Revista Latino-Americana De Enfermagem最新文献

Objective: to map the literature on the incorporation of the metaverse in the education of undergraduate healthcare students.

Method: scoping review following the recommendations of the JBI and Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR), performed on Web of Science, Medical Literature Analysis and Retrieval System Online (MEDLINE) via PubMed, Embase, Scopus, Cumulative Index to Nursing and Allied Health (CINAHL), Latin American and Caribbean Health Sciences Literature (LILACS) and ProQuest.

Results: a total of 23 records were included, published between 2020 and 2023, and developed in 10 countries. The metaverse allows the simulation of hypothetical cases, making education interactive and attractive. However, it faces limitations, including the possibility of depersonalizing students, concerns about data security and privacy, and the high cost of implementing and maintaining its infrastructure.

Conclusion: the metaverse enables the development of clinical competencies that support the construction of students' professional identity. However, it may not be equitable, as it requires resources and knowledge from educators to implement it, contributing to increasing inequality in the education of healthcare students.

Background: (1) The metaverse is promising in the education of undergraduate healthcare students.

Background: (2) The metaverse makes education interactive and attractive.

Background: (3) It promotes the protagonism of students in the teaching-learning process.

Background: (4) It presents risks related to data security and privacy.

Background: (5) High cost of implementing and maintaining its infrastructure.

Background: (1) Maternal-fetal attachment should be assessed in Primary Health Care.

Background: (2)  Depressive symptoms were negatively related to maternal-fetal attachment.

Background: (3)  Social support and family functionality had a positive effect on attachment.

Background: (4)  Greater household crowding had a negative effect on the outcome.

Background: (5)  It is recommended to screen pregnant women with depression, poor social and family support.

to analyze maternal-fetal attachment and interrelated factors in pregnant women assisted in Primary Health Care.

a cross-sectional, population-based, analytical epidemiological survey. A sample of 937 participants attended by Family Health Strategy teams was investigated. Maternal-fetal attachment (outcome), sociodemographic and clinical variables, social support, family functionality, depressive symptoms and perceived stress were assessed. Multivariate analysis was adopted using structural equation modeling.

maternal-fetal attachment had an average of 92.6 (SD=±15.3). The adjusted structural model showed that the following factors had a direct effect on the outcome: gestational weeks (β=0.29; p<0.001), household crowding (β=-0.07; p=0.027), depressive symptoms (β=-0.11; p=0.003), social support (β=0.08; p<0.001) and family functionality (β=0.19; p<0.001). Indirect effects of social support (β=-0.29; p<0.001) and family functionality (β=-0.20; p<0.001) were identified, mediated by depressive symptoms.

a set of interrelationships was identified between maternal-fetal attachment, gestational weeks, household crowding, depressive symptoms, social support and family functionality. It is suggested that the Family Health Strategy offer prenatal care anchored in integrality and humanization, which promotes biopsychosocial well-being during pregnancy and healthy maternal-fetal attachment.

Objective: to analyze the nurses' work in Primary Health Care in the face of mental health crisis situations.

Method: this is a descriptive-exploratory study with a qualitative approach, supported by the theoretical-interpretive frameworks of behavior analysis and historical-dialectical materialism. The data was collected through a semi-structured interview with twelve Primary Health Care nurses and analyzed using the deductive technique proposed by the Theorical Domains Framework, the methodological reference adopted.

Results: the data analyzed made it possible to draw up two themes: "Nurses' work: material and social determinants" and "Nurses' subjective conditions in the face of mental health crisis situations". Nurses' work was guided by the protocol execution of "technical" steps related to clinical psychiatry, with an understanding of the crisis as a "psychiatric outbreak".

Conclusion: the study made it possible to analyze the nurse's work in crisis situations, describing the objective and subjective contradictions, their understanding of the crisis phenomenon and the emotional repercussions of this work on the professionals. This situation raises the need for action, organization and political-social mobilization of the nursing category in the fight against the asylum model of care and the consolidation of the Psychiatric Reform perspective.

Background: (1) Manicomial protocol action to identify and reduce crisis symptoms.

Background: (2) Reducing the experience of crisis as a psychopathological phenomenon.

Background: (3) Use of theoretical-critical references aligned with the proposals of psychosocial care.

Background: (4) Internationally validated methodological and analytical framework.

Background: (5) The need for political and social action on the nursing profession's part.

Background: (1) The pelvic floor muscle training is an effective first choice intervention.

Background: (2)  Scarcity of studies describing the protocols of pelvic floor muscle training detail.

Background: (3)  There is no consensus between the instructions contained in the different protocols.

Objective: to map pelvic floor muscle training protocols available in the literature for the management of post-prostatectomy urinary incontinence.

Method: this is a scoping review conducted in six databases. Information retrieval was performed using a specific instrument, including: title, authorship, year of publication, journal, objective, study design and description of the protocols' content.

Results: a total of 24 studies were included, which resulted in different protocols. The most frequent recommendations were the following: three sessions per day; with a frequency of six to 15 contractions per session; performing the exercises in the lying, sitting, and standing positions. The most cited guidelines in the protocols were anal sphincter and bulbocavernosus muscle contractions. All protocols followed the principle of regular pelvic floor muscle contraction, but there was no consensus regarding the start of the protocol, treatment duration, contraction/relaxation time, and intensity of the contraction force.

Conclusion: different orientations were found in the pelvic floor muscle training protocols post-prostatectomy urinary incontinence, with emphasis on contraction time, relaxation time, number of contractions per session, training position, and protocol duration time. Different concepts were adopted to define urinary continence in the protocols. It is necessary to develop consensus guidelines that clearly define the parameters of training protocols.

Background: (1) Statistically significant association between sociodemographic and gynecological-obstetric variables.

Background: (2) The puerperal women had inadequate knowledge, attitudes and practices about the mini-pill.

Background: (3) After two months, there was an increase in the puerperal women's knowledge and practice.

Background: (4) The average Knowledge, Attitude and Practice scores before the intervention and after 60 days remained inadequate.

Background: (5) The technology used in the educational intervention is effective in promoting the Knowledge, Attitude and Practice domains.

to evaluate the effectiveness of an educational intervention on the knowledge, attitude and practice of adolescent puerperal women regarding the mini-pill as a method of contraception in the postpartum period.

a quasi-experimental study with pre- and post-tests carried out with 139 puerperal adolescents in four public maternity hospitals, using an instrument with sociodemographic/gyneco-obstetric questions and a targeted survey called Knowledge, Attitude and Practice. The following were used in the analysis: Statistical Package for the Social Sciences software, version 20.1 for Windows; 5% significance level; 95% confidence interval; Shapiro-Wilk test to test data normality and paired t-test.

the average scores for the Knowledge, Attitude and Practice instrument were inadequate before the educational intervention; after the intervention, they remained inadequate, but with a slight improvement; the attitude was markedly inadequate. This instrument, before the intervention, was associated with age, education, number of pregnancies and having had prenatal care; after the intervention, in addition to these, it was associated with other variables, such as place of residence, being in school and having used contraception. The three domains were associated before and after the intervention.

the educational intervention, mediated by the nurse, was effective in promoting the knowledge, attitude and practice of puerperal adolescents in the proper use of the mini-pill as postpartum contraception.

Background: (1) The level of availability influences hospital interprofessional practices.

Background: (2)  Difficulties in interprofessional communication impede collaborative practices.

Background: (3)  There is resistance to the adoption of interprofessional practices related to education.

Background: (4)  Residencies are important spaces to develop interprofessional practices.

to evaluate the level of availability of residents and preceptors for interprofessional practices.

mixed methods study of the concurrent triangulation type, carried out with residents and preceptors of a hospital Multiprofessional Residency in Health.

more than 90% (n=186) of participants are highly available for interprofessional practices. However, practices instituted during undergraduate studies and the professional profile of those involved, especially with regard to the lack of communication between professions and openness to dialogue, were indicated as difficulties in implementing interprofessionality in the scenario investigated, which may negatively influence the availability of residents and preceptors.

although residents and preceptors have high availability for the development of interprofessionality, certain factors make its implementation difficult, hindering collaborative work.

Background: (1) Most parents are concerned about their children's time on mobile devices.

Background: (2) Unrestricted access is associated with increased use of mobile devices in children.

Background: (3) Parents are concerned about early exposure to mobile devices by children.

Background: (4) Parental presence influences children's mobile device usage time.

Background: (5) Need for education and collaboration.

to describe the norms and perceptions of a sample of Spanish parents and guardians on the use of mobile devices (smartphone and/or tablet) by their children and their association with such use.

a quantitative, analytical, cross-sectional, online, exploratory study was conducted with a non-probability sample of parents or guardians of children using smartphones or tablets. The virtual questionnaire consisted of 44 questions and was available at https://www.kenkolab.org/participa/ .

the total number of participants (parents or guardians) was 183 people. It was observed that 26.2% of parents admitted that their children had free and unrestricted access to smartphones or tablets. Associations were identified between time spent using mobile devices and parental attitudes, such as permission without time limitation and use as a reward or punishment. Approximately half of the respondents believe that their children use the mobile device longer than recommended.

most parents exercise some control over their children's use of devices. Acting on parental norms and perceptions is vital to success in addressing children's time spent on mobile devices. Community nursing could be a vehicle for education in healthy screen consumption habits in early childhood.

Background: (1) Older adult are still segregated from young people when it comes to technology.

Background: (2) On a daily basis, older people recognize the need, usefulness and applicability of the smartphone.

Background: (3) Older adult are gradually moving towards digital skills.

Background: (4) Digital tools are means of enhancing healthy ageing.

Background: (5) WhatsApp ® groups help older people to engage virtually with peers.

to understand the feelings and recognitions of older adults when they experience the use of smartphones in everyday life, as well as the implications for the healthy aging process.

qualitative research, using the Unified Theory of Acceptance and Use of Technology; the Senior Technology Acceptance & Adoption Model and the methodological framework of Constructivist Grounded Theory. We intentionally recruited people aged 60+; smartphone users; participants for 6 months or more in an extension project, without cognitive impairment, determined by theoretical sampling. A semi-structured script guided data collection. Constant and concomitant comparative analysis followed the steps of initial and focused coding, supported by memos, until theoretical saturation. The Sankey diagram was used to analyze the data, using Atlas.ti software.

37 participants were allocated to two sample groups. We present the category "Experiencing technological evolution during the aging process" and two subcategories: "Experiencing feelings when aging in the face of technological development"; "Using the smartphone and recognizing new experiences".

when experiencing the use of smartphones, older adult understand and recognize the search for digital skills based on their need for usefulness and applicability of information and communication technology in their daily lives, integrating it into the healthy ageing process.

Objective: to analyze the occurrence of difficulty in the peripheral insertion of the central catheter and the presence of complications in the use of this device in hospitalized adults who received peripheral intravenous therapy through a short peripheral intravenous catheter and to identify whether there is an association between peripheral intravenous therapy and the presence of complications in the use of the peripherally inserted central catheter.

Method: retrospective cohort, with patients aged 18 years or over, in a tertiary teaching hospital, with a peripherally inserted central catheter, who had at least one previous short peripheral intravenous catheter. Data were analyzed using descriptive statistics and Poisson regression.

Results: the sample consisted of 76 patients. There was an association between difficulty in the insertion procedure and number of punctures (p<0.01) and insertion in the external jugular vein compared to the upper limbs (p<0.01). The insertion site was also associated with the removal of the peripherally inserted central catheter due to complications in the robust analysis of variance (p=0.02). No associations were identified between: difficulty inserting the device and time on peripheral intravenous therapy (crude model p=0.23; adjusted model p=0.21); difficulty in insertion with administration of irritating and vesicant medication (crude model p=0.69; adjusted model p=0.53); complication in the use of peripherally inserted central catheter and time of peripheral intravenous therapy (crude and adjusted models p=0.08); and secondary migration of the catheter tip with the device insertion site (p=0.24).

Conclusion: it was possible to identify secondary migration as one of the main complications, resulting in premature removal of the device. Furthermore, the greater the number of puncture attempts to insert the PICC, the greater the difficulty in inserting it. Insertion into the external jugular vein was recurrent, with a higher risk of removal due to complications in relation to the upper limbs.

Objective: to develop and validate the content and technical aspects of a web software program for promoting mental health in the workplace.

Method: applied methodological study and technological development, carried out in three stages: 1) Umbrella review development; 2) Web software development; 3) Content and technical validation carried out by 14 judges. The data was submitted to descriptive statistical analysis and calculation of the content validity index.

Results: based on the guidelines' recommendations, information was defined and extracted in order to develop the web software consisting of the following dimensions: mental health education, support among coworkers, promotion strategies and mental health self-assessment. For the technical development, the objectives, general functions and technological infrastructure were defined. After development and functional testing, the version was made available for content and technical validation by judges. The overall content validity index was 0.98 and for the technical aspects it was 0.97.

Conclusion: the agreement between the judges in relation to the content and technical aspects, as well as the suggestions incorporated, demonstrated the potential for using web software to promote mental health in the workplace.