Revista gaucha de enfermagem / EENFUFRGS最新文献

[This corrects the article doi: 10.1590/1983-1447.2024.20240162.en] [This corrects the article doi: 10.1590/1983-1447.2024.20240162.pt] [This corrects the article doi: 10.1590/1983-1447.2024.20240162.es].

Objective: To analyze family dynamics, the support network of family caregivers of individuals with progressive cancer, and their needs for comprehensive care.

Method: Qualitative, descriptive study developed based on the Calgary Family Assessment Model framework. It was conducted from September 2022 to April 2023, through participant observation at a public health institution in São Paulo and interviews with six family caregivers. The analysis was performed using Genogram and Ecomap, following the Calgary Model, with the support of software for data organization.

Results: The data were categorized into structural, developmental, and functional family assessments. They revealed the strengthening of family relationships with strong bonds, an increased level of burden on the caregiver as cancer progressed, neglect of self-care, and financial difficulties. Due to the burden, caregivers struggled to outline the composition of their support network, but the employed model enabled the identification of its elements, with faith being mentioned by all.

Conclusion: The diagnosis and progression of cancer led to changes in family structure, development, and functionality which need to be individually assessed to improve care planning. This involves mobilizing elements and services according to the reality of families.

Objective: To understand the relationships that promote and threaten family hope during pregnancy and in the care of high-risk newborns.

Method: Qualitative research, guided by the theoretical framework of Understanding the Complex Nature of Hope, carried out between December 2021 and March 2022, with 28 members of 14 families attended at a multidisciplinary outpatient clinic for at-risk newborns in Minas Gerais, Brazil. Data obtained from interviews in thematic oral history allowed the construction of narratives, genograms and ecomaps, which were subjected to deductive thematic analysis procedures.

Results: The study highlighted relationships that promote and threaten family hope. Conflicting relationships, insecurity, indifference to the situation and unavailability to build bonds threatened hope. Reciprocity, attachment, relationship with God, self-confidence and protection of the newborn were constituent elements of relationships that promote hope during pregnancy and neonatal care.

Conclusion: Family hope was constructed and given new meaning in intrapersonal and interpersonal relationships. Despite the uncertainties experienced by families, hope was strengthened in the relationship with oneself, with family members, professionals and with the transcendent, generating intimidation and a feeling of belonging. Knowing this context can help nurses promote family hope, through attentive and resolute listening, assertive guidance on gestational and neonatal risk, and support in neonatal care.

Objective: To analyze the concept of sexual dysfunction in postpartum women and identify their essential attributes, antecedents, and effects.

Method: Concept analysis based on a framework by Walker and Avant, elaborated in eight stages, which were: concept selection; identification of the use of the concept; determination of essential attributes; construction of the model case; additional case; identification of antecedents and effects; and definition of empirical references. Furthermore, an integrative review was carried out simultaneously, with a view to supporting the analysis of the concept.

Results: The sample consisted of 55 studies included in the integrative review. 3 essential attributes, 38 antecedents and 6 effects were identified. The most prevalent antecedents were: perineal laceration, depression, and breastfeeding. Dyspareunia, decreased sexual desire, and altered sexual satisfaction were the main effects.

Conclusion: The concept indicates that the diagnosis involves multifactorial conditions that affect the sexual response cycle, limiting the woman's ability to perform satisfactory sexual relations in the postpartum period.

Objective: To analyze the association between sociodemographic characteristics, level of perceived stress and resilience with family functioning of immigrants in Brazil.

Method: Cross-sectional study with 122 immigrants living in a municipality in southern Brazil. Data collected in 2021, using questions for characterization, Family Cohesion and Adaptability, Resilience and Perceived Stress Assessment Scale. Data were analyzed in SPSS®, using descriptive and analytical measures (Mann-Whitney, Kruskal-Wallis and post-hoc tests with Bonferroni correction).

Results: The immigrants were between 18 and 69 years old (average 35.6 years ± 12.0), the majority were female, Venezuelan, with up to eight years of education, family income of one minimum wage, lived in a rented house and had been in Brazil for more than two years. Half had a partner and 18.9% immigrated alone. Family cohesion was associated with marital status, age, education, number of residents and who they came to Brazil with; adaptability with length of stay, who came to Brazil with, number of residents and religion. Greater perceived stress occurred in disconnected families (with less cohesion) and more resilience in connected, agglutinated (with greater cohesion) and rigid (more adapted) families.

Conclusion: Sociodemographic characteristics, level of perceived stress and resilience influenced the family functioning of immigrants.

Objective: To map evidence of organizational support for healthcare professionals who worked in hospitals during the pandemic.

Method: This is a scoping review, based on the framework established by Joanna Briggs Institute and the PRISMA-ScR protocol, registered in the Open Science Framework, under DOI: 10.17605/OSF.IO/2P7B4. Materials that presented evidence of organizational support measures offered to hospital healthcare professionals in the context of the pandemic were included. The databases CINAHL (Ebsco), EMBASE (Elsevier), LILACS (VHL), PubMed (NLM/NCBI), Science Direct (Elsevier), Academic Search Premier (Ebsco), PSYCiNFO (APA), SCOPUS (Elsevier), in addition to official websites of leading healthcare institutions with publications on the topic.

Results: After pre-selection of 716 materials, 60 studies were included; whose results addressed the topics: financial support, in-service education, material resources and physical structure, psychological support, the role of leadership, and other institutional support measures.

Conclusion: The pandemic scenario brought advances in relation to organizational support measures adopted in hospital institutions, highlighting the importance of investments in workplace support policies, not only during the pandemic period. Such actions can positively contribute to the provision of safe care for workers and patients.

Objective: to describe the perception of health professionals and managers in the prison system regarding the continuity of breastfeeding care for lactating women deprived of liberty.

Method: descriptive-exploratory research, qualitative approach, developed in a prison unit in Rio de Janeiro from December 2022 to January 2023. Interviewees: five health professionals and two managers. Content analysis was performed using Bardin's method with the assistance of Atlas.ti software, which has advanced resources to assist the researcher in organizing, analyzing and interpreting data.

Results: the actions that promote the continuity of breastfeeding care were: educational actions, with professionals as a support network, and the exchange of knowledge between professionals and lactating women. However, there are actions that weaken the continuity of care, favoring early weaning: introduction of food before six months, lack of guidance from family members, unplanned mother-baby separation and lack of a healthcare network within the prison system.

Conclusion: professionals and managers perceive that there is promotion of continuity of breastfeeding care in prison. However, there are hindering elements that contribute to the discontinuity of breastfeeding. A challenge then arises to guarantee the equitable and comprehensive healthcare of lactating women and babies.

Objective: To map the literature on the use of exergames in the rehabilitation of school-age children with brain tumors, in any context.

Method: Scoping review protocol developed using the recommendations of the Joanna Briggs Institute. The search will include aggregators, databases, indexes, repositories, and research browsers, without limitation as to the year of publication. Primary and secondary studies that include school-age children with brain tumors and that use exergames in children's motor rehabilitation in any context will be eligible. The selection and extraction of data will be carried out by two independent researchers and, if necessary, a third researcher will resolve any discrepancies.

Results: The data analyzed will be presented in diagrammatic, tabular, and descriptive form.

Final considerations: The mapping of interventions using exergames in the rehabilitation of school-age children with brain tumors could lead to reflection on the main components to be considered in intervention programs, supporting informed nursing decision-making and identifying the main areas of interest for research. It is hoped that the results of this review can contribute to strengthening knowledge in this field, promoting a better quality of life for children with brain tumors, as well as for their families.

Objective: to analyze the implementation of care agreements developed in the CACTO program for mothers of children with Autism Spectrum Disorder.

Method: exploratory, qualitative study, guided by Unitary Caring Science and the Implementation Science methodological framework, based on the Consolidated Conceptual Framework for Implementation Research. Conducted with 20 mothers of children with Autism Spectrum Disorder, between April 2023 and February 2024, during care meetings developed in a non-governmental organization. For analysis, deductive thematic content analysis was used.

Results: the agreements were categorized into three dimensions of human existence: body-mind-soul. The health needs of mothers determined the implementation of the agreements, such as: difficulties in body acceptance, sedentary lifestyle, lack of awareness of their own potential, insufficient self-care, unresolved past conflicts, self-blame, family conflicts, signs and symptoms of overload and fragility in the relationship with God. The lack of time and oppressive relationships were barriers, while motivation and spirituality served as strengths for the mothers in applying the agreement device.

Final considerations: in-depth dialogue and the leading role of the mothers were decisive in the implementation of the agreements. Professional caregivers play a fundamental role in epistemological development while triggering innovative care in the health field.

Objective: To analyze the implementation of the Kangaroo Method in a tertiary maternity hospital in the city of Recife.

Method: Evaluative research analyzing the implementation of the 2nd and 3rd stages of the Kangaroo Method. Conducted between November 2021 and May 2022. A logical model of the Kangaroo Method and the respective matrix of indicators were developed, validated by the Delphi technique, referring to the structure, process, definers of the degree of implementation (implemented/partially implemented/incipient), and the outcomes. Professionals from the Kangaroo Unit (n=9), discharge clinic (n=2), basic health units (n=15), municipal manager (n=1) and parents (n=18) were interviewed; medical records were checked along with direct observation. Plausibility relations were established using a deductive approach based on the logical model to compare the degree of implementation of the Kangaroo Method with its outcomes.

Results: The 2nd stage was partially implemented (79.2%), as was its integration with the 3rd stage (78.0%). The implementation of the 3rd stage was incipient (58.4%). The mothers adhered to the recommended care and a strengthened bond with their babies (100%). The children were followed up at the discharge clinic (100%), but only 38.8% are in primary health care. Professionals were trained in the maternity ward (90%) and in primary care (37.5%).

Conclusion: The Kangaroo Method was partially implemented, showing greater fragility in follow-up after hospital discharge.