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.
Prevalence and factors associated with fear of childbirth: national online survey of Brazilian adults
Objective: to identify the prevalence and factors associated with fear of childbirth in Brazilian adults. Method: cross-sectional study with 528 participants aged between 18 and 58 years. Data were collected via an online questionnaire that addressed sociodemographic and behavioral characteristics, as well as information related to health, obstetric history, and fear of childbirth, using the Brazilian version of the Childbirth Fear Prior to Pregnancy instrument. The variables were analyzed and adjusted by multiple linear regression models, assuming that the residuals follow a normal distribution. Results: the prevalence of fear of childbirth was 28.4% (n=133) for low, 19.5% (n=103) for moderate, and 26.9% (n=142) for high fear of childbirth. Multivariate analyses showed that lower fear of childbirth scores were associated with younger age (p=0.002) and female gender (p<0.000). On the other hand, individuals with previous pregnancies had higher CPFF scores (p=0.005). Conclusion: the prevalence of fear of childbirth was 71.6% (n=378), distributed between low (25.2%), moderate (19.5%), and high fear (26.9%). Factors such as older age and female gender were associated with lower fear scores, while previous pregnancy was linked to a higher level of fear. These results suggest that maternal experience may influence future decisions about the choice of childbirth or impact the perception of other people in their social circle.
Obstetric Nursing; Fear; Childbirth; Internet; Health Education; Pregnant Person..
Copyright (c) 2026 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0
Quality indicators for the management of clinical simulation centers and laboratories: a scoping review
Objective: to map quality indicators for the management of clinical simulation centers and laboratories in the literature. Method: scoping review conducted according to JBI guidelines and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews extension. Searches were conducted for quality indicators for the management of clinical simulation centers/laboratories published since 1990, across four information sources and on Google Scholar, without restriction on method, language, or origin. The data were extracted after thematic grouping and categorized according to the Structure, Process, and Outcome triad recommended by Donabedian, and correlated with the best-practice standards of the International Nursing Association for Clinical Simulation and Learning. Results: of the six studies selected between 2013 and 2024, eighty-four quality indicators were mapped. Despite the high number of indicators, they are not fully applicable to the evaluation of management processes in clinical simulation centers/laboratories. Planning, resource organization, staff training, supply management, equipment maintenance, and continuous monitoring remain underdeveloped in the literature. Conclusion: it is recommended that future research propose and validate indicators of management processes in clinical simulation centers/laboratories, considering their particularities and operational challenges, with the aim of continuously improving teaching and learning spaces in health.
Simulation Training; Management Indicators; Quality Indicators, Health Care; Quality Assurance, Health Care; Organization and Administration; Health Management.
Analgesia in trauma patients treated by advanced life support nursing units: a retrospective pre-post intervention observational study
Objective: to assess whether the administration of different groups of intravenous analgesics in advanced life support nursing units to patients with acute trauma and moderate or severe pain significantly reduced perceived pain. Method: retrospective and analytical observational study, pre-post intervention type. Data were collected from the information system and medical records. Descriptive statistics and nonparametric tests were used to analyse pain levels at beginning and end of care, their association with the drugs administered, and care times. Results: data from 164 patients were evaluated. The mean age was 54±21.49 years, and 48.78% were women. The initial score on a verbal numerical rating scale was = 8,48±1,04 points, while the final score was 4.09±2.32 points, with a statistically significant difference between both moments (p <0.001). Opioid treatments showed greater analgesic efficacy than non-opioid analgesics (p=0.014). Conclusion: the administration of analgesia by nurses in advanced life support units in the out-of-hospital setting achieves a reduction in perceived pain in acute trauma. Opioids, alone or in combination with non-opioid analgesics, are associated with greater pain reduction.
Nursing; Emergency Medical Services; Ambulances; Pain Measurement; Analgesia; Wounds and Injuries.
Deaf nursing professionals: experiences of social interaction and communication in professional practice
Objective: to explore the inclusion of deaf nursing professionals in terms of attitudinal and communicational accessibility in the workplace. Method: qualitative, cross-sectional, descriptive study based on the history of the inclusion of people with disabilities and Sassaki’s seven dimensions of accessibility. Semi-structured online interviews were conducted with deaf nursing professionals. The analysis followed Braun and Clarke’s Thematic Analysis method. Results: eight professionals participated, including six nurses and two nursing technicians, with mild-to-profound hearing loss. Two main themes emerged-Accessibility and Barriers-and four subthemes: attitudinal accessibility (representation, support, and inclusive coexistence) and communicational accessibility (use of adapted communication strategies); attitudinal barriers (ableism, invisibility of deafness, and discrimination) and communicational barriers (protective masks, noisy environments, use of writing, and auditory fatigue). Despite occasional advances, structural and cultural barriers persist that hinder the full inclusion of these professionals. Conclusion: the inclusion of people with hearing loss in nursing remains partial, particularly in attitudes and communication. The presence of these professionals contributes to raising awareness about deafness, reducing stigma, and strengthening accessibility practices, all of which are essential to a more diverse and equitable nursing profession.
Deafness; Nursing; Social Inclusion; Professional Practice; Social Interaction; Communication.
Prevalence and factors associated with anxiety and depression after COVID-19
Objective: to estimate the prevalence and factors associated with anxiety and depression in patients recovering from COVID-19. Method: a cross-sectional study conducted with 381 patients four months after SARS-COV-2 infection. Sociodemographic and clinical-epidemiological data were collected, as well as information about the incidence of stressful events related to the COVID-19 pandemic, by means of a questionnaire and by applying the Hospital Anxiety and Depression Scale. Descriptive and inferential analyses with binary logistic regression were performed to identify the associated factors. Results: the prevalence of possible and probable anxiety and depression was 46.45% and 22.31%, respectively. Fear of contracting COVID-19 again, previous history of mental disorders and family history of chronic diseases were associated with higher chances of anxiety and depression. Family incomes of up to one minimum wage and presence of comorbidities were associated with depression; in turn, having a job proved to be a protective factor in the case of anxiety. Conclusion: high prevalence of anxiety and depression was observed in the post-COVID-19 period, associated with psychosocial, clinical and socioeconomic factors and evidencing the need for screening and mental health care strategies targeted at this population group.
Anxiety; Depression; COVID-19; Post-Acute COVID-19 Syndrome; Mental Health; Risk Factors.
Isabella Joyce Silva de Almeida Carvalho
Flávia Emília Cavalcante Valença Fernandes
Self-esteem in adolescents with obesity: a scoping review
Objective: to map the scientific evidence regarding the assessment, perception, and interventions aimed at self-esteem in adolescents with obesity. Method: a scoping review, whose protocol was registered on the Open Science Framework platform with the identifier 10.17605/OSF.IO/C6W72. Primary and secondary studies, available in full, without temporal or language restrictions, from eight databases and grey literature were included. Letters to the editor, studies in the protocol phase, or those without results were excluded. Results: 39 studies were selected for analysis. The synthesis of evidence in the investigated adolescents with obesity indicated low self-esteem, which was associated with female sex, body shame, exposure to peer victimization, depressive symptoms, and poor school performance. Interventions with potential results in improving self-esteem were related to weight reduction, such as sports practices, educational programs, and family support. Conclusion: there is a complex relationship between obesity in adolescents and low self-esteem, making it essential to establish good eating habits and regular physical activity, in addition to emotional support for adolescents considering the biopsychosocial dimensions.
Adolescent; Self Concept; Obesity; Psychological Well-Being; Nursing; Review.
Presenteeism among healthcare professionals in a hospital setting: a scoping review
Objective: to map the prevalence of presenteeism among healthcare professionals in the hospital environment, identify related factors, consequences for patient safety and worker health, as well as the interventions used. Method: scoping review based on the recommendations of the JBI Reviewer’s Manual, including studies available in full in five databases, with no time or language restrictions. Results: 31 selected articles showed a high prevalence of presenteeism among healthcare professionals in the hospital setting, and the main related factors were illnesses (depression and infections), occupational aspects (work overload), and organizational aspects (lack of support from colleagues). The consequences for worker health were worsening health, stress, fatigue/exhaustion, and impairment of work capacity, while for patient safety, there was an increased risk of infections and clinical errors. Few studies have reported interventions, such as occupational wellness centers. The consequences also impacted economic aspects with loss of productivity and higher healthcare costs. Conclusion: the prevalence of presenteeism among healthcare professionals in the hospital setting is high and constitutes a multifactorial phenomenon with negative consequences for individuals, organizations, and patients. The study includes a multidimensional analysis of presenteeism and can serve as a reference for establishing hospital organizational health policies and programs. Multidimensional analysis of presenteeism can contribute to the establishment of organizational health policies and programs in hospitals. Given the scarcity of intervention studies, it is necessary to advance knowledge on the subject The research protocol is available on the Open Science Framework platform: https://doi.org/10.17605/OSF.IO/GVNX3
Hospitals; Presenteeism; Occupational Health; Health Management; Health Personnel; Scoping Review
Effectiveness of a gamified educational intervention on hand hygiene among Nursing professionals: a quasi-experimental study
Objective: to assess the effectiveness of a gamified educational intervention on proper execution of the hand hygiene technique among nurses and nursing technicians in hospitalization units. Method: this quasi-experimental study of the before-and-after type was conducted with 45 Nursing professionals. The data were collected by means of a structured form to observe the technique before and after the intervention. The statistical data analysis was performed using Wilcoxon’s Signed-Rank test and the McNemar test. Results: in the pre-intervention period, 61.3% of the technicians and 42.9% of the nurses failed to follow all the technique steps; after the gamification, 100% of the nurses and 97.7% of the nursing technicians did implement the right steps (p<0.001) and forgot fewer stages (z=-4.532, p<0.001, r=0.81). The time to perform the technique was also adequate after the intervention, following the recommendations set forth by the World Health Organization (z=-2.441, p=0.015, r=0.36). Conclusion: the gamified educational intervention was effective in proper execution of the hand hygiene technique among nurses and nursing technicians, reducing errors and increasing compliance with the international guidelines.
Hand Disinfection; Nursing Team; Gamification; Health Education; Education; Infection Control.
Participatory development of strategies to combat congenital syphilis: action research
Objective: to describe the development of a strategic action plan to combat congenital syphilis, carried out in a participative manner with professionals from the Health Care Network. Method: qualitative research, using an action research approach based on Freire’s framework. Conducted in a municipality in the interior of São Paulo, it involved 56 health professionals. The absence of local strategies and epidemiological data led to the holding of a workshop in three meetings. The activities were recorded on murals, written evaluations, and field diaries, and analyzed using Content Analysis. Results: the meetings promoted the involvement of professionals, revealed weaknesses in the management of syphilis, and prompted the formulation of proposals, such as restructuring testing and diagnosis flows, timely prescription and treatment, active search, monitoring tests, treatment of partners, and adequate management of syphilis cases in pregnant women. Three categories emerged, and as a final product, a strategic action plan was developed to address congenital syphilis with practical applicability in the network’s services. Conclusion: the collaborative process strengthened professionals’ autonomy and co-responsibility, integrating technical knowledge and local experience. The plan has been implemented and has contributed to improving the response to congenital syphilis within the Brazilian Unified Health System.
Congenital Syphilis; Delivery of Health Care; Health Services Research; Health Planning; Patient Care Bundles; Primary Health Care.
Using Buzzy® in venipunctures: perceptions of children and adolescents with congenital cardiopathies
Objective: to understand the experiences undergone by children and adolescents with congenital cardiopathies in relation to using vibration along with cryotherapy (Buzzy ® ) during venipunctures. Method: a qualitative, descriptive and exploratory study conducted with children and adolescents hospitalized due to congenital cardiopathies. The data were collected by means of audio-recorded semi-structured interviews, after using Buzzy ® during venipunctures. The data were analyzed via inductive content analysis, as proposed by Elo and Kyngas. Results: the participants were 15 children and adolescents with a mean age of 11.1±3.6 years old. Four categories were created, which evidenced the experiences undergone by children and adolescents with cardiopathies when using Buzzy ® , namely: Perceiving pain reduction or not; Experiencing physical sensations of relaxation and anesthesia; Getting distracted with Buzzy ® ; and Reducing anxiety. It was identified that the participants experienced pain and anxiety reductions, anesthesia, relaxation and distraction when using the device, as only two perceived no difference. Conclusion: Buzzy® can be an effective non-pharmacology strategy to manage pain and anxiety during venipunctures in pediatric patients, as it showed benefits in the physical and emotional aspects, with the possibility of being using both in the clinical practice and in future research studies.
Child; Adolescent; Congenital Heart Defects; Pain; Pain Management; Pediatric Nursing.
Advances on Implementation Science in Health: Insights on trajectory, lessons learned and opportunities from the Portuguese experience
Sub-Saharan African Countries: what challenges for achieving universal access to health?
Introduction of the dengue vaccine in Brazil: the importance of a strengthened Unified Health System in confronting arboviruses
Potential strengths and limitations of the Better at Home Program identified by professionals and managers: a scoping review of the literature
Objective: to map the strengths and limitations of the Better at Home Program identified by health professionals and managers in the scientific literature. Method: this is a scoping review based on the JBI manual and the PRISMA-ScR guidelines. The search was conducted in the MEDLINE/PubMed, LILACS, Scopus, Embase, Web of Science, CINAHL databases, and CAPES theses and dissertations, covering publications between 2011 and 2024. Results: 552 studies were identified, eight met the inclusion criteria and were analyzed. The program’s potential lies in promoting dehospitalization, strengthening networking, developing educational health initiatives with families, and providing flexibility in care management. On the other hand, limitations were evident in relation to insufficient continuing education for professionals, emotional exhaustion among teams, technological limitations, and difficulties in communicating with the Health Care Network. Conclusion: the Better at Home Program is a relevant strategy in the dehospitalization process; however, it faces structural and operational challenges that compromise its sustainability. Investments in technological support and team strengthening are necessary to improve the continuity and quality of home care. Study registry: Open Science Framework: DOI 10.17605/OSF.IO/6UCDB
Home Care Services; Hospital-Based Home Care Services; Home Nursing; Home Health Nursing; Homebound Persons; Home Schooling.
Health education technologies for people with disabilities: scope review
Objective: to map educational technologies developed and applied in health education for people with disabilities. Method: scope review based on the recommendations JBI, using the following inclusion criteria: addressing the topic under study; text available in full and written or translated into Portuguese, English, and/or Spanish. Four information sources and grey literature were consulted, in January 2024. Results: the review covered eight studies, that addressed experiences with planning, construction, evaluation, and validation of technologies aimed at the health education process for people with disabilities and the professionals involved in their care. Conclusion: educational technologies in health for people with disabilities constitute tools for promoting inclusion and autonomy. The predominance of methodological studies reveals gaps in effectiveness analysis and the need for more robust and diversified research.
Educational Technology; Assistive Technology; Health Education; Person with Disability; Nursing; Revision.
Advanced nursing practice for caring for mothers of children with autism spectrum disorder in the CACTO program
Objective: to describe the competencies of advanced nursing practice for the care of mothers participating in CACTO: a unitary care program for mothers of children with autism spectrum disorder and/or disability. Method: qualitative study based on the Unitary Caring Science, conducted with 39 mothers of children with autism spectrum disorder. Data were collected from medical records, field diaries, meeting minutes, and CACTO’s social media profile. Deductive, reflective thematic analysis was used for data analysis. Results: the results revealed a broadening of the scope of competencies that can be performed by nurses in primary health care, for example: understanding health needs, creating new ways of caring, recognizing ethical dilemmas, establishing collaborative relationships, valuing the social role of mothers, suggesting care with recommended scientific evidence, conducting scientific research, and acting autonomously. Conclusion: the competencies of nurses working at CACTO are distributed across seven dimensions, namely: care management, ethics, interprofessional collaboration, health promotion and risk prevention, evidence-based nursing, research, and leadership.
Advanced Practice Nursing; Autism Spectrum Disorder; Caregivers; Primary Care Nursing; Nursing Theory; Evidence-Based Nursing.
Temporal and spatial analysis of low birth weight cases in Sergipe
Objective: to conduct a temporal and spatial time-series analysis of low birth weight cases in the Sergipe state from 2013 to 2023, identifying regions with the highest rates. Method: data from live births in the state, provided by the State Health Department, were analyzed. Kernel density maps were generated by municipality, and time-series analyses were conducted by health region. Results: between 2013 and 2023, the state recorded 370,329 births, of which 30,999 newborns weighed less than 2,500 grams (8.4%). According to the Kernel density map, the municipalities of Nossa Senhora do Socorro followed by Propriá presented the highest LBW rates. Time-series analysis showed a decreasing trend in the Nossa Senhora da Glória and Nossa Senhora do Socorro regionals. Conclusion: LBW cases were spatially clustered, and most health regions exhibited stationary trends.
Premature Newborn; Prenatal Care; Pregnancy; Spatial Analysis; Premature Birth; Temporal Distribution.
Analysis of nursing consultations for people with systemic arterial hypertension in Primary Health Care
Objective: to analyze nursing consultations with people with systemic arterial hypertension in primary health care according to the Brazilian Guidelines for Arterial Hypertension, the stages of the Nursing Process, and clinical communication. Method: a cross-sectional analytical study that evaluated 29 nursing consultations performed by 13 nurses with users with arterial hypertension in four Brazilian states. The consultations were assessed using a structured checklist. The data were subjected to descriptive and bivariate analyses, using tables and graphs to characterize the sample and explore potential associations among variables. Results: there was low adherence to the Nursing Process and the recommendations of the Brazilian Guidelines for Hypertension. Only 20% of the steps in the Nursing Process were fully complied with. Specifically, regarding the Guidelines, there was a lack of fundamental actions, such as blood pressure measurement, risk factor assessment, and communication of the diagnosis. Conclusion: there was a weakness in the application of the Nursing Process in consultations with people with hypertension. Factors such as case complexity, interruptions, high work demands, gaps in training, and the absence of structured protocols contributed to these findings.
Hypertension; Primary Health Care; Office Nursing; Nursing Process; Clinical Protocols; Nursing Care.
Experiences of family hope and hopelessness in the context of pregnancy and care for high-risk newborns
Objective: to understand family experiences of hope, from pregnancy to the care for high-risk newborns. Method: qualitative research, guided by the Theoretical Model for Understanding the Complex Nature of Hope, which took place in a multiprofessional outpatient clinic for high-risk newborn care. A total of 28 individuals from 14 families participated through oral history interviews. This allowed for the construction of family narratives, which were submitted to deductive thematic analysis. Results: family experiences of hope are established based on four dimensions: understanding, judgment, and interpretation about hope; affective aspects and feelings regarding the lived experience; actions, behaviors, and strategies that strengthen family hope; and influence of context and life situations. These are influenced by the temporality in which the family finds itself. At the beginning of the experience of risk, hope appears fragile and uncertain, with negative feelings and desires for better days. Over time, strategies, such as spirituality and intrapersonal relationship skills, are strengthened and maintained, reframing feelings. Conclusion: understanding family experiences of hope and hopelessness can enable healthcare providers to strengthen and contribute to a more positive experience in the presence of gestational and neonatal risk.
Hope; Family; High-Risk Pregnancy; Infant, Newborn; Nursing Research; Family Nursing.
Knowledge, attitudes and practices regarding disaster preparedness among nursing students
Objective: to analyze the knowledge, attitudes, and practices regarding disaster preparedness among nursing students, in a municipality highly vulnerable to natural disasters, in relation to their preparation for such events. Method: a questionnaire was administered to 363 students, with a mean age of 21.54 years, most of whom were women (78.51%). Results: 97.25% demonstrated adequate knowledge about disasters; however, only 66.67% were familiar with their college’s evacuation procedures. In terms of attitudes, 93.11% showed a positive disposition toward disaster preparedness, although only 26.72% had received continuing academic training on the subject. Regarding practices, only 20.39% reported adequate actions in emergency situations, and 19.01% considered that their university was prepared to face a natural disaster. A positive correlation was identified between the level of knowledge and practices, suggesting that a higher level of knowledge favors the application of effective measures in emergency contexts. Conclusion: although nursing students demonstrated favorable knowledge and attitudes, practices remain limited. These findings highlight the need to reinforce practical training in disaster management to strengthen their capacity to respond to emergencies.
Nursing; Nursing Students; Knowledge; Attitudes; Practices; Disaster Preparedness.
Nursing consultation based on supported self-care for the management of type 2 diabetes mellitus: a quasi-experimental study
Objective: to evaluate the effect of nursing consultations based on self-care, supported by the performance of self-care activities, on laboratory parameters in people with type 2 diabetes mellitus. Method: a quasi-experimental study was conducted with people with type 2 diabetes mellitus, with a Comparison group, whose participants received usual follow-up offered by the health unit, and an intervention group, which received three nursing consultations and two telephone monitoring calls. Data were analyzed using mixed linear models, with a significance level of 5%. Results: 57 individuals participated in the study. A significant effect of the intervention was observed on adherence scores to self-care activities and on levels of total cholesterol, very low-density lipoprotein, and triglycerides. Conclusion: nursing consultations focused on supporting self-care, associated with telephone monitoring, promote understanding of the disease and engagement in the management of the chronic condition by people with type 2 diabetes mellitus, with positive effects on laboratory parameters.
Office Nursing; Diabetes Mellitus; Self Care; Patient Participation; Primary Health Care; Nursing.
Predictors of Long COVID: older adults, women, and an incomplete COVID-19 vaccination schedule
Objective: to analyze the symptoms of long COVID in patients treated in Primary Health Care, considering gender, age, and vaccination status. Method: this is a cross-sectional and analytical study conducted with a sample of 350 patients with long COVID treated in Primary Health Care services. Data were collected through the analysis of medical records and analyzed using the Poisson regression model. Results: older adults had an 88% higher prevalence of shortness of breath as a symptom of long COVID; females had a 13.5 times higher prevalence of hair loss; and unvaccinated individuals had a 3.64 times higher prevalence of reporting chest pain. Conclusion: identifying the most prevalent symptoms of long COVID, taking into account age group, gender, and vaccination status, can contribute to clinical evaluation and the development of protocols to guide the appropriate management of these individuals.
Post-Acute COVID-19 Syndrome; Prevalence; Female; Age Factors; Vaccines; Signs and Symptoms
Intra-peer violence, socioeconomic and behavioral characteristics of sexual and gender diverse adolescents: a cross-sectional study
Objective: to identify the socioeconomic and behavioral profile of adolescents who self-identify as lesbian, gay, bisexual, transvestite, transgender, and others, as well as their experiences of peer violence and its motivations. Method: a cross-sectional, descriptive study was conducted among 949 adolescents aged 14 to 19 years, using self-administered electronic questionnaires, which were analyzed using crude and relative frequencies and 95% confidence intervals. Results: cisgender adolescents (81.0%), middle-class students (44.7%), Black or Brown students (57.4%), and public-school students (67.2%) predominated. The prevalence of bullying was 67.8%, with 13.0% motivated by sexual orientation, and cyberbullying was identified in 11.5%. Condom use was higher during the first sexual intercourse (50.7%) than during the last (40.3%). Current alcohol use was around 47.2%, cigarette use was 9.1%, and drug use was 15.1%. Conclusion: it is concluded that the adolescents in this study face high rates of violence, social exclusion, and behavioral vulnerabilities, reinforcing the need for integrated strategies to promote inclusive and safe environments, as well as public policies aimed at equity and health for this population.
Adolescents; Gender Diversity; Bullying; Cyberbullying; Violence; Socioeconomic Profile.
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.
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.