Universidade de São Paulo. Escola de Enfermagem
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
Effect of cognitive-behavioral program on quality of life in men with post-prostatectomy incontinence: a randomized trial
Objective: To explore the effects of a cognitive-behavioral program addressing urinary incontinence on the quality of life of men who have undergone radical prostatectomy. Method: Randomized controlled clinical trial with patients undergoing radical prostatectomy in an institution for cancer treatment in Brazil. The 34 participants were randomized into two groups: 17 in the control group who received the institution’s standard care and 17 in the intervention group who received the cognitive-behavioral program. Quality of life was assessed using the King’s Health Questionnaire and the International Consultation on Incontinence Questionnaire-Short Form. Results: Participants from intervention group showed better results regarding the reduction of the impact of urinary incontinence on quality of life (p ≤ 0.001), with emphasis on limitations in daily activities, general health perception, physical and social limitations, emotions, and sleep and mood. Conclusion: The cognitive-behavioral program was effective in reducing the impact of urinary incontinence on quality of life. This study contributes to clinical practice by providing an effective, low-cost, and easily applicable therapy. Brazilian Registry of Clinical Trials: RBR-3sstqg.
Lizete Malagoni de Almeida Cavalcante Oliveira
Copyright (c) 2024 Lívia Cristina de Resende Izidoro, Cissa Azevedo, Maria da Graça Pereira, Tania Couto Machado Chianca, Cristiane José Borges, Lizete Malagoni de Almeida Cavalcante Oliveira, Luciana Regina Ferreira da Mata https://creativecommons.org/licenses/by/4.0
Experiences of access and use of primary health care by users with systemic arterial hypertension
Objective: To identify and analyze users’ perceptions of access and use of health services and actions to monitor Systemic Arterial Hypertension (SAH) in Primary Health Care (PHC). Methods: This is a qualitative, descriptive and exploratory study based on 38 semi-structured interviews conducted with users selected from Basic Health Units (BHUs) in a large municipality in the state of Rio de Janeiro. Thematic content analysis was used to identify the empirical categories. Results: Users faced difficulties in scheduling appointments, accessing laboratory test results and medicines at the BHU. Home visits by Community Health Workers (CHWs) intermediated demands for appointments and tests. There were no health education activities and follow-up by the nursing team was residual. The doctor was the main reference, although links were weakened by turnover. Conclusion: The study identified the need to expand access to basic medicines and test results at the BHU, the role of nurses in promotional, preventive and clinical actions, the scope of CHWs’ work in health education and interprofessional work.
Copyright (c) 2024 Amanda Maria Vilas Boas Ribeiro, Ana Luiza Queiroz Vilasbôas, Patty Fidelis de Almeida https://creativecommons.org/licenses/by/4.0
Nurses’ beliefs in the care of newborns at the end of life in the neonatal intensive care unit
Objective: To describe nurses’ beliefs and attitudes related to care during the end-of-life process and death in a neonatal intensive care unit. Method: Descriptive and qualitative study with nurses working in a neonatal intensive care unit who experienced care for newborns who died in these units. Data collection was carried out through recorded interviews that were analyzed following thematic analysis from the perspective of the Health Belief Model. Results: Nurses’ beliefs were categorized in relation to death, nursing care, and perceptions about newborns. The influence of these beliefs on behaviors and care practices was denoted, with the need for emotional support and specific training to manage these situations being highlighted. Conclusion: Knowledge of the beliefs described in the study is essential to develop more sensitive and comprehensive care strategies, contributing to improve the quality of care in neonatal intensive care units.
Copyright (c) 2024 Taís de Abreu Ferro, Lucas Thiago Pereira da Silva, Fernanda Machado Silva-Rodrigues, Maiara Rodrigues dos Santos, Regina Szylit https://creativecommons.org/licenses/by/4.0
Paternal well-being perception during childbirth: Experience of prepared Chilean fathers after a prenatal education intervention
Objective: To understand the father’s lived experience of childbirth as a significant life situation within the well-being concept framework. To understand the father’s lived experience of childbirth within the framework of the concept of well-being as a significant life situation. Method: Secondary data analysis from a qualitative study about the experience of twelve Chilean fathers who were prepared to actively participate at childbirth from a mixed public-private health system institution between 2016-2017, was carried out. Qualitative data were extracted from transcripts of open interviews with eight of the twelve fathers after childbirth. Data were analyzed using an interpretive-phenomenological approach. Results: Four central themes emerged from data, which were framed and understand within the psychological well-being concept: I. Feeling as a part of the healthcare team; II. Perceiving himself capable of containing and supporting his partner and being a guardian of the process; III. Being committed to being a father from the first moment of contact with the child; IV. Being wrapped in a whirlwind of emotions. Conclusion: Father’s lived experience at childbirth can be understood considering the psychological well-being concept. Prepared fathers could live the childbirth experience within a state of well-being, focusing on their achievements, commitments, and being satisfied with their roles as father and partner.
Copyright (c) 2024 Claudia Uribe-Torres, Mónica Muñoz Serrano, Paulina Bravo Valenzuela, Margarita Bernales Silva, Jade Bilardi, Meredith Temple-Smith https://creativecommons.org/licenses/by/4.0
Healthcare Waste Management: connections with sustainable nursing care
Objective: To understand the meanings revealed by nurses about sustainable care in its connections with the management of Healthcare Waste in hospital. Method: Qualitative research, whose theoretical and methodological references were, respectively, Complexity Theory and Grounded Theory. Nursing professionals from a public hospital in Rio de Janeiro participated in the study. Data was collected through semi-structured interviews. Results: The actions-interactions signified by the nursing staff, for the management of Healthcare Waste, revealed an understanding of the socio-environmental responsibility of the rational use of material resources; of the need for permanent education to promote environmental education; of the need to supervise the proper management of waste. The professionals perceive themselves as a driving force for reordering positive changes in this context. Conclusion: The participants signaled implications between knowledge, rational use of materials, waste generation and disposal, health economics and quality of care. From these connections, we can deduce the complex meaning of sustainable hospital nursing care in the context of Healthcare Waste management.
Copyright (c) 2024 Maria José Carvalho Ferreira, Carla Aparecida Arena Ventura, Glaucia Valente Valadares, Isabel Amélia Costa Mendes, Thiago Privado da Silva, Ítalo Rodolfo Silva https://creativecommons.org/licenses/by/4.0
Unplanned pregnancy at advanced maternal age: analysis in light of Transition Theory
Objective: To analyze the experience of women aged 35 or over regarding the transition to unplanned motherhood. Method: A descriptive qualitative study, with semi-structured interviews with six women in this age group, selected by convenience, carried out in a high-risk prenatal clinic between July 2022 and July 2023. Analysis was based on Transitions Theory. Results: Three main categories were identified: Transition properties (attributes of late motherhood); Transition conditions (personal, social and community factors as facilitators or inhibitors); and Response patterns (coping and adaptation strategies). The results highlight the emotional and psychosocial complexity, including the impact of social stigma, health challenges and the duality of old age, which brings both challenges and maturity. Conclusion: The need for public policies and specialized support to promote mental health, well-being and social integration is emphasized, aiming for a healthier and more empowered transition to motherhood.
Copyright (c) 2024 Juliane Dias Aldrighi, Hérica de Lara Cardoso, Nara Marilene Oliveira Girardon-Perlini, Herla Maria Furtado Jorge, Silvana Regina Rossi Kissula Souza, Deisi Cristine Forlin Benedett, Tatiane Herreira Trigueiro, Marilene Loewen Wall https://creativecommons.org/licenses/by/4.0
Domestic accidents due to children’s falls: a cross-sectional study
Objective: To describe the occurrence of domestic accidents due to children’s falls. Method: This is a descriptive, cross-sectional study carried out with 181 parents and/or other caregivers of children aged between 2 and 5 years. Data were collected in March and April 2024, through a questionnaire containing 23 items, which were subjected to descriptive analysis. Results: The sample was composed mostly of mothers (93.9%), with a predominance of female children (52.2%), and 86.2% of infants suffered some type of fall at home. Falls from bed (56.4%), hitting the head/face (52.6%), mainly causing cuts/lacerations (16%), were predominant. Conclusion: The results show that it is essential to raise awareness among families about the imminent responsibility of protecting children from domestic accidents, protecting them from injuries that can be avoided through changes in behavior and adopting a proactive stance by intervening in anticipation of risk factors.
Copyright (c) 2024 Abiúde Nadabe e Silva, Lídya Tolstenko Nogueira, Ana Roberta Vilarouca da Silva https://creativecommons.org/licenses/by/4.0
Experiences and meanings of trans men about breastfeeding in light of the Theory of Social Representations
Objective: To analyze the experiences and meanings attributed by trans men to the breastfeeding process in light of the Theory of Social Representations. Method: A qualitative, descriptive and exploratory study, carried out nationwide, with an intentional sample of five trans men who experienced breastfeeding and aged 18 or over. A semi-structured interview script was applied as a data collection instrument, using the Google Meet® platform, from September to October 2021. The data were described, integrating them with content analysis, resulting in two analytical categories. Results: Trans men in labor were willing to breastfeed their child, anchoring their representations of breastfeeding in the idea that it is a phenomenon performed exclusively by women and also recognizing this phenomenon as an event that constitutes their masculinity, in addition to describing it as a pedagogical and learning experience with the objective of guaranteeing the healthy development of children. Conclusions: This study may promote reflections for changing nursing and health practices in different care settings, especially during prenatal care, childbirth and the postpartum period.
Copyright (c) 2024 Danilo Martins Roque Pereira, Leonardo Morjan Britto Peçanha, Ednaldo Cavalcante de Araújo, Anderson Reis de Sousa, Danielle Laet Silva Galvão, Monique de Freitas Gonçalves Lima, Maurício Caxias de Souza, Kelly Cordeiro de Carvalho Torres https://creativecommons.org/licenses/by/4.0
Mobile health application for the treatment of urinary incontinence after radical prostatectomy: development and quality analysis
Objective: To describe the development and quality analysis stages of a mobile health application for the treatment of urinary incontinence in men after radical prostatectomy. Method: A technological development study. Eight clinical experts and eight software development experts participated in quality assessment. Six characteristics and 22 subcharacteristics were assessed using an online form. Agreement rates above 70% were considered satisfactory. Results: The percentages of agreement of characteristics by clinical experts and developers were performance efficiency (90.5%), compatibility (100%) (both assessed only by the developers), functional suitability (78.5; 100%), usability (74.2; 82.7%), reliability (95.0; 82.3%) and security (87.6; 91.4%). Accessibility, user error protection, maturity and recoverability subcharacteristics showed agreement below 70%, which guided researchers to incorporate software improvements. Conclusion: The application presented satisfactory technical quality, configuring digital technological innovation that favors nursing care for men with urinary incontinence after radical prostatectomy.
Technological Development and Innovation Projects
Copyright (c) 2025 Fabrícia Eduarda Baia Estevam, Adriana Ferreira Machado, Cissa Azevedo, Lívia Cristina de Resende Izidoro, Filipe Maciel de Souza dos Anjos, Hugo Miranda de Oliveira, Sérgio Teixeira de Carvalho, Luciana Regina Ferreira da Mata https://creativecommons.org/licenses/by/4.0
Pathways among the nursing practice environment, job burnout, and job satisfaction to intention to leave: a cross-sectional study conducted in Taiwan
Objective: The purpose of this study was to explore the pathways among the practice environment, job burnout, and job satisfaction and their relationships with the intention to leave among clinical nurses. Method: A cross-sectional survey was administered to 310 nursing staff members working in regional teaching hospitals in southern Taiwan. The instruments used included the practice environment, job satisfaction, job burnout, and sociodemographic characteristics questionnaires. Results: Structural equation modeling indicated that job satisfaction (β = –0.167) and job burnout (β = 0.361) were significantly and directly associated with the intention to leave, whereas the practice environment was significantly and directly associated with job satisfaction (β = 0.447). The practice environment (βindirect = –0.075) and job burnout (βindirect = 0.060) were significantly and indirectly associated with the intention to leave through job satisfaction. Conclusion: Job burnout and job satisfaction are directly associated with the intention to leave. Therefore, improving the practice environment and subsequent job burnout could be strategies to improve job satisfaction and decrease the intention to leave.
Copyright (c) 2024 Shu-Fen Wu, Ching-Yun Ching, Hsiu-Chen Liao, Ruey-Hsia Wang https://creativecommons.org/licenses/by/4.0