Pub Date : 2023-08-09DOI: 10.37689/acta-ape/2023ao014833
Elaine Cantarella Lima, José Luis de Santana Santos, Alexandre Pazetto Balsanelli, R. Camargo, A. Maximiano, Jaine Araújo da Silva, A. Bernardes
Objective: To analyze the management model adopted in Emergency Services in municipalities that are part of a Regional Health Department. Methods: Mixed methods study with a concomitantly incorporated design. It was conducted in 2017 with six managers and 223 health workers (physicians, nurses and nursing technicians/assistants) from ten Emergency Care Units in eight municipalities of the Regional Health Department XIII, São Paulo. The data collection instrument composed of six closed questions and four open questions was delivered to participants. Quantitative data were analyzed using descriptive statistics; qualitative data were developed using the Collective Subject Discourse technique and analyzed using the DSCSoft® software. Results: There was a predominance of female professionals, 173 (75.2%), in the position of nursing assistants, 78 (33.9%). Managers evaluated the institution’s management model as contemporary and participatory, enabling workers to participate in decision making and giving them autonomy to decide on day-to-day issues, while workers evaluated it as traditional management, highlighting its formal structure. Conclusion: It was observed that managers and workers have a different view of the management model of health institutions. The assumptions of the shared management model encompass valuable concepts, such as dialogic communication, decentralization of power and greater autonomy for decision making. However, when analyzing the opinion of most workers who participated in this study, the wide use of a hierarchical model in institutions is still observed.
{"title":"Gestão compartilhada em serviços de pronto atendimento: estudo de métodos mistos","authors":"Elaine Cantarella Lima, José Luis de Santana Santos, Alexandre Pazetto Balsanelli, R. Camargo, A. Maximiano, Jaine Araújo da Silva, A. Bernardes","doi":"10.37689/acta-ape/2023ao014833","DOIUrl":"https://doi.org/10.37689/acta-ape/2023ao014833","url":null,"abstract":"Objective: To analyze the management model adopted in Emergency Services in municipalities that are part of a Regional Health Department. Methods: Mixed methods study with a concomitantly incorporated design. It was conducted in 2017 with six managers and 223 health workers (physicians, nurses and nursing technicians/assistants) from ten Emergency Care Units in eight municipalities of the Regional Health Department XIII, São Paulo. The data collection instrument composed of six closed questions and four open questions was delivered to participants. Quantitative data were analyzed using descriptive statistics; qualitative data were developed using the Collective Subject Discourse technique and analyzed using the DSCSoft® software. Results: There was a predominance of female professionals, 173 (75.2%), in the position of nursing assistants, 78 (33.9%). Managers evaluated the institution’s management model as contemporary and participatory, enabling workers to participate in decision making and giving them autonomy to decide on day-to-day issues, while workers evaluated it as traditional management, highlighting its formal structure. Conclusion: It was observed that managers and workers have a different view of the management model of health institutions. The assumptions of the shared management model encompass valuable concepts, such as dialogic communication, decentralization of power and greater autonomy for decision making. However, when analyzing the opinion of most workers who participated in this study, the wide use of a hierarchical model in institutions is still observed.","PeriodicalId":6891,"journal":{"name":"Acta Paulista De Enfermagem","volume":"1 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69984026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-09DOI: 10.37689/acta-ape/2023arspe0237733
Danila Cristina Paquier Sala, L. Silva, M. F. P. Okuno, Ana A. Baumann
Objectives: To identify how scholars define excessive screening for women without risk of developing breast cancer, examine the determinants (barriers and facilitators) of excessive use of mammography screening, and describe the rates of observations of excessive use mammography screening. Methods: Scoping review based on a search in May 2022 in six electronic health databases and libraries. Articles included were peer-reviewed articles, in any language and year of publication. Results: In a sample of 18 articles, published from 1991 onwards, most of them from the United States, the excessive use of mammography were defined as the intention or performance of mammography outside the recommended age or interval range, among women with limited life expectancy, in coexisting, organized and opportunistic programs. The rates of observations of excessive use of mammography screening in the selected studies ranged from 1.4% to 87,2%. Facilitators for excessive mammography are related concerns of getting cancer; to the medical advice, especially from specialists; and to the increased access to tests. The most exposed to excessive screening are women with higher levels of education and income. Barriers for excessive mammography included guidance in consultations about the harm of mammography and life expectancy by general practitioners, particularly those in primary care. Conclusion: Our study identified that the excessive use of mammography screening has a high prevalence when done as screening and is permeated by multi-level factors. Our list of determinants can provide some guidance for future studies aiming to de-implement the low-value care of excessive mammography screening.
{"title":"A scoping review of excessive use of mammography screening","authors":"Danila Cristina Paquier Sala, L. Silva, M. F. P. Okuno, Ana A. Baumann","doi":"10.37689/acta-ape/2023arspe0237733","DOIUrl":"https://doi.org/10.37689/acta-ape/2023arspe0237733","url":null,"abstract":"Objectives: To identify how scholars define excessive screening for women without risk of developing breast cancer, examine the determinants (barriers and facilitators) of excessive use of mammography screening, and describe the rates of observations of excessive use mammography screening.\u0000\u0000Methods: Scoping review based on a search in May 2022 in six electronic health databases and libraries. Articles included were peer-reviewed articles, in any language and year of publication.\u0000\u0000Results: In a sample of 18 articles, published from 1991 onwards, most of them from the United States, the excessive use of mammography were defined as the intention or performance of mammography outside the recommended age or interval range, among women with limited life expectancy, in coexisting, organized and opportunistic programs. The rates of observations of excessive use of mammography screening in the selected studies ranged from 1.4% to 87,2%. Facilitators for excessive mammography are related concerns of getting cancer; to the medical advice, especially from specialists; and to the increased access to tests. The most exposed to excessive screening are women with higher levels of education and income. Barriers for excessive mammography included guidance in consultations about the harm of mammography and life expectancy by general practitioners, particularly those in primary care.\u0000\u0000Conclusion: Our study identified that the excessive use of mammography screening has a high prevalence when done as screening and is permeated by multi-level factors. Our list of determinants can provide some guidance for future studies aiming to de-implement the low-value care of excessive mammography screening.","PeriodicalId":6891,"journal":{"name":"Acta Paulista De Enfermagem","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44449811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-09DOI: 10.37689/acta-ape/2023ao0148333
Elaine Cantarella Lima, José Luís Guedes dos Santos, A. P. Balsanelli, Rosangela Andrade Aukar de Camargo, Ariane Maria Machado Maximiano, Jaine Novais da Silva, Andréa Bernardes
Objective: To analyze the management model adopted in Emergency Services in municipalities that are part of a Regional Health Department. Methods: Mixed methods study with a concomitantly incorporated design. It was conducted in 2017 with six managers and 223 health workers (physicians, nurses and nursing technicians/assistants) from ten Emergency Care Units in eight municipalities of the Regional Health Department XIII, São Paulo. The data collection instrument composed of six closed questions and four open questions was delivered to participants. Quantitative data were analyzed using descriptive statistics; qualitative data were developed using the Collective Subject Discourse technique and analyzed using the DSCSoft® software. Results: There was a predominance of female professionals, 173 (75.2%), in the position of nursing assistants, 78 (33.9%). Managers evaluated the institution’s management model as contemporary and participatory, enabling workers to participate in decision making and giving them autonomy to decide on day-to-day issues, while workers evaluated it as traditional management, highlighting its formal structure. Conclusion: It was observed that managers and workers have a different view of the management model of health institutions. The assumptions of the shared management model encompass valuable concepts, such as dialogic communication, decentralization of power and greater autonomy for decision making. However, when analyzing the opinion of most workers who participated in this study, the wide use of a hierarchical model in institutions is still observed.
{"title":"Shared management in emergency care services: mixed methods study","authors":"Elaine Cantarella Lima, José Luís Guedes dos Santos, A. P. Balsanelli, Rosangela Andrade Aukar de Camargo, Ariane Maria Machado Maximiano, Jaine Novais da Silva, Andréa Bernardes","doi":"10.37689/acta-ape/2023ao0148333","DOIUrl":"https://doi.org/10.37689/acta-ape/2023ao0148333","url":null,"abstract":"Objective: To analyze the management model adopted in Emergency Services in municipalities that are part of a Regional Health Department.\u0000\u0000Methods: Mixed methods study with a concomitantly incorporated design. It was conducted in 2017 with six managers and 223 health workers (physicians, nurses and nursing technicians/assistants) from ten Emergency Care Units in eight municipalities of the Regional Health Department XIII, São Paulo. The data collection instrument composed of six closed questions and four open questions was delivered to participants. Quantitative data were analyzed using descriptive statistics; qualitative data were developed using the Collective Subject Discourse technique and analyzed using the DSCSoft® software.\u0000\u0000Results: There was a predominance of female professionals, 173 (75.2%), in the position of nursing assistants, 78 (33.9%). Managers evaluated the institution’s management model as contemporary and participatory, enabling workers to participate in decision making and giving them autonomy to decide on day-to-day issues, while workers evaluated it as traditional management, highlighting its formal structure.\u0000\u0000Conclusion: It was observed that managers and workers have a different view of the management model of health institutions. The assumptions of the shared management model encompass valuable concepts, such as dialogic communication, decentralization of power and greater autonomy for decision making. However, when analyzing the opinion of most workers who participated in this study, the wide use of a hierarchical model in institutions is still observed.","PeriodicalId":6891,"journal":{"name":"Acta Paulista De Enfermagem","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44941927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-09DOI: 10.37689/10.37689/acta-ape/2023ao0039333
Rosana Maria Barreto Colichi, Larissa Cassiano Bernardo, Simone Cristina Paixão Dias Baptista, Alan Francisco Fonseca, Silke Anna Theresa Weber, Silvana Andrea Molina Lima
Objective: To evaluate the prevalence of risk for Burnout Syndrome among health professionals in areas of care for patients with COVID-19, as well as to verify possible associations of the syndrome with the perceived social support and food insecurity of these workers. Methods: Analytical cross-sectional study, with workers from intensive care units (ICU) and wards caring for patients with COVID-19, in a university hospital. Data collection was carried out from September to October 2021, using the instruments: Maslach Burnout Inventory (MBI-HSS), Multidimensional Perceived Social Support Scale and Food Insecurity Experience Scale (FIES). Statistical analysis used Poisson regression models and multiple Poisson regression, considering statistically significant differences and associations if p<0.05. Results: A total of 75 workers from three wards (48%) and from one ICU (52%) participated in the survey, and the professionals are mostly female (89.3%), trained as health care technicians (66.7%). Regarding the risk of Burnout Syndrome, 26.7% of the workers had scores for at least one dimension of the scale, mainly referring to high emotional exhaustion (20%). There was a positive association between the risk of developing Burnout Syndrome and food insecurity (PR = 1.11; 95%CI = (1.04; 1.18); p = 0.002). The number of children was significantly negatively associated with the incidence of Burnout Syndrome (PR = 0.90; 95%CI = (0.83; 0.97); p = 0.008). Conclusion: Positive associations were observed with a higher risk of BS in professionals with food insecurity and also that the number of children acts as a protective factor against the risk of Burnout Syndrome, which may be directly related to perceived social support.
{"title":"Burnout, COVID-19, social support and food insecurity in health workers","authors":"Rosana Maria Barreto Colichi, Larissa Cassiano Bernardo, Simone Cristina Paixão Dias Baptista, Alan Francisco Fonseca, Silke Anna Theresa Weber, Silvana Andrea Molina Lima","doi":"10.37689/10.37689/acta-ape/2023ao0039333","DOIUrl":"https://doi.org/10.37689/10.37689/acta-ape/2023ao0039333","url":null,"abstract":"Objective: To evaluate the prevalence of risk for Burnout Syndrome among health professionals in areas of care for patients with COVID-19, as well as to verify possible associations of the syndrome with the perceived social support and food insecurity of these workers. Methods: Analytical cross-sectional study, with workers from intensive care units (ICU) and wards caring for patients with COVID-19, in a university hospital. Data collection was carried out from September to October 2021, using the instruments: Maslach Burnout Inventory (MBI-HSS), Multidimensional Perceived Social Support Scale and Food Insecurity Experience Scale (FIES). Statistical analysis used Poisson regression models and multiple Poisson regression, considering statistically significant differences and associations if p<0.05. Results: A total of 75 workers from three wards (48%) and from one ICU (52%) participated in the survey, and the professionals are mostly female (89.3%), trained as health care technicians (66.7%). Regarding the risk of Burnout Syndrome, 26.7% of the workers had scores for at least one dimension of the scale, mainly referring to high emotional exhaustion (20%). There was a positive association between the risk of developing Burnout Syndrome and food insecurity (PR = 1.11; 95%CI = (1.04; 1.18); p = 0.002). The number of children was significantly negatively associated with the incidence of Burnout Syndrome (PR = 0.90; 95%CI = (0.83; 0.97); p = 0.008). Conclusion: Positive associations were observed with a higher risk of BS in professionals with food insecurity and also that the number of children acts as a protective factor against the risk of Burnout Syndrome, which may be directly related to perceived social support.","PeriodicalId":6891,"journal":{"name":"Acta Paulista De Enfermagem","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135697932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-09DOI: 10.37689/acta-ape/2023ar0018344
Dayara Ainne de Sousa Araújo, Josanyelem Vidal Lopes, Ana Clara Dantas, Amanda Benício da Silva, Allyne Fortes Vitor, Jéssica Naiara de Medeiros Araújo, Quenia Camille Soares Martins
Objective: To identify, in the scientific literature, the barriers that make it difficult to apply the Safe Childbirth Checklist of the World Health Organization. Methods: An integrative review was conducted from November 2020 to May 2022, using the following data sources: Scopus, MEDLINE®/PubMed®, Web of Science, and CINAHL. This study was conducted according to the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocol. Results: The sample consisted of 14 studies published mainly in 2021, when South America predominated as a publishing continent. The English language, methodological studies, and quantitative approaches prevailed. Level IV evidence prevailed in the sample. In the identified studies, there was a strong description of cultural factors, followed by structural factors and factors related to the work process. Conclusion: Cultural (interpersonal relationships, hierarchy of professional classes, and poor communication) and structural (design and fonts used in the checklist) factors, and those related to the work process (such as the checklist implemented in the health service, the manager’s attitude regarding presenting it, and need for educational/training intervention for health professionals) are the main barriers that make it difficult to apply the Safe Childbirth Checklist.
目的:在科学文献中找出难以应用世界卫生组织安全分娩检查表的障碍。方法:从2020年11月至2022年5月进行综合评价，使用以下数据源:Scopus, MEDLINE®/PubMed®，Web of Science和CINAHL。本研究是根据系统评价和荟萃分析方案的首选报告项目的建议进行的。结果:样本包括14项主要发表于2021年的研究，当时南美洲作为出版大陆占主导地位。英语语言、方法学研究和定量方法占了上风。样本中普遍存在四级证据。在已确定的研究中，对文化因素的描述较多，其次是结构因素和与工作过程有关的因素。结论:文化因素(人际关系、专业等级、沟通不端)、结构因素(核对表的设计和字体)以及工作流程因素(如卫生服务机构实施核对表、管理人员对核对表的态度、卫生专业人员教育/培训干预的需要)是导致《安全分娩核对表》难以应用的主要障碍。
{"title":"Barriers in completing the checklist for safe deliveries: integrative review","authors":"Dayara Ainne de Sousa Araújo, Josanyelem Vidal Lopes, Ana Clara Dantas, Amanda Benício da Silva, Allyne Fortes Vitor, Jéssica Naiara de Medeiros Araújo, Quenia Camille Soares Martins","doi":"10.37689/acta-ape/2023ar0018344","DOIUrl":"https://doi.org/10.37689/acta-ape/2023ar0018344","url":null,"abstract":"Objective: To identify, in the scientific literature, the barriers that make it difficult to apply the Safe Childbirth Checklist of the World Health Organization.\u0000\u0000Methods: An integrative review was conducted from November 2020 to May 2022, using the following data sources: Scopus, MEDLINE®/PubMed®, Web of Science, and CINAHL. This study was conducted according to the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocol.\u0000\u0000Results: The sample consisted of 14 studies published mainly in 2021, when South America predominated as a publishing continent. The English language, methodological studies, and quantitative approaches prevailed. Level IV evidence prevailed in the sample. In the identified studies, there was a strong description of cultural factors, followed by structural factors and factors related to the work process.\u0000\u0000Conclusion: Cultural (interpersonal relationships, hierarchy of professional classes, and poor communication) and structural (design and fonts used in the checklist) factors, and those related to the work process (such as the checklist implemented in the health service, the manager’s attitude regarding presenting it, and need for educational/training intervention for health professionals) are the main barriers that make it difficult to apply the Safe Childbirth Checklist.","PeriodicalId":6891,"journal":{"name":"Acta Paulista De Enfermagem","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46941433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-09DOI: 10.37689/acta-ape/2023ar0014344
Denilse Damasceno Trevilato, Fabiana Zerbieri Martins, D. S. S. Schneider, Victória Tiyoko Moraes Sakamoto, João Lucas Campos de Oliveira, Daiane Dal Pai, A. Magalhães
Objective: To map perioperative nurses’ main activities in the Brazilian scenario, explained in the current literature. Methods: This is a scoping review prepared in accordance with current JBI guidelines, using the checklist for conducting and reporting the study. The search was carried out by two independent researchers, between August and December 2021, in six databases in the health area, using the descriptors nurses, nurse role, intraoperative period, perioperative nursing, surgical centers. Articles published between January 2011 and October 2022, in English, Portuguese or Spanish, were part of the sample. The information was extracted, classified, synthesized and presented descriptively. Results: Eighteen were included in the research synthesis. The analysis of results made it possible to highlight the implementation of surgical safety measures as prevalent activities in care (50%); in management, material, input and equipment (72%) and room preparation (39%) management; in teaching, permanent nursing education (50%). No studies related to researcher activity were identified. Conclusion: In the Brazilian scenario, perioperative nurses’ activities range from management to assistance with a smaller proportion in teaching, highlighting their strategic position in mobilizing actions that promote safety and quality in perioperative processes. Protocol registration on the Open Science Framework platform: https://osf.io/8jmq6/
{"title":"Perioperative nurses’ activities in the brazilian scenario: a scoping review","authors":"Denilse Damasceno Trevilato, Fabiana Zerbieri Martins, D. S. S. Schneider, Victória Tiyoko Moraes Sakamoto, João Lucas Campos de Oliveira, Daiane Dal Pai, A. Magalhães","doi":"10.37689/acta-ape/2023ar0014344","DOIUrl":"https://doi.org/10.37689/acta-ape/2023ar0014344","url":null,"abstract":"Objective: To map perioperative nurses’ main activities in the Brazilian scenario, explained in the current literature.\u0000\u0000Methods: This is a scoping review prepared in accordance with current JBI guidelines, using the checklist for conducting and reporting the study. The search was carried out by two independent researchers, between August and December 2021, in six databases in the health area, using the descriptors nurses, nurse role, intraoperative period, perioperative nursing, surgical centers. Articles published between January 2011 and October 2022, in English, Portuguese or Spanish, were part of the sample. The information was extracted, classified, synthesized and presented descriptively.\u0000\u0000Results: Eighteen were included in the research synthesis. The analysis of results made it possible to highlight the implementation of surgical safety measures as prevalent activities in care (50%); in management, material, input and equipment (72%) and room preparation (39%) management; in teaching, permanent nursing education (50%). No studies related to researcher activity were identified.\u0000\u0000Conclusion: In the Brazilian scenario, perioperative nurses’ activities range from management to assistance with a smaller proportion in teaching, highlighting their strategic position in mobilizing actions that promote safety and quality in perioperative processes. Protocol registration on the Open Science Framework platform: https://osf.io/8jmq6/","PeriodicalId":6891,"journal":{"name":"Acta Paulista De Enfermagem","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48160855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-09DOI: 10.37689/acta-ape/2023ao0073333
Elizabete Melo Montanari Fedocci, Marcela Antonini, William Sorensen, Karyanna Alves de Alencar Rocha, Elucir Gir, Renata Karina Reis
Abstract Objective: To build and validate an e-book about cardiovascular risk in people living with the human immunodeficiency virus. Methods: Methodological study based on the evaluation research theory with analysis of outcome. It involved technological production comprising the phases of analysis and planning, modeling, implementation, and evaluation. Cardiovascular risk factors and strategies to reduce them were discussed. The e-book was validated with experts from all over the country between October 2017 and August 2018 using the Content Validity Index. Results: As the e-book was written to meet the needs of the population, accessible language was used for an easier understanding of the content. Several aspects of the e-book were evaluated by experts. Afterwards, the most frequent criticisms and/or suggestions were analyzed. A concordance rate of 80.5% was observed after analysis of the global CVI. All items had satisfactory agreement rates, with a CVI of 86.6% for general impression, 96.8% for objective, 92.0% for content and 90.4% for relevance. Conclusion: The e-book was evaluated in several aspects by experts and a global agreement index of 80.5% was found. Suggestions were accepted aiming at ensuring a more complete, cohesive, easy to read and updated material. According to the evaluation between experts, the material proved to be valid for use by people living with HIV in order to understand their cardiovascular risk and to know healthier habits that may help in prevention of cardiovascular diseases.
{"title":"Construction and validation of an e-book about cardiovascular risk in people living with the human immunodeficiency virus","authors":"Elizabete Melo Montanari Fedocci, Marcela Antonini, William Sorensen, Karyanna Alves de Alencar Rocha, Elucir Gir, Renata Karina Reis","doi":"10.37689/acta-ape/2023ao0073333","DOIUrl":"https://doi.org/10.37689/acta-ape/2023ao0073333","url":null,"abstract":"Abstract\u0000\u0000Objective: To build and validate an e-book about cardiovascular risk in people living with the human immunodeficiency virus.\u0000\u0000Methods: Methodological study based on the evaluation research theory with analysis of outcome. It involved technological production comprising the phases of analysis and planning, modeling, implementation, and evaluation. Cardiovascular risk factors and strategies to reduce them were discussed. The e-book was validated with experts from all over the country between October 2017 and August 2018 using the Content Validity Index.\u0000\u0000Results: As the e-book was written to meet the needs of the population, accessible language was used for an easier understanding of the content. Several aspects of the e-book were evaluated by experts. Afterwards, the most frequent criticisms and/or suggestions were analyzed. A concordance rate of 80.5% was observed after analysis of the global CVI. All items had satisfactory agreement rates, with a CVI of 86.6% for general impression, 96.8% for objective, 92.0% for content and 90.4% for relevance.\u0000\u0000Conclusion: The e-book was evaluated in several aspects by experts and a global agreement index of 80.5% was found. Suggestions were accepted aiming at ensuring a more complete, cohesive, easy to read and updated material. According to the evaluation between experts, the material proved to be valid for use by people living with HIV in order to understand their cardiovascular risk and to know healthier habits that may help in prevention of cardiovascular diseases.","PeriodicalId":6891,"journal":{"name":"Acta Paulista De Enfermagem","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43956024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-09DOI: 10.37689/acta-ape/2023ar0019144
Vivian do Prado Martins, K. D. S. Mendes, B. N. D. Santos, B. A. Filardi, Letícia Genova Vieira, R. Silveira
Objective: To map the health care of Pegfilgrastim On-body Injector in neutropenia prevention in adults with cancer in home care after outpatient chemotherapy. Methods: This is a scoping review based on the JBI methodology. Only studies with adults with cancer undergoing outpatient chemotherapy were included. The search was carried out in the Cochrane, CINAHL, EMBASE, LILACS, PubMed, Scopus, LIVIVO and Web of Science databases, in addition to gray literature ProQuest, SciELO, Database in Nursing, Google Scholar, Open Grey, drug leaflet and websites. The searches in the references of selected studies were exhausted. All identified studies were exported to the EndNote reference manager for organization and removal of duplicates. The Rayyan web application was used for evidence selection. The studies were selected by pairs independently, with conflicts resolved by a third researcher. Results: A total of 10 articles were included, whose results were subdivided into categories: patient compliance, health team opinion, patient workload in cancer treatment and device use in clinical practice. The device has few flaws and was accepted by health care teams and patients in most studies. Conclusion: The main health care for Pegfilgrastim On-body Injector use is related to the skin preparation technique where the device will be applied, in addition to device preparation and administration. Moreover, the importance of assessing the knowledge of patients and their family about the device is highlighted, providing all the necessary guidelines, verbally and in writing, clearly and objectively, and validating this information, making sure that patients have understood all of them and are safe.
目的:探讨聚非格司汀在成人癌症患者门诊化疗后家庭护理中预防中性粒细胞减少的保健作用。方法:这是一个基于JBI方法的范围审查。仅纳入了接受门诊化疗的成年癌症患者的研究。检索Cochrane、CINAHL、EMBASE、LILACS、PubMed、Scopus、LIVIVO和Web of Science数据库，以及灰色文献ProQuest、SciELO、Database in Nursing、谷歌Scholar、Open Grey、药物手册和网站。在选定研究的参考文献中进行了搜索。所有确定的研究都导出到EndNote参考管理器，以便进行组织和删除重复。Rayyan web应用程序用于证据选择。这些研究是两两独立选择的，冲突由第三位研究人员解决。结果:共纳入10篇文献，其结果被细分为患者依从性、卫生团队意见、患者在癌症治疗中的工作量和临床实践中设备的使用。该设备几乎没有缺陷，在大多数研究中被医疗团队和患者所接受。结论:聚非格司汀体内注射器的主要卫生保健问题除了器械的制备和给药外，还与使用器械的皮肤制备技术有关。此外，评估患者及其家属对设备的了解的重要性被强调，提供所有必要的指导方针，口头和书面，清晰和客观，并验证这些信息，确保患者理解所有这些并确保安全。
{"title":"Pegfilgrastim OBI device use for neutropenia prevention: a scoping review","authors":"Vivian do Prado Martins, K. D. S. Mendes, B. N. D. Santos, B. A. Filardi, Letícia Genova Vieira, R. Silveira","doi":"10.37689/acta-ape/2023ar0019144","DOIUrl":"https://doi.org/10.37689/acta-ape/2023ar0019144","url":null,"abstract":"Objective: To map the health care of Pegfilgrastim On-body Injector in neutropenia prevention in adults with cancer in home care after outpatient chemotherapy.\u0000\u0000Methods: This is a scoping review based on the JBI methodology. Only studies with adults with cancer undergoing outpatient chemotherapy were included. The search was carried out in the Cochrane, CINAHL, EMBASE, LILACS, PubMed, Scopus, LIVIVO and Web of Science databases, in addition to gray literature ProQuest, SciELO, Database in Nursing, Google Scholar, Open Grey, drug leaflet and websites. The searches in the references of selected studies were exhausted. All identified studies were exported to the EndNote reference manager for organization and removal of duplicates. The Rayyan web application was used for evidence selection. The studies were selected by pairs independently, with conflicts resolved by a third researcher.\u0000\u0000Results: A total of 10 articles were included, whose results were subdivided into categories: patient compliance, health team opinion, patient workload in cancer treatment and device use in clinical practice. The device has few flaws and was accepted by health care teams and patients in most studies.\u0000\u0000Conclusion: The main health care for Pegfilgrastim On-body Injector use is related to the skin preparation technique where the device will be applied, in addition to device preparation and administration. Moreover, the importance of assessing the knowledge of patients and their family about the device is highlighted, providing all the necessary guidelines, verbally and in writing, clearly and objectively, and validating this information, making sure that patients have understood all of them and are safe.","PeriodicalId":6891,"journal":{"name":"Acta Paulista De Enfermagem","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43383176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-09DOI: 10.37689/acta-ape/2023ao0258344
Mônica Noleto Miranda, Samuel Prado Ribeiro, Fernanda Correa Chaves, Francisco Moreira da Costa e Telles, A. M. Gonzalez, Daniel de Oliveira Mota, C. Pimentel
Objective: To evaluate patients’ and healthcare professionals’ knowledge about vaccination protocols in post-liver transplantation before and after applying an educational awareness strategy in this population. Methods: Patients (n=124) underwent the educational intervention through access to a webpage containing educational videos and, for health professionals (n=111), through a symposium and access to information on the project’s virtual page. To analyze the effect of the intervention, qualitative analyses of knowledge were carried out using questionnaires before and after the interventions. Results: Among patients, males were predominant (66.9%) and the mean age was 55.2 years old (SD + 15.9). 82.2% of patients visited a UBS to be vaccinated and 13.7% of them the CRIEs (Reference Center for Special Immunobiologicals). Only 46.7% received orientation about vaccines after liver transplantation. From the 111 questionnaires answered by health professionals, 46.5% did not check the vaccine portfolio, 61.3% referred patients to UBS and 38.7% to a CRIE. In the post-intervention analysis, 66.1% of patients watched educational videos about vaccination. Of these, 62.2% said they had improved their understanding about vaccines and 91.4% feel safer to vaccinate. After the educational intervention, 45 health professionals answered the questionnaire. 30.4% said they knew which vaccines to prescribe, and 67.4% recommended vaccines to patients’ relatives. Conclusion: The proposed educational strategy applied in this study shown to increase awareness regarding the post-liver transplant immunization protocols. This may contribute to avoiding the potential risk of lack of information and failure to address vaccination by healthcare professionals.
{"title":"Low post-liver transplant vaccine awareness: analysis and educational strategy","authors":"Mônica Noleto Miranda, Samuel Prado Ribeiro, Fernanda Correa Chaves, Francisco Moreira da Costa e Telles, A. M. Gonzalez, Daniel de Oliveira Mota, C. Pimentel","doi":"10.37689/acta-ape/2023ao0258344","DOIUrl":"https://doi.org/10.37689/acta-ape/2023ao0258344","url":null,"abstract":"Objective: To evaluate patients’ and healthcare professionals’ knowledge about vaccination protocols in post-liver transplantation before and after applying an educational awareness strategy in this population.\u0000\u0000Methods: Patients (n=124) underwent the educational intervention through access to a webpage containing educational videos and, for health professionals (n=111), through a symposium and access to information on the project’s virtual page. To analyze the effect of the intervention, qualitative analyses of knowledge were carried out using questionnaires before and after the interventions.\u0000\u0000Results: Among patients, males were predominant (66.9%) and the mean age was 55.2 years old (SD + 15.9). 82.2% of patients visited a UBS to be vaccinated and 13.7% of them the CRIEs (Reference Center for Special Immunobiologicals). Only 46.7% received orientation about vaccines after liver transplantation. From the 111 questionnaires answered by health professionals, 46.5% did not check the vaccine portfolio, 61.3% referred patients to UBS and 38.7% to a CRIE. In the post-intervention analysis, 66.1% of patients watched educational videos about vaccination. Of these, 62.2% said they had improved their understanding about vaccines and 91.4% feel safer to vaccinate. After the educational intervention, 45 health professionals answered the questionnaire. 30.4% said they knew which vaccines to prescribe, and 67.4% recommended vaccines to patients’ relatives.\u0000\u0000Conclusion: The proposed educational strategy applied in this study shown to increase awareness regarding the post-liver transplant immunization protocols. This may contribute to avoiding the potential risk of lack of information and failure to address vaccination by healthcare professionals.","PeriodicalId":6891,"journal":{"name":"Acta Paulista De Enfermagem","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42674610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-09DOI: 10.37689/acta-ape/2023ao0140333
Harlon França de Menezes, A. Camacho, Rosana Moreira de Sant’Anna, Tatyana Lós de Melo Matos, Isabele Silva dos Santos, Ana Cristina da Paixão Silva, Cleide Gonçalo Rufino, Richardson Augusto Rossendo da Silva
Objective: To carry out content validity of the statements of International Classification for Nursing Practice (ICNP®) terminology subset diagnoses, outcomes and nursing interventions for people with chronic kidney disease on conservative treatment. Methods: A methodological study, which followed the Brazilian method guidelines, with content validity conducted by the Delphi technique and carried out with 67 expert nurses. A total of 123 nursing diagnosis/outcome statements and 215 nursing intervention statements, distributed by Callista Roy’s adaptation model of nursing modes were assessed. To assess the degree of agreement regarding the meaning and clinical use among experts, the Content Validity Index (CVI) was used, accepting statements that presented an index ≥ 0.80. Results After two Delphi rounds, 117 diagnoses/outcomes and 199 nursing interventions were validated. Of the diagnoses, 70 (60%) were classified in Physiological Mode, 19 (16%) in Self-Concept Mode, 17 (14%) in Real-Life Function Mode, and 11 (10%) in Callista Roy’s Interdependence Mode. Among the most prevalent diagnostic statements were: “Altered Blood Pressure”, “Peripheral Oedema”, “Fluid Retention”, “Lack of Knowledge of Dietary Regime”, “Impaired Adaptation”, “Self-Care Deficit” and “Impaired Access to Treatment”. Valid nursing interventions underwent wording changes. Conclusion: The development of an ICNP® terminology subset according to the adopted theoretical model proved to be valid in terms of content for the care of people with chronic kidney disease undergoing conservative treatment through clear and directive care plans.
{"title":"ICNP® terminology subset for people with chronic kidney disease under conservative treatment","authors":"Harlon França de Menezes, A. Camacho, Rosana Moreira de Sant’Anna, Tatyana Lós de Melo Matos, Isabele Silva dos Santos, Ana Cristina da Paixão Silva, Cleide Gonçalo Rufino, Richardson Augusto Rossendo da Silva","doi":"10.37689/acta-ape/2023ao0140333","DOIUrl":"https://doi.org/10.37689/acta-ape/2023ao0140333","url":null,"abstract":"Objective: To carry out content validity of the statements of International Classification for Nursing Practice (ICNP®) terminology subset diagnoses, outcomes and nursing interventions for people with chronic kidney disease on conservative treatment.\u0000\u0000Methods: A methodological study, which followed the Brazilian method guidelines, with content validity conducted by the Delphi technique and carried out with 67 expert nurses. A total of 123 nursing diagnosis/outcome statements and 215 nursing intervention statements, distributed by Callista Roy’s adaptation model of nursing modes were assessed. To assess the degree of agreement regarding the meaning and clinical use among experts, the Content Validity Index (CVI) was used, accepting statements that presented an index ≥ 0.80.\u0000Results\u0000\u0000After two Delphi rounds, 117 diagnoses/outcomes and 199 nursing interventions were validated. Of the diagnoses, 70 (60%) were classified in Physiological Mode, 19 (16%) in Self-Concept Mode, 17 (14%) in Real-Life Function Mode, and 11 (10%) in Callista Roy’s Interdependence Mode. Among the most prevalent diagnostic statements were: “Altered Blood Pressure”, “Peripheral Oedema”, “Fluid Retention”, “Lack of Knowledge of Dietary Regime”, “Impaired Adaptation”, “Self-Care Deficit” and “Impaired Access to Treatment”. Valid nursing interventions underwent wording changes.\u0000\u0000Conclusion: The development of an ICNP® terminology subset according to the adopted theoretical model proved to be valid in terms of content for the care of people with chronic kidney disease undergoing conservative treatment through clear and directive care plans.","PeriodicalId":6891,"journal":{"name":"Acta Paulista De Enfermagem","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49361387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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