Pub Date : 2024-03-18eCollection Date: 2024-01-01DOI: 10.1590/1980-220X-REEUSP-2023-0228en
Mariana Camargo Tanaka, Fabiane Blanco Silva Bernardino, Patrícia Pinto Braga, Lidiane Cristina da Silva Alencastro, Maria Aparecida Munhoz Gaíva, Cláudia Silveira Viera
Objective: To identify weaknesses in the continuity of care for preterm infants discharged from a neonatal unit, based on the perspective of professionals in the family health strategy.
Method: Qualitative research, carried out with 16 professionals from four health regions in a capital city in the center-west of Brazil. Data collection took place from October to December 2020, through semi-structured, individual, and in-person interviews. Data underwent content analysis, supported by the concept of continuity of care.
Results: The analysis consisted of three categories: Challenges for care in the unit and referral to specialized services; weak interactions between the preterm baby's family and health professionals; Information: essential aspect for the connection between health professionals and the family of the preterm newborn.
Conclusion: Health services are shown to be fragile in terms of the dimensions of continuity of care, contributing to the discontinuity of care for preterm children.
{"title":"Weaknesses in the continuity of care for preterm infants discharged from the neonatal unit.","authors":"Mariana Camargo Tanaka, Fabiane Blanco Silva Bernardino, Patrícia Pinto Braga, Lidiane Cristina da Silva Alencastro, Maria Aparecida Munhoz Gaíva, Cláudia Silveira Viera","doi":"10.1590/1980-220X-REEUSP-2023-0228en","DOIUrl":"10.1590/1980-220X-REEUSP-2023-0228en","url":null,"abstract":"<p><strong>Objective: </strong>To identify weaknesses in the continuity of care for preterm infants discharged from a neonatal unit, based on the perspective of professionals in the family health strategy.</p><p><strong>Method: </strong>Qualitative research, carried out with 16 professionals from four health regions in a capital city in the center-west of Brazil. Data collection took place from October to December 2020, through semi-structured, individual, and in-person interviews. Data underwent content analysis, supported by the concept of continuity of care.</p><p><strong>Results: </strong>The analysis consisted of three categories: Challenges for care in the unit and referral to specialized services; weak interactions between the preterm baby's family and health professionals; Information: essential aspect for the connection between health professionals and the family of the preterm newborn.</p><p><strong>Conclusion: </strong>Health services are shown to be fragile in terms of the dimensions of continuity of care, contributing to the discontinuity of care for preterm children.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10946336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-11eCollection Date: 2024-01-01DOI: 10.1590/1980-220X-REEUSP-2023-0238en
Renata Silva de Lima, Rodrigo Nogueira da Silva, Suzana Rosa André, Ana Kedma Correa Pinheiro, Ana Inês Sousa, Ingrid Fabiane Santos da Silva, Juliano Dos Santos, Laura Maria Vidal Nogueira, Regina Célia Gollner Zeitoune
Objective: The aim of this study was to synthesize the evidence on the prevalence of latent Mycobacterium tuberculosis infection (LTBI) among undergraduate health care students.
Methods: A systematic review of prevalence with meta-analysis was conducted. Prospective and retrospective cohorts and cross-sectional studies involving probable exposure to M. tuberculosis during undergraduate education, along with the tuberculin skin test (TST) or interferon-γ release assay (IGRA) for investigation of latent tuberculosis were searched. Searches were conducted in MEDLINE, CINAHL, EMBASE, LILACS, Scopus, and Web of Science databases. Independent reviewers were responsible for the selection and inclusion of studies. Data were extracted, critically appraised, and synthesized using the JBI approach. PRISMA was used to report the study.
Results: Twenty-two studies were analyzed. The overall prevalence in healthcare undergraduate students was 12.53%.
Conclusion: The prevalence of LTBI in undergraduate health students was high for such a highly educated population. Screening with TST and/or IGRA and chemoprophylaxis, when necessary, should be provided to undergraduate health students when in contact with respiratory symptomatic patients.
研究目的本研究旨在综合医护专业本科生中结核分枝杆菌潜伏感染率(LTBI)的相关证据:方法: 对感染率进行了系统回顾和荟萃分析。方法:对流行率进行了系统性回顾并进行了荟萃分析。研究人员检索了在本科教育期间可能暴露于结核分枝杆菌的前瞻性和回顾性队列研究以及横断面研究,同时还检索了用于调查潜伏结核病的结核菌素皮肤试验(TST)或干扰素-γ释放测定(IGRA)。检索在 MEDLINE、CINAHL、EMBASE、LILACS、Scopus 和 Web of Science 数据库中进行。独立审稿人负责研究的筛选和纳入。采用 JBI 方法对数据进行提取、严格评估和综合。研究报告采用 PRISMA 方法:分析了 22 项研究。医疗保健专业本科生的总体患病率为 12.53%:结论:对于受过高等教育的人群而言,医科本科生中的 LTBI 患病率较高。在接触有呼吸道症状的病人时,应使用 TST 和/或 IGRA 进行筛查,并在必要时进行化学预防。
{"title":"Mycobacterium tuberculosis latent infection in healthcare students: systematic review of prevalence.","authors":"Renata Silva de Lima, Rodrigo Nogueira da Silva, Suzana Rosa André, Ana Kedma Correa Pinheiro, Ana Inês Sousa, Ingrid Fabiane Santos da Silva, Juliano Dos Santos, Laura Maria Vidal Nogueira, Regina Célia Gollner Zeitoune","doi":"10.1590/1980-220X-REEUSP-2023-0238en","DOIUrl":"10.1590/1980-220X-REEUSP-2023-0238en","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to synthesize the evidence on the prevalence of latent Mycobacterium tuberculosis infection (LTBI) among undergraduate health care students.</p><p><strong>Methods: </strong>A systematic review of prevalence with meta-analysis was conducted. Prospective and retrospective cohorts and cross-sectional studies involving probable exposure to M. tuberculosis during undergraduate education, along with the tuberculin skin test (TST) or interferon-γ release assay (IGRA) for investigation of latent tuberculosis were searched. Searches were conducted in MEDLINE, CINAHL, EMBASE, LILACS, Scopus, and Web of Science databases. Independent reviewers were responsible for the selection and inclusion of studies. Data were extracted, critically appraised, and synthesized using the JBI approach. PRISMA was used to report the study.</p><p><strong>Results: </strong>Twenty-two studies were analyzed. The overall prevalence in healthcare undergraduate students was 12.53%.</p><p><strong>Conclusion: </strong>The prevalence of LTBI in undergraduate health students was high for such a highly educated population. Screening with TST and/or IGRA and chemoprophylaxis, when necessary, should be provided to undergraduate health students when in contact with respiratory symptomatic patients.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10941757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-11eCollection Date: 2024-01-01DOI: 10.1590/1980-220X-REEUSP-2023-0298en
Viviane Cristina de Lima Gusmão, Tatiane Garcia do Carmo Flausino, Daniela Sanches Couto, Ligia Maria Abraão, Adriana Maria da Silva Felix, Caroline Lopes Ciofi-Silva, Molly Courtenay, Valerie Ness, Enrique Castro-Sanchez, Rosely Moralez de Figueiredo, Maria Clara Padoveze
Objective: To report on the adaptations made to the original Nominal Group Technique (NGT), allowing it to be applied to the virtual format, preserving all its key elements.
Method: An experience report on the adaptations and adjustments made to the original NGT to the virtual format using Information and Communication Technologies (ICT), using digital tools that are available free of charge or are low cost and easy to use.
Results: The NGT was carried out entirely virtually and underwent adaptations in each of its four stages through the incorporation of specific digital resources. It was possible to present the most voted ideas and obtain final approval from the participants. The participants had no difficulty in using the virtual resources provided and, based on the reaction evaluation, they were satisfied with the tools provided.
Conclusion: The adapted NGT proved to be an effective method when used in a virtual setting, capable of producing a significant number of ideas and developing consensus. The adapted tool can be used by other researchers in countries with similar resources or dimensions to Brazil.
{"title":"Adapting the Nominal Group Technique to a virtual version: an experience report.","authors":"Viviane Cristina de Lima Gusmão, Tatiane Garcia do Carmo Flausino, Daniela Sanches Couto, Ligia Maria Abraão, Adriana Maria da Silva Felix, Caroline Lopes Ciofi-Silva, Molly Courtenay, Valerie Ness, Enrique Castro-Sanchez, Rosely Moralez de Figueiredo, Maria Clara Padoveze","doi":"10.1590/1980-220X-REEUSP-2023-0298en","DOIUrl":"10.1590/1980-220X-REEUSP-2023-0298en","url":null,"abstract":"<p><strong>Objective: </strong>To report on the adaptations made to the original Nominal Group Technique (NGT), allowing it to be applied to the virtual format, preserving all its key elements.</p><p><strong>Method: </strong>An experience report on the adaptations and adjustments made to the original NGT to the virtual format using Information and Communication Technologies (ICT), using digital tools that are available free of charge or are low cost and easy to use.</p><p><strong>Results: </strong>The NGT was carried out entirely virtually and underwent adaptations in each of its four stages through the incorporation of specific digital resources. It was possible to present the most voted ideas and obtain final approval from the participants. The participants had no difficulty in using the virtual resources provided and, based on the reaction evaluation, they were satisfied with the tools provided.</p><p><strong>Conclusion: </strong>The adapted NGT proved to be an effective method when used in a virtual setting, capable of producing a significant number of ideas and developing consensus. The adapted tool can be used by other researchers in countries with similar resources or dimensions to Brazil.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10950306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: This study aims to examine the risk perceptions of midwifery and nursing senior students regarding COVID-19 and compliance with vaccination and protective measures.
Method: This cross-sectional study was conducted in two academic years on senior midwifery and nursing students (n = 358). In the present study, the descriptive characteristics of the students and the COVID-19 risk perception scale were used.
Results: The students' COVID-19 Risk Perception Scale scores were at a moderate level and a similar level in both years of this study. More than 80% of the students were fully vaccinated, and the family history of COVID-19 was positive in approximately half of them. In the second year of the pandemic, they paid less attention to social distance and avoidance of being indoors.
Conclusion: Although the COVID-19 risk perceptions of future health professional students remained at a similar level during the examined period, it was found that in the second year of the pandemic, they started to get used to the process and paid less attention to social protective measures.
{"title":"Risk Perceptions Regarding COVID-19 and Compliance with Protective Measures of Midwifery and Nursing Senior Students.","authors":"Seval Cambaz Ulaş, Dilay Açıl, Damla Şahin Büyük, Seçil Köken Durgun, Fatma Uyar Açışlı","doi":"10.1590/1980-220X-REEUSP-2023-0303en","DOIUrl":"10.1590/1980-220X-REEUSP-2023-0303en","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to examine the risk perceptions of midwifery and nursing senior students regarding COVID-19 and compliance with vaccination and protective measures.</p><p><strong>Method: </strong>This cross-sectional study was conducted in two academic years on senior midwifery and nursing students (n = 358). In the present study, the descriptive characteristics of the students and the COVID-19 risk perception scale were used.</p><p><strong>Results: </strong>The students' COVID-19 Risk Perception Scale scores were at a moderate level and a similar level in both years of this study. More than 80% of the students were fully vaccinated, and the family history of COVID-19 was positive in approximately half of them. In the second year of the pandemic, they paid less attention to social distance and avoidance of being indoors.</p><p><strong>Conclusion: </strong>Although the COVID-19 risk perceptions of future health professional students remained at a similar level during the examined period, it was found that in the second year of the pandemic, they started to get used to the process and paid less attention to social protective measures.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10959002/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140103120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-08eCollection Date: 2024-01-01DOI: 10.1590/1980-220X-REEUSP-2023-0324en
Maria Williany Silva Ventura, Francisca Elisângela Teixeira Lima, Paula Dos Santos Brito, Lívia Maia Pascoal, Nila Larisse Silva de Albuquerque, Paulo César de Almeida
Objective: To verify the association between social determinants of health and access to health services for COVID-19 patients.
Method: Analytical, cross-sectional study, carried out in three states in the Northeast of Brazil (Ceará, Maranhão and Pernambuco), with 968 patients, using questionnaires with sociodemographic data, determinants and the Primary Care Assessment Tool, adapted to the reality of COVID-19, with 58 items, classified as high (score ≥ 6.6) and low (score < 6.6), whose high value reveals better standards of access to health services. The Chi-square test was used for comparative analysis.
Results: There was a significant difference (p < 0.05) between the domains of the instrument and the following determinants: age, skin color, body mass index, origin, schooling, employment, services close to home, first service, income and means of transport.
Conclusion: Access to health services for people with COVID-19 was associated with various determinants, including individual, behavioural and social ones, correlated with the structural and organizational aspects of the health services offered by the three states of Northeastern Brazil.
{"title":"Social determinants and access to health services in patients with COVID-19: a cross-sectional study.","authors":"Maria Williany Silva Ventura, Francisca Elisângela Teixeira Lima, Paula Dos Santos Brito, Lívia Maia Pascoal, Nila Larisse Silva de Albuquerque, Paulo César de Almeida","doi":"10.1590/1980-220X-REEUSP-2023-0324en","DOIUrl":"10.1590/1980-220X-REEUSP-2023-0324en","url":null,"abstract":"<p><strong>Objective: </strong>To verify the association between social determinants of health and access to health services for COVID-19 patients.</p><p><strong>Method: </strong>Analytical, cross-sectional study, carried out in three states in the Northeast of Brazil (Ceará, Maranhão and Pernambuco), with 968 patients, using questionnaires with sociodemographic data, determinants and the Primary Care Assessment Tool, adapted to the reality of COVID-19, with 58 items, classified as high (score ≥ 6.6) and low (score < 6.6), whose high value reveals better standards of access to health services. The Chi-square test was used for comparative analysis.</p><p><strong>Results: </strong>There was a significant difference (p < 0.05) between the domains of the instrument and the following determinants: age, skin color, body mass index, origin, schooling, employment, services close to home, first service, income and means of transport.</p><p><strong>Conclusion: </strong>Access to health services for people with COVID-19 was associated with various determinants, including individual, behavioural and social ones, correlated with the structural and organizational aspects of the health services offered by the three states of Northeastern Brazil.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10927267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140103121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-08eCollection Date: 2024-01-01DOI: 10.1590/1980-220X-REEUSP-2023-0232en
Ketillyn Nayara de Macedo Silveira, Rodrigo Leal Alves, Paulo do Nascimento Júnior, Monique Antonia Coelho, Guilherme Antonio Moreira de Barros, Norma Sueli Pinheiro Módolo
Objective: The main objective of this study was to compare stress and anxiety levels in children undergoing surgical procedures with or without parental presence at induction of anesthesia by measuring salivary cortisol levels and applying the mYPAS.
Method: Quasi-randomized trial with children aged 5-12 year, with ASA physical status I, II, or III, undergoing elective surgery. According to parents' willingness, the pair were defined as accompanied or unaccompanied group. Chi-square, Fisher's exact tests, Student's t test, Mann-Whitney, Hodges-Lehman and Spearman's tests were used for statistical analyzes.
Results: We included 46 children; 63% were preschool children mostly accompanied by their mothers (80%). The median mYPAS score was 37.5 (quartile range, 23.4-51.6) in unaccompanied children, and 55.0 (quartile range, 27.9-65.0) in accompanied children, with an estimated median difference of +11.8 (95% CI of 0 to 23.4; p = 0.044). There were no significant differences in the mean salivary cortisol levels.
Conclusion: The level of anxiety was higher in accompanied children. There were no differences in salivary cortisol levels between both groups. Brazilian Registry of Clinical Trials (ReBEC): RBR-9wj4qvy.
{"title":"Children's preoperative stress according to the parental presence evaluated by salivary cortisol and mYPAS: quasi-randomized trial.","authors":"Ketillyn Nayara de Macedo Silveira, Rodrigo Leal Alves, Paulo do Nascimento Júnior, Monique Antonia Coelho, Guilherme Antonio Moreira de Barros, Norma Sueli Pinheiro Módolo","doi":"10.1590/1980-220X-REEUSP-2023-0232en","DOIUrl":"10.1590/1980-220X-REEUSP-2023-0232en","url":null,"abstract":"<p><strong>Objective: </strong>The main objective of this study was to compare stress and anxiety levels in children undergoing surgical procedures with or without parental presence at induction of anesthesia by measuring salivary cortisol levels and applying the mYPAS.</p><p><strong>Method: </strong>Quasi-randomized trial with children aged 5-12 year, with ASA physical status I, II, or III, undergoing elective surgery. According to parents' willingness, the pair were defined as accompanied or unaccompanied group. Chi-square, Fisher's exact tests, Student's t test, Mann-Whitney, Hodges-Lehman and Spearman's tests were used for statistical analyzes.</p><p><strong>Results: </strong>We included 46 children; 63% were preschool children mostly accompanied by their mothers (80%). The median mYPAS score was 37.5 (quartile range, 23.4-51.6) in unaccompanied children, and 55.0 (quartile range, 27.9-65.0) in accompanied children, with an estimated median difference of +11.8 (95% CI of 0 to 23.4; p = 0.044). There were no significant differences in the mean salivary cortisol levels.</p><p><strong>Conclusion: </strong>The level of anxiety was higher in accompanied children. There were no differences in salivary cortisol levels between both groups. Brazilian Registry of Clinical Trials (ReBEC): RBR-9wj4qvy.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10927269/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140103118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-08eCollection Date: 2024-01-01DOI: 10.1590/1980-220X-REEUSP-2023-0304en
Melissa Joice de Abreu Felizardo, Maísa Mara Lopes Macêdo, Nayara Luiza Henriques, Sérgio Deodato, Elysângela Dittz Duarte
Objective: To analyze the meanings attributed by family members to the situation of caring for a child with a chronic condition (CCC), in the light of the Family Management Style Framework (FMSF).
Method: A mixed-methods, parallel-convergent study, guided by the FMSF theoretical framework, using the conceptual component "Definition of the Situation". Fifty-three CCC families took part. Data was collected using a semi-structured interview, a questionnaire to characterize the participants and a Family Management Measure scale. Descriptive and inferential statistical analysis was carried out on the quantitative data and the qualitative data was subjected to deductive thematic analysis.
Results: Family members reported a view of normality in relation to CCC, also verified by the Child's Daily Life scale. However, they indicate the repercussions of the chronic condition on the family, and that they devote more attention and time to meeting the child's care needs, which was also verified in the View of the Impact of the Condition and Management Effort scales.
Conclusion: Families have a positive view of the situation of caring for CCC at home, but point out some negative effects, such as the greater time spent caring for the child.
{"title":"Families' situation of caring for a child with a chronic condition: a mixed methods study.","authors":"Melissa Joice de Abreu Felizardo, Maísa Mara Lopes Macêdo, Nayara Luiza Henriques, Sérgio Deodato, Elysângela Dittz Duarte","doi":"10.1590/1980-220X-REEUSP-2023-0304en","DOIUrl":"10.1590/1980-220X-REEUSP-2023-0304en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the meanings attributed by family members to the situation of caring for a child with a chronic condition (CCC), in the light of the Family Management Style Framework (FMSF).</p><p><strong>Method: </strong>A mixed-methods, parallel-convergent study, guided by the FMSF theoretical framework, using the conceptual component \"Definition of the Situation\". Fifty-three CCC families took part. Data was collected using a semi-structured interview, a questionnaire to characterize the participants and a Family Management Measure scale. Descriptive and inferential statistical analysis was carried out on the quantitative data and the qualitative data was subjected to deductive thematic analysis.</p><p><strong>Results: </strong>Family members reported a view of normality in relation to CCC, also verified by the Child's Daily Life scale. However, they indicate the repercussions of the chronic condition on the family, and that they devote more attention and time to meeting the child's care needs, which was also verified in the View of the Impact of the Condition and Management Effort scales.</p><p><strong>Conclusion: </strong>Families have a positive view of the situation of caring for CCC at home, but point out some negative effects, such as the greater time spent caring for the child.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10927268/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140103119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01eCollection Date: 2024-01-01DOI: 10.1590/1980-220X-REEUSP-2023-0146en
Gisela Maria Assis, Nayara Dos Santos Rodrigues, Franciele de Freitas de Oliveira, Camilla Pinheiro Cristaldi da Silva, Drielle Fernanda Arruda, Ana Carolina Silvy Nunes, Gisele Martins
Objective: To understand Primary Health Care nurses' role in treating Lower Urinary Tract Dysfunction.
Method: Cross-sectional multi-methodological research, composed of quantitative and qualitative steps, independently and sequentially. Data collected remotely, through a questionnaire and focus group, analyzed using descriptive statistics and thematic analysis by Braun and Clarke, respectively. The project was approved under Opinion 22691119.0.0000.0030.
Results: A total of 145 nurses participated in the study in the quantitative step and 20 in the qualitative step, working in Primary Health Care in Brazil. Of the 93.1% nurses who reported having already cared for people with Urinary Tract Dysfunction, only 54.4% provided guidance, mainly for training the pelvic floor muscles.
Conclusion: Even though they have legal support and access to demand, nurses do not have the knowledge to offer conservative treatment for Lower Urinary Tract Dysfunction. Despite this, they were motivated to do so as long as they received specific training.
{"title":"Primary Health Care nurses' role in treating Lower Urinary Tract Dysfunction.","authors":"Gisela Maria Assis, Nayara Dos Santos Rodrigues, Franciele de Freitas de Oliveira, Camilla Pinheiro Cristaldi da Silva, Drielle Fernanda Arruda, Ana Carolina Silvy Nunes, Gisele Martins","doi":"10.1590/1980-220X-REEUSP-2023-0146en","DOIUrl":"10.1590/1980-220X-REEUSP-2023-0146en","url":null,"abstract":"<p><strong>Objective: </strong>To understand Primary Health Care nurses' role in treating Lower Urinary Tract Dysfunction.</p><p><strong>Method: </strong>Cross-sectional multi-methodological research, composed of quantitative and qualitative steps, independently and sequentially. Data collected remotely, through a questionnaire and focus group, analyzed using descriptive statistics and thematic analysis by Braun and Clarke, respectively. The project was approved under Opinion 22691119.0.0000.0030.</p><p><strong>Results: </strong>A total of 145 nurses participated in the study in the quantitative step and 20 in the qualitative step, working in Primary Health Care in Brazil. Of the 93.1% nurses who reported having already cared for people with Urinary Tract Dysfunction, only 54.4% provided guidance, mainly for training the pelvic floor muscles.</p><p><strong>Conclusion: </strong>Even though they have legal support and access to demand, nurses do not have the knowledge to offer conservative treatment for Lower Urinary Tract Dysfunction. Despite this, they were motivated to do so as long as they received specific training.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10906961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140013878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01eCollection Date: 2024-01-01DOI: 10.1590/1980-220X-REEUSP-2023-0215en
Gabrielle Freitas Saganski, Márcia Helena de Souza Freire, Wendel Mombaque Dos Santos
Objective: To determine the accuracy of the Pulse Oximetry Test (POT) in screening for Congenital Heart Diseases (CHD) in newborns in the first 48 hours of life.
Method: Systematic review of diagnostic test accuracy with meta-analysis. The selection of studies was carried out in June 2021. Studies were selected with newborns, in a hospital or home environment, without a previous diagnosis of CHD, regardless of gestational age at birth, who underwent POT within the first 48 hours after birth. Registration on the PROSPERO platform - CRD42021256286.
Results: Twenty-nine studies were included, totaling a population of 388,491 newborns. POT demonstrated sensitivity of 47% (95% CI: 43% to 50%) and specificity of 98% (95% CI: 98% to 98%). Subgroup analyses were carried out according to the different testing period, inclusion of retests in protocols and population of premature newborns.
Conclusion: POT is a test with moderate sensitivity and high specificity. It is more effective when carried out within 24h - 48h of birth; in protocols that present retests, within two hours after the first measurement. It does not show satisfactory effectiveness for premature newborns.
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Pub Date : 2024-02-26DOI: 10.1590/1980-220X-REEUSP-2022-0443eren
[This corrects the article doi: 10.1590/1980-220X-REEUSP-2022-0443en] [This corrects the article doi: 10.1590/1980-220X-REEUSP-2022-0443es].
[This corrects the article doi: 10.1590/1980-220X-REEUSP-2022-0443en] [This corrects the article doi: 10.1590/1980-220X-REEUSP-2022-0443es].
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