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

Objective: To analyze the literature for terminology, classifications, and factors influencing the adoption of self-care in people with an elimination ostomy.

Method: Scoping review, according to JBI methodology and, for structuring the article, the extension of the PRISMA checklist. The search included studies from 2018 to 2023, in four databases, with specific descriptors and alternative terms. Two reviewers selected the sample based on inclusion/exclusion criteria, using the software Rayyan®. The protocol was registered in the Open Science Framework.

Results: Eight studies were included, which presented differences in the scope of the concept and classification of self-care. Names such as capacity, index, and level were used. Four tools were identified for assessing self-care. The factors that positively influenced self-care were female sex, being young, married, higher education level, pasty effluent, demarcation, social support, and education. Those influencing negatively were stress, complications, and inadequate care.

Conclusion: The concept of self-care for people with elimination ostomies is not standardized and is most often reduced to procedural self-care.

Objective: To describe the experience of the International Gator Nursing Week program focusing on advanced practice nurses' (APNs) training and work in the United States of America.

Method: An experience report on a one-week immersion course at the University of Florida College of Nursing, describing aspects related to APNs' training structure and professional performance in mental healthcare services, Primary healthcare, pediatrics and hospital.

Results: Advanced Practice Nursing (APN) refers to the clinical practice of nurses with specialized training and advanced healthcare skills, and these professionals are called APNs. The experience is described focusing on APNs' educational training and professional performance in primary healthcare, mental health, pediatrics, advocacy for APN development, visits to primary healthcare services and research summits.

Conclusion: The intensive experience in the program provided Brazilian nurses with the opportunity to learn about and participate in daily APN experiences in that country, expanding participants' knowledge.

Objective: To understand the theoretical dimensions of nursing-midwifery care for women in labor during the COVID-19 pandemic.

Method: A qualitative study with 40 nurse-midwives. Data were collected from May to July 2021, through interviews, subjected to thematic content analysis and discussed in light of Jean Watson's Theory of Transpersonal Human Caring.

Results: The creative dimension encompassed the sixth, eighth and ninth elements of the process, manifesting itself in adaptations implemented in care. The humanistic and cultural dimensions were formed from the first, second, fourth and fifth elements, expressed in the way nurse-midwives care for, which subsidized the educational dimension, which encompassed the tenth element, as well as the spiritual dimension, elucidating the third element.

Conclusion: The care provided by nurse-midwives to women in labor presented dimensions that permeated the ten elements of the Clinical Caritas process, enabling transpersonality in care in the face of COVID-19 control measures that, almost always, led to procedural, prescriptive and impersonal care.

Objective: To identify the scientific evidence on the performance of PHC, based on the presence and extent of its attributes, in the view of nurses and physicians.

Method: Scoping review according to the recommendations of the Joanna Brigss Institute, carried out between January 2023 on eight databases, and updated in December 2023. The keywords "primary health care assessment" and "quality of primary health care" were used. Articles in any language were included, which used the PCATool-Brazil instrument, professional version, with a population of nurses and physicians.

Results: Nineteen studies were included, published between 2012 and 2022, in nine Brazilian states. The overall average of PHC performance ranged from 6.5 to 8.2 and only two of the total indicated low performance of PHC services. Regarding the attributes, accessibility showed the worst performance and family orientation the best in all the studies. Specialization and statutory employment were predominantly frequent as associated factors.

Conclusion: The results show that access to health services still needs to be strengthened and/or expanded and that, on the other hand, factors such as training and worker attachment strengthen PHC performance.

Objective: To map the evidence on quality nursing care practices in pain management in orthopedic surgical patients.

Method: Scoping review, as per the JBI Manual recommendations. Searches were performed in the MEDLINE (PubMed), LILACS (Regional VHL), Scopus, Embase, Web of Science, Cochrane, Cinahl databases, and gray literature, regardless of language and period. Selection and extraction were performed by two independent reviewers, using inclusion/exclusion criteria, and the extracted data were organized to reflect key themes or recurring patterns related to the purpose of the review.

Results: A total of 94 studies were included, most from the United States, corresponding to 34% of the sample, and published between 1997 and 2022. The findings were categorized into: nursing quality practices in pain management related to the organization and monitoring of units, and pre- and post-operative period.

Conclusion: The research revealed that quality nursing care practices in pain management in orthopedic surgical patients encompass a variety of approaches, from the use of nonpharmacological practices and patient education to the use of pain assessment scales, staff training, to innovative pharmacological procedures.

Objective: To analyze nursing mothers' social representations of sexuality in the breastfeeding context and their repercussions in sexual and reproductive health.

Method: An exploratory study grounded on the Theory of Social Representations and conducted in a Human Milk Bank from northern Brazil with 110 nursing mothers, following the Free Word Association Technique. Data were analyzed by means of Correspondence Factor Analysis in the software Tri- Deux-Mots 5.1.

Results: Sexual intercourse was the significant expression of sexualities, reflected in the representation of this phenomenon in breastfeeding, anchored in cultural gender relations; meanwhile, the search for sexual desire and pleasure connected to the ideal of romantic love arises. The bodily and daily changes inherent to this period take on an unfavorable connotation and become naturalized over time, negatively influencing nursing mothers' sexual and reproductive health.

Conclusion: Understanding sexuality/sexualities in the breastfeeding context can support Nursing and Health care models in line with the social experiences and thoughts of the different groups of nursing mothers.

Objective: To assess the pragmatic adequacy of the Interactive Theory of Breastfeeding based on the Fawcett's Model.

Method: Theoretical study, according to evaluation criteria proposed by Fawcett. The six questions suggested in the model were used, answered based on searches in scientific literature, consultation in legislation supporting nursing professional practice and information from the authors of the theory.

Results: It was observed that during their training, Nurses acquire skills for care, but clinical management focused on breastfeeding should be emphasized. Since its creation, the theory has been applied in an ascending manner, proving its application in clinical practice to be viable. The existence of laws and resolutions guarantee clinical nurses the legal support necessary to develop a practice based on the Interactive Theory of Breastfeeding.

Conclusion: The pragmatic adequacy of the theory was observed, showing that the Interactive Theory of Breastfeeding subsidizes a care directed at the mother and child binomial, supporting the nurse in their decision-making, contributing to the protection, promotion, and support of breastfeeding.

This study aimed to reflect on the spiritual care of nursing in palliative care from the conceptual perspective of Martin Heidegger. The approximation between Heidegger's philosophical aspects and palliative nursing practice, with a clinical view of spiritual care, promotes reflections on human existence and finitude. Being in palliative care can generate anguish, loss of meaning of life and connection with the world. The relationship of care between nurse and patient, which is established through language, favors comprehensive, intentional and humanized care, and is revealed as this relationship of care deepens. In this relational process, bonds begin to be established between nurse and patient, which can lead to authentic spiritual care. Approaching health from the spiritual dimension is a challenge, as it forces healthcare professionals to come into contact with existential issues of patients, families and themselves. Thus, reflection based on Heidegger's philosophical aspects allows us to become aware of the facticity of death.

Objective: To explore the associations and gender differences between health anxiety, eHealth literacy and self-reported health in Chinese university students.

Methods: 1,205 university students aged 18-22 years were voluntarily recruited to respond to an online self-report questionnaire.

Results: The severity level of health anxiety among university students was ranked as lifestyle anxiety, psychological anxiety, appearance anxiety, physical anxiety. There were significant gender differences in appearance anxiety, and yet no in eHealth literacy of university students. eHealth literacy was positively associated with self-reported health; health anxiety was negatively associated with self-reported health. Female's eHealth literacy, lifestyle, psychological and physical anxiety, and male's eHealth literacy, appearance anxiety significantly impacted on their self-reported health.

Conclusion: The lower eHealth literacy or the more health anxiety, the worse their self-reported health. The findings underscored the importance for university students to improve eHealth literacy and reduce health anxiety. Appropriate interventions with gender differences were urgently needed.

Objective: To describe the knowledge of Nursing teachers about the LGBTQIA+ population's health.

Method: Qualitative, exploratory and descriptive research, whose data collection strategy was through a World Café. The study was carried out with nursing professors from a public higher education institution located in the northern region of Brazil. Data analysis was performed using the thematic or categorical approach. The software Atlas.ti® was used for coding and organization.

Results: The development of the World Café involved the participation of 10 professors, from different curricular activities. The audios obtained during the World Café were thoroughly examined, and thematic categories were identified for the presentation of the results, namely: LGBTQIA+ Education, Training and Health; From Prejudice to Recognition of Rights; and Reflective Education in the Recognition and Deconstruction of Social Determinants.

Conclusion: The analysis of the results indicates the importance of understanding discursive practices in the training process, considering prejudice and discrimination as social determinants that affect health promotion.