Revista de Pesquisa Cuidado é Fundamental Online

Spatio-temporal distribution of mortality among motorcyclists: an ecological study

2024-05-31T01:51:23-03:00

Objective: to analyze the spatial and temporal distribution of mortality from motorcycle accidents in Piauí from 2011 to 2021. Method: this is an ecological study in which deaths from motorcycle accidents in the state of Piauí were analyzed. Temporal regression analysis was carried out using Joinpoint software and spatial analysis using the QGI program. Results: 7,250 deaths from motorcycle accidents were recorded in Piauí during the study period. The average mortality rate was 23.81 deaths per 100,000 inhabitants. Spatial analysis showed high mortality rates in the Meio Norte health macro-region. Conclusion: although there is a downward trend in mortality rates in the state of Piauí, it is still a cause for concern, as it affects the young and economically active population. This study provides evidence that contributes to the implementation and reformulation of public health policies for traffic monitoring, enforcement and education.

Fatores de estresse percebidos e comportamentos de enfrentamento de estudantes de enfermagem na prática clínica: um estudo transversal / The perceived stress factors and coping behaviors of nursing students in clinical practice: a cross-sectional study

2024-10-10T09:41:13-03:00

Objective: the objective of this study was to determine the level of stress experienced by nursing students in clinical practice, the stressors that contribute to this stress, and the coping behaviors that nursing students employ to manage stress Method: the study employed a descriptive design. The data were collected via Google Forms between December 8, 2022, and June 2, 2023. Result: the mean age of the participants was 20.83±1.62 years and 28.1% were second-year nursing students. The most prevalent form of stress reported by the participants was the stress from taking care of patients, which was followed by the stress from teachers and nursing personnel and The most frequently reported coping strategies among the participants were avoidance. Conclusions: educators and nurses should recognize that errors are an inherent part of the learning process, understand the stress experienced by students, and provide support to enable them to focus on positive learning.

HUMANIZATION OF CARE FOR THE NEWBORN IN NEONATAL INTENSIVE THERAPY: THE NURSES' PERSPECTIVE

2025-02-03T15:52:54-03:00

Objective: to evaluate the role of nurses in neonatal therapy, providing quality care by adapting the service to the needs of newborns and their families, promoting comfort in challenging situations and painful procedures. Methodology: descriptive-qualitative study with 21 nurses from the NICU, using snowball sampling, approved by the Ethics Committee. Data collection was performed through interviews on humanized care practices.
Results: nurses, aged between 29 and 56, with the majority having less than 19 years of experience, reported practices such as minimal handling, noise reduction, therapeutic touch, kangaroo care, family involvement, as well as glyco-therapy and music therapy.
Conclusion: the study highlights the importance of humanized care in the NICU, emphasizing the commitment of nurses. Support for families and professional collaboration are essential for the well-being of newborns and the continuity of these practices.

Health promotion strategies to combat COVID-19 vaccine hesitancy among adolescents.

2025-04-11T15:44:26-03:00

Objective: To understand the reasons behind COVID-19 vaccine hesitancy among adolescents and to develop educational materials on vaccination for this population.
Methods: A cross-sectional study with data collection conducted between July and September 2021, involving Brazilian adolescents aged 14 to 19. A virtual questionnaire was applied, including sociodemographic variables, vaccination intent, and reasons for hesitancy. Data analysis was descriptive, using word clouds.
Results: Among the 526 participants, 56 (10.64%) reported some degree of vaccine hesitancy. The average age was 16 years, with a majority being female (n=40) and residing in the Northern region (n=39). A total of 80 responses were collected. The main reasons included fear of side effects (26.2%), needles (18.7%), perceived low risk of infection (10%), and fear of allergic reactions (10%). The data supported the development of educational booklets and podcasts. Conclusion: This research contributes to understanding the reasons for vaccine hesitancy among adolescents, which is also relevant to other vaccines.

Self-care of people using non-invasive ventilatory support in a Home Oxygen Therapy Program

2025-06-16T15:05:47-03:00

Objective: to analyze the self-care of people using non-invasive ventilatory support, in the continuous positive pressure modality, registered in a Home Oxygen Therapy Program in a city in the South of Minas Gerais. Method: descriptive, qualitative study, based on Dorothea Orem's Self-Care Deficit Theory. Data collection took place between March and April 2025, through a semi-structured script that included sociodemographic and clinical characterization and guiding questions for semi-structured interviews, analyzed using Bardin's Content Analysis technique. Results: 12 people participated. The analysis revealed three categories: challenges in self-care; institutional and social support in the self-care process; and limitations faced in self-care. Final considerations: self-care is influenced by social, clinical and structural factors that hinder therapeutic adherence. Orem's Theory contributed to understanding the demands of the participants, highlighting the importance of health education, strengthening autonomy and building individualized care plans.

Association between perceived stress and sleep quality in resistant hypertensive patients: cross-sectional study / Associação do estresse percebido e qualidade do sono de hipertensos resistentes: estudo transversal

2024-11-27T19:15:12-03:00

Objective: analyze the association between perceived stress and sleep quality in resistant hypertensive patients during the Covid-19 pandemic. Method: cross-sectional, observational, descriptive, and analytical study with a quantitative approach involving 40 resistant hypertensive patients. Data were collected through medical records and validated questionnaires via telemonitoring, using online forms from january to march 2022. Analyses were performed using SPSS (Statistical Package for the Social Sciences), version 22.0. Results: it was observed that 33.1% of hypertensive patients exhibited high perceived stress, and 50% of the sample presented sleep disturbances. Conclusion: the study analyzed the typical profile of the sample, identifying a correlation between high perceived stress scores and high sleep disturbance scores. This contributes to a better understanding of the issue and provides support for developing coping strategies and care policies in crisis situations and pandemics, such as the one caused by the coronavirus.

Analysis of nurses' knowledge and professional practice regarding the birth plan in a public maternity hospital: A qualitative approach

2025-04-28T17:51:33-03:00

The birth plan is a document, drawn up during pregnancy, recognized and recommended by the Ministry of Health, in which the woman expresses her needs and expectations regarding labor and delivery. The objective of the work is to analyze the management and knowledge of insertion of the birth plan by nurses in a reference hospital. The study is a qualitative research with a descriptive approach, carried out with nurses at the Ana Bezerra University Hospital, in November 2023, in the city of Santa Cruz/RN. The interviews were carried out at HUAB and the interviews were transcribed, which consisted of listening to the audios. The collected data were transcribed and evaluated according to the content analysis method according to Bardin. As results, three categories were identified, what the birth plan means for nurses; the execution of the birth plan, and the last the need to add knowledge about the birth plan. It is concluded that the study participants have theoretical and practical knowledge about the birth plan, have great possibilities of executing the birth plan and have few difficulties. Finally, the constant qualification and improvement of all professionals in the sectors is essential.

Assessment of visual acuity in school children / Avaliação da acuidade visual de crianças escolares

2025-05-09T08:46:18-03:00

Objective: to evaluate the visual acuity of students enrolled in a public school in the city of Macaé, Rio de Janeiro, Brazil. Method: cross-sectional study, with an analysis approach. A total of 221 schools aged between six and 14 years old participated in the research. Fisher's Exact Test and Pearson's were tested. Results: the highest proportions of students with visual acuity results were identified in the first year of the same shift (31.58%), followed by the third year of the same shift (27.27%). It was evidenced that if a suggestive sign of a visual problem is identified, the greater the possibility of the student having low visual acuity. The proportion of students undergoing retest in the morning and afternoon turns is the same. Conclusion: Although most students had normal visual acuity, a portion had altered values, which reinforces the importance of eye health in schoolchildren.

User perceptions and satisfaction regarding nursing consultation in the family health strategy / Percepções e satisfação de usuários sobre a Consulta de Enfermagem na Estratégia Saúde da Família

2025-07-09T09:51:08-03:00

Objetivo: compreender a percepção e a satisfação de usuários sobre a Consulta de Enfermagem na Estratégia Saúde da Família. Método: pesquisa qualitativa, descritiva-exploratória, desenvolvida com 20 usuários das Estratégias Saúde da Família de um município do extremo oeste de Santa Catarina. A coleta de dados aconteceu por entrevista semiestruturada, de caráter individual. Para análise dos dados, utilizou-se a Análise de Conteúdo do Tipo Temática. Resultados: da análise, emergiu uma categoria temática: A Consulta de Enfermagem sob a ótica dos usuários da Estratégia Saúde da Família. Considerações finais: em algumas unidades, a Consulta de Enfermagem é conduzida de forma resolutiva e acolhedora, sendo reconhecida pelos usuários como espaço de escuta e cuidado. Em outras, limita-se à realização de procedimentos básicos, o que contribui para a invisibilidade da atuação clínica do enfermeiro.

Construction and validation of an instrument for safe transfusion practice / Construção e validação de instrumento para a prática transfusional segura

2024-06-26T09:32:55-03:00

Objective: to build a checklist to support bedside transfusion safety. Method: the Delphi Technique was used, with the participation of 18 specialists in hemotherapy in the first stage and 11 in the second. For content validation, the content validity index was calculated, with agreement ≥ 80% in the first round and ≥ 90% in the second round. Results: in the first phase, of the 67 initial items, 15 were removed for having a content validity index < 80%. The instrument was reformulated for a new expert evaluation, with 53 items and 11 observations and interventions. Of these, 8 items were removed due to content validity index < 90%. The Cronbach's alpha coefficient calculated for the checklist was 0.8940. Conclusion: The checklist could help to ensure the safety of hemotherapy nursing care, as it has good reliability.

Advanced Practice Nursing and the Actions Performed by Nurses: An Analytical Study

2024-10-06T09:03:29-03:00

Objective: to analyze the actions with potential for Advanced Practice Nursing according to the knowledge, education and use of the nursing process by nurses in southern Minas Gerais. Methods: this was an analytical, cross-sectional study with a quantitative approach and a non-probabilistic sample. Results: of the 140 participants, 48% reported having little or no knowledge, 36% intermediate knowledge, and 15% moderate or high knowledge. The majority (83.5%) reported performing advanced practice activities; the most frequent in the care domain was wound assessment and dressing prescription (65.71%); in the management/education domain it was participation in meetings to develop and implement risk and damage prevention protocols (50%). Final considerations: the actions related to the care domain and management/education domain reported by participants have the potential to be described as advanced practice, despite the level of knowledge that the sample demonstrated about this type of practice.

Vaccination against covid-19 among regular risk pregnant women: agreement and perceived safety / Vacinação contra covid-19 entre gestantes de risco habitual: concordância e segurança percebida

2025-01-28T14:27:32-03:00

Objective: to analyze COVID-19 vaccination among low-risk pregnant women, associated factors, agreement with vaccination, and perceived safety. Method: cross-sectional study conducted with 338 pregnant women in the state of São Paulo, Brazil. Data collection used an electronic form. Results: 97,6% of pregnant women were immunized against COVID-19; 92% agreed to vaccination, and 84,3% felt safe after immunization. COVID-19 vaccination was associated with paid employment, agreement with immunization, number of births, and number of live births. Pregnant women who agreed to vaccination were more likely to feel safe with immunization. Conclusion: the rate of low-risk pregnant women vaccinated against COVID-19, who agreed and felt safe about immunization, was high and suggests involving nurses and health professionals in prenatal care in interventions to dispel misinformation and promote vaccination coverage, agreement and feeling of security about the vaccine.

Aspects of the affective and sexual experiences of elderly women

2025-06-09T10:51:46-03:00

Objective: to analyze aspects of the affective and sexual experiences of elderly women participating in a group of body practices in a city in northern Piauí. Method: This is a descriptive, cross-sectional and quantitative study involving women aged between 60 and 80 who agreed to participate in the study. Data collection was carried out through interviews with a structured questionnaire addressing sociodemographic and economic aspects and the Scale for Assessment of Affective and Sexual Experiences of the Elderly (adapted). Results: The results indicated dissatisfaction in affective and sexual experiences, especially in the “Sexual Act” domain, with a prevalence of the answer “never”. In addition, 45.9% of the participants reported never having received guidance on Sexually Transmitted Infections in the health services they attended. Conclusion: there was dissatisfaction with the sexuality of elderly women and a lack of sexual education actions aimed at this group, which contributes to their health vulnerability.

Is chronic post-covid syndrome associated with physical activity time in adolescence? / A síndrome pós-covid crônica está associada ao tempo de atividade física na adolescência?

2024-08-06T10:11:39-03:00

Objective: To investigate the association between time of physical activity and chronic post-COVID syndrome in adolescence. Method: Cross-sectional quantitative study composed of 312 adolescents with a mean age of 14.97 ± 1.87 years with a confirmed diagnosis of COVID-19. The short version of the IPAQ was used to investigate the time of physical activity and the questionnaire “Clinical manifestations of prolonged symptoms” to investigate chronic post-COVID syndrome. Chi-square and Binary Logistic Regression were applied to verify whether physical activity, sex, and age are predictors of the development of post-COVID syndrome. In all analyses, the significance adopted was <0.05 in the SPSS software version 27. Results: The predictor variables for the development of the syndrome were: Being female (OR = 4.76; 95% CI = 4.49 - 4.92, p <0.01); post-pubertal (OR=3.41; 95% CI= 3.15 – 3.57) and being insufficiently active (OR=4.68; 95% CI= 4.27 – 4.89). Conclusion: Chronic post-COVID syndrome was associated with less time of physical activity in adolescence.

Safety culture in primary health care / Cultura de segurança na atenção primária à saúde

2024-11-21T09:08:56-03:00

Objective: to analyze the safety culture among Primary Health Care professionals. Method: exploratory study carried out with primary care professionals in a capital city in the Brazilian Central-West region. Data were collected between January and July 2023 using the Medical Office Survey on Patient Safety Culture, which were subsequently subjected to descriptive and inferential statistical analysis. Results: 355 professionals participated. The best evaluated safety culture dimension was ‘Following patient care’, followed by ‘Teamwork’. ‘Open communication’ and ‘Communication about errors’ were more positive among administrative professionals when compared to care professionals. The worst rated dimension was ‘Pressure and pace of work’. The patient safety culture among primary care professionals was considered weak. Conclusion: the need for continuing health education strategies to strengthen the safety culture and consequently reduce the risk of errors in care is elucidated.

Educational booklet on breastfeeding for health professionals: creation and validation / Cartilha educativa sobre aleitamento materno para profissionais da saúde: criação e validação

2025-02-26T14:39:13-03:00

Objetivo: criar e validar uma cartilha educativa sobre aleitamento materno voltada para profissionais de saúde. Método: estudo metodológico realizado entre março e novembro de 2024, a partir de três fases: revisão da literatura, elaboração do material e validação por especialistas. Resultados: a cartilha, com 30 páginas em formato A4, abordou temas essenciais sobre aleitamento materno com linguagem científica acessível. Foi avaliada por 10 especialistas, alcançando um Índice de Validação de Conteúdo de 0,85, com sugestões de ajustes em estrutura, conteúdo e ortografia. Após revisões, a cartilha foi disponibilizada para profissionais de um hospital no norte do Rio Grande do Sul. Conclusão: a validação do conteúdo e da aparência da tecnologia demonstra a possibilidade de utilização desta ferramenta no apoio à prática do aleitamento materno, contribuindo para a formação contínua dos profissionais de saúde.

Effect of an educational workshop on the prevention of obstetric violence on the knowledge of community health agents

2025-05-10T15:00:18-03:00

Objective: To analyze the effects of an educational workshop on the prevention of obstetric violence on the knowledge of community health agents.

Method: Quasi-experimental study carried out in Acarape in the Baturité Massif, Ceará, Brazil, in December 2024. The study participants were community health agents linked to the Basic Health Units of the municipality of Acarape. Data collection took place in three stages: application of a pre-test; implementation of the educational intervention; application of the post-test. The educational intervention consisted of a theoretical-practical class, addressing topics such as definition and examples of obstetric violence, prevention, associated risks, the role of the community health agent in this scenario and the importance of humanized childbirth. The data were analyzed in the Jamovi statistical software using measures of central tendency.

Results: There was an increase in the agents' knowledge about obstetric violence after the intervention, evidenced by comparisons between the pre-test and post-test. The greatest improvements were observed in the identification of specific practices that constitute obstetric violence, such as neglect in care and verbal abuse. In addition, the agents reported a greater perception of the importance of humanized childbirth, and the feeling of safety when dealing with cases of obstetric violence also improved. These advances demonstrate the positive impact of educational workshops on the quality of care provided by professionals, enhancing their role as agents of transformation in communities.

Conclusion: The educational workshop proved to be an effective strategy for training community health agents, contributing to the identification and approach of cases of obstetric violence.

The Care activities and difficulties faced by Family caregivers of elderly people after stroke

2025-07-08T15:19:20-03:00

Objective: to characterize family caregivers of older adults dependent due to Stroke in terms of sociodemographic variables, and to describe the activities performed and the difficulties faced in caregiving. Methodology: this is a cross-sectional and descriptive study, conducted between August and October 2024, with 12 caregivers of older adults dependent due to stroke at a geriatrics outpatient clinic of a university Hospital. A sociodemographic data collection instrument and the Escala de Capacidades do Cuidador Informal de Idosos Dependentes por Acidente Vascular Cerebral were used. Data were analyzed using Excel. Results: the study showed a predominance of female caregivers and daughters. The most difficult activities reported were: monitoring swallowing, assisting with medication administration, assessing the need to rotating the position of the older adult when lying down. Conclusion: the results guide nursing interventions and highlight the need for support projects for both caregivers and older adults.

Discursivity of nursing professionals in coping with the death of hospitalized patients with covid-19

2024-05-11T19:35:49-03:00

Objective: understand how nursing professionals face death when assisting hospitalized patients with covid-19 and the use of light technologies. Method: qualitative study, carried out with 23 nursing professionals. Data were collected between May and June 2021, analyzed using French Discourse Analysis. Results: the speeches revealed the feelings associated with deaths from Covid-19, such as sadness, anguish and impotence. They mention light technologies for the emotional support of patients' families, accepting death as an attitude, learning to deal with this process and demonstrating respect for mourning. Final considerations: understanding the way in which these professionals faced death made it possible to emphasize the importance of psychological and emotional support in the face of losses.

Conceptions obout leprosy for riverside dwellers: evidence for nursing care / Concepções sobre a hanseníase por ribeirinhos: indícios para o cuidado de enfermagem

2025-03-11T08:54:33-03:00

Objective: to identify the conceptions of riverbank dwellers in the Pará Amazon about leprosy. Methods: A qualitative and descriptive study was carried out with 42 people from a riverside community in the north of Brazil, using individual, semi-structured interviews. Thematic content analysis was applied to the data. Results: negative conceptions of leprosy prevail, based on prejudice, sustained by a magical-religious and historical view of sin, impurity and punishment associated with the history of leprosy, which involves the processes of health/disease and life/death, in which not having leprosy means life and having it is associated with death. Final considerations: crystallized common sense knowledge, based on religiosity and the historical and sociocultural context, which explains the multiple views on this ancient disease, and shows that its understanding is more influenced by its ancient and biblical historical roots than by its medical and social history.

Perception of patients with mental disorders regarding nursing attitudes during clinical hospitalizations / Percepção dos pacientes com transtorno mental sobre as atitudes da enfermagem durante internações clínicas

2025-01-27T19:02:21-03:00

Objetivo: analisar as atitudes presentes no cuidado de enfermagem às pessoas com transtornos mentais durante internações clínicas. Métodos: pesquisa qualitativa, exploratória e descritiva, realizada em unidades de internação clínica de um hospital de grande porte, com 13 participantes internados por doenças clínicas e com diagnóstico psiquiátrico. O recrutamento ocorreu via análise de prontuário eletrônico e formulário de transferência de cuidado entre turnos. A coleta ocorreu de 12/05 a 06/06/2022, com entrevistas semiestruturadas. Aplicou-se análise de conteúdo nas etapas de Segmentação, Qualificação e Individuação. Resultados: identificaram-se atitudes afetivas no cuidado, expressas por carinho, humanização e atenção; atitudes psicoterapêuticas, com respeito, escuta e aceitação; e atitudes reabilitatórias voltadas à alta hospitalar. Também emergiram condutas que fragmentam o cuidado e a ausência de mobilização para continuidade do tratamento na atenção psicossocial. Considerações finais: as percepções revelaram uma dicotomia entre estigma, fragmentação e ausência de continuidade, e potencialidades como acolhimento, compreensão e respeito.

Factors associated with neonatal ankyloglossia in term infants during the first month of life / Fatores associados à anquiloglossia neonatal em lactentes a termo no primeiro mês de vida

2025-06-02T11:36:17-03:00

Objective: To analyze factors associated with neonatal ankyloglossia in term infants during the first month of life. Method: A retrospective case-control study was conducted using medical records from infants treated at a university hospital. Data on birth characteristics, breastfeeding-related manifestations, and growth measurements were compared between infants with and without ankyloglossia. Results: Infants with ankyloglossia presented a higher frequency of family history of the condition, as well as increased reports of maternal nipple pain and a biting sensation during breastfeeding. Lower birth weights and reduced weight gain in the first month of life were also observed. Conclusion: Ankyloglossia was associated with breastfeeding difficulties and lower weight gain in the first month of life, highlighting the importance of early diagnosis and management strategies to support effective and comfortable breastfeeding, and to help prevent early weaning.

The social representations of abstinent alcoholics about alcoholic beverages and implications for development of alcoholism

2024-11-11T18:12:04-03:00

Objective: to characterize the social representations of abstaining alcoholics about alcoholic beverages and their implications for the acquisition of alcoholism. Method: descriptive exploratory study with a qualitative approach, focused on the procedural aspects of the Theory of Social Representations. The interviewees were 30 members of the Psychosocial Care Center. The ATLAS.ti version 24 program was used, and thematic analysis was performed. Results: the process of sobriety and overcoming the problematic consumption of alcohol and other drugs is significantly influenced by social and environmental life. Problematic alcohol use directly interferes with mental health, affecting the ability to interact and maintain healthy relationships. Relationships with family and friends play a key role in recovery. Final Considerations: Strategies for the prevention and treatment of alcoholism should consider the social representations of the affected individuals and understanding of the factors that influence the attainment of alcohol use, as well as the importance of family and social support.

The perception of health managers about the 4th step of the child-friendly hospital initiative in the municipal maternity hospital of Manaus / A percepção de gestores de saúde sobre o 4º passo da iniciativa hospital amigo da criança na maternidade pública municipal de Manaus

2025-02-19T15:17:08-03:00

Objetivo: analisar as percepções dos gestores em saúde acerca das fragilidades e potencialidades na execução do 4º Passo da iniciativa hospital amigo da criança. Método: trata-se de um estudo descritivo e qualitativo, com 10 gestores de saúde da secretaria municipal de Manaus, atuantes na Maternidade Moura Tapajoz. Os gestores realizaram entrevista semiestruturada em novembro de 2023, com a gravação e transcrição na íntegra e com a análise de conteúdo no tratamento dos dados. Resultados: os profissionais de saúde. Entretanto, necessita-se de uma gestão participativa e colaborativa para atenuar as fragilidades e os obstáculos, especialmente na realização do 4º passo. O modelo colaborativo com a equipe multiprofissional permite uma maior integração, participação ativa, sensibilização dos profissionais de saúde. Conclusão: a percepção dos gestores mostra que o cuidado compartilhado, com foco na equipe multiprofissional, torna-se essencial para garantir a efetividade do 4º passo na iniciativa hospital amigo da criança.

Perceptions of patients in psychiatric hospital about suicidal behavior and assistance

2025-05-05T22:09:29-03:00

Objective: To analyze the perceptions of patients admitted to a psychiatric hospital due to suicidal behavior, focusing on their emotional experiences, the care received, and the treatment provided. Method: This qualitative and exploratory-descriptive study conducted semi-structured interviews with 13 participants, most of whom were women (12), white, aged between 19 and 29, single, childless, with low income and average education. Data were analyzed using a thematic content approach. Results: The study revealed that patients with suicidal behavior experience intense emotional distress, characterized by feelings of emptiness and hopelessness. The care during hospitalization was criticized for the lack of specific approaches and fragmented services, although some highlighted occasional supportive interactions. Most participants acknowledged the necessity of hospitalization during crises but pointed out flaws in the structure and continuity of care, reinforcing the demand for specialized post-discharge support. Conclusion: The study showed that patients with suicidal behavior endure profound emotional suffering, marked by emptiness and despair. While inpatient care was often criticized for its lack of tailored interventions and service fragmentation, some recognized moments of support. Most agreed on the need for hospitalization in acute crises but emphasized gaps in care continuity, highlighting the need for specialized follow-up after discharge.

Level of knowledge about environmental hygiene practices in the operating room: a cross-sectional study / Nível de conhecimento sobre práticas de higiene ambiental na sala operatória: um estudo transversal

2025-07-05T01:19:41-03:00

Objective: To assess professionals' knowledge of recommended practices for environmental hygiene in the operating room. Method: A cross-sectional study with a quantitative approach, carried out in a surgical center. Nursing professionals and cleaners were included to fill in a questionnaire containing questions about standard precautions, specific precautions and environmental hygiene practices in the operating room. Results: A total of 57 professionals answered the questionnaire. The average correct scores were 76.30 for the nursing professionals and 58.33 for the cleaners. There was a low frequency of training on the subject, weaknesses in knowledge about the use of Personal Protective Equipment, the definition of frequently touched surfaces and the sequence of operating room decontamination. Conclusion: The discrepancy between the knowledge scores highlights the need to establish clear protocols and carry out specific training for all categories of professionals involved in environmental hygiene.

Nurse professional’s conduct to fragile elderly persons during the period of hospitalization

2024-08-05T08:14:31-03:00

Objective: To understand the behaviors adopted by nurses when caring for frail elderly people who are hospitalized. Method: Study with a qualitative approach, developed with ten professional nurses from a hospital institution. Data were collected through semi-structured interviews and analyzed from the perspective of thematic analysis. Results: The main behaviors mentioned by professionals include screening and early interventions for new problems to which the elderly person is susceptible during hospitalization, comfort measures, maintenance of invasive devices, promotion of self-care and the delimitation of a multidisciplinary care plan . Nursing care was highlighted as essential during the hospitalization period of frail elderly people. Final Considerations: Frailty is not yet understood in its multidimensionality, therefore the importance of discussing this topic with professionals through continuing health education is highlighted, with a view to its comprehensive management.

Os Care and experiences of patients in the post-treatment survival phase of gynecological cancer

2024-09-19T15:00:15-03:00

Objective: to understand women's experiences in surviving post-treatment gynecological cancer.

Method: qualitative study, developed with twenty-five patients from the National Cancer Institute, with data collected between February and April 2022, through interviews guided by a semi-structured script. The speeches were analyzed from a content analysis perspective.

Results: after treatment, hormonal and reproductive health was seriously compromised, in addition to other related problems, including physical and psychological limitations that restrict daily activities and impair quality of life.

Conclusion: it is necessary that the focus on investment in supportive care goes beyond carrying out isolated treatment activities, but rather, a multidisciplinary structure capable of meeting the real needs and thus helping in this difficult phase of cancer survival.

Manchester priority system for nurses to identify clinical outcomes in hospital emergency care / Sistema prioridade de Manchester para identificação pelo enfermeiro dos desfechos clínicos nos atendimentos de emergência hospitalar

2025-01-23T22:45:52-03:00

Objective: to understand the profile and prevalence of clinical outcomes of patients treated at hospital emergency services, based on the Manchester priority. Method: Cross-sectional study, carried out in a private hospital in Goiânia-Goiás, based on the analysis of 900 medical records of patients treated between 2019 and 2021. Medical records with complete information on age, sex, date and shift of care, length of stay, signs and symptoms, risk classification and clinical outcomes were included. Data were collected electronically and analyzed descriptively. Results: The age group 56 to 75 years (31.2%), male (59.8%), daytime (67.9%), low-urgent/green priority (38.9%) and hospital discharge (77.9%) were prevalent. The shortest average length of stay was for those classified as emergency priority (1h23) and the longest for urgent cases (7h28). Conclusion: The results indicate the need for improvements in patient flow management and greater accuracy in the application of risk classification.

Red Cross

2025-05-27T09:16:48-03:00

Objetivo: apresentar as estratégias empreendidas, por meio de seus fundadores, para a ideia e difusão da Cruz Vermelha. Método: estudo de método histórico na dimensão da história social baseado no debate teórico a partir da bibliografia encontrada nas principais plataformas acadêmicas digitais. Para a análise, foi utilizada a teoria social de Pierre Bourdieu. Resultados: foram encontradas 14 pesquisas que tratam das estratégias utilizadas para a criação da Cruz Vermelha. Considerações Finais: o Comitê dos Cinco utilizou estratégias de congresso para disseminar a Cruz Vermelha, mas foi o livro Lembranças de Solferino que Henry Dunant escreveu e protagonizou a história da instituição.

Covid-19: death profile in patients in southwest Paraná

2025-02-13T23:08:10-03:00

Objective: to describe the profile of people who died with Covid-19 as the underlying cause of death in a municipality in Paraná. Methods: This is a descriptive, exploratory, cross-sectional and documentary study, of a quantitative nature, carried out in Francisco Beltrão in Paraná. Results: The profile was characterized by men (57%) between 71 and 80 years old (26%), white (18%), with more recurrent symptoms such as cough (73%), dyspnea (59%) and low saturation (52%), hypertensive (46%) and diabetic (24%). As for the place of hospitalization, the majority were in beds in the Unified Health System (70%) and in wards (43%). Regarding testing to identify the virus, RT-PCR was used (94%), and regarding notifications, the majority were through health surveillance (47%). Conclusions: It is suggested to implement public policies, train health teams and encourage the adoption of healthy habits and adherence to vaccination.

Knowledge and attitudes of people living with hiv/aids followed in a specialized care service / Conhecimentos e atitudes de pessoas vivendo com HIV/aids acompanhadas em um serviço de atendimento especializado

2025-05-05T22:21:25-03:00

Objetivo: avaliar os conhecimentos e comportamentos de risco das pessoas vivendo com HIV/Aids de um serviço de referência. Método: estudo transversal e descritivo. Utilizou-se um questionário online para a coleta de dados. A análise estatística foi realizada no software Jamovi, versão 1.8, pelo teste de Shapiro-Wilk, média e desvio-padrão e frequência absoluta e relativa. Resultados: foram analisados os dados de 105 participantes com perfil predominantemente do sexo feminino (54,3%), idade média de 43,4 anos, de cor preta (70%), heterossexuais (81,89%) e baixa escolaridade. Aproximadamente 85,7% não conhecem a profilaxia pré e 86,7% após exposição. Cerca de 64,8% não informaram que tem HIV aos parceiros. Conclusão: existem lacunas de conhecimento entre os usuários sobre a profilaxia pré e pós exposição e comportamentos de risco ao não informar ou perguntar o estado sorológico dos parceiros sexuais, sugerindo a necessidade de intensificação da educação em saúde para as pessoas com a doença.

Documentary Analysis of Multiprofessional Residencies in Oncology: focus on the training of specialist nurses in Brazil

2024-02-19T22:27:40-03:00

Objective: to map multidisciplinary residency programs in oncology in Brazil, highlighting the importance of specialist nurses. Method: exploratory, documentary, descriptive study. A manual search and tabulation of notices available on the websites of the National Multiprofessional Residency Exam were performed; Brazilian Society of Oncology Nursing; Brazilian Association of Nursing in Oncology and Onco-Hematology and National Academy of Palliative Care, in the year 2023. The analysis was conducted using absolute and relative frequencies. Results: 62 notices were identified, totaling 223 vacancies. The Southeast Region had more than half of the country's total vacancies with (51.56%), equivalent to (n=115 vacancies). In turn, the North Region had the lowest number of vacancies (n=13), which represents (5.82%) of the total set of opportunities. Conclusion: it is highlighted that the mapping of multidisciplinary residency programs in oncology nursing reveals a disparity in terms of socio-spatial distribution and the lack of equal access in each region of the country.

Factors associated with suicidal behavior in university students from the humanities campus of a federal institution

2024-09-08T02:17:42-03:00

Objective: to analyze factors that cause suffering and suicidal behavior in university students from the humanities campus of a federal institution. Method: a quantitative survey of 67 university students from six humanities courses. Fisher's exact test was used between sociodemographic variables, mental health and suicidal behavior. Results: majority female, single, no religion, cisgender, suffered physical, psychological or sexual violence, history of mental health treatment in the family, used alcohol, had or was undergoing mental health monitoring; 22% had suicidal behavior in the family, 33.40% had diagnoses of anxiety disorders, 29.60% of mood disorders, 55.24% used psychotropic drugs, 8.94% attempted suicide, 19.39% had suicidal behavior in the last month and 4.48% intended to commit suicide in the future. Considerations: sexual orientation, suffering violence and having a family member with suicidal behavior are significantly associated with a greater chance of attempting suicide.

Nursing interventions in the immediate postoperative period of myocardial revascularization

2025-04-29T17:11:34-03:00

Objectives: to correlate nursing interventions during the admission of patients in the immediate postoperative period of myocardial revascularization with literature recommendations and to investigate the difficulties and facilitators experienced by nurses in admitting these patients. Method: a case study, exploratory in nature, was conducted with ten nurses. Data collection took place from August to October 2023, using a virtual form containing questions based on established criteria tools. The research received ethical approval (Approval Number: 6.144.100) from the ethics and research committee. Results: the most frequently recorded interventions were related to cardiovascular status, hemodynamic maintenance, vital signs measurement, and drain checking. The main facilitators were related to the team, while difficulties were associated with the patients. Conclusion: the study highlighted interventions concerning priority diagnoses in line with the literature, emphasizing the need for the development of operational protocols to prevent errors.

PLANETARY HEALTH, CERRADO, AND SUBSTRUCTURE: DESCRIPTIVE STUDY ON ARBOVIRUS PROLIFERATION AND GEOGRAPHICAL DISTRIBUTION IN GOIÁS

2024-09-04T16:42:49-03:00

Objective: present an analysis of the distribution of dengue, Zika virus, and chikungunya cases in the municipalities of Goiás, aiming to identify patterns of geographic distribution and possible correlations with socio-environmental variables, such as population, distance from the capital, and basic sanitation infrastructure. Method: a cross-sectional and descriptive study based on data collected through Tabnet from 2017 to 2022. Results: factors such as climate, the Cerrado biome, high mobility, and lack of infrastructure, such as sewage systems, contribute to the proliferation of the Aedes aegypti mosquito and the spread of arboviruses in Goiás, especially in densely populated areas like Goiânia and Aparecida de Goiânia. Conclusion: promoting Planetary Health education in Primary Health Care (PHC) services is essential to address these issues, as it empowers the population to understand the relationships between the environment, health, and society, emphasizing that disharmony leads to diseases like arboviruses.

Elderly people and digital inclusion

2025-03-17T17:43:42-03:00

Objective: to characterize mobile applications for the care and well-being of the elderly available for download on smartphones. Method: cross-sectional study carried out on the Android and iOS operating systems. The terms “elderly”, “elderly person” and “third age” were used for the search. Descriptive statistics were performed, expressed by absolute and relative frequencies. Results: 43 applications were identified, of which 18 (41.8%) were in the health category and 11 (25.6%) in medicine. Monitoring the elderly and cognitive stimulation was the subtheme of 13 (30.2%) applications. It was observed that 38 (88.4%) applications were created between 2013 and 2023. Regarding the variable institution/developer, 31 (72.1%) belong to private institutions and 12 (27.9%) to public and non-profit institutions. Conclusion: it is suggested that public institutions develop applications that address existing gaps, with a focus on the process of social inclusion of the elderly, based on the concept of an inclusive society.

Multidimensional Poverty and Child Health: Analysis of Public Policies in Brazil and Mozambique

2025-05-19T18:55:59-03:00

Introduction: This study analyzes multidimensional poverty in Brazil and Mozambique, focusing on the health of children and adolescents. Multidimensional poverty goes beyond the lack of income, encompassing deprivation in essential areas such as education, health, housing, and sanitation. The COVID-19 pandemic has intensified these inequalities, especially affecting food, education, and income. In Brazil, more than 30 million children and adolescents live in multidimensional poverty, while in Mozambique, around 10 million face the same situation. Objective: To assess how public health policies in both countries address multidimensional poverty. Methods: A qualitative and documentary approach was used, analyzing public policies, reports from the Ministries of Health, and data from organizations such as UNICEF and WHO. The research covers normative acts from the past 36 years, focusing on policies aimed at child health and poverty reduction. Results: The results show that in Brazil, policies such as the Unified Health System (SUS) and the Bolsa Família Program have contributed to poverty reduction, although challenges remain. In Mozambique, despite some progress, policies are still limited—especially in rural areas—and poverty remains a major obstacle. Conclusions: More integrated policies involving health, education, and social conditions are needed to address the structural causes of poverty and reduce inequalities in both countries. Thus, the crucial role of nursing is highlighted in delivering integrated care and addressing vulnerabilities.

Epidemiological Profile of Lung Cancer Cases in the Context of the COVID-19 Pandemic in Mossoró / Perfil epidemiológico de casos de câncer de pulmão no contexto da pandemia da COVID-19 em Mossoró

2024-07-12T22:41:07-03:00

Objective: To analyze lung cancer cases in the context of the COVID-19 pandemic in the municipality of Mossoró. Method: Research conducted at the Liga Mossoroense de Estudos e Combate ao Câncer. The sample consisted of patients with lung neoplasia, particularly those diagnosed and who began treatment between 2018 and 2021. Results: The average age was 67 years, with the majority being female and married. The year with the highest incidence of diagnoses was 2021, and the most prevalent occupation was farming. Most patients had no education and were former smokers. Adenocarcinoma was the most prevalent subtype, with cough being the main symptom. The predominant treatment method was chemotherapy combined with radiotherapy, and stage IV was the most prevalent, with the presence of metastases and death being the main prognosis. Conclusion: It is suggested that similar research be conducted in different reference hospitals for the care of cancer patients.

Profile of psychoactive substance users treated at CAPS AD in a municipality in western Pará, Amazonia, Brazil

2025-02-12T18:56:57-03:00

The objective was to profile users of psychoactive substances treated at the Psychosocial Care Center for Alcohol and Other Drugs in Santarém, Pará, with an emphasis on immunochromatographic studies. A total of 41 participants were selected for the study, who agreed to participate by signing the Free and Informed Consent Form and received a questionnaire to provide sociodemographic information and data on the consumption of legal and illegal drugs. Urine samples were collected for a rapid test to qualitatively detect six substances of abuse. Of the 41 patients, 36 were men and five were women, with the majority aged between 21 and 40 years, earning a minimum wage, and having incomplete primary education. Thirteen participants reported using marijuana, hallucinogenic substances, alcohol, among others, and 19 tested positive for at least one of the tested substances. The use of these substances in Santarém is similar to data found in many places in Brazil.

Patients' perception of missed nursing care

2025-04-30T09:09:22-03:00

Objective: to cross-culturally adapt the "Patient Perceptions of Missed Nursing Care: Interview Guide" into Brazilian Portuguese. Method: methodological study carried out in a medium-sized general teaching hospital in Minas Gerais. The following stages were followed: translation, synthesis, back-translation, evaluation by a committee of judges (semantic, idiomatic, cultural and conceptual equivalence), and pre-test. A content validity index equal to or greater than 0.80 was adopted. Results: the committee of judges made up of five evaluators considered the synthesis version to be appropriate, obtaining a CVI of over 0.80 for all the items. The pre-test was carried out on a sample of 10 patients, with response times ranging from 10 to 15 minutes. The adapted version was positively evaluated. Conclusion: the items in the cross-culturally adapted instrument are suitable for the reality of Brazilian culture, maintaining the purpose of the original document.

GARBAGE COLLECTORS: ANALYSIS OF OCCUPATIONAL ACCIDENTS, MAIN RISK FACTORS AND ACCESS TO HEALTH

2022-12-11T17:12:24-03:00

Objective: To evaluate the occupational accident rates of street sweepers, identify risk factors related to work accidents and assess the frequency and reason for the search for the public health service by the gari. Method: This is a descriptive research, carried out in the city of Picos/PI. The population and sample was represented by 51 garbage collectors. Data were collected through a form, from September to November 2019, and were entered using a software. Results: Most reported having suffered at least one type of work accident and the main causes were lack of attention and inadequate packaging of garbage. Furthermore, most street sweepers only go to the Basic Health Unit when they are sick. Conclusion: Given the above, it is necessary to carry out activities to promote the health of these workers.

Instrument for implementing the nursing process in pediatric emergency based on Wanda Horta's theory

2025-05-16T21:24:46-03:00

Objective: to develop an instrument to implement the nursing process in pediatric emergency care based on Wanda Horta's Theory of Basic Human Needs. Method: this is a methodological study developed in two stages: identification of the most prevalent nursing diagnoses in pediatric emergency care and development of an instrument based on Wanda Horta's Theory of Basic Needs. Results: the sample consisted of 100 medical records, which allowed the identification of the most prevalent nursing diagnoses in the study population, as well as possible interventions. The instrument was developed in four main domains, which covered all stages of the nursing process. In addition, 26 items were formulated in order to enable a detailed analysis of the patient's psychobiological needs. Conclusion: the instrument, based on Wanda Horta's Theory of Basic Human Needs, was developed and may support the implementation of the nursing process in pediatric emergencies.

A relação entre a exposição ao fumo passivo e os níveis de conscientização e ansiedade em relação à saúde de estudantes universitários

2025-08-19T16:44:53-03:00

SOYUT

Amaç: Bu çalışma, üniversitelerin üçüncü el dumanına maruz kalma ile sonsuza kadar ve sağlık kaygısının aradaki mesafenin arttırılması amacıyla yapılmıştır.

Yöntem: Kesitsel ve ilişkisel bileşenlerini 404 üniversite öğrencisi oluşturdu. Veriler Şubat-Eylül 2022 tarihleri arasında toplandı.

Bulgular: başkalarının üçüncü dumana ilişkin kuzeylerinin orta-yüksek, sağlık endişelerinin ise düşük olduğu görüldü. Sağlık Kaygısı Envanteri ile üçüncü El Dumana İlişkin İnançlar Ölçeği ortalama puanları arasında güçlü düzeyde anlamlı pozitif bir ilişki olduğu mevcuttu. Üçüncü El Dumana İlişkin İnançlar Ölçeği ortalama puanları özgürlük sağlık kaygısı envanteri ortalama puanlarının da arttığı bulundu (r=0,285; p<0,001).

Sonuç: Yakınlarında falera içilmesine izin verilen yerlerde üçüncü el dumana karşı daha fazla saklandıkları görülüyor.

TANIMLAYICILAR: Kaygı; Farkındalık; gideceğim; piyasaya maruziyet; Üçüncü el dumanı.

Knowledge, perceptions and experiences of women users of the family health strategy regarding the cytopathological examination / Conhecimento, percepções e vivências de mulheres usuárias da Estratégia Saúde da Família frente ao exame citopatológico

2024-07-10T08:40:01-03:00

Objetivo: compreender a percepção de mulheres usuárias da Estratégia Saúde da Família frente ao exame citopatológico. Método: pesquisa qualitativa, descritiva-exploratória, desenvolvida com treze mulheres em um município do extremo oeste de Santa Catarina. A coleta de dados aconteceu por meio de entrevista semiestruturada, de caráter individual. Para análise dos dados, utilizou-se a Análise de Conteúdo do Tipo Temática. Resultados: da análise, emergiram três categorias temáticas: Conhecimento de mulheres sobre o exame citopatológico; Percepções e vivências acerca do exame citopatológico; e, Assistência dos profissionais de saúde frente ao exame citopatológico. Considerações finais: apreende-se que a adesão ao exame citopatológico envolve diversos fatores comportamentais, sociais, culturais e assistenciais, que podem interferir diretamente nas práticas de rastreamento do câncer de colo do útero. Assim, o acolhimento, a empatia, o vínculo e a comunicação efetiva entre profissional e usuária são essenciais para a ampliação da cobertura do exame.

Construction of educational material: a potential strategy to improve care in a health unit / Construção de material educativo: uma estratégia potencial para melhorar o cuidado em uma unidade de saúde

2024-10-15T14:22:54-03:00

Objective: to develop educational material as a proposal for a campaign of popular health education, aiming to improve care in a health unit. Method: a first version of the slide presentation was created, containing information for adequate monitoring of health conditions. Afterwards, it went through stages of correction and approval by different sectors (Coordination of the health unit, Health Coordination, Primary Care Directorate and Communication Consultancy). Results: the final material contains the following blocks of information: (I) territory division and reference team; (II) women’s and babie’s health; (III) vaccines; (IV) monitoring of health conditions; (V) existing groups in the healthcare facility and (VI) differences between a primary healthcare facility and an emergency room. Conclusion: ensuring the access of users to the information of the material may aid the qualification of care, making it continuous and more effective.

Relationship between nutrition and cognitive changes in community-dwelling elderly in a municipality in paraná

2025-02-05T17:01:11-03:00

Objective: to investigate and relate the eating routine and cognitive status of elderly people. Method: This is a descriptive and analytical study carried out with a group of elderly people enrolled in the Basic Health Unit (UBS) Cidade Alta in the municipality of Maringá. Collection took place from May to June 2024, through a semi-structured interview in four segments: sociodemographic and clinical questionnaire, Mini Mental State Examination (MMSE), adapted Food Frequency Questionnaire (FFQ) and open questionnaire on understanding food choice and the relationship with memory. Result: Greater cognitive changes were identified in women with low education, income above the minimum wage and multiple chronic diseases. However, elderly people between 70-79 years old showed preserved cognition. The low consumption of neuroprotective foods reflects a lack of knowledge about the relationship between diet and cognition. Conclusion: that educational strategies and the implementation of the diets studied are essential to promote cognitive health and prevent deficits in long-lived populations.

Spatial distribution of dengue in the state of Rio de Janeiro, 2016-2023

2025-04-28T16:41:57-03:00

Objective: To describe and map the distribution of dengue incidence and seasonality in the state of Rio de Janeiro from 2016 to 2023, identifying the regions and municipalities with the highest incidence rates. Results: A total of 305,748 dengue cases were reported across the state during the period. In 2016, the incidence rate was 528.29/100,000 inhabitants; in 2017, 65.70; in 2018, 86.53; in 2019, 185.41; in 2020, 25.79; in 2021, 15.40; in 2022, 62.33; and in 2023, 279.63. Regarding seasonality, it was observed that in 2016 and 2023—epidemic years—April marked the highest incidence of cases, while in the other years, May stood out as the month with the highest incidence.Conclusions: Dengue remains endemic in Rio de Janeiro and represents a major public health challenge. Despite ongoing health education campaigns, it is necessary to intensify prevention through immunization, train health professionals for clinical management and disease surveillance, and implement public policies to reduce the occurrence of new epidemics.

Care for individuals with hard-to-heal wounds

2025-06-27T15:05:35-03:00

The nurse's role in the treatment of chronic wounds requires practical and scientific knowledge. Clinical simulation emerges as an effective strategy, providing teaching in a safe environment. Objective: to evaluate the performance of Nursing students in the assessment and prescription of topical treatment for chronic wounds through clinical simulation. Methodology: quantitative and qualitative with academics from the 6th to the 9th semester of a university. Three wound scenarios were created, with checklists and treatment materials. The debriefing included a focus group on the undergraduates' knowledge. Results: the quantitative results indicated insufficient knowledge, while the qualitative analysis revealed the theme "Construction of Competence in Wounds," permeated by insecurity and the development of clinical reasoning, evidencing formative gaps and transversal insecurity. Conclusion: the participants presented limitations in the evaluation and indication of treatment. Simulation proved to be positive in the construction of knowledge and development of necessary competencies in wound care.

Forensic nursing in undergraduate courses: focus on the health of children, women and the elderly

2024-08-20T18:23:26-03:00

Objective: to identify Forensic Nursing in undergraduate courses in the areas of children's health, women's health and elderly health. Method: quantitative, descriptive and exploratory study with nursing course coordinators from 88 Higher Education Institutions. To analyze the data, descriptive and inferential statistics and Fisher's Exact Test were used. Results: the results showed that the majority of participating institutions were private, located in the Southeast and offer subjects that addressed content on physical violence, sexual violence, psychological violence, domestic/family violence, bullying, mistreatment, abortion, care for victims of sexual violence to specialized services and collecting forensic traces from victims of sexual violence, in the disciplines of child health, women's health and elderly health. Conclusion: the presence of this content in the subjects is essential to enable students and teachers to deal with cases of violence more effectively.

Vulnerability in elderly people receiving home or institutional care.

2025-03-10T11:03:48-03:00

Objective: The study evaluated the Vulnerability Index in elderly individuals living in home care and in Long-Term Care Facilities for the Elderly. Method: The sample consisted of elderly individuals registered in Basic Health Units and residents of the LTCF “Cidade de Deus” (SE). The Clinical-Functional Vulnerability Index-20 was used for analysis, following the ethical guidelines of Resolution 466/12 of the National Health Council. Results: Elderly individuals living in home care are more robust (41.7%, p = 0.4514), while 44.83% of those institutionalized are at high risk. The socioeconomic profile shows that elderly individuals living in home care are mostly married, brown or black, while those institutionalized are widowed, single and with low levels of education. Conclusion: Age was the main factor associated with the type of reception (p < 0.0001), highlighting institutional vulnerability and the need for specific policies for this group.

Identification of interactions between prescribed medications and supplements with food/nutrients in institutionalized elderly individuals

2025-05-13T19:35:08-03:00

Objective: to identify potential interactions between drugs and dietary supplements with

food/nutrients in institutionalized elderly individuals. Methods: cross-sectional study with descriptive design and quantitative approach. Data collection was performed through analysis of medical records and prescriptions of 27 institutionalized elderly individuals. The prescribed drugs were classified according to the first level of the Anatomical Therapeutic Chemical System and the theoretical potential interactions between drugs and dietary supplements with food/nutrients according to the Micromedex® computerized database. Results: the data showed 182 possible interactions, which were distributed in 44 different combinations between drugs and dietary supplements with food/nutrients. It is also noteworthy that more than half (52.8%) of the prescriptions presented a high (15.4%) to moderate (37.4%) severity level and a rapid onset time (61.0%) of interaction. Conclusion: several potential interactions were identified. These findings reinforce the need for careful pharmacotherapeutic and dietary assessment to optimize the safety and efficacy of treatment for institutionalized elderly individuals.

Stoma and skin complications in adult patients: observational study

2025-08-04T20:38:27-03:00

Objective: to analyze ostomy and peristomal skin complications in adult patients. Method: an epidemiological, observational study with a time trend approach, carried out in Ceará, in medical records of patients with ostomies, from August to November 2020 and March 2021. Results: When analyzing 996 medical records, it was found that the majority were male (74%), aged between 40 and 59 years. Regardless of marital status, (27.6%) were widowed, whose predominant education level was elementary school (30.4%). The main cause of ostomy creation was colorectal cancer (49.8%), with ileostomy predominant (36.4%), with liquid effluents (76.4%). Regarding dermatitis, (22.4%) of the patients developed dermatitis, and (4%) had a moderate degree. Conclusion: This information is essential for formulating organizational, managerial, and care actions targeted at this population. It preserves the individuality of ostomy patients and improves the quality of care.

Family planning: organization of care and knowledge of professionals / Planejamento familiar: organização da assistência e conhecimento dos profissionais

2024-10-10T13:19:23-03:00

Objetivo: analisar como é prestada a assistência em planejamento familiar aos usuários que frequentam a Estratégia de Saúde da Família. Métodos: trata-se de uma pesquisa qualitativa, de caráter descritivo. Os participantes da pesquisa foram profissionais vinculados às ESF. A coleta de dados ocorreu através de um questionário, contendo perguntas relacionadas à organização do serviço de planejamento familiar e dos critérios de elegibilidade do uso dos métodos. Análise dos dados seguiu a análise de conteúdo de Bardin e análise descritiva. Resultados: tem-se a irregularidade na dispensação de contraceptivos, trabalho em equipe ineficiente, dificuldades em se apropriarem dos critérios de elegibilidade e pouco investimento na capacitação dos profissionais. Considerações finais: compreende-se, portanto, que é necessário frisar o importante papel da equipe e do homem no programa e de investimentos na capacitação dos profissionais.

Feelings and attitudes of nursing professionals towards the death process of patients in palliative care

2025-02-04T14:41:17-03:00

Objective: to identify the feelings and attitudes of nursing professionals towards the death process of patients in Palliative Care. Method: qualitative study, whose data collection was carried out through semi-structured interviews. Content analysis was performed to analyze the data. Results: 14 nursing professionals were interviewed, with five categories emerging from their statements: Empathy as the main attitude towards the active process of death of patients in palliative care; Viewing death as a relief for the patient’s suffering in palliative care; Promotion of patient comfort as the main attitude of nursing professionals; Strategies for managing the feelings of nursing professionals; Family members' lack of knowledge and uncertainty about palliative care, as a challenging element in assisting these patients. Final considerations: The team experiences feelings intensely and recognizes the daily challenges of palliative care, even though emotional management strategies vary.

Menstrual dignity of homeless people: the perspective of the street clinic / Dignidade menstrual de pessoas em situação de rua: perspectiva do Consultório na Rua

2025-04-13T20:38:22-03:00

Objetivo: compreender a dignidade menstrual das pessoas em situação de rua na perspectiva dos profissionais do Consultório na Rua. Métodos: estudo de abordagem qualitativa, desenvolvido com profissionais do Consultório na Rua. A coleta de dados ocorreu por meio de entrevistas semi-estruturadas. Os dados foram analisados por análise de conteúdo. Resultados: emergiram quatro categorias temáticas: compreensão da pobreza e dignidade menstrual; necessidades menstruais da PSR; desafios para o alcance da dignidade menstrual da PSR. Considerações Finais: a saúde menstrual configura-se como um tema de vital importância na interseção entre direitos humanos, sexuais e reprodutivos e saúde pública. Este panorama demanda atenção urgente, em que o direito à dignidade menstrual enfrenta lacunas substanciais, organizacionais e políticas.

Assessment of the quality of nursing records in the intensive care unit of a university hospital

2025-06-19T21:04:10-03:00

Objective: to evaluate nursing records using the Quality of Diagnoses, Interventions and Outcomes instrument in a general adult intensive care unit of a university hospital. Methods: cross-sectional, observational, and documentary study with a sample defined for a finite population. Records were analyzed through the observation of physical charts of patients hospitalized in the intensive care unit, using the Quality of Diagnoses, Interventions and Outcomes instrument, which assesses the quality of nursing records based on the stages of the Nursing Process and assigns scores according to their completeness. Results: a total of 121 paper-based records were analyzed, without the use of an electronic system. The average completeness score was 1.03 (on a scale from 0 to 2). The least complete domain was nursing diagnoses as a process, with an average score of 0.27. Conclusion: records showed 44.92% completeness, reinforcing the importance of documentation quality and the implementation of the Nursing Process.

The meanings attributed to the regulation of obstetric nursing by the Pará regional nursing council / Os significados atribuídos sobre a regulação da Enfermagem Obstétrica pelo Conselho Regional de Enfermagem do Pará

2024-11-29T11:30:44-03:00

Objetivo: compreender os significados atribuídos na regulação da Enfermagem Obstétrica. Método: estudo descritivo e exploratório, de abordagem qualitativa, com oito entrevistas semiestruturadas com profissionais da câmera técnica de saúde da mulher e conselheiros efetivos do Conselho Regional de Enfermagem da Seccional Pará, Brasil. Os dados foram transcritos na íntegra e submetidos ao tratamento com a análise de conteúdo. Resultados: os significados atribuídos se entrelaçam por meio de normativas, resoluções, pareceres e diretrizes que conferem legitimidade à atuação da Enfermagem Obstétrica. O processo de trabalho regulamentado amplia melhores resultados na assistência e indicadores obstétricos, fortalecendo a autonomia da Enfermagem Obstétrica no seu exercício profissional. Conclusão: a compreensão dos significados atribuídos pelos participantes na regulação da Enfermagem Obstétrica estabelece um sólido arcabouço que não apenas legitima a prática da Enfermagem Obstétrica como profissão, mas também eleva a valorização do cuidado direcionado às mulheres.

Instrument for applying the nursing process in prenatal care: nurses' perception / Instrumento para aplicação do processo de enfermagem no pré-natal: percepção dos enfermeiros

2025-03-07T11:24:32-03:00

Objetivo: descrever a percepção dos enfermeiros quanto à utilização de um instrumento para aplicação do Processo de Enfermagem na consulta pré-natal. Método: estudo qualitativo desenvolvido com enfermeiras atuantes na assistência ao pré-natal em Pernambuco, Brasil. A coleta de dados ocorreu através de entrevistas com roteiro. O conteúdo foi transcrito e analisado de acordo com o referencial metodológico de Bardin e apoio do software Iramuteq. Resultados: evidenciaram-se quatro categorias: 1- Uniformidade dos registros de saúde durante o pré-natal; 2- Registro como norteador da conduta de enfermagem durante o pré-natal; 3- Ambivalência do enfermeiro no uso do instrumento no cuidado à gestante e; 4- Relação do uso do instrumento e os benefícios ao cuidado no pré-natal. Conclusão: a utilização de um instrumento na consulta pré-natal melhora a qualidade dos registros de enfermagem. Ademais, observou-se o impacto que a aplicação do Processo de Enfermagem traz para a prática profissional.

Profile of patients with manifestations compatible with acute myocardial infarction treated by the emergency department

2025-05-11T13:57:34-03:00

Objective: To investigate and analyze the sociodemographic and epidemiological profile of patients with manifestations compatible with Acute Myocardial Infarction treated by the Mobile Emergency Care Service of João Pessoa. Method: Data were collected from care records from January 2020 to June 2024. Results: 535 care records were evaluated. Most cases occurred in 2022, during the day shift, in patients with “Precordial pain”, adult, male, hypertensive, heart disease and diabetic, from João Pessoa. Most care was performed within 10 minutes. The longest care time is related to cases treated in 2024, with Acute Coronary Syndrome and Acute Myocardial Infarction, transported by the Advanced Support Unit. Conclusion: The findings of this study serve as a basis for the development of new research, as well as to support strategies that aim to reduce the time of care and, thus, improve the outcomes associated with infarction.

Knowledge and practices about techniques for inserting a peripherally inserted central

2024-05-23T21:46:29-03:00

Objective: to evaluate the knowledge and practices of nurses regarding PICC insertion techniques. Method: a descriptive quantitative study of the survey type. The study population consisted of 32 nurses qualified for PICC insertion. Data collection was conducted via RedCap with the following variables: participant data; characteristics of the nurse performing the PICC insertion; characteristics of the institution; pre-insertion PICC evaluation; and evaluation at the time of insertion. Results: the practice and knowledge of nurses in the pre-insertion and insertion of the PICC vary widely. Notably, 57.1% of the professionals use ultrasound. Conclusion: deficient knowledge regarding PICC insertion techniques was evident, and it was demonstrated that some clinical practices do not comply with internationally recognized infusion therapy guidelines.

Trends in pain management for elderly patients in palliative care: opioid use in home-based care

2024-10-09T18:15:24-03:00

Objective: Home palliative care plays a crucial role in pain management in elderly patients, aiming to improve their quality of life in a familiar and comfortable environment. The use of opioids is a common practice in the treatment of pain in palliative care, however, their prescription and administration require a personalized approach that is sensitive to the individual characteristics of patients. This study aimed to investigate the use of opioids in pain management among elderly people receiving home palliative care in the fourth most populous city in Brazil. Methods: This was an epidemiological, observational, cross-sectional study conducted through the analysis of electronic medical records. Patients receiving home care, experiencing pain symptoms, and aged over 18 years were included, while records with incomplete data were excluded. Data on epidemiological profile (gender, age, reason for home care) and pain management (use of analgesics, prescriptions) were collected. Results: The records of 80 palliative care patients with pain symptoms were analyzed, the majority being female (58.8%), with a mean age of 77.2±10.8 years, receiving home care due to cardiopulmonary and vascular diseases (38.6%). Opioid use was more frequent among females (55.2%), with morphine sulfate being the most commonly used opioid, in 10mg/ml (39.1%) and 2mg/ml (35.9%) presentations. Conclusion: In a predominantly elderly sample receiving palliative care and reporting pain, with home care due to cardiopulmonary and vascular causes, the predominant use of opioids, especially morphine sulfate, in pain management was identified. In these home care patients, the importance of personalized and sex-sensitive pain management strategies is emphasized.

Nurse Eva Maria Costa – the "dama da lâmpada" from 1980: an image analysis / Enfermeira Eva Maria Costa - a dama da lâmpada de 1980: uma análise imagética

2025-01-31T17:12:09-03:00

Introdução: O estudo objetivou analisar a produção imagética à história da Enfermagem cuja fonte foi um fac-símile, no qual consta a imagem de Eva Maria Costa, na formatura de 1980, da Escola de Enfermagem Alfredo Pinto. Metodologia: estudo do tipo histórico-exploratório de aproximação com a semiótica, que utiliza o conceito de Martine Joly visando familiaridade com a temática. Resultado: a análise do fac-símile evidenciou a representatividade de Eva Maria Costa como Dama da Lâmpada. Considerações finais: alunas pertencentes à população negra podem alcançar destaque, pela obtenção de distinções durante o curso. Ademais, o estudo deixou inequívoco que a História da Enfermagem deve ser explorada, com novas e diferentes fontes, como a fotografia. Desta forma, será contributo para pesquisas sobre a temática das enfermeiras negras e suas contribuições representativas para a profissão. Para tal, são necessários investimentos e propostas para que a pesquisa histórica possa extinguir a dicotomia racial em espaços acadêmicos.

Effects of training for community health workers on airway obstruction: a randomized study

2025-06-13T09:26:38-03:00

Objective: to evaluate the effects of an educational intervention on the knowledge of Community Health Workers regarding first aid in situations of Airway obstruction due to a foreign body in adults. Methodology: a randomized educational intervention study was carried out with 50 Community Health Workers, 25 of whom were allocated to the Control Group and 25 to the Experimental Group. All responded to the pre-test. Only the participants in the Experimental Group took part in the intervention. Descriptive statistics and Fisher's test were used to analyze performance by crossing the results obtained by randomization. Results: the effect of the intervention was significant, indicating that the Experimental Group showed an improvement in the average number of correct answers to the questions addressed, proving that there is an association (p-value <0.05) between an improvement in the average number of correct answers after the intervention. Conclusion: the group interventions made a positive contribution, with an increase in the knowledge of the participants in the Experimental Group compared to the Control Group.

The impact of the pandemic COVID-19 on smoking control in a primary health care unit

2024-08-16T22:45:32-03:00

Objective: to evaluate the impact of the interruption of the tobacco control group in 2020, during the pandemic, on the cessation process of users of a primary health care unit in the city of Rio de Janeiro. Method: descriptive cross-sectional study with registered users who participated in the group in 2019. Data were collected using a pre-structured questionnaire. Tabulation and analysis were carried out using Microsoft Excel software, and the results were presented in tables. Results: from 110 users, 45 agreed to participate. It was observed that 44.4% were between 40 and 60 years old; 62.2% were white; 42.2% completed high school; 51.1% stated that the pandemic had a negative impact on their cessation process and 44.4% managed to completely stop smoking. Conclusion: it is extremely important for nurses to participate in the smoking cessation process and for health teams to monitor these users in the long term.

Prenatal, childbirth and puerperium care for women deprived of freedom in western santa catarina

2025-07-08T21:01:12-03:00

Objective: to analyze prenatal, childbirth, and postpartum care for women deprived of liberty, exploring their experiences during incarceration. Methodology: this is a qualitative, descriptive, and exploratory research study carried out with six pregnant and/or postpartum women in a prison complex in western Santa Catarina, between September 2022 and May 2023. Data were obtained through interviews, non-participatory observation, and documentary analysis (medical records and pregnancy notebook), and were treated using Bardin's thematic content analysis. Results: Three main themes were identified: prenatal care: anguish and uncertainty; childbirth: the long-awaited day; and postpartum care: a storm of feelings. Aspects of basic, specialized, and hospital care were also highlighted. There were gaps in active listening, cases of obstetric violence, and barriers in communication with health professionals. Final considerations: The difficulty in articulating health and safety has hampered assistance to pregnant and postpartum women in prison.

Entrepreneurial nurses in brazilian businesses: socio-professional profile and motivations to undertake / Enfermeiros empreendedores de negócios brasileiros: perfil socioprofissional e motivações para empreender

2024-07-11T09:08:55-03:00

Objective: To analyze the socio-professional characteristics of business entrepreneur nurses in Brazil and their motivations to undertake. Methods: Cross-sectional, exploratory and descriptive study, carried out with 185 business entrepreneur nurses. The acceptance technique was non-probabilistic, by tolerant. Data were collected through screening. The research took place between June and December 2021, and the scenario was Brazil. Data were analyzed from descriptive statistical analysis. Results: The predominant profile of participants is white women, aged between 31 and 40 years old, with an average of 11 years of training, and a period of entrepreneurial activity of up to 12 months, with monthly gross income from their ventures of up to 4 months minimum, without exclusive dedication to its businesses, which are mostly concentrated in the Southeast Region. Digital marketing and business management courses were highlighted as complementing the training of these nurses. Among the motivations to undertake, it was identified: personal satisfaction, increased income and opportunity to achieve better working conditions and personal well-being. Conclusions: it is important to monitor the entrepreneurial profile of nurses in Brazil, and their businesses. Thus, it will be possible to identify the impact of their actions.

Conceptions of women assisted by obstetric nurses in the in-hospital normal birth center

2024-09-26T21:12:05-03:00

Objective: To describe the perception of postpartum women assisted by obstetric nurses in an Intra-hospital Normal Birth Center in the city of Manaus, Amazonas. Methods: This is a qualitative study conducted with 15 postpartum women whose births were attended by obstetric nurses in an Intra-hospital Normal Birth Center. Data collection was carried out through semi-structured interviews, guided by a script, and analyzed using Minayo’s thematic content analysis. Results: The postpartum women emphasized in their statements the importance of the attention, support, and trust conveyed by the obstetric nurses during labor, contributing to a positive perception and a satisfactory birth experience. Final considerations: The postpartum women highlighted the holistic approach of the obstetric nurses, who addressed their physical, emotional, and psychosocial needs during childbirth. The study emphasizes the importance of valuing humanized care and comfort strategies in maternal and child care, recommending the enhancement of policies that strengthen the role of obstetric nurses.

Nursing care in the first stage of the kangaroo method: the invisibility of grief

2025-01-30T12:42:25-03:00

Introduction: when a premature newborn dies, there is a painful grieving process for the parents, whose transition requires several resources, including those of an internal nature to deal with the loss. Objective: to discuss the process of planning and therapeutic implementation related to the grief of the family of a premature newborn in the first stage of the kangaroo method. Method: descriptive study of a qualitative nature, arising from a master's dissertation, carried out from December 2023 to April 2024, under the opinion number: 6.390.020. Results: of the 14 families that participated in the research, only one baby died. Thus, the need arose to develop interventions for the family. Final considerations: the invisibility of grief is a reality in hospitals and the conduct of impartiality of feelings and work overload when faced with the moment of death, hinders the planning and implementation of therapeutic nursing interventions.

Profile of the elderly population living with hiv/aids treated at a public university hospital / Perfil da população idosa vivendo com HIV/Aids atendidos em um hospital universitário público

2025-04-16T17:31:50-03:00

Objetivo: analisar o perfil da população idosa vivendo com o vírus da imunodeficiência humana / Síndrome da Imunodeficiência Adquirida (HIV/Aids) atendidos em um Hospital Público da cidade do Recife-PE. Método: trata-se de um estudo do tipo transversal com procedimento descritivo e abordagem quantitativa, desenvolvido por meio de dados secundários de prontuários. Resultados: a amostra do estudo correspondeu a 177 pacientes, onde 77 indicavam transmissão sexual. Observou-se uma taxa de incidência de Aids de aproximadamente 45,8% de 2019 a 2023. A partir do cruzamento entre as variáveis “escolaridade” e “casos Aids”, demonstrou-se a visível relação entre educação e saúde. Conclusão: tornou-se perceptível a imprescindibilidade de estudos que contemplem o HIV/Aids entre a população idosa, bem como que haja um investimento e incentivo governamental em educação de qualidade e na educação em saúde, contribuindo, assim, com os objetivos 3 e 4, “Saúde e Bem-estar” e “Educação de qualidade”, da “Agenda 2030 para o Desenvolvimento Sustentável” da ONU, no Brasil.

Job satisfaction of nursing workers in a university hospital during the Covid-19 pandemic

2025-06-05T13:16:50-03:00

Objective: To estimate the prevalence and investigate the factors associated with job satisfaction/dissatisfaction among nursing staff at a university hospital during the Covid-19 pandemic. Method: This was a cross-sectional study of 334 nursing staff. Socio-demographic questionnaires and the Job Satisfaction Survey were used to measure the level of job satisfaction. Results: 21.3% of the workers showed job satisfaction, 45.5% ambivalence and 30.5% dissatisfaction. The variables related to job satisfaction were not statistically significant, but the high level of ambivalence in relation to job satisfaction may be associated with devaluation of the category, low self-esteem and even invisibility. Conclusion: It is important to emphasize that strategic actions to improve occupational health should be implemented in order to improve the level of satisfaction of these workers, which could have repercussions on safety and improve the quality of care practices aimed at users.

Repercussions of chronic kidney disease on the life of a person undergoing dialysis treatment

2024-08-09T08:42:19-03:00

Objective: to analyze the implications of Chronic Kidney Disease on the life of a person undergoing dialysis treatment. Method: qualitative study carried out through interviews with people with this condition treated at a hemodialysis service; the data were subjected to Bardin analysis. Results and discussion: chronic loss of kidney function has had an impact on several aspects of a person's life, in addition to physiological changes, including their autonomy and insertion in professional activities. Changes in body and emotional relationships are reported with discomfort; the family repercussion reflects the necessary adjustments to this new condition. Final considerations: The experience of the chronic illness process due to renal function failure acquires unique perspectives outlined by the life history, family support and assistance to which the person has access. Knowledge of health needs can support the production of care with a view to expanding support for adaptations to the disease.

The perceptions of postpartum women attended at a natural birth center in northern Brazil / As percepções das puérperas atendidas em um centro de parto normal no norte do Brasil

2024-11-14T11:12:20-03:00

Objective: to understand the experiences of postpartum women who experienced the birthing process while being cared for by obstetric nurses in a birth center in northern Brazil. Method: this is a descriptive exploratory research with a qualitative approach carried out with postpartum women in a rooming-in unit and a birth center. Content analysis was used. Results: the following categories emerged: 1) The perceptions of postpartum women about the nursing care provided during labor and delivery in a birth center and 2) The labor and delivery experience of postpartum women under the care of obstetric nurses. Conclusion: the quality of communication between health professionals and postpartum women directly impacts the confidence and security of these women, influencing the way they experience childbirth.

Comparative study between the PAINAD and Abbey scales for pain assessment in non-communicative palliative care patients

2025-02-22T11:35:32-03:00

Objective: to compare the sensitivity of the PAINAD and Abbey scales in assessing pain in non-communicative palliative care patients. Methodology: A quantitative, descriptive, and exploratory study conducted in a large hospital in Rio de Janeiro. The sample consisted of 10 palliative care patients, simultaneously evaluated using the PAINAD and Abbey scales. Descriptive statistics and comparative graphs were analyzed. Results: the PAINAD scale showed greater stability and lower score dispersion, demonstrating higher sensitivity in detecting subtle pain variations, especially at moderate and severe levels. The Abbey scale, on the other hand, showed higher variability in scores and a tendency to classify more patients with severe pain. Conclusion: the findings suggest that the PAINAD scale may be preferable for continuous pain monitoring in non-communicative palliative care patients, while the Abbey scale may be useful for detecting more severe cases. The study reinforces the need for continuous training of nursing professionals to ensure the correct application of these scales, improving diagnostic accuracy and pain management.

Epidemiological profile of patientes with cardiopulmonar arrest treated in an emergency care unit

2025-05-07T16:45:39-03:00

Objective: to characterize the epidemiological profile of patients in cardiopulmonary arrest treated at an emergency care unit. Method: a documentary, cross-sectional, retrospective, and quantitative study conducted at the oceania emergency care unit in João Pessoa, Paraíba, using 126 medical records of patients aged ≥18 years who experienced cardiopulmonary arrest between 2020 and 2024. data were analyzed using the statistical package for the social sciences, version 26, and the study was approved under opinion number 7.030.124. Results: most patients were male, from João Pessoa, aged ≥51 years, of mixed race, married, and had incomplete primary education. the most common comorbidities were arterial hypertension and diabetes mellitus. Risk factors such as smoking, sedentary lifestyle, obesity, and cardiogenic and septic shock were highly prevalent among the causes of cardiopulmonary arrest. Conclusion: the results contribute to the improvement of prevention strategies, early risk identification, and effective interventions in emergency units.

KEYWORDS: Cardiopulmonary arrest; Emergency medical services; Epidemiological profile.

Perception of daycare caregivers about the challenges in preventing upper respiratory tract infections

2024-07-11T10:35:41-03:00

Objetivo: este estudo objetivou compreender a percepção de cuidadoras sobre os desafios na prevenção de infecções de vias respiratórias superiores. Método: trata-se de um estudo descritivo, com abordagem qualitativa realizado em uma creche filantrópica de Manaus, Amazonas. Adotou-se o guia COREQ recomendado para relatórios de estudos qualitativos. Entrevistaram-se 20 professoras por meio de instrumento semiestruturado. Resultados: a partir das falas das participantes foi possível a formulação de categorias temáticas: a) O educar e as dificuldades impostas pela demanda advinda dos pais; b) Conhecimento empírico orientando o cuidar e educar e c) Os desafios do cuidar na prevenção de infecções respiratórias das vias aéreas superiores. Considerações finais: concluiu-se que o cuidado proporcionado à criança é baseado nas concepções empíricas derivadas do dia a dia e a necessidade de aproximação entre profissionais de saúde e as instituições de educação infantil, por meio de uma capacitação das cuidadoras quanto aos aspectos apresentados, sendo válido o uso de ações de educação em saúde na prevenção das Infecções de Vias Aéreas Superiores nesse processo.

Knowledge about hiv/aids among elderly women in an interdisciplinary health promotion program / O conhecimento sobre hiv/aids entre pessoas idosas de um programa interdisciplinar de promoção à saúde

2024-09-30T16:04:26-03:00

Objective: to evaluate the knowledge about HIV/AIDS among elderly women followed in the Renascer interdisciplinary program at the Gaffrée e Guinle University Hospital (HUGG) in Rio de Janeiro. Method: the study was characterized as an observational, descriptive, cross-sectional study, with a convenience sample made up of members of the Renascer program attending the geriatric outpatient clinic at the Gaffrée and Guinle University Hospital. The study assessed the HIV/AIDS knowledge of 51 elderly women in an interdisciplinary program in Rio de Janeiro, using a questionnaire on HIV knowledge for the elderly (QHIV3I) and the Mini-Mental State Examination (MMSE). Results: although the majority of participants (88.2%) demonstrated knowledge by getting at least 65% of the questions right, gaps were found for aspects related to basic HIV concepts, transmission and treatment. Conclusion: we believe that health education and information strategies and policies for this population profile should be reviewed.

Knowledge and perception of nursing students about palliative care

2025-01-24T08:50:29-03:00

Objective: to understand the conception of nursing undergraduates at a public university in northwestern Paraná about CP. Methods: descriptive-exploratory research with a qualitative approach, involving interviews with 15 nursing students at a public university, carried out between September 2023 and January 2024 after approval of the project by opinion no. 6,320,734. Results: the results revealed varied conceptions, some of the students associate CP with humanization and quality of life, others link it only to terminal care. A lack of approach during undergraduate studies was highlighted, with experience in extension projects being the main means of contact with the topic. Final considerations: it is concluded that CP training is limited and needs to be expanded to include theoretical and practical approaches in undergraduate studies. The inclusion of specific disciplines and active methodologies, such as simulations, can fill gaps and prepare future nurses for the care provided.

VALIDATION OF AN E-BOOK TO ENCOURAGE SELF-CARE FOR PEOPLE WITH INTESTINAL OSTOMIES

2025-04-04T10:44:32-03:00

Objective: to build, validate the content, appearance, and usability of a mobile technology, in e-book format, for health education of patients with ostomies. Method: methodological research conducted in three phases: exploratory, development of the e-book, and validation of the technology by the target audience. Conducted between May 2023 and February 2024. Results: the overall Content Validity Index was 94% and a Cronbach's alpha coefficient of 0.72. The final version of the e-book was evaluated by 19 ostomy users from Porto Velho - Rondônia. An Item Appearance Validity Index of 99% and a Total Appearance Validity Index of 100% were obtained. The usability of the technology was classified as excellent. Conclusion: the e-book addresses essential aspects of ostomy care, in addition to specific strategies for managing challenges, through interactive resources. Enabling the reduction and prevention of complications, promoting a better quality of life.

Nursing Diagnoses of People Who Received Red Blood Cell Transfusions in Urgency/Emergency Care

2025-05-27T09:07:48-03:00

Objective: to describe the profile and Nursing Diagnoses of people who received Red Blood Cell Transfusions in a hospital Emergency Unit. Method: cross-sectional, quantitative study, with retrospective documentary data collection. Data were collected from electronic medical records, identifying sociodemographic and clinical variables, related factors, defining characteristics and conditions associated with Nursing Diagnoses, and analyzed using R software. Ethical approval with CAAE 75532923.2.0000.5346. Results: 24 medical records were included in the study. Regarding the characterization, 87.50% were male, 58.33% were between 40 and 59 years old, and 75% were trauma patients. The most frequent Nursing Diagnoses were: risk of bleeding, impaired skin integrity, risk of unstable blood pressure, impaired tissue integrity and acute pain. Final Considerations: delimiting nursing diagnoses in hemotherapy allows the targeting of qualified interventions with a view to meeting altered human responses, reestablishing functional parameters and recovering health through safe and individualized care.

The effect of perceived social support on postpartum comfort

2024-10-31T09:35:07-03:00

Objective: the research was carried out to determine the effect of perceived social support of postpartum women on postpartum comfort levels. Methods: the sample of the descriptive study consisted of 320 women in the postpartum period. Descriptive Information Form, Multidimensional Scale of Perceived Social Support (MSPSS), Postpartum Comfort Scale (PCS) were used to collect data. Results: women's MPSSS level was found to be moderate (55.25 ± 16.70). Women's PCS level was found to be moderate (120.03 ± 19.18). It was determined that there was a significant positive relationship between the social support perceived and postpartum comfort by women (p<0.05). Conclusions: the study showed that as the level of social support perceived by women increased, their level of postnatal comfort also increased.

Trends in incidence and mortality of cervical cancer from 2000 to 2018 / Tendência da incidência e mortalidade do câncer de colo uterino de 2000 a 2018

2025-02-19T11:29:34-03:00

Objetivo: analisar a tendência da incidência e da mortalidade do câncer de colo uterino no período de 2000 a 2018 no estado de Mato Grosso. Método: estudo quantitativo, descritivo, com análise de dados dos Registros de Câncer de Base Populacional e do Sistema de Informação sobre Mortalidade de Mato Grosso. As tendências foram estimadas pelo método de regressão joinpoint e avaliadas por meio da variação percentual anual e da variação percentual média anual. Resultados: os dados mostraram uma diminuição nas taxas ajustadas de incidência do câncer de colo do útero de 5,0% e uma redução na mortalidade de 99,0%. A tendência de incidência apresentou variações temporais, com alguns períodos de aumento e outros de queda. Conclusão: o estudo destaca a eficácia das ações de saúde pública e a necessidade de continuar monitorando o câncer de colo do útero para direcionar políticas eficazes de controle e prevenção.

Mapping of nursing diagnoses in patients affected by acute coronary syndrome / Mapeamento dos diagnósticos de enfermagem em pacientes acometidos por síndrome coronariana aguda

2025-05-04T16:00:53-03:00

Objective: To identify the nursing diagnoses in patients with Acute Coronary Syndrome based on the Theory of Basic Human Needs. Methods: This is a descriptive, retrospective, and quantitative study based on the analysis of 120 patient records of individuals with Acute Coronary Syndrome in an Urgent Care Unit in Campina Grande, Paraíba, Brazil, between 2023 and 2024. Data collected included sociodemographic, clinical, and exam information, guided by the Theory of Basic Human Needs. The analysis was statistical, and the nursing diagnoses followed the 2024-2026 version of the North American Nursing Diagnosis Association classification. Results: The majority of patients were male, hypertensive, and married, with acute pain as the primary diagnosis. Most diagnoses were related to vital functions, such as oxygenation and cardiovascular regulation. Conclusion: Eight nursing diagnoses were identified, highlighting the importance of the Nursing Process for efficient care delivery.

MUSCULOSKELETAL SYMPTOMS AMONG NURSING PROFESSIONALS IN THE CENTRAL STERILE SERVICES DEPARTMENT AND ASSOCIATED FACTORS

2025-07-05T20:36:10-03:00

Objective: to investigate the prevalence of musculoskeletal symptoms among nursing professionals in the central sterile services department (CSSD) and associated factors. Method: quantitative study, conducted with 100 professionals at a public hospital in Pernambuco. An instrument adapted from the Nordic Musculoskeletal Questionnaire was used, addressing symptoms experienced in the past 12 months and the last 7 days, as well as sociodemographic, occupational, and clinical variables. Descriptive and inferential statistical analyses were performed using IBM® SPSS Statistics version 21. Results: 92% of participants reported symptoms in the past 12 months, and 69% in the last 7 days. The most affected body regions were the legs (73%), lower back (70%), and feet (60%). No statistically significant associations were found between symptoms and sociodemographic or occupational variables. Conclusion: the high prevalence of musculoskeletal symptoms in the CSSD highlights the need for institutional strategies to prevent Injuries and Work-Related Musculoskeletal Disorders. A multifactorial approach is required, considering aspects such as workload and repetitive movements.

Determining the scientific validity of a falls risk assessment battery for older people / determinação da validade científica de uma bateria de avaliação do risco de quedas em pessoas idosas

2024-04-26T13:05:31-03:00

Objective: to develop and validate the Fall Risk Assessment Battery for Older Adults (BARQ), ensuring content and face validity, and to establish a predictive equation for specific indices. Methodology: descriptive, cross-sectional, and exploratory study, using a methodological approach and Delphi technique. The preliminary BARQ version included Fall History (HQ), Medication Use (UM), Home Safety (SD), Balance (Eq), Mobility (Mo), and Visual Acuity (AC). A panel of experts assessed the validity. SPSS 22.0 was used for descriptive analysis and Cronbach’s Alpha. Results: of 37 invited professionals, 17 responded (61.5% PhDs). Five Delphi rounds were required to reach 100% agreement (∝ ≥0.8). Cronbach’s Alpha highlighted HQ (0.97), Mo (0.96), and General Fall Risk Index (IGRQ) (0.92). Conclusion: BARQ proved to be a valid and reliable tool for assessing fall risk in older adults, with excellent internal consistency and strong potential for application in clinical practice and research.

Childhood vaccination: construct validation of a knowledge, attitudes and practices survey / Imunização infantil: construção de validação de um inquérito de conhecimento, atitude e prática

2025-01-22T12:53:07-03:00

Objective: to construct and validate in terms of content and appearance a survey of parents' knowledge, attitudes and practices regarding immunization of children aged 0 to 2 years. Methods: a methodological study with a quantitative approach developed in two stages: an integrative review to extract the essential elements for constructing the survey and content validation. A Likert scale was used, then the Content Validity Index was calculated and a Binomial test was applied to assess the statistical equality of the prevalence of relevance with a minimum value of 0.85. Results: the final version of the survey resulted in 13 questions in the Knowledge group, eight questions in Attitude and five questions in the Practice group. The questionnaire obtained a significant value with an overall CVI above 0.85, proving to be reliable and appropriate to the topics covered during the development of the statements. Conclusion: the validated instrument makes it possible to strengthen strategies capable of improving childhood vaccination coverage.

The use of laser therapy as a therapeutic possibility in evidence-based nursing care practice / O uso da laserterapia como possibilidade terapêutica na prática assistencial da enfermagem baseada em evidência

2025-05-20T22:46:37-03:00

Objetivo: descrever a assistência prestada por profissional enfermeiro(a) na aplicação da laserterapia. Método: trata-se de uma pesquisa exploratória, qualitativa, realizado com enfermeiros laserterapeutas. A coleta de dados ocorreu por meio de entrevista semiestruturada em reuniões virtuais individuais, para análise dos dados utilizou-se a Análise Temática Categorial. Foram respeitados os aspectos éticos recomendados. Resultados: foram entrevistados 12 enfermeiros(as) laserterapeutas, com idade entre 27 a 61 anos, predominantemente do sexo feminino, 11 possuíam titulação máxima de especialistas, eram autônomos e o tempo de experiência utilizando a laserterapia foi de 2 meses a 10 anos. A análise dos discursos resultou em três categorias temáticas: Caminhos percorridos para a formação; Assistência de enfermagem na aplicação de laserterapia: modos de atuação; Vantagens e desafios no uso da laserterapia. Conclusão: a assistência prestada pelos(as) enfermeiros(as) laserterapeutas em sua maioria utilizam do princípio de humanização, respeitando as limitações físicas e a autonomia do paciente.

Risk and protective factors in patients with suicidal behavior admitted to a psychiatric hospital

2024-10-30T20:48:18-03:00

Objective:To analyze risk and protective factors in patients with suicidal behavior admitted to a psychiatric hospital. Method: Qualitative, exploratory-descriptive study, interviews using a semi-structured questionnaire, use of thematic content analysis, with 13 patients admitted to a psychiatric hospital due to suicidal behavior. Results: majority women, between 19 and 49 years old, white, low education and income, single, without children. Risk factors for the majority were a family history of mental disorders (depression, bipolar disorder, anxiety), frequent use of alcohol and other drugs, family violence, sexual abuse, emotional abandonment, loneliness, financial problems, betrayal, conflicts, parental separation, death of a loved one, among others. Protective factors such as family support, therapeutic listening, religious faith, sense of belonging, and self-care stand out. Conclusion: Mental disorders in patients and families combined with alcohol use and family violence increased vulnerability. On the other hand, strengthening emotional support networks, therapeutic listening and encouraging self-care are important protective factors.

Obstetric nursing residents' perceptions of abortion in Brazil / Percepções dos residentes de enfermagem obstétrica em relação ao abortamento no âmbito do Brasil

2025-02-13T22:25:56-03:00

Objetivo: compreender a percepção dos residentes de enfermagem obstétrica em relação ao abortamento no contexto do Brasil. Método: trata-se de um estudo do tipo descritivo exploratório, com abordagem qualitativa realizado com residentes de enfermagem obstétrica por meio de entrevista semiestruturada. As entrevistas foram transcritas na íntegra, e foram realizados o tratamento e análise dos dados. Em seguida foram estabelecidas duas categorias: Impactos do abortamento na vida da mulher e Legislação e discriminação do abortamento. Resultados: observa-se que os residentes destacaram os riscos do aborto inseguro para a vida da mulher, os impactos psicológicos vivenciados, bem como demonstraram conhecimento quanto ao aborto legal no Brasil. Conclusão: o conhecimento dos profissionais de saúde quanto as questões do abortamento, sejam físicas, psicológicas, sociais ou legais, para que seja possível promover a ampliação do acesso aos serviços de saúde, uma assistência integral e de qualidade às mulheres em processo de abortamento.

Popular knowledge about male breast cancer: implications for nursing care / Conhecimento popular sobre o câncer de mama masculino: implicações para a assistência de Enfermagem

2025-05-01T22:29:54-03:00

Objective: to assess the population's knowledge about male breast cancer. Method: descriptive and exploratory study conducted with 220 participants through a structured online questionnaire between June 2024 and February 2025. Data were analyzed using descriptive statistics and thematic content analysis, addressing knowledge about symptoms, risk factors, screening practices, and sources of information. Results: 153 (69.5%) of the participants were familiar with the topic, but only 35 (15.9%) reported having detailed knowledge. In addition, 141 (64.1%) were unable to identify the signs and symptoms, and 156 (70.9%) were unaware of the risk factors. The work and academic environments, personal experiences, and social networks were the most cited sources of information. Conclusion: it was identified that it is necessary to create integrated health education strategies to reduce stigma, promote early diagnosis, and improve clinical outcomes for men affected by breast cancer.

Perception of postpartum women about obstetric care in the pregnancy-puerperal cycle and obstetric violence

2025-07-07T18:34:32-03:00

Objective: to describe the perception of postpartum women about obstetric care during the pregnancy-puerperal cycle and their knowledge about obstetric violence. Method: descriptive, qualitative study with postpartum women at low and intermediate risk from a secondary hospital in southern Brazil. Data collection took place through semi-structured interviews, conducted between September and October 2024. Data analysis was done using the Collective Subject Discourse. Results: 20 postpartum women participated, and five Central Ideas emerged from the speeches, grouped into two Themes: Perceptions of obstetric care and Knowledge about obstetric violence. Some women experienced acceptance, respect, and support, others disrespectful practices and even obstetric violence. Final considerations: the speeches highlight the complexity of obstetric experiences, highlighting positive points and challenges that impact the pregnancy-puerperal cycle.

Epidemiological profile of infant mortality in Minas Gerais during 2020: a retrospective study

2023-11-20T18:05:42-03:00

Objective: to identify the epidemiological profile of infant mortality in Minas Gerais during 2020. Method: a descriptive, exploratory, retrospective, cross-sectional study with a quantitative approach, carried out in Minas Gerais using publicly accessible data from the Mortality Information System. The sample consisted of 2,581 infant deaths reported during 2020. Results: male (55.5%), brown (51.8%), hospital deaths (94.3%). Prevalence of young mothers under 30 years of age (52.5%), eight to 11 years of schooling (49.4%), pregnancy lasting less than 36 weeks (59.9%), single (77.9%), cesarean delivery (45.0%) and underweight at birth (62.6%). The main causes of death were: perinatal conditions (61.6%) and congenital malformations, deformities and chromosomopathies (25.0%). Conclusion: the high rate of infant deaths reported in Minas Gerais in 2020 presents important gynecological and obstetric precedents which can have a direct impact on the increase in the Infant Mortality Rate during the early neonatal period.

Complexity of managing Therapeutic Residential Services from the perspective of nurses / Complexidade na gestão dos Serviços Residenciais Terapêuticos na percepção de enfermeiros supervisores

2024-09-06T16:57:20-03:00

Objetivos: revelar a complexidade na gestão dos Serviços Residenciais Terapêuticos na percepção de enfermeiros supervisores. Método: pesquisa qualitativa, realizada com seis enfermeiros supervisores de Serviços Residenciais Terapêuticos de São Paulo. A coleta aconteceu entre janeiro e julho de 2024, por meio de entrevista semiestruturada, gravadas, transcritas e analisadas à luz do referencial da complexidade de Edgar Morin. Resultados: os temas identificados foram: 1) Complexidade da organização do trabalho, 2) Complexidade da atuação dos trabalhadores e 3) Complexidade no suporte oferecido pela rede de saúde mental. Esses temas revelam que o funcionamento dos serviços é comprometido por estruturas precárias, pela escassez ou ausência de formação adequada dos trabalhadores e pela falta de apoio essenciais por parte dos serviços estratégicos da rede. Considerações Finais: a pesquisa evidenciou desafios significativos na organização desses serviços, que podem impactar negativamente na autonomia e independência dos moradores, comprometendo o processo de reabilitação psicossocial e o exercício da cidadania.

Clinical and care profile of patients with sepsis/septic shock admitted to intensive care: retrospective study / Perfil clínico e assistencial de pacientes com sepse/choque séptico internados em terapia intensiva: estudo retrospectivo

2025-01-15T16:18:25-03:00

Objective: to describe the clinical and care profile of patients with sepsis and septic shock admitted to an intensive care unit. Method: retrospective, documentary study, developed in an adult intensive care unit. A specific form was used to collect data from medical records of adult patients with sepsis or septic shock. With descriptive data analysis. Results: 188 patients with sepsis (n=77; 40.1%) and/or septic shock (n=111; 59%) were identified, male (n=106; 56.4%) and 57, 9 years average age. Hypertension (n=81; 43.1%) and diabetes mellitus (n=66; 35.1%) were prevalent. Predominance of vasopressors and sedatives, such as norepinephrine (n=153; 81.3%), fentanyl (n=143; 76.1%) and midazolam (n=131; 69.7%). As for antibiotics, piperacillin+tazobactam (n=45; 23.9) and vancomycin (n=40; 21.3%) stood out. Acinetobacter (n=37) was the most prevalent bacteria. Conclusion: patients with sepsis/septic shock require significant use of vasopressors, sedatives and antibiotic therapy; They are also affected by a high prevalence of bacterial infections.

Perceptions of postpartum women about labor assistance

2025-03-19T04:26:30-03:00

Objetivo: identificar as percepções das puérperas sobre a assistência durante o trabalho de parto e parto. Método: estudo descritivo, qualitativo, realizado com 24 puérperas que tiveram seus partos em duas maternidades de um município do Sul do Brasil. A coleta dos dados ocorreu por meio de entrevistas semiestruturadas, realizadas de janeiro a março de 2021. A análise dos dados foi feita pelo Discurso do Sujeito Coletivo. Resultados: a partir da análise dos dados emergiram duas Ideias Centrais: Demora no atendimento e evolução do trabalho de parto e Assistência humanizada. Considerações finais: as percepções das puérperas demonstraram que elas associam a demora no atendimento com a evolução do trabalho de parto, mas também perceberam a assistência recebida embasada em carinho, demonstrando um cuidado humanizado.

Culture of care: what can ancestry teach us in neonatal nursing? / Cultura dos cuidados: o que a ancestralidade tem a nos ensinar na enfermagem neonatal?

2025-05-18T19:45:33-03:00

Objetivo: analisar as práticas e saberes ancestrais sobre aspectos cuidativos com os recém-nascidos com referência em uma comunidade da África do Sul. Método: ancorado no domínio da história-cultural, na perspectiva da micro-história, por Carlo Ginzburg. Para tanto, teve como fonte a galeria Ezakwantu. Resultados: foram encontradas 9 imagens, de um total de 163, acompanhadas de legendas produzidas pelo autor. O estudo ratificou, a partir do conceito, “circularidade cultural”, que houve reconfiguração das práticas dito ancestrais, mediante propostas e interesses de níveis sociais diferentes, podendo então ser classificado como releitura. Considerações Finais: a ideia central discutida, estabeleceu relações culturais e identificou como as mesmas foram estruturadas na antropologia cultural.

RISK ASSESSMENT AND SOCIODEMOGRAPHIC AND CLINICAL PROFILE OF INPATIENTS WITH PRESSURE INJURIES IN A HOSPITAL

2025-11-24T19:06:11-03:00

Objetivo: descrever as características sociodemográficas e clínicas de pacientes com risco de lesão por pressão internados em uma unidade de clínica médica. Método: estudo descritivo transversal com abordagem quantitativa. Os dados foram coletados de 100 prontuários médicos entre abril e junho de 2025. A análise foi realizada utilizando estatística descritiva. Resultados: a mediana de idade da amostra foi de 62,5 anos, sendo que 41% dos pacientes estavam na faixa etária de 60 a 70 anos, 54% eram do sexo masculino e 49% não apresentavam risco de lesão segundo a Escala de Braden. A prevalência de lesão por pressão foi de 27%, com a maioria localizada na região sacral (44,4%) e em estágio 2 (48,1%). Conclusão: conclui-se que a assistência na clínica médica requer a implementação de protocolos fundamentais de prevenção para reduzir a incidência desse evento adverso, diminuir o tempo de internação e os custos hospitalares, garantindo uma assistência de enfermagem mais segura e qualificada.

Development and validation of a virtual learning environment for training nurses on smoking

2024-10-28T14:50:07-03:00

Objective: to develop and evaluate a Virtual Teaching-Learning Environment for training nurses in smoking cessation, assessing the Content Validity Index and nurses' perceptions. Method: the environment was developed using the Analysis, Design, Development, Implementation, and Evaluation model and validated by six public health and smoking experts. Nurses were invited to participate in the online course. Usability was assessed with the SUS Scale, and the content validity index was calculated. Results: the content validity index showed values above 0.80, indicating high expert agreement on content relevance and clarity. The SUS Scale averaged 85 points, indicating good usability. Conclusion: the virtual environment effectively trained nurses, promoted continuing education, and enhanced performance in smoking management.

Epidemiological profile of violence against older adults in alagoinhas, Brazil: cross-sectional study, 2019-2024 / Perfil epidemiológico da violência contra idosos em alagoinhas, bahia: estudo transversal, 2019-2024

2025-06-30T14:28:35-03:00

Objetivo: descrever as características dos casos notificados de violência contra pessoas idosas em Alagoinhas, Bahia, entre 2019 e 2024. Métodos: estudo transversal, descritivo e exploratório, com abordagem quantitativa, baseado em dados secundários das fichas de notificação de violência interpessoal contra idosos. As variáveis foram analisadas por frequência e associação (Qui-quadrado/Exato de Fisher), com medida de efeito pelo V de Cramer. Resultados: foram registradas 78 notificações, com predominância de idosos do sexo masculino, entre 60-69 anos, residentes em zona urbana. A maioria sofreu violência física por força/espancamento, geralmente praticada por homens desconhecidos, na própria residência. Houve associações significativas entre tipo de violência e variáveis como sexo, idade e escolaridade; e entre meio de agressão, estado civil e vínculo com o agressor. Conclusão: a violência contra idosos em Alagoinhas apresentou padrão físico predominante, com importantes associações sociodemográficas, evidenciando a necessidade de políticas públicas específicas.

Profile of patients who developed acute kidney injury in an intensive care unit

2023-05-15T21:54:57-03:00

Objective: to analyze patients with Acute Kidney Injury who required hemodialysis during their stay in Intensive Care. Method: analytical, quantitative study. The population consisted of patients who developed Acute Kidney Injury and required hemodialysis. The sample consisted of 110 patients, data were collected from January 2020 to June 2022; the analysis was parametric. Results: 55.45% of patients were male aged over 65 years (60.91%). The main reasons for hospitalization were cardiovascular problems (34.55%) and respiratory problems (29.09%). The main reasons for hospitalization were cardiovascular problems (39.09%), followed by infectious (33.64%) and respiratory (10.00%) diseases. 72.73% of them used Invasive Mechanical Ventilation, 94.55% vasoactive drugs and 94.55% antibiotic therapy; 67.27% of patients died. Conclusion: the profile of patients with Acute Kidney Injury in the ICU was characterized by patients with chronic conditions and their complications.

Paternal perceptions due to the hospitalization of the premature newborn child

2025-04-04T06:48:41-03:00

Objective: To describe paternal perceptions about the experience of having a premature newborn child admitted to a neonatal intermediate care unit. Method: Qualitative, descriptive and exploratory study. The sample consisted of parents of hospitalized newborns, from January to March 2022, carried out with individua interviews and a semi-structured script. The collected data were submitted to thematic content analysis, proposed by Bardin. Results: nine parents were included and the statements allowed the identification of three categories: meaning attributed by parents about the hospitalization of their newborn children shortly after birth, feelings manifested by parents before the hospitalized newborn child and expectations attributed by parents having her newborn son hospitalized. Final Consideration: through the paternal perceptions, it was verified the need for actions that promote their insertion in the hospitalization of the newborn child with the help of the team in an integrated and humanized way.

Baby-friendly hospital initiative: nursing strategies to promote, protect and support breastfeeding / Iniciativa hospital amigo da criança: estratégias de enfermagem para promoção, proteção e apoio ao aleitamento materno

2025-01-09T14:05:03-03:00

Objective: learn about the nursing strategies adopted to promote, protect and support breastfeeding, based on the Baby-Friendly Hospital Initiative. Method: descriptive study with a qualitative approach, carried out in the maternal and child clinical unit of a hospital in Rio Grande do Sul. Thirteen professionals from the nursing team took part in the study. Data was collected through interviews and the Content Analysis technique was used. Results: the nursing team offers continuous and responsible support to women during the start of breastfeeding, recognizing and adapting guidelines based on the particularities of each pregnancy, ensuring that women feel comfortable and confident when breastfeeding, contributing to maternal and child health. Final Considerations: the strategies for promoting, protecting and supporting breastfeeding used by the Baby-Friendly Hospital Initiative by the nursing team are considered to be effective as they naturally reflect on the success of this practice.

Life perspectives of people with obesity after bariatric surgery

2025-03-13T10:02:27-03:00

Objective: to understand the life expectancies for the future of people with obesity, in the perioperative period of bariatric surgery. Method: qualitative, descriptive and exploratory study, carried out in a university hospital in southern Brazil, with 14 participants. Data collection occurred through semi-structured interviews. Results: three themes were constructed for the discussion: Rescuing and strengthening personal relationships; Health to live better; Self-image: presenting yourself to the world. Final Considerations: bariatric surgery represents, for participants, an opportunity to restore personal and professional relationships, improve health and reformulate their self-image. These findings highlight the importance of attention from health professionals, especially nursing, in supporting these people.

Budget impact of treating patients with metastatic cancer in a specialized palliative care hospital / Impacto orçamentário do tratamento de pacientes com câncer metastático em um hospital especializado em cuidados paliativos

2025-05-14T14:57:32-03:00

Objetivo: avaliar o impacto orçamentário da ampliação da oferta de cuidados paliativos (CP) no Hospital do Câncer IV (HC 4), unidade especializada do Instituto Nacional do Câncer. Metodologia: estudo baseado nas Diretrizes da REBRATS para Análise de Impacto Orçamentário, com modelagem em horizonte temporal de cinco anos, comparando um cenário de referência (14% de cobertura de CP) com três cenários alternativos de ampliação (25%, 35% e 45%). Foram considerados custos médicos diretos e evitáveis, usando a técnica de microcusteio bottom-up. Resultados: o cenário de referência implicou um custo de R$ 8.210.969,26 em cinco anos. Os cenários alternativos apresentaram economias progressivas: R$ 1.384.036,95 (25%), R$ 2.568.103,06 (35%) e R$ 3.752.169,17 (45%), demonstrando que quanto maior a cobertura de CP, maior a economia. Conclusão: ampliar a oferta de CP no HC 4 é custo-efetivo, reduzindo custos hospitalares e promovendo melhor alocação dos recursos do SUS.

It could be tuberculosis! analysis of services in screening centers for covid-19 in Uruguaiana / Pode ser tuberculose! análise dos atendimentos em centros de triagem para covid-19 em Uruguaiana

2024-10-17T11:03:16-03:00

Objetivo: verificar entre os pacientes atendidos em centros de triagem para COVID-19 a prevalência de sintomático respiratório com presunção de tuberculose. Método: estudo quantitativo descritivo, no qual foram analisados dados de atendimentos em três centros de triagem de síndrome gripal e COVID-19 no ano de 2021. Considerou-se como desfecho de provável tuberculose resultado negativo no RT-PCR para COVID-19, registro de queixa simultânea de tosse, dispneia e febre sem outros sintomas. Resultado: foram analisadas 11.830 fichas de atendimentos, a prevalência de atendimentos classificados como presunção diagnóstica de tuberculose foi de 2,75% (n=224), sendo estes 52,4% (n=118) do sexo feminino e 67,0% (n=150) de cor da pele autodeclarada branca. Conclusão: estima-se que 1% das pessoas em uma população seja sintomática para tuberculose. Porém, considerando o delineamento, na cidade de Uruguaiana a prevalência supera este valor, alcançado 2,75% dos casos analisados.

Child growth and development: nurses perspectives on strengths and weaknesses in childcare consultations

2025-06-26T15:52:16-03:00

Objective: To identify the strengths and weaknesses experienced by nurses during child care consultations regarding child growth and development. Method: Descriptive research with a qualitative approach. Data collection was conducted through semi-structured interviews, between September and October 2024, with 14 nurses who perform child care consultations. The responses were audio-recorded and fully transcribed, and data were analyzed using content analysis, in the categorical modality. Results: Two main categories were identified: weaknesses in the assessment of child growth and development, and strengths in the assessment of child growth and development. Final considerations: Identified weaknesses include the social vulnerability of families and the lack of knowledge about child development milestones; identified strengths include the bond between health professionals and families, the strategic role of community health workers, and the Primeira Infância Melhor program.

Neonatal resuscitation determined by conditions in newborns treated in intensive and intermediate care units

2024-08-28T08:06:34-03:00

Objective: to verify the association between the occurrence of neonatal resuscitation and the presence of conditions in newborns treated in Intermediate and Neonatal Intensive Care Units. Methodology: this was a cross-sectional observational study with a quantitative approach using secondary data, conducted in March and April 2024. The study population consisted of neonates who were treated at a hospital. The information was extracted from the Qualineo form, filled out as part of the routine in the study setting. Descriptive statistics were used to address the study objective, and the Odds Ratio was calculated to investigate possible risk factors for the conditions leading to resuscitation. Results: the total sample was n=183. Resuscitation was identified as a risk factor (or vice versa) for Respiratory Distress Syndrome, Transient Tachypnea of the Newborn, and early infection. Conclusion: there was an association between the occurrence of resuscitation and primarily respiratory conditions and early infection.

Patient safety culture in the aeromedical service

2025-03-12T07:46:01-03:00

Objective: to analyze the perception of patient safety culture for medical and nursing professionals in the aeromedical service. Method: quantitative, exploratory-descriptive research, conducted in 2024, using the Safety Attitudes Questionnaire – Emergency Medical Service applied in electronic format. Data were analyzed using descriptive statistics, Student's t-test, and ANOVA to compare variables. Results: the study included 37 professionals, including nurses and doctors. The strengths identified were job satisfaction (90.81%), stress recognition (75.68%), and teamwork climate (80.63%). Weaknesses were observed in management perception (57.66%), working conditions (53.15%), and safety climate (64.09%), with greater criticality in the South and Southeast regions. Conclusion: job satisfaction and teamwork climate stand out as strengths in the patient safety culture in the aeromedical service. However, there is a need to strengthen management and the safety climate, considering regional variations and professional experience.

Permanent education strategies for nurses in emergency car management: a randomized clinical trial

2025-05-12T22:49:38-03:00

Objective: To compare nursing professionals' knowledge retention about emergency vehicle medications before and after the intervention. Methods: Single-blind, randomized clinical trial with nursing professionals from an Emergency Room. Two training strategies were compared: clinical simulation as an intervention and a dialogued lecture as a control. Participants were stratified by professional category and randomized. Knowledge tests were applied before and after the interventions. Data distribution was assessed by the Shapiro-Wilk test. Intra-group comparisons were made using the Wilcoxon test and intergroup comparisons were made using the Mann-Whitney test. Results: Thirty professionals participated. The control group had a mean score of 5.6 in the pre-test and 8.0 in the post-test (p=0.001). The intervention group had a mean score of 5.0 in the pre-test and 7.0 in the post-test (p=0.001). There was a difference between the post-test means between the groups (p=0.037). Conclusions: the clinical simulation and dialogued expository class strategies were both effective, but the expository class resulted in greater knowledge acquisition by the nursing team.

Comfort in palliative care and associated factors: contributions to nursing care

2025-08-11T16:27:08-03:00

Objectives: to investigate the comfort of patients in palliative care using the General Comfort Questionnaire (GCQ) and its association with sociodemographic and clinical variables. Method: this is a cross-sectional, quantitative study involving 155 patients. Data were collected using a sample characterization instrument and the GCQ. Pearson’s correlation test was used for data analysis. Results: the overall comfort score had a mean of 125.58, with significant variability. The physical domain showed the lowest average, while the environmental and psycho-spiritual domains recorded the highest means. Significant correlations were found with the following variables: functionality, pressure injuries, and invasive devices. Conclusions: the comfort of oncology patients in palliative care is a multidimensional phenomenon, influenced by physical, psycho-spiritual, sociocultural, and environmental factors. The use of specific instruments, such as the GCQ, makes it possible to identify the most affected dimensions and guide nurses in the systematization of care.

Assessment of nursing students' satisfaction after acute coronary syndrome simulation: a cross-sectional study

2024-06-25T17:20:05-03:00

ABSTRACT

INTRODUCTION: Nursing students need to be prepared to intervene quickly and effectively in complex cases such as acute coronary syndrome. Simulation-based education contributes to students' learning and competency development. OBJECTIVE: To assess students' satisfaction after acute coronary syndrome simulation. METHOD: This is a quantitative cross-sectional study. The sample consisted of 33 students enrolled in the nursing course. Data collection was performed using the Scale of Satisfaction with Simulated Clinical Experiences. RESULTS: Greater satisfaction was noted in the item "Quality of simulators" (9.18±1.07). However, lower satisfaction was observed in the item "Motivation regarding attendance to practical classes" (7.12±2.09). In the distribution of scale means, three dimensions ("practical dimension", "realism dimension", and "cognitive dimension") showed high scores. CONCLUSION: Students demonstrated motivation with simulation-based education, agreeing that this teaching method provides satisfactory levels of satisfaction, as observed in the results.

DESCRIPTORS: Patient simulation; Nursing students; Personal satisfaction.

Practices and challenges of nurses in the routine of childcare in primary health care / Práticas e desafios de enfermeiros na rotina em puericultura da atenção primária à saúde

2025-02-05T14:55:42-03:00

Objective: this study aimed to understand the practices and difficulties faced by nurses during the performance of well-child visits in Primary Health Care in the northern region of Rio Grande do Sul. Method: using a qualitative and descriptive approach, the research involved the participation of 50 nurses who responded to a questionnaire. For data collection, an instrument with open-ended questions was used. The data were analyzed following thematic analysis and stratified into pre-established categories. Results: the main challenges pointed out by nurses include: knowledge gaps and insecurity, lack of continuing education, workload overload, scarcity of resources, low family adherence, and short working hours of doctors. And the experiences are based on access through the first consultation, in the first week of life, however, still very focused on the consultation with the medical professional/pediatrician. Final considerations: the results highlight the need to invest in continuing education to update nurses on best practices in child health. In addition, the research reinforces the importance of strengthening evidence-based practice and conducting new research to deepen knowledge on the subject.

Analysis of individualized care plans for frail elderly people in palliative care

2025-05-09T18:59:47-03:00

Objetivo: analisar o potencial das informações que compõem o plano de cuidados individualizados (PCIs) para o acompanhamento compartilhado do indivíduo idoso frágil pelas diferentes equipes envolvidas no apoio matricial. Metodologia: estudo qualitativo, em que foram analisados 9 PCIs de pacientes idosos frágeis em cuidados paliativos, acompanhados por um programa de apoio matricial, em Belo Horizonte. As informações foram submetidas a Análise Documental. Resultados: foram observadas fragilidades como a falta de sistematização entre os planos e a ordenação dos elementos, a ausência da definição de metas terapêuticas e as intervenções de caráter médico centrado e generalizadas. Em contrapartida, o genograma e o ecomapa estão estruturados de forma a favorecer a contextualização social e familiar do idoso. Conclusão: os PCIs cumprem o papel de proporcionar a continuidade do cuidado entre as diferentes equipes de saúde, mas aperfeiçoamentos podem ser realizados para potencializar sua funcionalidade.

Violence against elderly people in Cuiabá, Mato Grosso, 2011-2021

2024-08-12T08:52:55-03:00

Objetivo: descrever as características da vítima, do agressor e tipo da violência contra a pessoa idosa em Cuiabá, Mato Grosso, 2011-2021. Métodos: estudo descritivo com dados do Sistema de Informação de Agravos de Notificação. Utilizou-se o teste do Qui-quadrado de Pearson para comparação das frequências de violência contra a pessoa idosa entre os sexos. Resultados: no sexo masculino, a violência contra a pessoa idosa foi maior entre os solteiros/separados (49,2%); com até quatro anos de escolaridade (44,5%); que sofreram violência física (87,5%); em via pública (27,8%); perpetrada por pessoas desconhecidas (43,4%). No sexo feminino, houve maior frequência de violência sexual (19,2%); ocorrida na residência (84,3%); o agressor foram filhos (25,0%) e parceiros íntimos (21,6%). Conclusão: a violência contra a pessoa idosa diferiu entre os sexos em relação ao estado civil, escolaridade, recorrência da violência, local de ocorrência, tipo da violência e características do agressor.

Social representations constructed by elderly people on dialysis: a contribution to comprehensive care

2024-12-23T10:51:14-03:00

Objective: to analyze the social representations constructed by elderly individuals on dialysis. Method: qualitative research based on the structural approach of social representations, with lucid elderly individuals on chronic dialysis treated by the Unified Health System. Free evocation of words was used with the inducing term “dialysis”, whose corpus was submitted to prototypical and similarity analysis by the IraMuTeQ® software. Results: 51 individuals participated, with an average age of 66.76 years, with an average time of 30 months on dialysis. A single central element was evidenced – “Cure” – organizing the structure of the social representations elaborated, when connected with the various other structural components, often with antagonistic meanings, being able to explain different experiences lived in the face of the new reality arising from dialysis. Final considerations: the social representations contributed to the apprehension of the reality lived by elderly individuals on dialysis, enabling the construction of a better clinical practice.

Health education in the context of chemotherapy: nurses' perception / Educação em saúde no contexto da quimioterapia: percepção de enfermeiras

2025-03-09T23:18:04-03:00

Objetivo: descrever as percepções de enfermeiras na realização de ações de educação em saúde durante a quimioterapia. Método: estudo qualitativo realizado com oito enfermeiras de dois serviços de quimioterapia de Pernambuco, Brasil. Foram realizadas entrevistas gravadas entre abril e junho de 2021. Os dados foram transcritos, validados e analisados por análise de conteúdo com base na Política Nacional de Educação Popular em Saúde. Resultados: emergiram quatro categorias: 1- O discurso do enfermeiro e a compreensão das informações pelo paciente; 2- Consulta de Enfermagem como facilitadora da educação em saúde na quimioterapia; 3- Sentimento e comportamento do enfermeiro na realização das ações educativas; 4- O conhecimento do paciente como elemento positivo para assistência de enfermagem. Considerações finais: as percepções relacionam-se a práticas que priorizam o acolhimento, o diálogo claro e as necessidades da pessoa, favorecendo uma relação de confiança, troca de informações e cuidado afetuoso e disponível à pessoa com câncer.

Active methodologies in the pedagogical projects of health courses: the case of the Universidade Federal do Pará / Metodologias ativas nos projetos pedagógicos de cursos de saúde o caso da Universidade Federal do Pará

2025-05-12T10:24:54-03:00

Objective: To analyze how active learning methodologies are referenced in the Pedagogical Projects of health-related courses at the Federal University of Pará. Method: Case study with documentary analysis of undergraduate course PPCs, conducted between September 2023 and July 2024. The analysis was based on Laurence Bardin's content analysis. Results: Except for Nursing and Dentistry, the PPCs are over 10 years old. Only Pharmacy does not mention active methodologies; the other courses cite at least one technique as a curricular component. Discussion: Medicine, Nutrition, and Dentistry indicate that active methodologies will be defined by instructors at the beginning of the term, without detailed description in the PPCs. In contrast, Nursing, Physical Therapy, and Occupational Therapy mention strategies such as brainstorming, practical activities, skills labs, and group dynamics for case studies. Conclusion: some PPCs need updating and should include more detailed descriptions of the use of active methodologies.

Experiences of a group of adolescents in a municipality in the far north of Brazil / Experiências vivenciadas por um grupo de adolescentes em um município do extremo norte do brasil

2025-08-03T10:33:55-03:00

Objectives: to report the experience of a health team in implementing/maintaining a health education group with adolescents in the municipality of Boa Vista/Roraima. Method: a descriptive study of the experience report type, which took place in a municipality in the far north of the country, between June 2022 and June 2023, at the Doutor Dalmo Silva Feitosa BHU. Results: conversation circles using active methodologies boosted the contextualization of the themes (mental/sexual/reproductive health and prevention of alcohol and drug use) and the mobilization of the group. There was a lack of qualified information on the topics covered and socio-economic/cultural factors interfere with the group's adherence/maintenance. Final considerations: intersectoral strategies within the scope of primary health care have the potential to meet the main intercultural care needs of adolescents, in a judgment-free/prejudice-free manner.

Prevalence of sarcopenia in elderly: gait speed as a predictive factor

2024-10-07T08:08:28-03:00

Objective: To investigate the relationship between sarcopenia and gait speed in older adults. Method: An integrative review conducted in the databases Embase, PubMed, Scopus, and Lilacs. Results: The initial search yielded 5013 results, with 18 studies included, involving 33,833 subjects aged 60 to 90 years. The prevalence of sarcopenia ranged from 3.7% to 58%. The average gait speed of sarcopenic individuals was below the cutoff point in 77.8% of the studies. In 61.11% of the studies, the adopted gait speed cutoff was 0.8 m/s, and the 4-meter walk test (4mWT) was the most used (38.9%). Conclusion: Gait speed is a good predictor of sarcopenia and can be used as a screening tool for other diagnostic tests, although variations in cutoff points may complicate interpretation.

Educational technologies and self-care needs in high-risk pregnancy: an integrative review

2025-04-06T14:31:19-03:00

ABSTRACT
Objective: to identify educational technologies and self-care needs in high-risk pregnancy.
Method: an integrative literature review conducted from August 2024 to January 2025. The study search was performed in the following databases and virtual libraries: PubMed/Medline, Scopus, SciELO, Virtual Health Library, Web of Science, CINAHL, and Embase. Results: the sample consisted of 23 studies, which identified that the most commonly used educational technology for promoting self-care among high-risk pregnant women was a smartphone application. Additionally, the most highlighted self-care needs in this population were psychological support, blood glucose monitoring, healthy eating habits, physical activity, and smoking cessation. Conclusion: educational technologies are valuable tools for promoting self-care in high-risk pregnant women and preventing adverse pregnancy outcomes.
DESCRIPTORS: Self-care; High-risk pregnancy; Educational technology.

Difficulties and strategies of Patient Safety Centers for managing adverse event notifications in hospitals: integrative review

2024-07-29T15:56:18-03:00

Objetivo: identificar los desafíos y facilidades del Centro de Seguridad del Paciente en el manejo de Eventos Adversos. Método: revisión integrativa de la literatura de artículos publicados entre 2013 y 2023 con búsqueda realizada en marzo de 2023. Resultados: Se identifica la necesidad de comprender la importancia de la notificación de Eventos Adversos y la instrumentación de indicadores de calidad. A partir de la información recopilada es posible describir la situación y desarrollar estrategias para promover la seguridad del paciente. Destaca el aprendizaje de los errores, con la asunción de una postura no punitiva. Conclusiones: Se considera fundamental que los profesionales de la salud comprendan la importancia de la notificación con la participación de la dirección durante todo el proceso, ofreciendo el apoyo necesario en el desarrollo de estrategias para promover la seguridad del paciente. Es importante identificar las debilidades que enfrenta el Centro de Seguridad del Paciente, desconociendo el carácter punitivo de la notificación de Eventos

Adversos.DESCRIPTORES: Establecimientos de salud; hospitales; Asistencia hospitalaria; Gestión de riesgos; Seguridad del paciente; Indicadores de calidad en la atención de salud; Calidad de la atención de salud; Evaluación de procesos y resultados en salud.

Actions to promote safe care in neonatal intensive care units

2024-10-30T08:59:22-03:00

Objective: To identify actions aimed at promoting safe care in neonatal intensive care units. Method: An integrative literature review conducted across four databases. Data tabulation and analysis included: author, publication date, study location, objective, methodology, level of evidence (according to the Joanna Briggs Institute classification), patient safety actions, errors, and adverse events. Results: The final sample included 12 articles. The studies were divided into two periods: 2013 to 2018 and 2019 to 2023, with a predominance of exploratory descriptive analysis and a qualitative approach. Actions to promote safe care included instrumental measures, tests/procedures, neuroprotection, medication safety, and the work environment. Conclusion: It was found that actions to promote safe care are mainly related to service quality assessment tools and the implementation of protocols for conducting tests and procedures.

Educational technologies on syphilis for men deprived of liberty: an integrative review.

2025-07-01T17:30:37-03:00

Objective: to identify educational technologies that are aimed at building knowledge about syphilis. Method: this is an integrative review of the literature. The searches were carried out in the following databases: Latino LILACS, PubMed, Scopus, CINAHL, Web of Science, Embase, VHL, Cochrane, in addition to Scielo and Google Scholar. The final sample was composed of 03 articles, in Portuguese, English and Spanish, using the PCC strategy that corresponds to P: Men; C: Educational technologies about syphilis; and C: Population Deprived of Liberty, using AND and OR boleadores. Results: the research confirmed the scientific evidence analyzed and confirmed the importance of new educational technologies through safe and reliable instruments. Conclusion: there was a lack of scientific production related to the proposed topic that could meet the guiding question of RIL. Thus triggering the need for greater production of literature and educational technologies that syphilis.

PALLIATIVE CARE FOR PATIENTS AFTER SURGICAL RESECTION FOR HIGH-GRADE CENTRAL NERVOUS SYSTEM TUMORS

2025-01-16T17:21:08-03:00

Purpose: to analyze palliative care following surgical resection in patients with high-grade central nervous system tumors. Methods: integrative literature review conducted in the MEDLINE database via PubMed, Scopus, and Web of Science, with no restrictions on language or year of publication. Results: key themes identified include neurosurgical needs, symptom relief, care subdivisions, and multiprofessional involvement. The positive impact of palliative care on patient quality of life and disease progression, from diagnosis to end-of-life, was highlighted. Conclusion: early and well-implemented palliative care reduces unnecessary hospital admissions, provides physical, psychological, social, and spiritual support, and benefits both patients and families. The implementation of public policies and training programs is recommended to improve access to this essential care.

The nursing process in caring for people with Parkinson's disease: integrative review

2024-07-19T16:34:22-03:00

Objective: to analyze scientific production about the use of the nursing process in caring for people with Parkinson's. Method: integrative review in the Lilacs, Medline, CINAHL, Scopus, Cochrane, Embase and Web of Science databases. Data collection took place in August 2021. After selecting the studies, the sample totaled 20 articles. Results: from the synthesis of evidence it was possible to organize three thematic categories: “The Nursing Process in health care for people with Parkinson’s: Brazilian context”; “Standardized Nursing Language and theoretical references to support the Nursing Process” and “Care models and the stages of the Nursing Process in health care for people with Parkinson’s: experiences and perspectives”. Conclusion: the review study made it possible to understand both in a national and international context the provision of nursing care and the use of the Nursing Process in caring for people with Parkinson's.

Debriefing practices performed by the rapid response team after cardiopulmonary arrest in the in-hospital setting / Práticas de debriefing realizadas pela equipe de resposta rápida após a parada cardiorrespiratória no ambiente intra-hospitalar

2025-02-13T23:42:38-03:00

Objective: to describe, based on the literature, the debriefing practices performed by the rapid response team after attending to cardiopulmonary arrest (CPA) in the in-hospital environment. Methods: integrative review carried out in the PubMed, Web of Science, Scopus, SCIELO and BVS (LILACS, BDENF, Medline, IBCS) databases. The keywords “Debriefing”, “Cardiac Arrest” and “Hospitals” were used, with ten studies included in the final sample. Results: the practices discussed include identification of patient data; appropriate location to perform the debriefing; analysis of heart rhythm and defibrillation; effectiveness of chest compressions; medications administered; interventions performed during and after CPA; and aspects related to the team. Final considerations: debriefing is an essential tool for the continuous improvement of the rapid response team, contributing to improvements in practices in critical situations, such as cardiopulmonary arrest.

Humanized assistance to polytraumated patients in mobile pre-hospital care: integrative review / Assistência humanizada ao paciente politraumatizado no atendimento pré-hospitalar móvel: Revisão Integrativa

2025-07-01T17:15:13-03:00

Objective: to search the literature for nurses’ approach to humanized care for polytrauma patients in mobile prehospital care. Method: this is an integrative, exploratory, descriptive, and qualitative literature review. The guiding question was formulated using the PICo strategy, and the search for articles was conducted in the PubMed, BVS, CAPES, and Google Scholar databases. Results: 3,631 publications were identified. After reading the titles, abstracts, and full texts, 10 articles were selected. The main themes addressed include humanizing practices in care, specific strategies for polytrauma patients, and the challenges faced in the context of prehospital care. Conclusion: humanization is essential in prehospital care; however, work overload and emotional exhaustion of professionals represent important barriers. Continuous training and good working conditions are essential to ensure comprehensive, ethical, and sustainable care that respects human dignity.

Family refusal for organ donation from a bioethical perspective: integrative review

2024-10-23T20:02:05-03:00

Objective: To analyze the scientific evidence regarding the bioethical issues involved in family refusal for organ donation. Method: Integrative review conducted in March 2024, using the following information databases: BIREME, LILACS, PubMed/Medline, and SciELO. The search strategy was developed through the Health Sciences Descriptors (DeCS) and the terms available in the Medical Subject Headings (MeSH). Results: After a full analysis, 13 studies that explored the ethical, moral, and cultural reasons behind family refusal for organ donation were selected to compose the final sample of this research. Several factors contributing to family refusal were evidenced, including lack of knowledge of the potential donor’s wishes, religious issues, inadequate preparation of the healthcare team to handle the situation, and ethical and moral concerns related to the donation process. Conclusion: The bioethical approach to analyzing family refusal for organ donation highlights the complexity and the importance of considering ethical and moral values in clinical practice and health policies.

Strategies for managing pain related to breastfeeding: an integrative literature review

2024-08-28T11:43:53-03:00

Objective: to identify the strategies used to manage pain related to breastfeeding. Method: this is an integrative review carried out from November 2023 to January 2024, which included articles indexed in the databases: PubMed, Latin American and Caribbean Literature in Health Sciences, and the Scientific Electronic Library Online. Results: 11 articles that met the eligibility criteria were found. Most of the studies were published in 2023 (36.3%), in China (54.5%), and the study design that prevailed in the sample was the randomized controlled clinical trial (36.3%), consequently, the most frequent level of evidence was level II. Conclusion: this review concludes that the main strategies identified were: breast massage, Gualou Xiaoyong decoction combined with painless lactation management, and integrated therapies. These findings may expand the therapeutic possibilities for nurses when assisting lactating women with breastfeeding-related pain.

Dignity and respect as principles of care for people in palliative care: an integrative review / Dignidade e respeito enquanto princípios da assistência à pessoa em cuidados paliativos: uma revisão integrativa

2024-12-23T11:14:22-03:00

Objetivo: mapear o estado da arte acerca dos princípios de dignidade e respeito da pessoa assistida no contexto dos cuidados paliativos, divulgada na literatura científica. Método: estudo bibliográfico, tipo revisão integrativa da literatura, realizada nas bases de dados: Medline, via PubMed, Scopus, Web of Science, Embase, LILACS e BDEnf, em setembro de 2024. Resultados: dos 1.244 estudos encontrados, 12 publicações versavam sobre a temática. O estudo identificou duas categorias temáticas centrais que permeiam a literatura revisada: 1) A dignidade enquanto princípio fundamental à assistência da pessoa em cuidados paliativos e 2) Desafios contemporâneos para uma assistência em cuidados paliativos amparada nos preceitos de dignidade e respeito. A dignidade foi identificada como um princípio multifacetado, que envolve muito além do aspecto físico do cuidado. Conclusão: trabalhos que discorram sobre a associação conceitual de dignidade e respeito como princípios dos CP ainda é muito incipiente.

Nursing care in the prevention and early detection of diabetic peripheral neuropathy: an integrative review / Assistência de enfermagem na prevenção e detecção precoce da neuropatia periférica diabética: uma revisão integrativa

2024-08-12T07:25:54-03:00

Objetivo: verificar a produção científica relacionada à assistência de enfermagem na prevenção e identificação precoce da Neuropatia Periférica Diabética (NPD) em usuários com Diabetes mellitus. Método: trata-se de uma revisão integrativa da literatura, tendo seu processo de seleção e elegibilidade dos estudos baseado nas bases de dados MEDLINE, LILACS, BDENF e SciELO, no período de 2012 a 2022. Resultados: foram incluídos na amostra nove artigos científicos que atendiam aos critérios de inclusão. Observou-se que a assistência de enfermagem apresenta-se pautada na educação em saúde como estratégia para prevenção da doença; na elaboração de planos de ação para o manejo efetivo dos fatores de risco associados, os quais predispõem o desenvolvimento e evolução da doença; na realização precoce do diagnóstico, por meio do rastreamento dos sinais e sintomas, exame clínico dos pés e demais testes preventivos durante a consulta de enfermagem e no estímulo para o autocuidado guiado pelo profissional de saúde. Conclusão: evidencia-se como fundamental a atuação do enfermeiro nas ações orientadas para a prevenção e tratamento precoce da NPD.

Stigma and stigmatization in times of covid-19: integrative literature review / O estigma e a estigmatização em tempos de covid-19: revisão integrativa de literatura

2025-07-23T21:27:38-03:00

Objective: to characterize the stigma, stigmatization, and confrontation of people who have been sickened with COVID-19. Method: integrated review, whose sample was composed of 45 studies, carried out from several databases and portals, which adopted the Research Triangle Institute Item Bank (RTI-Item Bank) and Critical Appraisal Skills Program (CASP) instruments to assess the session risk and the methodological rigor of the productions, with the elaboration of a descriptive and qualitative synthesis of the data. Results: the stigma manifested itself temporarily, was enhanced by fear, and the stigmatization greatly affected the quality of life and mental health of people who were hospitalized and, as coping strategies, they used the concealment of symptoms and hesitation in seeking health services. Conclusion: the COVID-19 disease is widely stigmatized, from the first symptoms to recovery, due to fear and the measures adopted for its control, producing different repercussions on quality of life and psychological suffering.

Factors associated with subjective mental workload: an integrative review

2025-04-08T17:14:40-03:00

Objective: to identify the factors associated with Subjective Mental Workload as assessed by the Subjective Mental Workload Scale. Method: An integrative review conducted in July 2024, considering the time frame from 2009 to 2024. The search locations included the following databases: MEDLINE, Scopus, Web of Science, SciELO, and PsycInfo. The search strategies were based on the keywords "Mental Workload" and "Subjective Mental Workload Scale," utilizing the Boolean operators "AND" and "OR." Results: The factors associated with Subjective Mental Workload included sex, age, education, leisure activities, professional category, working time, working hours, job satisfaction, health-related quality of life, stress levels, mental disorders, neuroticism, psychological demands, social support, and environmental conditions. Final considerations: Subjective Mental Workload is a multidimensional phenomenon that encompasses individual, work, and psychosocial factors.

Hypodermoclysis as a therapeutic strategy in palliative care: integrative review

2025-05-07T15:42:33-03:00

Objective: to summarize the knowledge on the use of hypodermoclysis in different care contexts for patients in palliative care. Method: this is an integrative literature review to evaluate the scientific evidence on the use of hypodermoclysis with patients in palliative care, with the search being carried out in the electronic databases LILACS, MEDLINE via PubMed, SciELO, Web of Science, Scopus and Embase. Results: 383 studies were identified in the databases, of which 199 were duplicates and were excluded. 30 studies were read in full. Of these, 19 studies were excluded, thus, 11 studies comprised the final sample. Conclusion: hypodermoclysis is a simple procedure that can be used in patients in palliative care. It is a safe, easy and well-accepted technique for medication administration. Therefore, it is necessary to carry out further studies to support the care practice of health professionals, favoring the use of the subcutaneous route.

Intercessory prayer on anxiety or spiritual coping in women with breast cancer: integrative review

2025-07-05T16:57:43-03:00

Objective: To analyze in the scientific literature the effects of intercessory prayer on anxiety and/or spiritual-religious coping in women with breast cancer. Method: Integrative review in the information sources LILACS, PubMed, Web of Science, Scopus, Embase and Google Scholar, using controlled and non-controlled terms, specific to each information source, associated with the Boolean operators “OR” and “AND”. Results: 533 studies were identified, of which five met the inclusion criteria. The findings were organized into three categories: effects of intercessory prayer on anxiety; effects of intercessory prayer on spiritual-religious coping; formats for intercessory prayer (face-to-face and distance). It was found that intercessory prayer helps to reduce anxiety symptoms, strengthen positive spirituality and promote emotional reorganization. Conclusion: Intercessory prayer has had a significant impact on women coping with breast cancer, especially by reducing anxiety and mediating religious-spiritual coping.

Transsexuality and health care in Europe: Integrative Review

2024-07-31T21:04:25-03:00

Objective: to explore the literature on trans people's access to health services in Europe. Method: an integrative review was carried out using the following databases: VHL Search Portal - Spain, InDICEs CSIC (Social and Medical Sciences), SCOPUS and InfoPsy. Results: there were 509 articles found, which, after applying the inclusion and exclusion criteria, led to the selection a total of 12 articles. These findings are similar to studies from Brazil; with Spain having the highest number of publications. Final considerations: The depathologization of transsexuality was one of the topics that was barely addressed in these studies.

Brazilian trends in oral health care for adult patients hospitalized in a hospital context / Tendências brasileiras sobre cuidados de saúde bucal para pacientes adultos internados em contexto hospitalar

2025-02-13T15:10:26-03:00

Objetivo: analisar as tendências brasileiras acerca dos cuidados de saúde bucal desenvolvidos com pacientes adultos internados em hospitais. Método: foi realizada uma Revisão Narrativa da Literatura, utilizando dados do Catálogo de Teses e Dissertações da CAPES, com seleção de 12 estudos após triagem de 317 registros iniciais. Procedeu-se com análise descritiva e narrativa. Resultados: a maior parcela das pesquisas foi realizada na região Sudeste (50%), com predomínio de metodologias experimentais e quase-experimentais (63,7%). Identificou-se que pacientes internados, sobretudo em Unidades de Terapia Intensiva (UTIs), apresentavam condições bucais adversas, como gengivite e raízes residuais. A padronização de protocolos para higiene bucal, especialmente com o uso de clorexidina 0,12%, mostrou benefícios na redução de infecções. Conclusão: a realização de cuidados bucais com pacientes assistidos em ambientes hospitalares são cruciais para minimizar complicações sistêmicas e melhorar a qualidade do atendimento, principalmente em ambientes de terapia intensiva.

Nursing care for elderly people with venous ulcers: an integrative review / Cuidados de Enfermagem à pessoa idosacom úlcera venosa: revisão integrativa

2025-05-03T22:05:19-03:00

Objective: To describe nursing care for elderly individuals with venous ulcers (VU). Methods: An integrative literature review was conducted in the following databases: SciEl), BVS, LILACS, PubMed, and BDENF with the descriptors “nursing care” and “varicose ulcer”, with variations in English. Results: A total of 470 articles were identified, of which 9 were considered eligible for this research. It was observed that evidence-based nursing care focused on a holistic approach with individualized conduct and a good patient-professional relationship may be decisive for effective adherence to treatment and self-care. Conclusion: This study showed that nursing professionals have a major impact on the success of venous ulcer treatment, especially about adherence to treatment and encouraging self-care. Further studies focusing on the application of nursing theories are relevant for the theoretical-philosophical basis of nursing practice.

Ultra processed foods consumption by adolescents: a literature review

2024-07-10T11:42:29-03:00

Objective: to identify in the literature the factors associated with the consumption of UPF in adolescence. Method: this is an integrative literature review. The search was carried out in the National Library of Medicine database (Medline via PubMed), Scientific Electronic Library Online (Scielo) and the Virtual Health Library (VHL). To search for articles and formulate the guiding question of the study, the PICO strategy was used. The exclusion criteria used were articles that did not cover the population of adolescents between 10 and 19 years old, articles that did not include the consumption of UPF, articles that were unavailable in full, articles that were not compatible with the guiding question and duplicate articles. The search period used was from 2018 to 2023. Results: in the initial search, 1,873 were identified, after the identification and selection stages, 58 articles remained, synthesized through a synoptic table. Final considerations: High consumption of UPF may be associated with various social, emotional and demographic aspects. These characteristics, although they have distinct individual impacts, tend to interact in a complex and interrelated way.

KEYWORDS: Adolescent; Processed food; School health.

Biofilm on catheters associated with bloodstream infections in the Intensive Care Unit / Biofilme em cateteres associados a infecções de corrente sanguínea na unidade de terapia intensiva

2025-02-07T22:02:52-03:00

Objetivo: avaliar a prevalência de microrganismos em infecções da corrente sanguínea relacionadas ao uso de cateteres venosos centrais em pacientes adultos de UTI, destacando os patógenos mais prevalentes, os fatores de risco e as medidas preventivas. Método: revisão integrativa da literatura, com busca em bases de dados eletrônicas como Science Direct, PubMed, SciELO, CAPES e Biblioteca Virtual em Saúde (BVS), abrangendo o período de 2020 a 2024. Resultados: 1.364 artigos foram identificados, sendo 14 incluídos para análise. Staphylococcus epidermidis, Klebsiella pneumoniae e Acinetobacter baumannii foram os patógenos mais prevalentes em biofilmes de cateteres. O uso prolongado de CVCs, especialmente por mais de 15 dias, foi associado a uma maior incidência de infecções. A resistência antimicrobiana, especialmente entre patógenos Gram-negativos, foi significativa, complicando o tratamento dessas infecções. Conclusão: a formação de biofilmes em CVCs está associada a infecções graves em pacientes de UTI, com predominância de microrganismos resistentes a múltiplos fármacos.

KNOWLEDGE, ATTITUDES, AND PRACTICES OF PRIMARY HEALTH CARE PROFESSIONALS ON CHILD DEVELOPMENT: INTEGRATIVE REVIEW

2025-04-30T15:50:48-03:00

Objective: to identify the knowledge, attitudes, and practices of Primary Health Care professionals related to child development. Method: integrative literature review of articles published between 2014 and 2024, with the search conducted in January 2025. Results: after full-text reading, 32 articles were included. The findings were organized into the following themes: aspects of child development assessed during child health visits; child development surveillance; use of developmental screening tools; referral for early intervention; and health education actions directed at parental caregivers. Conclusion: health professionals still lack solid knowledge regarding child development and the use of screening tools. This finding suggests the need to improve training, raise awareness, and promote continuing education to enhance clinical practices in child care.

DESCRIPTORS: Child Development; Child Care; Health Professional; Primary Health Care.

Educational technologies in patient safety in a post-anesthesia care unit: integrative review

2022-09-01T07:24:46-03:00

ABSTRACT

Objective: to identify the main educational technologies and their aspects regarding patient safety used in the post-anesthesia care unit. Method: literature review, carried out between January and February 2021. Databases: Cummulative Index to Nursin gand Alied Health Literature; Latin American and Caribbean Literature in Health Sciences; United States National Library of Medicine and Web of Science. The review followed the precepts guided by the “Key Items for Reporting Systematic Reviews and Meta-analyses” and a thorough analysis was carried out, guided by the levels of evidence and methodological rigor proposed by the Joanna Briggs Institute. Results: Included 10 articles. The main educational technologies were: protocols, manuals, applications, checklist, creation of instruments and clinical tools. Considerations: educational technologies play a role of significance, objectivity and care in the nursing profession, contributing to patient safety measures.

DESCRIPTORS: Patient safety; Educational technology; Perioperative nursing.

The use of auriculotherapy and/or auricular acupressure in the oncology fatigue treatment: integrative review / Uso de auriculoterapia e/ou acupressão auricular no tratamento da fadiga oncológica: revisão integrativa

2025-01-07T16:35:07-03:00

Objective: The research search in the literature for scientific evidence on the use of auriculotherapy and/or auricular acupuncture in oncological fatigue. Methods: This is an Integrative Literature Review in the following databases: PubMed/Medline, Scopus, Web of Science, BVS (National Health Library) and Cochrane. We used auriculotherapy and auricular acupuncture as synonyms, therefore with a Boolean operator OR between them. AND was used to add fatigue and oncology. The inclusion criteria are articles with the theme auriculotherapy or auricular acupuncture in oncological fatigue. After reading the articles in full, we found three articles. We added the reference of the reference, totaling four articles. Results: Of these four articles, two were randomized trials, one was an integrative review and the other was a meta-analysis with a systematic review. All showed positive results for the application of auriculotherapy in oncological patients with complaints of fatigue. Conclusions: In all articles reviewed, there were positive and robust evidences on the use of auriculotherapy, however, there are few researches in Brazil on the use of auriculotherapy in oncological fatigue.

Telenursing in promoting maternal self-efficacy and exclusive breastfeeding / Telenfermagem na promoção da autoeficácia materna e aleitamento materno exclusivo

2024-10-10T13:42:23-03:00

Objective: to identify in the literature the impact of telenursing on promoting maternal self-efficacy and exclusive breastfeeding. Method: this is an integrative literature review, in which articles were searched using the search key using the descriptors “telenursing”, “self-efficacy”, “breastfeeding”, “information technology” and “infant”. Results: a total of 101 articles were found. It was concluded that only six met the established criteria. The articles were divided into three categories: a) Difficulties associated with breastfeeding; b) Changes caused by breastfeeding monitoring and c) Educational actions to be implemented. Conclusion: support through Information and Communication Technologies can interfere with the duration of breastfeeding.

Wildfire smoke exposure during pregnancy and perinatal outcomes:

2025-06-20T22:16:29-03:00

Objective: to identify and analyze the scientific evidence published on the effects of wildfire smoke exposure on perinatal outcomes. Method: Integrative review conducted between November 2023 and January 2024, with searches in the PUBMED, Web of Science, Scientific Electronic Library Online (Scielo), and Virtual Health Library (VHL) databases, selecting 16 studies. Results: exposure to wildfire smoke was associated with preterm births, low birth weight, and even fetal death. Conclusion: findings highlight the need for public strategies to minimize maternal and infant health risks in wildfire scenarios.

The concept of leadership in nursing practice in the hospital environment: a scoping review

2025-04-08T14:03:00-03:00

Objective: to map the concept of leadership in hospital nursing practice. Method: scoping review based on Joanna Briggs Institute methodological guidelines. Primary and secondary studies, gray literature, with no language restrictions, with complete content, and time frame from 2019 to 2024 that answered the review question: What is the concept of leadership in nursing practice in the hospital setting? Search carried out in January 2024 in the Medline/PubMed, BVS, Scielo, Embase, Scopus, CINAHL, Web of Science, and Academic Search Premier databases. Results: ten studies comprised the review and revealed different concepts of leadership and eight key elements of the nurse's profile. Conclusion: no specific concept of nursing leadership in hospital practice was identified. The concepts are associated with different leadership styles such as transformational, transactional, authentic, rebellious, resonant, effective, clinical, and the key elements of professional practice, communication, vision, teamwork, motivation, improvement of results, empathy, and decision making.

Disclosure practices related to patient safety in hospitals: scoping review protocol

2024-08-03T20:55:46-03:00

Objective: to map the disclosure practices of adverse events to hospitalized patients in scientific evidence. Method: scoping review protocol, registered on the Open Science Framework, following the methodology proposed of Joanna Briggs Institute. The survey will be conducted in eleven databases. Two independent reviewers will select the evidence, aided by the Rayyan tool, with eligible articles published in any language, and with different methodological approaches. Discrepancies will be resolved by a third reviewer. Results: it is expected with this work, understand the disclosure practices of adverse events to hospitalized patients. Final considerations: the proposed mapping will allow the creation of an information bank to support evidence-based disclosure practices to be used in adverse events related to hospitalized patient safety.

Clinical simulation in health education for people with cardiometabolic diseases: scoping review protocol / Simulação clínica na educação em saúde de pessoas com doenças cardiometabólicas: protocolo de revisão de escopo

2025-04-03T20:59:32-03:00

Objetivo: mapear, na literatura científica, as evidências disponíveis sobre a utilização da simulação clínica na educação em saúde de pessoas com doenças cardiometabólicas. Métodos: protocolo de revisão de escopo, segundo as recomendações do JBI. A busca de estudos será realizada em 12 bases. Dois pesquisadores independentes farão a seleção e análise dos estudos. Um terceiro revisor solucionará as divergências. Os dados serão analisados de forma descritiva e apresentados em figuras e quadros. Resultados: espera-se destacar a aplicabilidade, a viabilidade e a efetividade dessa metodologia na educação da referida população. O mapeamento poderá contribuir para o planejamento de estratégias mais eficazes na oferta de educação em saúde para pessoas com doenças cardiometabólicas, além de orientar pesquisas futuras sobre simulação voltada para pacientes. Conclusão: os resultados do presente estudo poderão subsidiar pesquisadores e profissionais de saúde no planejamento, implementação e avaliação da simulação como estratégia educacional para pessoas com doenças cardiometabólicas.

Health literacy of adolescents in the context of health care: a scoping review protocol scoping review

2025-03-23T13:35:51-03:00

Objective: To map studies on the relevance of health literacy for health care aimed at adolescents. Method: Protocol for the review of the scope that will be developed according to the methodology proposed by the Joanna Briggs Institute with the guidelines of the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews. The survey will be carried out in nine databases. Two reviewers will perform the initial screening through titles and abstracts, then read the full articles and extract information from the selected studies. The data collected will be organized and classified into categories, according to their content. Results: It is expected to know the health literacy of adolescents in the context of their health care. Final considerations: The results obtained will be shared with the academic community and those responsible for the formulation of public policies focused on adolescent health.

Personal and professional values of nursing in the light of schwartz's theoretical model: scope review

2025-05-20T12:42:13-03:00

Objective: to map nurses' personal and professional values, organizing them into a theoretical framework based on Schwartz's refined model. Method: scoping review conducted according to the guidelines of the Joanna Briggs Institute, searching the Cochrane Library, EMBASE, LILACS, MEDLINE, Scopus, ScienceDirect, and Web of Science databases, using the descriptors "Social Values", "Professional Competence", and "Professional Ethics", without time restrictions. Results: 108 value items were extracted, grouped into 66 distinct categories. The most recurrent values included Humanistic Inclusion, Therapeutic Environment, Social Engagement, Mutual Trust, Altruistic Care, Satisfaction, Motivation, Independence, Self-Development, Reputation, Consultative Leadership, Organizational Leadership, Performance, Humility, Tradition, Professionalism, Harmony, Integrated Protection, and Collective Protection. Final considerations: the results show that personal and professional values influence clinical decision-making and are essential for ethical and humanized practice. The proposed theoretical framework can support management and training policies, strengthening the ethical commitment of nursing.

Toothbrushing strategies for children with autism: scoping review

2025-06-12T08:10:56-03:00

Objective: This study aims to identify and map scientific evidence on strategies to improve the acceptance of toothbrushing in children with autism. Method: This is a scoping review with a research protocol developed according to PRISMA-ScR recommendations and the method proposed by the JBI® Manual 2020. The Participants, Concept, and Context (PCC) strategy was used to formulate the guiding question: "What strategies have been developed to improve the acceptance of toothbrushing in children with Autism Spectrum Disorder?" Results: After applying the eligibility criteria, 16 articles were selected. Topics were developed based on the identified toothbrushing strategies. Conclusion: This scoping review indicated that studies on toothbrushing strategies in children with autism predominantly use visual resources and show potential for improving the acceptance of toothbrushing in these children.

Nurse assistance in pelvic floor dysfunctions in women: scoping review

2024-11-22T10:01:02-03:00

Objective: to map the evidence on nursing assistance for pelvic floor dysfunctions in women attended to in primary and secondary healthcare units in both national and international contexts. Method: a scoping review was conducted following the Joanna Briggs Institute methodology. Comprehensive searches were performed in information sources, including gray literature and manual searches in the reference lists of the included studies. Results: a total of 17 studies were included, divided into two categories: presentation of the study selection process and characterization of the studies. Conclusion: nursing assistance in the context of women with pelvic floor dysfunctions faces several issues, primarily regarding misinformation and a lack of knowledge about prevention and rehabilitation techniques and treatments, both among women and nurses. Therefore, it is crucial that this issue be better addressed in nursing education and more widely disseminated in healthcare settings.

Breastfeeding promotion: maternal empowerment interventions during the pregnancy-parturition cycle

2025-03-05T14:07:23-03:00

Objective: to identify the interventions conducted by midwives during the pregnancy-puerperium cycle, aimed at training women to practice breastfeeding. Method: Scoping review according to the Joanna Briggs Institute model, covering studies published on the EBSCOhost, B. On, Web of Science and Scopus platforms. Results: Six categories of interventions were identified from the inclusion and analysis of twelve studies: 1) prenatal education; 2) tailored postnatal care; 3) fostering maternal self-efficacy; 4) interventions in the maternity unit and during childbirth; 5) social support and family participation; and 6) complementary and alternative therapies. Conclusions: Comprehensive educational programs from prenatal to postpartum, group sessions, phone follow-up, home visits, online support groups and family participation have proven to be effective strategies in empowering mothers to breastfeed. Breastfeeding promotion is a vital responsibility of midwives. To ensure their interventions are effective, ongoing education and compliance with public health policies are necessary.

Mapping of Disclosure Practices in Hospital Settings: Scoping Review

2024-09-10T16:23:19-03:00

Objective: to map the disclosure practices of adverse events to hospitalized patients and their companions, related to patient safety, in hospital settings. Method: this is a qualitative research, of the scoping review type, developed based on the methodology applied by the Joanna Briggs Institute for scoping reviews. Results: a total of 3876 articles were identified in the cited databases, and 180 publications in the gray literature. After the exclusion of duplicate studies, validation of inclusion criteria, and full-text reading, 25 scientific publications were selected for analysis. Final Considerations: from the scoping review, various strategies for executing the practice of disclosure were observed, among which the apology emerged as a way to reduce the impact of adverse events and demonstrate empathy, respect, and responsibility on the part of healthcare professionals.

Primary care actions in the health care of people with stomas: a scoping review / Ações da atenção primária no atendimento à saúde das pessoas com estomia: scoping review

2025-03-30T13:53:06-03:00

Objective: to map the actions taken by Primary Health Care professionals in assisting people with stomas in the literature. Method: This is a scoping review based on the methodology of The Joanna Briggs Institute (JBI) and the guidelines of the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). The search was carried out in five databases and two catalogs of theses and dissertations, as well as national guidelines and resolutions, with no time limit. Results: Of the 1,421 publications, 16 were selected for the final sample. The recurring findings in the studies were categorized into six main axes of analysis: care network, promotion of self-care, support network, multidisciplinary approach, continuing education, and knowledge of complications. Conclusion: although the production of knowledge in Primary Health Care involving stoma care has been limited, it was possible to map out the main actions for the care of people with stomas.

Events supposedly attributable to vaccination or immunization against Covid-19 in Brazil – scoping review

2024-08-12T08:18:57-03:00

Objective: to identify in the scientific literature the types of events supposedly attributable and their factors associated with and related to vaccination against Covid-19 in adults and elderly people in Brazil. Method: scoping review, carried out from June to August 2023; Primary studies were selected, available in full, published from January 2021 to August 2023, in Portuguese, English or Spanish, in the following databases: Embase, Pubmed, Scopus and VHL. Results: 14 articles made up the final sample; It was demonstrated that the occurrence of events supposedly attributable to vaccination or immunization is frequent, mostly non-serious adverse events, however, serious adverse events have also been reported, such as thrombosis of the central nervous system, convulsions, dyspnea, facial paralysis and deaths. Conclusions: The predominance of cases reported in the studies were related to the Oxford-AstraZeneca vaccine and occurred mainly in women, aged 30 to 50 years.

Educational health technologies for the self-care of children and adolescents with cancer: scoping review /Tecnologias educacionais em saúde para autocuidado de crianças e adolescentes com câncer: revisão de escopo

2025-10-15T16:37:24-03:00

Objective: To map educational health technologies aimed at the self-care of children and adolescents with cancer.

Methodology: A scoping review was conducted according to the Joanna Briggs Institute, developed in 2024. Studies targeting individuals aged two to eighteen years and focusing on educational health technologies for self-care in managing disease- and therapy-related symptoms were included. Searches were carried out in seven information sources. EndNote Web and Rayyan software were used for duplicate removal and study selection. Data were synthesized in tables for descriptive analysis. Results: The final sample included 24 international articles. A variety of digital technologies were identified, including applications, websites, social networks, games, music therapy, videos, and humanoid robots. Other resources included drawings and storytelling, symbolic games, cards, and mixed educational technologies combining digital and physical materials. The tools identified facilitate the dissemination of information about the disease and its treatment while promoting autonomy, empowerment, and quality of life among patients.

Conclusion: Educational technologies serve as effective tools for promoting health and maintaining the quality of life of children and adolescents with cancer; therefore, their application in nursing practice is essential.

Leprosy: health education with children and adolescents – systematic review / Hanseníase: educação em saúde com crianças e adolescentes – revisão sistemática

2024-10-28T18:49:08-03:00

Objective: to identify how health education about leprosy is being worked on with school children and adolescents. Method: systematic review, carried out from November 2022 to January 2023, in the main health databases; using the Rayyan software for classification; Agency for Healthcare Research and Quality (AHRQ) for the level of evidence; Cochrane RoB tool for risk of bias, GRADE method for quality of evidence and Critical Appraisal Skills Program (CASP) to analyze the methodological rigor of the research; then, the information was synthesized according to the Bardin technique. Results: four articles, published between 1991 and 2015, with level of evidence four and category A of methodological rigor. Conclusion: educational interventions can provide both positive and negative points, which are aggregated to the way they are approached, requiring a planned, organized and adequate approach to build students' critical and reflective thinking about diseases.

Melatonin as a treatment for patients with metabolic syndrome

2025-06-30T14:22:09-03:00

Objective: the study aimed to evaluate the use of melatonin as a treatment for patients with Metabolic Syndrome. Method: a systematic literature review was conducted, searching four databases for studies published from 2014 to 2024, following the PICO strategy and PRISMA statement recommendations. Randomized clinical trials were included, without language restrictions, evaluating melatonin intervention in patients with Metabolic Syndrome. Results: initially, 132 records were identified. After methodological evaluation, 3 articles were included in the review. The included studies addressed melatonin supplementation in patients with Metabolic Syndrome, showing promising results regarding oxidative stress markers and metabolic components. Some studies had limitations in the "Power," "External Validity," and "Reporting" domains of Downs and Black. Conclusion: melatonin demonstrated therapeutic potential in the treatment of Metabolic Syndrome with antioxidant effects and action on metabolic parameters.

The breastfeeding education practices for breast milk offering

2025-03-08T08:22:26-03:00

Objective: To analyze in the scientific literature the guidelines and ways of offering milk to the newborn that are addressed in educational practices on breastfeeding. Methods: systematic review carried out in the LILACS, BDENF, MedLine, SciELO, EMBASE and CAPES theses and dissertations databases. Data was collected in September 2021 and updated in July 2024. Results: the most frequent guidelines were the benefits of breast milk, latch-on and position, milking and returning to work, and only one study presented the cup technique for offering milk. Conclusion: information about ways to offer milk is not yet present in educational actions, making it essential to invest in professional training so that we have information that meets women's desires, promoting and protecting breastfeeding through the safe supply of milk, in situations necessary, which do not contribute to early weaning

Sterile diet for larvae of Chrysomya megacephala (Fabricius, 1794)

2023-06-29T19:21:30-03:00

Objective: To develop an agar-based diet that allows the larvae to feed for up to 48 hours. Method: Bovine lung homogenate was added to the agar base to meet the nutritional needs of insects, as a control group blood agar was used. The viability and growth of immature larvae of Chrysomya megacephala were evaluated after 48 hours on sterilized or non-sterilized bovine lung/homogenized agar diets at three different protein concentrations: 5%, 10% and 15%. Results: Larval viability at different concentrations of artificial bovine lung/homogenized agar diet was considered high. The tested diets had enough nutrients for the larvae to grow from 0.334 to 0.533 cm in 48 hours. Conclusion: Blood agar can be replaced by the alternative bovine lung/homogenized agar diet, as it is easier to produce, more economical, practical and nutritious for C. megacephala larvae.

Bibliometric analysis of scientific production on blood transfusion in the elderly in light of Bradford's and Lotka's laws / Análise bibliométrica da produção científica sobre transfusão sanguínea em idosos à luz das leis de Bradford e Lotka

2025-01-10T20:01:48-03:00

Objective: to analyze the scientific production on blood transfusion in the elderly using Bradford's and Lotka's Laws as bibliometric tools. Methodology: 55 articles published between 2020 and 2024 were included, retrieved from the Web of Science database. Bradford's analysis identified the most relevant journals on the topic, while Lotka's revealed inequality in author productivity, with a few authors responsible for the majority of publications. Results: the results highlighted that journals such as Transfusion and BMC Musculoskeletal Disorders concentrate a large portion of publications, while international collaboration and the use of specific keywords contributed to identifying research networks. An annual growth rate of 9.91% in scientific production was also observed. Final Considerations: although there have been significant advances in the literature, important gaps remain, mainly in the application of educational strategies aimed at transfusion safety in the elderly. This study provides a foundation for the development of more effective and equitable practices.

Aspects and consequences of inadequate prenatal care in primary care: bibliometric study.

2024-08-12T07:22:35-03:00

Objective: to analyze through the frequency of words correlated with the title and abstracts of scientific productions on the main causes of inadequate care provided to pregnant women in prenatal care, according to Zipf's Law (frequency of words). Methods: this is a bibliometric study, which allows us to understand the patterns of scientific productivity over the years. Searches were carried out in the BVS, Lilacs and Bdenf databases, using the following descriptors from DeCS: prenatal care, primary health care and nursing care. The Boolean operator AND was associated with the descriptors. Results: after the bibliometric survey, 9 articles were identified that addressed the subject under study. These articles were published in 8 different journals. Conclusion: Based on the results presented, it appears that among the 9 articles that were recruited for the sample of this study, - from 2017 to 2024, studies with approaches that are inherently related to the main causes of inadequate prenatal care in primary care and its consequences prevailed.

DESCRIPTORS: Prenatal care; Primary health care; Obstetric nursing; Bibliometrics.

Perspectivas globais da Enfermagem para os desafios do milênio: compromissos e caminhos até 2030

2025-11-18T06:38:35-03:00

O IV Congresso Internacional da Escola de Enfermagem Alfredo Pinto (EEAP/UNIRIO), realizado entre 24 e 26 de setembro de 2025, reuniu pesquisadores, docentes, estudantes e autoridades de diversos países para discutir o papel da Enfermagem diante dos desafios globais do milênio. Com o tema “Perspectivas globais da Enfermagem para os desafios do milênio”, o evento integrou debates sobre desigualdades, sustentabilidade, ética, literacia em saúde e práticas baseadas em evidências, alinhando-se às metas da Agenda 2030. Celebrando os 135 anos da primeira Escola de Enfermagem do Brasil, o encontro destacou a relevância histórica da EEAP e seu compromisso com o cuidado, a ciência e a transformação social. As atividades fortaleceram redes internacionais, promoveram diálogos interprofissionais e ampliaram o acesso ao conhecimento por meio de acervos digitais, reafirmando o protagonismo da Enfermagem na construção de um futuro mais equitativo e humano.

Physical activity for cardiovascular health of adults and elderly people: literature review

2025-01-08T11:38:24-03:00

Objective: to identify the contributions of physical activity to the cardiovascular health of adults and elderly individuals. Method: to conduct a narrative review study, searching the databases of Latin American and Caribbean Literature in Health Sciences; the Database of Nursing and Medical Literature and Retrivial System Online, through the Virtual Health Library. A discursive textual analysis was performed. Results: a central category was generated, which was divided into three categories of analysis: Physical activity for cardiovascular protection; Physical activity to reduce systemic blood pressure; Physical activity to control cholesterol, blood glucose and diabetes mellitus. Conclusion: individuals aged 20 to 59 years should practice at least 150 minutes of moderate or vigorous physical activity per week; elderly individuals should practice at least 20 minutes of moderate to vigorous physical activity per day, if indicated and according to the physical condition of each individual.