Revista Latino-Americana De Enfermagem最新文献

to identify the occurrence of violence at work affecting nursing professionals working in hospitals and to relate professional profile variables to this phenomenon.

this is an exploratory, cross-sectional, descriptive, correlational, field and quantitative study carried out with 218 nursing professionals working in hospital units in the 8th Health Region of Paraná, using a sociodemographic questionnaire and the Questionnaire for the Evaluation of Violence at Work Suffered or Witnessed by Nursing Workers. Data was analyzed using absolute and relative frequencies, and the Chi-squared test with Yates' continuity correction was used to verify the associated factors.

the sample included 218 nursing professionals, 44.0% of whom reported having suffered violence at work, 11.9% physical violence, 47.7% verbal abuse and 2.8% sexual harassment. When the association was made, it was observed that professionals over 30 and who work overtime suffer more violence than other professionals.

in view of the above, it was possible to see a significant occurrence of episodes of violence at work in the last 12 months, with verbal violence being the most frequently reported.

Background: (1) Significant prevalence of violence in the workplace.

Background: (2) Emphasis on workers' health for nursing professionals.

Background: (3) Verbal violence affects 47.7% of the sample studied.

Background: (4) The need for public policies to improve safety at work.

Background: (5) Encouragement for further research on the subject.

to map national and international scientific literature on the quality of outpatient nursing care.

a scoping review guided by the Joanna Briggs Institute Collaboration, conducted across 12 databases and repositories. Only original articles evaluating the quality of outpatient nursing care were included. No restrictions were applied regarding time, methodology, or language. Data were mapped and organized through thematic and statistical descriptions of the articles. This review was registered on the Open Science Framework platform.

a total of 45 studies published between 1984 and 2021 were identified, resulting in 17 quality indicators for outpatient nursing care, grouped according to Donabedian's triad: four for structure, seven for process, and six for outcomes. The predominant area of care was oncology. Among the analyzed studies, 55.3% focused on patients. The most frequently cited indicators were continuing health education, service organization, communication, care coordination, and the nursing process.

the limited number of studies in this field, compared to other areas of nursing, highlights the underexploitation of the topic both nationally and internationally. Additionally, the diversity of identified indicators underscores the lack of standardization in these data.

Background: (1) Few studies address the evaluation of outpatient nursing care quality.

Background: (2) Quality indicators identify challenges in healthcare services.

Background: (3) Publications on outpatient nursing care quality have increased since 2000.

Background: (4) Most of the evaluated studies focused on outpatient patients.

Background: (5) The most frequently cited quality indicator in the studies was Continuing Health Education.

Background: 1) Virtual simulation connects theory and practice in nursing education.(2) Only Brazil, Chile, Colombia, and Cuba conducted research on the subject. (3) Brazilian journals lead scientific production on virtual simulation. (4) Scientific production on the subject has increased.

Objective: to examine the characteristics of scientific production in Latin America and the Caribbean regarding virtual simulation in nursing education.

Method: a bibliometric study conducted in five stages: research design, compiling the bibliometric data, analysis, visualization, and interpretation; and based on the recommendations of the Preferred Reporting Items for Bibliometric Analysis (PRIBA). The search was conducted in the Latin American and Caribbean Health Sciences Literature (LILACS). VOSviewer version 1.6.20 was used for bibliometric analysis. Bradford's and Zipf's Laws were applied to interpret the data, considering the temporal dynamics of publications, an analytical approach to the structure of the selected studies and their repercussions in virtual simulation in nursing education in Latin America and the Caribbean.

Results: 579 studies were identified, of which 46 were included in the final sample. The studies included were published between 1994 and 2022, and only Brazil, Chile, Colombia, and Cuba conducted research related to virtual simulation. The semantic map resulted in five clusters, highlighting "simulation training" as the most important term.

Conclusion: our findings suggest a projected increase in Scholarly publications on virtual simulation in nursing education in Latin America and the Caribbean in the coming years.

Background: (1) Telehealth practices in PHC take place via voice connection. (2) The nursing team carries out the highest volume of telehealth activities in PHC. (3) Consultations accounted for the largest share of time and frequency of telehealth activities in PHC.

to describe the telehealth activities carried out by professionals in Primary Health Care (PHC).

descriptive observational study, using time-motion methodology. The sample consisted of 31 Family Health teams, 14 Oral Health teams and two multidisciplinary teams working in PHC. An adapted workload instrument was used to collect the data. A descriptive analysis of the data was carried out considering the total time, average time and percentage of activities according to professional category and telehealth modality.

632 telehealth activities were observed, representing 2.67% of all activities. The most used modality was voice calls (60.28%). The average nursing consultation time was 4.86 minutes and 6.17 minutes for medical consultations. The greatest number of telehealth activities and time spent in PHC was carried out by the nursing team.

PHC professionals carry out a variety of telehealth activities, predominantly by voice connection, with the nursing team being the most expressive. In addition, the study shows the time dedicated and the distribution of activities, supporting discussions on the planning and sizing of the digital health workforce.

Background: (1) The right to health care includes public policies in the scope of SUS to address TB. (2) The right to social care emphasized access to services, programs, and benefits. (3) The right to social security covered retirements and benefits for people with TB. (4) Interministerial responsibility, intersectoral responsibility, and responsibility shared between SUS and SUAS. (5) Challenges in accessing rights to social care and health care persist for people with TB.

to analyze the normative documents that seek to guarantee the right to social protection for people affected by tuberculosis in force in Brazil in 2023.

qualitative documentary research carried out in September 2023, based on the survey of documents at the national, state and municipal levels, from government agencies and social control bodies after the promulgation of the Federal Constitution, on four electronic platforms, exported and organized in the Atlas.ti software, and interpreted based on content analysis, thematic mode.

the analytical corpus consisted of 30 normative documents - nine laws, seven technical-institutional materials, five ordinances, four resolutions, two decrees, a technical cooperation agreement, a normative instruction, and an operational instruction - from which four thematic categories emerged: the right to health care, the right to social care, the right to social security, and the sharing of responsibilities.

policies to protect people with tuberculosis in Brazil are recent and there is still much room for improvement toward a comprehensive approach through intersectoral and interministerial coordination, aiming to address social vulnerability and reaffirming the State's duty to guarantee social protection by means of public policies that promote life, citizenship, human rights, and social justice.

Background: (1) Health literacy of riverine populations is inadequate. (2) Health literacy was not associated with quality of life. (3) Health literacy was associated with sociodemographic aspects of riverine populations. (4) Quality of life was related to the sociodemographic profile of riverine populations.

to analyze functional health literacy and health-related quality of life in riverine populations using primary care services, according to sociodemographic variables.

an analytical, cross-sectional study with 312 users of the riverine family health strategy. Data were collected using a health literacy test, the 12-item Health Survey, and a socioeconomic questionnaire adapted by the researchers. Spearman correlation, Mann-Whitney and Kruskal-Wallis tests, as well as multiple logistic regression were performed, considering p≤0.05.

65.7% presented inadequate functional health literacy, with higher risk for men (p<0.001), aged 40-49 (p=0.010) and 50-59 years (p=0.031), incomplete (p<0.001) and complete (p=0.024) elementary education, and residing far from health services (p<0.001). Quality of life showed no association with health literacy. However, lower quality of life was related to female gender (p=0.049), incomplete elementary education (p=0.016), use of mobile phones with internet and radio (p=0.013), advanced age (p<0.001), increased number of children (p=0.002), and lower age at the start of work activities (p<0.001).

functional health literacy of riverine populations is inadequate and not associated with quality of life. However, both are influenced by the sociodemographic profile.

Background: (1) The quality of care provided by the patient navigation program was positive. (2) Patient navigation opens new avenues for research in chronic diseases. (3) Remote patient navigation enabled individualized and high-quality care. (4) Self-care practices in type 1 diabetes can be encouraged through patient navigation.

to understand the perception of individuals with type 1 diabetes mellitus regarding the quality of care provided by a patient navigation program.

descriptive study with a qualitative approach, conducted at a university hospital in southern Brazil. A total of 35 individuals with type 1 diabetes mellitus participated. Data were collected through semi-structured interviews conducted via teleconsultation. The data were submitted to thematic content analysis.

of the 35 (100%) participants, 18 (51.4%) were men, with an average age of 45 (±13) years. Two thematic categories and three main topics related to care quality emerged from data analysis: diabetes management (quality of health care provided; knowledge gained during consultations; improvement in self-care practices as a result of received care) and remote and in-person health services (availability of health services during the pandemic; desire for continued access to services provided by nurses; importance of received care).

after analyzing participants' perceptions, it was understood that the quality of care offered by the patient navigation program is generally positive. Users requested the continuation of this care model, seeing it as an opportunity beyond the challenges and limitations imposed by treatment.

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.