Revista Latino-Americana de Enfermagem
type: channel
description: Revista Latino-Americana de Enfermagem
publisher: Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto
language: en
publication name: Revista Latino-Americana de Enfermagem
issn: 0104-1169
copyright: 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.
items: Prevalence and factors associated with fear of childbirth: national online survey of Brazilian adults
items: Quality indicators for the management of clinical simulation centers and laboratories: a scoping review
items: Analgesia in trauma patients treated by advanced life support nursing units: a retrospective pre-post intervention observational study
items: Deaf nursing professionals: experiences of social interaction and communication in professional practice
items: Prevalence and factors associated with anxiety and depression after COVID-19
items: Self-esteem in adolescents with obesity: a scoping review
items: Presenteeism among healthcare professionals in a hospital setting: a scoping review
items: Effectiveness of a gamified educational intervention on hand hygiene among Nursing professionals: a quasi-experimental study
items: Participatory development of strategies to combat congenital syphilis: action research
items: Using Buzzy® in venipunctures: perceptions of children and adolescents with congenital cardiopathies
items: Advances on Implementation Science in Health: Insights on trajectory, lessons learned and opportunities from the Portuguese experience
items: Sub-Saharan African Countries: what challenges for achieving universal access to health?
items: Introduction of the dengue vaccine in Brazil: the importance of a strengthened Unified Health System in confronting arboviruses
items: Potential strengths and limitations of the Better at Home Program identified by professionals and managers: a scoping review of the literature
items: Health education technologies for people with disabilities: scope review
items: Advanced nursing practice for caring for mothers of children with autism spectrum disorder in the CACTO program
items: Temporal and spatial analysis of low birth weight cases in Sergipe
items: Analysis of nursing consultations for people with systemic arterial hypertension in Primary Health Care
items: Experiences of family hope and hopelessness in the context of pregnancy and care for high-risk newborns
items: Knowledge, attitudes and practices regarding disaster preparedness among nursing students
items: Nursing consultation based on supported self-care for the management of type 2 diabetes mellitus: a quasi-experimental study
items: Predictors of Long COVID: older adults, women, and an incomplete COVID-19 vaccination schedule
items: Intra-peer violence, socioeconomic and behavioral characteristics of sexual and gender diverse adolescents: a cross-sectional study
items: Continuous Insulin Infusion System and self-care in Type 1 Diabetes Mellitus: scope review
items: Navigation program: comparison of diagnosis-treatment times among breast cancer patients
items: Educational intervention for nursing professionals on palliative care: quasi-experimental study
items: Specific situation theory of the transition experience lived by people with intestinal ostomies and their families
items: Barriers to managing clinical alarms in intensive care units: a cross-sectional study
items: Social-emotional well-being in the context of health care: concept analysis
items: Expanding the scope of practice for nurses: possibilities in five Latin American countries

Prevalence and factors associated with fear of childbirth: national online survey of Brazilian adults
type: item
description: 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.
subject: Original Articles
  topic: section
subject: Obstetric Nursing; Fear; Childbirth; Internet; Health Education; Pregnant Person..
  topic: keywords
creator: Andrezza Belluomini Castro
creator: Rafaela Aparecida Prata
creator: Marla Andréia Garcia de Avila
creator: Milena Temer Jamas
rights: Copyright (c) 2026 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0
date: 2026-08-21
publication date: 2026-08-21
starting page: e4898
ending page: e4898
doi: 10.1590/1518-8345.7617.4898

Quality indicators for the management of clinical simulation centers and laboratories: a scoping review
type: item
description: 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.
subject: Review Articles
  topic: section
subject: Simulation Training; Management Indicators; Quality Indicators, Health Care; Quality Assurance, Health Care; Organization and Administration; Health Management.
  topic: keywords
creator: Isaac Sebastião Nunes Santos
creator: Cláudio José de Souza
creator: Rodrigo Leite Hipolito
creator: Márcia Farias de Oliveira
creator: Carolina Baptista Ribeiro
creator: André da Silva Brites
rights: Copyright (c) 2026 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0
date: 2026-08-20
publication date: 2026-08-20
starting page: e4907
ending page: e4907
doi: 10.1590/1518-8345.8215.4907

Analgesia in trauma patients treated by advanced life support nursing units: a retrospective pre-post intervention observational study
type: item
description: 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.
subject: Original Articles
  topic: section
subject: Nursing; Emergency Medical Services; Ambulances; Pain Measurement; Analgesia; Wounds and Injuries.
  topic: keywords
creator: Juan José García-Líndez
creator: Ana María Uréndez-Ruíz
creator: Juan Carlos Prieto-Gálvez
creator: Jaume Ponce-Taylor
creator: Francisco José Cereceda-Sánchez
rights: Copyright (c) 2026 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0
date: 2026-08-20
publication date: 2026-08-20
starting page: e4904
ending page: e4904
doi: 10.1590/1518-8345.7899.4904

Deaf nursing professionals: experiences of social interaction and communication in professional practice
type: item
description: 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.
subject: Original Articles
  topic: section
subject: Deafness; Nursing; Social Inclusion; Professional Practice; Social Interaction; Communication.
  topic: keywords
creator: Aline de Barros Campanelli Lima
creator: Bárbara Barrionuevo Bonini
rights: Copyright (c) 2026 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0
date: 2026-08-20
publication date: 2026-08-20
starting page: e4913
ending page: e4913
doi: 10.1590/1518-8345.8211.4913

Prevalence and factors associated with anxiety and depression after COVID-19
type: item
description: 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.
subject: Original Articles
  topic: section
subject: Anxiety; Depression; COVID-19; Post-Acute COVID-19 Syndrome; Mental Health; Risk Factors.
  topic: keywords
creator: Iasmin Daniele de Araújo
creator: Isabella Joyce Silva de Almeida Carvalho
creator: Lusineide Carmo Andrade de Lacerda
creator: Luciana Pessoa Maciel Diniz
creator: Flávia Emília Cavalcante Valença Fernandes
creator: Roxana Braga de Andrade Teles
rights: Copyright (c) 2026 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0
date: 2026-08-20
publication date: 2026-08-20
starting page: e4916
ending page: e4916
doi: 10.1590/1518-8345.8173.4916

Self-esteem in adolescents with obesity: a scoping review
type: item
description: 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.
subject: Review Articles
  topic: section
subject: Adolescent; Self Concept; Obesity; Psychological Well-Being; Nursing; Review.
  topic: keywords
creator: Chrisllayne Oliveira da Silva
creator: Nanielle Silva Barbosa
creator: Ana Larissa Gomes Machado
creator: Ítalo Arão Pereira Ribeiro
creator: Ana Maria Ribeiro dos Santos
creator: Márcia Astrês Fernandes
rights: Copyright (c) 2026 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0
date: 2026-08-10
publication date: 2026-08-10
starting page: e4889
ending page: e4889
doi: 10.1590/1518-8345.7936.4889

Presenteeism among healthcare professionals in a hospital setting: a scoping review
type: item
description: 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
subject: Review Articles
  topic: section
subject: Hospitals; Presenteeism; Occupational Health; Health Management; Health Personnel; Scoping Review
  topic: keywords
creator: Cynthia Lima Sampaio
creator: Thailane Cardoso Soares
creator: Victoria Lohreine de Carvalho Grangense
creator: Bruna Victória da Silva Passos
creator: Roberta Meneses Oliveira
creator: Joselany Áfio Caetano
rights: Copyright (c) 2026 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0
date: 2026-08-10
publication date: 2026-08-10
starting page: e4901
ending page: e4901
doi: 10.1590/1518-8345.8286.4901

Effectiveness of a gamified educational intervention on hand hygiene among Nursing professionals: a quasi-experimental study
type: item
description: 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.
subject: Original Articles
  topic: section
subject: Hand Disinfection; Nursing Team; Gamification; Health Education; Education; Infection Control.
  topic: keywords
creator: Maiara Luci Silva Costa
creator: Márcio Medeiros
creator: Fábio da Costa Carbogim
creator: Thiago César Nascimento
creator: André Luiz Silva Alvim
rights: Copyright (c) 2026 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0
date: 2026-08-10
publication date: 2026-08-10
starting page: e4892
ending page: e4892
doi: 10.1590/1518-8345.8067.4892

Participatory development of strategies to combat congenital syphilis: action research
type: item
description: 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.
subject: Original Articles
  topic: section
subject: Congenital Syphilis; Delivery of Health Care; Health Services Research; Health Planning; Patient Care Bundles; Primary Health Care.
  topic: keywords
creator: Juliana Sanches Ravagnani
creator: Juliane Andrade
creator: Lucas Cardoso dos Santos
creator: Rúbia Aguiar Alencar
rights: Copyright (c) 2026 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0
date: 2026-08-10
publication date: 2026-08-10
starting page: e4895
ending page: e4895
doi: 10.1590/1518-8345.8014.4895

Using Buzzy® in venipunctures: perceptions of children and adolescents with congenital cardiopathies
type: item
description: 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.
subject: Original Articles
  topic: section
subject: Child; Adolescent; Congenital Heart Defects; Pain; Pain Management; Pediatric Nursing.
  topic: keywords
creator: Lívia Grazielle Benevides dos Santos
creator: Michelle Darezzo Rodrigues Nunes
creator: Lucila Castanheira Nascimento
creator: Liliane Faria da Silva
creator: Fernanda Machado Silva-Rodrigues
creator: Bárbara Bertolossi Marta de Araújo
rights: Copyright (c) 2026 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0
date: 2026-08-10
publication date: 2026-08-10
starting page: e4850
ending page: e4850
doi: 10.1590/1518-8345.7822.4850

Advances on Implementation Science in Health: Insights on trajectory, lessons learned and opportunities from the Portuguese experience
type: item
subject: Editorial
  topic: section
creator: Sónia Dias
creator: Ana Rita Pedro
creator: Ana Gama
rights: Copyright (c) 2026 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0
date: 2026-07-31
publication date: 2026-07-31
starting page: e5055
ending page: e5055
doi: 10.1590/1518-8345.0000.5055

Sub-Saharan African Countries: what challenges for achieving universal access to health?
type: item
subject: Editorial
  topic: section
creator: Fernando Mitano
creator: Aline Aparecida Monroe
creator: Pedro Fredemir Palha
rights: Copyright (c) 2026 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0
date: 2026-07-31
publication date: 2026-07-31
starting page: e5052
ending page: e5052
doi: 10.1590/1518-8345.0000.5052

Introduction of the dengue vaccine in Brazil: the importance of a strengthened Unified Health System in confronting arboviruses
type: item
subject: Editorial
  topic: section
creator: Ethel Leonor Noia Maciel
creator: Carlos Augusto Grabois Gadelha
creator: Eder Gatti Fernandes
creator: Jadher Percio
creator: Ana Catarina de Melo Araújo
creator: Thayssa Neiva da Fonseca Victer
creator: Rivaldo Venâncio da Cunha
creator: Guilherme Loureiro Werneck
creator: Nísia Trindade Lima
rights: Copyright (c) 2026 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0
date: 2026-07-31
publication date: 2026-07-31
starting page: e5049
ending page: e5049
doi: 10.1590/1518-8345.0000.5049

Potential strengths and limitations of the Better at Home Program identified by professionals and managers: a scoping review of the literature
type: item
description: 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
subject: Review Articles
  topic: section
subject: Home Care Services; Hospital-Based Home Care Services; Home Nursing; Home Health Nursing; Homebound Persons; Home Schooling.
  topic: keywords
creator: Cristina Nunes Viana
creator: Leticia Alves da Silva e Silva
creator: Fernanda Cirne Lima Weston
creator: Adriana Aparecida Paz
rights: Copyright (c) 2026 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0
date: 2026-07-24
publication date: 2026-07-24
starting page: e4880
ending page: e4880
doi: 10.1590/1518-8345.8251.4880

Health education technologies for people with disabilities: scope review
type: item
description: 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.
subject: Review Articles
  topic: section
subject: Educational Technology; Assistive Technology; Health Education; Person with Disability; Nursing; Revision.
  topic: keywords
creator: Danielle Figueiredo Patrício
creator: Alexsandro Silva Coura
creator: Maria do Socorro Alécio Barbosa
creator: Tereza Natália Bezerra de Lima
creator: Morgana Cristina Leôncio de Lima
creator: Kelly Cristina do Nascimento
rights: Copyright (c) 2026 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0
date: 2026-07-24
publication date: 2026-07-24
starting page: e4862
ending page: e4862
doi: 10.1590/1518-8345.8054.4862

Advanced nursing practice for caring for mothers of children with autism spectrum disorder in the CACTO program
type: item
description: 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.
subject: Original Articles
  topic: section
subject: Advanced Practice Nursing; Autism Spectrum Disorder; Caregivers; Primary Care Nursing; Nursing Theory; Evidence-Based Nursing.
  topic: keywords
creator: Paulo Roberto Lima Falcão do Vale
creator: Evany Caroline de Souza Cerqueira
creator: Deisy Vital de Melo
creator: Ana Paula Dezoti
creator: Verônica de Azevedo Mazza
creator: Rosely Cabral de Carvalho
creator: Evanilda Souza de Santana Carvalho
rights: Copyright (c) 2026 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0
date: 2026-07-24
publication date: 2026-07-24
starting page: e4883
ending page: e4883
doi: 10.1590/1518-8345.8152.4883

Temporal and spatial analysis of low birth weight cases in Sergipe
type: item
description: 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.
subject: Original Articles
  topic: section
subject: Premature Newborn; Prenatal Care; Pregnancy; Spatial Analysis; Premature Birth; Temporal Distribution.
  topic: keywords
creator: Vanessa dos Santos Viana
creator: Juliana Schaia Rocha Orsi
creator: Regiane Cristina do Amaral
rights: Copyright (c) 2026 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0
date: 2026-07-24
publication date: 2026-07-24
starting page: e4871
ending page: e4871
doi: 10.1590/1518-8345.8113.4871

Analysis of nursing consultations for people with systemic arterial hypertension in Primary Health Care
type: item
description: 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.
subject: Original Articles
  topic: section
subject: Hypertension; Primary Health Care; Office Nursing; Nursing Process; Clinical Protocols; Nursing Care.
  topic: keywords
creator: Luciana Assis Couto
creator: Carin Caroline Dzembatyi
creator: Dafne Louize Gomes Fernandes
creator: Daiana Bonfim
creator: Andressa Teoli Nunciaroni
creator: Andrea Liliana Vesga Varela
rights: Copyright (c) 2026 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0
date: 2026-07-24
publication date: 2026-07-24
starting page: e4877
ending page: e4877
doi: 10.1590/1518-8345.7998.4877

Experiences of family hope and hopelessness in the context of pregnancy and care for high-risk newborns
type: item
description: 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.
subject: Original Articles
  topic: section
subject: Hope; Family; High-Risk Pregnancy; Infant, Newborn; Nursing Research; Family Nursing.
  topic: keywords
creator: Bruna Camargos de Lima Ramos
creator: Renata de Oliveira Costa
creator: Elysângela Dittz Duarte
creator: Zaida Borges Charepe
creator: Patrícia Pinto Braga
rights: Copyright (c) 2026 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0
date: 2026-07-24
publication date: 2026-07-24
starting page: e4835
ending page: e4835
doi: 10.1590/1518-8345.7906.4835

Knowledge, attitudes and practices regarding disaster preparedness among nursing students
type: item
description: 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.
subject: Original Articles
  topic: section
subject: Nursing; Nursing Students; Knowledge; Attitudes; Practices; Disaster Preparedness.
  topic: keywords
creator: Josefina Delgado-Delgado
creator: Eduardo Pérez-Castro
creator: Cornelio Bueno-Brito
rights: Copyright (c) 2026 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0
date: 2026-07-20
publication date: 2026-07-20
starting page: e4856
ending page: e4856
doi: 10.1590/1518-8345.8135.4856

Nursing consultation based on supported self-care for the management of type 2 diabetes mellitus: a quasi-experimental study
type: item
description: 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.
subject: Original Articles
  topic: section
subject: Office Nursing; Diabetes Mellitus; Self Care; Patient Participation; Primary Health Care; Nursing.
  topic: keywords
creator: Elen Ferraz Teston
creator: Gabrielly Segatto Brito
creator: Rosilene Rocha Palasson
creator: Thaís Gianini Dias
creator: Guilherme Oliveira de Arruda
creator: Sonia Silva Marcon
rights: Copyright (c) 2026 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0
date: 2026-07-20
publication date: 2026-07-20
starting page: e4874
ending page: e4874
doi: 10.1590/1518-8345.8132.4874

Predictors of Long COVID: older adults, women, and an incomplete COVID-19 vaccination schedule
type: item
description: 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.
subject: Original Articles
  topic: section
subject: Post-Acute COVID-19 Syndrome; Prevalence; Female; Age Factors; Vaccines; Signs and Symptoms
  topic: keywords
creator: Karina Marques Prediger
creator: Ana Cristina Ribeiro La Scaléa
creator: Silvia Carla da Silva André Uehara
rights: Copyright (c) 2026 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0
date: 2026-07-20
publication date: 2026-07-20
starting page: e4817
ending page: e4817
doi: 10.1590/1518-8345.7954.4817

Intra-peer violence, socioeconomic and behavioral characteristics of sexual and gender diverse adolescents: a cross-sectional study
type: item
description: 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.
subject: Original Articles
  topic: section
subject: Adolescents; Gender Diversity; Bullying; Cyberbullying; Violence; Socioeconomic Profile.
  topic: keywords
creator: Micael Franco Alves
creator: Franciele Marabotti Costa Leite
rights: Copyright (c) 2026 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0
date: 2026-07-20
publication date: 2026-07-20
starting page: e4865
ending page: e4865
doi: 10.1590/1518-8345.7920.4865

Continuous Insulin Infusion System and self-care in Type 1 Diabetes Mellitus: scope review
type: item
description: 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.
subject: Review Articles
  topic: section
subject: Insulin; Insulin Infusion Systems; Self Care; Self-Management; Knowledge; Diabetes Mellitus.
  topic: keywords
creator: Raquel Rodrigues da Costa Brilhante
creator: Carla Cristina de Sordi
creator: Paulo Weslen Carneiro Gonçalves
creator: Vanessa de Araujo Lima Freire
creator: Amelina de Brito Belchior
creator: Maria Luiza Pereira Costa
creator: Raquel Sampaio Florêncio
creator: Sherida Karanini Paz de Oliveira
rights: Copyright (c) 2026 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0
date: 2026-06-15
publication date: 2026-06-15
starting page: e4853
ending page: e4853
doi: 10.1590/1518-8345.8001.4853

Navigation program: comparison of diagnosis-treatment times among breast cancer patients
type: item
description: 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.
subject: Original Articles
  topic: section
subject: Nursing; Patient Navigation; Medical Oncology; Breast Cancer; Time-to-Treatment; Nurse’s Role.
  topic: keywords
creator: Fernanda Felipe Pautasso
creator: Maiara Anchau Floriani
creator: Nicole de Moraes Pertile
creator: João Lucas Campos de Oliveira
rights: Copyright (c) 2026 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0
date: 2026-06-15
publication date: 2026-06-15
starting page: e4847
ending page: e4847
doi: 10.1590/1518-8345.8049.4847

Educational intervention for nursing professionals on palliative care: quasi-experimental study
type: item
description: 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.
subject: Original Articles
  topic: section
subject: Palliative Care; Nursing Team; Continuing Nursing Education; Knowledge; Self Efficacy; Tertiary Healthcare.
  topic: keywords
creator: Joyce Assunção Barros
creator: Taciana Fernandes Araújo Ferreira
creator: Fabiana Bolela
creator: Raquel Pan
creator: Silmara Elaine Malaguti Toffano
creator: Adriana Cristina Nicolussi
rights: Copyright (c) 2026 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0
date: 2026-06-15
publication date: 2026-06-15
starting page: e4823
ending page: e4823
doi: 10.1590/1518-8345.8026.4823

Specific situation theory of the transition experience lived by people with intestinal ostomies and their families
type: item
description: 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.
subject: Original Articles
  topic: section
subject: Ostomy; Family; Nursing Care; Nursing Theory; Enterostomal Therapy; Nursing Models.
  topic: keywords
creator: Angélica Dalmolin
creator: Eduardo da Silva Gomes
creator: Juliano Teixeira Moraes
creator: Leonardo Rozinelli
creator: Maria Ribeiro Lacerda
creator: Nara Marilene Oliveira Girardon-Perlini
rights: Copyright (c) 2026 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0
date: 2026-06-15
publication date: 2026-06-15
starting page: e4859
ending page: e4859
doi: 10.1590/1518-8345.7979.4859

Barriers to managing clinical alarms in intensive care units: a cross-sectional study
type: item
description: 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.
subject: Original Articles
  topic: section
subject: Intensive Care Units; Critical Care; Patient Safety; Clinical Alarms; Nurse Practitioners; Nursing
  topic: keywords
creator: Renata Cristina Crippa Diekmann
creator: Lillian Caroline Fernandes
creator: Ramon Antonio Oliveira
rights: Copyright (c) 2026 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0
date: 2026-06-15
publication date: 2026-06-15
starting page: e4844
ending page: e4844
doi: 10.1590/1518-8345.7969.4844

Social-emotional well-being in the context of health care: concept analysis
type: item
description: 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.
subject: Original Articles
  topic: section
subject: Mental Health; Quality of Life; Delivery of Health Care; Concept Formation; Personal Satisfaction; Patient-Centered Care.
  topic: keywords
creator: Cristiano de Oliveira Ribeiro
creator: Luciana Puchalski Kalinke
creator: Nuno Filipe de Oliveira Gil Salgado
creator: Luciana de Alcantara Nogueira
creator: Daniela Lourenço Pinto
creator: Tereza Maria Mendes Diniz de Andrade Barroso
rights: Copyright (c) 2026 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0
date: 2026-06-15
publication date: 2026-06-15
starting page: e4799
ending page: e4799
doi: 10.1590/1518-8345.8071.4799

Expanding the scope of practice for nurses: possibilities in five Latin American countries
type: item
description: 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.
subject: Original Articles
  topic: section
subject: Advanced Practice Nursing; Primary Care Nursing; Nurse’s Role; Graduate Nursing Education; Health Workforce; Health Systems.
  topic: keywords
creator: Bruna Moreno-Dias
creator: Livia Angeli-Silva
creator: Clara Aleida Prada-Sanabria
creator: Tiago Parada Costa Silva
creator: Silvia Helena de Bortoli Cassiani
creator: Eduardo Benjamin Puertas-Donoso
rights: Copyright (c) 2026 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0
date: 2026-06-15
publication date: 2026-06-15
starting page: e4820
ending page: e4820
doi: 10.1590/1518-8345.8037.4820