Pub Date : 2024-02-26eCollection Date: 2024-01-01DOI: 10.1590/1980-220X-REEUSP-2023-0310en
Sidiany Mendes Pimentel, Marla Andréia Garcia de Avila, Vinnicius Dias Alves de Medeiros, Rafaela Aparecida Prata, Hélio Rubens de Carvalho Nunes, Juliana Bastoni da Silva
Objective: To analyze the relationship between sociodemographic and clinical factors with health literacy in Brazilian adolescents.
Method: This is a cross-sectional study with 526 adolescents aged 14 to 19. Data were collected virtually between July and September 2021 using a sociodemographic characterization questionnaire, clinical profile and the Health Literacy Assessment Tool - Portuguese version. The variables were evaluated by multiple linear regression with normal response, with significance p < 0.05.
Results: The average age was 16.9 years (±1.6), the average health literacy score was 25.3 (±5.4). Female gender (p = 0.014), university educational level (p = 0.002) and use of medication (p = 0.020) were related to higher levels of health literacy. Adolescents with chronic illnesses had a higher total literacy score, on average 1.51 points, compared to those without chronic illnesses.
Conclusion: Male adolescents and those with less education performed worse in health literacy and, therefore, deserve special attention in health promotion actions.
{"title":"Factors related to health literacy among Brazilian adolescents: cross-sectional study.","authors":"Sidiany Mendes Pimentel, Marla Andréia Garcia de Avila, Vinnicius Dias Alves de Medeiros, Rafaela Aparecida Prata, Hélio Rubens de Carvalho Nunes, Juliana Bastoni da Silva","doi":"10.1590/1980-220X-REEUSP-2023-0310en","DOIUrl":"10.1590/1980-220X-REEUSP-2023-0310en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the relationship between sociodemographic and clinical factors with health literacy in Brazilian adolescents.</p><p><strong>Method: </strong>This is a cross-sectional study with 526 adolescents aged 14 to 19. Data were collected virtually between July and September 2021 using a sociodemographic characterization questionnaire, clinical profile and the Health Literacy Assessment Tool - Portuguese version. The variables were evaluated by multiple linear regression with normal response, with significance p < 0.05.</p><p><strong>Results: </strong>The average age was 16.9 years (±1.6), the average health literacy score was 25.3 (±5.4). Female gender (p = 0.014), university educational level (p = 0.002) and use of medication (p = 0.020) were related to higher levels of health literacy. Adolescents with chronic illnesses had a higher total literacy score, on average 1.51 points, compared to those without chronic illnesses.</p><p><strong>Conclusion: </strong>Male adolescents and those with less education performed worse in health literacy and, therefore, deserve special attention in health promotion actions.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10896200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139975183","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 : 2024-02-19DOI: 10.1590/1980-220X-REEUSP-2023-0170eren
[This corrects the article doi: 10.1590/1980-220X-REEUSP-2023-0170en] [This corrects the article doi: 10.1590/1980-220X-REEUSP-2023-0170pt].
[This corrects the article doi: 10.1590/1980-220X-REEUSP-2023-0170en] [This corrects the article doi: 10.1590/1980-220X-REEUSP-2023-0170pt].
{"title":"ERRATUM: Analysis of the health advocacy concept from the perspective of the evolutionary method.","authors":"","doi":"10.1590/1980-220X-REEUSP-2023-0170eren","DOIUrl":"10.1590/1980-220X-REEUSP-2023-0170eren","url":null,"abstract":"<p><p>[This corrects the article doi: 10.1590/1980-220X-REEUSP-2023-0170en] [This corrects the article doi: 10.1590/1980-220X-REEUSP-2023-0170pt].</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10876181/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139907182","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 : 2024-02-19eCollection Date: 2024-01-01DOI: 10.1590/1980-220X-REEUSP-2023-0253en
Stênio Henrique Oliveira, Brener Santos Silva, Lívia Maria Rezende Carvalho, Tarcísio Laerte Gontijo, Ione Carvalho Pinto, Eliete Albano de Azevedo Guimarães, Valéria Conceição de Oliveira
Objective: To investigate underreporting of immunization errors based on vaccination records from children under five years of age.
Method: An epidemiological, cross-sectional analytical study, carried out through a household survey with 453 children aged 6 months to 4 years in three municipalities in Minas Gerais in 2021. A descriptive analysis was carried out, and the prevalence of the error was calculated per 100 thousand doses applied between 2016 and 2021. The magnitude was estimated of the association between variables by prevalence and 95% Confidence Intervals (95%CI). To analyze underreporting, State reporting records were used.
Results: A prevalence of immunization errors was found to be 41.9/100,000 doses applied (95%CI:32.2 - 51.6). The highest prevalence occurred between 2020 (50.0/100,000 doses applied) and 2021 (78.6/100,000 doses applied). The most frequent error was an inadequate interval between vaccines (47.2%) associated with adsorbed diphtheria, tetanus and pertussis (DTP) vaccine (13.7/100,000) administration. Vaccination delay was related to immunization errors (7.55 95% CI:2.30 - 24.80), and the errors found were underreported.
Conclusion: The high prevalence of underreported errors points to a worrying scenario, highlighting the importance of preventive measures.
{"title":"Prevalence and underreporting of immunization errors in childhood vaccination: results of a household survey.","authors":"Stênio Henrique Oliveira, Brener Santos Silva, Lívia Maria Rezende Carvalho, Tarcísio Laerte Gontijo, Ione Carvalho Pinto, Eliete Albano de Azevedo Guimarães, Valéria Conceição de Oliveira","doi":"10.1590/1980-220X-REEUSP-2023-0253en","DOIUrl":"10.1590/1980-220X-REEUSP-2023-0253en","url":null,"abstract":"<p><strong>Objective: </strong>To investigate underreporting of immunization errors based on vaccination records from children under five years of age.</p><p><strong>Method: </strong>An epidemiological, cross-sectional analytical study, carried out through a household survey with 453 children aged 6 months to 4 years in three municipalities in Minas Gerais in 2021. A descriptive analysis was carried out, and the prevalence of the error was calculated per 100 thousand doses applied between 2016 and 2021. The magnitude was estimated of the association between variables by prevalence and 95% Confidence Intervals (95%CI). To analyze underreporting, State reporting records were used.</p><p><strong>Results: </strong>A prevalence of immunization errors was found to be 41.9/100,000 doses applied (95%CI:32.2 - 51.6). The highest prevalence occurred between 2020 (50.0/100,000 doses applied) and 2021 (78.6/100,000 doses applied). The most frequent error was an inadequate interval between vaccines (47.2%) associated with adsorbed diphtheria, tetanus and pertussis (DTP) vaccine (13.7/100,000) administration. Vaccination delay was related to immunization errors (7.55 95% CI:2.30 - 24.80), and the errors found were underreported.</p><p><strong>Conclusion: </strong>The high prevalence of underreported errors points to a worrying scenario, highlighting the importance of preventive measures.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10878123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139907184","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 : 2024-02-19eCollection Date: 2024-01-01DOI: 10.1590/1980-220X-REEUSP-2023-0199en
Maria Ligia Dos Reis Bellaguarda, Paulo Joaquim Pina Queirós
Objective: To analyze the convergence of nurse's autonomy expressed in Brazilian and Portuguese professional practice legislation.
Method: Qualitative, social-historical documentary study on the normalization of Brazilian and Portuguese professional standards for nursing practice, materials socialized in the digital collection of the profession's organizational and disciplinary entities. Qualitative analysis from the perspective of Eliot Freidson's sociology of professions.
Results: Ten standards were analyzed, five from each country, which establish legislation for the nurses' professional practice. The following categories emerged: autonomy of knowledge and specific competence of the profession, in the ethical limits of the multi-professional relationship and in the disciplining of training for professional practice.
Conclusion: The professional autonomy under analysis implies providing access to services and to multi-professionality for the availability of health to society.
{"title":"Nurse autonomy expressed in Portuguese and Brazilian professional legislation: a documentary study (1986-2022).","authors":"Maria Ligia Dos Reis Bellaguarda, Paulo Joaquim Pina Queirós","doi":"10.1590/1980-220X-REEUSP-2023-0199en","DOIUrl":"10.1590/1980-220X-REEUSP-2023-0199en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the convergence of nurse's autonomy expressed in Brazilian and Portuguese professional practice legislation.</p><p><strong>Method: </strong>Qualitative, social-historical documentary study on the normalization of Brazilian and Portuguese professional standards for nursing practice, materials socialized in the digital collection of the profession's organizational and disciplinary entities. Qualitative analysis from the perspective of Eliot Freidson's sociology of professions.</p><p><strong>Results: </strong>Ten standards were analyzed, five from each country, which establish legislation for the nurses' professional practice. The following categories emerged: autonomy of knowledge and specific competence of the profession, in the ethical limits of the multi-professional relationship and in the disciplining of training for professional practice.</p><p><strong>Conclusion: </strong>The professional autonomy under analysis implies providing access to services and to multi-professionality for the availability of health to society.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10876182/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139907183","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 : 2024-02-19eCollection Date: 2024-01-01DOI: 10.1590/1980-220X-REEUSP-2023-0079en
Estela Ferreira da Silva, Maria das Graças Silva Matsubara, Mariângela Abate De Lara Soares, Maria Cristina Mazzaia, Edvane Birelo Lopes De Domenico
Objective: To characterize the perceptions and feelings of parents diagnosed with cancer in relation to communication with their children between 3 and 12 years old.
Method: A cross-sectional, multicenter, with data triangulation, through structured and semi-structured interviews, with a question with a Semantic Differential Scale, carried out with the father or mother with cancer undergoing outpatient treatment in two hospital institutions in the city of São Paulo, São Paulo, Brazil. Data were analyzed using descriptive statistics, content analysis, using the ATLAS.ti 8.0R software and the Social Representation Theory.
Results: Forty-three respondents participated, 37 (86.0%) were female, 23 (53.5%) aged between 31 and 50 years old, 29 (67.5%) with only children between 7 and 12 years old. The experience was considered painful (73.1%), stressful (53.6%), clear (53.7%) and safe (51.2%). The feelings experienced generated two categories: Trial by fire; and Grateful rewards. Children's reactions from parents' perspective generated the categories: Sadness and suffering; Trust and support; Change of behavior; and Denial or insensitivity.
Conclusion: Communication was assessed as negative and conflicting, positive and welcoming, and causing changes in children's behaviors.
{"title":"Communication between parents diagnosed with cancer and their children: study with data triangulation.","authors":"Estela Ferreira da Silva, Maria das Graças Silva Matsubara, Mariângela Abate De Lara Soares, Maria Cristina Mazzaia, Edvane Birelo Lopes De Domenico","doi":"10.1590/1980-220X-REEUSP-2023-0079en","DOIUrl":"10.1590/1980-220X-REEUSP-2023-0079en","url":null,"abstract":"<p><strong>Objective: </strong>To characterize the perceptions and feelings of parents diagnosed with cancer in relation to communication with their children between 3 and 12 years old.</p><p><strong>Method: </strong>A cross-sectional, multicenter, with data triangulation, through structured and semi-structured interviews, with a question with a Semantic Differential Scale, carried out with the father or mother with cancer undergoing outpatient treatment in two hospital institutions in the city of São Paulo, São Paulo, Brazil. Data were analyzed using descriptive statistics, content analysis, using the ATLAS.ti 8.0R software and the Social Representation Theory.</p><p><strong>Results: </strong>Forty-three respondents participated, 37 (86.0%) were female, 23 (53.5%) aged between 31 and 50 years old, 29 (67.5%) with only children between 7 and 12 years old. The experience was considered painful (73.1%), stressful (53.6%), clear (53.7%) and safe (51.2%). The feelings experienced generated two categories: Trial by fire; and Grateful rewards. Children's reactions from parents' perspective generated the categories: Sadness and suffering; Trust and support; Change of behavior; and Denial or insensitivity.</p><p><strong>Conclusion: </strong>Communication was assessed as negative and conflicting, positive and welcoming, and causing changes in children's behaviors.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10876183/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139907181","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 : 2024-02-12eCollection Date: 2024-01-01DOI: 10.1590/1980-220X-REEUSP-2023-0281en
Danton Matheus de Souza, Danila Maria Batista Guedes, Gabriella de Andrade Boska, Niflyer Costa Miranda, Lisabelle Mariano Rossato
Objective: To understand the perceptions of the multidisciplinary team of an emergency department regarding the care of children and adolescents who have attempted suicide.
Method: An exploratory-descriptive, qualitative study, in light of the Symbolic Interactionism theoretical framework. Thirteen professionals from the multidisciplinary team from two emergency rooms (children and adults) of a secondary hospital in São Paulo participated. Data were collected between August and September 2018 using semi-structured interviews, analyzed using thematic content analysis complemented by the IRAMUTEQ® software.
Results: Two central categories emerged: Multidisciplinary team perceptions regarding attempted suicide care; and Multidisciplinary team perceptions regarding the possibilities for improving attempted suicide care. From these, professional perceptions of care, risk factors, emotional reactions, limitations of emergency rooms and strategies for improving practice were observed.
Conclusion: Professionals perceived suicide attempt care from a biomedical and reductionist perspective, with an approach marked by stigma, judgment and lack of preparation.
{"title":"Drawing attention? Going through judgments regarding child and adolescent suicide attempts in emergency rooms from a professional perspective.","authors":"Danton Matheus de Souza, Danila Maria Batista Guedes, Gabriella de Andrade Boska, Niflyer Costa Miranda, Lisabelle Mariano Rossato","doi":"10.1590/1980-220X-REEUSP-2023-0281en","DOIUrl":"10.1590/1980-220X-REEUSP-2023-0281en","url":null,"abstract":"<p><strong>Objective: </strong>To understand the perceptions of the multidisciplinary team of an emergency department regarding the care of children and adolescents who have attempted suicide.</p><p><strong>Method: </strong>An exploratory-descriptive, qualitative study, in light of the Symbolic Interactionism theoretical framework. Thirteen professionals from the multidisciplinary team from two emergency rooms (children and adults) of a secondary hospital in São Paulo participated. Data were collected between August and September 2018 using semi-structured interviews, analyzed using thematic content analysis complemented by the IRAMUTEQ® software.</p><p><strong>Results: </strong>Two central categories emerged: Multidisciplinary team perceptions regarding attempted suicide care; and Multidisciplinary team perceptions regarding the possibilities for improving attempted suicide care. From these, professional perceptions of care, risk factors, emotional reactions, limitations of emergency rooms and strategies for improving practice were observed.</p><p><strong>Conclusion: </strong>Professionals perceived suicide attempt care from a biomedical and reductionist perspective, with an approach marked by stigma, judgment and lack of preparation.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10868373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139736998","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 : 2024-02-12eCollection Date: 2024-01-01DOI: 10.1590/1980-220X-REEUSP-2023-0280en
Harlon França de Menezes, Alessandra Conceição Leite Funchal Camacho, Paola Paiva Monteiro, Isabele Silva Dos Santos, Ana Beatriz Pereira, Nanete Caroline da Costa Prado, José Rebberty Rodrigo Holanda, Richardson Augusto Rosendo da Silva
Objective: To clinically validate a terminological subset of the International Classification for Nursing Practice (ICNP®) to care for people with chronic kidney disease undergoing conservative treatment.
Method: Prospective study of clinical validation assessment of 117 nursing diagnoses/outcomes statements and 199 nursing intervention statements. It was operationalized through the following steps: implementation of the Nursing Process in an outpatient clinic in Southeast Brazil; preparation of case studies; analysis of agreement between specialist nurses. The Kappa. Kruskal-Wallis coefficient of agreement and intraclass correlation coefficient (ICC) were used.
Results: The sample consisted of 50 people with chronic kidney disease. Diagnoses/outcomes and interventions were evaluated with almost perfect/perfect agreement and excellent ICC. The Kruskal-Wallis test showed that there was no significant difference between the assessments. The study allowed the clinical validation of a subset with 110 nursing diagnoses/outcomes and 195 nursing interventions.
Conclusion: Care for people with chronic kidney disease undergoing conservative treatment based on the proposed subset has become applicable to clinical practice.
{"title":"Clinical validation of the terminological subset for people with chronic kidney disease undergoing conservative treatment.","authors":"Harlon França de Menezes, Alessandra Conceição Leite Funchal Camacho, Paola Paiva Monteiro, Isabele Silva Dos Santos, Ana Beatriz Pereira, Nanete Caroline da Costa Prado, José Rebberty Rodrigo Holanda, Richardson Augusto Rosendo da Silva","doi":"10.1590/1980-220X-REEUSP-2023-0280en","DOIUrl":"10.1590/1980-220X-REEUSP-2023-0280en","url":null,"abstract":"<p><strong>Objective: </strong>To clinically validate a terminological subset of the International Classification for Nursing Practice (ICNP®) to care for people with chronic kidney disease undergoing conservative treatment.</p><p><strong>Method: </strong>Prospective study of clinical validation assessment of 117 nursing diagnoses/outcomes statements and 199 nursing intervention statements. It was operationalized through the following steps: implementation of the Nursing Process in an outpatient clinic in Southeast Brazil; preparation of case studies; analysis of agreement between specialist nurses. The Kappa. Kruskal-Wallis coefficient of agreement and intraclass correlation coefficient (ICC) were used.</p><p><strong>Results: </strong>The sample consisted of 50 people with chronic kidney disease. Diagnoses/outcomes and interventions were evaluated with almost perfect/perfect agreement and excellent ICC. The Kruskal-Wallis test showed that there was no significant difference between the assessments. The study allowed the clinical validation of a subset with 110 nursing diagnoses/outcomes and 195 nursing interventions.</p><p><strong>Conclusion: </strong>Care for people with chronic kidney disease undergoing conservative treatment based on the proposed subset has become applicable to clinical practice.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10868374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139736997","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 : 2024-02-12eCollection Date: 2024-01-01DOI: 10.1590/1980-220X-REEUSP-2023-0270en
Márcio Venicio Alcântara de Moraes, Ítalo Lennon Sales de Almeida, Rhanna Emanuela Fontenele Lima de Carvalho
Objective: To identify whether safety huddle implementation enabled a change in patient safety culture.
Method: Quasi-experimental research that assessed patient safety culture before and after safety huddle implementation.
Results.: The study revealed that 53.98% completed the two safety culture assessments, with 60.1% adherence from the nursing team, with a statistically significant difference in the second assessment regarding perception of patient safety and adverse events notified (p < 0.00). Regarding good practice indicators, a statistically significant difference (p < 0.00) was observed in item 43 and improvement in almost all dimensions in the second safety culture assessment. The huddles totaled 105 days, with 100% adherence from the nursing team. Regarding checklist items, all presented satisfactory responses (above 50%).
Conclusion: Safety huddles proved to be an effective tool for communication between healthcare professionals and managers, demonstrating positive impacts on good practice indicators and most safety culture dimensions.
{"title":"Patient safety culture assessment before and after safety huddle implementation.","authors":"Márcio Venicio Alcântara de Moraes, Ítalo Lennon Sales de Almeida, Rhanna Emanuela Fontenele Lima de Carvalho","doi":"10.1590/1980-220X-REEUSP-2023-0270en","DOIUrl":"10.1590/1980-220X-REEUSP-2023-0270en","url":null,"abstract":"<p><strong>Objective: </strong>To identify whether safety huddle implementation enabled a change in patient safety culture.</p><p><strong>Method: </strong>Quasi-experimental research that assessed patient safety culture before and after safety huddle implementation.</p><p><strong>Results.: </strong>The study revealed that 53.98% completed the two safety culture assessments, with 60.1% adherence from the nursing team, with a statistically significant difference in the second assessment regarding perception of patient safety and adverse events notified (p < 0.00). Regarding good practice indicators, a statistically significant difference (p < 0.00) was observed in item 43 and improvement in almost all dimensions in the second safety culture assessment. The huddles totaled 105 days, with 100% adherence from the nursing team. Regarding checklist items, all presented satisfactory responses (above 50%).</p><p><strong>Conclusion: </strong>Safety huddles proved to be an effective tool for communication between healthcare professionals and managers, demonstrating positive impacts on good practice indicators and most safety culture dimensions.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10868519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139736999","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 : 2024-02-09eCollection Date: 2024-01-01DOI: 10.1590/1980-220X-REEUSP-2023-0056en
Wellery Stefany Nunes Glavina, Carla Marins Silva, Elaine Lutz Martins, Juliana Cristina Dos Santos Monteiro, Isabelle Wengler Silva, Ana Paula Almeida Brito, Fernanda Marçal Ferreira, Ludmila de Oliveira Ruela, Raquel Gomes de Oliveira Tomaz
Objective: To analyze puerperal women's experiences of sexual health after childbirth from the perspective of symbolic interactionism.
Method: Descriptive, qualitative study. Twenty semi-structured interviews were conducted by videoconference with women in the remote puerperium, captured by snowball technique and searched for "seeds" on Instagram®. Bardin's content analysis and Symbolic Interactionism were used as references.
Results: The puerperal women signify sexual health from a perspective of comprehensive healthcare. However, due to the duality between "being a woman" and "being a mother", they recognize fear, bodily transformations and changes in focus from the love relationship to caring for the baby as factors that interfere with sexual health. And they choose to put themselves aside, prioritizing caring for others. They re-signify sexual health by recognizing the importance of taking care of themselves in biopsychosocial aspects and try to recover self-care for a healthy sexual experience.
Conclusion: Despite the meanings attributed, women's social interactions with the puerperium interfere negatively with sexual health. Professionals should be sensitized to the inclusion of actions that promote changes in the social action of these women towards self-care.
{"title":"Puerperal women's social interactions related to their sexual health after childbirth.","authors":"Wellery Stefany Nunes Glavina, Carla Marins Silva, Elaine Lutz Martins, Juliana Cristina Dos Santos Monteiro, Isabelle Wengler Silva, Ana Paula Almeida Brito, Fernanda Marçal Ferreira, Ludmila de Oliveira Ruela, Raquel Gomes de Oliveira Tomaz","doi":"10.1590/1980-220X-REEUSP-2023-0056en","DOIUrl":"https://doi.org/10.1590/1980-220X-REEUSP-2023-0056en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze puerperal women's experiences of sexual health after childbirth from the perspective of symbolic interactionism.</p><p><strong>Method: </strong>Descriptive, qualitative study. Twenty semi-structured interviews were conducted by videoconference with women in the remote puerperium, captured by snowball technique and searched for \"seeds\" on Instagram®. Bardin's content analysis and Symbolic Interactionism were used as references.</p><p><strong>Results: </strong>The puerperal women signify sexual health from a perspective of comprehensive healthcare. However, due to the duality between \"being a woman\" and \"being a mother\", they recognize fear, bodily transformations and changes in focus from the love relationship to caring for the baby as factors that interfere with sexual health. And they choose to put themselves aside, prioritizing caring for others. They re-signify sexual health by recognizing the importance of taking care of themselves in biopsychosocial aspects and try to recover self-care for a healthy sexual experience.</p><p><strong>Conclusion: </strong>Despite the meanings attributed, women's social interactions with the puerperium interfere negatively with sexual health. Professionals should be sensitized to the inclusion of actions that promote changes in the social action of these women towards self-care.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10881122/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139934947","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 : 2024-02-09eCollection Date: 2024-01-01DOI: 10.1590/1980-220X-REEUSP-2023-0250en
Michelline Santos de França, Cleide Maria Pontes, Marcos Venícios de Oliveira Lopes, Ryanne Carolynne Marques Gomes Mendes, Jaqueline Galdino Albuquerque Perrelli, Sheila Coelho Ramalho Vasconcelos Morais, Francisca Márcia Pereira Linhares
Objective: To evaluate evidence of content validity of the nursing diagnosis "inadequate social support network".
Method: A methodological study of the content validation type, carried out with 23 judges who evaluated the adequacy of the title, definition, class and domain of the nursing diagnosis "inadequate social support network". The judges also assessed the relevance of 28 clinical indicators and 32 etiological factors, which were considered valid when the Content Validity Index was ≥ 0.9.
Results: The judges agreed with the proposed title and suggested changes to the definition of the nursing diagnosis. They recommended its inclusion in Domain 7 - "Roles and relationships" and Class 3 - "Role performance" of the NANDA-I taxonomy. In addition, 19 clinical indicators and 27 etiological factors were considered relevant.
Conclusion: The nursing diagnosis "inadequate social support network" had its theoretical structure validated in terms of content, which can support the practice of nurses in the operationalization of the Nursing Process.
{"title":"Content validation of the nursing diagnosis \"inadequate social support network\".","authors":"Michelline Santos de França, Cleide Maria Pontes, Marcos Venícios de Oliveira Lopes, Ryanne Carolynne Marques Gomes Mendes, Jaqueline Galdino Albuquerque Perrelli, Sheila Coelho Ramalho Vasconcelos Morais, Francisca Márcia Pereira Linhares","doi":"10.1590/1980-220X-REEUSP-2023-0250en","DOIUrl":"10.1590/1980-220X-REEUSP-2023-0250en","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate evidence of content validity of the nursing diagnosis \"inadequate social support network\".</p><p><strong>Method: </strong>A methodological study of the content validation type, carried out with 23 judges who evaluated the adequacy of the title, definition, class and domain of the nursing diagnosis \"inadequate social support network\". The judges also assessed the relevance of 28 clinical indicators and 32 etiological factors, which were considered valid when the Content Validity Index was ≥ 0.9.</p><p><strong>Results: </strong>The judges agreed with the proposed title and suggested changes to the definition of the nursing diagnosis. They recommended its inclusion in Domain 7 - \"Roles and relationships\" and Class 3 - \"Role performance\" of the NANDA-I taxonomy. In addition, 19 clinical indicators and 27 etiological factors were considered relevant.</p><p><strong>Conclusion: </strong>The nursing diagnosis \"inadequate social support network\" had its theoretical structure validated in terms of content, which can support the practice of nurses in the operationalization of the Nursing Process.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10870351/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139743073","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}