Revista gaucha de enfermagem / EENFUFRGS最新文献

Objective: To verify the effects of instructional therapeutic play on the behavior of children during the first attempt at peripheral intravenous catheterization.

Method: This is a quasi-experimental post hoc analysis with a non-equivalent control group, secondary to a randomized clinical trial. The convenience sample comprised 193 children, allocated for convenience into an intervention group (preparation for catheterization with a therapeutic play; n=101 children) and a control group (preparation with structured conversation supported by the use of a booklet; n=92 children). The Observation Scale of Behavior Distress was used to evaluate opposing behavior (attacking the professional, whining, crying, getting nervous, screaming, moving until being immobilized, and protesting) and non-opposing behavior (helping and asking for information. We conducted descriptive and inferential analyses of the data.

Results: Statistically significant differences were observed between the intervention and control groups in the variables: nervousness, moving to immobilization, protest and assistance during venipuncture. The use of therapeutic play reduced the risk of being nervous during the procedure by 43%, the risk of moving did so by 51%, and the risk of not protesting by 51%. Furthermore, assistive behavior during the procedure increased by 27%.

Conclusion: The instructional therapeutic play was effective in reducing behaviors competing with intravenous catheterization and favored the child's collaboration in their first attempt.

Objective: to cross-culturally adapt and analyze the metric properties of the Adult Difficult Intravenous Access Scale into Brazilian Portuguese.

Method: methodological study carried out in two stages: 1) Translation of the scale from the original version in English to Brazilian Portuguese, including an assessment by a committee of nine judges, back-translation and semantic analysis; 2) Analysis of metric properties with 130 adults admitted to a hemodynamics unit in which difficult peripheral venipunctures occurred. Participants were followed up to check for the occurrence of difficult peripheral venipunctures. The instrument's inter-rater reliability and predictive validity were analyzed. Data collection was carried out from February 2021 to April 2023 in Minas Gerais, Brazil.

Results: in the assessment carried out by the committee of judges, the items presented a Content Validity Index above 0.80, after the second round of assessment. Regarding semantic analysis, professionals considered the scale relevant, easy to apply and understand. The Kappa coefficient for individual items ranged between 0.68 and 1.0. For each item scored, adult patients are three times more likely to have difficult peripheral venipuncture.

Conclusion: the final version of the scale was considered clear, reliable, and easy to understand. The instrument enables a predictive score of difficult peripheral venipuncture in adults.

Objective: Create and validate the content of video lessons to support nurses when carrying out adolescent consultations in Primary Health Care.

Method: Methodological research carried out in four stages: 1) Exploration, with 83 nurses and two literature narrative reviews; 2) Construction of scripts and storyboards; 3) scripts and storyboards' content validation; 4) Video classes production. Data analysis was conducted using the Content Validity Index.

Results: The exploratory stage revealed that 85.5% of nurses carry out consultations with adolescents and 44.6% face difficulties. The most cited topics of interest were legal aspects of care, adolescent consultation, pregnancy and risk assessment in adolescence. In the review carried out with the objective of identifying a script for producing the video lessons, no one was found that met the needs of the study. The other narrative reviews showed that nursing training for adolescent consultations is incipient. 14 expert nurses validated the content with a Content Validity Index above 0.9. Afterwards, a series of four video lessons entitled "Teen talk" was produced.

Conclusion: content was validated in terms of objective, structure/presentation and relevance, allowing the video classes to assist in the professional qualification of nurses to carry out consultations for adolescents.

Objective: To describe the outcome indicators of implementing a cascade of care for latent Mycobacterium tuberculosis infection in people living with the human immunodeficiency virus.

Method: Cross-sectional study, carried out with people living with HIV, from 2022 to 2024, in a reference service in Campo Grande, Mato Grosso do Sul. It occurred after the implementation of the following work process: Identification of people at risk for investigation of Latent Tuberculosis Infection (LTBI); Test for LTBI; Exclusion of active TB cases; Treatment for LTBI; Adherence to treatment; and Completion of treatment. Data were analyzed using descriptive statistics, Chi-square test and Fisher's exact test.

Results: 735 people were monitored, of which 29.6% were indicated to start treatment for latent infection, and 32.5% started it. Treatment completion was higher in those who used the shortened regimen (90.2% versus 71.8%; p-value < 0.05, 7.8% with isoniazid and 2% with rifampin). There was one (0.9%) serious adverse reaction.

Conclusion: The implementation of the cascade of care demonstrated that 1⁄3 of participants had an indication for treatment and expanded access to recommended treatment. The conclusion was greater with the shortened scheme. Adverse reactions were infrequent.

Objective: To analyze the knowledge and perceptions of the nursing team about arrest and cardiopulmonary resuscitation in adults before and after in situ simulation in emergency care.

Method: A sequential explanatory mixed methods study conducted in an Emergency Care Unit. Quantitative data were obtained through pre- and post-simulation questionnaire answered by 21 professionals and analyzed using descriptive and inferential statistics. The qualitative data was obtained through individual structured interviews with 19 professionals, analyzed according to thematic content analysis. The data was combined through connection.

Results: In situ simulation did not significantly change pre- and post-simulation knowledge. Hand positioning for cardiac compressions and handling the automatic external defibrillator had the lowest number of correct answers. The qualitative data indicated difficulties related to knowledge, such as lack of training and insufficient experience with cardiopulmonary resuscitation.

Conclusion: No statistically significant differences were identified in the proportions of answers obtained through the pre- and post-simulation in situ questionnaire regarding correct answers and wrong answers. Furthermore, the qualitative data reinforced the professionals' lack of experience in critical situations, the lack of training and ongoing studies on the subject.

Aim: To describe a study protocol to compare the difference between the risk of impaired cardiovascular function (00311) among university students as mediated by standard nursing consultation, when compared with nursing consultations mediated by the e-TEORISC.

Method: Randomized, controlled and blinded clinical trial protocol. People with the NANDA-I nursing diagnosis of risk of impaired cardiovascular function (00311) will be included. Participants will be distributed, according to paired randomization by gender and number of etiological factors in nursing diagnosis 00311, into an intervention group (consultation and software based on the nursing theory studied) and a control group (standard nursing consultation). The main outcome will be the reduction of two or more etiological factors of the nursing diagnosis. The proposal was registered with the Brazilian Registry of Clinical Trials under number RBR-8y3qx39.

Expected results: The implementation of the care program through e-TEORISC is expected to encourage the target audience to adhere to health services and allow care plans to be drawn up that reduce the etiological factors of the nursing diagnosis.

Objective: To verify evidence of validity of the board game "An antihypertensive move" produced to mediate teaching practices with students on health courses about diuretic and antihypertensive medications.

Method: this is a methodological and development study in compliance with the SQUIRE-EDU guidelines. 20 experts participated. In data collection, the Health Educational Content Validation Instrument (IVCES) and the Health Educational Technology Appearance Validation Instrument (IVATES) were applied. For the analysis, the Content Validation Index (CVI), the Appearance Validation Index (IVA), descriptive statistics and the Binomial Test were used.

Results: in content validation, a CVI of 0.92 was obtained (first and only round); in appearance validation VAT of 0.83 (in the first round) and 1.00 (in the second round).

Conclusion: the game is adequate in terms of content and appearance and is a valid technological device to mediate teaching practices about medicines.

Objective: To describe an implementation study protocol for an intervention based on educational guidelines focused on seven self-care behaviors, through phone calls to individuals with type 2 diabetes.

Method: We will conduct a hybrid type 1 effectiveness-implementation pragmatic randomized clinical trial, with 198 individuals with type 2 diabetes on insulin therapy, from the Glycemic Self-Monitoring Program of two Primary Health Care in the city of São Paulo and three in Campinas, located in the state of Sao Paulo. Patients will be allocated in a 1:1 ratio to either the intervention or control group. Both groups will receive standard care, with the intervention group also receiving a phone call. During the call, nurses will provide guidance based on seven self-care behaviors, known as The ADCES7 Self-Care Behaviors™. Evaluations will happen at the baseline, and after 3- and 6-months post initiation of the trial. Glycemic levels and adherence to self-care behaviors will be compared before and after the intervention using multiple linear regression models. Through interviews with participants from the intervention group, implementation determinants based on the Capability, Opportunity, Motivation-Behavior (COM-B) model, and implementation outcomes feasibility, acceptability, and appropriateness will be evaluated.

Expected outcomes: We will evaluate the effectiveness of an intervention while exploring contextual conditions for its implementation in clinical practice of Primary Health Care. This study will provide preliminary evidence on the effectiveness of educational guidance through nurse-led telephone calls, as well as implementation determinants and outcomes in the clinical practice of Primary Health Care. Its results are important for expanding this assistance in locations where nursing consultation for people with diabetes is absent, hindered, or restricted. Study is registered on the ReBEC platform.

Objective: To develop and validate the content of checklists for safe admission and discharge in Neonatal Intensive Care Units.

Methods: A methodological study conducted between 2018 and 2020 in four stages: 1) literature review; 2) checklist construction; 3) content validity by 32 neonatal nursing specialists from different Brazilian states, predominantly from the southeastern region; 4) development of the final version of the instruments. Validity was performed using a Likert-type scale. Items with a Content Validity Index of 0.90 or higher were accepted. Descriptive statistics were used for data analysis.

Results: The contents of two checklists were constructed and validated: one for admission, with 18 items, and another for discharge, with seven items. For the admission checklist, 41.03% of items were validated in the first round, 33.33%, in the second, and 23.08%, in the third. One item was excluded for not achieving the minimum Content Validity Index (>0.90). For the discharge checklist, all items achieved a CVI ≥ 0.90, with 64.7% validated in the first round and 35.3% in the second round. No items were excluded.

Conclusion: The content of patient safety checklists for admission and discharge in Neonatal Intensive Care Units was considered valid.

Objective: To evaluate the effect of a first aid educational intervention on the aptitude, knowledge, and practices of professionals in early childhood education.

Method: Quasi-experimental study of the pre and post-test type carried out in the brazilian municipality of Três Lagoas, MS. It was developed in three stages: 1) application of an online instrument to assess aptitude, knowledge, and practices about situations that require first aid; 2) educational intervention, with four theoretical meetings online and a face-to-face meeting with practical training; 3) reapplying the questionnaire. Data were analyzed using the McNemar and Bowker tests with a significance level of 5%.

Results: 112 professionals participated. After the educational intervention, there was an increase in the number of correct answers for all questions related to the professionals' feeling of aptitude for all urgent and emergency situations evaluated (p≤0.05); knowledge regarding concepts related to first aid (p≤0.05); and practices in situations requiring first aid (p≤0.05).

Conclusion: The educational intervention provided a significant improvement in the aptitude, knowledge, and practices of the participants. In this way, the relevance of educational actions on this theme is verified, emphasizing the importance of intersectoriality, in which health and education professionals articulate strategies to optimize first aid training actions.