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

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.

Objective: To evaluate the effectiveness of saline, heparin, and vitamin C solutions in unclogging neonatal central venous catheters occluded by clots.

Method: A randomized, double-blind, in vitro experimental study conducted in August 2022 with 90 neonatal central venous catheters occluded with blood that remained in a water bath for 8 hours. The solutions tested were: saline, heparin (50 mg/ml), and vitamin C (25 mg/ml), using a negative pressure technique. The variables of number of attempts and time to unclogging were evaluated in relation to the mean and standard deviation. For variables with abnormal distribution, the Kruskal-Wallis test was used.

Results: There was no statistical significance in relation to the time and number of attempts to unclog the three solutions (p > 0.05), and the maximum time to unclog the catheters was 120 minutes.

Conclusion: The three substances showed similar results. Thus, saline solution is recommended because it is considered safe, with fewer side effects when used in newborns.

Objective: To map the strategies described in the literature that can be adopted by the nursing team to prevent pressure injuries in hospitalized older people.

Method: Structured scoping review according to the JBI methodology, performed on June 17, 2024. The search for documents was carried out in eight databases and in a library of theses and dissertations, with the help of the application Rayyan for selecting studies.

Results: Eleven studies were included in the review. Initial risk assessment, ongoing reassessment and monitoring, pressure redistribution, maintenance of skin integrity, treatment of pressure injuries, nutritional and fluid support, education and involvement of patients and families, training of the healthcare team, in addition to the implementation of standardized instruments and the use of technology, were identified as the main prevention strategies.

Conclusion: The identified prevention strategies allow the nursing team to act quickly, using integrated interventions optimized by professional training, as well as to use standardized instruments and advanced technologies.

Objective: To assess the effect of multi-dimensional sensory touch and family-accompanied whole-process nursing on feeding intervention for preterm infants.

Methods: A retrospective experimental study was designed to recruit 100 preterm infants admitted and treated between January 2022 and January 2024 as the subjects, with an intervention group (n = 50, undergoing multi-dimensional sensory touch plus family-accompanied whole-process nursing treatment) and a control group (n = 50, receiving conventional nursing treatment) established according to different nursing protocols.

Results: The intervention group had significantly shorter transition time to oral feeding, extubation time of gastric tube, and length of hospital stay than the control group (P < 0.05). The Neonatal Behavioral Neurological Assessment Scale (NBNA) score significantly increased in the intervention group compared with that in the control group (P < 0.05). At 1 d before discharge, a significant increase in the Apgar score was detected from the intervention group compared to that from the control group (P < 0.05).

Conclusion: Multi-dimensional sensory touch and family-accompanied whole-process nursing can significantly improve the overall physical signs of preterm infants and gradually facilitate their development.

Objective: To map the characteristics and results of interventions carried out with caregivers of institutionalized children to promote child development.

Method: A scoping review, following JBI guidelines, was conducted in eight databases, gray literature, and reference lists of selected studies. The review question was: what are the characteristics and outcomes of interventions implemented with caregivers to promote child development in institutionalized children aged 0 to 6 years? Rayyan® software was used to select the studies. The analysis was descriptive.

Results: Seventeen studies were included, reporting training-type interventions, whether or not associated with changes in the institution's work process and structural organization as well as training through the creation of a virtual learning environment. There were positive effects on child development, but the heterogeneity of interventions and results prevented us from identifying their most relevant aspects. The main content covered was responsive care.

Conclusion: The diversity of professional training models does not allow us to state which aspects are most relevant in the training of caregivers, requiring more robust studies on the subject.

Objective: To describe postoperative complications in patients undergoing oncological surgeries, and to analyze adherence to the recommendations of the project Acceleration of Total Postoperative Recovery (ACERTO) in these patients and the risk factors for death.

Method: Retrospective longitudinal study. Sample of 229 patients in the immediate postoperative period admitted to the intensive care unit from July to December 2021.

Results: The frequency of complications was 68.5%. There was adherence to the recommendation of fluid resuscitation ≤ 30 mL/kg in 56.6% intraoperatively and greater adherence in the postoperative period (90.4%) and in the prescription of nausea and vomiting prophylaxis in the intraoperative (93%) and postoperative (100%) periods. An association was observed between adherence to recommendations and a reduction in complications. The independent risk factors for death were age (p = 0.031) and the score Sequential Organ Failure Assessment (SOFA) (p = 0.004).

Conclusion: A high frequency of complications was observed in the postoperative period and a mortality rate of 11.8%. Adherence to the protocol ACERTO was associated with a reduction in postoperative complications in cancer patients. Age and SOFA score were independent risk factors for death.