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Trends and spatial distribution of precarious work conditions for nurses in Brazil based on the type of employment bond. 基于就业契约类型的巴西护士不稳定工作条件的趋势和空间分布。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-11-17 eCollection Date: 2025-01-01 DOI: 10.1590/1518-8345.7680.4644
Érika Carvalho de Aquino, Rafael Alves Guimarães, Daniel do Prado Pagotto, Joseane Aparecida Duarte, Antônio Isidro da Silva Filho, Cândido Vieira Borges Júnior

to analyze the tendencies and spatial distribution of precarious work for nurses in Brazil, based on the type of employment relationships, between 2010 and 2023, according to the level of health care.

ecological study with data extracted from the National Registry of Health Establishments. The indicator analyzed was the percentage of precarious work relationships. The temporal tendency was assessed by the Prais-Winsten regression model and the spatial distribution was assessed by means of choropleth maps.

there was an increasing tendency in the precarious work of nurses in Brazil based on the type of employment relationships, regardless of the level of health care. The North region showed the highest percentages of increase in the indicator in Primary Health Care, Secondary Health Care, and Tertiary Health Care. The North and Northeast regions had the highest numbers of municipalities with a high percentage of precarious work conditions.

the precariousness of nursing employment relationships showed an increasing tendency at all levels of health care, being higher in Primary Health Care and increasing more in Tertiary Health Care within the time horizon analyzed.

根据医疗保健水平,在2010年至2023年期间,根据雇佣关系的类型,分析巴西护士不稳定工作的趋势和空间分布。生态学研究,数据摘自国家卫生机构登记处。分析的指标是不稳定工作关系的百分比。利用Prais-Winsten回归模型评价时间趋势,利用地形图评价空间分布。在巴西,不论保健水平如何,根据雇佣关系的类型,护士的不稳定工作的趋势日益增加。北部地区在初级卫生保健、二级卫生保健和三级卫生保健方面的指标增长百分比最高。北部和东北地区的城市数量最多,工作条件不稳定的比例很高。在分析的时间范围内,各级卫生保健机构中护理就业关系的不稳定性呈上升趋势,初级卫生保健机构的不稳定性更高,三级卫生保健机构的不稳定性更高。
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引用次数: 0
Risk Assessment Scale for the Development of Medical Adhesive-related Skin Injuries. 医用粘合剂相关皮肤损伤发展的风险评估量表。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-11-17 eCollection Date: 2025-01-01 DOI: 10.1590/1518-8345.7891.4710
Maíla Fidalgo de Faria, Talita Silva Alves Tibola, Maria Beatriz Guimarães Raponi, Patrícia da Silva Pires, Maria Sagrario Gómez Cantarino, Maria Helena Barbosa

to develop and validate the Risk Assessment Scale for the Development of Medical Adhesive-related Skin Injuries in hospitalized adults.

methodological study consisting of the development, face validity, content validity, predictive criterion validity, and interobserver reliability analysis of the scale. It was developed using risk factors obtained in an integrative review and underwent face and content validation by seven judges. Three hundred and twenty-nine patients participated in the predictive criterion validity and 32 in the reliability analysis.

the scale consists of 48 items and eight domains. Scores < 11 classify patients as low risk and ≥ 11 as high risk for developing medical adhesive injuries. In face validity, there was 100% agreement among the judges, and in content validity, a total content validity coefficient of 0.94 was obtained. In predictive criterion validity, there was a statistically significant association (p < 0.001) between the score generated by the scale and the occurrence of medical adhesive injuries. The reliability analysis obtained an intraclass correlation coefficient of 0.92.

the scale developed is a valid and reliable tool for identifying the risk of injury from medical adhesives in hospitalized adults.

制定并验证住院成人医用胶粘剂相关皮肤损伤风险评估量表。方法学研究包括量表的开发、面效度、内容效度、预测标准效度和观察者间信度分析。它是根据综合评估中获得的风险因素开发的,并经过了7名法官的面部和内容验证。329例患者参与预测标准效度分析,32例患者参与信度分析。该量表由48个条目和8个领域组成。评分< 11分为低风险,评分≥11分为高风险。在面效度上,评委的一致性为100%,在内容效度上,总内容效度系数为0.94。在预测标准效度方面,量表产生的评分与医用胶粘剂损伤的发生之间存在统计学显著相关(p < 0.001)。信度分析得到类内相关系数为0.92。所开发的量表是一种有效和可靠的工具,用于识别住院成人医疗粘合剂的伤害风险。
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引用次数: 0
Validity evidence of the Brazilian version of the Assessment Interprofessional Collaborative Leadership Scale. 巴西版跨专业协作领导评估量表的效度证据。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-11-17 eCollection Date: 2025-01-01 DOI: 10.1590/1518-8345.7894.4719
Natalia Dalforno da Silva, Geisa Colebrusco de Souza Gonçalves, Jaqueline Alcantara Marcelino da Silva, Flávio Rebustini, Alexandre Pazetto Balsanelli

to seek evidence of validity of the Assessment Interprofessional Collaborative Leadership Scale for Brazilians, in Portuguese, and to analyze evidence of content, response process and internal structure.

psychometric evaluation study, with translation, back-translation, and evaluation by a committee of experts regarding linguistic and content equivalence. The pre-test was carried out with 40 participants and, subsequently, the final version was applied to 318 health workers. Exploratory factor analysis and reliability testing were performed using Cronbach's alpha and McDonald's omega.

in the content validation, four items presented scores below the critical value. Of the participants, the majority were nurses (81%) and physiotherapists (10%), and were female (79%). The factorability obtained was Kaiser-Meyer-Olkin = 0.94 and Bartlett's sphericity = 2991.4 with p < 0.05. Parallel analysis indicated a one-dimensional model, with variance explained by 63.71%. The model's adequacy indices showed satisfactory levels. And adequate reliability indices (Cronbach's alpha = 0.97 and McDonald's omega = 0.97).

the Interprofessional Collaborative Leadership Assessment Scale, with a unidimensional structure and 28 items, presented good evidence of content validity, response process and internal structure, considered adequate to measure interprofessional collaborative leadership.

寻求巴西人跨专业协作领导评估量表(葡萄牙语)有效性的证据,并分析其内容、反应过程和内部结构的证据。心理测量评估研究,包括翻译、反翻译和专家委员会对语言和内容等效性的评估。对40名参与者进行了预测试,随后对318名卫生工作者进行了最终版本的测试。采用Cronbach’s alpha和McDonald’s omega进行探索性因子分析和信度检验。在内容验证中,有四个项目的得分低于临界值。在参与者中,大多数是护士(81%)和物理治疗师(10%),女性(79%)。可得因子为Kaiser-Meyer-Olkin = 0.94, Bartlett's球形度= 2991.4,p < 0.05。平行分析结果为一维模型,方差解释率为63.71%。该模型的充分性指数显示出令人满意的水平。信度指标充足(Cronbach’s α = 0.97, McDonald’s ω = 0.97)。《跨专业协作领导测评量表》具有单向度结构,共28个项目,在内容效度、反应过程和内部结构方面均表现出较好的证据,被认为足以衡量跨专业协作领导。
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引用次数: 0
Effect of antiretrovirals on renal function in people taking HIV pre-exposure prophylaxis. 抗逆转录病毒药物对艾滋病毒暴露前预防者肾功能的影响。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-11-17 eCollection Date: 2025-01-01 DOI: 10.1590/1518-8345.7280.4734
Priscila Silva Pontes-Pereira, Rodrigo de Carvalho Santana, Elucir Gir, Renata Karina Reis

to evaluate the effect of antiretrovirals on renal function in individuals receiving HIV pre-exposure prophylaxis.

a descriptive, longitudinal survey design was used in a retrospective cohort study for 48 weeks. The sample consisted of 203 participants. Non-probabilistic convenience sampling was used. Sociodemographic, clinical, and laboratory variables were analyzed. Absolute and relative frequencies, mean, standard deviation, minimum and maximum values, Fisher's exact test, and Friedman test were used, with a significance level of <5%.

the participants were predominantly cisgender men (86.2%), white (69.1%), highly educated (76.7%), and had a mean age of 34 years. The presence of markers of renal damage was low. Proteinuria increased until the 12th week (2.6%), maintaining a small variation until the 48th week. The decline in estimated Glomerular Filtration Rate (eGFR) ≥25% from baseline was 4.4%, 3%, 4.4%, and 3% at weeks 12, 24, 36, and 48, respectively. There was no significant association between eGFR decline ≥25% and the presence of any of the markers of renal damage.

the low incidence of events characterizing renal dysfunction, such as eGFR decline ≥25% and the presence of mild and isolated events of proteinuria, glycosuria, uricosuria, and cylindruria, was confirmed at 48 weeks of follow-up.

评估抗逆转录病毒药物对接受HIV暴露前预防的个体肾功能的影响。在一项为期48周的回顾性队列研究中,采用描述性纵向调查设计。样本包括203名参与者。采用非概率方便抽样。分析了社会人口学、临床和实验室变量。使用绝对频率和相对频率、平均值、标准差、最小值和最大值、Fisher精确检验和Friedman检验,具有显著性水平的参与者主要是顺性别男性(86.2%)、白人(69.1%)、高学历(76.7%),平均年龄34岁。肾损害标志物的存在很低。蛋白尿增加到第12周(2.6%),维持一个小的变化直到第48周。在12周、24周、36周和48周时,肾小球滤过率(eGFR)≥25%较基线分别下降4.4%、3%、4.4%和3%。eGFR下降≥25%与存在任何肾损害标志物之间没有显著关联。在48周的随访中,证实了肾功能不全事件的低发生率,如eGFR下降≥25%,存在轻度和孤立的蛋白尿、糖尿、尿尿和柱状尿。
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引用次数: 0
Scope of Nursing Practice in Primary Health Care: defining a way forward. 初级卫生保健护理实践的范围:确定前进的道路。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-11-17 DOI: 10.1590/1518-8345.0000.4840
Bruna Moreno-Dias, Edwin Vicente C Bolastig, Eduardo Benjamín Puertas-Donoso
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引用次数: 0
Transcultural adaptation, validity, and reliability of the SINBAD System Classification for Brazilian Portuguese. 巴西葡萄牙语SINBAD系统分类的跨文化适应、有效性和可靠性。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-11-10 eCollection Date: 2025-01-01 DOI: 10.1590/1518-8345.7768.4722
Julliany Lopes Dias, Eline Lima Borges, Danubia Mendes E Torres, Mônica Antar Gamba, Ângela Lima Pereira, Suelen Gomes Malaquias, Luciana da Silva Barros, Marlene Andrade Martins, Rafael Alves Guimarães, Maria Márcia Bachion

to perform the cross-cultural adaptation of the SINBAD System Classification for Brazilian Portuguese and analyze its content validity and reliability.

clinimetric study, including cross-cultural adaptation of the SINBAD System Classification, used to assess foot ulcers in people with diabetes. Verification of semantic and cultural equivalence and clinical usability using the inter-rater reliability (IRR) index (≥ 0.80); content validity using the Content Validity Ratio (CVR) p < 0.05, and internal consistency using McDonald's omega (> 0.70). The sample involved nurses, physicians, and people with diabetes-related foot ulcers. Data collection was performed using online forms and in-person clinical evaluation of patients treated at referral services in Goiânia, Jataí, São Paulo, Belo Horizonte, and primary care center in Palmas.

fifteen nurses participated in the cognitive debriefing; 20 experts (physicians and nurses) participated in content validation; and 113 patients with 120 diabetes-related foot ulcers participated. Eight items (terms and expressions) from the SINBAD System underwent cross-cultural adaptation. CVR = 0.84 and McDonald's omega = 0.635 were obtained.

the SINBAD system is adapted to Brazilian Portuguese and has satisfactory content validity indices, but it needs investment to achieve greater robustness in terms of reliability and internal consistency.

对巴西葡萄牙语SINBAD系统分类进行跨文化改编,并分析其内容效度和信度。临床计量学研究,包括SINBAD系统分类的跨文化适应,用于评估糖尿病患者的足部溃疡。使用量表间信度(IRR)指数(≥0.80)验证语义、文化等价性和临床可用性;内容效度采用content validity Ratio (CVR) p < 0.05,内部一致性采用McDonald's omega(> 0.70)。样本包括护士、医生和患有糖尿病相关足溃疡的人。数据收集采用在线表格和在goinia、Jataí、圣保罗、贝洛奥里藏特和帕尔马斯初级保健中心转诊服务的患者进行现场临床评估。15名护士参加了认知情况汇报;20名专家(医师、护士)参与内容验证;113名患有120例糖尿病相关足部溃疡的患者参与了研究。SINBAD系统中的8个项目(术语和表达)经历了跨文化改编。CVR = 0.84, McDonald's omega = 0.635。SINBAD系统适用于巴西葡萄牙语,具有令人满意的内容效度指标,但在信度和内部一致性方面需要投入更大的鲁棒性。
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引用次数: 0
Effectiveness of audiovisual interventions in increasing knowledge about sexually transmitted infections: a systematic review. 视听干预在提高性传播感染知识方面的有效性:一项系统综述。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-11-10 eCollection Date: 2025-01-01 DOI: 10.1590/1518-8345.7531.4704
Emanoelle Fernandes Silva, Polyana Norberta Mendes, Marli Teresinha Gimeniz Galvão, Danielle Nedson Rodrigues de Macêdo, Breno Dias de Oliveira Martins, Rosilane de Lima Brito Magalhães

to analyze the evidence on the effectiveness of audiovisual interventions in increasing knowledge about sexually transmitted infections in different age groups.

systematic review, conducted on February 21, 2023, in the Cumulative Index to Nursing and Allied Health Literature, Cochrane, Embase, Latin American and Caribbean Health Sciences Literature, Nursing Database, Spanish Bibliographic Index in Health Sciences, MEDLINE, Scopus, and Web of Science. Experimental studies that used audiovisual resources to improve knowledge were included, compared with other interventions or none. The synthesis of results was narrative, with assessment of risk of bias and certainty of evidence.

the sample consisted of 25 studies (10 randomized clinical trials and 15 quasi-experimental studies). Educational videos were the most widely used resource. Compared to other interventions or no intervention, the intervention group achieved significant improvements in knowledge in the medium and long term, as well as changes in perception and predisposition to reduce risky behavior. The certainty of the evidence was low for randomized studies and very low for quasi-experimental studies.

audiovisual interventions have shown effectiveness in different populations and age groups, highlighting the need to consider specific parameters in creating these resources.

目的:分析视听干预在提高不同年龄组性传播感染知识方面的有效性证据。系统评价,于2023年2月21日在护理和相关健康文献累积索引、Cochrane、Embase、拉丁美洲和加勒比健康科学文献、护理数据库、西班牙健康科学书目索引、MEDLINE、Scopus和Web of Science中进行。与其他干预或不干预相比,使用视听资源来提高知识的实验研究被包括在内。结果的综合是叙述性的,并评估了偏倚风险和证据的确定性。样本包括25项研究(10项随机临床试验和15项准实验研究)。教育视频是使用最广泛的资源。与其他干预或不干预相比,干预组在中长期知识方面取得了显著改善,在减少危险行为的认知和倾向方面也发生了变化。证据的确定性在随机研究中很低,在准实验研究中很低。视听干预措施在不同人群和年龄组中显示出有效性,这突出表明在创建这些资源时需要考虑具体参数。
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引用次数: 0
Breastfeeding strategies following nurslings' hospitalization: a scoping review. 护理人员住院后的母乳喂养策略:范围审查。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-11-10 eCollection Date: 2025-01-01 DOI: 10.1590/1518-8345.7800.4674
Socorro Alana Ramalho Rocha, Eliane Cristina da Silva Buck, Cintia Bezerra Almeida Costa, Smalyanna Sgren da Costa Andrade

to map strategies aimed at promoting and maintaining breastfeeding following nurslings' hospitalization.

a scoping review guided by the recommendations of the Joanna Briggs Institute Reviewer's Manual. The search was carried out in seven databases and in repositories of theses and dissertations. The selection of studies was conducted on a web application by two independent blind reviewers. The data were analyzed descriptively.

in total, 1,325 publications were obtained, of which 29 were included in the study. The following were identified as health strategies associated with breastfeeding: education and guidance, support and follow-up, clinical and technical interventions, complementary therapies, technology and innovation, environment and physical conditions, nutrition and hydration, protocol and guidelines.

the evidence reinforces that multifaceted strategies are essential post-discharge in order to strengthen self-management and sustain breastfeeding beyond the hospital setting. Primary Health Care can play an important role in care continuity.

绘制旨在促进和维持婴儿住院后母乳喂养的战略。根据乔安娜布里格斯研究所审稿人手册的建议进行范围审查。搜索在七个数据库和论文库中进行。研究的选择是由两个独立的盲评者在一个网络应用程序上进行的。对数据进行描述性分析。共获得1 325份出版物,其中29份列入本研究。确定了下列与母乳喂养有关的保健战略:教育和指导、支持和后续行动、临床和技术干预、补充疗法、技术和创新、环境和身体条件、营养和水合作用、协议和准则。证据进一步表明,为了加强自我管理和在医院之外维持母乳喂养,出院后采取多方面的战略至关重要。初级卫生保健可在保健连续性方面发挥重要作用。
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引用次数: 0
Frailty and nursing care demand in hospitalized older adults: a cross-sectional study. 住院老年人虚弱与护理需求:一项横断面研究。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-11-10 eCollection Date: 2025-01-01 DOI: 10.1590/1518-8345.7747.4716
Rosane Kraus, Maria Helena Lenardt, Clovis Cechinel, João Alberto Martins Rodrigues, Daiane Maria da Silva Marques, José Baudilio Belzarez Guedez

to analyze the relation between nursing care demand and frailty condition and markers in hospitalized older adults.

analytical cross-sectional study with a sample of 400 older adults. Data collection used a sociodemographic questionnaire, frailty phenotype tests, and a nursing care complexity assessment scale. Fisher's exact test, Kruskal-Wallis test and Dunn's test were applied, considering statistical significance for p≤0.05.

there was a predominance of pre-frail (48.7%), followed by frail (35.8%) and non-frail individuals(15.5%). Most frail older adults required high-dependency nursing care (44.8%). The minimum nursing care demand was 80.6% for non-frail, 60.5% for pre-frail, and 14% for frail older adults. Frail older adults required higher nursing care level than the non-frail in the areas: mental state, oxygenation, motility, ambulation, elimination, and therapy (p<0.001). There was association between minimal to intensive nursing care demand and reduced hand grip strength (p<0.001), reduced gait speed (p<0.001), fatigue/exhaustion (p<0.001), reduced physical activity level (p<0.001), and unintentional weight loss (p<0.019).

higher nursing care demand was associated with worse frailty condition and markers. Frailty assessment is indispensable to trace specific needs and support nursing care planning.

目的:分析住院老年人护理需求与虚弱状况及各项指标的关系。以400名老年人为样本的分析性横断面研究。数据收集使用社会人口调查问卷、虚弱表型测试和护理复杂性评估量表。采用Fisher精确检验、Kruskal-Wallis检验和Dunn检验,认为p≤0.05具有统计学意义。体弱多病者居多(48.7%),其次为体弱多病者(35.8%)和非体弱多病者(15.5%)。大多数体弱老年人需要高依赖性护理(44.8%)。非体弱者的最低护理需求为80.6%,体弱前期者为60.5%,体弱老年人为14%。体弱多病的老年人在精神状态、氧合、运动、活动、排除和治疗等方面需要的护理水平高于非体弱多病的老年人(护理需求越高,虚弱状况和指标越差)。虚弱评估对于追踪特定需求和支持护理计划是不可或缺的。
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引用次数: 0
Prevention of intraoperative hypothermia: a descriptive-exploratory study. 术中低温的预防:一项描述性探索性研究。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-11-10 eCollection Date: 2025-01-01 DOI: 10.1590/1518-8345.7694.4728
Layze Braz de Oliveira, Vanessa de Brito Poveda, Rosana Aparecida Spadoti Dantas, Julio Cesar Ribeiro, Cristina Maria Galvão

to analyze the measures implemented in practice for the prevention of hypothermia during the intraoperative period in public and private hospitals.

quantitative, descriptive-exploratory study. The sample consisted of 201 nurses, invited via social media, Facebook, Instagram, and email. Data collection was performed using an online form created on the Survey Monkey® virtual platform. For analysis, descriptive statistics and association tests were applied to investigate the differences between the defined groups in relation to the study variables.

in both types of institutions, most participants were female and married/in a stable relationship. There was a significant difference between the types of hospitals in terms of operating room temperature control (p<0.001), patient body temperature monitoring (p=0.027), and use of active skin warming methods (p=0.009).

the forced-air warming was the active method most frequently used, and nursing staff were the professional category most often indicated as responsible for implementing prewarming and using active methods in the types of institutions investigated. There is still a need to increase the daily implementation of measures to prevent hypothermia, pointing out to managers the need for investment and training of human resources.

分析公立医院和私立医院在预防术中低温的实践措施。定量的,描述性的探索性研究。样本由201名护士组成,通过社交媒体、Facebook、Instagram和电子邮件邀请。数据收集使用在Survey Monkey®虚拟平台上创建的在线表格进行。为了进行分析,使用描述性统计和关联检验来调查与研究变量相关的定义组之间的差异。在这两类机构中,大多数参与者都是已婚/有稳定关系的女性。不同类型的医院在手术室温度控制方面存在显著差异(在调查的机构类型中,强制空气加热是最常用的主动方法,护理人员是最常被认为负责实施预热和使用主动方法的专业类别)。仍然需要增加日常实施措施,以防止体温过低,向管理人员指出需要投资和培训人力资源。
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引用次数: 0
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Revista Latino-Americana De Enfermagem
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