Revista gaucha de enfermagem / EENFUFRGS最新文献

Objective: To identify frequency and factors associated with the use of cannabis among students at a public university in the state of Paraná.

Method: Cross-sectional study, conducted with 168 students from a public university in central Paraná, Brazil. Data were collected between August and November 2022 through the RedCap platform containing sociodemographic variables, on the use of cannabis, problems related to consumption, and the Depression, Anxiety and Stress Scale. Descriptive analysis and ordinary least squares multiple regression models were performed. The research was approved by the Ethics Committee.

Results: Cannabis use was reported by 84.5% of students and 13.7% had some problem related to consumption. The factors sexual orientation (homosexual p-value=0.02/asexual p-value =0.01), living with college friends (p-value=0.03) and higher income (p-value <0.001), were associated with both more days of consumption and problems. Tobacco use in the last 30 days was associated with more days of cannabis consumption (p-value=0.02) and higher levels of stress linked to consumption-related problems (p-value=0.05).

Conclusion: Cannabis use is frequent among students, and sociodemographic characteristics, the use of other substances, and stress were associated with both the number of consumption days and reported problems.

Objective: to analyze the moral sensitivity of nurses while facing ethical conflicts at the professional practice and verify their association with sociodemographic and labor-related variables.

Method: cross-sectional study, carried out with 115 nurses from a university hospital of southern Brazil. The Moral Sensitivity Questionnaire - Brazilian Version was applied from April to May 2023. Descriptive and analytical statistics were used to analyze the data.

Results: the mean of the nurse's total moral sensitivity score was 3.49 (SD=0.36). The lowest score levels of moral sensitivity were related to the constructs "modified autonomy" (2.48; SD=1.08) and "meaning of the moral structure" (3.46; SD=0.66), while the highest levels were associated with the constructs "respect for patient autonomy" (3.90; SD=0.85) and "experiencing moral conflict" (3.59; SD=1.02). The constructs "modified autonomy" and "meaning of moral structure" were statistically significant regarding the association with the number of employment contracts, work shift and weekly hours worked (p=0.045, p=0.034, and p=0.044, respectively).

Conclusion: nurses exhibit moderate levels of moral sensitivity, and aspects of work are related to the ability to recognize and act on ethical problems.

Objective: To evaluate educational practices, satisfaction, confidence, and debriefing experience in the perception of students and health professionals after a postvention telesimulation.

Methods: Cross-sectional study conducted in 2021 with 60 participants, including health professionals (n=44) and students (n=15). Four instruments were used: the characterization questionnaire, the Educational Practices Questionnaire, the Student Satisfaction and Self-Confidence in Learning and the Debriefing Experience Scale. Data were analyzed using descriptive and inferential statistics.

Results: The majority of participants were female (90.0%). Of the total, 50.8% had previous exposure to postvention and 71.2% had no exposure to simulation-based teaching. In terms of educational practices, the highest means for agreement (9.39±1.00) and importance (9.60±0.82) were found in the high expectations factor. Participants reported feeling satisfied and confident in their learning, with an emphasis on the satisfaction dimension (mean score: 24.23±1.81). Regarding debriefing, the highest means were observed in the appropriate guidance factor (mean score: 14.05±2.02). Associations were identified in active learning, learning and making connections, satisfaction, and self-confidence, particularly concerning the virtual experience, prior contact with postvention, and facilitator guidance.

Conclusion: Participants positively evaluated the educational practices, satisfaction, self-confidence, and debriefing in the telesimulation, suggesting that this could be a viable alternative for simulation-based education on suicide postvention.

Objective: To explore, in the literature, how transitional care from hospital to home supports the caregivers of older adults with functional dependence.

Method: Scoping review according to Joanna Briggs, with articles indexed in six databases and gray literature, from March to October 2022. Covidence Systematic Review was used to select the studies. The data obtained is described according to the modified PRISMA-ScR. The analysis and discussion were based on the Afaf Meleis Theory.

Results: 1.220 studies were identified and, after selection, nine publications were used for analysis. The studies found indicated that transitional care supported the caregiver of older people with functional dependence through health education, involvement in decision-making, emotional support, telemonitoring and home visits after discharge. These interventions improved care for older people, reduced anxiety and promoted a sense of security.

Conclusion: Transitional care helps the caregiver adapt to providing care at home and should be adjusted according to the caregiver's context and available support network.

Objective: To learn about the risk practices for foot complications among patients with type 2 Diabetes Mellitus and the role of nursing in promoting self-care, in light of Dorothea Orem.

Method: Qualitative study, anchored in the methodological framework of Thematic Oral History. It was conducted through semi-structured interviews with 39 patients with type 2 Diabetes Mellitus in Arapiraca/AL, from August to September 2023. The interviews were transcribed, textualized and transcreated, based on the methodological framework.

Results: Participants presented risk practices for foot complications due to inadequate footwear, foot warmers, use of instruments on the feet, inadequate nail trimming and walking barefoot. Nursing, from Dorothea Orem's perspective, is essential for user self-care because it provides guidance that prevents or mitigates risk practices for foot complications.

Conclusion: Lack of adherence to self-care practices has a multifactorial etiology and results in a risk of foot injuries. It was demonstrated that Orem's theory serves as a guide for nursing actions, aiming at care and educational practices to mitigate these risks.

Objective: To evaluate the implementation of the Thirst Management Model in the immediate postoperative period guided by the Knowledge Translation framework.

Method: A quasi-experimental study, in the Post Anesthesia Care Unit of a large university hospital in northern Paraná. Implementation took place in two phases: preparation and implementation and change. Data was collected by observing the practice of nursing professionals. The implementation process was evaluated by measuring adoption and aspects of fidelity, using descriptive analysis of the level of adherence to the evidence in the continuous improvement cycles and the reach of the target audience. The adoption of the Thirst Management Model at pre- and post-implementation times was compared using Chi-square.

Results: In the pre-implementation period, 236 events in the care provided by nursing professionals related to thirst management were observed, and 198 in the post-implementation period. Adoption of the evidence went from 28.2% pre-implementation to 78.4% post-implementation (p<0.001). The level of adherence exceeded the 70% target in one of the three cycles: 61.1%, 66.6%, 84.0%. The target audience was reached 100% in the first rapid cycle.

Conclusion: The use of the theoretical framework and its multifaceted intervention significantly increased the adoption of the Thirst Management Model.

Objectives: To understand the perceptions of obstetric nurses (midwives) about the work dynamics in the parturition process at hospitals from Porto Alegre/Rio Grande do Sul.

Method: Exploratory-descriptive study with a qualitative approach with 12 midwives Who worked at eight obstetric centers in the city, recruited using the snowball technique. Data collection was carried out by the application of a semi-structured instrument and electronically, from September to November of 2023. The data analysis technique was thematic.

Results: Midwives realize that their performance contributes to the rescue of physiological birth. The work of midwives in households was replaced by a non-collaborative and often interventionist model. Administrative demands, the staffing framework, and the relationships between professionals appear as factors that hinder the insertion of nurses in childbirth care.

Final considerations: The legislation does not guarantee autonomy to provide birth assistance. Implications for practice are the need for managers committed to implementing the collaborative birth care model and review in staffing for full autonomy of midwives in this scenario.

Objective: To evaluate the implementation of the partogram as a facilitating technology in childbirth care and associated factors.

Method: Cross-sectional study conducted in a maternity hospital in the city of Divinópolis, MG, in 2023. A structured questionnaire on childbirth care was applied to the puerperal women, gathering clinical data and the pregnant woman's booklet. Descriptive statistical analysis of the data was performed, and Fisher's exact test, Pearson's Chi-square test and Mann Whitney test were used to verify associations. The results considered significance level at 5%.

Results: 213 puerperal women participated in the research. Effective best practices included the presence of a companion (94.4%) and the administration of oxytocin after the expulsion period (92.5%). Information about the partogram was obtained from 180 (84.5%) medical records. Among these, the prevalence of births that were monitored with the professionals' entries in the partogram was 36.6%. The partogram was more frequently completed in the records of married puerperal women (p=0.027) and those who had premature rupture of membranes (p=0.029).

Conclusions: The Partogram was implemented in an incipient manner in the maternity ward and was more frequently completed in the medical records of married puerperal women and those who had premature rupture of membranes.

Objective: To present a study protocol to evaluate the efficacy of auricular acupuncture on compassion fatigue scores in nursing professionals, compared to the placebo group and control group.

Method: Randomized, controlled, double-blind, three-arm parallel clinical trial protocol, conducted with nursing professionals from a teaching hospital who present compassion fatigue. Volunteers will be randomly assigned to three groups to receive eight sessions of auricular acupuncture or follow-up. The primary outcome will be the compassion fatigue score, and the secondary outcome will be compassion satisfaction, measured by the Brazilian version of the Professional Quality of Life scale, and the depression, anxiety, and stress scores, measured by the Depression, Anxiety, and Stress scale, Brazilian version.

Expected results: The results may strengthen the validity of auricular acupuncture to mitigate compassion fatigue, enabling its incorporation as a mental health care strategy for the nursing team in the workplace.

Final considerations: This protocol aims to test the efficacy of auricular acupuncture for compassion fatigue in hospital nursing professionals. In addition, it may contribute to the management of these professionals' quality of life and support future research on the application of this therapy by nurses. Record identifier RBR-28xttdt.

Objective: To analyze the prediction of hemorrhagic transformation in patients with ischemic stroke undergoing thrombolytic therapy and its association with the nursing diagnosis "Risk of bleeding".

Method: Retrospective cohort study in patients with post-thrombolysis ischemic stroke from a hospital in Rio Grande do Sul from January 2019 to December 2021. The patient data were extrected from electronic medical records. After processing, univariable and multivariable analysis was conducted using Poisson regression with robust variance.

Results: 249 patients were analyzed, 43 (17.4%) had hemorrhagic transformation, hospitalization time was 8 (5-12.5) days and 25 (10%) died. The predictors of hemorrhagic transformation were: increased age, pre-thrombolysis National Institute of Health Stroke Scale score and use of oxygen therapy via nasal goggles and Hudson mask. The nursing diagnosis "Risk of bleeding" was not associated with hemorrhagic transformation.

Conclusion: The predictors found can improve the nursing diagnosis "Risk of bleeding", but there was no correlation observed between this and the occurrence of hemorrhagic transformation.