Revista Brasileira De Enfermagem最新文献

Objectives: to provide evidence on the usage of artificial intelligence in Brazilian Primary Health Care.

Methods: scoping review, conducted on February 2025. Searches were accomplished in six databases. Selection process was conducted by three reviewers. Data were extracted using a form by two reviewers. Results were synthetized in a narrative way.

Results: 27 studies were included out of 981 retrieved. Machine Learning and Deep Learning were used in the studies to: make estimates and predictions, track and diagnose health conditions and complications and analyze determinants of universal health coverage. The main strengths found for using them were: to optimize resources; to provide early diagnosis; to allow risk stratification; to facilitates access. The main challenges for using them were: poor access to treatment and data availability.

Conclusions: although the strengths of AI applications in Brazilian healthcare system were highlighted, its implementation should address the guarantee of the effective right to health.

Objectives: to report the experience of implementing nursing consultation based on supported self-care for people with type 2 diabetes mellitus.

Methods: an experience report regarding the implementation of nursing consultation based on supported self-care for people with diabetes. The intervention was preceded by the organization of instruments based on the adopted theoretical framework and by defining the objective of the in-person consultations and telephone monitoring.

Results: the instrument used to conduct the consultations consisted of four printed forms, the first intended for initial consultation, the second for follow-up consultation, the third for telephone monitoring, and the fourth for the final research consultation.

Final considerations: the implementation of nursing consultation based on supported self-care enables a structured and continuous approach that favors people's engagement in self-care, strengthening nurses' role in educational and motivational support for people with chronic conditions.

Objectives: to compare the management of Primary Health Care services in tackling the COVID-19 pandemic among Brazilian municipalities, considering Family Health team coverage.

Methods: a descriptive cross-sectional study conducted with 1,134 municipal health managers. Data were collected using Google Forms® and analyzed using Prevalence Ratios using a Poisson regression model with random effects.

Results: municipalities with team coverage of less than 25% showed greater readaptation of services and restructuring of Primary Health Care flow (7%; CI: 1; 1.14), coverage between 25%, and 49.99% of teams showed greater restructuring of Primary Health Care flow (7%; CI: 1.02; 1.12) and changes in referral and counter-referral services (21%; CI: 1.05; 1.38).

Conclusions: the teams reorganized and restructured services during the critical period of the pandemic, strengthening family health as the main service of Primary Health Care.

Objectives: to validate an online course on introduction to entrepreneurship and innovation in nursing and health.

Methods: this methodological study focused on the structural and content validation of the Introduction to Entrepreneurship and Innovation in Nursing and Health Course. Ten expert judges participated in the validation process and completed a questionnaire to assess the course's validity. The validation used the following parameters: Content Validity Index, Content Validity Coefficient, and exact binomial test.

Results: the course was validated in the first evaluation round. The expert judges highlighted the lack of faculty and professionals with well-developed entrepreneurial skills, the curriculum's emphasis on care-based training, and logistical issues related to the course.

Final considerations: the findings demonstrate high structural and content validity of the course, highlighting its theoretical and methodological quality and its alignment with the current context, which demands greater access to programs that foster entrepreneurial training in nursing and health.

Objectives: to synthesize evidence from qualitative studies produced in literature on the sociability of men with ostomies due to a cancer diagnosis.

Methods: a qualitative metasynthesis was conducted in seven databases with studies published between 2004 and 2024. The sample included six studies, analyzed using MaxQDA® software, validated by Critical Appraisal Skills Programme, and synthesized based on the concept of sociability.

Results: four descriptive topics were identified: a) Challenges in sexual performance; b) Physical and emotional impacts: self-esteem and social isolation; c) Social limitations and strategies for living with a stoma in society; d) Alternating male behaviors within the family structure. These topics were encompassed by the analytical topic: Male sociability in transformation: experiences of men with a stoma.

Final considerations: culturally constructed masculinity shapes men's sociability, but living with a stoma generates insecurity, redefines social roles, and significantly impacts the dynamics of public and private relationships.

Objectives: to analyze the overall prevalence of skin injuries related to medical adhesives (MARSI) in patients admitted to adult intensive care units.

Methods: this was a cross-sectional, multicenter study conducted in four hospitals across three Brazilian states. Data analysis was performed using descriptive statistics, inferential analysis, and logistic regression.

Results: a total of 108 patients participated, with a MARSI prevalence of 25.9%. Among the identified types, maceration was the most common (13 cases; 39.4%), followed by irritant contact dermatitis (8 cases; 24.2%). A statistically significant association was found with the global subjective nutritional assessment (p = 0.032), peripheral venous access fixation (p = 0.030), and the number of adhesives used (p = 0.001).

Conclusions: the prevalence of MARSI was 25.9%, with significant associations with the global subjective nutritional assessment, peripheral venous access fixation, and the number of adhesives used.

Objectives: to analyze the syllabuses of the mandatory subjects listed in the undergraduate nursing course pedagogical project regarding training for the 5th Sustainable Development Goal on gender equality and women's empowerment.

Methods: a qualitative, descriptive-analytical single case study that investigated the inclusion of the 5th goal targets in the nursing curriculum of a public university in Amazonas. The data were subjected to Bardin's content analysis. The emerging thematic axes were discussed in light of Bell Hooks and the Brazilian National Policy for Comprehensive Women's Healthcare.

Results: three thematic axes stood out: addressing violence against women; discussion on sexual and reproductive rights; representation of women in leadership roles.

Final considerations: analysis revealed gaps in the approach to gender equality in nursing training, requiring transversal integration of the 5th goal targets to train professionals capable of addressing social inequities in accordance with the 2030 Agenda.

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Objectives: to analyse how 22 universities in Spain have implemented the HPU framework in different contexts.

Methods: firstly, a document analysis was used as a research method to assess the action areas of work to promote HPU framework. Documents were selected from the university's networks and numerically coded.

Results: a Multiple Correspondence Analysis and a Hierarchical Cluster Analysis identified three types of universities based on the implementation of health promotion areas: "Incipient HPU" that is a heterogeneous group that tend to apply some of the HPU principles by addressing acute actions in time; "Premature HPU" englobe those universities that express the need to incorporate a HPU roadmap but does not express it in practice, and "Mature HPU" that are recognized by university authorities.

Final considerations: these results show how universities recognize and implement the HPU framework differently even when they are part of the same network.

Objectives: to identify the determining factors and soft skills that interfere with the nursing team's care for people in cardiorespiratory arrest in the Family Health Strategy.

Methods: exploratory and descriptive research, with a qualitative approach. Thirty-five nursing professionals from two Primary Health Care units in the Brazilian capital were interviewed between March and June 2023. A categorical thematic content analysis was carried out.

Results: three categories emerged: 1. Knowledge and experience as determining factors in assisting people in cardiorespiratory arrest; 2. Macro and micro work processes in Primary Health Care: from users' arrival to advanced life support; 3. Soft skills.

Final considerations: theoretical knowledge, experience and work processes in Primary Health Care are decisive. Soft skills include leadership and communication. Continuing education strategies adapted to Primary Health Care that value soft skills are recommended.