Revista Brasileira De Enfermagem最新文献

Objectives: to compare clinical simulation with a standardized patient with rapid-cycle deliberate practice in knowledge acquisition, perception of experience and scenario design in the care of patients with suspected stroke.

Methods: a randomized clinical trial conducted between 2022 and 2023 involving 134 undergraduate nursing students. After a theoretical class, participants were randomly assigned to one group. A questionnaire was administered before and after the practical sessions to assess knowledge, in addition to the Educational Practices Questionnaire and the Simulation Design Scale.

Results: the groups showed significant improvement in knowledge (p<0.001), with no difference between them (p=1.0). Rapid-cycle deliberate practice obtained a better assessment regarding design (p=0.03).

Conclusions: the strategies are effective and recommended in nursing education, although rapid-cycle deliberate practice showed advantages in student engagement. Universal Trial Number: U1111-1295-1246.

Objectives: to develop, in a participatory manner, an assistive technology to contribute to the nurses' work process when managing leprosy contacts in Primary Health Care.

Methods: this is a methodological study with a participatory interface. Data were collected between March and October 2023 at 19 Basic Health Units, with 29 nurses interviewed individually. IRAMUTEQ software was used for data analysis.

Results: three thematic axes were organized, highlighting: Concepts regarding leprosy contact surveillance and decision-making; Operational difficulties in the work process; and Participatory development of assistive technology. Nurses supported the development of the technology in the form of a monitoring book, offering suggestions for improving the product for use in daily healthcare settings.

Final considerations: the participatory development process enabled the creation of an assistive technology aligned with nurses' needs for managing and monitoring contacts in Primary Health Care.

Objectives: to develop and validate a questionnaire on clinical practices developed by radiotherapy nurses in the process of caring for people at risk of or with radiodermatitis.

Methods: methodological study, containing: establishment of the conceptual framework; definition of objectives and target population; development of items and responses; selection and organization of items; structuring of the questionnaire; content validation using the Content Validity Index; pre-testing in the target population. Data collection was performed via the Research Electronic Data Capture platform.

Results: in the content validation, the questionnaire was expanded to a total of 55 questions. The overall Content Validity Index value for relevance was 0.97 and 1.00 for representativeness. The final version was considered relevant, representative, and had an appropriate layout. The target population considered the items to be relevant and clear.

Conclusions: the validated questionnaire will contribute to the standardization of nursing care for people with radiodermatitis, considering current resolutions and evidence, through the application of evidence-based protocols.

Objectives: to develop and validate a booklet with care guidelines for patients undergoing cardiac surgery.

Methods: methodological research developed in four stages: situational assessment -interviews with 24 patients undergoing cardiac surgery in the last half of 2019; theoretical procedure - literature analysis; experimental procedure - booklet development; and analytical procedure - content and appearance validity using the Delphi technique. Descriptive statistics, Content Validity Index measurement, and Cronbach's alpha Wilcoxon test were used for analysis.

Results: the booklet provides guidance for all phases of surgery and home care. The Content Validity Index was 94.6%. Modifications were made to the images and text were adapted, based on judges' suggestions.

Conclusions: the booklet provides guidance for people undergoing cardiac surgery and their caregivers. Its content and appearance demonstrate evidence of validity for use by this target audience.

Objectives: to develop and validate the content of the Nursing Consultation Protocol for Supported Selfcare in People with Parkinson's Disease.

Methods: this methodological study was conducted in two stages: protocol development and content validation. Relevance and clarity were assessed using the Delphi technique. After evaluating the protocol instruments, the Content Validity Index was calculated.

Results: an integrative review and a documental study characterizing older people with Parkinson's disease guided the protocol development. The final version comprises 6 sections, 29 topics, and 14 subtopics. The Content Validity Index was high in the first round (0.94) and increased to 0.99 after refinements.

Conclusions: the expert panel deemed the protocol content valid in terms of relevance and clarity. Further research is recommended to assess its clinical validity.

Objectives: to develop a printed almanac for women with breast cancer.

Methods: convergent care research with a qualitative approach, carried out in a specialized oncology service in Vitória, Espírito Santo, from August 2023 to August 2024. The almanac was built based on the doubts of women undergoing chemotherapy treatment. After its creation, participants used and assessed the technology. An agreement rate of 80% was considered adequate.

Results: the almanac has 47 pages, with comic strips and games such as word searches, seven differences, mazes and others. Participants assessed the educational technology as relevant, enlightening and capable of encouraging new habits, in addition to adding knowledge. All items had an agreement rate above 80%.

Conclusions: the almanac consists of an innovative educational technology that addresses risk factors, treatments, self-care and social rights of people with cancer in a playful way and with easy-to-understand language.

Objective: to identify maternal and neonatal factors associated with exclusive breastfeeding at hospital discharge from a tertiary care hospital.

Methods: a cross-sectional study using secondary data from 22,136 records of newborns hospitalized in a neonatal unit (2009-2022). Maternal and neonatal variables and feeding practices at discharge were analyzed. Bayesian logistic regression models were applied.

Results: exclusive breastfeeding at hospital discharge was 91.55%. Negatively associated factors were cesarean delivery (OR: 0.90), illicit substance use (OR: 0.30), low birth weight (OR: 0.84), and cleft lip and palate (OR: 0.15). Breastfeeding counseling and labor and delivery support promoted exclusive breastfeeding at hospital discharge.

Conclusion: despite the high prevalence of exclusive breastfeeding at hospital discharge, barriers persist that must be addressed through promotion strategies, staff training, and support for mothers at risk.

Objectives: to identify strategies for implementing HIV self-testing in populations.

Methods: an integrative review of MEDLINE/PubMed, Scopus, CINAHL, Web of Science, and LILACS databases. Full articles available online, in Portuguese, English, Spanish, or French, regardless of the year of publication, were included. Letters to the editor, review articles, and duplicates, rapid tests performed by professionals, and home self-tests sent to a laboratory without on-site results, were excluded. The sample of 24 articles had their level of evidence assessed using descriptive data analysis.

Results: the most prevalent strategy for implementing self-testing was community distribution through home visits, mail, and distribution points such as bars, nightclubs, and transportation terminals. Peer distribution was significant among men who have sex with men, young people, and trans women, with primary delivery directly to the individual or secondary delivery, where one individual delivers to others. Social and technological media facilitated patient recruitment, delivery, and connection to healthcare services.

Conclusions: the distribution of HIV self-tests in the community was the most accessible strategy, which increased the use of combination HIV prevention methods and initiation of antiretroviral therapy. The main challenges to implementing self-testing were financial costs and acceptance, due to fear of results, stigma, and intimate partner violence.

Objectives: to cross-culturally adapt and validate the content of Family Satisfaction with Care in the Intensive Care Unit 24R for use in Brazil.

Methods: methodological research. Translation, translation consensus, equivalence assessment, back-translation, back-translation consensus, and pre-test were performed. Seven experts assessed translation equivalence and content validity. Applicability, item comprehension, and internal consistency were verified in a pre-test with 30 family members. Data were analyzed using the Content Validity Index, semantic assessment, correlation (r) between items, and Cronbach's alpha.

Results: linguistic adjustments were made to make the items understandable. The Content Validity Index was 0.86, Cronbach's alpha was 0.93, and all items presented a correlation ≥0.30. Semantic assessment obtained more than 85% approval.

Conclusions: the adapted questionnaire had its content validated, proving to be reliable for assessing psychometric properties. It showed potential to contribute to assessing family satisfaction in intensive care in Brazil, in order to identify aspects that need to be improved as well as those that should be maintained and strengthened.

Objectives: to develop and assess an educational video to promote self-efficacy among newborn caregivers.

Methods: a video development study conducted in five stages: content delimitation (narrative review and situational diagnosis); script content construction and validity (experts); video development; produced video validity (experts); and face validity (target audience). The Content Validity Index was used to analyze the data.

Results: the video "Cuidando do seu bebê" is 24 minutes long and covers the main home care practices for newborns. The assessment was carried out from the perspective of appearance and content, presenting a Content Validity Index higher than 0.80 in all validity stages. The target audience unanimously considered the video relevant and clear.

Conclusions: the video is valid for use by healthcare professionals as a tool to promote the self-efficacy of newborn caregivers.