Revista gaucha de enfermagem / EENFUFRGS最新文献

Objective: To develop a simulated scenario for undergraduate education on nursing consultation in long COVID situations in Primary Health Care.

Method: This is an applied methodological study divided into two stages: first, the clinical case was constructed and validated with nurses with experience in Primary Health Care and/or clinical simulation (n=9). Then, the scenario was constructed and validated with a group of judges composed of professors and postgraduate students (n=11). The Content Validity Index was used to analyze the data, with an agreement level of 80%.

Results: The clinical case and the scenario obtained an average Content Validity Index of 0.98 and 0.90, respectively. Only two items presented values below the minimum acceptable, being reformulated and sent for a second round of validation.

Conclusion: The simulated scenario on long COVID was developed and validated, demonstrating its potential for use in undergraduate nursing education and for contributing to professional training in Primary Health Care.

Objective: To evaluate the association between food consumption, according to the extent and purpose of food processing, and the quality of life of university students from different fields of knowledge.

Method: Multicenter cross-sectional study with students from eight Brazilian universities. Data were collected between October 2021 and February 2022 through a self-administered online questionnaire. Quality of life was assessed using the WHOQOL-BREF and categorized as high (> 25th percentile) and low (≤ 25th percentile) for each of the four domains. Food consumption assessed by questionnaire with categorical variables of food frequency, according to the Nova classification, whose scores ranged from 0 (best) to 48 (worst diet quality), divided into distribution quartiles. Univariate and multivariate logistic regression was performed.

Results: Of the 8,650 university students evaluated, the majority were female, aged between 18 and 20. Using multivariate logistic regression, students with poorer diet quality (students in the highest quartile of ultra-processed food consumption) were more likely to have poorer quality of life in all domains, especially in the Physical (OR=2.49; 95%CI=2.16-2.88) and Psychological (OR=2.40; 95%CI=2.08-2.76) domains compared to students with better diet quality.

Conclusion: University students with poor diet quality were more likely to have a lower quality of life in all four domains.

Objective: to understand the meaning of being a mobile pre-hospital care nurse.

Method: a qualitative study with a comprehensive approach, based on the theoretical analysis of Viktor Frankl, conducted by phenomenological interview with 11 nurses working in Decentralized Bases of an Emergency Mobile Service (Serviço de Atendimento Móvel de Urgência - SAMU) of the Northeast Microregion, in Bahia, from February to June 2024. To understand the phenomenon, Vieta's Humanistic analysis was used, called triadic configuration (humanist-existential-personalist).

Results: four thematic categories emerged: Being a nurse in SAMU is to experience the decision-making process and suffering in care relationships; Being a nurse in SAMU is to achieve the realization of Franklian values; Being a nurse in the SAMU enables the realization of life purposes and discovering the meaning of life. The facets of the phenomenon allowed professionals to face feelings of anguish, fear, suffering and transcendence motivated by pleasure and gratitude in caring for the user in the mobile pre-hospital setting.

Conclusion: the meaning of being a nurse in SAMU is driven by a new sense of life that aligns with the responsibility of providing human, comprehensive, and, above all, ethical care.

Objective: to analyze the patient safety culture among workers at a public teaching hospital.

Method: cross-sectional study, carried out with 259 workers from a teaching hospital in Minas Gerais, Brazil, using the Brazilian electronic version of the Hospital Survey on Patient Safety Culture E-questionnaire, between October 2022 and January 2023. For data analysis, descriptive statistics were used. Furthermore, the correlation between domains was verified using the Spearman correlation test. For association between domains, multiple linear regression analysis was used.

Results: Of the 12 dimensions, seven were considered fragile, the most critical being "non-punitive response to errors", with 26.2% positive responses. There was a strong positive correlation between "feedback and communication about errors" and "organizational learning and continuous improvement" (R=0.595; p<0.01) and "frequency of event notification" (R=0.501; p<0.01).

Conclusion: the patient safety culture was considered weakened. Better perceptions of organizational learning and notification of adverse events were present when there was greater feedback and communication about errors experienced in care processes. A higher frequency of adverse events was associated with a worse perception of safety culture.

Objective: To understand the behavior and perception of migrant university women regarding the need for health care.

Method: This is an exploratory, descriptive, qualitative study, conducted within the theoretical framework of Symbolic Interactionism. Participants were 19 international migrant women from a public university in Foz do Iguaçu, Brazil. Data collection took place between April and August 2024 through interviews, which were analyzed using Thematic Analysis.

Results: Participants recognize the need to maintain healthy behaviors, including a balanced diet, adapted physical activity, mental health care strategies, and the use of natural plants and herbs. These behaviors, shaped and shaped by their social and cultural interactions, were difficult to achieve due to cultural adaptation, insufficient financial resources, a lack of traditional herbs and plants, and limited time. Sexual and reproductive health was weakened by misinformation, taboos, and barriers to access. The lack of comprehensive and culturally sensitive support in health services compromised the performance of tests for sexually transmitted infections and gynecological follow-up.

Conclusion: Migrant women attending university recognize the need for health care and seek to balance their cultural values with the demands of their new life context. However, misinformation and limited access to services have negatively impacted their sexual and reproductive health care.

Objective: to verify the association between training in integrative practices and the work situations of nurses in Brazil.

Method: this is a descriptive, multicenter survey study, carried out with 1,154 nurses from the five regions of Brazil. Data was collected using an online questionnaire between June 2021 and January 2022. Statistical analysis included absolute and relative frequencies, association tests, linear trend tests and Poisson regression with robust variance, with significant associations atp≤0.05.

Results: the prevalence of training in traditional integrative practices was 43.5%, with a predominance of women, postgraduates, religious professionals and residents in the South. Self-employed nurses and those with fewer formal jobs were more likely to be trained (RP=1.59). Adjusted analysis revealed significant associations with the legal nature of the employment relationship, type of occupation and weekly working hours. Working in private institutions (RP= 0.67) and being a salaried employee (RP=0.64) reduced the likelihood of training in integrative health, while being self-employed without social security (RP=1.80) or having working hours of 20h/40h increased this likelihood (RP=1.51/RP=1.21).

Conclusion: training in integrative practices among nurses is associated with more flexible professional relationships, greater autonomy and work situation that favor continued qualification. These results reinforce the need for institutional incentives and public policies to increase access to training.

Objective: To analyze the implementation context of the Rapid Molecular Test for tuberculosis diagnosis in the state of São Paulo, Brazil.

Method: Qualitative documentary study conducted by surveying documents from governmental bodies related to the implementation of the Rapid Molecular Test. The documents were exported and organized using Atlas.ti® software, analyzed based on Content Analysis, and interpreted in light of the Policy Transfer framework.

Results: A total of 295 documents were identified, of which seven, from the years 2014 to 2021, were included in the study. Three thematic categories emerged: 1. Resources, which addresses the financial, human, and material aspects managed by the three levels of government during the Rapid Molecular Test implementation period; 2. Implementation Strategy, which refers to the decision-making and implementation phases in the Policy Transfer process; and 3. Monitoring Actions, which covers the maintenance and expansion phase of the Policy Transfer process, including organization and monitoring to advance the care for people with tuberculosis.

Conclusion: The implementation of the Rapid Molecular Test represents a significant advancement in modernizing public health policies for the control of tuberculosis in Brazil. To effectively achieve the established targets for tuberculosis eradication, this initiative necessitates continuous monitoring and the expansion of access to the test.

Objective: to analyze the association between social environment factors and the impacts of the COVID-19 pandemic context on birth weight.

Methods: This is a cross-sectional study, nested in a cohort. Conducted in the first three months of the pandemic, in three public maternity hospitals in Belo Horizonte, Minas Gerais, Brazil. A sample of 1,684 postpartum women was included. Multinomial logistic regression was applied for the analysis.

Results: Physical inactivity during pregnancy increased the chance of low birth weight (RP = 3.84; 95%CI: 1.11-13.21; p: 0.033). Environmental variables such as the number of families earning up to half a minimum wage (RP = 1.00; 95%CI: 1.00-1.00; p: <0.001) and per capita income (RP= 1.01; 95%CI: 1.00-1.02; p: 0.002) showed statistically significant associations with low birth weight.

Conclusion: The findings show that both individual and contextual determinants directly influenced birth weight during the pandemic, reinforcing the need for actions that integrate obstetric care and social policies aimed at reducing inequalities.

Objective: To verify the association between prenatal guidance and serological progression in postpartum women with gestational syphilis and syphilis test reactivity in newborns.

Method: A cross-sectional study conducted at a university hospital from November 2023 to August 2024. The sample consisted of 119 postpartum women diagnosed with syphilis during prenatal care, and who received adequate treatment or not. Data were collected using a questionnaire administered to postpartum women and medical records and analyzed using Pearson's chi-square test.

Results: Postpartum women had adequate responses to the guidance received during prenatal care: definition of syphilis (59.7%), transmission (84.9%), treatment (94.1%), maternal/fetal consequences (59.7%), prevention (74.8%), vertical transmission (31.1%), congenital syphilis (53.8%), and diagnostic tests (63.9%). A positive association was found between adequate responses to diagnostic tests and proper treatment (p=0.035). Between adequate responses regarding treatment and maintenance or increase in Venereal Disease Research Laboratory (VDRL) titers (p=0.030), and between adequate responses regarding vertical transmission (p=0.034) and diagnostic tests (p=0.039) with VDRL-reactive newborns at birth. Regarding sexual partners, 52.1% had no record of treatment.

Conclusion: Despite the adequate responses of most postpartum women to prenatal guidance, maintenance, or an increase in maternal VDRL titers and neonatal reactivity, these findings suggest gaps in educational actions and failure in the treatment of sexual partners.

Objective: To develop a website aimed at rehabilitation nurses, focused on accessibility and nursing care for individuals with acquired physical disabilities, and to assess its usability, experience and perception of use.

Method: A methodological study of technological development based on the DADI methodology (Definition, Architecture, Design, and Implementation), tested by 11 rehabilitation nurses selected by convenience sampling, in 2023. Data were collected through an online questionnaire evaluating usability, experience and perception of use, complemented by an open-ended question for suggestions. The data were analyzed using descriptive statistics and thematic analysis of the open-ended responses.

Results: The website "Nursing. People. Disability - Community" achieved an average score of 88.64 ± 8.49 on the System Usability Scale, indicating excellent usability. All participants found the information they were looking for, considered the valuable content for care practice, and recognized the clarity of the layout. Overall impressions exceeded the expectations of 81.8% of the participants. Suggestions included addressing topics such as home accessibility, acquisition of assistive products, and expanding the content on rehabilitation.

Conclusion: The website demonstrates high usability and meets the information needs of rehabilitation nurses regarding accessibility and care for individuals with acquired physical disabilities.