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

This study aimed to understand the repercussions of the dose of nursing intervention for professional practice. This is a theoretical reflection study that sought to answer: what are the repercussions of the dose of nursing intervention for professional practice? To answer this question, a corpus of selected texts was considered that allowed us to understand such repercussions. The following repercussions were identified: the possibility of measuring the efficacy and effectiveness of treatments prescribed by nurses; the reduction of variability in prescribed actions; the construction of a more solid evidence base so that nurses, in different contexts, feel confident in taking responsibility for clinical outcomes in nursing; the greater replicability of actions in nursing intervention studies; the increased potential for replicability of treatments prescribed in similar situations, among others. The study's objective was achieved as it identified how the dose of nursing intervention affects professional practice, without which it is not possible to discuss the impacts of care on patients' clinical outcomes.

Objective: To analyze the average direct costs related to nursing professionals' labor and materials required to implement and maintain a fall prevention protocol for adult patients in a Clinical and Surgical Inpatient Unit.

Method: Quantitative, exploratory-descriptive research, of the single case study type, based on absorption microcosting, carried out from August to October/2024 in a Medium-sized General Private Hospital.

Results: The direct cost for implementing the protocol totaled US$ 819.24, of which US$ 218.44 related to the direct labor of nursing professionals and US$ 600.80 to the acquisition of material resources. For protocol maintenance, the average total direct cost was US$ 1.77/patient for nursing activities and US$ 10.10 for direct monthly expenditure on materials.

Conclusion: Knowledge of the financial aspects associated with nursing professionals and the acquisition of material resources aimed at implementing and maintaining an adult fall prevention protocol may support decision-making regarding the rational allocation of required resources.

Objective: To analyze the effectiveness of 1 g of dry rosemary extract on sleep quality and hair cortisol concentration in emergency nursing professionals.

Method: Intervention, quasi-experimental, before-and-after study, carried out between September and November 2022 with nursing professionals from a hospital emergency room and an Emergency Room in Rio Grande do Sul. A sociodemographic/occupational questionnaire, Pittsburgh Sleep Quality Index, and hair samples were used. The intervention involved taking 500 mg capsules of dry rosemary extract twice a day for 56 days. Descriptive and analytical analysis, with association and correlation tests (p < 0.05) were used.

Results: Thirty-five workers participated. Poor sleep quality and high levels of hair cortisol concentration predominated. The intervention significantly improved sleep (p = 0.039), without reducing cortisol levels.

Conclusion: The rosemary intervention improved sleep quality, but was not sufficient to reduce hair cortisol concentrations, with other strategies that contribute to the worker's health being required.

Objective: To assess maternal readiness for weaning and examine the socio-demographic and behavioral factors influencing weaning decisions.

Method: A cross-sectional study was conducted at three Family Health Centers located in a provincial center between October 2024 and January 2025. The study included 202 breastfeeding mothers. Data were collected through face-to-face interviews using a sociodemographic questionnaire and the validated Readiness for Weaning Scale. Statistical analyses included t-tests, ANOVA, chi-square tests, and logistic regression.

Results: Mothers with higher education had significantly higher scale scores than those with lower education. Breastfeeding education was associated with increased weaning readiness. Planned pregnancy and maternal perception of milk sufficiency were positively correlated with higher scale scores. Smoking was associated with lower readiness. Logistic regression indicated that maternal perception of milk sufficiency significantly predicted weaning consideration, while lower education levels were associated with reliance on traditional weaning methods. Traditional weaning methods referenced in this study include culturally ingrained practices such as abrupt cessation, use of herbal substances, or application of unpleasant tastes to the breast.

Conclusion: Maternal education, psychological preparedness, and professional support play key roles in structured weaning. Targeted interventions are needed to enhance maternal confidence and informed decision-making in infant feeding transitions. Limitations of the study include its cross-sectional design, which prevents causal inference, and the reliance on self-reported data, which may be subject to recall or social desirability bias.

Objective: To compare the health status and academic progress of nursing students in Croatia, a European Union member state, and Serbia, a European Union candidate country, and to identify factors influencing their well-being and academic success.

Method: A cross-sectional study was conducted with 424 nursing students from the University of Applied Health Sciences in Zagreb, Croatia, and the Academy of Educational and Medical Vocational Studies in Ćuprija, Serbia. Data were collected through an online questionnaire assessing health behavior, well-being, and academic performance. Statistical analyses included the Chi-square and Mann-Whitney U tests.

Results: Croatian students had lower absenteeism (31.6%) and exhibited more responsible sexual health behaviors, while Serbian students reported higher levels of self-satisfaction (mean rank: 189.16 vs. 148.75; p < 0.01) and academic motivation (mean rank: 137.51 vs. 105.66; p < 0.01). Both groups showed health behaviors within normal ranges, though stress and substance use were prevalent. Statistically significant differences were found in self-satisfaction and academic progress (p < 0.05).

Conclusion: This study highlights differences in health and academic outcomes between nursing students in Croatia and Serbia, influenced by cultural, educational, and familial factors. Interventions addressing stress and promoting healthy behaviors are recommended.

Objective: To analyze clinical and sociodemographic factors associated with functional disability in people with ischemic stroke (IS) between 2 and 3 years after the event.

Method: Prospective cohort with 241 participants. Instruments for sociodemographic and clinical characterization, the Rankin-m Scale, and a telephone call protocol were used. Data were analyzed using Pearson's Chi-square or Fisher's Exact tests and a robust Poisson model, with a significance level of 5%.

Results: Of the participants, 62.6% had a Rankin of 0 to 2. Multivariate analysis showed that greater neurological deficit (6-13 and ≥14) was 2.35 (95% CI 1.13;4.05) and 4.4 (95% CI 2.09;6.83) times more associated with moderate to severe disability; failure to perform thrombolysis and ischemic stroke recurrence were, respectively, 3.02 (95% CI: 1.32;3.74) and 3.82 times (95% CI: 1.49;3.47) more associated with moderate to severe disability.

Conclusion: The event impacted functional capacity, with greater neurological deficit, non-performance of thrombolysis, and stroke recurrence as the main predictors of disability. Strategies such as expanded thrombolysis, early care, ongoing rehabilitation, and risk factor control can reduce disability.

Objective: To identify factors that can be targeted to promote the standardized management of proper limb positioning and improve the rehabilitation outcomes of patient.

Method: A qualitative descriptive study was conducted using semi-structured face-to-face in-depth interviews with 24 clinical nurses working in stroke-related departments between April and May 2024. Based on the COM-B model, the data were analyzed by employing the deductive content analysis method using the NVivo12 software and manual coding.

Results: Analysis revealed 11 themes and 22 sub-themes associated with the four domains of the COM-B model, including 15 barriers and 7 facilitators.

Conclusion: Clinical nurses' adherence to proper limb positioning is dynamic and positioning should address barriers related to capability, opportunity, and motivation, such as prioritize knowledge and skills training for clinical nurses, improved compliance among patients and caregivers, establish robust systems and supervisory mechanisms, and support scientific research and innovation to explore intelligent management solutions.

Objective: To compare the effects of up to three sessions of an early mobilization protocol combined with immersive virtual reality (VR) versus early mobilization alone in the experience of patients with acutely decompensated heart failure.

Methods: Complex mixed methods study with adult patients admitted to the intensive care unit. The Intervention Group (IG) underwent mobilization combined with immersive virtual reality and the Control Group (CG), isolated mobilization. The tool Net Promoter Score (NPS) and the Likert scale were used to assess patients' experience. In the qualitative approach, interviews were conducted with open questions.

Results: Sixty patients participated in the study, 44 (73.3%) men, mean age 59.7 ± 12.2. The procedure was recommended by 23 (76.7%) in the IG and by 24 (80%) in the CG. The mobilization experience was classified as good or excellent by 28 (93.3%) in the IG and 26 (83.7%) in the CG. Qualitative analyses revealed three categories: "Psychological Effects", "Physical Performance" and "Innovation".

Conclusion: Combining virtual reality with early mobilization provided a more positive experience for patients. ClinicalTrials.gov with number NCT05596292.

Objective: This systematic review and meta-analysis aimed to assess the effect of nursing interventions, considering their importance in the rehabilitation of patients undergoing knee and hip replacement.

Methods: Three databases were systematically searched. Two researchers carefully reviewed the full texts of the selected studies and extracted the required data. Further, a meta-analysis was conducted.

Results: Of the 19 studies reviewed, 17 revealed that nursing interventions can improve the rehabilitation of patients after knee and hip replacement operations. Among patients with hip replacements, the results indicated that nursing interventions can significantly increase the Harris hip score and activities of daily living compared with usual care. Among patients with knee replacements, the results revealed that nursing interventions can significantly improve range of motion and knee function and reduce knee pain compared with usual care.

Conclusions: Evidence reveals that individualized care and evidence-based strategies combined with various exercises and training provided by a multidisciplinary team significantly influence the physical rehabilitation among patients undergoing knee and hip replacement.

Objective: To analyze the social representations of nursing students regarding the sharing of information about latent tuberculosis infection in higher education.

Method: Descriptive, qualitative study, anchored in the procedural aspect of the Theory of Social Representations. It was carried out with 37 students who reacted to the tuberculin test, enrolled from the 1st to the 5th grade, in the Undergraduate Nursing Course at a public university in Belém, Pará, Brazil. Between March and July 2023, semi-structured individual interviews were conducted, the corpus of which was subjected to lexical analysis with the software Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires (0.7, alpha 2), using descending hierarchical classification.

Results: A total of 1,939 text segments were identified, of which 1,686 (86.95%) were used, generating seven lexical classes. It was decided to detail class 7, which outlined two representational sets, addressing how information was shared and suggestions on the topic.

Conclusion: The limitations that weakened the timely sharing and quality of information motivated students to make suggestions to solve the challenges inherent to this context or mitigate its harmful effects.