Revista Brasileira De Enfermagem最新文献

Objectives: to estimate the combined prevalence of maternal satisfaction with breastfeeding and associated factors.

Methods: a systematic prevalence review, according to the PRISMA and JBI protocols. Searches were conducted in PubMed/MEDLINE, LILACS, Scopus, Embase, Web of Science, and CINAHL, using the "Breastfeeding" and "Personal Satisfaction" descriptors. Data were extracted, tabulated, and presented in a meta-synthesis, applying meta-analysis to quantitative data.

Results: twelve studies published between 2003 and 2024 were included. The results indicated moderate maternal satisfaction with breastfeeding. Higher scores were observed in conditions favorable to breastfeeding and when breastfeeding was longer, and lower scores were observed in cases of early weaning, unmet expectations and intentions regarding breastfeeding, as well as complications in the process. Professional support contributed to satisfaction.

Conclusions: factors that influence satisfaction with breastfeeding were revealed. However, the subjectivity of the concept and the multiplicity of measurement instruments may have contributed to the studies' high heterogeneity.

Objectives: to understand the experiences of mothers who care for children with cancer regarding self-care.

Methods: descriptive, qualitative research using the Creative Sensitive Method. Data collection took place at the outpatient clinic of a children's cancer hospital in Belém, Pará, with 16 participants. These sessions were conducted through creativity and sensitivity dynamics in two sessions. These sessions were recorded, transcribed, and analyzed using French discourse analysis, based on Paulo Freire's theoretical framework.

Results: three main topics emerged: 1) "Impacts on caregiving mothers' health", with emotional, psychological, and physical impacts subtopics; 2) "Dedication to child care and its impact on family dynamics", including the family relationships subtopic; 3) "Institutional support and public policies".

Final considerations: caregiving mothers face significant impacts on their physical and emotional health, and family dynamics, requiring the implementation of care strategies that consider their experiences and improve their quality of life.

Objectives: to evaluate the psychometric properties of the Brazilian version of the Eating Attitudes Test among university students and to analyze potential differences between sexes.

Methods: a methodological, quantitative study was conducted with 5,292 students. Data were collected through an online questionnaire comprising 26 Likert-scale items, including sociodemographic, academic, and health-related questions. The psychometric properties assessed included factorial validity, internal consistency, psychometric sensitivity, and structural equivalence between groups.

Results: confirmatory factor analysis supported the multidimensional structure of the instrument, with satisfactory fit indices. The chi-square statistic was 14,447.944 with 296 degrees of freedom (p < 0.001), chi-square/df ratio of 48.81, comparative fit index of 0.843, Tucker-Lewis index of 0.828, root mean square error of approximation of 0.095, and standardized root mean square residual of 0.125. Structural equivalence was observed between sexes.

Conclusions: the instrument demonstrated robust factorial validity for use among Brazilian university students.

Objectives: to analyze the socioeconomic impact on families of adolescents and young adults with complex chronic conditions after ten years.

Methods: we conducted a convergent parallel mixedmethods study. Eligible participants were mothers of adolescents and young adults with complex chronic conditions who had participated in a study conducted in 2012-2013. In the quantitative phase, the previously used socioeconomic questionnaire was reapplied. Descriptive statistics, the McNemar test, and the Wilcoxon test were used. In the qualitative phase, semistructured interviews identified convergences and divergences with the quantitative findings.

Results: twenty-four mothers participated. No statistical difference was observed in household income. A decrease was found in families with homeownership and private health insurance. Challenges in formal employment, strategies to supplement income, and the high cost of rent were described.

Conclusions: household income remained stable; however, consumption and access to goods decreased. Narratives corroborated the quantitative findings by describing the challenges experienced.

Objective: To understand how primary care nurses understand and integrate reproductive rights in the context of family planning.

Method: Action research developed between September and November 2023 with five nurses from a Primary Care Health Unit in the central region of Rio Grande do Sul. Data were collected through focus groups and analyzed using the content analysis technique.

Results: Nurses highlighted reproductive autonomy, with an increase in the demand for tubal ligations; personalized education on contraception; the socioeconomic impact on access to family planning; and challenges related to male inclusion, with strategies aimed at co-responsibility in planning.

Final considerations: Nurses play an essential role in promoting reproductive rights. By respecting individualities and the social context, nurses promote shared responsibility and strengthen female autonomy, which are aligned with the Sustainable Development Goals that aim at gender equality and reducing inequalities.

Objectives: to develop and validate the content and construct of an instrument for assessing vaccine hesitancy against COVID-19.

Methods: methodological study, developed in three stages: i) construction of the instrument; ii) content validation by judges; and iii) validation of the construct by the target audience. The Health Beliefs Model was used to develop the instrument.

Results: the instrument was constructed with 45 items. Seven items were excluded because they had a content validity coefficient of less than 0.8. Exploratory and confirmatory factor analyses were carried out to validate the construct. The Kaiser-Meyer-Olkin was 0.801 and Bartlett's test of sphericity showed p<0.001. Six items did not achieve sufficient factor loading to remain in the instrument. The confirmatory factor analysis revealed a valid and reliable instrument.

Conclusions: the developed instrument shows evidence of validity and is therefore recommended for research aiming to assess the reasons for COVID-19 vaccine hesitancy.

Objectives: to assess breastfeeding during the first six months of life of children born during the COVID-19 pandemic, identify associated factors and discuss them based on the Sustainable Development Goals.

Method: a longitudinal study conducted with 127 mother-baby dyads born in the pre-vaccination phase of the COVID-19 pandemic, followed from birth to the sixth month of life. Variables for dyad identification, postpartum depression, bonding, feeding and breastfeeding practices were collected, with data subjected to descriptive and inferential analysis.

Results: a high percentage of early weaning was observed, especially in the first month, associated with the use of a pacifier (p=0.019), difficulty breastfeeding (p=0.015), both in the first month of life, early weaning (p=0.001) and early formula introduction (p=0.001).

Conclusion: shorter breastfeeding time and high percentage of early weaning observed in children born during the pandemic may compromise the achievement of the Sustainable Development Goals.

Objectives: to analyze factors associated with death in severe COVID-19/diabetes mellitus patients in Brazil.

Methods: a cross-sectional study, carried out with notifications of severe respiratory diseases due to COVID-19 registered in the Brazilian Healthcare system database, between 2020 and 2022, Brazil. To analyze associated factors, univariate and multivariate logistic regression models were used.

Results: males, aged 19 to 59 years, older adults, non-white race/skin color, low education level, nosocomial cases, Intensive Care Unit admission, ventilatory support, chronic cardiovascular and renal diseases, asthma, chronic lung diseases, immunosuppression, clinical manifestations, serological tests, and imaging were associated with a higher risk of death. Variables such as rural area, cough, sore throat, and antigen test not performed were protective factors.

Conclusions: these data reinforce the need for strategies based on social determinants of health to expand access, clinical management, and reduce mortality in these patients.

Objectives: to describe the occurrence of clinical incidents related to the length of stay of invasive devices in intensive care units.

Methods: this was an observational, cross-sectional, descriptive, and exploratory study involving critically ill patients aged ≥ 18 years who used invasive devices between May 2022 and May 2023. Data were extracted from the Epimed Monitor System® software and analyzed using the R statistical program, version 4.3.1.

Results: a total of 1,766 medical records were analyzed, corresponding to 5,436 devices. Sixty-one incidents involving invasive devices were identified. Mechanical ventilation devices had the highest average duration of use (13.65 days). Healthcare-associated infections related to invasive devices were the most frequent incidents (45.9%).

Conclusions: incidents involving invasive devices in intensive care are associated with the presence of the device. It is recommended to implement strategies to reduce the duration of device exposure and, consequently, the associated incidents.

Objectives: to analyze the relationship between spirituality and humanized care among nursing professionals in a Chilean hospital.

Methods: observational, analytical, and cross-sectional study with a quantitative approach carried out with 119 nursing professionals from a hospital. Data were collected between April and July 2024, through the application of the following questionnaires: bio-sociodemographic, Spirituality SQ, and Nyberg's Caring Assessment. The SPSS version 25.0 program was used for data analysis.

Results: average levels of spirituality and humanized care were found, which reflects that nurses have interpersonal skills to provide holistic care; in addition, there is a significant statistical correlation (p≤0.05) between the constructs.

Conclusions: spirituality determines humanized care through an intrinsic ethical value, as indicated by Jean Watson's Theory of Human Caring. Therefore, hospitals should consider these elements in the training and practice of nursing professionals to provide a more holistic care.