Revista Brasileira De Enfermagem最新文献

Objectives: to investigate the influence of Instructional Therapeutic Play on salivary cortisol levels in children undergoing peripheral venipuncture.

Methods: randomized controlled clinical trial, allocated into two groups: Intervention and Control, conducted in pediatric inpatient units, children's emergency rooms, and outpatient clinics of two hospitals in the city of São Paulo. A sample of 52 children, both genders, aged between 3 and 12 years, underwent venipuncture and were able to play. Data were analyzed using descriptive and inferential statistics with a 5% significance level and a 95% confidence interval.

Results: cortisol levels decreased in both groups, but less so among children who did not receive the toy intervention, remaining lower for those who did receive the intervention, and among those who were successfully punctured on the first attempt.

Conclusions: although the null hypothesis was confirmed in this study, the use of Therapeutic Play for stress relief is recommended.

Objective: to describe scientific evidence of self-care games for people with intestinal stomas.

Methods: a scoping review that included original, review, experimental, exploratory, descriptive, analytical, quasi-experimental, and experimental articles. Editorials, letters to the editor, abstracts, opinion pieces, duplicates, and studies involving animals or cadavers were excluded. The articles followed the following stages: export to Mendeley software; exclusion of duplicates; screening; test investigation; full-text reading; eligibility assessment; reference search; and article inclusion. Data extraction was conducted in accordance with JBI, which served as the basis for assessing methodological quality.

Results: a total of 645 articles were identified, leaving two articles included. Article 1 consisted of a card game for adults, with probing questions about handling and maintenance. Article 2, a smartphone app called StoMakker, was for children and adolescents.

Conclusions: we identified a lack of articles addressing the topic and the need to expand publications and develop these playful activities.

Objectives: to perform cross-cultural adaptation and content validity of the Mental Health Literacy questionnaire into Brazilian Portuguese.

Methods: a validity study developed according to the following stages: (1) assessment of conceptual and item equivalence; (2) idiomatic and semantic equivalence (translation, back-translation, formal assessment, critical analysis by 17 experts and pre-testing with 32 young adults, using the survey technique); (3) operational equivalence.

Results: important changes were made to ensure instrument validity. The Content Validity Index for the Brazilian context was 97.2% (feasibility) and 98.9% (relevance). The instrument proved to be understandable and easy to apply in pre-testing.

Final considerations: the Mental Health Literacy questionnaire, Brazilian version, contributes to assessing mental health literacy as well as to improving the quality of actions to promote, prevent and protect mental health in young people.

Objectives: to construct and validate the content of an evaluation instrument for the Care Pathway of people with syphilis.

Methods: this methodological study was conducted in four stages: 1) theoretical framework through a scoping review; 2) construction of the instrument; 3) content validation using the Delphi technique; and 4) finalization of the instrument. Data analysis was performed using the Item-Level Content Validity Index, reliability applied to domains, instrument-level content validity, and Cronbach's alpha coefficient.

Results: the validation of the instrument involved item assessment through two rounds of the Delphi technique. The final version of the instrument consisted of 58 questions distributed across two dimensions: macropolitics and micropolitics of health care. Each item achieved a validity index of 1.00.

Conclusions: the instrument demonstrated content validity and reliability, contributing to improvements in health services, enhanced integration among professionals, and reduced syphilis transmission.

Objectives: to identify elements that can foster ethical-professional education in nursing, based on the grounds for complaints in ethical disciplinary proceedings in Santa Catarina (2017-2021).

Methods: a qualitative document-based study was carried out with data from 178 nursing ethical disciplinary proceedings, considering 33 grounds for complaints grouped into nine subcategories: Iatrogenic harm, Professional disagreements, Crimes, Assaults, Unauthorized practice, Use of social media, Inadequate medical record documentation, Unprofessional behavior, and Abandonment of duty. Content analysis was applied to systematize the data.

Results: the articulation between the grounds for complaints and the socioemotional competencies of Education 5.0 revealed that strengthening these competencies may prevent unethical conduct and help identify elements to improve ethical-professional education.

Final considerations: the socioemotional competencies of Education 5.0 equip nurses with essential skills, suggesting an innovative path to reduce errors and promote a more ethical and responsible professional practice.

Objectives: to develop and validate the Instrumento para Avaliação Formativa de Estudantes de Enfermagem em Estágio Curricular Supervisionado® content.

Methods: a methodological study, carried out in two rounds using the modified e-Delphi technique. Its development was supported by an integrative literature review, official documents from the Ministry of Education, Federal Nursing Council, Brazilian Nursing Association and theoretical framework by Philippe Perrenoud.

Results: in the first round, the instrument presented a Content Validity Index of 0.89, while in the second round, of 0.92. Reliability was 0.993. The instrument presents identification information, usage guidelines, four domains, 27 items, descriptive assessment by professors and supervisors, and student self-assessment.

Conclusions: the instrument is a valid tool, allowing formative assessment. Its use, based on the guidelines established and based on the theoretical framework, encourages the procedural and regulatory assessment of student learning in supervised curricular internship.

Objectives: to develop a theoretical proposal on the nursing care process for children and adolescents with mental health problems, considering the structuring of the subject of the unconscious to establish the nurse-patient relationship through dramatic therapeutic play.

Methods: qualitative theoretical study, with a theoretical-methodological framework, developed from psychoanalysis.

Results: to offer care developed in the nurse-patient relationship through the nursing process, nurses can consider playing as a means of communication for children in psychological distress, anchored in the theoretical support of playing in psychoanalysis to carry out dramatic therapeutic play sessions, permeating the "Establishing a relationship", "Exploring", "Playing" and "Closing the session" stages, considering their respective theoretical supports, the nursing process phases, and nurses' attitudes and actions.

Final considerations: the study presents a possibility of care for children and adolescents with psychological distress, developed in the nurse-patient relationship during the dramatic therapeutic play stages.

Objectives: to analyze the association between community health workers' knowledge, attitudes, and practices regarding respiratory symptomatic patient detection in Primary Health Care.

Methods: a cross-sectional study conducted in Family Health Units in Santa Izabel do Pará, Brazil, with a census sample of 129 community health workers. A questionnaire based on the Advocacy, Communication, and Social Mobilization for TB Control guide was used to survey knowledge, attitudes, and practices. Descriptive statistics and chi-square test were used, with a 95% significance level (p≤0.05).

Results: the predominant participants were female (n=96/74.4%), aged 40-49 years (n=54/41.9%), with complete high school education (n=86/66.7%), Catholic (n=65/50.4%), brown skin color/race (n=109/84.5%), and 20 years of experience (n=55/42.6%). Associations between knowledge and attitudes (p=0.2582) and between knowledge and practices (p=0.8973) were not statistically significant.

Conclusions: workers' attitudes and practices in the search for respiratory symptomatic patients were not determined by their level of knowledge about tuberculosis.

Objectives: to report the experience of telehealth in monitoring healthcare in the context of supplementary health.

Methods: an experience report developed in telehealth service in supplementary health for the years 2022 to 2024.

Results: Information and Communication Technologies have expanded the provision of care, access to health through telehealth, patients seeking care provided by nurses, and professionals' job satisfaction. The use of care protocols and digital technologies has enabled the construction of indicators and dashboards for care management. Challenges encountered were connection problems, lack of skills with digital technologies, lack of training and literacy in digital health, and lack of understanding of the role of nurses by patients, other services, and professionals.

Final considerations: telehealth contributes to healthcare qualification, highlighting digital health as a powerful field of action for nurses.

Objectives: to describe the formative research carried out during the implementation of respondent driven sampling to assess human papillomavirus prevalence among gay men, men who have sex with men, and female sex workers in Brazil.

Methods: meetings were held between the study team, healthcare professionals, and representatives of social movements. Two capital cities from each region of Brazil were included between 2018 and 2021, totaling 11 meetings.

Results: the discussions addressed logistical feasibility, the definition of incentives and benefits, the selection of seeds, and expectations regarding recruitment.

Final considerations: formative research is essential for developing studies that use the respondent-driven sampling method, as the involvement of target population representatives supports the collection of information on their specific characteristics.