Revista Latino-Americana De Enfermagem最新文献

Objective: to analyze the plurality of care provided to individuals with tuberculosis in Primary Health Care services in Rio de Janeiro, RJ, Brazil.

Method: this qualitative study was conducted from 2017 to 2021. Discourse Analysis was adopted as the theoretical-methodological framework. Semi-structured interviews were conducted with service managers, healthcare professionals, and patients. The interviews were categorized using ATLAS.ti 8. The theoretical contributions of public space, plurality, and natality, as discussed by Hannah Arendt, were used to anchor the Discursive Formations on the health field.

Results: the discourses revealed the complexity and challenges of organizing and implementing care practices among individuals with tuberculosis, highlighting the relevance of considering the historical, social, and individual contexts of managers, patients, and healthcare professionals. Difficulties were found in the operationalization of Health Care Networks and in searching for the patients' uniqueness.

Conclusion: an ongoing dispute was found in the interactions between Primary Health Care and the National Tuberculosis Control Program, between policies that value plurality, organize Health Care Networks, and consider democratic rights in public spaces.

Background: (1)Healthcare provided to individuals with tuberculosis should be considered from a plural perspective. (1)Changes in universal treatment favor patient-centered care. (2)The care provided for chronic diseases is complex and requires organization in thematic networks. (3)Universal systems organized in networks favor innovative care practices. (4)The participation and empowerment of individuals with illnesses improve health care delivery.

Objective: to validate a model of the reduced version of the Brazilian Scale of Moral Distress in Nurses.

Method: methodological study, with a sample of 269 nurses from a public university hospital in southern Brazil. A sociodemographic questionnaire and the Brazilian Moral Distress Scale for Nurses were used. Descriptive statistics, structural equation modeling, and invariance analysis between age groups were used.

Results: regarding profile, professionals aged between 31 and 40, women, married, and specialists prevailed. The structural model fitted the data with acceptable fit indices. The proposed model showed excellent internal consistency, convergent validity, and discriminant validity. The analysis of the structural model revealed that the five hypotheses were confirmed, and the invariance between the age groups indicates that the way the variables are conceptualized, measured, and interrelated in the model does not affect the results, regardless of the groups compared.

Conclusion: the scale achieved satisfactory psychometric indicators, proving to be suitable for use, maintaining the relevant validation elements per dimension, and offering practical advantages. Further research is suggested to deepen our understanding of the consequences of moral distress and to develop effective strategies for managing it.

Background: (1)The reduced version of the EDME-BR consisted of 24 questions and six factors. (2)Analysis of invariance and structural equation modeling were used for validation. (3)Internal consistency and composite reliability values were adequate. (4)The tests indicated sufficient predictive relevance of the proposed model. (5)The reduced scale offers a clear, accessible approach with a shorter response time.

Objective: to learn about the contributions of using clinical simulation with undergraduate health students to care for adolescent girls in situations of intimate partner violence in the context of Primary Health Care.

Method: a qualitative study with 30 medical and 28 nursing undergraduates from a public university in Brazil. Data collection was mediated by holistic debriefing, with subsequent reflective and inductive thematic analysis.

Results: two themes emerged: the complexity of violence and the skills developed using simulation. The students brought up the complexity of care due to family aspects, the particularities of the population, the ambivalence of feelings in a violent relationship, and the limit between preserving autonomy and the obligation to report. Various skills were developed and practiced, such as conflict mediation skills, respect, bonding, welcoming, and recognizing the support network.

Conclusion: the use of simulation proved to be a powerful tool for the teaching-learning process in undergraduate courses, as it allowed reflection on the specificities of adolescent care. The qualitative look at the process also allowed us to delve into how this strategy can be coherent with complex themes that involve the acquisition and experimentation of cognitive, procedural, and attitudinal skills.

Background: (1) Simulation proved to be a powerful tool for teaching health courses. (2) The qualitative approach allowed for in-depth contributions to a complex subject. (3) The students developed and practiced skills for handling a sensitive subject. (4) Attributes of Primary Health Care were mobilized in the process. (5) The holistic debriefing allowed for an original and pertinent construction of the theme.

Objective: to analyse the effectiveness of a virtual educational intervention for family caregivers on the burden and ability to care for elderly people after stroke.

Method: randomized pragmatic trial with 58 caregivers of elderly survivors of stroke. The intervention group received access to an online course for caregiver education. Caregiver training was assessed using the Scale of Capabilities of Informal Caregivers for Dependent Elderly People due to Stroke and burden through the Caregiver Burden Scale before and three months after hospital discharge, both adapted and validated for use in Brazil. The Generalized Estimating Equations model complemented by the Least Significant Difference was adopted.

Results: the sample was homogeneous and the groups differed statistically only in relation to kinship (p=0.034), with a higher proportion of children observed in the control group. There was an effect of the intervention on improving medication administration (p=0.006) and reducing disappointment (p=0.011) in the intervention group.

Conclusion: the intervention benefited the caregivers who received it in terms of improving medication administration and reducing disappointment. This is the first study in Brazil that proposes the use of digital educational technologies for this group, representing an important advance in Nursing. Clinicaltrial.gov registration: NCT05553340.

Background: (1)First study in Brazil that proposes a MOOC for caregivers of elderly people after stroke. (2)Advances in Nursing in the construction of digital educational technologies. (3)E-share helped caregivers improve medication administration. (4)E-share helped caregivers reduce overload in the disappointment domain. (5)Digital tools contribute to the use of nurses' work.

Objective: to analyze the influence of frailty and cognitive decline on dual-task performance in older adults.

Methods: cross-sectional study carried out with older adults at a geriatrics outpatient clinic, in São Paulo. Sociodemographic data, cognitive performance, frailty phenotype, gait speed and dual-task assessments were used. The analysis was descriptive, combined with a multiple linear regression model.

Results: 219 older adults participated, with a mean age of 72.55 years, aged between 60 and 79 years (82.65%) and predominantly female (70.32%). Among them, 86 (39.27%) were frail and 123 (57.48%) presented cognitive decline. The mean time for simple walking was 15.95 (7.02) seconds; for the motor dual-task, 17.64 (8.44) seconds; and for the cognitive dual-task, 23.88 (11.87) seconds. Women without a partner, living with family, and with low education (0-4 years) required more time to perform both the cognitive and motor dual-tasks compared to the time for simple walking. Frail older adults exhibited impared gait performance, both in simple and dual motor/cognitive tasks.

Conclusion: frail older adults experienced a significant decline in performance in simple gait and in dual motor/cognitive tasks, with no difference in performance between those with and without cognitive decline. Multidisciplinary interventions should focus on promoting the health of older adults.

Background: (1) Frailty and sarcopenia are important syndromes that need to be assessed in older adults. (2) Older adults with T2DM have a higher vulnerability to developing frailty. (3) Nurses should implement preventive measures to address frailty and sarcopenia.

Objective:

Method: convergent care research carried out with 12 nurses. Participant observation, semi-structured individual interviews and convergence groups were used to collect data, which were treated by participatory analysis, with an interpretative approach.

Results: the promotion of self-care, the bond between professionals and users, and the support for lifestyle changes for people with diabetes were aligned with the proposed Care Model. On the other hand, attitudes, values and knowledge that weaken care were identified as divergent. The theoretical and practical deepening of the care model, diabetes, dealing with work overload, and the implementation of a guide and a protocol for the development of the nursing consultation were points of convergence for improving the quality of the consultation. It was also observed that nurses' autonomy was strengthened, critical thinking was awakened, and the search for improvement and redefinition of the relationship with the user was sought.

Conclusion: the nursing consultation was enhanced through the active participation of nurses in an educational, reflective and dialogical process.

Background: (1) The Nursing Consultation for people with DM by nurses consisted of elements that are similar to and different from the MACC. (2) Elements that align with the MACC: as establishing a bond with users, accountability, longitudinal care, and the social and family approach. (3) Elements diverged from the assumptions of MACC: a limited understanding of the care model, the professional attitude of blaming the user and the weaknesses in the application of the nursing process. (4) The nursing consultation was enhanced through the active participation of nurses in an educational, reflective and dialogical process.

to develop a socioemotional competency matrix proposal for undergraduate nursing students.

this exploratory, descriptive study used a qualitative approach. Fifty-seven nursing students from a public higher education institution participated. Data were collected through focus groups and analyzed using inductive thematic analysis.

six socioemotional competencies were identified: Assertive Communication, Receptivity, Adaptability, Teamwork, Emotional Intelligence, and Shared Leadership. Additionally, recognizing associated behaviors/attitudes enabled the construction of the matrix. Strategies for competency development were mentioned, such as teacher support, participation in academic leagues, research projects, and workshops as initiatives from graduate programs.

the socio-emotional competency matrix for nursing students should assist health care managers and training centers in designing competency-based educational projects.

Background: (1) The matrix should assist training centers in developing educational projects. (2) The matrix aims to address gaps in the training of future nurses. (3) The socio-emotional competency matrix for nursing contributes to qualification improvement.

Objective: to map the scientific literature on photobiomodulation and photodynamic therapy in the treatment of pressure injuries.

Method: this was a scoping review, as recommended by the Joanna Briggs Institute. It included primary and secondary studies available in full in Portuguese, English and Spanish, published in the last 10 years, from 2014 to 2024, in nine databases.

Results: 24 studies were included according to the eligibility criteria. The findings suggest that photobiomodulation and photodynamics can play an important role in tissue repair, size reduction and improvement of clinical indicators in the management of pressure injuries. A diversity of laser types used in photobiomodulation was observed and the most common wavelengths used included 658 nm, 660 nm, 808 nm and 980 nm.

Conclusion: the studies identified show that photobiomodulation and photodynamic therapies have promising results in healing, reducing the size of lesions and improving clinical indicators in the treatment of pressure injuries.

Background: (1) Light therapies are effective in treating pressure injuries. (2) Optimized healing is a promising result of the therapies studied. (3) Reduction in lesion size is a positive effect of the therapies used. (4) There is clinical improvement shown in the indicators in the studies reviewed.

to analyze the relationship between the exercise of authentic leadership by coordinators and job satisfaction among professors of undergraduate nursing courses at federal public universities.

this is a quantitative study with an observational, analytical, and cross-sectional design. Twelve undergraduate nursing courses at public higher education institutions were chosen to participate in the study. The information collected was analyzed using descriptive statistical techniques, Spearman's correlation test, and binary logistic regression analysis, with a 5% significance level.

the sample consisted of 179 professors who completed the Sociodemographic Questionnaire, the Authentic Leadership Questionnaire, and the Job Satisfaction Questionnaire. The professors rated the course coordinators as having high levels of authentic leadership practice. As for the binary logistic regression, only the Relational and Moral domain showed significance (p-value < 0.0001), indicating that when this domain is present, there is a 5.48-fold increase in the chance of professors being satisfied.

the results of the study indicate that the job satisfaction of professors in undergraduate nursing courses is influenced by the practice of authentic leadership on the part of the coordinators.

Background: (1) Advances in the practice of authentic leadership in educational management. (2) The instruments used are useful for assessing leadership and satisfaction. (3) Relationships between authentic leadership and job satisfaction were identified. (4) Measuring authentic leadership and job satisfaction in the educational environment.