Revista gaucha de enfermagem / EENFUFRGS最新文献

[This corrects the article doi: 10.1590/1983-1447.2025.20240151.en] [This corrects the article doi: 10.1590/1983-1447.2025.20240151.pt].

Objective: To develop a nursing care guide for the indigenous population with cancer in the Amazonian context.

Method: Methodological study with a qualitative approach, conducted from March to July 2023. It was carried out in two stages: 1. A focus group with 18 nursing professionals working at an Oncology Reference Unit in Amazonas, aimed at gathering experiences in caring for the indigenous population with cancer; 2. Development of the guide, based on Madeleine Leininger's Theory of Culture Care Diversity and Universality. Data were processed and analyzed using Descending Hierarchical Classification.

Results: The content obtained from the focus group resulted in four thematic dimensions: educational, policy, care/assistance, and multidisciplinarity. The guide outlines various aspects of indigenous health, oncological data in this population, audiovisual resources that complement the theme, reflections on the implementation of differentiated care, and nursing care actions based on decision-making levels, according to the theoretical framework.

Conclusion: The guide was developed with culturally differentiated content for indigenous people, based on the experiences of oncology nursing professionals in the Amazonian context, and can be used to inform and train professionals in indigenous transcultural care.

Objective: To evaluate the psychometric properties of the Brazilian version of the Factors Influencing Adherence to Standard Precautions Scale.

Method: Psychometric study, conducted in a hospital in Minas Gerais, with 407 nursing professionals. Data collection took place between August 2022 and September 2023 using a sociodemographic questionnaire and the Brazilian version of the scale. To characterize the sample, measures of central tendency and dispersion were used. Regarding the psychometric properties of the instrument, validity evidence methods based on the internal structure were adopted, using confirmatory factor analysis and reliability, through test-retest and internal consistency.

Results: The confirmatory factor analysis revealed a model that was adequately fit to the dimensional structure. The domains showed factor loadings ranging from 0.31 to 0.73 for leadership, 0.345 to 0.83 for justification, 0.12 to 0.69 for organizational culture and practice, 0.37 to 0.84 for contextual cues, and 0.52 to 0.80 for judgment. Regarding reliability, good correlation was observed for the instrument's domains, with an intraclass correlation range (0.48 to 0.95) and internal consistency (0.52 to 0.80).

Conclusion: The Brazilian version of the scale revealed a model adjusted to the dimensional structure proposed by the Australian authors, proving to be valid, stable and reliable to identify the factors that influence adherence to standard precautions among nursing professionals.

Objective: To analyze incidence density indicators of healthcare-associated infections before and after implementation of a quality improvement project in an intensive care unit.

Method: A quasi-experimental study, conducted between January 2017 and December 2020, included the period before and after the implementation of a quality improvement project to reduce infection incidence density indicators in an intensive care unit of a hospital in Rio de Janeiro. Data were collected in 2022 from the database of the Hospital Infection Control Commission and analyzed through time series.

Results: After the project, the incidence density of ventilator-associated pneumonia decreased from 28.3 cases/1000 ventilator days to 16.5; bloodstream infections decreased from 20.8 cases/1000 catheter days to 7.5; and urinary tract infections decreased from 2.8 cases/1000 indwelling bladder catheter days to zero.

Conclusion: The quality improvement project had an impact on the reduction of infection incidence density indicators, reinforcing the importance of epidemiological surveillance in directing actions aimed at improving quality and patient safety.

Objective: To construct and validate an instrument to assess knowledge about hepatitis B among nurses.

Method: Methodological study developed in three stages: theoretical (integrative review, construction of the instrument, content validation by an expert in the subject and semantic validation with the target population), empirical (pilot study with the target population) and analytical (content validity index, Cronbach's alpha and exploratory factor analysis). The target population of the instrument was primary health care nurses in the capital of Piauí, Brazil. Data collection was carried out online from August 2021 to May 2022.

Results: Semantic validation was performed by 20 nurses and the agreement score obtained through the Content Validity Index (CVI) was adequate, above 0.8. In the exploratory factor analysis, all indicators were within adequate and satisfactory limits, without any cross-loading or Heywood Case issues. Reliability indices also reached adequate levels (α = 0.89; ω = 0.89; and ORION ranging from 0.855 to 0.886 between domains). The final version of the instrument consists of 18 items that are categorized into three dimensions, accounting for an explained variance of 66.76%.

Conclusion: The instrument shows evidence of satisfactory content, appearance and internal structure validity to assess nurses' knowledge about hepatitis B, thus it can be used to support the planning and evaluation of continuing education programs for nurses and undergraduate students.

Objective: To develop and validate the content of a simulation-based teaching script for the prevention of suicidal behavior in institutionalized elderly individuals, aimed at healthcare professionals and students.

Method: Methodological study developed in two stages: the construction of a structured simulation script, supported by best practices in simulation and evidence on suicide prevention among the elderly; and validation, conducted virtually by specialists in 2023, using a sociodemographic questionnaire and assessment of item adequacy within the script. Reliability analysis was carried out using the content validity index and Gwet´s First-order Agreement Coefficient.

Results: The content contributes to critical reflection, decision-making, and the development of a care plan for suicide prevention among institutionalized elderly individuals. Twelve Brazilian specialists, primarily from the Southeast, with doctoral degrees and nursing backgrounds, participated in the validation. All items in the script achieved high agreement (> 0.80) and reliability, ranging from satisfactory to good (0.743) in the general group and excellent (0.969) in the grouped analysis.

Conclusion: The script demonstrated high agreement and reliability for training healthcare professionals and students. Its integration into teaching simulations helps improve mental health knowledge, fostering preventive actions targeted at suicide among institutionalized elderly individuals.

Objective: To evaluate the factors associated with suicidal ideation, common mental disorders, dissatisfaction with life and physical appearance, anxiety, and loneliness related to the use of social media and streaming services among Brazilian users.

Method: A virtual, cross-sectional study was conducted using a convenience sample (n=319). Data were collected through a characterization questionnaire, the Self-Reporting Questionnaire, and the Brazilian Loneliness Scale, and analyzed using descriptive statistics and regression tests.

Results: Most participants reported using social media and experiencing dissatisfaction with life and physical appearance while accessing these platforms. Suicidal ideation was associated with watching horror or drama series, using dating apps, and dissatisfaction with life when accessing social networks. Behaviors and attitudes related to social media and streaming services were linked to common mental disorders, loneliness, dissatisfaction with life and physical appearance while using social media, and anxiety when disconnecting from them.

Conclusion: The use of social media and streaming services was associated with unfavorable mental health outcomes, dissatisfaction with life and physical appearance when accessing these platforms, and the type of series and apps used. These factors should be considered in care planning, educational interventions, technological innovations, and public policies.

Objective: To create and validate an educational video for elderly people about nursing care before, during and after therapeutic bloodletting.

Method: Methodological study developed in four stages: scoping review; video construction; content validation by judges and semantic validation by the elderly people. Thirteen judges and seven elderly people participated, from September to December 2023. The judges validated the content using Google Forms® and the elderly people validated at the Collection and Transfusion Unit in a city in the interior of Mato Grosso, Brazil, with data analysis performed using the Content Validity Index.

Results: Video lasting six minutes and 19 seconds, composed of 11 scenes. It included information about therapeutic bloodletting and nursing care before, during and after the procedure. In the validation by the judges, a Content Validity Index of 0.85 was obtained and among the elderly people a 1.00.

Conclusion: Both experts and elderly individuals considered the educational video as an appropriate audiovisual resource to convey the necessary care in this therapy, judging it as a tool that presented enlightening information throughout the bloodletting process.

Objective: To analyze the one-to-one relationship in the context of home visits by nurses to high-risk pregnant women.

Method: A case study focused on the relationship established between the nurse and the pregnant woman during home visits. A total of 17 high-risk pregnant women participated, each receiving biweekly visits from nurses for a total of six to 10 visits throughout the prenatal period and into the first month postpartum. Evidence sources included audio recordings and field notes of the visits. The analysis was guided by Joyce Travelbee's theory which defines five phases for an interpersonal relationship, including original encounter, emerging identities, empathy, sympathy and rapport, necessary to achieve therapeutic interaction in care.

Results: The development of the one-to-one relationship allowed nurses to understand the individual needs of the pregnant women. Based on an understanding of each woman's uniqueness and determining factors, the nurse developed a personalized care plan in collaboration with the patient. Through this relationship, each party revealed themselves, leading to increased autonomy of the woman, who took the lead in achieving her projects, supported by the framework created by the nurse.

Final considerations: The one-to-one relationship during home visits produced practical outcomes by identifying specific needs through a therapeutic and collaborative interaction.

Objective: To uncover the factors that deteriorate the work environment during shift exchanges.

Method: This is a qualitative, descriptive-analytical study using the phenomenological method, based on Elton Mayo's human relations theory. The setting was a second-level hospital. A total of thirty-two participants were included. The social actors included were general nurses, specialists, and service managers. Data collection was carried out using interviews and non-participant observation techniques, conducted in September-October 2021. Data analysis was performed in three stages: epoché, description, and horizontalization. The chromatic technique was used for analysis.

Results: The main findings converge into three categories: workload, as it affects the quality of care; absenteeism, which increases handover time; and interpersonal relationships, which influence the handover process. Observations allowed for the creation of a shift exchange model represented by a flowchart and a patient reception instrument.

Final considerations: Workload and interpersonal relationships directly influence the work environment.