Pub Date : 2023-08-09DOI: 10.37689/acta-ape/2023ao0039333
Rosana Maria Barreto Colichi, Larissa Cassiano Bernardo, Simone Cristina Paixão Dias Baptista, Alan Francisco Fonseca, S. Weber, Silvana Andrea Molina Lima
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.
{"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, S. Weber, Silvana Andrea Molina Lima","doi":"10.37689/acta-ape/2023ao0039333","DOIUrl":"https://doi.org/10.37689/acta-ape/2023ao0039333","url":null,"abstract":"Abstract\u0000\u0000Objective\u0000\u0000To 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.\u0000\u0000Methods: 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.\u0000\u0000Results: 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).\u0000\u0000Conclusion: 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":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47193316","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/2023ao0074333
L. Batista, M. D. P. Nóbrega, M. Salvetti, R. D. C. G. E. S. Butcher
Objective: To analyze the acceptability of people undergoing unscheduled cardiac catheterization about a complex nursing intervention (CI) to reduce anxiety. Methods: This is a qualitative and evaluative study of the acceptability of 15 participants who underwent cardiac catheterization regarding a nursing CI. Data collection was carried out in the emergency unit of a highly complex hospital in the city of São Paulo, specialized in cardiology. Participants had a diagnosis of Acute Coronary Syndrome and received the CI, consisting of a musical and educational component, called Education and Music Intervention to Reduce Anxiety (EMIRA). Data were collected from September to October 2021, and participants underwent a semi-structured interview. The guiding questions of the interview were elaborated based on Kazdin. The interviews were recorded and transcribed for Bardin’s content analysis. To analyze EMIRA participants’ participants, Representations of Everyday Life’s theoretical contribution was used. Results: Acceptability analysis in relation to EMIRA allowed identifying three categories: EMIRA complex intervention: new experience that helps to understand cardiac catheterization; Complex EMIRA intervention: an experience that generates satisfaction; and EMIRA complex intervention: an anxiety-relieving experience. Participants reported feelings of calm, relief, tranquility, satisfaction, and recommended using EMIRA. Conclusion: Participants’ experience with EMIRA was positive, suggesting good acceptability of CI by people awaiting unscheduled catheterization in the emergency unit.
{"title":"Reducing cardiac catheterization-related anxiety: acceptability of a complex intervention","authors":"L. Batista, M. D. P. Nóbrega, M. Salvetti, R. D. C. G. E. S. Butcher","doi":"10.37689/acta-ape/2023ao0074333","DOIUrl":"https://doi.org/10.37689/acta-ape/2023ao0074333","url":null,"abstract":"Objective: To analyze the acceptability of people undergoing unscheduled cardiac catheterization about a complex nursing intervention (CI) to reduce anxiety.\u0000\u0000Methods: This is a qualitative and evaluative study of the acceptability of 15 participants who underwent cardiac catheterization regarding a nursing CI. Data collection was carried out in the emergency unit of a highly complex hospital in the city of São Paulo, specialized in cardiology. Participants had a diagnosis of Acute Coronary Syndrome and received the CI, consisting of a musical and educational component, called Education and Music Intervention to Reduce Anxiety (EMIRA). Data were collected from September to October 2021, and participants underwent a semi-structured interview. The guiding questions of the interview were elaborated based on Kazdin. The interviews were recorded and transcribed for Bardin’s content analysis. To analyze EMIRA participants’ participants, Representations of Everyday Life’s theoretical contribution was used.\u0000\u0000Results: Acceptability analysis in relation to EMIRA allowed identifying three categories: EMIRA complex intervention: new experience that helps to understand cardiac catheterization; Complex EMIRA intervention: an experience that generates satisfaction; and EMIRA complex intervention: an anxiety-relieving experience. Participants reported feelings of calm, relief, tranquility, satisfaction, and recommended using EMIRA.\u0000\u0000Conclusion: Participants’ experience with EMIRA was positive, suggesting good acceptability of CI by people awaiting unscheduled catheterization in the emergency unit.","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":"48119034","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/2023ao0171344
Breno Santos de Araújo, A. Oliveira
Objective: To assess compliance with actions for surgical site infection prevention and control, adopted in clinical practice in accordance with the recommendations proposed by the World Health Organization: auditing the moment of antibiotic administration, trichotomy with an electric clipper/disposable blade, material sterility confirmation, and surveillance and dissemination of surgical site infection rates. Methods: This is a cross-sectional observational study, carried out in 30 hospitals in the state of Minas Gerais, from February 2018 to April 2019, based on an audit of a surgical procedure, situational diagnosis and interview with Hospital Infection Control Services. Results In 93.3% of Hospital Infection Control Services, protocols for prophylactic antibiotic use and compliance audits were reported, 69% reported trichotomy with an electric clipper. All carried out surgical site infection surveillance, however, only 63.3% carried out rate disclosure. In the situational diagnosis, trichotomy was performed in 76.7% inside the operating room with an electric clipper (56.7%). In the audit of the moment of antimicrobial administration between 30-60 minutes before surgical incision, compliance was identified in 63.3%; 93.3% of services confirmed material sterility through process indicators. Conclusion: Differences were found between recommendations from the Hospital Infection Control Service and compliance with good practices during situational diagnosis and auditing of surgical procedures, reinforcing the need for training and audits aimed at effectively complying with professionals’ practices regarding such measures.
{"title":"Compliance with surgical site infection prevention measures in hospitals","authors":"Breno Santos de Araújo, A. Oliveira","doi":"10.37689/acta-ape/2023ao0171344","DOIUrl":"https://doi.org/10.37689/acta-ape/2023ao0171344","url":null,"abstract":"Objective: To assess compliance with actions for surgical site infection prevention and control, adopted in clinical practice in accordance with the recommendations proposed by the World Health Organization: auditing the moment of antibiotic administration, trichotomy with an electric clipper/disposable blade, material sterility confirmation, and surveillance and dissemination of surgical site infection rates.\u0000\u0000Methods: This is a cross-sectional observational study, carried out in 30 hospitals in the state of Minas Gerais, from February 2018 to April 2019, based on an audit of a surgical procedure, situational diagnosis and interview with Hospital Infection Control Services.\u0000Results\u0000\u0000In 93.3% of Hospital Infection Control Services, protocols for prophylactic antibiotic use and compliance audits were reported, 69% reported trichotomy with an electric clipper. All carried out surgical site infection surveillance, however, only 63.3% carried out rate disclosure. In the situational diagnosis, trichotomy was performed in 76.7% inside the operating room with an electric clipper (56.7%). In the audit of the moment of antimicrobial administration between 30-60 minutes before surgical incision, compliance was identified in 63.3%; 93.3% of services confirmed material sterility through process indicators.\u0000\u0000Conclusion: Differences were found between recommendations from the Hospital Infection Control Service and compliance with good practices during situational diagnosis and auditing of surgical procedures, reinforcing the need for training and audits aimed at effectively complying with professionals’ practices regarding such measures.","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":"42594398","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/2023ar0019944
Thais Alves Reis Evangelista, Michelle Darezzo Rodrigues Nunes, Stephanie Gabriel Machado, Milena Agnelo Santos, Bheatriz da Costa Diniz Olegário, L. Nascimento
Objective: To identify studies that used Photo-Elicitation and Photovoice techniques as a strategy for data collection with children and adolescents with chronic conditions. Methods: This is an integrative literature review, carried out in the Web of Science, CINAHL, MEDLINE, PsycINFO and LILACS databases, with a search for articles published in English, Portuguese and Spanish, between 2010 and 2021. The searches were conducted between February and April 2022. Data were analyzed descriptively and organized into categories. Results:A total of 28 articles were included and, based on the analytical process, the following categories were constructed: Advantages of using Photo-Elicitation and Photovoice; and Challenges in using these techniques. Conclusion The literature is converging when considering that the visual approach is configured as a tool that facilitates the communication of the experiences of children and adolescents with chronic conditions, although it may present some challenges in its applicability.
目的：确定使用照片激发和照片语音技术作为慢性病儿童和青少年数据收集策略的研究。方法：这是一篇综合文献综述，在Web of Science、CINAHL、MEDLINE、PsycINFO和LILACS数据库中进行，检索2010年至2021年间以英语、葡萄牙语和西班牙语发表的文章。搜查于2022年2月至4月进行。对数据进行描述性分析并分类。结果：共收录28篇文章，根据分析过程，构建了以下类别：使用PhotoElicitation和Photovoice的优势；以及使用这些技术的挑战。结论考虑到视觉方法被配置为一种工具，有助于交流患有慢性病的儿童和青少年的经历，尽管它可能在适用性方面存在一些挑战，但文献正在趋同。
{"title":"Use of photography in research with children and adolescents","authors":"Thais Alves Reis Evangelista, Michelle Darezzo Rodrigues Nunes, Stephanie Gabriel Machado, Milena Agnelo Santos, Bheatriz da Costa Diniz Olegário, L. Nascimento","doi":"10.37689/acta-ape/2023ar0019944","DOIUrl":"https://doi.org/10.37689/acta-ape/2023ar0019944","url":null,"abstract":"Objective: To identify studies that used Photo-Elicitation and Photovoice techniques as a strategy for data collection with children and adolescents with chronic conditions.\u0000\u0000Methods: This is an integrative literature review, carried out in the Web of Science, CINAHL, MEDLINE, PsycINFO and LILACS databases, with a search for articles published in English, Portuguese and Spanish, between 2010 and 2021. The searches were conducted between February and April 2022. Data were analyzed descriptively and organized into categories.\u0000\u0000Results:A total of 28 articles were included and, based on the analytical process, the following categories were constructed: Advantages of using Photo-Elicitation and Photovoice; and Challenges in using these techniques.\u0000Conclusion\u0000\u0000The literature is converging when considering that the visual approach is configured as a tool that facilitates the communication of the experiences of children and adolescents with chronic conditions, although it may present some challenges in its applicability.","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":"43978090","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/2023ao0277344
Giovana Spina, M. H. Pinto, Lúcia Marinilza Beccaria, Maria Cláudia Parro, K. J. Galisteu, Adriana Pelegrini dos Santos Pereira
Objective: To investigate the correlation between nursing and medical students’ engagement and quality of life at a private college. Methods: This is an observational, analytical, cross-sectional study with a quantitative approach, carried out with 219 undergraduate students, using three self-administered questionnaires: one with sociodemographic data; Study & Well-being Survey, to assess student engagement; and the Medical Outcomes Study 36 – Item Short-Form Health Survey (SF-36), to assess quality of life. Data normality was tested using the Kolmogorov-Smirnov test, and for inferential analysis, within expected standards, Spearman’s correlation test between the engagement dimensions and the quality of life domains was used. Results: A total of 171 medical students and 48 nursing students participated, 160 (73.06%) female and 59 (26.94%) male. Engagement had a mean score of 3.57 ± 0.92 and quality of life with an average greater than 50. The correlation between engagement and quality of life was considered moderate between the vigor dimension and the energy/vitality domain (r=0.505), and health mental (r=0.332) and between dedication (r=0.400) and absorption (r=0.313) dimensions with the energy/vitality domain. Conclusion: The correlation was weak between most nursing and medical students’ quality of life and engagement domains.
{"title":"Nursing and medical students’ engagement and quality of life","authors":"Giovana Spina, M. H. Pinto, Lúcia Marinilza Beccaria, Maria Cláudia Parro, K. J. Galisteu, Adriana Pelegrini dos Santos Pereira","doi":"10.37689/acta-ape/2023ao0277344","DOIUrl":"https://doi.org/10.37689/acta-ape/2023ao0277344","url":null,"abstract":"Objective: To investigate the correlation between nursing and medical students’ engagement and quality of life at a private college.\u0000\u0000Methods: This is an observational, analytical, cross-sectional study with a quantitative approach, carried out with 219 undergraduate students, using three self-administered questionnaires: one with sociodemographic data; Study & Well-being Survey, to assess student engagement; and the Medical Outcomes Study 36 – Item Short-Form Health Survey (SF-36), to assess quality of life. Data normality was tested using the Kolmogorov-Smirnov test, and for inferential analysis, within expected standards, Spearman’s correlation test between the engagement dimensions and the quality of life domains was used.\u0000\u0000Results: A total of 171 medical students and 48 nursing students participated, 160 (73.06%) female and 59 (26.94%) male. Engagement had a mean score of 3.57 ± 0.92 and quality of life with an average greater than 50. The correlation between engagement and quality of life was considered moderate between the vigor dimension and the energy/vitality domain (r=0.505), and health mental (r=0.332) and between dedication (r=0.400) and absorption (r=0.313) dimensions with the energy/vitality domain.\u0000\u0000Conclusion: The correlation was weak between most nursing and medical students’ quality of life and engagement domains.","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":"44879557","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/2023ar0020733
Cleverson Leal Silva, Julia Menezes Cabral, Paula Hino, M. Taminato, Geisa Colebrusco de Souza Gonçalves, H. Fernandes
Objective: To map and synthesize the available scientific evidence on violence against nursing workers during the COVID-19 pandemic. Methods: Scoping review prepared in accordance with recommendations of the Joanna Briggs Institute, carried out in the following databases; National Library of Medicine, Cumulative Index to Nursing and Allied Health Literature, Web of Science, Excerpa Medica DataBASE, PsycINFO – APA PsycNET and Latin-American and Caribbean Health Sciences Literature. Studies addressing the theme of work-related violence against nursing workers during the COVID-19 pandemic, published in Portuguese, Spanish, or English, from 2020 and available in full were included. Partial research reports, editorials, response letters and abstracts of annals were excluded. Descriptive analysis was performed. Results: Nine out of a total of 56 publications met the selection criteria, seven with high methodological quality and two with moderate quality. The phenomenon occurred in different countries around the world, the usual victims were nursing workers working on the front line, with less training time, and it was perpetrated by different actors. Psychosocial damage to workers and risks to patients were found. Conclusion: Nursing workers suffered a high incidence of violence during the pandemic. The consequences of this violence were harmful to health, leading to the desire to leave the profession or affecting the physical or mental health of victims. The implementation of public policies and administrative strategies to reduce violence against this population in pandemic conditions were suggested as prevention and control measures.
目的:绘制和综合COVID-19大流行期间针对护理人员的暴力行为的现有科学证据。方法:根据乔安娜布里格斯研究所的建议编制范围审查，在以下数据库中进行;国家医学图书馆，护理和相关健康文献累积索引，科学网络，医学摘录数据库，PsycINFO - APA PsycNET和拉丁美洲和加勒比健康科学文献。纳入了从2020年起以葡萄牙语、西班牙语或英语发表的、以2019冠状病毒病大流行期间针对护理工作者的工作相关暴力为主题的研究报告，并提供了全文。不包括部分研究报告、社论、回应信和年鉴摘要。进行描述性分析。结果:56篇文献中有9篇符合入选标准，其中7篇方法学质量高，2篇方法学质量中等。这种现象发生在世界上不同的国家，通常的受害者是在前线工作的护理人员，培训时间较少，并且是由不同的行动者实施的。发现了对工人的社会心理损害和对患者的风险。结论:在大流行期间，护理工作者遭受暴力的发生率很高。这种暴力的后果对健康有害，导致人们想要离开这一职业，或影响受害者的身心健康。建议实施公共政策和行政战略，以减少在流行病条件下对这一人口的暴力行为，作为预防和控制措施。
{"title":"Violence against nursing workers in the COVID-19 pandemic: scoping review","authors":"Cleverson Leal Silva, Julia Menezes Cabral, Paula Hino, M. Taminato, Geisa Colebrusco de Souza Gonçalves, H. Fernandes","doi":"10.37689/acta-ape/2023ar0020733","DOIUrl":"https://doi.org/10.37689/acta-ape/2023ar0020733","url":null,"abstract":"Objective: To map and synthesize the available scientific evidence on violence against nursing workers during the COVID-19 pandemic.\u0000\u0000Methods: Scoping review prepared in accordance with recommendations of the Joanna Briggs Institute, carried out in the following databases; National Library of Medicine, Cumulative Index to Nursing and Allied Health Literature, Web of Science, Excerpa Medica DataBASE, PsycINFO – APA PsycNET and Latin-American and Caribbean Health Sciences Literature. Studies addressing the theme of work-related violence against nursing workers during the COVID-19 pandemic, published in Portuguese, Spanish, or English, from 2020 and available in full were included. Partial research reports, editorials, response letters and abstracts of annals were excluded. Descriptive analysis was performed.\u0000\u0000Results: Nine out of a total of 56 publications met the selection criteria, seven with high methodological quality and two with moderate quality. The phenomenon occurred in different countries around the world, the usual victims were nursing workers working on the front line, with less training time, and it was perpetrated by different actors. Psychosocial damage to workers and risks to patients were found.\u0000\u0000Conclusion: Nursing workers suffered a high incidence of violence during the pandemic. The consequences of this violence were harmful to health, leading to the desire to leave the profession or affecting the physical or mental health of victims. The implementation of public policies and administrative strategies to reduce violence against this population in pandemic conditions were suggested as prevention and control measures.","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":"41335421","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/2023aospe0224733
Carlos Alberto dos Santos Treichel, M. C. Silva, Rodrigo Fernando Presotto, Kaleb Eliel Ferreira Leme, Maria Fernanda Lirani dos Reis, Sulamita Gonzaga Silva Amorim, Ana Paula Salomé Lourencetti, M. G. B. Saidel, R. Campos
Objective: To describe the process of development of the theory of change for the implementation of Matrix Support in a medium-sized municipality in São Paulo and to reflect on the contributions of this approach to the planning and evaluation of this intervention, considering the potentialities and challenges from its execution remotely. Methods Qualitative study performed through participatory workshops and construction of narratives with workers and managers of the Psychosocial Care Network following the recommendations of a guide for the development of the theory of change in complex interventions. Results: The implementation of Matrix Support configures one of the three distal results that culminate in the possibility of establishing the logic of shared care related to the activation of intersectoral network and the implementation of a Continuing Education Committee. External components that should be guaranteed by the organizational context for the effective achievement of some intermediate and long-term results were also recognized. Conclusion: The development of the theory of change was effective in delimiting objectives and implementation components from the perspective of the actors involved, establishing indicators for its monitoring and evaluation based on context conditions, and enabling the direction of workers’ efforts towards its consolidation.
{"title":"Theory of change for implementing matrix support in mental health","authors":"Carlos Alberto dos Santos Treichel, M. C. Silva, Rodrigo Fernando Presotto, Kaleb Eliel Ferreira Leme, Maria Fernanda Lirani dos Reis, Sulamita Gonzaga Silva Amorim, Ana Paula Salomé Lourencetti, M. G. B. Saidel, R. Campos","doi":"10.37689/acta-ape/2023aospe0224733","DOIUrl":"https://doi.org/10.37689/acta-ape/2023aospe0224733","url":null,"abstract":"Objective: To describe the process of development of the theory of change for the implementation of Matrix Support in a medium-sized municipality in São Paulo and to reflect on the contributions of this approach to the planning and evaluation of this intervention, considering the potentialities and challenges from its execution remotely.\u0000Methods\u0000\u0000Qualitative study performed through participatory workshops and construction of narratives with workers and managers of the Psychosocial Care Network following the recommendations of a guide for the development of the theory of change in complex interventions.\u0000\u0000Results: The implementation of Matrix Support configures one of the three distal results that culminate in the possibility of establishing the logic of shared care related to the activation of intersectoral network and the implementation of a Continuing Education Committee. External components that should be guaranteed by the organizational context for the effective achievement of some intermediate and long-term results were also recognized.\u0000\u0000Conclusion: The development of the theory of change was effective in delimiting objectives and implementation components from the perspective of the actors involved, establishing indicators for its monitoring and evaluation based on context conditions, and enabling the direction of workers’ efforts towards its consolidation.","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":"46617802","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/2023ao0158333
Maria Naiane Rolim Nascimento, Nuno Damácio de Carvalho Félix, João Cruz Neto, Moziane Mendonça de Araújo, Cristiana Brasil de Almeida Rebouças, Célida Juliana de Oliveira
Objective: To validate the content of nursing diagnosis/outcome and intervention statements for the care of people with heart failure. Method: This is methodological study, according to the steps for building terminology subsets in Brazil. Survey conducted from 2019-2020. Statements and interventions were organized according to the mid-range theory for nursing in cardiovascular rehabilitation. Results: a total of 58 experts participated in the study. A total of 39 nursing diagnoses/outcomes and 168 interventions were validated. The statements with the highest agreement were related to rehabilitation care followed by the supervised cardiovascular rehabilitation program. Conclusion: The study validated the content of statements of a terminology subset for people with heart failure, and allowed the composition of a nursing language based on a classification system recognized worldwide.
{"title":"Validity of nursing diagnoses/outcomes and interventions for people with heart failure","authors":"Maria Naiane Rolim Nascimento, Nuno Damácio de Carvalho Félix, João Cruz Neto, Moziane Mendonça de Araújo, Cristiana Brasil de Almeida Rebouças, Célida Juliana de Oliveira","doi":"10.37689/acta-ape/2023ao0158333","DOIUrl":"https://doi.org/10.37689/acta-ape/2023ao0158333","url":null,"abstract":"Objective: To validate the content of nursing diagnosis/outcome and intervention statements for the care of people with heart failure.\u0000\u0000Method: This is methodological study, according to the steps for building terminology subsets in Brazil. Survey conducted from 2019-2020. Statements and interventions were organized according to the mid-range theory for nursing in cardiovascular rehabilitation.\u0000\u0000Results: a total of 58 experts participated in the study. A total of 39 nursing diagnoses/outcomes and 168 interventions were validated. The statements with the highest agreement were related to rehabilitation care followed by the supervised cardiovascular rehabilitation program.\u0000\u0000Conclusion: The study validated the content of statements of a terminology subset for people with heart failure, and allowed the composition of a nursing language based on a classification system recognized worldwide.","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":"43875980","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}
Objective: To analyze the news published in the Brazilian press about nursing work during the COVID-19 pandemic period, between February 2020 and August 2021. Methods: This is a documentary, descriptive study with a qualitative approach. Elaborated from information collected on news sites, through clipping, following the stages of monitoring, collection, analysis and archiving of mentions of work in nursing made by the Brazilian media. The sample totaled 432 news. Data analysis was performed using the Thematic Content Analysis proposed by Laurence Bardin. Results The year 2020 stood out among the analyzed news (59.96%), whose characters involved were nursing professionals, female (36.57%), technical (38.89%) and higher (38. 43%). There was a predominance of news in the Southeast (45.83%) and Midwest (17.36%) regions. Six categories were identified for data analysis: deaths among workers (40.74%), precarious working conditions (28.94%), vaccination (8.56%), contamination of workers (8.33%), suspected of ethical infraction (8.10%) and COVID-19 cure (5.32%). Conclusion: The COVID-19 pandemic in Brazil brought nursing work and workers to the center of journalistic debate. Death, precarious working conditions and contamination of nursing workers, reported in the press, are related to the precariousness of nursing work in this study. It is conjectured that the journalistic debate on nursing work in the COVID-19 pandemic helped to strengthen political guidelines, such as the one that led to the enactment of Law 14,434/2022, which deals with the national wage floor for these professionals.
{"title":"News analysis of nursing work in the context of the COVID-19 pandemic","authors":"Handerson Silva-Santos, Alexia Bruna Santos Gonçalves, Iara Neves Vieira Cavalcante, Aline Nazaré Valente Santos Fiscina, Dhuliane Damascena, Tatiane Araújo-dos-Santos, Ednir Assis Souza","doi":"10.37689/acta-ape/2023ao0192333","DOIUrl":"https://doi.org/10.37689/acta-ape/2023ao0192333","url":null,"abstract":"Objective: To analyze the news published in the Brazilian press about nursing work during the COVID-19 pandemic period, between February 2020 and August 2021.\u0000\u0000Methods: This is a documentary, descriptive study with a qualitative approach. Elaborated from information collected on news sites, through clipping, following the stages of monitoring, collection, analysis and archiving of mentions of work in nursing made by the Brazilian media. The sample totaled 432 news. Data analysis was performed using the Thematic Content Analysis proposed by Laurence Bardin.\u0000Results\u0000\u0000The year 2020 stood out among the analyzed news (59.96%), whose characters involved were nursing professionals, female (36.57%), technical (38.89%) and higher (38. 43%). There was a predominance of news in the Southeast (45.83%) and Midwest (17.36%) regions. Six categories were identified for data analysis: deaths among workers (40.74%), precarious working conditions (28.94%), vaccination (8.56%), contamination of workers (8.33%), suspected of ethical infraction (8.10%) and COVID-19 cure (5.32%).\u0000\u0000Conclusion: The COVID-19 pandemic in Brazil brought nursing work and workers to the center of journalistic debate. Death, precarious working conditions and contamination of nursing workers, reported in the press, are related to the precariousness of nursing work in this study. It is conjectured that the journalistic debate on nursing work in the COVID-19 pandemic helped to strengthen political guidelines, such as the one that led to the enactment of Law 14,434/2022, which deals with the national wage floor for these 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":"48826898","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/2023ao0242333
M. Graeff, M. Almeida
Objective: To construct and validate with experts the conceptual definitions (CD), operational definitions (OD) and magnitude of the operational definition (MOD) of the 26 outcome indicators of the Nursing Outcomes Classification (NOC), INICIARE-26 instrument components, which measures patients’ dependency on nursing care. Methods: A methodological study, in two stages, between January and July 2022. In the first, CD, OD and MOD were developed based on scientific literature. Semantic and conceptual equivalences were observed, in addition to standardization of the indicators’ textual formulation. In the second, the Delphi method was used for content validity by eight experts who assessed the relevance of the definitions under the following aspects: “not relevant”; “little relevant”; “quite relevant”; “highly relevant”. The Content Validity Index (CVI) was used, with a value greater than 0.78 for agreement analysis. Results The CD CVI was unanimous for 15 indicators; CD were fully consensual for 17 indicators; MOD was obtained a CVI of 1.00 for 13 indicators. The other items had a CVI of 0.88. The items that did not reach 1.00 of agreement were revised, according to experts’ suggestions, with the aim of improving and providing greater clarity for instrument application. Conclusion: The definitions were constructed and, at the time of validity, reached a satisfactory degree of agreement among experts, and some were unanimous.
{"title":"Construction and validity of definitions for outcome indicators of the INICIARE-26 instrument","authors":"M. Graeff, M. Almeida","doi":"10.37689/acta-ape/2023ao0242333","DOIUrl":"https://doi.org/10.37689/acta-ape/2023ao0242333","url":null,"abstract":"Objective: To construct and validate with experts the conceptual definitions (CD), operational definitions (OD) and magnitude of the operational definition (MOD) of the 26 outcome indicators of the Nursing Outcomes Classification (NOC), INICIARE-26 instrument components, which measures patients’ dependency on nursing care.\u0000\u0000Methods: A methodological study, in two stages, between January and July 2022. In the first, CD, OD and MOD were developed based on scientific literature. Semantic and conceptual equivalences were observed, in addition to standardization of the indicators’ textual formulation. In the second, the Delphi method was used for content validity by eight experts who assessed the relevance of the definitions under the following aspects: “not relevant”; “little relevant”; “quite relevant”; “highly relevant”. The Content Validity Index (CVI) was used, with a value greater than 0.78 for agreement analysis.\u0000Results\u0000\u0000The CD CVI was unanimous for 15 indicators; CD were fully consensual for 17 indicators; MOD was obtained a CVI of 1.00 for 13 indicators. The other items had a CVI of 0.88. The items that did not reach 1.00 of agreement were revised, according to experts’ suggestions, with the aim of improving and providing greater clarity for instrument application.\u0000\u0000Conclusion: The definitions were constructed and, at the time of validity, reached a satisfactory degree of agreement among experts, and some were unanimous.","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":"47608113","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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