Revista Latino-Americana De Enfermagem最新文献

to evaluate the educational elements and actions of the Antimicrobial Stewardship Program (ASP) in Pediatric Intensive Care Units (PED-ICU) in Brazil.

this was a multicenter, prospective study carried out between October 2022 and January 2023, using an electronic form. Educational actions for professionals and patients on microbial resistance were analyzed, as well as interventions to improve prescribing, such as prospective audits, feedback and pre-authorization. The data was grouped by location, care profile and number of beds and analyzed using parametric and non-parametric statistical methods.

of the 219 PED-ICUs with ASP in place, 44.7% were in the Southeast and 58.9% carried out continuing education for professionals. Only 6.8% promoted educational activities for patients and companions, concentrated in public hospitals with more than 200 beds. The education component showed weaknesses, especially in smaller hospitals, while actions to improve prescribing were more consolidated, with 70.8% implemented. Private hospitals and those in the Southeast and South stood out in terms of adherence to management practices.

the study revealed significant disparities in the implementation of ASPs in Brazilian PED-ICUs, highlighting the need to strengthen continuing education and engage all those involved in order to increase adherence, reduce antimicrobial resistance and improve pediatric care.

Background: (1) ASP in Brazilian PED-ICU shows gaps in antimicrobial education and prescription.

Background: (2) Insufficient education compromises the rational use of antimicrobials in Brazil.

Background: (3) Regional inequality challenges ASP in public and private hospitals.

Background: (4) Larger, private hospitals lead the way in adherence to ASP in PED-ICU in Brazil.

Background: (5) Educational strategies and audits strengthen antimicrobial control in ASP.

to translate, adapt, and evaluate the psychometric properties of Livello di Preparazione Alla Carriera Libero Professionale inventory for use among final-year undergraduate nursing students in Brazil.

this is a cross-sectional methodological study conducted in two phases. In the first phase, the inventory was cross-culturally adapted to the Brazilian context. In the second phase, its psychometric properties were evaluated with 328 final-year undergraduate nursing students from different regions of Brazil.

confirmatory factor analysis confirmed a two-factor structure, consistent with the original Italian version. Factor loadings were significant (p < 0.001), ranging from 0.417 to 0.976. The adjustment indexes met the recommended criteria, validating the factor structure in the Brazilian context. Cronbach's alpha and McDonald's omega coefficients were greater than 0.70 for most factors and for the overall scale, demonstrating reliability.

the Brazilian version of the inventory demonstrated validity and reliability in assessing the preparation of final-year undergraduate nursing students for a liberal career, and it is also a useful tool for teachers and researchers to identify training gaps related to business entrepreneurship in this public.

Background: (1) The inventory presents adequate construct validity and internal consistency.

Background: (2) It assesses knowledge about business entrepreneurship in nursing.

Background: (3) Subscale 1: assesses important factors for pricing services.

Background: (4) Subscale 2: assesses knowledge about the liberal career.

Background: (5) Validated with final-year nursing students.

to compare maternal and neonatal care outcomes based on women's parity and to describe neonatal morbidity and mortality among newborns of women admitted in labor.

a cross-sectional study involving 3,397 women admitted for childbirth at a Freestanding Birth Centre and their newborns. The exposure variable was parity, and the outcomes included the use of oxytocin and amniotomy, type of birth, perineal trauma, postpartum hemorrhage, maternal and neonatal transfer, and newborn admission to neonatal intensive or intermediate care units. Data were analyzed descriptively and through logistic regression.

primiparity was associated with a higher likelihood of receiving oxytocin and amniotomy, intrapartum transfer, second-degree tear, episiotomy, postpartum hemorrhage, cesarean section, forceps-assisted birth, and neonatal admission to neonatal intensive or intermediate care units. Births predominantly occurred in semi-seated and upright positions, either on a bed or in the birthing tub. The maternal transfer rate was 21.8%, while the neonatal transfer rate was 3.3%.

primiparity is a predictor of the analyzed interventions and unfavorable maternal and neonatal outcomes. However, the studied Freestanding Birth Centre can be considered a safe setting for childbirth among health pregnant women.

to identify factors related to sick leave absenteeism among Brazilian nursing professionals before, during, and after the COVID-19 pandemic.

a cross-sectional study involving nursing professionals from medical, surgical, intensive care, and adult emergency units, with absences recorded between 2019 and 2022. Sociodemographic, occupational, and absence-related variables were evaluated. Descriptive statistical analysis, absenteeism rate calculation, and Poisson Regression with robust variance were performed, considering p≤0.05.

a sample of 839 professionals, with 7,375 absences, was analyzed. Sick leave absenteeism resulted in an average of 54.1±2.5 lost days (p<0.001) and was more prevalent among professionals aged 41 years or younger (31.8%; p=0.003). The intensive care (31.3%) and medical inpatient (27.5%) units reported the highest number of absences. The highest absenteeism rate (9.9%) occurred in July 2020. The risk of illness was associated with male gender (p≤0.001) and intensive care unit work (p=0.007) in the 1st period; being single (p=0.002) and being a nursing technician (p=0.022) in the 2nd period; and working in intensive care (p=0.003) and as a nursing technician (p≤0.001) in the 3rd period.

after the end of the pandemic, absenteeism rates did not return to pre-pandemic levels. COVID-19 and musculoskeletal diseases were the most prevalent causes. It was possible to investigate the factors related to absenteeism.

to evaluate the acceptability and feasibility of the Treatment Summary and Care Plan for Breast Cancer Survivors (TSSCP-P Br) document.

this was a cross-sectional, quantitative and qualitative study involving women who had completed treatment for breast cancer (n=50) and nurses (n=10) who incorporated the document into the care plan at outpatient follow-up appointments during the experimental phase of a clinical study. The feasibility and acceptability questionnaires were administered in the last data collection stage of the experiment. The data was analyzed using descriptive statistics and content analysis.

in the evaluation of the surviving women, feasibility showed retention of 98.0% and adherence of 99.3%. Acceptability in terms of suitability, convenience, efficacy and adherence reached 81.6%. From the professionals' perspective, feasibility and acceptability were 84.2%, in terms of suitability, convenience, effectiveness, risks, availability, training, fidelity, reach and resources. The document was praised and the main problems in practice were pointed out, such as professional experience.

the Treatment Summary and Care Plan proved to be feasible and acceptable for the clinical practice of caring for women who have survived breast cancer.

to understand the therapeutic itinerary of women who experienced the gestational period during the COVID-19 pandemic.

a descriptive and exploratory study with a qualitative approach, conducted with 16 women who were pregnant during COVID-19. The theoretical framework used was the Health Care Systems Model proposed by Arthur Kleinman. Semi-structured interviews were conducted, which were audio recorded, fully transcribed, and submitted to content analysis as proposed by Bardin and to the IRaMuTeQ software.

the study included women whose ages ranged from 20 to 47 years. Most participants were White and married. Content analysis yielded three categories: 1- Main support networks during pregnancy - family subsystem; 2- Follow-up during pregnancy - professional subsystem; and 3- Spirituality as therapeutic support - cultural subsystem.

it was observed that the paths taken by pregnant women seeking healthcare during the COVID-19 pandemic became even more challenging, being permeated by doubts and uncertainties brought about by the disease, as well as by new configurations of routines and services adopted by healthcare providers.

to implement a realistic simulation scenario aimed at developing communication and teamwork skills in nursing undergraduates and analyzing its contributions during hospital internships.

exploratory study conducted with 27 final-year nursing students from a higher education institution. Data were collected in 2021 using a checklist and a validated scenario centered on communication and teamwork in the hospital setting. Data collection took place in two stages: first, during the execution of the scenario/debriefing in the institution's skills lab, and later, after the completion of the hospital internship, through semi-structured interviews. The debriefing and interviews discussions were analyzed through inductive thematic analysis.

during the debriefing stage, the undergraduate students reflected on their participation in the scenario, the case resolution, and their experiences with communication and teamwork. In the interviews, the students expressed a desire to include additional academic disciplines in the simulated classes and highlighted the benefits of using simulation in hospital practice.

the simulation deepened the students' understanding by fostering critical and reflective thinking on communication and teamwork during their hospital internship, thus highlighting the value of its implementation throughout their university education.

to analyze the effects of a Hatha-Yoga program on the emotional indicators of undergraduate students.

this is a quasi-experimental pilot study carried out with 36 students, with the final sample consisting of 14 in the intervention group and 18 in the control group, totaling 32. The participants' emotional indicators were assessed before and after the Hatha-Yoga intervention, using the Mindful Attention Awareness Scale; Santa Clara Brief Compassion Scale; Self-Compassion Scale; Mini International Neuropsychiatric Interview; Depression, Anxiety, and Stress Scale; Barratt Impulsiveness Scale and Epworth Sleepiness Scale. Descriptive and inferential analyses were carried out using t-tests (paired and for independent groups) to assess the effect of the intervention.

in the intra-group analysis, the intervention group showed an increase in the emotional indicators of compassion, self-compassion and a decrease in anxiety and daytime sleepiness after eight weeks of practicing Hatha-Yoga. In the control group, there was a significant decrease in dispositional mindfulness. In the post-test between-groups analysis, moderate effect size differences were found for self-compassion and dispositional mindfulness.

the practice of Hatha-Yoga had a positive impact on the students' emotional indicators, contributing to health promotion and expanded self-care (RBR-10jgv7ky).