Universidade de São Paulo. Escola de Enfermagem
Vulnerability situations of adolescents and young people from rural areas undergoing cancer treatment
Objective: To understand the vulnerability situations of adolescents and young people from rural areas undergoing cancer treatment Method: Qualitative research, mediated by the health vulnerability framework, developed in an oncology service in southern Brazil with adolescents and young people from rural areas undergoing cancer treatment, through semi-structured, audio-recorded interviews, from April 2021 to September 2022, taking place in five phases, with data analysis carried out in light of Reflexive Inductive Thematic Analysis. Results: Eleven adolescents and four young people participated in the study, the majority of whom were male, single, with a family income of up to three minimum wages and a diagnosis of Acute Lymphoblastic Leukemia. The vulnerable situations of adolescents and young people in rural areas undergoing cancer treatment involve challenges such as the emotional impact of the diagnosis, loss of contact with friends, side effects of chemotherapy, dietary restrictions, access, and travel to undergo treatment. Conclusion: Adolescents and young people undergoing cancer treatment face situations of vulnerability related to the disease, limited access to adequate health care, and social and emotional difficulties.
Copyright (c) 2025 Fernanda Duarte Siqueira, Graciela Dutra Sehnem, Nara Marilene Oliveira Girardon-Perlini, Aline Cammarano Ribeiro, Cíntia Beatriz Goi, Camila Lovato de Figueiredo, Eliane Tatsch Neves https://creativecommons.org/licenses/by/4.0
Panofskyan iconological reading of images representing nursing in Brazilian philately
Objective: To analyze the images of Brazilian postal documents depicting nursing. Method: Historical research with a time frame between 1843 and 2022. The data was collected using the visual observation technique, from the iconographic collection of the Post Office Museum and philatelic catalogs. The postal drawings were analyzed using Erwin Panofsky's Iconological Method. Results: 62 postal documents alluding to nursing were identified. The graphic art was made up of elements of the profession's symbolism, personalities, social organizations, professional categories, care actions, health institutions, nursing professional associations, scientific events and nursing schools. There was an absence of academic themes, pioneering nurses and nursing journals. Conclusion: Since 1934, nursing has been represented in Brazilian philately, regardless of the political context. The representations show public recognition by the Brazilian state of the social importance of the profession and of nursing professionals in human health care. The study innovated nursing research in Brazil by using the postage stamp as a source of data and the Panofskyan methodology for reading images of the profession.
Copyright (c) 2026 Anesilda Alves de Almeida Ribeiro, Genival Fernandes de Freitas https://creativecommons.org/licenses/by/4.0
Network of depression and anxiety symptoms in Chinese middle-aged and older people and its relationship with family health
Objective: To examine the network structure of depression and anxiety symptoms and their association with Family Health among middle-aged and older people in China. Method: This was a quantitative cross-sectional study, a total of 3,365 middle-aged and older people over 45 years were recruited, comprising 1,748 males and 1,617 females. Data were collected by using Patient Health Questionnaire-9, the Generalized Anxiety Disorder-7, and the Short Form of the Family Health Scale. Results: The network structure of anxiety and depression symptoms was stable, and “Fatigue” and “Restlessness” were central symptoms and bridge symptoms. “Family, social or emotional health process” and “Family Healthy Lifestyle” exhibited a significant positive correlation, whereas “Family health resources” and “Suicide” demonstrated a significant negative correlation. Conclusion: “Fatigue” and “Restlessness” are the targeted symptoms for preventing comorbid depression and anxiety symptoms among middle-aged and older adults, and the enhancement of “Family health resources” could be crucial for averting the onset of depression and anxiety symptoms within this demographic group.
Copyright (c) 2025 Shilin Ma, Doudou Huang, Shuangdui Ji, Guangli Mi, Donglian Zheng https://creativecommons.org/licenses/by/4.0
Performance of flipped classroom teaching method during hemodialysis training of nurses
Objective: To compare the effectiveness of flipped classroom (FC) model with traditional lecture-based learning (LBL) model in the education of hemodialysis nurses. Method: Enrolled were 46 nurses who had received training from the hemodialysis center. These nurses were randomly assigned to FC or LBL groups, with 23 nurses in each group. FC group received the FC method, while LBL group was trained via the traditional LBL. After training, all nurses were examined for their theoretical knowledge, clinical practice skills and self-learning abilities. Furthermore, their satisfaction with the teaching mode was evaluated. Results: FC group outperformed LBL group in the mastery of theoretical knowledge. In FC group, the scores in objective, subjective and overall questions were significantly higher than those in LBL group. FC group demonstrated a superior capability in clinical practices. FC group exhibited a superior performance over the LBL group in self-learning ability. Additionally, FC group showed a higher degree of satisfaction with the training method. Conclusion: FC method benefits nurses in mastering knowledge about hemodialysis. It enhances their clinical practice skills and self-learning capabilities, and brings them with a higher degree of satisfaction.
Copyright (c) 2025 Zihua Lu, Jiangtao Zhu, Cheng Chen https://creativecommons.org/licenses/by/4.0
Social inclusion of families of children with Zika syndrome in light of Betty Neuman
Objective: To identify the stressors and reactions related to the knowledge and experiences of families of children with congenital Zika virus syndrome on social inclusion in light of Betty Neuman. Method: Qualitative research, carried out in a hospital institution with nine mothers of children with Congenital Zika Syndrome. The data were collected between November and December 2020, from semi-structured interviews, and analyzed with the help of the IRAMUTEQ software and the manifest content analysis framework. Results: The analyses revealed three categories: Activities outside the home, highlighting the daily challenges faced outside the home, such as the lack of support in the educational system; Difficulties in adaptation, which highlighted physical and social barriers, such as the inadequacy of public spaces and the lack of social empathy; Knowledge about rights and inclusion, showing the lack of knowledge and uncertainty of families about their rights and social inclusion. Final considerations: The experiences and knowledge revealed the need for social interaction, adaptation, facing prejudice, seeking validity of rights and leading role in the context of social inclusion of these families.
Maria Wanderléya de Lavor Coriolano-Marinus
Copyright (c) 2025 Laís Helena de Souza Soares Lima, Maria Wanderléya de Lavor Coriolano-Marinus, Monique de Freitas Gonçalves Lima, Eliane Maria Ribeiro de Vasconcelos, Cleide Maria Pontes, Francisca Márcia Pereira Linhares https://creativecommons.org/licenses/by/4.0
Factors associated with long Covid in nursing professionals
Objective: To analyze the association between sociodemographic variables, lifestyle and mental health habits, and long Covid in nursing professionals. Method: Quantitative, observational, cross-sectional and analytical study, with 109 nursing professionals who had Covid-19 between 2020 and 2022. Data collection was carried out using an online form, with the following variables of interest: resilience, subjective well-being, age, sex, professional category, vaccination, physical activity, presence of symptoms resulting from Covid-19 infection after the acute phase of the disease and long Covid. Data were analyzed descriptively and inferentially using Poisson regression with robust variance and a significance level of 5%. Results: Male sex, high resilience, and high positive affect decrease the prevalence of long Covid by 71% (RP = 0.29), 40% (RP = 0.60) and 43% (RP = 0.57), respectively, while being in the nursing technician category increases its prevalence by 74% (RP = 1.74). Conclusion: The results emphasize the importance and support the development of promotion, prevention, treatment, and rehabilitation actions for individuals with long Covid. To achieve this, multidisciplinary care, centered on the person and directed at the context and work environment is required.
Copyright (c) 2025 Dayane de Souza Soares Vasconcelos, Daniele Alcalá Pompeo, Mayara Caroline Ribeiro Antonio-Viegas, Adriana Inocenti Miasso, Guilherme Oliveira de Arruda, Elen Ferraz Teston, Erlandson Ferreira Saraiva, Bianca Cristina Ciccone Giacon-Arruda https://creativecommons.org/licenses/by/4.0
Experiences of nursing students affected by covid-19 during face to face education: qualitative research
Objective: This study was conducted to determine the experiences of nursing students who received face-to-face education during the COVID-19 pandemic and contracted COVID-19. Method: A phenomenological qualitative study was used to understand the students’ experiences, and the study was completed with 11 students who volunteered. Semi-structured online interviews were conducted using an interview guide, and the interviews were recorded. Thematic analysis was employed to generate themes. MAXQDA 2022 software was used for the analysis of the research. Results: As a result of the research, 3 themes; themes are as follows: “COVID-19 disease process” with the sub-themes “emotions” and “gains”; “Educational process” with the sub-themes “technological problems”, financial constraints”, and “legal issues”; “nursing profession and values” with the sub-themes “importance of nursing”, “intense and challenging working environment”. Conclusion: According to the experiences of students who contracted Covid-19 disease during face-to-face education during the Covid-19 epidemic, it was concluded that nursing students should be provided with the necessary technological support, the legal regulations of universities should be revised, and psychosocial support should be provided to students.
Copyright (c) 2025 Hilal Dünmez, Gülnur Akkaya https://creativecommons.org/licenses/by/4.0
Maternal near miss in a teaching hospital in the Brazilian Midwest: contributions to care
Objective: To analyze cases of maternal near miss in a teaching hospital. Method: This is a cross-sectional study with a quantitative approach. The research was performed in a teaching hospital, in Mato Grosso do Sul, from June to December 2021. Data were collected from physical and electronic medical records, laboratory tests, and prenatal records, using a structured instrument. They were subsequently subjected to descriptive and inferential analysis in Epi Info 7.2.2.6. Results: Fifty-nine medical records were analyzed, 49 presenting potentially life-threatening condition and ten maternal near misses. Coming from inland cities of the state, gestational risk classification, bleeding and management disorders showed a significant association with maternal near miss. Conclusion: It becomes necessary to plan tracking actions, such as the implementation of a flow for identifying women with potentially life-threatening conditions, and the implementation of specific protocols with preventive key interventions and notification of maternal near miss, with a view to improving care and consequently reducing the risk of serious maternal outcomes.
Copyright (c) 2025 Aline Amorim da Silveira, Ana Paula de Assis Sales, Andreia Insabralde de Queiroz Cardoso, Elen Ferraz Teston, Adriane Pires Batiston, Renata Marien Knupp Medeiros https://creativecommons.org/licenses/by/4.0
The school environment in the experience of children with special health needs: a qualitative study
Objective: To understand the experience of children with special health needs at school. Method: Qualitative research using Symbolic Interactionism as a theoretical framework and assumptions of Grounded Theory as a methodological framework. Data collected in a pediatric outpatient clinic of a teaching hospital in an inland city of the state of São Paulo. The following collection strategies were used: participant observation, drawing, and semi-structured interviews. Twenty-two school-age children with special health needs participated in the research, all of whom attended school. Results: Three categories were constructed representing the experience of children with special health needs at school: Experiencing the school environment, Identifying obstacles, and Finding ways to move forward despite the illness. These children’s experiences at school allowed us to understand their difficulties, their need for adaptation and their actions in the face of the process related to their development. Conclusion: The need for acceptance, safety, and trust in the school environment and in the people who make it up was identified, which are fundamental factors for the children to be able to continue their development and learning, despite the illness.
Copyright (c) 2025 Álida Maria de Oliveira Andreato, Eliane Tatsch Neves, Maiara Rodrigues dos Santos, Maria Angélica Marcheti, Maira Deguer Misko https://creativecommons.org/licenses/by/4.0
Prenatal tests in Brazil: prevalence and associated factors according to the Brazilian National Health Survey
Objective: To analyze the prevalence of prenatal tests of pregnant women and factors associated with variation in this prevalence in the years of the Brazilian National Health Survey 2013 and 2019. Method: A cross-sectional study, carried out with women who underwent prenatal care, interviewed in the Brazilian National Health Survey 2013 (n = 1,851) and 2019 (n = 2,729). Results: The most prevalent tests were urine and blood, and the least prevalent were syphilis and HIV. During the period, the number of tests for syphilis (15.2; 95% CI: 11.0; 22.0) and HIV (4.3; 95% CI: 4.3; 8.0) increased, but the number of tests for the others decreased. The prevalence of tests for the four tests increased and reached 69.9% (95% CI: 67.0; 72.8) in 2019 compared to 60% (95% CI: 56.1; 63.9) in 2013. Conclusion: There was a greater number of prenatal tests performed, specifically for syphilis and HIV, rather than a reduction in the number of blood and urine tests. Despite the increase in access to all tests for the most vulnerable groups and locations in the country, prevalence in these groups is still low.
Bruno Luciano Carneiro Alves de Oliveira
Copyright (c) 2025 Francisca Maria da Silva Freitas, Rita Da Graça Carvalhal Frazão Correia, Camila Biazus-Dalcin, Herla Maria Furtado Jorge, Priscila de Souza Aquino, Bruno Luciano Carneiro Alves de Oliveira https://creativecommons.org/licenses/by/4.0
Self-care conditioning factors in women and men with urinary incontinence and Human T-Lymphotropic Virus Type 1
Objective: To analyze self-care conditioning factors in women and men with urinary incontinence symptoms living with the Human T-Lymphotropic Virus Type 1. Method: Qualitative study, based on the pragmatic phase of Praxis Model for Technology Development. Twelve women and five adult men living with Human T-Lymphotropic Virus Type 1, residing in Bahia, Brazil, participated in the study. A structured instrument and focus group were applied to collect data. The empirical material was subjected to Thematic Content Analysis, using the software WebQDA and the Self-Care/Self-Care Deficit Theory was used. Results: Facilitating conditioning factors were used by women and men as strategies for performing self-care, and hindering conditioning factors prevented or disturbed, but opened paths to direct the nurse's performance to address self-care deficits. Conclusion: Self-care requirements were impacted by the hindering conditioning factors; the facilitating ones allowed self-care, providing technology in nursing/health.
Copyright (c) 2025 Rayssa Fagundes Batista Paranhos, Juliana Bezerra do Amaral Amaral, Rose Ana Rios David, Anderson Reis de Sousa, Oscar Javier Vergara Escobar, Tatiane Assone dos Santos, Jeferson Moreira dos Santos, Rafael Costa Fernandes https://creativecommons.org/licenses/by/4.0
Ear acupuncture with laser and needles in the treatment of anxiety in university students: a randomized clinical trial
Objective: To compare the effectiveness of ear acupuncture with laser and needles in the treatment of anxiety in university students in the post-pandemic context of Covid-19, as well as to evaluate the possible symptoms or adverse reactions triggered by the interventions. Method: Randomized clinical trial carried out with 126 university students, allocated to the “Needle” (control) and “Laser” (experimental) groups. Five ear acupuncture sessions were performed. Assessments were performed before, after the end of treatment and seven days later (follow up), through the State Anxiety Inventory and the measurement of heart and respiratory rates. The Generalized Estimating Equations were used. Results: There was a reduction in anxiety levels in both groups, between the initial and final assessments, and initial and follow up. There was no difference between the groups in the final and follow up. Heart rate decreased in the Needle group between the final and follow up, and initial and follow up assessments; the Laser group remained constant over time and the groups did not differ from each other between the end and follow up. There was no change over time in respiratory rate in either group and they did not differ from each other in the final and follow up assessments. There was a higher occurrence of adverse reactions in the group that received the intervention with needles, despite the mild intensity. Conclusion: Both interventions were effective in reducing anxiety levels in university students. Brazilian Clinical Trials Registry RBR-8cxnvr2.
Copyright (c) 2025 Ana Paula da Silva Lemos, Bárbara Guimarães Lourenço, Érika de Cássia Lopes Chaves, Luana Vieira Toledo, Tânia Couto Machado Chianca Chianca, Caroline de Castro Moura https://creativecommons.org/licenses/by/4.0
Nursing team proxemic mapping in the hemotherapy space
Objective: To analyze the influence of proxemic factors on communication and care provided by nursing professionals during transfusion in hemotherapy. Method: A descriptive, exploratory and qualitative study with 25 nursing professionals from a hospital specializing in onco-hematological diseases in Rio de Janeiro, based on a systematized script, individual records of proxemic factors described by Edward Hall and recorded situational interviews. The analysis considered data thematic content and used the SketchUp 3D Modeling Software Review program to visually demonstrate the behavioral mapping of the interaction of nursing professionals with patients during care. Results: Intimate, personal, social and public distances translated into proxemic factors such as repeated movements of shoulders, neck and head, which positively influenced nursing care in hemotherapy, favoring the identification of non-verbal and verbal manifestations of the team in interaction with patients. Conclusion: Nonverbal proxemic communication must result from awareness of the layout of physical space, immediate care actions, pertinent and appropriate proximity, continuous visual surveillance and clear recognition of expressions translated as interest, respect and zeal.
Copyright (c) 2025 Francisco Gleidson de Azevedo Gonçalves, Silvia Teresa Carvalho de Araújo, Albert Lengruber de Azevedo, Priscila Brigolini Porfírio Ferreira, Danelia Gómez Torres, Fernanda de Nazaré Almeida Costa, Ariane da Silva Pires, Soraia do Socorro Furtado Bastos https://creativecommons.org/licenses/by/4.0
Advanced practice nursing in Brazil: bibliometric analysis of dissertations and theses
Objective: To analyze the scientific production on Advanced Practice Nursing based on dissertations and theses published in Brazil. Method: A bibliometric study, with a descriptive approach based on documents, carried out in the Coordination for the Improvement of Higher Education Personnel Theses and Dissertations Bank, Scientific Electronic Library Online, Virtual Health Library, Latin American and Caribbean Literature in Health Sciences and institutional repositories, from October to November 2023. Results: Of the 25 scientific productions identified, 16 are dissertations and nine are theses. Most were published in 2022 (40.0%), in the Southeast region (60.0%), especially at the Faculdade Israelita de Ciências da Saúde Albert Einstein, through a professional master’s program in nursing (20.0%). Family health was the most evident area of specialty in the sample (36.0%), and the prevalent level of complexity was Primary Health Care (76.0%). Conclusion: The scenario of scientific productions on the subject in the country has begun to advance in recent years, but is still incipient. The mapping of theses and dissertations on Advanced Practice Nursing points to the emerging need to meet the demands arising from the health sector at an international and national level.
Copyright (c) 2025 Ana Clara Dantas, Mércio Gabriel de Araújo, Jéssica Naiara de Medeiros Araújo, Ana Beatriz Marinho de Medeiros, Pedro Henrique Azevedo dos Santos, Bárbara Ebilizarda Coutinho Borges, Jéssica Dantas de Sá Tinôco, Héllyda de Souza Bezerra https://creativecommons.org/licenses/by/4.0
Hygienic-sanitary quality of donated human milk in terms of the donor profile and pumping site
Objective: To analyze the factors associated with the hygienic-sanitary quality of donated human milk in terms of the donor profile and pumping site. Method: Cross-sectional study with retrospective data collection of records of human milk samples donated to a Human Milk Bank in São Paulo, Brazil, from 2014 to 2019. Characteristics of human milk donors, pumping site, and hygienic-sanitary quality were analyzed based on the Standards of the Brazilian Human Milk Bank Network. Results: In the hygienic-sanitary assessment, a greater presence of contamination, high acidity, and microbiological alteration were found when human milk was pumped at home and when it was donated mature. The human milk from non-exclusive donors, especially those > 30 years old, presented greater microbiological contamination and higher acidity when compared to that from exclusive donors (p < 0.05). Conclusion: Hygienic-sanitary quality impairment of donated human milk occurred when the collection was performed at home, especially among non-exclusive donors. Effective guidance and indirect supervision of donors who perform home pumping can contribute to better use of donated human milk.
Copyright (c) 2025 Ana Carolina de Prima Souza, Ana Carolina Lavio Rocha, Lucíola Sant’Anna de Castro, Bárbara Tideman Sartorio Camargo, Rosana Rodrigues Figueira Fogliano, Miriam Harumi Tsunemi, Kelly Pereira Coca https://creativecommons.org/licenses/by/4.0
Effect of both the 9S management theory and the hierarchical management model on management of intensive care unit
Objective: To explore the effect of the 9S management theory plus hierarchical management model on the management of intensive care unit (ICU). Method: Ninety patients hospitalized in ICU from January 2021 to January 2023 were selected and divided into a control group (n = 45) and a study group (n = 45) according to different ward management methods. The management lasted for one month. The ward management quality score, nursing quality score, level of comfort, severity of disease, and incidence of adverse events were compared between the two groups. Results: The study group had higher ward management quality scores of all items than those of the control group after management (P < 0.05). In the study group, the nursing quality scores of all items and General Comfort Questionnaire cores were higher, while the acute physiology and chronic health evaluation II scores were lower than those in the control group after management (P < 0.05). The incidence rate of adverse reactions during management in the study group was not significantly different from that of the control group (P > 0.05). Conclusion: Both the 9S management theory and hierarchical management model can effectively improve the ward management quality and nursing quality in ICU management.
Copyright (c) 2025 Mengmeng Pan, Xiaoying Zeng, Huirong Liu, Xiaomin Zheng https://creativecommons.org/licenses/by/4.0
Examining the relationship between adolescents' social media addiction levels and cyberbullying experiences
Objective: The present study examines the relationship between social media addiction and cyberbullying among adolescents. Method: This descriptive study was conducted with the participation of 1,058 adolescents aged 14 to 17, between September 1, 2018, and January 1, 2019, in the Central Anatolian region of Türkiye. Data were collected using the Adolescent Data Collection Form, the Revised Cyber Bullying Inventory II, and the Social Media Disorder Scale for Adolescents – Short Form. Data were evaluated with a Pearson’s Chi-square Test, Spearman’s Correlation, and Logistic Regression analysis. Results: Of the adolescents in the study group, 23.3% were addicted to social media. Female sex and spending more time on social media increased the risk of the development of a social media addiction. Spending more time on social media increased the risk of becoming a victim of cyberbullying and cyber victimization. A strong and positive relationship was identified between social media addiction among adolescents on the one hand, and cyberbullying and victimization on the other. Conclusion: The more time spent on social media, the greater the risk of development of social media addiction, cyberbullying, and victimization.
Copyright (c) 2025 Sibel Kucuk, Dilek Uludasdemir, Seher Ari Unal https://creativecommons.org/licenses/by/4.0
Adolescents and parents experiencing parental cancer: construction of a nursing intervention model
Objective: To develop a nursing intervention model for adolescents and parents experiencing parental cancer. Method: Multimethod research, which integrated five studies: a scoping review and four qualitative studies. Considering the results of these studies, a nursing intervention model was constructed based on two theoretical frameworks, such as the A Model of Children’s Adjustment to Parental Cancer, for adolescents, and Neuman Systems Model, for parents, and on a semantic framework, such as Nursing Ontology. Results: The model is aimed at three target audiences: individual – parental figure with cancer; individual – adolescent; and family – parental figure with cancer, second parental figure and adolescent. The model is based on health literacy and includes four topics that address central topics in the experience of parental cancer: “The elephant in the room”; “Everything changes in us”; “Life goes on”; and “With the present, we plan the future”. Conclusion: The proposed model is assumed as a health promotion strategy that empowers nurses for a family-centered intervention, in order to minimize the impact of parental cancer.
Paula Cristina Moreira Mesquita de Sousa
Maria Margarida da Silva Reis dos Santos Ferreira
Copyright (c) 2025 Ana Filipa Domingues Sousa, Paula Cristina Moreira Mesquita de Sousa, Maria Margarida da Silva Reis dos Santos Ferreira, Maria de Lurdes Lopes de Freitas Lomba https://creativecommons.org/licenses/by/4.0
Terminological subset of ICNP® for people with chronic kidney disease on hemodialysis
Objectives: To construct and validate a terminological subset of the International Classification of Nursing Practice (ICNP®) for people with chronic kidney disease on hemodialysis. Method: Methodological study developed in accordance with the recommendations of the International Council of Nurses (ICN) and the Brazilian method, in the following stages: construction of ND/NO and NI statements of the ICNP® for nursing practice for people with chronic kidney disease on hemodialysis, based on previously constructed specialized terminology and in accordance with Wanda Horta’s Basic Human Needs Theory; and content validation of the statements by focus groups with specialist nurses. The Content Validity Index was used and statements ≥ 0.80 were validated. Results: 82 diagnoses, 130 outcomes and 556 nursing interventions were constructed. After validation, most of the diagnoses (74.5%), outcomes (72.9%) and nursing interventions (65.8%) were classified under psychobiological needs. Conclusion: A subset with a predominance of statements related to psychobiological needs was constructed and validated, standing out for being the first directed at the care of people with chronic kidney conditions undergoing hemodialysis treatment.
Copyright (c) 2024 Juliana Otaciana dos Santos, Sílvia Maria de Sá Basílio Lins, Richardson Augusto Rosendo da Silva, Harlon França de Menezes, Halene Cristina Dias de Armada e Silva, Joyce Martins Arimatea Branco Tavares https://creativecommons.org/licenses/by/4.0
Dimensions of nursing-midwifery care during the COVID-19 pandemic in light of Jean Watson
Objective: To understand the theoretical dimensions of nursing-midwifery care for women in labor during the COVID-19 pandemic. Method: A qualitative study with 40 nurse-midwives. Data were collected from May to July 2021, through interviews, subjected to thematic content analysis and discussed in light of Jean Watson’s Theory of Transpersonal Human Caring. Results: The creative dimension encompassed the sixth, eighth and ninth elements of the process, manifesting itself in adaptations implemented in care. The humanistic and cultural dimensions were formed from the first, second, fourth and fifth elements, expressed in the way nurse-midwives care for, which subsidized the educational dimension, which encompassed the tenth element, as well as the spiritual dimension, elucidating the third element. Conclusion: The care provided by nurse-midwives to women in labor presented dimensions that permeated the ten elements of the Clinical Caritas process, enabling transpersonality in care in the face of COVID-19 control measures that, almost always, led to procedural, prescriptive and impersonal care.
Copyright (c) 2024 Juliana Amaral Prata, Jane Márcia Progianti, Camilla Ribeiro Freitas da Silva, Aline Caramez Costa, Luciane Marques de Araujo, Adriana Lenho de Figueiredo Pereira https://creativecommons.org/licenses/by/4.0
Nursing mothers’ social representations regarding sexualities in the breastfeeding context: a correspondence factor analysis
Objective: To analyze nursing mothers’ social representations of sexuality in the breastfeeding context and their repercussions in sexual and reproductive health. Method: An exploratory study grounded on the Theory of Social Representations and conducted in a Human Milk Bank from northern Brazil with 110 nursing mothers, following the Free Word Association Technique. Data were analyzed by means of Correspondence Factor Analysis in the software Tri- Deux-Mots 5.1. Results: Sexual intercourse was the significant expression of sexualities, reflected in the representation of this phenomenon in breastfeeding, anchored in cultural gender relations; meanwhile, the search for sexual desire and pleasure connected to the ideal of romantic love arises. The bodily and daily changes inherent to this period take on an unfavorable connotation and become naturalized over time, negatively influencing nursing mothers’ sexual and reproductive health. Conclusion: Understanding sexuality/sexualities in the breastfeeding context can support Nursing and Health care models in line with the social experiences and thoughts of the different groups of nursing mothers.
Copyright (c) 2024 Ana Beatriz Azevedo Queiroz, Edilene Macedo Cordeiro Figueiredo, Ana Luiza de Oliveira Carvalho, Juliana da Fonsêca Bezerra, Elen Petean Parmejiani, Maria Sagrario Gómez Cantarino, Maria Ludmila Kawane de Sousa Soares, Aline Furtado da Rosa https://creativecommons.org/licenses/by/4.0
Associations between health anxiety, eHealth literacy and self-reported health: A cross-sectional study
Objective To explore the associations and gender differences between health anxiety, eHealth literacy and self-reported health in Chinese university students. Methods 1,205 university students aged 18–22 years were voluntarily recruited to respond to an online self-report questionnaire. Results The severity level of health anxiety among university students was ranked as lifestyle anxiety, psychological anxiety, appearance anxiety, physical anxiety. There were significant gender differences in appearance anxiety, and yet no in eHealth literacy of university students. eHealth literacy was positively associated with self-reported health; health anxiety was negatively associated with self-reported health. Female’s eHealth literacy, lifestyle, psychological and physical anxiety, and male’s eHealth literacy, appearance anxiety significantly impacted on their self-reported health. Conclusion The lower eHealth literacy or the more health anxiety, the worse their self-reported health. The findings underscored the importance for university students to improve eHealth literacy and reduce health anxiety. Appropriate interventions with gender differences were urgently needed.
Copyright (c) 2024 Jie Chen, Hua Tian https://creativecommons.org/licenses/by/4.0
Knowledge of nursing teachers about health promotion for the LGBTQIA+ population
Objective: To describe the knowledge of Nursing teachers about the LGBTQIA+ population’s health. Method: Qualitative, exploratory and descriptive research, whose data collection strategy was through a World Café. The study was carried out with nursing professors from a public higher education institution located in the northern region of Brazil. Data analysis was performed using the thematic or categorical approach. The software Atlas.ti® was used for coding and organization. Results: The development of the World Café involved the participation of 10 professors, from different curricular activities. The audios obtained during the World Café were thoroughly examined, and thematic categories were identified for the presentation of the results, namely: LGBTQIA+ Education, Training and Health; From Prejudice to Recognition of Rights; and Reflective Education in the Recognition and Deconstruction of Social Determinants. Conclusion: The analysis of the results indicates the importance of understanding discursive practices in the training process, considering prejudice and discrimination as social determinants that affect health promotion.
Copyright (c) 2024 Gesiany Miranda Farias, Jussara Gue Martini, Mara Ambrosina de Oliveira Vargas https://creativecommons.org/licenses/by/4.0
Variables related to perceived stress and resilience among international migrants: a multicenter study (AFFAIR Project)
Objective: To identify variables related to perceived stress and resilience of international migrants. Method: Multicenter, observational, cross-sectional study carried out with 403 migrants residing in Brazil, Spain, or Portugal. The following instruments were used to collect data: Perceived Stress Scale and Resilience Scale. Student's t-test and analysis of variance were applied in the analysis. Results: Perceived stress was related to: living in Brazil or Portugal; shorter stay in the host country; being black or brown; and having no religion. Greater resilience was related to: not being divorced; having less education and lower family income; being from developing countries; living in Spain; and having a religion. Conclusion: Aspects such as host and origin country, skin color, income, marital status, education, length of stay in the host country, and religion are related to the level of stress and/or resilience of migrants. Knowing this profile is useful for developing public integration policies and interventions that seek to reduce stress and improve resilience.
Florinda Laura Ferreira Rodrigues Galinha De Sá
Camila Aparecida Pinheiro Landim Almeida
Copyright (c) 2024 Mayckel da Silva Barreto, Maria do Céu Barbieri-Figueiredo, Francisca Maria Garcia-Padilla, Raquel Saenz Mendia, Renan Alves Silva, Florinda Laura Ferreira Rodrigues Galinha De Sá, Camila Aparecida Pinheiro Landim Almeida, Maria Joana Campos, Fernanda Lise, Sonia Silva Marcon https://creativecommons.org/licenses/by/4.0
Factors associated with nurses’ search for training in auriculotherapy: a national cross-sectional study
Objective: To analyze the sociodemographic profile and highlight factors associated with nurses’ search for training in auriculotherapy. Method: This is a cross-sectional study, with national scope, with 1,154 nurses. The data was collected digitally from June 2021 to January 2022 through a sociodemographic and training characterization questionnaire. Variables were assessed by descriptive and inferential statistics. Results: 301 participants reported having training in auriculotherapy, the majority being women (88.96%), between 40 and 46 years old (26.86%), white (73.67%), born (48.83%) and working (48.16%) in the South region. The majority of nurses who have training in auriculotherapy (63.12%) did not specialize in acupuncture. Conclusion: Nurses’ professional practice in auriculotherapy is carried out by professionals who have training in professional qualification courses, a fact that is supported by the regulations of public policy and the professional council. Age was a factor associated with the search for training in auriculotherapy, i.e., as nurses age, especially young adults, there is a greater tendency to seek this practice.
Copyright (c) 2024 Daniela Dallegrave, Daiana Cristina Wickert, Isabella Goulart Gonçalves, Maria Denise Schimith, Diéssica Roggia Piexak https://creativecommons.org/licenses/by/4.0
Association between chronic health conditions and severe acute respiratory syndrome in pregnant women: an exploratory study
Objective: To analyze the association between chronic health conditions and severe acute respiratory syndrome in pregnant women. Method: Retrospective, exploratory study conducted with 1,152 pregnant women from all 27 states of Brazil who sought hospital treatment and were diagnosed with severe acute respiratory syndrome between 2020 and 2022. Public data from the Influenza Epidemiological Surveillance Information System (SIVEP-Gripe) of the Brazilian Ministry of Health were used. Nonparametric tests were performed in data interpretation. Results: The mortality rate of pregnant women due to severe acute respiratory syndrome in Brazil was 7%. Severe acute respiratory syndrome was statistically associated with the previous presence of diabetes (p = 0.023), neurological disease (p = 0.001), and drug use (p = 0.001). The epidemiological investigation of respiratory syndrome cases took longer in Black pregnant women (p = 0.012), unvaccinated women (p < 0.001) and women living in the north and south of the country (p = 0.011). Conclusion: Severe acute respiratory syndrome was more common in pregnant women with diabetes, neurological disease and drug users. However, these conditions did not lead to an increase in the number of deaths.
Roberto Wagner Júnior Freire de Freitas
Copyright (c) 2024 José Cláudio Garcia Lira Neto, Márcio Flávio Moura de Araújo, Flavia Paula Magalhães Monteiro, Roberto Wagner Júnior Freire de Freitas, Carla Regina de Sousa Teixeira, Floriacy Stabnow Santos, Ana Cristina Pereira de Jesus Costa, Marcelino Santos Neto, Lívia Maia Pascoal https://creativecommons.org/licenses/by/4.0
Determination of menstrual hygiene management and genital hygiene behaviors of students: A university example from Turkey
Objective: This study aimed to evaluate the use of menstrual hygiene products and genital hygiene practices among female university students. Method: A cross-sectional study design was employed. Data were collected using the Descriptive Information Form and the Genital Hygiene Behaviors Scale (GHBS). The Independent Samples t-test, ANOVA, and Post-hoc Tukey tests were used for data analysis. Results: Significant associations were found between GHBS scores and variables such as year in school, marital status, perceived income status, attending a health-related department, willingness to receive training in menstruation and genital hygiene (p < 0.05). Conclusion: It is recommended that regular educational programs, inter-institutional collaborations, and awareness-raising activities be implemented to promote students’ reproductive health behaviors. Health policies should also aim to improve young people’s access to menstrual products.
Copyright (c) 2024 Güzin Kardeş, Aytül Hadımlı, Ayşenur Akan, Buket Akkurt, Birsen Karaca Saydam https://creativecommons.org/licenses/by/4.0
Level of knowledge of nurses and healthcare technicians regarding soft skills: An exploratory study
Objective: To assess the knowledge level of nurses and healthcare technicians regarding soft skills (SS) and to identify the most crucial SS. Method: This is a quantitative exploratory study with an analytical focus, encompassing 350 nurses and healthcare technicians in the Souss-Massa region. Results: Approximately half of participants (49.7%) exhibited some understanding of SS, with only 12.3% having received any training on the subject. According to participants, the top 10 SS are communication, teamwork, stress management, problem-solving, conflict management, honesty, decision-making, adaptability, lifelong learning, and confidence. Additionally, the prediction model indicates a significant association between SS knowledge and experience (p < 0.001), academic level (p < 0.001), and SS training (p < 0.001). Conclusion: Nurses and healthcare technicians possess knowledge of SS despite the absence of formal training. Identifying the most important SS in this field is, therefore, invaluable for integration into training programmes for both healthcare professionals and students. Furthermore, additional studies are recommended on SS development and assessment.
Copyright (c) 2024 Jaouad Elkhalladi, Amal Sefrioui, Mohamed El Fahssi, Maroine Tahiri https://creativecommons.org/licenses/by/4.0
A Freidsonian Analysis of The Professional trajectories of Public Health Nursing Specialists in Minas Gerais, Brazil, 1988–1992
Objective: To analyze the contributions of the Public Health Nursing Specialization Course (1988–1992) of Universidade Federal de Minas Gerais in improving the expertise and professional status of its graduates. Method: Historical and social study in the history of nursing and expertise. The sources included 20 registration forms, enrollment documentation of graduates, and three course documents collected in the Memory Center of Escola de Enfermagem da Universidade Federal de Minas Gerais, combined with Lattes/CNPq curricula and analyzed through Eliot Freidson's Sociology of Professions. Results: The specialists were selected through a strategy of construction of knowledge for socio-sanitary transformation. The specialization provided support for the professional career of graduates in administrative leadership, management, and visibility positions in public health; the group's profile was focused on academia, which creates its own knowledge. Conclusion: The specialization provided its graduates the opportunity to exercise professional autonomy, elevating the state of affairs and contributing to the professionalization of public health nursing.
Copyright (c) 2024 Isabella Lara Maia de Carvalho, Pacita Geovana Gama de Sousa Aperibense, Alice Gomes Frugoli, Maria Angélica de Almeida Peres, Sagrario Gómez-Cantarino, Fernanda Batista Oliveira Santos https://creativecommons.org/licenses/by/4.0
Prevalence of risk factors among adolescents who attempted suicide: a cross-sectional study
Objective: To analyze the prevalence of risk factors among adolescents treated at an emergency department due to suicide attempt. Method: A cross-sectional, documentary, and retrospective study, conducted through the analysis of medical records of adolescents treated at an emergency department in a Brazilian teaching hospital from January 2015 to May 2023. Risk factors were divided into behavioral, health, violence, conflict, and stress. Data were subjected to descriptive and inferential analysis. Results: A total of 140 adolescent medical records were analyzed. Family conflicts (47.8%), previous suicide attempt (47.1%) and self-harm (30.7%) were the most prevalent risk factors. Risk factors were associated with age, sex, race, education, previous mental disorder and use of psychotropic medication (p < 0.05). Conclusion: A high prevalence of risk factors for suicide attempt in adolescents was observed, which was associated with sociodemographic characteristics. It is expected that this study will promote reflections on the translation of Brazilian public policies into care, especially in health promotion, with interventions that aim to reduce risk factors and enhance protective factors.
Copyright (c) 2024 Danton Matheus de Souza, Carlos Alberto dos Santos Treichel, Lucca Garcia Moreira Ribeiro, Ana Paula Scoleze Ferrer, Lisabelle Mariano Rossato https://creativecommons.org/licenses/by/4.0