This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
Background:The Theoretical Domains Framework is an integrative framework that investigates the behavioural determinants and it's not well diffused in Brazil. Considering that the evidence-based practice implementation depends basically on behaviours related to adherence and to adhere or not to a practice, there are several barriers and enablers that needs to be overcome. The behaviour and its change are complex and influenced by several factorscognitive, affective, social, and environmental. Understanding these factors and how they act as barriers and/or facilitators to quality and ethical practices its crucial to change behaviours considered barriers to an implementation intervention. Therefore, the present methodological study aims to culturally adapt the Theoretical Domains Framework to the Brazilian Portuguese. Method: The adaptation was developed following six stages: translation, expert committee analysis, backtranslation, analysis by the original authors, translation, and expert committee analysis. To analyse the expert agreement was used the first-order agreement coefficient (AC1) with a significance level of α= 0.05. To address the reliability of the expert agreement, the AC1 ≥ 0,8 or the percentual agreement of ≥ 80% was adopted. Results: The final agreement between experts was achieved (≤0,005) and the framework was adapted to the Brazilian Portuguese. Conclusions: With the availability of the framework to Brazilian researchers and professionals, we aim contribute to the investigation of factors that act as barriers and enablers on the evidence-based practice implementation in several areas, improving the quality of the healthcare in Brazil.
Introduction: The care given to people with suicidal behaviour is an important predictor of future death by suicide; however, there is a lack of research on the issue in Brazil. Objective: This study investigated hospitalisations for suicidal behaviour (sociodemographic and clinic characteristics, nursing care and associated factors). Method: Data were collected through manual consultation of medical records of patients admitted in 2015 to a psychiatric emergency unit of a hospital, and analysed using descriptive statistics, Chi-square test and Fisher's exact test. Results: Adult women without a partner, with mood disorder, comorbidities, history of previous suicide attempts and who returned to their own homes predominated among the 127 study cases. The most frequent nursing diagnosis was ‘impaired social interaction’. Age and gender were associated with medical diagnoses. Marital status was associated with medical and nursing diagnoses. Changes in psychosocial assessment were associated with current suicidal ideation, number of attempts, and medical diagnoses. The nursing diagnosis ‘risk of self-directed violence’ was associated with thought disorders and self-harm history. Conclusion: This study contributes to the mapping of factors associated with suicidal behaviour, vulnerabilities and associated factors. It also reflects on the potential of nursing interventions in the care and prevention of suicidal behaviour.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.