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

Objective: The current analysis study aims to estimate the role of vitamin D levels and supplementation on fertility reservation expressed as ovulation rate, pregnancy rate, and anti-Müllerian hormone (AMH).

Method: A systematic literature review was conducted, and 2111 females were recruited to the current study. Inclusion criteria of the current study included comparative studies evaluating the role of vitamin D status and vitamin D supplementation on fertility parameters. Included studies published till December 2023. Continuous mode with random effect, were used for the analysis of data.

Results: Twenty-two studies, conducted on the impact of vitamin D on fertility parameters for females, were recruited in the current study. Vitamin D supplementation showed a significant enhancement in several parameters, including vitamin D level, number of dominant follicles, Ovulation rate, and pregnancy rate (MD = -2.3295% CI [-3.07, -1.56], MD = 0.81 95% CI [0.27, 1.35], MD = 0.81 95% CI [0.17, 1.45], and MD = 0.64 95% CI [0.20, 1.07], respectively). On the other hand, there was no significant impact on AMH levels.

Conclusion: Findings of current studies indicate a beneficial impact of vitamin D therapy on fertility outcomes regarding the number of dominant follicles, ovulation rate, and pregnancy rate.

Objective: To understand the care provided to children with Autism Spectrum Disorder (ASD) in a Pediatric Emergency Room from the perspective of healthcare professionals.

Method: Qualitative research grounded in the framework of comprehensive care. Narrative interviews were conducted with 17 professionals from the nursing and medical staff of the Pediatric Emergency Room from March to May 2024. The interviews were subjected to inductive thematic analysis. The project was approved by the Research Ethics Committee.

Results: The study highlighted three categories: professionals' perceptions of families facing stress and a lack of knowledge about ASD; weaknesses in care, marked by the absence of protocols, difficulties in coordination within Health Care Networks (RAS), structural limitations, and insufficient nursing staffing; and strategies adopted, such as family collaboration, environmental adaptations, and flexibility in rules.

Conclusion: Caring for children with ASD presents structural, organizational, and educational challenges that compromise the comprehensiveness of care. It is suggested that investments be made in continuing education, infrastructure improvements, and person-centered care practices, in accordance with the principles of the Brazilian Public Health System (SUS).

Objetive: This phenomenological study aims to describe the care experiences of Turkish ICU nurses during the COVID-19 pandemic.

Method: Data were collected through semi-structured interviews with 12 ICU nurses. This study was conducted in public hospitals, which were the main centers of the pandemic in Türkiye. Data were analyzed by descriptive, comparative and relational analysis methods.

Results: A total of 851 primitive codes were identified. Four themes, 12 categories, 47 codes, and 13 sub-codes were determined: (a) Categories of the theme "Holistic Care Approach": barriers, communication, and spiritual care. (b) Categories of the theme "Process Management": precautions, challenges, adaptation, and treatment processes. (c) Categories of the theme "Physical-Psychological Effects": physical effects and psychological effects. (d) Categories of the theme "Ethical Dilemma": ethical behaviors, unethical behaviors, and working principles. In the relational analysis, participants expressed their opinions on challenges, as well as on precautions, workload, duration of care, and health deterioration.

Conclusion: Participants reported both positive and negative care experiences. Negative experiences can adversely impact patient safety, whereas positive experiences serve as a source of hope and motivation, encouraging nurses to continue providing holistic care.

Objective: To analyze the social representations of people with pulmonary tuberculosis regarding humanization of care in Primary Healthcare.

Method: This descriptive, qualitative study is based on the Social Representation Theory's procedural approach. It was conducted in four Family Health Units in Belém, Pará, Brazil, with 30 individuals undergoing treatment for pulmonary tuberculosis. Between March and June 2022, individual semi-structured interviews were conducted, the corpus of which was submitted to the Analyse Lexicale par Contexte d'un Ensemble de Segments de Texte (version 2012) software.

Results: The corpus was divided into 470 Elementary Context Units, using 363 (77.23%). Five lexical classes were generated, with classes 2 and 3 standing out for highlighting the social representations of the topic. This context supported humanization of care by a sense of trust and good treatment, despite the limitations of the physical structure and material resources of the health units.

Conclusion: Human relationships are important in care activities, especially given the challenges of multidisciplinary work in Primary Healthcare, encouraging the development and strengthening of bonds between teams and patients.

Objective: To report on the experience of developing training in auriculotherapy/auricular acupuncture for nurses in Portugal.

Method: Descriptive experience report, using the methodological framework proposed by Donabedian and informed and dialogued descriptive analysis. The training carried out is part of a thesis.

Results: The experience took place from January to February 2025, during academic mobility at the Coimbra School of Nursing. This is a collective training course, developed with 19 nurses working in Portugal and with no previous training in auriculotherapy, who were intentionally invited. The course was adapted following the proposed guidelines for training nurses in auriculotherapy/auricular acupuncture, with educational objectives based on Bloom's Taxonomy. The course consisted of 75 hours of online theory. The practical workload was tested, varying from five to 20 hours.

Conclusion: The experience is unprecedented and innovative and may support the regulation of training in auriculotherapy/auricular acupuncture as an intervention by nurses, based on the Brazilian model.

Objective: To analyze the affective cost of work for military police officers in the metropolitan region of Rio de Janeiro.

Method: Cross-sectional study carried out with 446 military police officers, of both sexes, from 5 military police battalions in Rio de Janeiro. A sociodemographic, work and health conditions questionnaire and the Human Cost at Work Assessment Scale were used. Data were organized, processed, and analyzed using the software Statistical Package for the Social Sciences, version 13.1.

Results: The affective cost of work was considered serious to critical among military police officers, with a statistically significant association being observed between the assessment of serious affective cost and medical leave due to bipolar disorder (p = 0.035), cognitive changes in perception (p = 0.009), attention (p = 0.053) and memory (p = 0.015), age (p < 0.001), working time (p < 0.001), and sleep (p < 0.034).

Conclusion: It is essential to promote a healthy environment, raise awareness about the importance of mental health, and seek professional help when necessary. Ensuring police officers' mental health is critical to their happiness and quality of life, and to their ability to perform their duties effectively. This has positive consequences for society, underscoring the urgent need for ongoing interventions and support in this area.

Objective: To compare sociodemographic, clinical, pain, work, and self-efficacy aspects between male and female Brazilian federal university professors with chronic musculoskeletal pain.

Methods: This cross-sectional study included 974 university professors with chronic musculoskeletal pain. Data collected: an e-survey between January and May 2023. Variables: sociodemographic and clinical characteristics, pain intensity, self-efficacy in chronic pain, and work productivity loss. Statistical analyses used t-tests, Mann-Whitney tests, and regression models.

Results: Women reported 27% more body areas with pain and 10% higher pain intensity than men. Continuous pain medication use was 53% more frequent among women, who also engaged in 49% more rehabilitation treatments. Women scored lower in pain management self-efficacy and experienced greater productivity loss. The most common pain locations for women were the suprascapular region, while men reported lower back pain. Women used more analgesics and anticonvulsants, and men had higher rates of overweight and obesity.

Conclusions: Women experience more severe and widespread chronic musculoskeletal pain, use more medications and rehabilitation, and have lower self-efficacy and higher productivity loss compared to men.

Objective: This study aimed to determine the effects of postpartum colic massage and kangaroo care on anxiety, family and maternal productivity in mothers.

Method: This study is a randomized controlled trial. The study was conducted with mothers of infants diagnosed with infantile colic. The study groups were randomly divided into three groups, namely massage, kangaroo care and control group, by stratified randomization. Study data were collected using the "Mother-Baby Information Form", "The Barkin Index of Maternal Functioning (BIMF)", "Postpartum Specific Anxiety Scale" and "Beck's Depression Inventory (BDI)". Data collection was completed between March 2022 and February 2023. The study was completed with a total of 90 mothers.

Results: The findings indicated that maternal functioning showed the greatest improvement in the massage group (12.31 ± 5.93, p < 0.001). The decrease in postpartum anxiety and depression scores was smaller in the control group compared with the massage and kangaroo care groups (5.29 ± 9.51, 1.39 ± 1.28). A significant negative correlation was observed between infantile colic and maternal functioning (rs = -0.69, p < 0.001), whereas significant positive correlations were found between infantile colic and postpartum anxiety and depression (rs = 0.51, rs = 0.58, p < 0.001).

Conclusion: Colic massage and kangaroo care should be integrated into routine prenatal and postpartum education and should be applied by nurses in clinical care.

Objective: To clinically validate the nursing diagnoses/outcomes and interventions statements of the CIPE® Subset for individuals with chronic kidney disease undergoing hemodialysis.

Method: Clinical validation study, with individuals aged 18 years or older, with chronic kidney disease, undergoing dialysis for at least three months. The research took place in three stages: Application of the Nursing Process to clinical practice, encompassing five essential steps - Nursing assessment, diagnosis, planning, implementation, and progress notes; Structuring of case studies; and Identification of the prevalence of ND/NO and NI listed from the case studies. Data were analyzed using latent class analysis.

Results: The findings revealed three distinct latent classes: low (Class 1), medium (Class 2), and high (Class 3) risk. The indicators showed high sensitivity (72.0% to 91.0%) and specificity (83.0% to 92.0%) values, confirming the clinical validity of the subset and the consistency of the model for discriminating different profiles of patients undergoing hemodialysis.

Conclusion: The study clinically validated a subset of 23 nursing diagnoses/outcomes and 169 interventions, demonstrating their applicability in care.

Objective: To identify indicators used to evaluate Good Nursing Practices developed in Primary Health Care for women in situations of domestic violence.

Method: A qualitative study conducted with primary care nurses in a Brazilian municipality. Semi-structured interviews were developed, and the Software WebQDA was used for data analysis. The analytical categories used were: gender violence and nursing care according to the Theory of Nursing Praxis Intervention in Collective Health.

Results: Empirical categories emerged: 1) Conception of service evaluation by service users; 2) Evaluation practices: absence of a formal evaluation structure and professional self-evaluation; 3) Potential and used indicators for evaluating care.

Conclusion: Two indicators already in use were identified, and others were proposed, highlighting the potential for building collaborative instruments. Despite the existence of protocols and policies, an evaluation tool is required, which can benefit from the theoretical and methodological guidance of the Theory of Nursing Praxis in Collective Health.