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

Objective: To interpret the lived experiences of women in situation of violence who request the revocation of emergency protective orders.

Method: Strauss and Corbin's Grounded Theory (GT) and Symbolic Interactionism were used at the Women's Police Station in a town in the State of São Paulo, through interviews with 28 participants from two sample groups: women experiencing violence and police station professionals.

Results: The results were organized into categories related to the components of the theoretical model, "Experiencing the Request to revoke an Emergency Protective Order," highlighting the emotional and contextual challenges faced by women seeking formal help. These challenges are permeated by ambivalent feelings, experiences of revictimization, and different coping strategies to reframe their life trajectories.

Final considerations: The revocation is related to family consequences - guilt, regret, and sadness -, despite acknowledging the violence. The lack of understanding of the judicial system and the emotional bond with the perpetrator demonstrate the need to consider the symbolic meanings of interactions in primary care nursing practice.

Objective: To identify risk factors for surgical site infection and to establish a prediction model.

Method: Retrospective cohort study with 20,778 surgeries performed between 2009 and 2019 at a university hospital in Rio de Janeiro. Clinical and operative variables were analyzed using multivariate logistic regression (p≤0.05).

Results: The overall surgical infection rate was 7.2%. Age ≥41 years presented an odds ratio between 1.52 and 3.77 (p < 0.0001). Contaminated and infected surgeries increased the risk threefold (95% CI: 2.48-3.63). Urgent procedures (OR = 2.04; 95% CI: 1.83-2.28) and ASA III (OR=3.77) were associated with a higher risk. Each additional hour of surgery increased the risk by 34% (OR = 1.34; 95% CI: 1.30-1.38). Conventional technique had a risk 2.7 times greater than videolaparoscopy (RC = 2.72; p < 0.0001).

Conclusion: The developed model allows for precise stratification of surgical site infection risk and supports preventive strategies, improving the surveillance and management of surgical risk in highly complex hospitals.

Objective: To list reflective elements on child care in the face of contemporary dilemmas involving parenting and social diversity to promote child development and its implications for nursing.

Method: Reflective study based on the theoretical perspective of practical wisdom, supported by the understanding of practical knowledge involving choices in the face of everyday contingencies.

Results: Reflective elements were listed on parental choices and possible contemporary dilemmas regarding social diversity related to care provided by someone of another skin color, another sexual orientation, another religion, and male figures. Practical knowledge related to parental choices and supposed resistance to other people's abilities to care for children suggests that reflections on the implications for parenting and the promotion of child development should be expanded.

Conclusion: Practical wisdom contributes to analyzing and considering aspects of care, bringing important elements for nursing to assist in parental choices that encompass social diversity in childhood, considering the avoidance of discrimination, prejudice, and hostility, to value opportunities to promote full child development.

A meta-analysis study was performed to scrutinize how opioid free anesthesia impact on the postoperative complication following gynecological surgery (GS). The 10 selected studies such as 852 females who underwent GS at the beginning of the study. Odds ratios (ORs) and mean differences (MDs) and 95% confidence intervals (CIs) were used to analyzed the effects of O-FA as compared to control treatment (opioid based anesthetic) on GS dichotomous or continuous methods using either a fixed or random effects model. The females undergoing GS, O-FA was associated with significantly lower postoperative nausea and vomiting (OR, 0.33; 95% CI, 0.24 - 0.46, p < 0.001), lower rescue antiemetic (OR, 0.32; 95% CI, 0.13 - 0.78, p = 0.01) and higher Quality of Recovery-40 (MD, 4.69; 95% CI, 2.48 - 6.90, p < 0.001) compared to control treatment. However, no significant difference was observed between in extubation (MD, - 0.61; 95% CI, -1.45 - 0.22, p = 0.15), postoperative pain score (MD, 0.49; 95% CI, -0.64-1.62, p = 0.39), and analgesic use (OR, 1.77; 95% CI, 0.57-5.50, p = 0.33) in females with GS. In females undergoing GS, O-FA resulted in significantly lower postoperative nausea and vomiting, reduced need for rescue antiemetic, and higher Quality of Recovery-40 compared to opioid-based anesthesia.

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Objective: To analyze the frequency and content of publications on organ and tissue donation and transplantation in the digital newspapers "Folha de São Paulo" and "O Estado de São Paulo" between 2018 and 2023.

Method: Through a quantitative-qualitative approach, 317 reports were examined based on thematic and discursive criteria, with the aid of SPSS® and IRAMUTEQ® software.

Results: The data revealed a predominance of positive content (71.9%), concentrated on the topic "transplant" (60.57%), and in 2023, with peaks in August and September. The main categories were "incentive/promotion" and "information", with the heart being the most cited organ. Textual analysis highlighted topics such as transplantation, family refusal, xenotransplantation, and the impact of the pandemic.

Conclusion: Digital media exerts significant influence on public perception of donation and transplantation. However, there is isolated emphasis on certain stages of the process, which can compromise overall understanding. Continuous and integrated communication strategies are essential to strengthen the donation culture.

Objective: To evaluate the effect of screen-based simulation education on self-efficacy, student satisfaction, and self-confidence in learning related to pediatric drug administration among nursing students.

Method: A randomized controlled design was used, involving an intervention group and a control group, to reach the target population of 206 nursing students. The study was registered at ClinicalTrials.gov (NCT06548659). Data were collected using the Sociodemographic Characteristics Form, the Student Satisfaction and Self Confidence in Learning Scale, and the Medication Administration Self Efficacy Scale in Children for Nursing Students.

Results: In the intervention group, a statistically significant improvement was observed between pre-test and post-test scores. Post-test comparisons between the intervention and control groups revealed a significant increase in self-efficacy scores in the intervention group. Additionally, the intervention group demonstrated significantly higher post-test scores in student satisfaction and self-confidence in learning.

Conclusion: Screen-based simulation education had a positive effect on nursing students' self-efficacy in pediatric drug administration, as well as on satisfaction and confidence in the learning process.

Objective: To evaluate the effectiveness of prophylactic dressings for preventing nasal pressure ulcer in newborns using respiratory medical devices.

Method: Systematic review of effectiveness, according to the JBI methodology. Studies involving newborns using respiratory medical devices who received prophylactic dressing intervention were included. Descriptive synthesis and network meta-analysis were performed. Registration PROSPERO CRD42024516296.

Results: Twelve studies were included, with a total of 1,001 newborns. The use of 1.8 mm silicone reduces the risk of nasal pressure ulcer, compared to paraffin oil (RR 0.13; 95% CI = 0.02, 0.89), nasal plug (RR 0.13; 95% CI = 0.03, 0.53), and not intervening (RR 0.29; 95% CI = 0.09, 0.85), as well as the use of hydrocolloid reduces the risk of injury when compared to the plug (RR 0.28; 95% CI = 0.14, 0.56) and not intervening (RR 0.60; 95% CI = 0.38, 0.93).

Conclusion: Prophylactic dressings, especially 1.8 mm silicone gel and hydrocolloid, are effective in preventing nasal pressure ulcers in premature newborns using respiratory devices.

Objective: to analyze the use of religious-spiritual coping among family members of children who require continuous and complex care.

Methods: a mixed-methods study was developed in Brazil with family members of children requiring continuous and complex care. In the quantitative stage, 51 family members answered a demographics survey and the Brief Scale for Spiritual/Religious Coping. In the qualitative stage, 15 family members answered an open-ended question about the practice of religiosity and spirituality in their daily lives.

Results: family members' age and number of residents in the household were significantly associated with religious-spiritual coping. Three thematic categories emerged from the statements, revealing an experience marked by trust in God's designs and relief from suffering provided by faith.

Conclusion: family members in this study used positive religious-spiritual coping strategies more frequently, especially those from smaller families. However, younger family members used negative religious-spiritual coping strategies more frequently.

Objective: To analyze the perspectives of Nursing officers regarding Military Nursing in the Brazilian Army in light of Bourdieu, from 1992 to 2020.

Method: Study of historical-social interest, with a qualitative approach to Thematic Oral History. Fifteen nursing officers who worked in health services or in the Brazilian Army Health Fund were interviewed. Data were transcribed, transcreated, categorized, the content analyzed according to Minayo, and the findings interpreted in light of Bourdieu's Theory of the Social World.

Results: The category "Nursing and the Brazilian Army: the gathering of hierarchies" and the subcategories "Military values", "Gender in hierarchical military relations" and "From being a civilian to being a military person" were identified. From the participants' perspective, Military Nursing presents influences from military, gender, and intellectual capital of Nursing on its professional identity.

Conclusion: The trajectory of Military Nursing maintained today by the Brazilian Army Nursing officers provides perspectives influenced by the volume of capital in hierarchical military relations as well as the symbolic profit of Military Nursing.