Revista Brasileira De Enfermagem最新文献

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Analysis of factors associated with death in critically ill patients with COVID-19. COVID-19危重患者死亡相关因素分析
IF 1.2
Revista Brasileira De Enfermagem Pub Date : 2026-10-19 eCollection Date: 2026-01-01 DOI: 10.1590/0034-7167-2025-0378
Maximina de Barros Cunha, Dulce Aparecida Barbosa, Cassiane Dezoti da Fonseca, Matheus Santos Moitinho, Julia Yaeko Kawagoe
{"title":"Analysis of factors associated with death in critically ill patients with COVID-19.","authors":"Maximina de Barros Cunha, Dulce Aparecida Barbosa, Cassiane Dezoti da Fonseca, Matheus Santos Moitinho, Julia Yaeko Kawagoe","doi":"10.1590/0034-7167-2025-0378","DOIUrl":"https://doi.org/10.1590/0034-7167-2025-0378","url":null,"abstract":"<p><strong>Objectives: </strong>to assess the factors associated with death in critically ill COVID-19 patients.</p><p><strong>Methods: </strong>retrospective cohort of critically ill patients admitted to the Intensive Care Unit and infected with SARS-CoV-2, followed for 30 days, ≥ 18 years old, with a positive nasopharyngeal RT-PCR test for SARS-CoV-2. Descriptive analysis regarding the outcome, chi-square test, and backward stepwise multiple logistic regression model were used to describe predictor variables of sociodemographic and clinical characteristics.</p><p><strong>Results: </strong>715 patients were analyzed, of whom 70.8% (n=507) died and 29.1% (n=209) survived. In the multivariate analysis, death outcome dependent variables, such as age range of 61-80 years, > 80 years, invasive mechanical ventilation, dialysis, corticosteroids, vancomycin, platelets after 24 hours, and other antibiotics, were identified as risk factors, and the ROC curve (AUC=0.904) predicted the proposed model.</p><p><strong>Conclusions: </strong>the multivariate model showed good discriminatory capacity, identifying independent factors associated with death in critically ill COVID-19 patients.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":"79 ","pages":"e20250378"},"PeriodicalIF":1.2,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13679581/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149246314","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
Virtual simulation scenario for teaching standard precautions: a validation study. 虚拟仿真场景教学标准注意事项:验证研究。
IF 1.2
Revista Brasileira De Enfermagem Pub Date : 2026-10-19 eCollection Date: 2026-01-01 DOI: 10.1590/0034-7167-2025-0346
Cristine Maria Pereira Gusmão, Laís do Espirito Santo Lima, Mayra Gonçalves Menegueti, Cristina Mara Zamarioli, Elucir Gir, Renata Karina Reis
{"title":"Virtual simulation scenario for teaching standard precautions: a validation study.","authors":"Cristine Maria Pereira Gusmão, Laís do Espirito Santo Lima, Mayra Gonçalves Menegueti, Cristina Mara Zamarioli, Elucir Gir, Renata Karina Reis","doi":"10.1590/0034-7167-2025-0346","DOIUrl":"https://doi.org/10.1590/0034-7167-2025-0346","url":null,"abstract":"<p><strong>Objectives: </strong>to develop and validate a virtual simulation scenario for teaching Standard Precautions and the donning and doffing sequence for personal protective equipment for nursing students and professionals.</p><p><strong>Methods: </strong>methodological study of technological production. The scenario was developed based on scientific recommendations and simulation guidelines. Experts in simulation and infection prevention and control validated the scenario by completing questionnaires developed by the authors. Data were analyzed using the content validity index and Gwet's AC1 coefficient, with minimum acceptable values of 0.80 for the CVI and 0.41 for AC1.</p><p><strong>Results: </strong>the scenario was validated by 11 experts. The final version comprised 20 essential items and showed CVI and Gwet's AC1 values above the predefined minimum.</p><p><strong>Conclusions: </strong>the validated scenario shows educational potential and introduces an innovative approach to simulation, helping prepare students and professionals for infection prevention.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":"79 ","pages":"e20250346"},"PeriodicalIF":1.2,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13679591/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149246134","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
Transition of the insertion of nurse midwives in the delivery room of a teaching hospital. 教学医院产房护士接生员插入的过渡。
IF 1.2
Revista Brasileira De Enfermagem Pub Date : 2026-10-19 eCollection Date: 2026-01-01 DOI: 10.1590/0034-7167-2025-0190
Thalita Rocha Oliveira, Valdecyr Herdy Alves
{"title":"Transition of the insertion of nurse midwives in the delivery room of a teaching hospital.","authors":"Thalita Rocha Oliveira, Valdecyr Herdy Alves","doi":"10.1590/0034-7167-2025-0190","DOIUrl":"https://doi.org/10.1590/0034-7167-2025-0190","url":null,"abstract":"<p><strong>Objectives: </strong>to understand the transition of the insertion of nurse midwives in the delivery room based on the Apice On Project in a teaching hospital.</p><p><strong>Methods: </strong>a mixed-method study - Embedded Concurrent Design. Qualitative data were collected from 18 professionals from a maternity hospital in the city of Rio de Janeiro through semi-structured interviews and submitted to content analysis. Quantitative data were extracted from the obstetric indicators logbook and processed using descriptive statistical analysis.</p><p><strong>Results: </strong>the correlation of data indicated determining factors for the performance of specialists: institutional profile, deficiencies in communication flows regarding the Apice On guidelines, and limitations of residency programs in articulating principles of interprofessional education for collaborative practice in obstetrics.</p><p><strong>Final considerations: </strong>experiencing processes of organizational transition in care models requires horizontal communication, awareness, professional engagement, and role definition to overcome institutional barriers.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":"79 ","pages":"e20250190"},"PeriodicalIF":1.2,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13679595/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149246293","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
Implementation of patient discharge management in a university hospital through action research. 通过行动研究在某大学医院实施病人出院管理。
IF 1.2
Revista Brasileira De Enfermagem Pub Date : 2026-10-19 eCollection Date: 2026-01-01 DOI: 10.1590/0034-7167-2025-0174
Lélia Mendes Sobrinho de Oliveira, Larissa Chaves Pedreira, Ana Paula Santos de Jesus, Elizabeth Bernardino, Cristina Rosa Soares Lavareda Baixinho, Valdenir Almeida da Silva, Amanda Aparecida Silva Rios, Emanuela Santos Oliveira
{"title":"Implementation of patient discharge management in a university hospital through action research.","authors":"Lélia Mendes Sobrinho de Oliveira, Larissa Chaves Pedreira, Ana Paula Santos de Jesus, Elizabeth Bernardino, Cristina Rosa Soares Lavareda Baixinho, Valdenir Almeida da Silva, Amanda Aparecida Silva Rios, Emanuela Santos Oliveira","doi":"10.1590/0034-7167-2025-0174","DOIUrl":"https://doi.org/10.1590/0034-7167-2025-0174","url":null,"abstract":"<p><strong>Objectives: </strong>to establish and implement a Hospital Discharge Management Committee in a university hospital, and to assess the group's perception of the committee's planning and implementation.</p><p><strong>Methods: </strong>a qualitative study, conducted through action research. It took place in a university hospital in northeastern Brazil, over 12 months, following four phases: situational diagnosis; action planning; action implementation; and assessment.</p><p><strong>Results: </strong>the committee was established and implemented in the hospital, with a collaboratively constructed work process. Instruments and workflows were developed, including eligibility criteria, patient recruitment and admission procedures, a readiness scale, as well as follow-up, discharge, and post-discharge workflows, structuring a model to support continuity of care.</p><p><strong>Final considerations: </strong>the committee was implemented to monitor patients in the pilot unit. In the group's perception, there was an improvement in patient and caregiver monitoring, as well as a positive assessment of committee formation and methodology used, valuing each individual contribution.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":"79 ","pages":"e20250174"},"PeriodicalIF":1.2,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13679592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149246281","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 Practice in Rondônia (1946-1976): a historical study based on the Alto Madeira Newspaper. Rondônia护理实践(1946-1976):基于上马德拉报纸的历史研究。
IF 1.2
Revista Brasileira De Enfermagem Pub Date : 2026-10-19 eCollection Date: 2026-01-01 DOI: 10.1590/0034-7167-2025-0309
Phernando Pereira Dos Santos, Jackeline Felix de Souza, Maria Lígia Dos Reis Bellaguarda, Deybson Borba de Almeida, Maria Sagrario Gómez Cantarino, Maria Angélica de Almeida Peres
{"title":"Nursing Practice in Rondônia (1946-1976): a historical study based on the Alto Madeira Newspaper.","authors":"Phernando Pereira Dos Santos, Jackeline Felix de Souza, Maria Lígia Dos Reis Bellaguarda, Deybson Borba de Almeida, Maria Sagrario Gómez Cantarino, Maria Angélica de Almeida Peres","doi":"10.1590/0034-7167-2025-0309","DOIUrl":"https://doi.org/10.1590/0034-7167-2025-0309","url":null,"abstract":"<p><strong>Objectives: </strong>to analyze the work of nursing professionals in Rondônia between 1946 and 1976.</p><p><strong>Methods: </strong>a socio-historical, qualitative, and documentary study based on the analysis of articles published in the Alto Madeira newspaper. The documentary research followed three stages: pre-analysis, organization, and data analysis, with interpretation grounded in the socio-historical context of nursing in the state.</p><p><strong>Results: </strong>a progressive increase in professional engagement in nursing was observed, with emphasis on hiring processes, work settings, advertisements, and events. Female visibility was significant, with qualities such as experience and competence being highlighted. Professional activities included caregiving, medical support, teamwork, and health education.</p><p><strong>Conclusion: </strong>despite precarious working conditions and the absence of nursing training programs during the period, the work of these professionals was documented by the Alto Madeira newspaper, which served as an important historical source on the profession and the consolidation of nursing in Rondônia, especially after the establishment of the Regional Nursing Council in the Amazon region.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":"79 ","pages":"e20250309"},"PeriodicalIF":1.2,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13679596/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149246323","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
Teaching the electronic health record in a technical nursing program. 在护理技术课程中教授电子健康记录。
IF 1.2
Revista Brasileira De Enfermagem Pub Date : 2026-10-16 eCollection Date: 2026-01-01 DOI: 10.1590/0034-7167-2025-0641
Renata da Paixão Pereira, Christine Barbosa Betty, Nildo Alves Batista
{"title":"Teaching the electronic health record in a technical nursing program.","authors":"Renata da Paixão Pereira, Christine Barbosa Betty, Nildo Alves Batista","doi":"10.1590/0034-7167-2025-0641","DOIUrl":"https://doi.org/10.1590/0034-7167-2025-0641","url":null,"abstract":"<p><strong>Objective: </strong>To analyze teaching and learning related to the electronic health record (EHR) in a technical nursing program, identifying weaknesses and strengths to inform improvements to the program's pedagogical project.</p><p><strong>Method: </strong>This qualitative, exploratory, descriptive study used document analysis and fieldwork with faculty members and students from a technical nursing program, using the World Café technique.</p><p><strong>Results: </strong>The analyses revealed gaps in the development of digital competencies and in theory-practice integration, associated with the lack of specific preparation for students to use digital tools such as the EHR. Still, participants recognized the importance of this technology in technical nursing training.</p><p><strong>Final considerations: </strong>Teaching and learning related to the EHR in technical nursing education require continuous, cross-curricular integration of digital competencies into the Political-Pedagogical Project, along with stronger faculty development aligned with the demands of vocational education.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":"79 ","pages":"e20250641"},"PeriodicalIF":1.2,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13679168/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149246296","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
Analysis of incident reports in information systems for patient safety management. 患者安全管理信息系统事故报告分析。
IF 1.2
Revista Brasileira De Enfermagem Pub Date : 2026-10-16 eCollection Date: 2026-01-01 DOI: 10.1590/0034-7167-2025-0630
Renata Lima Gonçalves Caroccini, Geisa Colebrusco de Souza Gonçalves, Elena Bohomol
{"title":"Analysis of incident reports in information systems for patient safety management.","authors":"Renata Lima Gonçalves Caroccini, Geisa Colebrusco de Souza Gonçalves, Elena Bohomol","doi":"10.1590/0034-7167-2025-0630","DOIUrl":"https://doi.org/10.1590/0034-7167-2025-0630","url":null,"abstract":"<p><strong>Objectives: </strong>to analyze the characteristics of reports of serious incidents and deaths, as well as the improvement actions implemented, considering organizational learning in patient safety management.</p><p><strong>Methods: </strong>documentary, descriptive, and quantitative research, conducted in a private electronic system for adverse event reports of an accredited organization. Descriptive and inferential statistics were used for association analysis.</p><p><strong>Results: </strong>reports were mostly from hospital services (98.8%), from the Southeast region (76.7%), from level 1 accredited institutions (36.7%), made after 30 days of the event (49.4%), and occurred with older patients (48.2%). As an organizational consequence of the incidents, there was additional use of resources, treatment, and examinations (54.3%). Among the improvement actions related to professionals, informal guidance stood out (43.9%), and to organizational factors, actions to improve safety culture (31.9%).</p><p><strong>Conclusions: </strong>the reported events did not present objective information about institutional learning and implementation of actions for care quality and safety.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":"79 ","pages":"e20250630"},"PeriodicalIF":1.2,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13679171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149246265","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
Low-cost simulator for teaching medication administration to infants: a methodological study. 低成本婴儿药物管理教学模拟器:一项方法学研究。
IF 1.2
Revista Brasileira De Enfermagem Pub Date : 2026-10-16 eCollection Date: 2026-01-01 DOI: 10.1590/0034-7167-2025-0442
Marilia Souto de Araújo, Raphael Raniere de Oliveira Costa, Alessandra Mazzo, Fillipi André Dos Santos Silva, Soraya Maria de Medeiros
{"title":"Low-cost simulator for teaching medication administration to infants: a methodological study.","authors":"Marilia Souto de Araújo, Raphael Raniere de Oliveira Costa, Alessandra Mazzo, Fillipi André Dos Santos Silva, Soraya Maria de Medeiros","doi":"10.1590/0034-7167-2025-0442","DOIUrl":"https://doi.org/10.1590/0034-7167-2025-0442","url":null,"abstract":"<p><strong>Objectives: </strong>to develop and validate a low-cost, low-tech simulator for teaching medication administration to infants.</p><p><strong>Methods: </strong>a methodological study, with a quantitative approach, conducted in September 2023. In the first phase, a low-cost simulator was planned. In the second, it was developed using accessible materials. Finally, its appearance and functionality were validated by nine judges. Data were analyzed using the Kappa coefficient, the Content Validity Index (CVI), and the Factorial Validity Index (FVI).</p><p><strong>Results: </strong>a high degree of agreement was achieved among experts, with a Kappa coefficient of 0.99. The CVI was equal to 1 for 96% of the items analyzed, and the FVI indicated a mean acceptance rate of 99%.</p><p><strong>Conclusions: </strong>the developed simulator proved to be an innovative, reproducible, and low-cost educational technology, representing a more accessible alternative compared to models available on the market.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":"79 ","pages":"e20250442"},"PeriodicalIF":1.2,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13679173/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149246317","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
Maternal adaptation to caring for a child with congenital Zika virus syndrome. 母亲对照顾先天性寨卡病毒综合征儿童的适应。
IF 1.2
Revista Brasileira De Enfermagem Pub Date : 2026-10-16 eCollection Date: 2026-01-01 DOI: 10.1590/0034-7167-2025-0475
Laís Celeste Medeiros Mendes da Fonseca, Fernanda Machado Silva-Rodrigues, Natália Maria Vieira Pereira-Caldeira, Aline Cristiane Cavicchioli Okido, Lucila Castanheira Nascimento, Diene Monique Carlos, Flávia Azevedo Gomes-Sponholz, Nayara Gonçalves Barbosa
{"title":"Maternal adaptation to caring for a child with congenital Zika virus syndrome.","authors":"Laís Celeste Medeiros Mendes da Fonseca, Fernanda Machado Silva-Rodrigues, Natália Maria Vieira Pereira-Caldeira, Aline Cristiane Cavicchioli Okido, Lucila Castanheira Nascimento, Diene Monique Carlos, Flávia Azevedo Gomes-Sponholz, Nayara Gonçalves Barbosa","doi":"10.1590/0034-7167-2025-0475","DOIUrl":"https://doi.org/10.1590/0034-7167-2025-0475","url":null,"abstract":"<p><strong>Objective: </strong>to understand the process of maternal adaptation to caring for a child with Congenital Zika Virus Syndrome.</p><p><strong>Methods: </strong>a descriptive, qualitative study grounded in Roy's Adaptation Model. Twenty mothers who care for children with this syndrome, from different Brazilian states, were interviewed remotely between January and October 2024. The data were subjected to reflexive thematic analysis.</p><p><strong>Results: </strong>The mothers experienced challenges related to the diagnosis, the grief for the idealized child, and the adaptation to a new reality. The adaptive modes highlighted physical and emotional overload, the reorganization of self-concept and role performance, and the fragility of support networks.</p><p><strong>Final considerations: </strong>The findings reinforce the need for professional support and intersectoral strategies that expand assistance to mothers, promoting psychosocial care, social inclusion, and access to specialized services.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":"79 ","pages":"e20250475"},"PeriodicalIF":1.2,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13679172/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149246303","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
Environmental responsibility in the Sterile Processing Department: nursing leadership in sustainable development. 无菌处理部门的环境责任:护理领导可持续发展。
IF 1.2
Revista Brasileira De Enfermagem Pub Date : 2026-10-16 eCollection Date: 2026-01-01 DOI: 10.1590/0034-7167-2025-0487
Renata Pereira Silva Artioli, Sidiclei Machado Carvalho, Maricel Silveira Corrêa, Denilse Damasceno Trevilato
{"title":"Environmental responsibility in the Sterile Processing Department: nursing leadership in sustainable development.","authors":"Renata Pereira Silva Artioli, Sidiclei Machado Carvalho, Maricel Silveira Corrêa, Denilse Damasceno Trevilato","doi":"10.1590/0034-7167-2025-0487","DOIUrl":"https://doi.org/10.1590/0034-7167-2025-0487","url":null,"abstract":"<p><strong>Objective: </strong>to report the experience of implementing the principles of ISO 14001 in the Sterile Processing Department of a large healthcare institution.</p><p><strong>Methods: </strong>a quantitative, descriptive experience report conducted in a large private hospital in the city of Porto Alegre, RS, Brazil, from January 2020 to July 2025.</p><p><strong>Results: </strong>the following initiatives were developed: rational use of water; optimization of surgical-grade paper consumption; and reorganization of sterile materials packaged individually. Educational actions, combined with the use of monitoring technologies, proved to be effective strategies for modifying behaviors and fostering an organizational culture focused on sustainability.</p><p><strong>Final considerations: </strong>the reported experience demonstrates how this approach can guide interventions and support sustainable decision-making, serving as a reference for organizations seeking to improve their environmental practices.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":"79 ","pages":"e20250487"},"PeriodicalIF":1.2,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13679162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149246356","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
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