Revista Brasileira De Enfermagem最新文献

Objectives: to identify factors associated with non-adherence to polychemotherapy treatment for leprosy.

Methods: a cross-sectional study, carried out with cases of abandonment of leprosy treatment in the municipality of Palmas-TO. The cases were identified from the Notification System for Notifiable Diseases, and a questionnaire was subsequently applied.

Results: dropout rates for 2017 and 2018 were 8.3% and 3.12%, respectively. Forty people participated in the study: the majority were women (57.5%), with an average age of 48.2 years, 75% were black/brown, 50% had completed/incomplete elementary education, and 52.5% were retired/unemployed. Factors associated with adherence to leprosy treatment were lack of improvement in symptoms and having the diagnosis ruled out by another physician/not believing they had leprosy.

Conclusions: the results point to the difficulty in accepting leprosy by cases and the importance of healthcare professionals in health education and adequate leprosy diagnosis.

Objectives: to construct, validate appearance and content, and test a simulated scenario for the development of communication and teamwork skills in nursing students.

Methods: descriptive, methodological research, developed in three stages: scenario and checklist construction; scenario and checklist validity; and simulation validity. Data collection carried out between May 2020 and April 2021, after ethical approvals, with the participation of ten experts.

Results: the scenario was called "Communication and teamwork in hospital environments". The checklist, composed of briefing, scenario in action, and debriefing, after Content Validity Index, ended with 28 items. Subsequently, the simulation was validated by monitoring the scenario's cinematography and the validated checklist.

Conclusion: the scenario fulfilled the phases required for its creation and assessment, and can be used in the development of communication and teamwork in nursing students.

Objectives: to evaluate the effects of Usui Reiki on levels of stress, anxiety, and depression among undergraduate nursing students, comparing two delivery modalities: single-session (sporadic application) and continuous (four consecutive days), delivered remotely in group sessions.

Methods: this quasi-experimental study included 16 undergraduate nursing students from a private university in southern Minas Gerais, Brazil. The PSS-14, the HAM-A, the MDI, and salivary cortisol concentration were used. Data were analyzed using descriptive and inferential statistics (ANOVA, Tukey post-hoc test, and chi-square test), with significance of p < 0.05.

Results: stress scores decreased significantly from 27.75 to 22.81 (p = 0.0034), anxiety scores from 19.06 to 11.31 (p = 0.0279), and depressive symptom scores decreased by 25%. Subscales-emotional stress, psychological anxiety, "lack of energy," and "feelings of guilt"-showed improvement.

Conclusions: Usui Reiki demonstrated effectiveness as a complementary practice for student mental health, with greater benefits observed with continuous application.

Objectives: to synthesize scientific evidence on the applicability of Electronic Health Records in the Nursing Process in hospitals.

Methods: a scoping review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, with searches in six electronic databases, restricted to publications in Portuguese, English, and Spanish from 2019 to 2024.

Results: a total of 2,789 results were found, with 33 articles included in the search and classified into four thematic categories. The countries with the most publications include Brazil, the United States, and China, with a focus on 2021.

Conclusions: hospital Nursing Process records are crucial for verifying care and managing risks, improving quality and patient safety. Implementing Electronic Health Records optimizes work and reduces costs, alleviating staff burden. In addition to supporting clinical decision-making, these records also generate secondary data that drives scientific research.

Objectives: to identify factors associated with common mental disorders, suicide risk, and stimulant use among undergraduate students.

Methods: a quantitative, cross-sectional, correlational, and analytical study was conducted with a sample of 190 students from a public university. Validated instruments were used for data collection, and logistic regression models were used for analysis.

Results: 71.6% of participants tested positive for common mental disorders. Suffering losses during the pandemic was a risk factor for common mental disorders, and feeling satisfied with their life when accessing social media was a protective factor. It was found that 23.9% were at high risk for suicide, with a higher risk for those without religion, using non-prescription medications, diagnosed with a mental disorder, and consuming alcohol. Furthermore, 73.7% of participants used stimulants. Stimulant use showed no significant relationship with the variables analyzed.

Conclusions: this research contributes evidence for promotion and prevention actions in academic mental health.

Objectives: to understand the macro and micropolitical interactions of care management in Primary Health Care regarding the use of nursing protocols.

Methods: qualitative research, anchored in Constructivist Grounded Theory. Thirty healthcare professionals participated in in-depth interviews conducted between 2023 and 2024. Data were analyzed and coded in two stages: initial and focused, resulting in categories and their theoretical relationships.

Results: the main category, "Understanding nursing protocols in macro and micropolitical interactions in Primary Health Care", emerges from six subcategories that addressed institutional partnerships, strengthening nursing, weaknesses and strengths of Primary Care, evidence-based protocols, review, training, and use of the Practical Approach to Care Kit.

Final considerations: nursing protocols transcend macro and micropolitical dimensions, expanding clinical practice and promoting care management, with impacts on strengthening primary care and nursing.

Objectives: to describe the process of content validity, implementation and assessment of use of a manual for nursing consultation for people living with Diabetes Mellitus.

Methods: methodological research, with an interface with principles of implementation science developed in three stages: content validity; implementation; and use assessment.

Results: content was assessed by seven experts, obtaining a general Content Validity Index of 0.80 and a Content Validity Ratio of 0.72. The manual, after adjustments based on recommendations received, was entitled "Consulta do Enfermeiro às pessoas que convivem com Diabetes Mellitus", organized in 67 pages, containing five chapters. Implementation took place in 24 municipalities in the west of Santa Catarina over a period of four months, and 43 nurses participated. User experience assessment was carried out with six nurses, and analysis resulted in three categories.

Final considerations: the manual met the proposed assessment parameters, revealing evidence and appropriating it for use.

Objective: To analyze and map evidence in the literature on the contexts in which care for patients with hematologic neoplasms occurs within health services.

Methods: This is a contextual analysis conducted in June 2024 through the development of a scoping review. The search for studies was carried out in national and international databases, as well as in thesis and dissertation portals, with the analysis focused on the immediate, specific, general, and metacontextual levels.

Results: The sample, composed of thirty-two studies, revealed that the factors related to health care for patients with hematologic neoplasms in health services include: specific aspects of care; potentialities and barriers; actions that enhanced care; and the legislation that regulates it.

Final considerations: Complex interactions were observed, involving technical and interpersonal needs, as well as infrastructure-related challenges in the care of patients with neoplasms. These dynamics reveal important opportunities and obstacles within the care contexts.

[This corrects the article doi: 10.1590/0034-7167-2024-0360] [This corrects the article doi: 10.1590/0034-7167-2024-0360pt].

Objectives: to apply the SPIKES protocol in a family meeting with a patient undergoing palliative care for metastatic cholangiocarcinoma.

Methods: an experience report from a teaching hospital. The SPIKES protocol was used to communicate bad news in six steps.

Results: communication mediated by the SPIKES protocol strengthened the bond between health team, patient, and their family members. Furthermore, there was a reduction in family members' emotional distress and greater acceptance of clinical decisions, which directly reflected the trust placed in the care team.

Final considerations: the SPIKES protocol proved to be an essential tool for promoting palliative care. More than strengthening bonds, it contributed to shared and humanized decisions, favoring the dignity of the dying process. Moreover, it reinforces the need for training healthcare professionals, emphasizing the ethical and empathetic role of the care team. Information confidentiality was guaranteed, ensuring the anonymity of those involved.