Revista Brasileira De Enfermagem最新文献

Nursing and Planetary Health: Learning from the Plant Metaphor for Environmental Justice. 护理和地球健康：从植物隐喻中学习环境正义。

IF 1.2

Revista Brasileira De Enfermagem Pub Date : 2026-04-03 eCollection Date: 2026-01-01 DOI: 10.1590/0034-7167-2025-0288

Helena Maria Scherlowski Leal David

引用次数: 0

Perinatal care during the COVID-19 pandemic in the state of Paraná. 2019冠状病毒病大流行期间在帕拉纳<e:1>州的围产期护理。

IF 1.2

Revista Brasileira De Enfermagem Pub Date : 2026-04-03 eCollection Date: 2026-01-01 DOI: 10.1590/0034-7167-2025-0205

Emily Marques Alves, Adriana Zilly, Lhays Emilly da Silva Moraes Ribeiro, Keli Regiane Tomeleri da Fonseca Pinto, Catia Campaner Ferrari Bernardy

{"title":"Perinatal care during the COVID-19 pandemic in the state of Paraná.","authors":"Emily Marques Alves, Adriana Zilly, Lhays Emilly da Silva Moraes Ribeiro, Keli Regiane Tomeleri da Fonseca Pinto, Catia Campaner Ferrari Bernardy","doi":"10.1590/0034-7167-2025-0205","DOIUrl":"10.1590/0034-7167-2025-0205","url":null,"abstract":"Objectives: to assess the association between good obstetric practices in the perinatal period and newborn vitality measured by Apgar during the COVID-19 pandemic in Paraná.Methods: a cross-sectional study, excerpt from the research \"Coping with COVID-19 and maternal and child care\", with postpartum women treated in hospitals in five Regional Health Districts of Paraná during the COVID-19 pandemic (2021 and 2022). Statistical analysis used frequencies, means, and standard deviations. Association between Apgar and good obstetric practices was analyzed using chi-square and Fisher's exact tests.Results: a total of 1,503 women were included. The variables referral hospital, skin-to-skin contact, and presence of a companion had positive outcomes on Apgar scores.Conclusions: despite the adversities of the pandemic, some good practices were maintained, and Apgar score was positive. However, the continued need for coordination between managers and professionals, and public policies to ensure perinatal care quality in the state is highlighted.","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":"79 ","pages":"e20250205"},"PeriodicalIF":1.2,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13053013/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147691888","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}

引用次数: 0

Nursing diagnosis "Inadequate health literacy" in older adults: content validity. 老年人护理诊断“健康素养不足”：内容效度。

IF 1.2

Revista Brasileira De Enfermagem Pub Date : 2026-04-03 eCollection Date: 2026-01-01 DOI: 10.1590/0034-7167-2025-0298

Rachel da Silva Serejo Cardoso, Rosimere Ferreira Santana, Camila Takáo Lopes, Marcos Antônio Gomes Brandão, Priscilla Alfradique de Souza, Tallita Mello Delphino

{"title":"Nursing diagnosis \"Inadequate health literacy\" in older adults: content validity.","authors":"Rachel da Silva Serejo Cardoso, Rosimere Ferreira Santana, Camila Takáo Lopes, Marcos Antônio Gomes Brandão, Priscilla Alfradique de Souza, Tallita Mello Delphino","doi":"10.1590/0034-7167-2025-0298","DOIUrl":"10.1590/0034-7167-2025-0298","url":null,"abstract":"Objectives: to assess the content validity of nursing diagnosis \"Inadequate health literacy\" in older adults.Methods: a content validity study based on the consensus of 70 professionals in the field who assessed the relevance of each diagnostic component. Components with Content Validity Indexes below 0.80 were modified or reclassified.Results: all diagnostic definitions achieved satisfactory scores. Related factors with the highest validity index were \"deficient social support\" and \"inadequate/hurried communication from health care professionals\". \"Cognitive impairment\" was the most prominent associated condition. In the at risk population category, \"immigrants and/or non-native language speakers\" achieved the highest score. The defining characteristics \"difficulty knowing how to act in favor of health\" and \"lack of information about their health conditions and illness\" stood out.Conclusions: the diagnosis demonstrated satisfactory evidence of content validity, supporting its clinical application.","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":"79 ","pages":"e20250298"},"PeriodicalIF":1.2,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13053012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147691850","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}

引用次数: 0

Effectiveness of highand medium-fidelity simulation in nursing education: randomized controlled trial. 高保真度与中等保真度模拟在护理教育中的有效性：随机对照试验。

IF 1.2

Revista Brasileira De Enfermagem Pub Date : 2026-04-03 eCollection Date: 2026-01-01 DOI: 10.1590/0034-7167-2025-0134

Franciane Silva Luiz, Isabel Cristina Gonçalves Leite, Luana Vieira Toledo, Kelli Borges Dos Santos, André Luiz Silva Alvim, Roberta Teixeira Prado, Angélica da Conceição Oliveira Coelho, Fábio da Costa Carbogim

{"title":"Effectiveness of highand medium-fidelity simulation in nursing education: randomized controlled trial.","authors":"Franciane Silva Luiz, Isabel Cristina Gonçalves Leite, Luana Vieira Toledo, Kelli Borges Dos Santos, André Luiz Silva Alvim, Roberta Teixeira Prado, Angélica da Conceição Oliveira Coelho, Fábio da Costa Carbogim","doi":"10.1590/0034-7167-2025-0134","DOIUrl":"10.1590/0034-7167-2025-0134","url":null,"abstract":"Objectives: to compare the effectiveness of highand medium-fidelity clinical simulation on nursing students' knowledge and clinical skills for pressure injury assessment and treatment.Methods: assessor-blinded randomized controlled trial. Thirty-two nursing students were assigned to an experimental group (n=17) or a control group (n=15). The intervention comprised a theoretical component and a simulation-high fidelity for the experimental group and medium fidelity for the control group. Data were collected with a sociodemographic questionnaire, a theoretical test, a skills checklist, and a Debriefing Assessment Scale. Statistical analysis included the chi-square test, the Mann-Whitney U test, ANOVA, and effect size, at a 5% significance level (α=0.05).Results: both groups showed significant improvement in theoretical knowledge (p<0.05). The groups did not differ significantly in skills (p=0.853). The debriefing experience was positive and similar in both groups.Conclusions: simulation improved knowledge and skills, with no differences by simulation fidelity level.","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":"79 ","pages":"e20250134"},"PeriodicalIF":1.2,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13053011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147691798","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}

引用次数: 0

Accidents from falls among hospitalized patients in Emergency Units: a multicenter study. 急诊住院病人跌倒事故：一项多中心研究

IF 1.2

Revista Brasileira De Enfermagem Pub Date : 2026-03-30 eCollection Date: 2026-01-01 DOI: 10.1590/0034-7167-2024-0320

Bárbara Cristina Dias Giaquinto, Cristiana Mattos Camargos Oliveira, Camila Cardoso de Araújo Costa, Karina Gonçalves Dias de Barros, Bruna Figueiredo Manzo, Allana Dos Reis Corrêa

{"title":"Accidents from falls among hospitalized patients in Emergency Units: a multicenter study.","authors":"Bárbara Cristina Dias Giaquinto, Cristiana Mattos Camargos Oliveira, Camila Cardoso de Araújo Costa, Karina Gonçalves Dias de Barros, Bruna Figueiredo Manzo, Allana Dos Reis Corrêa","doi":"10.1590/0034-7167-2024-0320","DOIUrl":"10.1590/0034-7167-2024-0320","url":null,"abstract":"Objectives: to analyze the occurrence of falls among patients hospitalized in emergency units.Methods: a cross-sectional study conducted from October 2020 to January 2021 in the emergency units of four hospitals in the city of Belo Horizonte. Sociodemographic, clinical, event-related, and post-fall data were collected and analyzed using descriptive statistics and binary logistic regression.Results: among the 89 medical records analyzed, falls were more frequent among elderly male patients, presenting with psychomotor agitation/mental confusion, occurring in the afternoon period and while on stretchers. Logistic regression revealed that patients who developed complications following the fall were associated with a higher degree of harm requiring intervention (moderate, severe, or death). Overall parameters of (OR: 19.64; p = 0.007), while only female sex related to (OR: 0.16; p = 0.037).Conclusions: in emergency settings, patients who experienced complications due to falls tended to evolve with a degree of harm that demanded more interventions and led to irreversible outcomes. Female sex was associated with the occurrence of harm not requiring intervention.","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":"79 ","pages":"e20240320"},"PeriodicalIF":1.2,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13038222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147593989","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}

引用次数: 0

Fears and pre-colonoscopy anxiety: a scoping review. 恐惧和结肠镜检查前焦虑：范围审查。

IF 1.2

Revista Brasileira De Enfermagem Pub Date : 2026-03-30 eCollection Date: 2026-01-01 DOI: 10.1590/0034-7167-2024-0618

Hugo Castro, Nelson Martins, Patrícia Pontífice-Sousa

{"title":"Fears and pre-colonoscopy anxiety: a scoping review.","authors":"Hugo Castro, Nelson Martins, Patrícia Pontífice-Sousa","doi":"10.1590/0034-7167-2024-0618","DOIUrl":"10.1590/0034-7167-2024-0618","url":null,"abstract":"Objectives: to map the scientific evidence regarding the fears and emotions of patients undergoing colonoscopy, along with associated variables.Methods: a scoping review was conducted following the Joanna Briggs Institute Protocol, guided by the research question: \"What are the fears and emotions associated with undergoing a colonoscopy, and associated variables?\" A literature search was performed in the PubMed, CINAHL, Scopus, and RCAAP databases in June 2025, including articles in Portuguese, English, and Spanish.Results: a total of 512 references were retrieved. After applying the inclusion criteria, 24 articles published between 1990 and 2024 were analyzed. Reported fears and emotions included concerns about medical complications, diagnosis, and pain. Variables such as information about the procedure, previous experiences, and gender influenced anxiety levels.Conclusions: adopting a biopsychosocial approach reduces anxiety and improves both the quality and adherence to colonoscopy, guiding more effective and holistic care interventions.","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":"79 ","pages":"e2020618"},"PeriodicalIF":1.2,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13038224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147594173","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}

引用次数: 0

Applying the quality improvement cycle to prevent cardiac surgical site infections. 应用质量改进周期预防心脏手术部位感染。

IF 1.2

Revista Brasileira De Enfermagem Pub Date : 2026-03-30 eCollection Date: 2026-01-01 DOI: 10.1590/0034-7167-2025-0164

Maria Aline Gomes de Oliveira, Ana Elza Oliveira de Mendonça, Rita de Cássia Azevedo Constantino, Jocelly de Araújo Ferreira, Kátia Regina Barros Ribeiro, Sancha Helena Lima Vale

{"title":"Applying the quality improvement cycle to prevent cardiac surgical site infections.","authors":"Maria Aline Gomes de Oliveira, Ana Elza Oliveira de Mendonça, Rita de Cássia Azevedo Constantino, Jocelly de Araújo Ferreira, Kátia Regina Barros Ribeiro, Sancha Helena Lima Vale","doi":"10.1590/0034-7167-2025-0164","DOIUrl":"10.1590/0034-7167-2025-0164","url":null,"abstract":"Objectives: to assess the effect of a quality improvement cycle for preventing surgical site infections in adult patients undergoing cardiac surgery.Methods: a quasi-experimental before-and-after study with no control group and a quantitative approach. An improvement cycle was conducted, and data were analyzed over a one-year period at a hospital in northeastern Brazil, using nine process criteria and two outcome criteria. The analysis was performed using point estimates with a 95% Confidence Interval. Chi-square and Fisher's exact tests were performed, with a p-value <0.05.Results: there was a significant increase in compliance with perioperative criteria. In the second assessment, a 50.8% reduction in the incidence of surgical site infections and a 74.2% reduction in mediastinitis were observed.Conclusions: the improvement cycle proved effective as a quality management tool for preventing surgical site infections.","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":"79 ","pages":"e20260164"},"PeriodicalIF":1.2,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13035286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147593969","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}

引用次数: 0

Self-test for HIV infection diagnosis: educational technology development and validity. 自检诊断HIV感染：教育技术发展与有效性。

IF 1.2

Revista Brasileira De Enfermagem Pub Date : 2026-03-30 eCollection Date: 2026-01-01 DOI: 10.1590/0034-7167-2024-0627

Ana Luiza Carsoni Alves de Almeida, Karyanna Alves de Alencar Rocha, Júlia Freitas Gomes, Marcela Antonini, Henrique Ciabotti Elias, Elucir Gir, Renata Karina Reis

{"title":"Self-test for HIV infection diagnosis: educational technology development and validity.","authors":"Ana Luiza Carsoni Alves de Almeida, Karyanna Alves de Alencar Rocha, Júlia Freitas Gomes, Marcela Antonini, Henrique Ciabotti Elias, Elucir Gir, Renata Karina Reis","doi":"10.1590/0034-7167-2024-0627","DOIUrl":"10.1590/0034-7167-2024-0627","url":null,"abstract":"Objectives: to develop and validate an educational booklet on HIV self-testing.Methods: the study was developed in four stages: literature review; booklet development; expert validity; and target audience assessment. The study was conducted between February and July 2024. The Content Validity Index was used for analysis, with values above 0.80 considered valid.Results: the 12-page booklet provides guidance on performing and interpreting HIV self-tests. It was validated by 13 experts and seven participants, achieving Content Validity Indexes of 0.92 and 0.95, respectively. The results indicate that the material exhibits content, appearance, and semantic validity.Conclusions: the booklet \"Complete guide to performing the HIV self-test\" has the potential to strengthen health literacy, supporting counseling and educational activities for the population in the correct use of self-test.","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":"79 ","pages":"e20240627"},"PeriodicalIF":1.2,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13038221/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147594193","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}

引用次数: 0

Outpatient discharge management model: a strategy to promote continuity of care. 门诊出院管理模式：促进护理连续性的策略。

IF 1.2

Revista Brasileira De Enfermagem Pub Date : 2026-03-30 eCollection Date: 2026-01-01 DOI: 10.1590/0034-7167-2025-0221

Daniele Cristina Dos Reis Bobrowec, Elizabeth Bernardino, Gisele Knop Aued, Jaqueline Dias do Nascimento Selleti, Maria Manuela Ferreira Pereira da Silva Martins, Camila Rorato, Keyla Cristina da Rocha Fracarolli, Lívia Cozer Montenegro

{"title":"Outpatient discharge management model: a strategy to promote continuity of care.","authors":"Daniele Cristina Dos Reis Bobrowec, Elizabeth Bernardino, Gisele Knop Aued, Jaqueline Dias do Nascimento Selleti, Maria Manuela Ferreira Pereira da Silva Martins, Camila Rorato, Keyla Cristina da Rocha Fracarolli, Lívia Cozer Montenegro","doi":"10.1590/0034-7167-2025-0221","DOIUrl":"10.1590/0034-7167-2025-0221","url":null,"abstract":"Objectives: to propose an outpatient discharge management model from specialized care to primary care to promote continuity of care for chronic conditions.Methods: action research with a qualitative approach. Twenty-eight professionals, including physicians, nurses, and public administrators, participated. Data collection was carried out through participant observation, documentary research, semi-structured interviews, and workshops. The data were subjected to Creswell's content analysis.Results: eight categories and 22 subcategories supported the creation of the outpatient discharge management model, emphasizing communication among levels of the healthcare network, designating the nurse as the process coordinator, and encouraging collaborative practices.Final considerations: the study proposed an outpatient discharge management model focused on continuity of care, in addition to reinforcing the role of nurses, highlighting attention to communication, technological support and collaborative practices, reaffirming the importance of Primary Health Care as a care organizer.","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":"79 ","pages":"e20250221"},"PeriodicalIF":1.2,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13035287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147594142","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}

引用次数: 0

Precision Nursing: The Personalized Future of Care and Revolution in Clinical Practice. 精准护理：个性化护理的未来与临床实践的变革。

IF 1.2

Revista Brasileira De Enfermagem Pub Date : 2026-03-30 eCollection Date: 2026-01-01 DOI: 10.1590/0034-7167-2025-0423

Luís Carlos Lopes-Júnior

{"title":"Precision Nursing: The Personalized Future of Care and Revolution in Clinical Practice.","authors":"Luís Carlos Lopes-Júnior","doi":"10.1590/0034-7167-2025-0423","DOIUrl":"10.1590/0034-7167-2025-0423","url":null,"abstract":"Objectives: to discuss the foundations, applications, challenges, and perspectives of precision nursing in contemporary practice, with an emphasis on the incorporation of genomic technologies, biomarkers, artificial intelligence and symptom science.Methods: a theoretical-reflective study based on recent scientific evidence.Results: nurses occupy a strategic position to lead the translation of precision medicine knowledge into clinical practice, especially in symptom management and personalized decision-making. Ongoing studies on inflammatory biomarkers, gastrointestinal disorders, symptomatic distress, and the use of digital devices in self-care stand out. Ethical, structural, and training challenges persist, such as curricular reformulation, professional training, and equity in access to innovations.Final considerations: precision nursing can transform care by enabling more effective, safe, and person-centered interventions. It is essential to strengthen data science, foster translational nursing research, and promote its gradual integration into care practice.","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":"79 ","pages":"e20250423"},"PeriodicalIF":1.2,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13035284/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147594146","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}

引用次数: 0