Revista da Escola de Enfermagem da U S P最新文献

Objective: To map integrative practices used to address occupational stress in nursing professionals during the Covid-19 pandemic.

Method: This is a scoping review following the recommendations of the JBI Institute and PRISMA Extension for Scoping Reviews (PRISMA-ScR). The search was performed between March and April 2024 in the following databases: MEDLINE, LILACS, BDENF, IBECS via BVS, and CINAHL, SCOPUS and Web of Science via the CAPES Journal Portal. The selection, stratification and organization of the studies were carried out on the Rayyan platform. The results were presented in a synoptic table, with a descriptive and comparative analysis of the findings, highlighting the integrative practices and their evidence of effectiveness.

Results: Eighteen studies were included, most of which were published in the United States in 2021. The most common practices were: mindfulness (16.6%), wobble rooms (11%), psychoeducation (11%), peer support (11%), and nonviolent communication (11%). All were effective in reducing stress, promoting well-being, and improving the quality of life of nursing professionals. Conclusions: The most widely used integrative practices were mindfulness and psychoeducation programs, with encouragement of nonviolent communication, all demonstrating effectiveness as interventions to reduce stress in nursing professionals during the pandemic. These practices emerge as viable and effective strategies to promote the mental health and well-being of these professionals.

Objective: This study was conducted to determine the experiences of nursing students who received face-to-face education during the COVID-19 pandemic and contracted COVID-19.

Method: A phenomenological qualitative study was used to understand the students' experiences, and the study was completed with 11 students who volunteered. Semi-structured online interviews were conducted using an interview guide, and the interviews were recorded. Thematic analysis was employed to generate themes. MAXQDA 2022 software was used for the analysis of the research.

Results: As a result of the research, 3 themes; themes are as follows: "COVID-19 disease process" with the sub-themes "emotions" and "gains"; "Educational process" with the sub-themes "technological problems", financial constraints", and "legal issues"; "nursing profession and values" with the sub-themes "importance of nursing", "intense and challenging working environment".

Conclusion: According to the experiences of students who contracted Covid-19 disease during face-to-face education during the Covid-19 epidemic, it was concluded that nursing students should be provided with the necessary technological support, the legal regulations of universities should be revised, and psychosocial support should be provided to students.

Objective: To identify the stressors and reactions related to the knowledge and experiences of families of children with congenital Zika virus syndrome on social inclusion in light of Betty Neuman.

Method: Qualitative research, carried out in a hospital institution with nine mothers of children with Congenital Zika Syndrome. The data were collected between November and December 2020, from semi-structured interviews, and analyzed with the help of the IRAMUTEQ software and the manifest content analysis framework.

Results: The analyses revealed three categories: Activities outside the home, highlighting the daily challenges faced outside the home, such as the lack of support in the educational system; Difficulties in adaptation, which highlighted physical and social barriers, such as the inadequacy of public spaces and the lack of social empathy; Knowledge about rights and inclusion, showing the lack of knowledge and uncertainty of families about their rights and social inclusion.

Final considerations: The experiences and knowledge revealed the need for social interaction, adaptation, facing prejudice, seeking validity of rights and leading role in the context of social inclusion of these families.

Objective: To analyze cases of maternal near miss in a teaching hospital.

Method: This is a cross-sectional study with a quantitative approach. The research was performed in a teaching hospital, in Mato Grosso do Sul, from June to December 2021. Data were collected from physical and electronic medical records, laboratory tests, and prenatal records, using a structured instrument. They were subsequently subjected to descriptive and inferential analysis in Epi Info 7.2.2.6.

Results: Fifty-nine medical records were analyzed, 49 presenting potentially life-threatening condition and ten maternal near misses. Coming from inland cities of the state, gestational risk classification, bleeding and management disorders showed a significant association with maternal near miss.

Conclusion: It becomes necessary to plan tracking actions, such as the implementation of a flow for identifying women with potentially life-threatening conditions, and the implementation of specific protocols with preventive key interventions and notification of maternal near miss, with a view to improving care and consequently reducing the risk of serious maternal outcomes.

Objective: To compare the effectiveness of flipped classroom (FC) model with traditional lecture-based learning (LBL) model in the education of hemodialysis nurses.

Method: Enrolled were 46 nurses who had received training from the hemodialysis center. These nurses were randomly assigned to FC or LBL groups, with 23 nurses in each group. FC group received the FC method, while LBL group was trained via the traditional LBL. After training, all nurses were examined for their theoretical knowledge, clinical practice skills and self-learning abilities. Furthermore, their satisfaction with the teaching mode was evaluated.

Results: FC group outperformed LBL group in the mastery of theoretical knowledge. In FC group, the scores in objective, subjective and overall questions were significantly higher than those in LBL group. FC group demonstrated a superior capability in clinical practices. FC group exhibited a superior performance over the LBL group in self-learning ability. Additionally, FC group showed a higher degree of satisfaction with the training method.

Conclusion: FC method benefits nurses in mastering knowledge about hemodialysis. It enhances their clinical practice skills and self-learning capabilities, and brings them with a higher degree of satisfaction.

Objective: To analyze the association between sociodemographic variables, lifestyle and mental health habits, and long Covid in nursing professionals.

Method: Quantitative, observational, cross-sectional and analytical study, with 109 nursing professionals who had Covid-19 between 2020 and 2022. Data collection was carried out using an online form, with the following variables of interest: resilience, subjective well-being, age, sex, professional category, vaccination, physical activity, presence of symptoms resulting from Covid-19 infection after the acute phase of the disease and long Covid. Data were analyzed descriptively and inferentially using Poisson regression with robust variance and a significance level of 5%.

Results: Male sex, high resilience, and high positive affect decrease the prevalence of long Covid by 71% (RP = 0.29), 40% (RP = 0.60) and 43% (RP = 0.57), respectively, while being in the nursing technician category increases its prevalence by 74% (RP = 1.74).

Conclusion: The results emphasize the importance and support the development of promotion, prevention, treatment, and rehabilitation actions for individuals with long Covid. To achieve this, multidisciplinary care, centered on the person and directed at the context and work environment is required.

Objective: To analyze the prevalence of prenatal tests of pregnant women and factors associated with variation in this prevalence in the years of the Brazilian National Health Survey 2013 and 2019.

Method: A cross-sectional study, carried out with women who underwent prenatal care, interviewed in the Brazilian National Health Survey 2013 (n = 1,851) and 2019 (n = 2,729).

Results: The most prevalent tests were urine and blood, and the least prevalent were syphilis and HIV. During the period, the number of tests for syphilis (15.2; 95% CI: 11.0; 22.0) and HIV (4.3; 95% CI: 4.3; 8.0) increased, but the number of tests for the others decreased. The prevalence of tests for the four tests increased and reached 69.9% (95% CI: 67.0; 72.8) in 2019 compared to 60% (95% CI: 56.1; 63.9) in 2013.

Conclusion: There was a greater number of prenatal tests performed, specifically for syphilis and HIV, rather than a reduction in the number of blood and urine tests. Despite the increase in access to all tests for the most vulnerable groups and locations in the country, prevalence in these groups is still low.

Objective: To understand the experience of children with special health needs at school.

Method: Qualitative research using Symbolic Interactionism as a theoretical framework and assumptions of Grounded Theory as a methodological framework. Data collected in a pediatric outpatient clinic of a teaching hospital in an inland city of the state of São Paulo. The following collection strategies were used: participant observation, drawing, and semi-structured interviews. Twenty-two school-age children with special health needs participated in the research, all of whom attended school.

Results: Three categories were constructed representing the experience of children with special health needs at school: Experiencing the school environment, Identifying obstacles, and Finding ways to move forward despite the illness. These children's experiences at school allowed us to understand their difficulties, their need for adaptation and their actions in the face of the process related to their development.

Conclusion: The need for acceptance, safety, and trust in the school environment and in the people who make it up was identified, which are fundamental factors for the children to be able to continue their development and learning, despite the illness.

Objective: To analyze the influence of proxemic factors on communication and care provided by nursing professionals during transfusion in hemotherapy.

Method: A descriptive, exploratory and qualitative study with 25 nursing professionals from a hospital specializing in onco-hematological diseases in Rio de Janeiro, based on a systematized script, individual records of proxemic factors described by Edward Hall and recorded situational interviews. The analysis considered data thematic content and used the SketchUp 3D Modeling Software Review program to visually demonstrate the behavioral mapping of the interaction of nursing professionals with patients during care.

Results: Intimate, personal, social and public distances translated into proxemic factors such as repeated movements of shoulders, neck and head, which positively influenced nursing care in hemotherapy, favoring the identification of non-verbal and verbal manifestations of the team in interaction with patients.

Conclusion: Nonverbal proxemic communication must result from awareness of the layout of physical space, immediate care actions, pertinent and appropriate proximity, continuous visual surveillance and clear recognition of expressions translated as interest, respect and zeal.

[This corrects the article doi: 10.1590/1980-220X-REEUSP-2024-0197en] [This corrects the article doi: 10.1590/1980-220X-REEUSP-2024-0197pt].