1 Nursing Coordination Group at Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil Internal Medicine Division at Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil Nursing Coordination Group at Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil Nursing School at Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil Internal Medicine Division at Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil Department of Internal Medicine, School of Medicine at Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.