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.
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.
Copyright (c) 2026 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0
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
Family health coverage and care reorganization during the COVID-19 pandemic
Objective: to evaluate the reorganization of Primary Health Care services for individuals with suspected and/or confirmed COVID-19 during the critical phase of the pandemic, considering family health team coverage. Method: analytical cross-sectional study conducted with 1,474 managers of Primary Health Care services. Data were collected using Google Forms and analyzed by prevalence ratios, employing a Poisson regression model with random effects. Results: municipalities with coverage below 25% showed a 10% higher prevalence of patient distancing, a 33% higher prevalence of attending patients with suspected/confirmed COVID-19 in a separate sector, a 60% higher prevalence of using Telehealth for monitoring mild cases, and a 7% higher prevalence of providing guidance on home isolation, compared to municipalities with coverage between 25% and 49.99%. Conclusion: the reorganization of Primary Health Care occurred differently among Family Health Strategy, with municipalities with lower coverage more frequently implementing prevention and monitoring measures. This finding underscores the need to establish and standardize protocols to guide the reorganization of health services in public health emergencies.
COVID-19; Pandemics; Primary Health Care; Public Health Surveillance; Health Management; National Health Strategies
Artificial Intelligence as an ally to the Nursing Process: pathways and ethical considerations
Failure mode and effect analysis in the indwelling urinary catheterization process
Objective: to analyze potential risks in the adult indwelling urinary catheterization process. Method: exploratory, descriptive and evaluative research in a teaching hospital. Working group with ten health care providers: eight nurses, one physician and one nursing technician. Activity flowchart and description built through process modeling. Potential risk analysis based on the Failure Mode and Effect Analysis method. Results: four sub-processes identified for the indwelling urinary catheterization process. Process review-based proactive health care risk analysis showed 55 potential failure modes, 92 potential failure causes, and 40 potential failure effects. Conclusion: the method applied to review the indwelling urinary catheterization process in the hospital setting supported the proactive health care risk analysis; this issue should be further considered to contribute to the safety culture at the national level. Nurses are strategic in decision-making on health care risk management in said process, throughout catheter introduction, continuous use, and removal.
Patient Safety; Risk Management; Health Care Quality; Healthcare Failure Mode and Effect Analysis; Nursing Care; Urinary Catheters
Factors associated with extensions and withdrawals from stricto sensu graduate programs in Brazil during the COVID-19 pandemic: emphasis on mental health
Objective: to analyze the factors associated with extension of the completion deadline and the course withdrawals by Brazilian students enrolled in stricto sensu graduate programs during the COVID-19 pandemic, with emphasis on mental health. Method: cross-sectional analytical study conducted with 5,286 graduate students enrolled in 2022. Data were collected through an electronic form that contained sociodemographic, academic, and health information, including a history of mental disorders. Descriptive and inferential statistical analyses were performed using logistic regression through R software. Results: the study found that 38% of participants extended their courses and 4.8% withdrew from enrollment. Extension was associated with pursuing a doctorate, studying Engineering or Biological Sciences, reporting training difficulties, and presenting mental health problems. Participation in remote classes and a previous diagnosis of hypertension emerged as protective factors. Withdrawal was associated with having children, studying Engineering, facing pandemic difficulties, presenting mental health problems, and having a history of academic leave. Being a scholarship holder was a protective factor, reducing the chances of withdrawal by 50%. Conclusion: the findings indicate that extensions and withdrawals are related to academic, personal and health factors, highlighting the need for institutional policies that promote comprehensive support, with special attention to mental health and retention in graduate programs.
Graduate Education; Mental Health; COVID-19; Universities; Teaching; Risk Factors
Take Care: development and evaluation of a serious game about violence against children and adolescents
Objective: to develop a serious game for nurses and physicians in Primary Health Care based on clinical cases that address types of violence against children and adolescents, and evaluate the serious game based on player satisfaction. Method: applied research of technological nature. Four stages were carried out: development of fictitious clinical cases as a basis for the serious game; evaluation of clinical cases by eight experts intentionally selected for participating in the Protection Network; development of the serious game by an interdisciplinary team; and evaluation of satisfaction with playing the game, using the e-GameFlow scale, with the participation of 33 nurses and 15 physicians. Results: seventeen clinical cases were developed, representing different types of violence. “Take Care” was developed as a simulation using Unity® software, set in a virtual doctor’s office. The game’s evaluation achieved a Cronbach’s alpha of 0.970. The areas of greatest satisfaction were: improvement in knowledge, concentration, and clarity of objectives. All participants said they would play again, 91% felt safe, 89% would not give up, and 70% finished without reporting the violence. Conclusion: “Take Care” was evaluated positively. It is suggested that it be used for continuing education, as an aid in identifying and reporting situations of violence.
Educational Technology; Violence; Child; Adolescent; Continuing Education; Play and Playthings
Ethical climate in the primary health care workplace: a mixed-method study
Objective: to analyze the ethical climate in the primary health care workplace in a municipality in the Amazon region, combining quantitative and qualitative data. Method: a convergent, parallel, mixed-method study. Qualitative data from interviews with 46 professionals underwent reflective thematic analysis. Quantitative data were obtained from 170 professionals using the Ethical Climate Inventory. Exploratory factor analysis tested the Ethical Climate Inventory model, proposing a new configuration for the items, with greater explanatory power than that maintained in the confirmatory factor analysis. Data integration was independent and presented in a joint display. Results: items with the highest factor loadings of the four factors of the Ethical Climate Inventory (1. principles and rules, 2. benevolence, 3. independence/individualism, and 4. sense of community/social responsibility) were analyzed in conjunction with the qualitative category, with multiple expressions of subjectivity and ethics in the workplace. No divergences were observed between the data, only convergences and complementarity in analytical syntheses by factor. Conclusion: data integration broadened the understanding of the ethical climate in a little-explored scenario, demonstrating the distinction of this reality in terms of the constructs analyzed and the strength of ethical elements as a conceptual and analytical tool for workplace environments.
Primary Health Care; Ethics; Work; Surveys and Questionnaires; Nursing; Health Services
Chemotherapy-induced cardiotoxicity in cancer patients: an observational study at an Oncology reference hospital from southeastern Brazil
Objective: to assess the clinical, inflammatory and electrocardiographic profile of cancer patients undergoing the Pre-chemotherapy phase, with the purpose of early identifying cardiovascular toxicity indicative signs. Method: an observational and cross-sectional study, conducted between November2022 and December2023 with adult cancer patients in stagesI toIII treated at a hospital from southern Brazil. Sociodemographic, clinical and tumor-related data were collected, in addition to laboratory and electrocardiographic tests performed before the first chemotherapy infusion. Descriptive analyses were carried out in the Rsoftware. Results: the participants were 84 patients, mostly women (72.6%) with breast cancer diagnoses(57.1%). Prevalence of systemic inflammation was verified, with high C-reactive protein in 35.7% and increased neutrophil-lymphocyte and platelet-lymphocyte ratios in 23.5% and 27.2%, respectively. A significant association was observed between high Body Mass Index and T-wave alterations (p=0.005). Although 10 patients presented prolonged corrected QT intervals, no other statistically significant associations were identified. Conclusion: the pre-chemotherapy phase revealed relevant inflammatory and electrocardiographic alterations, even in the absence of installed cardiotoxicity. The findings reinforce the importance of baseline cardiovascular evaluations and of multi-professional follow-up in Cardio-Oncology, especially for patients with modifiable risk factors. Longitudinal studies are recommended to elucidate the clinical and prognostic evolution of these alterations.
Neoplasms; Antineoplastic Agents; Heart Disease Risk Factors; Biomarkers; Electrocardiogram; Cardiotoxicity
Effectiveness of auriculotherapy and laser acupuncture in hyperemesis gravidarum: a randomized clinical trial
Objective: to evaluate the effectiveness of auriculotherapy and laser auriculotherapy on nausea, vomiting, and quality of life in pregnant women. Method: a randomized, parallel, factorial, double-blind study was conducted with 100 pregnant women, allocated into four groups (25 in each): intervention (G1- auriculotherapy and G2- laser auriculotherapy), control (G3), and placebo with cotton (G4), all followed for seven days for outcome analysis. The Pregnancy Unique Quantification of Emesis Score and the Degree of Auricular Palpation were used to analyze nausea and vomiting, and the Health-Related Quality of Life Questionnaire for Nausea and Vomiting of Pregnancy was used to assess quality of life. Results: compared to the placebo group, participants in G1 and G2 reduced (p<0.050) their Pregnancy Unique Quantification of Emesis scores by -1.14 (95% CI: -2.11; -0.17) and -1.3 (95% CI: -2.24; -0.41) and the Health-Related Quality of Life Questionnaire for Nausea and Vomiting of Pregnancy by -34.81 (95% CI: -62.98; -0.95) and -31.97 (95% CI: -62.98; -0.95), respectively. The use of antiemetics was higher in the control and placebo groups. Conclusion: both types of intervention demonstrated a significant reduction in nausea/vomiting and the use of allopathic medications, an improvement in quality of life, and potential acceptance of laser auriculotherapy by pregnant women. Brazilian Registry of Clinical Trials RBR-4wtq84v.
Complementary Therapies; Low-Level Light Therapy; Auriculotherapy; Pregnancy; Morning Sickness; Quality of Life
Self-care and fatigue in individuals hospitalized with decompensated heart failure during the covid-19 pandemic: a cross-sectional study
Objective: to determine the association between self-care and fatigue in patients hospitalized with decompensated heart failure during the COVID-19 pandemic. Method: observational, cross-sectional study involving 132 individuals hospitalized in a university hospital. Data were collected through individual interviews and medical record reviews. Self-care was evaluated using the Self-Care of Heart Failure Index, while fatigue was measured using the Fatigue Pictogram, both of which had been previously validated for use in Brazil. Scores of 70 or higher indicated adequate self-care in the domains of Management, Maintenance and Confidence. Results: most participants were men (n = 73; 55.3%), had a low educational level (n = 98; 74.2%), lived with a spouse and/or children (n = 77; 58.4%) and had a mean age of 62.3 years (standard deviation = 28.7). Inadequate self-care for heart failure was observed in the Maintenance (n = 109; 82.6%), Management (n = 81; 61.8%) and Confidence (n = 57; 48.3%) subscales. In the week before hospitalization, participants reported experiencing fatigue-related exhaustion and limitations. No statistically significant association was found between fatigue intensity or impact and the self-care subscales. Conclusion: during the pandemic, although fatigue was prevalent among participants before hospitalization due to clinical decompensation of heart failure, it was not associated with self-care for the condition.
Self-Care; Fatigue; Heart Failure; COVID-19; Nursing; Cardiology
Transition experiences of patients and families upon discharge from intensive care: a scoping review
Objective: to map available evidence on the experiences of adult patients and family members regarding the transition of care between intensive care and inpatient units. Method: scoping review conducted according to Joanna Briggs Institute guidelines. Primary studies, reviews, dissertations, and theses published in Portuguese, English, or Spanish were included, with no time limit. The final search was conducted on health portals and databases and in digital libraries. The selection was performed by two reviewers in a blind and independent manner. The data were extracted using a script and presented in figures, descriptive and deductive qualitative analysis, categorizing the experiences between the stages of assessment, planning, execution, and follow-up after discharge. Results: thirty articles comprised the sample. The experiences mapped highlight the transition as a critical moment in hospitalization, marked by emotional impact and informational weaknesses. Reports of unpreparedness, feelings of abandonment, and communication failures compromise the continuity of care and the adaptation of patients and family members. Conclusion: the experiences described point to the transition of care between intensive care and inpatient units as a complex and multifaceted process. The gaps identified require structured communication strategies, timely information, and alignment between units.
Patient Discharge; Patient-Centered Care; Continuity of Patient Care; Transitional Care; Patient Participation; Patient Transfer
Copyright (c) 2025 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0
Pain in Long COVID: A scoping review of clinical characteristics and patterns of manifestation
Objective: to map the available scientific evidence on the clinical characteristics and patterns of pain manifestation (location, frequency, duration, intensity, and quality) in individuals with Long COVID. Method: a scoping review of publications from March 2020 to June 2024, indexed across four databases. Study selection was conducted by two independent, blinded reviewers. Data were extracted using a standardized instrument and analyzed descriptively. Results: nineteen studies were included, indicating that pain affects individuals across all age groups, with higher prevalence among women, primarily involving the head, neck, shoulder, lower back, and hip. Pain frequency ranged from daily to monthly episodes, with duration exceeding one year in some cases. Intensity varied from mild to severe, and pain characteristics were diverse, with descriptors including burning, pressure, colicky, and throbbing pain. Conclusion: the clinical characteristics and patterns of pain manifestation in Long COVID are diverse. However, there is a paucity of studies providing detailed analyses of pain features and the influence of individual variables. These findings should guide future research and clinical practice toward a more comprehensive and contextualized assessment of pain in Long COVID.
COVID-19; Post-Acute COVID-19 Syndrome; Signs and Symptoms; Pain; Chronic Pain; Public Health
Effectiveness of text messages in the adherence to COVID-19 prevention practices: a quasi-experimental study
Objective: to analyze the effectiveness of messages sent by cell phone on adherence to the use of masks, hand hygiene and social distancing during the COVID-19 pandemic. Method: a multicenter quasi-experimental clinical trial conducted in four Brazilian universities between July and October 2020. The sample consisted of 429 people from different Brazilian cities who received messages every two days for seven weeks about individual protection measures. Adherence to the measures was analyzed by an instrument developed by the researchers of the main center and refined in collaboration with researchers from the other centers, consisting of 13 questions and a five-point Likert scale, with the overall score ranging from 13 to 65 points, in which the higher the score, the greater the adherence. Statistical analysis was performed using multivariate analysis of variance (MANOVA), considering p<0.05 as significant. Results: an improvement in the adherence score was observed over the weeks. When compared with the score obtained before the intervention, there was a significant improvement in adherence in the last two weeks (p<0.001). Conclusion: the intervention using messages sent by cell phone showed to be effective in promoting adherence to individual protection practices against COVID-19. However, the observed sample loss may have affected the results, limiting the generalizability of the findings. Therefore, the effects identified should be interpreted with caution. The Brazilian Registry of Clinical Trials (RBR-2s94rb).
Text Messaging; Coronavirus; Social Isolation; Masks; Treatment Adherence and Compliance; Behavior Therapy
Sheila Coelho Ramalho Vasconcelos Morais
Adaptation strategies for nurses with musculoskeletal pain in hospital work: a systematic review
Objective: to analyze the effectiveness of individual coping strategies and hospital work environment adaptations for nurses with musculoskeletal pain. Method: a systematic review was conducted following the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. The search was performed in six databases, including experimental and pre-experimental studies. Risk of bias was assessed using the RoB2 (Risk of Bias 2) and ROBINS-I (Risk of Bias In Non-randomized Studies of Interventions) tools. Methodological quality was evaluated using the Joanna Briggs Institute model, the Jadad Scale and the Melnyk, Buck and Gallagher-Ford Levels of Evidence. Results: eight studies were included, identifying individual coping strategies such as stretching exercises, auriculotherapy and mindfulness. Workplace-based strategies were multidisciplinary, integrated and focused on training for identifying and preventing musculoskeletal risks while improving working conditions. Conclusion: the most effective strategies combine workers’ individual actions with improvements in working conditions, addressing physical, psychosocial and ergonomic factors to adapt the work environment, prevent musculoskeletal pain progression and maintain job performance. PROSPERO registration number: CRD42024575014.
Musculoskeletal Pain; Coping Skills; Working Conditions; Ergonomics, Nurse Practitioners; Nursing
Effectiveness of audiovisual interventions in increasing knowledge about sexually transmitted infections: a systematic review
Objective: to analyze the evidence on the effectiveness of audiovisual interventions in increasing knowledge about sexually transmitted infections in different age groups. Method: systematic review, conducted on February 21, 2023, in the Cumulative Index to Nursing and Allied Health Literature, Cochrane, Embase, Latin American and Caribbean Health Sciences Literature, Nursing Database, Spanish Bibliographic Index in Health Sciences, MEDLINE, Scopus, and Web of Science. Experimental studies that used audiovisual resources to improve knowledge were included, compared with other interventions or none. The synthesis of results was narrative, with assessment of risk of bias and certainty of evidence. Results: the sample consisted of 25 studies (10 randomized clinical trials and 15 quasi-experimental studies). Educational videos were the most widely used resource. Compared to other interventions or no intervention, the intervention group achieved significant improvements in knowledge in the medium and long term, as well as changes in perception and predisposition to reduce risky behavior. The certainty of the evidence was low for randomized studies and very low for quasi-experimental studies. Conclusion: audiovisual interventions have shown effectiveness in different populations and age groups, highlighting the need to consider specific parameters in creating these resources.
Adolescent; Adult; Aged; Audiovisual Aids; Video-Audio Media; Sexually Transmitted Diseases
Breastfeeding strategies following nurslings’ hospitalization: a scoping review
Objective: to map strategies aimed at promoting and maintaining breastfeeding following nurslings’ hospitalization. Method: a scoping review guided by the recommendations of the Joanna Briggs Institute Reviewer’s Manual. The search was carried out in seven databases and in repositories of theses and dissertations. The selection of studies was conducted on a web application by two independent blind reviewers. The data were analyzed descriptively. Results: in total, 1,325 publications were obtained, of which 29 were included in the study. The following were identified as health strategies associated with breastfeeding: education and guidance, support and follow-up, clinical and technical interventions, complementary therapies, technology and innovation, environment and physical conditions, nutrition and hydration, protocol and guidelines. Conclusion: the evidence reinforces that multifaceted strategies are essential post-discharge in order to strengthen self-management and sustain breastfeeding beyond the hospital setting. Primary Health Care can play an important role in care continuity.
Breastfeeding; Patient Discharge; Nursing Care; Health Strategies; Primary Health Care; Lactation
Complementary therapies for the management of attention deficit hyperactivity disorder in children: a scoping review
Objective: to map the scientific literature regarding complementary therapies used by health professionals for children with Attention Deficit Hyperactivity Disorder. Method: this scoping review was based on the recommendations proposed by the Joanna Briggs Institute. Five data sources were searched. Inclusion criteria comprised articles published in English, Spanish, or Portuguese; children aged one to nine years diagnosed with Attention Deficit Hyperactivity Disorder, regardless of additional age ranges covered; and no restrictions on publication date, study design, or bibliographic type. Therapies were grouped into four categories: mind-body therapies, supplementation, herbal therapy, and dietary therapy. Results: a total of 1,444 publications were identified, with 133 peer-reviewed articles selected for analysis. Sixty-five complementary therapies were identified, with neurofeedback (n=38) being the most frequently cited mind-body therapy. Other interventions included a prevalence of polyunsaturated fatty acid supplementation (n=14), Ginkgo biloba use (n=6) in phytotherapy, and oligo-antigenic diet (n=5) in dietary therapy. Conclusion: complementary therapies show potential for alleviating symptoms of Attention Deficit Hyperactivity Disorder in childhood. However, some therapies still lack scientific validation, highlighting the need for targeted experimental studies to ensure safe and effective use.
Attention Deficit Disorder with Hyperactivity; Complementary Therapies; Child; Infant; Child Health; Health Personnel
Quality of life assessment instruments for radiodermatitis in cancer patients: scoping review
Objective: to map the literature on skin-related quality of life questionnaires and assessment tools applied to cancer patients undergoing radiotherapy who developed radiodermatitis. Method: scoping review conducted in accordance with JBI recommendations. The search was conducted in seven sources of information and in the grey literature. There were no restrictions on the publication period or language of the articles. A qualitative synthesis of the data was performed, presented descriptively and through tables and figures. Results: thirty-two studies were included, most of which were from North America (n=14). The instruments used to assess skin-related quality of life were: the Dermatology Life Quality Index (n=17), Skindex-16 (n=11), Skindex-29 (n=1), and Padua Skin-Related Quality of Life (n=1). The most frequently applied instruments were the Dermatology Life Quality Index and Skindex-16, used predominantly in patients with breast cancer. Conclusion: different instruments used to assess skin-related quality of life in patients with radiodermatitis were identified, with emphasis on Skindex-16 and DLQI. The diversity of tools points to the absence of consolidated guidelines on the choice of the best instrument to be implemented in this clinical context.
Quality of Life; Skin; Radiodermatitis; Radiotherapy; Neoplasms; Review
Validity evidence of the Brazilian version of the Assessment Interprofessional Collaborative Leadership Scale
Objective: to seek evidence of validity of the Assessment Interprofessional Collaborative Leadership Scale for Brazilians, in Portuguese, and to analyze evidence of content, response process and internal structure. Method: psychometric evaluation study, with translation, back-translation, and evaluation by a committee of experts regarding linguistic and content equivalence. The pre-test was carried out with 40 participants and, subsequently, the final version was applied to 318 health workers. Exploratory factor analysis and reliability testing were performed using Cronbach’s alpha and McDonald’s omega. Results: in the content validation, four items presented scores below the critical value. Of the participants, the majority were nurses (81%) and physiotherapists (10%), and were female (79%). The factorability obtained was Kaiser-Meyer-Olkin = 0.94 and Bartlett’s sphericity = 2991.4 with p < 0.05. Parallel analysis indicated a one-dimensional model, with variance explained by 63.71%. The model’s adequacy indices showed satisfactory levels. And adequate reliability indices (Cronbach’s alpha = 0.97 and McDonald’s omega = 0.97). Conclusion: the Interprofessional Collaborative Leadership Assessment Scale, with a unidimensional structure and 28 items, presented good evidence of content validity, response process and internal structure, considered adequate to measure interprofessional collaborative leadership.
Leadership; Patient Care Team; Interprofessional Relations; Validation Study; Health Personnel; Healthcare Crew Resource Management