Revista Brasileira De Enfermagem最新文献

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 map the evidence on nursing practices related to outpatient antineoplastic therapy using peripheral intravenous catheters and to identify the complications associated with the use of this device.

Methods: this is a scoping review conducted according to the JBI methodology. The selection process was carried out independently and blindly by two reviewers.

Results: a total of 1,287 publications were retrieved, and 16 studies were ultimately included. The identified practices were related to responsibility for the procedure; infection prevention and biosafety; selection of the puncture site; choice of the puncture device; skin preparation; venous puncture; access maintenance; catheter dressing and stabilization; and device removal and disposal. The most frequently reported complications were phlebitis, edema, pain, burning sensation, extravasation, and bloodstream infection.

Conclusions: this study mapped peripheral intravenous catheterization practices for outpatient antineoplastic therapy into nine categories. The most common complications included phlebitis, edema, pain, burning sensation, extravasation, and bloodstream infection.

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 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 describe nursing tutors' perspectives on the training process for Community Health Workers in a vocational course offered through distance learning.

Methods: this experience report is based on the work of two nursing tutors in a free vocational course offered by a federal professional training program within and for the Brazilian Health System, between 2022 and 2023.

Development: challenges related to students' low digital literacy, limited understanding of the tutor's role, and weak institutional support were highlighted. Asynchronous communication, heterogeneity of territories, and lack of study time compromised the training process.

Final considerations: tensions between the adopted pedagogical model and the principles of continuing education in health indicate the need to reassess vocational training policies in and for the Brazilian Health System based on an ethical-political positioning, appreciation of workers, critical digital inclusion and articulation between education and work.

Objectives: to evaluate the effectiveness of processing laryngoscopes used in surgical patients undergoing orotracheal intubation.

Methods: this was a descriptive, analytical, quantitative study conducted in a public hospital in Minas Gerais, Brazil, in two phases: assessment of the protein test and the persistence of simulated microorganisms on laryngoscopes. Data were analyzed using descriptive statistics and the Wilcoxon Signed Rank test.

Results: a total of 48 samples were analyzed, distributed across 24 protein tests, 12 fluorescence analyses, and 12 visual inspections of the laryngoscope conditions. There was a significant reduction in protein levels after processing (z = -2.58, p < 0.010), with a moderate effect size (r = 0.74). However, all samples failed the qualitative assessment, as protein levels exceeded the acceptable limit of 1 µg/cm2.

Conclusions: there was a reduction in simulated microorganisms. However, all protein tests failed, indicating the ineffectiveness of laryngoscope disinfection.

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.