Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto
RLAE’s authorship concept is based on the substantial contribution by each of the individuals listed as authors, mainly in terms of conceiving and planning the research project, collecting or analyzing and interpreting data, writing and critical review. Indication of authors’ names under the article title is limited to six. If more, authors are listed on the online submission form under Acknowledgements. The possibility of including more than six authors will only be examined on multicenter studies, considering the explanations presented by the authors. Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section. Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.
Continuous Insulin Infusion System and self-care in Type 1 Diabetes Mellitus: scope review
Objective: to map the evidence available in the literature on self-care among people with type 1 diabetes mellitus using continuous insulin infusion systems. Method: this is a scoping review based on the principles recommended by the JBI and the PRISMA guidelines for data extraction, conducted using ten databases and gray literature. The PCC strategy was used for data collection. Studies were selected after duplicates were removed and individual and paired assessments were conducted. Descriptive analysis and diagrams were used to present the results. Results: an analysis of the 18 selected articles showed three self-care behaviors: glycemic management, insulin bolus, and carbohydrate counting. The factors influencing these behaviors were Knowledge, Freedom/flexibility, Sensor use, Context, and Responsibility. Conclusion: the studies indicate that in-depth knowledge of self-care enables professionals to make better decisions about individualized treatment plans and enables people using the Continuous Insulin Infusion System to seek actions and information related to daily care for proper diabetes management. There is a need for future intervention studies to optimize self-care in this population.
Insulin; Insulin Infusion Systems; Self Care; Self-Management; Knowledge; Diabetes Mellitus.
Copyright (c) 2026 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0
Navigation program: comparison of diagnosis-treatment times among breast cancer patients
Objective: to compare diagnostic-treatment time indicators for care provided to women with breast cancer, according to inclusion in a nursing navigation program. Method: retrospective cohort study conducted at a large hospital. Patients with breast cancer, navigated (n=133) or not (n=226), were included. Sociodemographic and clinical variables were analyzed, and the times (in days) from diagnosis to the start of different treatment modalities constituted the dependent variables. Descriptive and inferential analysis was performed at a significance level of 5%. Results: patients covered by the Unified Health System had significantly shorter median times between diagnosis and any treatment (77.0) and neoadjuvant chemotherapy (77.0) (p-value < 0.001) than those not covered (100.5 and 112.2, respectively). Patients navigated by supplementary health insurance also had shorter access times to both treatment in general (38.0 versus 47.0; p-value <0.001) and neoadjuvant chemotherapy (31.0 versus 50.0; p-value <0.001). Without considering the health insurance plan, no significant differences were found. Conclusion: the navigation program had a positive impact on the accessibility of breast cancer diagnosis and treatment. Investment in this type of care management promoted by nurses is recommended, with greater emphasis on the Unified Health System.
Nursing; Patient Navigation; Medical Oncology; Breast Cancer; Time-to-Treatment; Nurse’s Role.
Educational intervention for nursing professionals on palliative care: quasi-experimental study
Objective: to assess nursing professionals› knowledge and self-efficacy regarding palliative care before and after an educational intervention. Method: a quasi-experimental study conducted in a teaching hospital with nursing professionals who care for adults and the elderly. Data collection was performed at two times: first, a sociodemographic questionnaire and the Bonn Palliative Care Knowledge Test, which assesses knowledge and self-efficacy in palliative care, were administered; immediately afterward, an educational intervention on the topic was conducted. Four weeks later, the instrument that assesses knowledge and self-efficacy was reapplied. The data were analyzed using the Statistical Package for the Social Sciences (SPSS) version 21.0. Results: 179 professionals participated, with an average age of 40.17 years and a predominance of females. The knowledge score obtained higher averages after the intervention (pre-test=11.77; post-test=15.03), while the self-efficacy score was lower (pre-test=3.21; post-test=3.38), but both were statistically significant (p<0.01). Conclusion: the educational intervention was effective in increasing knowledge and self-efficacy in palliative care among nursing professionals. These results may support the development and dissemination of palliative care practices in health services.
Palliative Care; Nursing Team; Continuing Nursing Education; Knowledge; Self Efficacy; Tertiary Healthcare.
Specific situation theory of the transition experience lived by people with intestinal ostomies and their families
Objective: to develop a specific situational theory representative of the transition experience of people with intestinal ostomies and their families, based on Afaf Meleis’ Theory of Transitions. Method: theoretical study, guided by the theory-research-theory strategy and based on an integrative approach, which combines deductive and inductive strategies. In the deductive stage, the Theory of Transitions was listed to provide a conceptual structure and organize theoretical thinking. Inductive strategies involved conducting an integrative review, document analysis, and focus group development. Results: a specific situation theory was developed to describe and explain the transition experience of people with intestinal ostomies and their families, comprising seven concepts and 20 sub-concepts. The theoretical framework also includes relational statements, as well as a diagram representing its concepts and their interrelationships. Conclusion: the theory developed has the potential to guide and systematize nursing care for people with ostomies and their families, covering the different phases of the transition process.
Ostomy; Family; Nursing Care; Nursing Theory; Enterostomal Therapy; Nursing Models.
Barriers to managing clinical alarms in intensive care units: a cross-sectional study
Objective: to investigate the barriers to clinical alarm management according to nurses and nursing technicians and to examine characteristics of clinical alarm response in intensive care units. Method: a cross-sectional study was conducted in a hospital accredited by the Joint Commission International and the American Nurses Credentialing Center Magnet Recognition. A questionnaire was used to identify barriers to clinical alarm management and 84 hours of observation were carried out. Results: 92 professionals participated (33 nurses; 59 nursing technicians). The perception of inadequate nursing staffing levels was more frequent among nurses (21.2%) than among nursing technicians (3.4%; p=0.006). Competition between clinical alarms and noise from other equipment was identified as similar among nurses (20; 60.6%) and nursing technicians (35; 53.9%; p=0.981). Frequent interruptions of activities were reported by nurses (6; 18.2%) and nursing technicians (17; 28.8%) (p=0.615). Forty-nine clinical alarms were recorded, with a mean response time of 2.5 minutes (SD 2.8) and three (6.1%) were ignored. Conclusion: several barriers to adequate management were identified, including human resources, environmental factors and work processes. Regarding care, alarms from multiparameter monitors predominated, responded to mainly by the nursing staff, with a low proportion of ignored clinical alarms.
Intensive Care Units; Critical Care; Patient Safety; Clinical Alarms; Nurse Practitioners; Nursing
Social-emotional well-being in the context of health care: concept analysis
Objective: to analyze the concept of socio-emotional well-being in the context of health care. Method: concept analysis theoretical study based on the method of Walker and Avant, organized into eight stages, through scoping review. Seven data sources were searched, resulting in the selection of seven studies for the literature corpus. Results: social-emotional well-being is characterized by essential attributes such as emotional balance, perceived social support, feeling of control over one’s life, and emotional regulation skills. Antecedent factors included resilience, social support, self-knowledge, supportive environment, emotional stability, autonomy and decision-making and positive interpersonal bonds. Consequent factors included improved quality of life, increased social engagement, reduced psychosocial symptoms, and better performance in daily activities. Conclusion: the study showed that social-emotional well-being is a multifaceted concept that transcends individual mental health, encompassing social, emotional and cultural dimensions. Integrating social-emotional well-being into health care requires interdisciplinary approaches that consider individual and social factors, promoting holistic and patient-centered health care.
Mental Health; Quality of Life; Delivery of Health Care; Concept Formation; Personal Satisfaction; Patient-Centered Care.
Tereza Maria Mendes Diniz de Andrade Barroso
Expanding the scope of practice for nurses: possibilities in five Latin American countries
Objective: to analyze, from a comparative perspective, the training and regulation of nurses’ work and the proposals for the implementation of the advanced practice nurse role in selected Latin American countries. Method: a descriptive comparative case study was conducted to understand the training and regulation of nursing work in five countries: Brazil, Chile, Colombia, Costa Rica, and Mexico. Data were collected in five focus groups with key informants from each country. The content was systematized in an analytical matrix that was validated by the participants. Results: the countries are at different stages of debate and implementation of expanding the scope of practice. The primary care level is considered a potential space for the performance of this role. In addition, master’s programs constitute a training opportunity for these professionals. The exchange of international experiences and working groups have been initiatives to discuss the role and consider the specific characteristics of each country in its implementation process. Conclusion: there are interest and initiatives to expand the role of nurses in Latin America; however, there is still a long way to go in terms of training, scope of practice, regulation, and the labor market.
Advanced Practice Nursing; Primary Care Nursing; Nurse’s Role; Graduate Nursing Education; Health Workforce; Health Systems.
Retreatment after loss of follow-up in adolescent and young adult patients living with HIV: a case-control study
Objective: to identify factors associated with retreatment after loss to follow-up among adolescents and young adults living with Human Immunodeficiency Virus. Method: paired case-control study (1:1 ratio) with data collection from medical records. The cases were adolescents and young adults diagnosed with Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome who underwent retreatment after loss to follow-up. The controls were adolescents and young adults diagnosed with the disease who were lost to follow-up and had no history of retreatment. Logistic regression was used for statistical analysis. Results: 76 cases and 76 controls were included. The variable associated with the highest chance of retreatment was not having a religion (ORaj: 3.46; 95% CI: 1.52-7.88; p=0.003). The factors that decreased the chances of retreatment were 21.91 years of age at the beginning of follow-up (ORaj: 0.78; 95% CI: 0.62-0.98; p=0.039), female gender (ORaj: 0.12; 95% CI: 0.03-0.45; p=0.001), living in an institution (ORaj: 0.72; 95% CI: 0.12-0.43; p=0.004), alcohol use (ORaj: 0.20; 95% CI: 0.08-0.49; p<0.001), diagnosis of Human Immunodeficiency Virus at the Treatment and Counseling Center (ORaj: 0.31; 95% CI: 0.13-0.74; p=0.008), and missed appointment(s) before loss to follow-up (ORaj: 0.20; 95% CI: 0.07-0.52; p=0.001). Conclusion: the return to treatment of adolescents and young people living with Human Immunodeficiency Virus is multifactorially determined by sociodemographic, behavioral, and clinical profiles.
Retreatment; Lost to Follow-Up; Adolescents; Young Adult; HIV; Acquired Immunodeficiency Syndrome.
Post-discharge evaluation of patients with hospital-acquired pressure injuries: prospective cohort study
Objective: to evaluate the healing evolution of pressure injuries developed in the hospital setting among adult patients in the post-discharge period, as well as the complications and care provided to these patients. Method: prospective cohort study with patients who developed pressure injuries during hospitalization and were subsequently discharged. Data were collected at 7, 15, 30, and 60 days after hospital discharge. Results: the sample included 113 patients, 63 men (55.8%), with a mean age of 64.6 years old (± 15.1). A total of 246 injuries occurred, predominantly in the sacral region (91; 37.0%) and classified as stage 2 (117; 47.6%). Readmission rates ranged from 10.6% to 16.8% over 60 days and 25 deaths (22.1%) occurred. At the last interview, 57 patients participated, of whom 29 (50.9%) remained bedridden or with very limited mobility, while 48 (84.2%) showed improvement or complete healing. Stroke occurred in 22 (19.5%) patients and was an unfavorable factor in the healing process (HR = 0.6; p = 0.021). Conclusion: during the 60 days after discharge, patients experienced unfavorable outcomes, including death, hospital readmission, and non-healing of pressure injuries. Stroke was associated with a slower progression of the healing process.
Pressure Ulcer; Patient Discharge; Home Care Services; Home Nursing; Continuity of Patient Care; Wound Healing.
Competency matrix for healthcare professionals caring for people with chronic conditions
Objective: to develop a competency matrix for healthcare professionals caring for people with chronic conditions. Method: ex-post-facto impact assessment research, based on David Kolb’s Experiential Learning Theory. The recommendations of SQUIRE 2.0 were adopted. Intervention projects from the Specialization Course in Care for People with Chronic Noncommunicable Diseases were analyzed. The analysis involved pre-analysis, exploration, coding, categorization, treatment of results, inference, and interpretation using AtlasTi® software. Results: 337 projects were analyzed, adapted to David Kolb’s theoretical framework on the experiential learning cycle, which comprised four domains: identification, analysis, problematization, and transformation. These results supported the development of a matrix of general and specific competencies. Conclusion: the proposed matrix contributed to the qualification of health professionals, prepares specialists to work with chronic conditions and reinforced the importance of critical thinking, analytical skills, and the application of knowledge, promoting a comprehensive understanding of complex issues in learning.
Competency-Based Education; Chronic Disease; Health Assessment; Nursing Education; Multidisciplinary Team; Public Health Professional Education.
Beyond universality: confronting nursing theories with the realities of chronic care
The Strategic Role of Nursing in Implementing CureAll in the Americas: Essential Competencies and Workforce Strengthening
The second victim phenomenon in Latin America: a scoping review
Objective: to map the existing evidence on the phenomenon of second victims in Latin American countries. Method: an exploratory review was carried out according to guidelines from the Joanna Briggs Institute, including studies on the second victim phenomenon among health personnel and health students in Latin America. The search was performed on the Scopus, PubMed, Ebsco, ProQuest, Journal Storage, Virtual Health Library and Google Scholar databases. Quantitative, qualitative, mixed, editorial, and case reports published between 2014 and 2025 in English, Spanish, and Portuguese, were considered. Results: 25 studies were included, most of them conducted in Brazil (52.0%), which focused on a range of healthcare professionals and students. The main psychological consequences included guilt, recurrent thoughts and sleep disturbances. The lack of studies on structured support programs in Latin America is a highlight. Conclusion: the second victim phenomenon is frequent in Latin America, predominantly impacting psychological aspects on health personnel. Lack of regional interventions underscore the need for specific support programs, highligthing the importance of coping strategies and institutional support to strengthen patient well-being, retention, and safety culture.
Psychological Stress; Health Personnel; Adverse Events; Patient Safety; Latin America; Scoping Review
Rapid molecular testing for diagnosing tuberculosis in people experiencing homelessness: a scoping review
Objective: to map the literature on the use of Rapid Molecular Tests in the diagnosis of tuberculosis in people experiencing homelessness. Method: this is a scoping review guided by the Joanna Briggs Institute and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews. A search was conducted in gray literature databases and websites, and the results were summarized narratively. Results: the 10 publications included in the scoping review allowed us to categorize the dimensions of Rapid Molecular Test use into cost-effectiveness, including reduction in isolation and hospitalization time; time to implement diagnosis and start treatment; effectiveness in implementing measures and strategies for active tuberculosis case finding; case management based on the repercussions of bacteriological confirmation on therapeutic management; decentralization of diagnosis through strategic location of technologies to increase case detection; and diagnostic efficacy, considering the strong predictive power of the diagnosis. Conclusion: the use of the test contributed to the early detection of tuberculosis and, as benefits, reduced disease transmission and saved resources. However, many studies conducted with people experiencing homelessness include other vulnerable populations, revealing a significant gap in the literature for this specific group.
Tuberculosis; Pulmonary Tuberculosis; Ill-Housed Persons; Molecular Diagnostic Techniques; Diagnosis; Health Policy
ReprodutHIVa: development and validation of an app for self-care for women living with HIV/AIDS
Objective: to develop and validate a mobile application for self-care in sexual and reproductive health for women living with HIV/AIDS. Method: a six-stage methodological study: literature review; content organization; application development; validation by experts; adaptation after validation; validation by the target audience; and adaptation after validation. Health professionals and women living with HIV/AIDS participated. Descriptive statistics, Content Validity Index, were used, considering a minimum agreement value of 0.80 and Gwet’s AC1 test. Results: the application was validated by a multidisciplinary team composed of professionals in gynecology/obstetrics and infectious diseases, yielding a Content Validity Index of 0.93. Additionally, it was validated by the target audience, achieving a score of 0.94. It was well accepted and found to be reliable in validation by experts (AC1 = 0.446; p < 0.001) and by the target audience (AC1 = 0.483; p < 0.001). All professionals pointed out the personal contribution and educational potential of the application. Conclusion: The application represents an essential evidence-based technological tool for strengthening self-care in the sexual and reproductive health of women living with HIV/AIDS. Intervention studies are therefore suggested.
HIV; Sexual Health; Reproductive Health; Women; Women’s Health; Educational Technology
Breastfeeding self-efficacy, parenting behavior, and maternal role of mothers with planned and unplanned pregnancies
Objective: to compare breastfeeding self-efficacy, parenting behaviors, and adaptation to the maternal role in mothers with planned and unplanned pregnancies during the early postpartum period. Method: a cross-sectional study was conducted with 414 mothers using a convenience sample at a postpartum clinic in a university hospital. Data collection was performed using a form containing sociodemographic and obstetric variables, the Postpartum Parenting Behavior Scale, the Myself as Mother Scale, and the Breastfeeding Self-Efficacy Scale - Short Form. Results: of the 414 mothers included in the study, 163 (39.4%) had unplanned pregnancies. Mothers with unplanned pregnancies had significantly lower breastfeeding self-efficacy, parenting behavior, and maternal role scores than those of mothers with planned pregnancies (p < 0.001). According to regression analysis, unplanned pregnancy is a risk factor that negatively affects mothers’ breastfeeding self-efficacy, parenting behavior, and maternal role (p < 0.001). Conclusion: the self-efficacy in breastfeeding among mothers with unplanned pregnancies was quite low, and their parenting behaviors and maternal roles were quite inadequate. Nurses and midwives should support mothers with unplanned pregnancies in terms of breastfeeding their babies, both during pregnancy and in the early postpartum period, and in adapting to the role of motherhood and raising children.
Breastfeeding; Behavior; Mothers; Parenting; Self-Efficacy; Unplanned Pregnancy
The relationship between climate change worry, premenstrual syndrome severity, and quality of life among women of reproductive age and related factors
Objective: this study aims to determine the relationship between climate change worry, premenstrual syndrome severity, and quality of life among women of reproductive age and related factors. Method: this cross-sectional correlational study included women of reproductive age. The sample included 614 women. Data were collected using Descriptive Information Form, Climate Change Worry Scale, Premenstrual Syndrome Scale, SF-12 Quality of Life Scale. Results: a positive correlation was found between the Climate Change Worry Scale and Premenstrual Syndrome Scale, whereas a negative correlation was discovered between the Climate Change Worry Scale and both the physical and mental sub-dimensions of SF-12 Quality of Life Scale (p<0.05). Climate Change Worry Scale, Premenstrual Syndrome Scale and SSF-12 Quality of Life Scale showed statistically significant effects on physical and mental dimension scores (p<0.05). Accordingly, a 1-unit increase in Climate Change Worry Scale score causes a 1.11-unit increase in Premenstrual Syndrome Scale score, a 0.08-unit decrease in physical component score of quality of life scale and a 0.13-unit decrease in mental component score. Conclusion: as climate change worry among women intensifies, the severity of premenstrual syndrome symptoms increases, while their quality of life diminishes. Climate change anxiety, premenstrual syndrom severity, and quality of life were influenced by women’s identifying characteristics.
Climate Change; Women; Premenstrual Syndrome; Quality of Life; Fertility; Anxiety
Clinical and epidemiological profile of pediatric patients undergoing extracorporeal membrane oxygenation: experience at a referral center
Objective: to analyze the clinical-epidemiological profile of pediatric patients receiving extracorporeal membrane oxygenation support at a referral center. Method: this was a cross-sectional, retrospective study based on the analysis of 108 electronic and physical medical records of pediatric patients from a public hospital. Sociodemographic and clinical data were collected using an instrument developed for this study. For the analysis, absolute and percentage frequencies, measures of central tendency and dispersion, Shapiro-Wilk normality test, Pearson’s chi-square test, logistic regression model with Stepwise input, multiple linear regression analysis, and Durbin-Watson test were used. Results: of the documents analyzed, 55.5% belonged to female patients. Regarding clinical outcomes, 76.1% were awaiting surgery before cannulation, 69.3% used vasoactive drugs, and 57.4% died. Central venoarterial extracorporeal membrane oxygenation was the most used modality. The main indication for support was low cardiac output syndrome. Patients who developed mechanical complications during extracorporeal membrane oxygenation had a statistically higher risk of death (odds ratio of 2.8). Conclusion: mechanical complications were associated with an increased risk of mortality. The clinical-epidemiological profile highlights clinical severity, characterized by hemodynamic instability and surgical indication.
Nursing; Pediatrics; Medical Records; Advanced Practice Nursing; Critical Care; Extracorporeal Membrane Oxygenation.
Inequalities in the health care system utilization for intrauterine device insertion
Objective: to investigate the utilization of the Health Care System by women of reproductive age for intrauterine device insertion and to analyze possible inequalities according to sociodemographic characteristics. Method: cross-sectional study, nested in a prospective cohort, with a random sample of 515 women ≥18 years old, conducted by obstetric nurses at a referral service for intrauterine device insertion. A structured face-to-face questionnaire was applied to obtain information on the use of the healthcare system for intrauterine device insertion. The analysis was based on the Behavioral Model of Health Service Use. Logistic regression and multinomial regression were used to estimate the Odds Ratio of the health care system use according to predisposing factors, race/color, and parity, and facilitating factor, education. Results: most women are aware of and utilize the system’s health services, especially those with lower levels of education and multiparous women. However, the use of these services to access the intrauterine device is lower, with low access to guidance on reproductive planning and the insertion of the intrauterine device in the services, even lower among those with less education and nulliparous women. Conclusion: the lower chance of using the health care system to access the intrauterine device among women with less education and nulliparous women reveals social inequalities in access to contraception.
Long-Acting Reversible Contraception; Intrauterine Devices; Family Development Planning; Health Inequities; Obstetric Nursing; Delivery of Health Care.
Infodemic in COVID-19 and its relationship with stress, depression, and anxiety in the elderly
Objective: to analyze the phenomenon of the infodemic in COVID-19 and its relation with stress, depression, and anxiety in the elderly. Method: quantitative, correlational, cross-sectional study. Non-probabilistic sample of 195 elderly people, who answered a questionnaire for Infodemic, Perceived Stress Scale, Yesavage Geriatric Depression Scale, and Generalized Anxiety Scale through a telephone and/or online self-administered survey. Before you accept informed consent, descriptive and inferential statistics were used to analyze the data. The Ethics Committee approved the study. Results: the average age was 69 ± 6.2 years, and 58% were women. The average number of daily hours devoted to information was 5 ± 2.5, higher among men, with no significant differences between the sexes. Hours of infodemic were inversely related to mental health status, and the more hours of infodemic, the lower the level of stress, depression, and anxiety. Conclusion: the infodemic does not necessarily hurt the mental health of the elderly. From a nursing perspective, it is essential to strengthen critical thinking, promote digital literacy, and support networks and safe spaces that enhance autonomy and confront disinformation.
Infodemic; Psychological Stress; Depression; Anxiety; Aged; COVID-19.
Factors associated with the interruption of exclusive breastfeeding and weaning in premature infants after hospital discharge: a prospective cohort study
Objective: to estimate the incidence of exclusive breastfeeding and weaning in premature infants and identify risk factors after hospital discharge. Method: prospective cohort study with 237 participants. Factors associated with breastfeeding discontinuation and weaning were analyzed using Poisson regression. Results: after discharge, 35.3% (95% CI: 29.6-41.8) interrupted breastfeeding and 9.8% (95% CI: 6.5-14.2) weaned. The following factors were associated with breastfeeding cessation: maternal age (RR=0.70; 95% CI: 0.49-0.99); education (elementary school: RR=1.68; 95% CI: 1.00-2.80; high school: RR=1.79; 95% CI: 1.20-2.66); breast stimulation (>6 h: RR=1.88; 95% CI: 1.13-3.13; no stimulation: RR=1.69; 95% CI: 0.98-2.88); hospitalization (RR=1.85; 95% CI: 1.10-3.08); first feeding (>24 h: RR=0.61; 95% CI: 0.38-0.99; did not breastfeed: RR=0.66; 95% CI: 0.43-1.01); and breastfeeding at discharge (RR=3.64; 95% CI: 2.45-5.40). Weaning was associated with not breastfeeding at discharge (RR=3.64; 95% CI: 2.45-5.40). Conclusion: maternal age, education, hospitalization, and breastfeeding at discharge influenced the interruption of breastfeeding. The absence of breastfeeding at discharge increased the risk of weaning. Early interventions, family support, and policies are essential for maintaining breastfeeding.
Breast Feeding; Weaning; Premature Infant; Patient Discharge; Risk Factors; Neonatal Nursing.
Influence of alcohol on the worsening of COVID-19 and the occurrence of long COVID
Objective: to analyze the alcohol consumption patterns of adults and older adults before the development of COVID-19 and the influence of alcohol consumption on the outcomes and complications of long COVID. Method: cross-sectional study based on data from a retrospective cohort conducted with adults and older adult who had COVID-19 and who consumed alcohol before infection with the disease. A standardized electronic form was used to collect sample data and a path model was adjusted to prove the theoretical model on the influence of alcohol consumption on negative outcomes for COVID-19. Results: sample of 1,171 participants who responded to the question about alcohol. Of these, 408 (34.84%) reported alcohol consumption prior to the disease. The majority were male, younger, highly educated, and had children over the age of 18. The presence of chronic noncommunicable diseases leads to an 11% increase in the chance of hospitalization and a 12% increase in the chance of long COVID. The age of the participants affected alcohol use and directly affected the need for hospitalization. Conclusion: It is important to adopt intervention strategies aimed at reducing alcohol consumption, especially in contexts of syndemic, to mitigate the associated risks.
Alcohol Drinking; COVID-19; Syndemic; Post-Acute COVID-19 Syndrome; Adult; Aged.
Extraction, analysis and presentation of results in a scoping review in Brazilian nursing: scoping review
Objective: to map the literature on extraction, analysis, and presentation of results in scoping reviews in Brazilian nursing. Method: scoping review according to the Joanna Briggs Institute guidelines, including publications, in the following sources: PubMed, Latin American and Caribbean Literature in Health Sciences, CINAHL, Embase, Scopus, Web of Science Core Collection, Cochrane Database of Systematic Reviews, and Google Scholar. The search was structured in three stages and conducted by two independent reviewers. Results: one hundred and forty-three studies were included; the annual number increased from one (2013) to 41 (2023). In the title, 90.2% stated “scoping review”; 74.1% followed the JBI framework, but only 60.8% cited PRISMA-ScR, and 39.2% registered a protocol. Extraction remained largely manual: 82.5% used adapted JBI forms, and only 11.9% used support software. Descriptive summaries and thematic categorization predominated. Presentation favored charts and tables (96%). Conclusion: Nursing scoping reviews in Brazil use standardized procedures, but lack greater adherence to PRISMA-ScR, prior registration, and digital technologies. Training in international guidelines, AI, and interactive visualizations are priorities to increase transparency, reproducibility, and clinical impact.
Nursing; Data Analysis; Brazil; Evidence-Based Practice; Evidence-Based Nursing; Scoping Review.
Characteristics of nursing care expanded by anthroposophy: a scoping review
Objective: to map the characteristics of Anthroposophy-enhanced nursing care in healthcare services. Method: a scoping review guided by the JBI. Eighteen sources of information were included, and original articles and gray literature published without restrictions concerning year or language were considered. After removing duplicates, the selection was conducted by two blind and independent reviewers. Data were extracted based on a script and presented in flowchart and table formats. Results: the 12 studies selected in this review showed that the characteristics of Anthroposophy-enhanced nursing care are related to the knowledge and skills for applying compresses, baths, foot baths, rhythmical Einreibung, pentagram body Einreibung, poultices, and medication administration in different healthcare settings, for acute or chronic conditions. Conclusion: Anthroposophy-enhanced nursing care in healthcare services is a promising specialty in the global scenario of integrative and complementary practices. In this sense, future studies are needed to validate it and to enhance the curative aspects of care. Register: https://doi.org/10.17605/OSF.IO/NV6D5
Delivery of Health Care; Nursing Care; Nursing; Anthroposophy; Health Services; Complementary Therapies.
Educational intervention with a booklet on syphilis for women in situations of sexual vulnerability: a quasi-experimental study
Objective: to assess riverside women’s knowledge about syphilis before and after a booklet educational intervention. Method: a quasi-experimental, comparative study with a before-and-after design was conducted with 40 riverside women through a discussion group with shared reading of the booklet. The nonparametric Wilcoxon test was used for data analysis. Results: most women were between 18 and 29 years old, married or in a stable relationship, and had completed elementary school. Most had heard about syphilis from health professionals. They had been tested for syphilis and had previously undergone syphilis treatment. Comparing the pre-test and immediate post-test scores, an increase in knowledge about syphilis was observed. When analyzing the immediate post-test phase with the 7-day post-test, there was no significant difference; that is, the knowledge acquired remained the same after 7 days of the educational intervention. When analyzing the pre-test phase and the 7-day post-test phase, an improvement in knowledge was observed. Conclusion: the educational intervention through a booklet discussion circle with shared reading proved effective in acquiring knowledge about syphilis among riverside women, evidenced by the significant improvement in knowledge in the post-test results.
Women; Vulnerable Populations; Sexual Vulnerability; Syphilis; Intervention Study; Nursing.
Educational intervention on sleep hygiene habits and sleep quality of postgraduate students
Objective: to analyze the effect of an educational intervention on the sleep hygiene habits and sleep quality of stricto sensu graduate nursing students. Method: a quasi-experimental, before-and-after study with students from a graduate nursing program was conducted. A socio-occupational questionnaire, lifestyle habits questionnaire, sleep habits questionnaire, a questionnaire to assess the ease or difficulty of implementing the strategies, the Pittsburgh Sleep Quality Index and the Sleep Hygiene Index were used. The intervention consisted of an online session with guidance on sleep hygiene habits, a handout and video with the content were presented and text messages to reinforce the guidance. The McNemar test was used for pre- and post-intervention comparisons with a 5% significance level (p<0.05). Results: a total of 40 graduate students participated in the study. Sleep hygiene improved after the intervention (p=0.012). Participants increased their sleep hours (p=0.049), perceived improvement in sleep (p=0.016), acquired sleep hygiene habits (p<0.001) and there was a reduction in the number of students who woke up feeling tired (p=0.039). Conclusion: the intervention improved sleep hygiene and the subjective perception of sleep among postgraduate students.
Employee Health; Sleep Hygiene; Sleep Quality; Sleep; Health Postgraduate Programs; Nursing.
Impact of the COVID-19 pandemic on domestic violence, 2019-2022
Objective: to analyze the incidence and types of domestic violence against girls, adult women, and older adults before and during the COVID-19 pandemic. Method: ecological study. Overall incidence rates and rates by type of violence were calculated, and Poisson regression was performed to assess the impact of the COVID-19 pandemic on the rate of violence against girls, adult women, and older adults. Results: domestic violence was highly prevalent both before and after the pandemic, with an overall average rate of 235.32 cases per 100,000 population. However, a reduction was observed from 383.5 per 100,000 in the pre-pandemic period to 150.7 per 100,000 post-pandemic period. Life cycle data revealed that, despite the decline, sexual violence was most frequent among girls, and physical violence was most frequent among adult women. Among older women, abuse and financial abuse increased during the first year of the pandemic. Adult and older women had higher risks of violence - 6.35 and 3.7 times greater, respectively, compared to girls. Conclusion: domestic violence remains a serious public health concern. The reduction in cases during the pandemic likely reflects underreporting due to mobility restrictions.
Domestic Violence; Woman; Child; Elderly; Pandemics; COVID-19.
Non-viral Sexually Transmitted Infections in pregnant women in Primary Care: prevalence and associated factors
Objective: to analyze the factors associated with the occurrence of Chlamydia trachomatis, Neisseria gonorrhoeae, Mycoplasma genitalium and Trichomonas vaginalis in pregnant women followed up in Primary Health Care. Method: a cross-sectional study of 302 pregnant women aged between 15 and 49 years. Vaginal secretion samples were collected for molecular biology detection of chlamydia, gonorrhea, mycoplasma and trichomoniasis; a structured questionnaire was applied with sociodemographic, behavioral, obstetric and clinical data, and results of rapid tests (Human Immunodeficiency Virus, Syphilis, Hepatitis B and C). Analysis was carried out using STATA 15.0 software. Results: the prevalence rates found were: Chlamydia trachomatis (11.6%), Mycoplasma genitalium (9.6%), Neisseria gonorrhoeae (1.7%) and Trichomonas vaginalis (3.6%). Age under 25 (adjusted odds ratio=2.06), presence of symptoms (adjusted odds ratio=1.99), absence of a steady partner or up to one year of relationship (adjusted odds ratio=2.64) increased the chance of having at least one infection. Conclusion: this study describes the high global prevalence of curable sexually transmitted infections in pregnant women in Primary Health Care. Knowing the prevalence of these infections in pregnant women and the main determinants are essential for reorganizing prenatal care and reducing pregnancy, puerperal and fetal complications.
Pregnant People; Sexually Transmitted Diseases; Prenatal Care; Primary Health Care; Screening; Prevalence
Design and assessment of an intervention for parents of premature newborns: a mixed-methods study
Objective: to design and assess an intervention targeted at reinforcing parents’ competency in caring for premature newborns. Method: a mixed-methods, exploratory and sequential intervention study. A grounded theory was applied in the first phase. The participants were 12 mothers and 4 fathers. A randomized pilot study was implemented in the second phase, with 14 mothers in each group. The main response variable was “care competency”. The CUIDAR Ma-Pre scale was applied in the baseline and follow-up measurements. Results: four categories emerged: Facing premature births, Experiencing the prematurity routine in Neonatal Units, Self-empowerment to care for premature newborns, and Caring for premature newborns at home. Self-empowerment to care for premature newborns was the central category. These results were integrated into the intervention design. Differences in favor of the intervention were found in the assessment. Although these differences were not statistically significant between the groups, it were in fact so intra-group (Control n=13 baseline 82.15; at discharge 117.08 p=0.000 vs Intervention n=14 baseline 80.71; at discharge 121.14 p=0.000). Conclusion: empowerment was essential in the experience; an intervention with this approach is relevant, and its preliminary assessment suggests that it can improve care competency. It is pertinent to conduct a study at a larger scale. ClinicalTrials.gov. Identifier: NCT05005988.
Neonatal Nursing; Premature Infant; Parents; Neonatal Intensive Care Units; Empowerment; Nursing Research