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Spatial analysis of COVID-19 cases and deaths among nursing professionals. 护理专业人员COVID-19病例和死亡的空间分析
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-10-27 eCollection Date: 2025-01-01 DOI: 10.1590/1518-8345.7400.4587
Michelle Salles da Silva Tenorio, Paula Rita Dias de Brito de Carvalho, Keli Marini Dos Santos Magno, Alexandre Sousa da Silva

to map cases and deaths from COVID-19 in nursing professionals, estimating their incidence and fatality rates by region and federative units, and verify the existence of spatial patterns among the federative units.

ecological study based on the electronic portals Observatório de Enfermagem and Enfermagem em Números, with analysis using the R 4.3.1 software. The incidence and fatality rates were calculated, and choropleth maps were constructed by region and federative units. The Global Moran Index was used to verify spatial autocorrelation.

the study covered 64,451 cases of COVID-19, with a female predominance (85.2%) and a focus on nursing technicians (59.3%), with a higher percentage in the Southeast region (36.3%). Deaths were predominantly female (68%), with the North region standing out (27.9%). The fatality rate in these cases was highest in the North region (4.25%) and in the state of Amazonas (28.47%). The spatial analysis showed regional variations, with autocorrelation in the overall case fatality rate in 2020 and for nursing technicians, without significant autocorrelation for other categories.

the mapping of COVID-19 cases and deaths in nursing revealed regional disparities and variations in incidence and fatality rates, highlighting the need to discuss the quality of health services and the effectiveness of the government response.

绘制护理专业人员COVID-19病例和死亡情况图,按地区和联邦单位估计其发病率和死亡率,并验证联邦单位之间存在空间模式。基于电子门户网站Observatório de Enfermagem和Enfermagem Números进行生态学研究,并使用r4.3.1软件进行分析。计算了发病率和死亡率,并按地区和联邦单位绘制了人口密度图。使用Global Moran Index来验证空间自相关性。该研究涵盖了64,451例COVID-19病例,女性占主导地位(85.2%),重点是护理技术人员(59.3%),东南地区的比例更高(36.3%)。死亡主要是女性(68%),北部地区尤为突出(27.9%)。这些病例的死亡率在北部地区(4.25%)和亚马逊州(28.47%)最高。空间分析显示区域差异,2020年总体病死率和护理技术人员病死率存在自相关,其他类别无显著自相关。2019冠状病毒病病例和护理死亡情况地图揭示了发病率和死亡率的地区差异和差异,突出表明有必要讨论卫生服务质量和政府应对措施的有效性。
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引用次数: 0
Surviving families: experiences of losing a family member to suicide. 幸存的家庭:失去家庭成员自杀的经历。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-10-27 eCollection Date: 2025-01-01 DOI: 10.1590/1518-8345.7676.4614
Elena Bustos Alfaro, Mara Regina Santos da Silva, Kateline Simone Gomes Fonseca, Carl Lacharité, Elga Mirta Furtado Barreto de Carvalho, Ariana Sofia Barradas da Silva

to identify the interactional processes that allow surviving families to cope with the death by suicide of one of their members, to restructure themselves as a unit and transform the experience into a learning experience.

a qualitative, exploratory study, guided by the concept of Family Resilience, in which eight families, who experienced the suicide of one of their members participated. Data were collected through semi-structured interviews and the data were submitted to thematic analysis.

the results were organized into four thematic groups and revealed grief, despair, and perplexity of family members who could not understand the reasons for such a radical act; the feelings of pain due to the loss, overlapped with anger, relief and guilt. Blame was shared with other people and the social and health services; and the lessons that the experience provides.

nurses and other healthcare professionals can help surviving families to restructure themselves after the suicide of one of their members, implementing care actions based on repeated assessments of the repercussions of suicide on the family as a whole and on its members individually; identifying the most compromised dimensions of family life; individual and family needs; and family resilience processes.

确定使幸存家庭能够应对成员自杀死亡的相互作用过程,将自己作为一个整体进行重组,并将这一经历转化为学习经验。一项以家庭弹性概念为指导的定性探索性研究,其中八个家庭经历了其中一个成员的自杀。通过半结构化访谈收集数据,并将数据提交专题分析。结果分为四个主题组,揭示了家庭成员的悲伤,绝望和困惑,他们无法理解这种激进行为的原因;失去亲人带来的痛苦与愤怒、解脱和内疚交织在一起。其他人以及社会和卫生服务部门都受到了指责;以及从中得到的教训。护士和其他保健专业人员可以帮助幸存的家庭在其中一名成员自杀后重新调整自己,根据反复评估自杀对整个家庭及其成员个人的影响,实施护理行动;确定家庭生活中最受损害的方面;个人和家庭需要;以及家庭恢复过程。
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引用次数: 0
Defining characteristics predicting mental health disorders among undergraduate students in the post-COVID-19 era: a multicenter cross-sectional study. 确定后covid -19时代大学生心理健康障碍预测特征:一项多中心横断面研究
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-10-27 eCollection Date: 2025-01-01 DOI: 10.1590/1518-8345.7741.4671
Caroline de Castro Moura, Luana Vieira Toledo, Gabriela Tavares Boscarol, Rafael Lopes Chaves, Denismar Alves Nogueira, Carine Alves da Costa Marinho, Bruna de Oliveira Alves, Bárbara Guimarães Lourenço, Érika de Cássia Lopes Chaves, Tânia Couto Machado Chianca

to evaluate defining characteristics of nursing diagnoses that are predictors of mental health disorders among undergraduate students in the post-COVID-19 era.

cross-sectional, multicenter study conducted with undergraduate students from four public universities in the state of Minas Gerais. Data were collected through a structured, online questionnaire with sociodemographic and clinical variables. The presence of defining characteristics included in the Nursing Diagnoses of Anxiety, Change Stress Syndrome; Post-Trauma Syndrome; Stress Overload and Chronic Sadness, present in the NANDA-I taxonomy, was also investigated through self-report. The Depression, Anxiety and Stress Scale and the Impact of Events Scale-Revised were also used. Multivariate logistic regression analysis was performed to determine the defining characteristics that were configured as predictors of mental health disorders. Adjusted odds ratios were estimated, along with 95% confidence intervals, at 5% significance.

2,349 undergraduate students participated in the study. The presence of 24 physical, behavioral, cognitive, and emotional defining characteristics of the nursing diagnoses in question was investigated. Of these, 13 emerged as predictors for anxiety symptoms; 15 for stress symptoms; 11 for depression symptoms; and 15 for post-traumatic stress disorder.

physical, behavioral, cognitive, and emotional defining characteristics of NANDA-I nursing diagnoses were evidenced as predictors for the development of mental health disorders in university students in the post-COVID-19 era.

评估后covid -19时代预测本科生精神健康障碍的护理诊断的定义特征。在米纳斯吉拉斯州四所公立大学的本科生中进行的横断面、多中心研究。数据通过结构化的在线问卷收集,其中包含社会人口学和临床变量。焦虑、改变应激综合征护理诊断中定义性特征的存在创伤后综合症;在NANDA-I分类中存在的压力超载和慢性悲伤也通过自我报告进行了调查。还使用了抑郁、焦虑和压力量表和事件影响量表-修订。进行多变量logistic回归分析以确定被配置为精神健康障碍预测因子的定义特征。校正后的优势比和95%置信区间的显著性为5%。2349名大学生参与了这项研究。研究了24项身体、行为、认知和情感特征对护理诊断的影响。其中13项是焦虑症状的预测指标;压力症状15例;抑郁症状11例;15人患创伤后应激障碍。NANDA-I护理诊断的身体、行为、认知和情绪定义特征被证明是后covid -19时代大学生心理健康障碍发展的预测因子。
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引用次数: 0
Health literacy among main caregivers of Children with Special Health Care Needs: a cross-sectional study. 有特殊保健需要儿童的主要照顾者的健康素养:一项横断面研究。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-10-27 eCollection Date: 2025-01-01 DOI: 10.1590/1518-8345.7860.4689
Sara Raquel Kuntz, Katarinne Lima Moraes, Alessandra Vaccari, Thailine Stodulski Theis, Ana Luísa Petersen Cogo, Wiliam Wegner

to explore health literacy among main caregivers of Children with Special Health Care Needs by identifying limitations and potentialities and their relationship with socioeconomic variables, information sources and social support.

a cross-sectional, descriptive and analytical study conducted with 139 caregivers. The data were collected between December 2022 and April 2023 in a hospital from southern Brazil, by means of the Children with Special Health Care Needs Screener, the Health Literacy Questionnaire and a characterization questionnaire. The analysis involved descriptive and inferential statistics.

a number of limitations were identified in active care, social support and ability to find good health information. Diverse potentialities were noticed in assessing the information and interacting with health professionals. There was a positive association between the "Schooling level" and "Family income" variables and the "Feel understood and supported by healthcare providers" ( p =0.006), "Have social support for health" ( p =0.000) and "Appraise health information" ( p =0.038) scales.

the interventions for caregivers should strengthen active care, social support and access to information, considering the influence exerted by the socioeconomic factors and the importance of good communication with health professionals to improve access, understanding and leverage of the guidelines, thus enhancing care quality and safety.

探讨特殊卫生保健需要儿童的主要照顾者的健康素养,确定其局限性和潜力及其与社会经济变量、信息来源和社会支持的关系。对139名护理人员进行了横断面、描述性和分析性研究。这些数据是在2022年12月至2023年4月期间在巴西南部的一家医院通过特殊卫生保健需求筛查儿童、健康素养问卷和特征问卷收集的。分析包括描述性统计和推断性统计。在积极护理、社会支持和寻找良好健康信息的能力方面发现了一些限制。在评估信息和与卫生专业人员互动方面,注意到各种各样的潜力。“受教育程度”和“家庭收入”变量与“感受到医疗服务提供者的理解和支持”(p =0.006)、“获得健康社会支持”(p =0.000)和“评估健康信息”(p =0.038)量表之间存在正相关。考虑到社会经济因素的影响以及与卫生专业人员良好沟通的重要性,护理人员的干预措施应加强积极护理、社会支持和信息获取,以改善指南的获取、理解和利用,从而提高护理质量和安全性。
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引用次数: 0
Erratum: The effect of an educational intervention for university students on violence against the elderly using gamification: a non-randomized clinical trial. 校误:大学生教育干预对游戏化老年人暴力行为的影响:一项非随机临床试验。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-10-27 DOI: 10.1590/1518-8345.0000.4741

[This corrects the article doi: 10.1590/1518-8345.7874.4662] [This corrects the article doi: 10.1590/1518-8345.7874.4663] [This corrects the article doi: 10.1590/1518-8345.7874.4661].

[此更正文章doi: 10.1590/1518-8345.7874.4662][此更正文章doi: 10.1590/1518-8345.7874.4661]。
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引用次数: 0
Precision Nursing: advances and challenges in implementation. 精准护理:实施的进展与挑战。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-10-27 eCollection Date: 2025-01-01 DOI: 10.1590/1518-8345.8046.4683
Luís Carlos Lopes-Júnior

(1) Precision Nursing (PN) emerges as an innovative field within Nursing. (2) PN represents the shift from standardized care to a highly tailored approach. (3) Nursing is strategically positioned to lead the translation of these advancements into practice. (4) PN reinforces a more tailored, predictive, and participatory approach to nursing care. (5) PN has the potential to become a cornerstone in the transformation of Modern Nursing.

(1)精准护理(PN)是护理学的一个创新领域。(2) PN代表了从标准化护理到高度量身定制方法的转变。(3)护理的战略定位是将这些进步转化为实践。(4) PN强化了更有针对性、预测性和参与性的护理方法。(5) PN有潜力成为现代护理转型的基石。
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引用次数: 0
Self-care capacity of informal caregivers of older adults with dementia: quasi-experimental study. 老年痴呆患者非正式照顾者的自我照顾能力:准实验研究。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-10-27 eCollection Date: 2025-01-01 DOI: 10.1590/1518-8345.7715.4677
Daniela Luzia Zagoto Agulho, Annelita Almeida Oliveira Reiners, Rosemeiry Capriata de Souza Azevedo, Adriana Delmondes de Oliveira, Carla Rafaela Teixeira Cunha, Amanda Cristina de Souza Andrade, Joana Darc Chaves Cardoso, Tiago Reboulas Mazza

to assess the effectiveness of a self-efficacy-based educational intervention to increase the self-care capacity of informal caregivers of older adults with dementia.

quasi-experimental study, with pre- and post-intervention assessment, without control group. Participants included 17 informal caregivers of older adults with dementia. The intervention had three stages: Pre-intervention with data collection to characterize the caregivers, measurement of overload, self-care capacity, and perceived self-efficacy; Intervention using four videos produced by the researcher based on the four self-efficacy belief sources of Bandura's Social Cognitive Theory; Post-intervention with new measurement of self-care capacity. We performed descriptive analyses, normality test and non-parametric Wilcoxon Rank-Sum test and paired t-test, considering a significance level of 0.05. The research was approved by the Research Ethics Committee, under opinion 4,622,301, and was registered in the Brazilian Registry of Clinical Trials - RBR-7gfvn3y.

the comparative analysis of the effect of the educational intervention on self-care capacity found increased post-intervention mean value (102.11) in relation to the pre-intervention mean value (95.00), with statistical significance (p=0.029).

the self-efficacy-based educational intervention was effective in increasing self-care capacity for informal caregivers of older adults with dementia.

评估以自我效能感为基础的教育干预对提高老年痴呆患者非正式照护者自我照顾能力的效果。准实验研究,干预前后评估,不设对照组。参与者包括17名老年痴呆症患者的非正式护理人员。干预分为三个阶段:干预前收集照顾者的特征、测量负担、自我照顾能力和自我效能感;基于班杜拉社会认知理论的四个自我效能感信念来源,采用研究者制作的四个视频进行干预;干预后自我照顾能力的新测量。我们进行描述性分析、正态性检验、非参数Wilcoxon秩和检验和配对t检验,考虑显著性水平为0.05。研究伦理委员会根据第4,622,301号意见批准了该研究,并在巴西临床试验登记处注册- RBR-7gfvn3y。对比分析教育干预对自我照顾能力的影响,干预后平均值(102.11)较干预前平均值(95.00)有所提高,差异有统计学意义(p=0.029)。以自我效能感为基础的教育干预在提高老年痴呆患者非正式照顾者的自我照顾能力方面是有效的。
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引用次数: 0
Implications of the training of simulated skills and scenarios on the motivation for learning medical students: experimental study. 模拟技能和情境训练对医学生学习动机的影响:实验研究。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-10-27 eCollection Date: 2025-01-01 DOI: 10.1590/1518-8345.7661.4626
Barbara Casarin Henrique-Sanches, Raphael Raniere de Oliveira Costa, Rodrigo Guimarães Dos Santos Almeida, Rodrigo Magri Bernardes, Alessandra Mazzo

to verify the effect of skills training and simulated scenarios performed subsequently or belatedly on the motivation for learning of medical students.

experimental pre- and post-test study with control and intervention groups. Fifty second-year medical students participated and were randomized into two groups: control group (dialogical exposure, skills training and simulated scenarios after 12 hours) and intervention group (dialogical exposure, skills training and simulated scenarios after 21 days). The Situational Motivation Scale was used for analysis.

all students showed increased motivation. In the control group, intrinsic motivation increased before and after the simulated scenario (p=0.011). In the intervention group, intrinsic motivation increased before and after skills training (p=0.013), before and after the simulated scenario (p=0.024) and after skills training compared to the simulated scenario (p=0.011), with a reduction in amotivation (p=0.035).

skills training and simulated scenarios increase student motivation. However, there is a need to better understand the impacts of different intervals between activities.

目的验证技能训练和模拟情境对医学生学习动机的影响。对照组和干预组的实验前后研究。50名二年级医学生参加实验,随机分为两组:对照组(12小时后对话暴露、技能训练和模拟场景)和干预组(21天后对话暴露、技能训练和模拟场景)。采用情景动机量表进行分析。所有学生都表现出了更高的积极性。在对照组中,内在动机在模拟情景前后有所增加(p=0.011)。干预组的内在动机在技能训练前后(p=0.013)、模拟情景前后(p=0.024)和技能训练后均较模拟情景有所增加(p=0.011),动机有所减少(p=0.035)。技能训练和模拟场景可以提高学生的积极性。然而,有必要更好地了解活动之间不同时间间隔的影响。
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引用次数: 0
Fe de Erratas: Instrumento para clasificación de dependencia de cuidados neonatales intensivos: análisis de concordancia y de confianza. 错误信念:新生儿重症监护依赖分类工具:一致性和信任分析。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-09-05 DOI: 10.1590/1518-8345.0000.4739

[This corrects the article doi: 10.1590/1518-8345.6922.4271].

[这更正了文章doi: 10.1590/1518-8345.6922.4271]。
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引用次数: 0
Towards the elimination of tuberculosis in Latin America: opportunities through network cooperation. 在拉丁美洲实现消除结核病:通过网络合作的机会。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-08-18 DOI: 10.1590/1518-8345.0000.4575
Erica Chimara, Pedro Almeida Silva, Kleydson Bonfim Andrade, Andrea Villarino, Gabriela Gago, Ricardo Alexandre Arcêncio
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引用次数: 0
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Revista Latino-Americana De Enfermagem
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