Revista Brasileira De Enfermagem最新文献

Objectives: to describe the process of developing and validating a serial album on prenatal care aimed at pregnant women and health professionals.

Methods: participatory action research that considered technological production guided by the following stages: identification of the need for change; theoretical and documentary survey; technological proposal; analysis by experts and validation by pregnant women. The analysis by experts considered the Content Validity Index.

Results: the Content Validity Index obtained an overall score of 0.92, and the pregnant women performed the assessment with 100% agreement between items. The serial album on prenatal care proved to be effective in qualifying prenatal care, especially with regard to promoting autonomy, critical thinking, and strengthening the professional-user bond.

Conclusions: the serial album developed was considered valid by pregnant women and health professionals and has the potential for replication in the context of primary health care, with a view to improving the quality of prenatal care.

Objectives: to build and validate technology for communication among nurses in transition of care between pre-hospital services and emergency care through a committee of experts.

Methods: a methodological study with a quantitative approach to develop and validate an assistive technology. The Delphi technique was used to reach consensus among experts, employing international sampling and snowball sampling. The analysis was performed using descriptive statistics and psychometric tests.

Results: in the first round, 15 experts assessed the 138 items and suggested some adjustments. In the second round, a greater consensus was achieved, with a reliability index above 0.90 and a Cronbach's alpha of 0.93, confirming the instrument's validity.

Final considerations: the assistive technology developed showed potential for improving communication in transition of care in the emergency room, ensuring safety, continuity of care and offering a standardized interprofessional communication strategy.

Objectives: to map and validate standardized nursing terminology linkages applied to adult clinical-surgical hospital emergency care.

Methods: this methodological study was conducted in an adult clinical-surgical hospital emergency care unit in Goiânia, Goiás, from July 2022 to January 2023. The study was divided into three stages: collection of signs and symptoms from patient records; cross-mapping by researchers and nurses working in emergency care; and content validity by experts.

Results: twenty-nine terminology linkages were validated, including 16 problem-focused nursing diagnoses, 12 risk diagnoses, and one syndrome diagnosis, as well as 26 nursing outcomes, 96 interventions, and 281 activities. The average agreement was 0.87 across the six Functional Health Standards.

Conclusions: the validated linkages promote the standardization of nursing diagnoses, outcomes, and interventions, increasing the accuracy and efficiency of the nursing process in emergency rooms.

Objectives: to understand, in light of Anthony Giddens' Structuring Theory, how military nursing professionals act in tactical pre-hospital care, highlighting training, management, and care practices in risk contexts, and structural challenges that put pressure on their practice.

Methods: a qualitative, descriptive study with 15 participants recruited through chain sampling. Data collection took place between March 2023 and January 2024 using semi-structured interviews. The corpus was processed in Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires and analyzed using Descending Hierarchical Classification.

Results: four classes emerged, organized into three axes: leadership in training; resource management in hostile environments; challenges related to communication and scarcity of supplies.

Conclusions: military nursing demonstrates agency by adapting practices and producing innovation even in the face of rigid hierarchical structures. Tactical pre-hospital care must be institutionalized, investing in training, technologies, and scientific production that consolidate this field as strategic for operational health.

Objectives: to analyze the implementation of the Advanced Access method in a Family Health Unit from the perspective of the team's healthcare professionals.

Methods: qualitative research, using participant observation techniques and semi-structured interviews, carried out with 19 members of the multidisciplinary team of a Basic Health Unit in the countryside of São Paulo from February 2019 to March 2020.

Results: the results indicate satisfaction and greater problem-solving, but with compromised longitudinality and comprehensiveness of care due to deficit in team size, population size, and care for chronic patients. The categories of analysis found were "The context of Advanced Access in the access dimensions" and "Nursing as a power for the Advanced Access model".

Conclusions: the implementation of Advanced Access and its success must consider the history and context of Primary Health Care in each unit and in municipal policy.

Objectives: to share an experience in the Institutional Doctoral Degree Program Abroad and to stimulate the interest of doctoral students in Brazilian graduate programs to undertake this type of internship.

Methods: a descriptive analysis of the academic exchange experience was conducted during the period from November 2023 to June 2024.

Results: the academic exchange fostered significant collaboration between the Federal University of Health Sciences of Porto Alegre and Georgia State University, resulting in the development of three potential collaborative publications. Additionally, the experience facilitated knowledge exchange and expanded intercultural communication competencies, strengthening academic ties and global research networks.

Final considerations: through collaborative exchanges, we pave the way for the continuous advancement of knowledge, technological innovation, and comprehensive socio-economic development. We hope more students will be motivated to engage in the global landscape of scientific research, thus expanding opportunities for growth and excellence for students and researchers.

Objectives: to identify how the nursing team perceives tacesic nonverbal communication during transfusion and describe how this perception influences hemotherapy care.

Methods: a descriptive and exploratory study with a qualitative approach, anchored in Hall's proxemic communication theory. Participant observation and interviews were carried out with 25 nursing professionals in a public hospital in Rio de Janeiro. The data collected between April and December 2022 were analyzed using thematic content.

Results: three categories emerged: Meanings of touch for the hemotherapy nursing team during the transfusion act; Nonverbal tacesic body signals and expressions emitted during nursing care in the transfusion act; and The different types of touch in hospital transfusion nursing practice.

Final considerations: touch marks the sensitive quality of the nursing team's care and has a positive effect on the client's affective dimension during the transfusion act.

Objectives: to interpret young university students' experiences regarding elder abuse and develop a theoretical model.

Methods: a qualitative study, based on Strauss' approach of Grounded Theory and Bauman's theoretical framework, with theoretical saturation sampling, in which 34 university students from different areas were interviewed. Data processing used NVivo software. The study was approved by the Research Ethics Committee.

Results: participants highlighted different types of elder abuse as well as their invisibility and trivialization in society. Older adults' frailty and vulnerability were identified as risk factors, suggesting preventive strategies, including the inclusion of the topic in academic curricula, the promotion of healthy aging, and the strengthening of public policies.

Final considerations: the theoretical model developed highlights the urgent need for educational interventions based on a critical understanding of this problem, with an emphasis on human sensitivity and the morality of social interactions.

Objectives: to understand how women who received breastfeeding counseling make breastfeeding-related decisions during their children's first year of life.

Methods: a qualitative study conducted with women who received breastfeeding counseling in rooming-in units of three university hospitals, two located in the Southeast region and one in the Northeast region. Semi-structured interviews were conducted between May and September 2024, assessed using the Symbolic Interactionism and Thematic Analysis frameworks.

Results: eleven women participated, highlighting the interactional context of breastfeeding counseling as a promoter of safety and trust, with technical and emotional contributions to overcoming breastfeeding challenges.

Final considerations: breastfeeding counseling proved to be a care technology with positive influences on maintaining exclusive breastfeeding in the first year of children's lives.