Development and validation a nursing care protocol with educational interventions for family caregivers of elderly people after stroke
ABSTRACT Objective: development and validation the content of a nursing care protocol with educational interventions for family caregivers of elderly people after stroke. Methods: a methodological study conducted in three stages: (1) protocol development through literature review; (2) pretest with m...
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| description | ABSTRACT Objective: development and validation the content of a nursing care protocol with educational interventions for family caregivers of elderly people after stroke. Methods: a methodological study conducted in three stages: (1) protocol development through literature review; (2) pretest with multidisciplinary team, analyzed with literature articulation; (3) protocol validation by the Delphi Technique. Results: the protocol was structured in the following areas: Disease Guidelines; Emotional Support; Using the Health Care Network; Diet; Airways; Medications; Hygiene; Skin Care; Disposal; Dressing/Undressing; Positioning and Transfer; Fall Prevention. In the pretest, eight experts assessed protocol clarity and content. In validation, there were two rounds by the Delphi Technique. The validated protocol consisted of 12 domains, containing 42 items and 240 care guidelines. Conclusion: the protocol qualifies the transition of care after hospital discharge assisting nurses in home care practice.
RESUMO Objetivo: construir e validar o conteúdo de um protocolo assistencial de enfermagem com intervenções educativas para cuidadores familiares de idosos após Acidente Vascular Cerebral. Métodos: estudo metodológico conduzido em três etapas: (1) construção do protocolo por meio de revisão da literatura; (2) pré-teste com equipe multiprofissional, analisado com articulação da literatura; (3) validação do protocolo pela Técnica Delphi. Resultados: o protocolo foi estruturado nos domínios: Orientações Sobre a Doença; Suporte Emocional; Utilização da Rede de Atenção à Saúde; Alimentação; Vias Aéreas; Medicações; Higiene; Cuidados com a Pele; Eliminações; Vestir/Despir; Posicionamento e Transferência; Prevenção de Quedas. No pré-teste, oito especialistas avaliaram a clareza e o conteúdo do protocolo. Na validação, houveram duas rodadas pela Técnica Delphi. O protocolo validado foi composto por 12 domínios contendo 42 itens e 240 orientações de cuidados. Conclusão: o protocolo qualifica a transição do cuidado após alta hospitalar auxiliando os enfermeiros na prática assistencial no domicílio.
RESUMEN Objetivo: desarrollar y validar el contenido de un protocolo de atención de enfermería con intervenciones educativas para cuidadores familiares de personas mayores después de un accidente cerebrovascular. Métodos: estudio metodológico realizado en tres pasos: (1) construcción del protocolo mediante revisión de la literatura; (2) pretest con equipo multiprofesional, analiza |
| doi_str_mv | 10.1590/0034-7167-2018-0894 |
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RESUMO Objetivo: construir e validar o conteúdo de um protocolo assistencial de enfermagem com intervenções educativas para cuidadores familiares de idosos após Acidente Vascular Cerebral. Métodos: estudo metodológico conduzido em três etapas: (1) construção do protocolo por meio de revisão da literatura; (2) pré-teste com equipe multiprofissional, analisado com articulação da literatura; (3) validação do protocolo pela Técnica Delphi. Resultados: o protocolo foi estruturado nos domínios: Orientações Sobre a Doença; Suporte Emocional; Utilização da Rede de Atenção à Saúde; Alimentação; Vias Aéreas; Medicações; Higiene; Cuidados com a Pele; Eliminações; Vestir/Despir; Posicionamento e Transferência; Prevenção de Quedas. No pré-teste, oito especialistas avaliaram a clareza e o conteúdo do protocolo. Na validação, houveram duas rodadas pela Técnica Delphi. O protocolo validado foi composto por 12 domínios contendo 42 itens e 240 orientações de cuidados. Conclusão: o protocolo qualifica a transição do cuidado após alta hospitalar auxiliando os enfermeiros na prática assistencial no domicílio.
RESUMEN Objetivo: desarrollar y validar el contenido de un protocolo de atención de enfermería con intervenciones educativas para cuidadores familiares de personas mayores después de un accidente cerebrovascular. Métodos: estudio metodológico realizado en tres pasos: (1) construcción del protocolo mediante revisión de la literatura; (2) pretest con equipo multiprofesional, analizado con articulación bibliográfica; (3) validación del protocolo por la técnica Delphi. Resultados: wl protocolo fue estructurado en las siguientes áreas: Guías de Enfermedades; Apoyo Emocional; Uso de la Red de Atención Médica; Alimentación; Vías Respiratorias; Medicamentos; Higiene; Cuidado de laPpiel; Eliminaciones; Vestirse/Desvestirse; Posicionamiento y Transferencia; Prevención de Caídas. En la prueba preliminar, ocho expertos evaluaron la claridad y el contenido del protocolo. En la validación, hubo dos rondas por la Técnica Delphi. El protocolo validado consistió en 12 dominios, que contenían 42 ítems y 240 pautas de atención. Conclusión: el protocolo califica la transición de la atención después del alta hospitalaria, ayudando a las enfermeras en la práctica de atención domiciliaria de salud.</description><identifier>ISSN: 0034-7167</identifier><identifier>ISSN: 1984-0446</identifier><identifier>EISSN: 1984-0446</identifier><identifier>DOI: 10.1590/0034-7167-2018-0894</identifier><language>eng</language><publisher>Brasília: Associação Brasileira de Enfermagem</publisher><subject>Activities of daily living ; Aged ; Caregivers ; Delphi method ; Gastrointestinal surgery ; Home health care ; Home Nursing ; Literature reviews ; Medical research ; NURSING ; Nursing care ; Older people ; Primary care ; Professional ethics ; Stroke ; Validation Studies</subject><ispartof>Revista Brasileira de Enfermagem, 2020-01, Vol.73 (suppl 3), p.1-8</ispartof><rights>2020. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>This work is licensed under a Creative Commons Attribution 4.0 International License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c460t-d91ccc262400e32107bc62e55d1068a786909ad9c25dd730ee2b4bed2174336d3</citedby><cites>FETCH-LOGICAL-c460t-d91ccc262400e32107bc62e55d1068a786909ad9c25dd730ee2b4bed2174336d3</cites><orcidid>0000-0003-1085-3034 ; 0000-0001-6149-4073 ; 0000-0002-5998-5735 ; 0000-0003-1444-4086 ; 0000-0002-5439-2607 ; 0000-0002-6956-1549</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,860,881,27903,27904</link.rule.ids></links><search><creatorcontrib>Santos, Naiana Oliveira dos</creatorcontrib><creatorcontrib>Predebon, Mariane Lurdes</creatorcontrib><creatorcontrib>Bierhals, Carla Cristiane Becker Kottwitz</creatorcontrib><creatorcontrib>Day, Carolina Baltar</creatorcontrib><creatorcontrib>Machado, Diani de Oliveira</creatorcontrib><creatorcontrib>Paskulin, Lisiane Manganelli Girardi</creatorcontrib><title>Development and validation a nursing care protocol with educational interventions for family caregivers of elderly people after stroke</title><title>Revista Brasileira de Enfermagem</title><addtitle>Rev. Bras. Enferm</addtitle><description>ABSTRACT Objective: development and validation the content of a nursing care protocol with educational interventions for family caregivers of elderly people after stroke. Methods: a methodological study conducted in three stages: (1) protocol development through literature review; (2) pretest with multidisciplinary team, analyzed with literature articulation; (3) protocol validation by the Delphi Technique. Results: the protocol was structured in the following areas: Disease Guidelines; Emotional Support; Using the Health Care Network; Diet; Airways; Medications; Hygiene; Skin Care; Disposal; Dressing/Undressing; Positioning and Transfer; Fall Prevention. In the pretest, eight experts assessed protocol clarity and content. In validation, there were two rounds by the Delphi Technique. The validated protocol consisted of 12 domains, containing 42 items and 240 care guidelines. Conclusion: the protocol qualifies the transition of care after hospital discharge assisting nurses in home care practice.
RESUMO Objetivo: construir e validar o conteúdo de um protocolo assistencial de enfermagem com intervenções educativas para cuidadores familiares de idosos após Acidente Vascular Cerebral. Métodos: estudo metodológico conduzido em três etapas: (1) construção do protocolo por meio de revisão da literatura; (2) pré-teste com equipe multiprofissional, analisado com articulação da literatura; (3) validação do protocolo pela Técnica Delphi. Resultados: o protocolo foi estruturado nos domínios: Orientações Sobre a Doença; Suporte Emocional; Utilização da Rede de Atenção à Saúde; Alimentação; Vias Aéreas; Medicações; Higiene; Cuidados com a Pele; Eliminações; Vestir/Despir; Posicionamento e Transferência; Prevenção de Quedas. No pré-teste, oito especialistas avaliaram a clareza e o conteúdo do protocolo. Na validação, houveram duas rodadas pela Técnica Delphi. O protocolo validado foi composto por 12 domínios contendo 42 itens e 240 orientações de cuidados. Conclusão: o protocolo qualifica a transição do cuidado após alta hospitalar auxiliando os enfermeiros na prática assistencial no domicílio.
RESUMEN Objetivo: desarrollar y validar el contenido de un protocolo de atención de enfermería con intervenciones educativas para cuidadores familiares de personas mayores después de un accidente cerebrovascular. Métodos: estudio metodológico realizado en tres pasos: (1) construcción del protocolo mediante revisión de la literatura; (2) pretest con equipo multiprofesional, analizado con articulación bibliográfica; (3) validación del protocolo por la técnica Delphi. Resultados: wl protocolo fue estructurado en las siguientes áreas: Guías de Enfermedades; Apoyo Emocional; Uso de la Red de Atención Médica; Alimentación; Vías Respiratorias; Medicamentos; Higiene; Cuidado de laPpiel; Eliminaciones; Vestirse/Desvestirse; Posicionamiento y Transferencia; Prevención de Caídas. En la prueba preliminar, ocho expertos evaluaron la claridad y el contenido del protocolo. En la validación, hubo dos rondas por la Técnica Delphi. El protocolo validado consistió en 12 dominios, que contenían 42 ítems y 240 pautas de atención. Conclusión: el protocolo califica la transición de la atención después del alta hospitalaria, ayudando a las enfermeras en la práctica de atención domiciliaria de salud.</description><subject>Activities of daily living</subject><subject>Aged</subject><subject>Caregivers</subject><subject>Delphi method</subject><subject>Gastrointestinal surgery</subject><subject>Home health care</subject><subject>Home Nursing</subject><subject>Literature reviews</subject><subject>Medical research</subject><subject>NURSING</subject><subject>Nursing care</subject><subject>Older people</subject><subject>Primary care</subject><subject>Professional ethics</subject><subject>Stroke</subject><subject>Validation Studies</subject><issn>0034-7167</issn><issn>1984-0446</issn><issn>1984-0446</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>DOA</sourceid><recordid>eNpdks9u1DAQxiMEEkvpE_RiiQuXlPHfJEdUKFSqxKHlbDn2ZPHijYOdLOoL8Nw4u9UeerBGHn3fp5mfpqquKFxT2cEnAC7qhqqmZkDbGtpOvKo2tGtFDUKo19XmrHhbvct5ByA7xeSm-vcFDxjitMdxJmZ05GCCd2b2cSSGjEvKftwSaxKSKcU52hjIXz__IugWe5SZQPw4YzqUhPLNZIiJDGbvw9PRt_UHTJnEgWBwmEp3wjgFJGYoLpLnFH_j--rNYELGy-d6Uf28_fp4872-__Ht7ubzfW2Fgrl2HbXWMsUEAHJGoemtYiilo6Ba07Sqg864zjLpXMMBkfWiR8doIzhXjl9Ud6dcF81OT8nvTXrS0Xh9bMS01SbN3gbUfa9A2IbKvmdCKmhtIdmwQQhmBz6YknV9ysrWF4R6F5dUaGT9sMLWK2wGDACoXB8tho8nQyH5Z8E8673PFkMwI8YlaybKXl0LTVukH15Iz-lMcFFmkGoN5CeVTTHnhMN5Iwp6PQx9nkSvh6HXw-D_AbA0qdM</recordid><startdate>20200101</startdate><enddate>20200101</enddate><creator>Santos, Naiana Oliveira dos</creator><creator>Predebon, Mariane Lurdes</creator><creator>Bierhals, Carla Cristiane Becker Kottwitz</creator><creator>Day, Carolina Baltar</creator><creator>Machado, Diani de Oliveira</creator><creator>Paskulin, Lisiane Manganelli Girardi</creator><general>Associação Brasileira de Enfermagem</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CLZPN</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>GPN</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-1085-3034</orcidid><orcidid>https://orcid.org/0000-0001-6149-4073</orcidid><orcidid>https://orcid.org/0000-0002-5998-5735</orcidid><orcidid>https://orcid.org/0000-0003-1444-4086</orcidid><orcidid>https://orcid.org/0000-0002-5439-2607</orcidid><orcidid>https://orcid.org/0000-0002-6956-1549</orcidid></search><sort><creationdate>20200101</creationdate><title>Development and validation a nursing care protocol with educational interventions for family caregivers of elderly people after stroke</title><author>Santos, Naiana Oliveira dos ; Predebon, Mariane Lurdes ; Bierhals, Carla Cristiane Becker Kottwitz ; Day, Carolina Baltar ; Machado, Diani de Oliveira ; Paskulin, Lisiane Manganelli Girardi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c460t-d91ccc262400e32107bc62e55d1068a786909ad9c25dd730ee2b4bed2174336d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Activities of daily living</topic><topic>Aged</topic><topic>Caregivers</topic><topic>Delphi method</topic><topic>Gastrointestinal surgery</topic><topic>Home health care</topic><topic>Home Nursing</topic><topic>Literature reviews</topic><topic>Medical research</topic><topic>NURSING</topic><topic>Nursing care</topic><topic>Older people</topic><topic>Primary care</topic><topic>Professional ethics</topic><topic>Stroke</topic><topic>Validation Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Santos, Naiana Oliveira dos</creatorcontrib><creatorcontrib>Predebon, Mariane Lurdes</creatorcontrib><creatorcontrib>Bierhals, Carla Cristiane Becker Kottwitz</creatorcontrib><creatorcontrib>Day, Carolina Baltar</creatorcontrib><creatorcontrib>Machado, Diani de Oliveira</creatorcontrib><creatorcontrib>Paskulin, Lisiane Manganelli Girardi</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Latin America & Iberia Database</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>SciELO</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Revista Brasileira de Enfermagem</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Santos, Naiana Oliveira dos</au><au>Predebon, Mariane Lurdes</au><au>Bierhals, Carla Cristiane Becker Kottwitz</au><au>Day, Carolina Baltar</au><au>Machado, Diani de Oliveira</au><au>Paskulin, Lisiane Manganelli Girardi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Development and validation a nursing care protocol with educational interventions for family caregivers of elderly people after stroke</atitle><jtitle>Revista Brasileira de Enfermagem</jtitle><addtitle>Rev. Bras. Enferm</addtitle><date>2020-01-01</date><risdate>2020</risdate><volume>73</volume><issue>suppl 3</issue><spage>1</spage><epage>8</epage><pages>1-8</pages><issn>0034-7167</issn><issn>1984-0446</issn><eissn>1984-0446</eissn><abstract>ABSTRACT Objective: development and validation the content of a nursing care protocol with educational interventions for family caregivers of elderly people after stroke. Methods: a methodological study conducted in three stages: (1) protocol development through literature review; (2) pretest with multidisciplinary team, analyzed with literature articulation; (3) protocol validation by the Delphi Technique. Results: the protocol was structured in the following areas: Disease Guidelines; Emotional Support; Using the Health Care Network; Diet; Airways; Medications; Hygiene; Skin Care; Disposal; Dressing/Undressing; Positioning and Transfer; Fall Prevention. In the pretest, eight experts assessed protocol clarity and content. In validation, there were two rounds by the Delphi Technique. The validated protocol consisted of 12 domains, containing 42 items and 240 care guidelines. Conclusion: the protocol qualifies the transition of care after hospital discharge assisting nurses in home care practice.
RESUMO Objetivo: construir e validar o conteúdo de um protocolo assistencial de enfermagem com intervenções educativas para cuidadores familiares de idosos após Acidente Vascular Cerebral. Métodos: estudo metodológico conduzido em três etapas: (1) construção do protocolo por meio de revisão da literatura; (2) pré-teste com equipe multiprofissional, analisado com articulação da literatura; (3) validação do protocolo pela Técnica Delphi. Resultados: o protocolo foi estruturado nos domínios: Orientações Sobre a Doença; Suporte Emocional; Utilização da Rede de Atenção à Saúde; Alimentação; Vias Aéreas; Medicações; Higiene; Cuidados com a Pele; Eliminações; Vestir/Despir; Posicionamento e Transferência; Prevenção de Quedas. No pré-teste, oito especialistas avaliaram a clareza e o conteúdo do protocolo. Na validação, houveram duas rodadas pela Técnica Delphi. O protocolo validado foi composto por 12 domínios contendo 42 itens e 240 orientações de cuidados. Conclusão: o protocolo qualifica a transição do cuidado após alta hospitalar auxiliando os enfermeiros na prática assistencial no domicílio.
RESUMEN Objetivo: desarrollar y validar el contenido de un protocolo de atención de enfermería con intervenciones educativas para cuidadores familiares de personas mayores después de un accidente cerebrovascular. Métodos: estudio metodológico realizado en tres pasos: (1) construcción del protocolo mediante revisión de la literatura; (2) pretest con equipo multiprofesional, analizado con articulación bibliográfica; (3) validación del protocolo por la técnica Delphi. Resultados: wl protocolo fue estructurado en las siguientes áreas: Guías de Enfermedades; Apoyo Emocional; Uso de la Red de Atención Médica; Alimentación; Vías Respiratorias; Medicamentos; Higiene; Cuidado de laPpiel; Eliminaciones; Vestirse/Desvestirse; Posicionamiento y Transferencia; Prevención de Caídas. En la prueba preliminar, ocho expertos evaluaron la claridad y el contenido del protocolo. En la validación, hubo dos rondas por la Técnica Delphi. El protocolo validado consistió en 12 dominios, que contenían 42 ítems y 240 pautas de atención. Conclusión: el protocolo califica la transición de la atención después del alta hospitalaria, ayudando a las enfermeras en la práctica de atención domiciliaria de salud.</abstract><cop>Brasília</cop><pub>Associação Brasileira de Enfermagem</pub><doi>10.1590/0034-7167-2018-0894</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-1085-3034</orcidid><orcidid>https://orcid.org/0000-0001-6149-4073</orcidid><orcidid>https://orcid.org/0000-0002-5998-5735</orcidid><orcidid>https://orcid.org/0000-0003-1444-4086</orcidid><orcidid>https://orcid.org/0000-0002-5439-2607</orcidid><orcidid>https://orcid.org/0000-0002-6956-1549</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Revista Brasileira de Enfermagem, 2020-01, Vol.73 (suppl 3), p.1-8 |
| issn | 0034-7167 1984-0446 1984-0446 |
| language | eng |
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| source | DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Activities of daily living Aged Caregivers Delphi method Gastrointestinal surgery Home health care Home Nursing Literature reviews Medical research NURSING Nursing care Older people Primary care Professional ethics Stroke Validation Studies |
| title | Development and validation a nursing care protocol with educational interventions for family caregivers of elderly people after stroke |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-23T04%3A16%3A25IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Development%20and%20validation%20a%20nursing%20care%20protocol%20with%20educational%20interventions%20for%20family%20caregivers%20of%20elderly%20people%20after%20stroke&rft.jtitle=Revista%20Brasileira%20de%20Enfermagem&rft.au=Santos,%20Naiana%20Oliveira%20dos&rft.date=2020-01-01&rft.volume=73&rft.issue=suppl%203&rft.spage=1&rft.epage=8&rft.pages=1-8&rft.issn=0034-7167&rft.eissn=1984-0446&rft_id=info:doi/10.1590/0034-7167-2018-0894&rft_dat=%3Cproquest_doaj_%3E2434442561%3C/proquest_doaj_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2434442561&rft_id=info:pmid/&rft_scielo_id=S0034_71672020001500151&rft_doaj_id=oai_doaj_org_article_bb604c715bb245608c44672f442cf3fa&rfr_iscdi=true |