Mariana Enumo Balestre, Iven Giovanna Trindade Lino, Maria Eduarda Pascoaloto da Silva, Juliana Amaral Prata, Telmara Menezes Couto, Viviane Cazetta de Lima Vieira, Erika Dos Santos Ratuchnei Dal Pizzol, Sonia Silva Marcon
{"title":"Women's experiences regarding the care received in the hospital setting during the abortion process.","authors":"Mariana Enumo Balestre, Iven Giovanna Trindade Lino, Maria Eduarda Pascoaloto da Silva, Juliana Amaral Prata, Telmara Menezes Couto, Viviane Cazetta de Lima Vieira, Erika Dos Santos Ratuchnei Dal Pizzol, Sonia Silva Marcon","doi":"10.1590/0034-7167-2025-0521","DOIUrl":"https://doi.org/10.1590/0034-7167-2025-0521","url":null,"abstract":"<p><strong>Objectives: </strong>to understand how women recall the care they received in the hospital setting during the abortion process.</p><p><strong>Methods: </strong>a descriptive qualitative study grounded in the conceptual framework of the National Humanization Policy. Data were collected between May and September 2024 through audio recorded interviews, conducted either in person or remotely, with 19 women, and analyzed using thematic content analysis.</p><p><strong>Results: </strong>two categories emerged: Experiencing disrespectful care, which reflects dissatisfaction with communication, insufficient information, devaluation of complaints and emotional suffering, lack of privacy, and hospitalization alongside pregnant women; and Positive care experiences, which include humanized care, emotional support, and active listening.</p><p><strong>Final considerations: </strong>women generally recall the care received in a negative way, highlighting the need for adopting and implementing good obstetric practices and reinforcing the guidelines of the National Humanization Policy in care provided during the abortion process.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":"79 ","pages":"e20250521"},"PeriodicalIF":1.2,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13679158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149246196","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}
Daria Andrea Bula, Kerstin Hämel, Elyne Montenegro Engstrom, Lígia Giovanella, Vanessa Cappellesso Horevicz Felix, Rosa Maria Rodrigues, Maria Lúcia Frizon Rizzotto, Marcus Heumann, Daniela Rosalba Luisi, Maike Zwergel, Beatriz Rosana Gonçalves de Oliveira Toso
{"title":"Advanced practice nursing role development in primary health care in Brazil and Germany: comparative perspective.","authors":"Daria Andrea Bula, Kerstin Hämel, Elyne Montenegro Engstrom, Lígia Giovanella, Vanessa Cappellesso Horevicz Felix, Rosa Maria Rodrigues, Maria Lúcia Frizon Rizzotto, Marcus Heumann, Daniela Rosalba Luisi, Maike Zwergel, Beatriz Rosana Gonçalves de Oliveira Toso","doi":"10.1590/0034-7167-2025-0672","DOIUrl":"https://doi.org/10.1590/0034-7167-2025-0672","url":null,"abstract":"<p><strong>Objective: </strong>To compare the advanced practice nursing development in primary health care in Brazil and Germany focusing on institutional, historical, and educational factors.</p><p><strong>Methods: </strong>We conducted a qualitative comparative study combining the analysis of policy documents, literature and secondary data on health systems.</p><p><strong>Results: </strong>In Brazil, long-standing academic nursing education, established responsibilities, and ongoing debates support advanced practice nursing development, although the absence of a regulatory framework remains a barrier. In Germany, its development reflects a vocational-based nursing tradition and a relatively recent shift toward academization, with few advanced practice nursing master's study programs. A physician-centered primary care model and insufficient legal regulations constrain implementation, despite growing political momentum.</p><p><strong>Conclusions: </strong>Advanced practice nursing development is country - and context-specific, meaning there is no one-size-fits-all model; rather, implementation should align with institutional structures, educational pathways, and professional role developments. Effective implementation requires context-sensitive strategies across multiple levels of the health system.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":"79 ","pages":"e20250672"},"PeriodicalIF":1.2,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13679170/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149246328","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}
Jôse Ribas Galvão, Márcia Cristina Rodrigues Fausto, Lucas Manoel da Silva Cabral, Patty Fidelis de Almeida
{"title":"Nursing practices in Primary Health Care in rural areas: a scoping review.","authors":"Jôse Ribas Galvão, Márcia Cristina Rodrigues Fausto, Lucas Manoel da Silva Cabral, Patty Fidelis de Almeida","doi":"10.1590/0034-7167-2025-0592","DOIUrl":"10.1590/0034-7167-2025-0592","url":null,"abstract":"<p><strong>Objectives: </strong>to identify and analyze the scope of practices and strategies developed by nurses in Primary Health Care in rural areas.</p><p><strong>Methods: </strong>a scoping review was conducted in the MEDLINE, Embase, and VHL databases, which included articles published in the last ten years.</p><p><strong>Results: </strong>forty-eight articles were included, mostly from Australia and predominantly qualitative in approach. The main practices identified were: case management; health promotion and disease prevention practices; care for people with chronic diseases; practices mediated by Information and Communication Technologies; home visits; service management; medication prescription; practice transfer between professionals; emergency care; and palliative care.</p><p><strong>Final considerations: </strong>nurses in rural Primary Health Care develop a wide range of practices, essential for expanding and improving access to health. However, they face challenges related to the lack of continuing education, poor healthcare service infrastructure, and a significant workload.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":"79 ","pages":"e20250592"},"PeriodicalIF":1.2,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13679169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149246320","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}
Kelly Saboia Menezes Dias, Alessandra Carvalho Soares Rosa, Wilton Kevin Silva Alencar, Ângela Ferreira Barros
{"title":"Validation of a nursing consultation protocol for preterm infants after hospital discharge.","authors":"Kelly Saboia Menezes Dias, Alessandra Carvalho Soares Rosa, Wilton Kevin Silva Alencar, Ângela Ferreira Barros","doi":"10.1590/0034-7167-2025-0614","DOIUrl":"https://doi.org/10.1590/0034-7167-2025-0614","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the evidence of content and semantic validity of a nursing consultation protocol aimed at the care of preterm infants after hospital discharge.</p><p><strong>Methods: </strong>Methodological study. In the content validation stage, nurse experts with experience in neonatology were selected. After the modifications to the protocol suggested by the experts, semantic validation was carried out with the target audience, composed of nurses working in primary health care.</p><p><strong>Results: </strong>Eleven experts participated in the content validation, in which the protocol received 70.0% full recommendation and 30.0% recommendation with modifications. In the semantic validation, 30 nurses participated, and the global evaluation showed a full recommendation rate of 93.3% and 6.7% recommendation with modifications.</p><p><strong>Conclusions: </strong>The protocol demonstrated satisfactory validity evidence, indicating that it can be considered an appropriate tool for outpatient follow up services for preterm infants and for primary health care.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":"79 ","pages":"e20250614"},"PeriodicalIF":1.2,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13679167/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149246139","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}
{"title":"ERRATUM: Climate change and mental health: an urgent call for strategic action from nursing.","authors":"","doi":"10.1590/0034-7167.202679e0520250604","DOIUrl":"10.1590/0034-7167.202679e0520250604","url":null,"abstract":"<p><p>[This corrects the article doi: 10.1590/0034-7167-2025-0604] [This corrects the article doi: 10.1590/0034-7167-2025-0604pt] [This corrects the article doi: 10.1590/0034-7167-2025-0604es ].</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":"79 ","pages":"e2026e0520250604"},"PeriodicalIF":1.2,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13645328/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138123","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}
Célia Alves Rozendo, Jacinta de Fatima Sena da Silva, Kênia Lara da Silva
{"title":"New Curriculum Guidelines for Undergraduate Nursing Education: a historic achievement for Brazilian nursing.","authors":"Célia Alves Rozendo, Jacinta de Fatima Sena da Silva, Kênia Lara da Silva","doi":"10.1590/0034-7167.20267907","DOIUrl":"10.1590/0034-7167.20267907","url":null,"abstract":"","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":"79 ","pages":"e7907"},"PeriodicalIF":1.2,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13631969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138149","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}
Daniela Giotti da Silva, Maria de Lourdes Custódio Duarte, Eduarda Paza Dias, Alessandra Porto d'Ávila, Natália Klauck de Souza, Aline Malaquias de Oliveira, Larissa Gomes de Mattos
{"title":"Care for hospitalized children undergoing institutionalization: distress and defensive strategies of nurses.","authors":"Daniela Giotti da Silva, Maria de Lourdes Custódio Duarte, Eduarda Paza Dias, Alessandra Porto d'Ávila, Natália Klauck de Souza, Aline Malaquias de Oliveira, Larissa Gomes de Mattos","doi":"10.1590/0034-7167-2024-0529","DOIUrl":"10.1590/0034-7167-2024-0529","url":null,"abstract":"<p><strong>Objectives: </strong>to identify and analyze the factors that generate distress among nurses and the defensive strategies used by them when caring for hospitalized children undergoing institutionalization in a pediatric unit.</p><p><strong>Method: </strong>a qualitative study conducted in a general hospital in southern Brazil with the participation of 11 nurses. Data were collected through semi-structured interviews and analyzed using thematic analysis from the perspective of Christophe Dejours' Psychodynamics of Work theoretical framework.</p><p><strong>Results: </strong>in the first category, social vulnerability, hospitalized children without a companion, and the impact of work settings on personal life were understood by workers as factors of distress. In the second category, the defensive strategies used were conversation groups, patient shift changes, psychotherapy, integrative and complementary therapies, and physical activity.</p><p><strong>Final considerations: </strong>this study can help managers promote strategies in the workplace, reducing the psychological burden arising from work and giving new meaning to distress.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":"79 ","pages":"e20240529"},"PeriodicalIF":1.2,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13631968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138061","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}
Maryana da Silva Furlan, Antônio Fernandes Costa Lima
{"title":"Content validity of the Scale for Assessing the Risk of Phlebitis in Hospitalized Adults.","authors":"Maryana da Silva Furlan, Antônio Fernandes Costa Lima","doi":"10.1590/0034-7167-2025-0274","DOIUrl":"10.1590/0034-7167-2025-0274","url":null,"abstract":"<p><strong>Objectives: </strong>to construct and validate the content of a scale for assessing the risk of phlebitis in hospitalized adult patients using peripheral intravenous therapy.</p><p><strong>Methods: </strong>a methodological study, developed according to DeVellis, in four stages, from January to July 2024. For content validity analysis, Content Validity Ratio (CVR) was calculated, including items that reached a critical point of 0.667 (first round) and 0.538 (second round).</p><p><strong>Results: </strong>the scale contained 95 items, including those with a value above the critical point of the CVR. Items that received suggestions from experts and also presented a CVR above the critical point were redacted and retained. A scale containing 28 items, distributed across three dimensions, was constructed.</p><p><strong>Conclusions: </strong>the scale showed good measures of content validity and response process. Since it was assessed as easy to understand, it became a useful tool for use in the care of patients undergoing peripheral intravenous catheter therapy.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":"79 ","pages":"e20250274"},"PeriodicalIF":1.2,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13631961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138135","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}
Michele Cunha Silva, Juliana Maria de Paula Avelar, Mariana Torrglosa Ruiz, Adriana Cristina Nicolussi
{"title":"Influence of predictors on postoperative quality of life in women with breast neoplasms.","authors":"Michele Cunha Silva, Juliana Maria de Paula Avelar, Mariana Torrglosa Ruiz, Adriana Cristina Nicolussi","doi":"10.1590/0034-7167-2025-0245","DOIUrl":"10.1590/0034-7167-2025-0245","url":null,"abstract":"<p><strong>Objectives: </strong>to evaluate the presence and influence of lymphedema and sociodemographic and clinical variables on the health related quality of life of women with breast cancer who underwent surgery.</p><p><strong>Methods: </strong>a prospective cohort study was conducted with 90 women with breast cancer. Sociodemographic and clinical questionnaires were used, along with the QualityofLife Questionnaire-Core30 and BreastCancer26. Descriptive analysis, association tests, and multiple linear regression were performed.</p><p><strong>Results: </strong>lymphedema occurred in 37 women. A reduction in role functioning and an increase in symptoms in the affected arm were observed. Positive improvements were detected with reductions in insomnia, constipation, distress related to hair loss and increases in future perspectives. In the associations, women with children reported more insomnia, and those who underwent mastectomy showed better global health status and future perspectives.</p><p><strong>Conclusions: </strong>having children was a predictor of insomnia, and the type of surgery influenced future perspectives and overall quality of life in these women.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":"79 ","pages":"e20250245"},"PeriodicalIF":1.2,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13631963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138131","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}
Jessica Fernandes Dos Santos, Ana Beatriz Marques Fonseca, Leticia Dantas Teixeira, Jéssica Naiara de Medeiros Araújo, Maria Isabel da Conceição Dias Fernandes, Ana Luisa Brandão de Carvalho Lira, Jéssica Dantas de Sá Tinôco
{"title":"Factors associated with pressure injuries in bedridden older adults in Primary Health Care.","authors":"Jessica Fernandes Dos Santos, Ana Beatriz Marques Fonseca, Leticia Dantas Teixeira, Jéssica Naiara de Medeiros Araújo, Maria Isabel da Conceição Dias Fernandes, Ana Luisa Brandão de Carvalho Lira, Jéssica Dantas de Sá Tinôco","doi":"10.1590/0034-7167-2025-0163","DOIUrl":"10.1590/0034-7167-2025-0163","url":null,"abstract":"<p><strong>Objectives: </strong>to identify factors associated with the occurrence of pressure injuries (PI) in bedridden older adults treated in Primary Health Care (PHC).</p><p><strong>Methods: </strong>this cross-sectional study was conducted with 63 bedridden older adults. Validated clinical assessment instruments were applied, including physical skin examination, the Braden Scale, the Katz test, and indicators of nursing diagnoses from NANDA-International.</p><p><strong>Results: </strong>although all presented a risk for pressure injuries, a confirmed diagnosis occurred in 25.4%. The variables most strongly associated were non-intact skin (p<0.001), age spots (p<0.001), erythema (p=0.002), as well as medication use (p=0.024), decreased turgor (p=0.035), excessive moisture (p=0.032), previous history of pressure injuries (p=0.015), and altered sensitivity (p=0.021).</p><p><strong>Conclusions: </strong>early recognition of these factors can guide individualized care plans and standardized protocols in primary health care, strengthening the prevention of an avoidable condition.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":"79 ","pages":"e20250163"},"PeriodicalIF":1.2,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13631951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138124","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}