor and delivery. The hard technology associated with the outcome was transportation for hospitalization (p=0.035). Among the light-hard technologies, the following were associated: characteristics of amniotic fluid (p=0.05), vital signs check (p=0.0001), and initiation of the partograph for cesarean section (p=0.026). Among the light technologies, user satisfaction was relevant (p=0.007). Conclusion: Health technologies can be used for structuring the assistance in order to prevent maternal near-miss.

Objective: To describe the stages of construction and validation of a construct of good childbirth care practices. Methodology: methodological research, descriptive. For the elaboration of the construct, documentary analysis and field research were performed. The validation process took place by the Delphi Conference, between August and September 2016, attended by 12 midwifery judges. A concordance index of at least 80% was considered to ensure the validation of the material. Results: the construct was prepared with the participation of judges from the Obstetric area, representatives from all regions of the country, with care experience, teaching and research. The first Delphi round generated changes to the instrument, which was restructured and reevaluated, with a response rate of 58,33. Conclusion: the construct was considered valid both in content and appearance and may contribute to subsidize the good practices of childbirth care and birth nationwide. [ABSTRACT FROM AUTHOR]

Objective: To analyze the contributions of the obstetrical nursing for the good practices in labor and vaginal delivery. Methodology: A cross-sectional, quantitative and retrospective study involving 475 medical records of women with normal risk pregnancies, in Goias State, during the period from January to December of 2016. Analysis using Yates chi square test and Fisher's Exact test. Results: There was an association between the labors without the obstetric nursing residents and the nonuse of non-pharmacological methods for providing pain relief (p<0.0000001), non-use of partograph (p<0.0000001), absence of companionship during labour (p<0.0000001), early clamping of the umbilical cord (p=0.00004323), and to the deprivation of breastfeeding in the first hour (p=0.0001509). The deliveries assisted by obstetric nursing residents were associated to the nonperformance of the episiotomy (p<0.0000001). Conclusion: Emphasis is placed on the importance of obstetric nursing work in childbirth to ensure humanized care and good practices. [ABSTRACT FROM AUTHOR]

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Copyright of Revista Saúde is the property of Revista Saude and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: The fetal monitor safety nurse role was created as a supplemental support for nurses assessing fetal heart rate tracings in response to an adverse event. An experienced labor and delivery nurse without a patient care assignment was designated to continuously assess all active fetal monitoring tracings, via an electronic display away from the main nurses' station, as an adjunct to the care and assessment of the nurse with primary responsibility for the patient. Purpose: The purpose of this project was to evaluate the views of nurses who served as fetal monitor safety nurses about various aspects of the role. Methods: Nurses who served as fetal monitor safety nurses were invited to attend a small group session where they completed a survey about the role and then received information on the importance of fetal monitoring safety. Two weeks later, they were asked to take the survey again to evaluate potential changes in viewpoints. Results: Thirty nurses attended small group sessions and completed the survey. Of those, 22 nurses completed the post survey 2 weeks later. There was minimal change in nurses' views of the fetal monitor safety nurse role after attending the small group sessions. Nurses expressed comfort in notifying peers about concerns related to the fetal heart rate tracing and perceived overall safety benefits; however, they felt that safe staffing measures were not in place to support the role. Concerns were expressed about a nurse being in a nondirect patient care position during times of high census and acuity. Clinical Implications: The fetal monitoring safety nurse may be an innovative potential solution to minimize risk of adverse events during labor that are related to accurate assessment of electronic fetal monitoring data and timely and appropriate interventions. More data are needed on improvements in fetal outcomes and adverse events potentially related to the fetal monitor safety nurse role. Budgetary support and adequate nurse staffing are required to make the role operationally feasible and safe. Valuing and seeking nurses' input as bedside experts about perinatal safety initiatives should be a part of implementing new practices. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Nursing & Health is the property of Journal of Nursing & Health (JONAH) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)