Caio Bismarck Silva de Oliveira, Adriana Meira Tiburtino Nepomuceno, Lidiane Lima de Andrade, Camila Takáo Lopes, Mailson Marques de Sousa
{"title":"Educational avatars for patients with cardiovascular diseases: a scoping review.","authors":"Caio Bismarck Silva de Oliveira, Adriana Meira Tiburtino Nepomuceno, Lidiane Lima de Andrade, Camila Takáo Lopes, Mailson Marques de Sousa","doi":"10.1590/1983-1447.2026.20250226.en","DOIUrl":"https://doi.org/10.1590/1983-1447.2026.20250226.en","url":null,"abstract":"<p><strong>Objective: </strong>to map the scientific evidence on the use of educational avatars for patients with cardiovascular diseases.</p><p><strong>Methods: </strong>a scoping review was conducted according to the Joanna Briggs Institute guidelines, with no time limit. The search was conducted in eight databases, in the gray literature, and reverse citation searching. Data extraction and description followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews.</p><p><strong>Results: </strong>a total of 1,405 publications were identified, of which 14 studies were included, all published in English. The studies pointed to good acceptance of avatars by patients for self-management of their health condition, understanding, treatment adherence, promotion of self-care, and improvement in health literacy levels. Methodological diversity was observed, along with important gaps, such as the lack of description of avatar development processes and the scarcity of information on the profile and selection criteria of experts involved in the validation process.</p><p><strong>Conclusion: </strong>educational avatars have the potential to complement clinical practice and the promotion of cardiovascular health. Further studies are needed in different contexts to ensure effective, accessible, and patient-centered tools.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"47 ","pages":"e20250226"},"PeriodicalIF":0.0,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emilly Fátima Garcia de Paiva, Natalia Maria Vieira Pereira Caldeira, Fábio da Costa Carbogim, Flávia Cristina Rodrigues, Roberta Teixeira Prado, Kelli Borges Dos Santos, Herica Silva Dutra, André Luiz Silva Alvim
{"title":"Risk factors for neonatal sepsis in the intensive care unit: a scoping review.","authors":"Emilly Fátima Garcia de Paiva, Natalia Maria Vieira Pereira Caldeira, Fábio da Costa Carbogim, Flávia Cristina Rodrigues, Roberta Teixeira Prado, Kelli Borges Dos Santos, Herica Silva Dutra, André Luiz Silva Alvim","doi":"10.1590/1983-1447.2026.20250290.en","DOIUrl":"https://doi.org/10.1590/1983-1447.2026.20250290.en","url":null,"abstract":"<p><strong>Objective: </strong>To map the scientific studies investigating risk factors associated with the occurrence of neonatal sepsis in intensive care units.</p><p><strong>Method: </strong>This scoping review followed the JBI Collaboration methodology, with searches conducted in nine databases, two sources of grey literature, and backward searching. Data were collected in September 2024 and updated in January 2025. Data analysis included descriptive statistics and the use of the IraMuTeQ® software.</p><p><strong>Results: </strong>A total of 24 studies were included, with a predominance of publications from Brazil (75%) and Ethiopia (20.8%). The most frequent risk factors were prematurity (f = 20), low birth weight (f = 16), use of invasive devices (f = 15), urinary infection (f = 12), Apgar score (f = 11), and colonization by Streptococcus agalactiae group B (f = 11).</p><p><strong>Conclusion: </strong>The scientific literature on risk factors for neonatal sepsis in neonatal intensive care units was mapped, showing that the available evidence addresses multiple maternal, neonatal, and care-related determinants, but is concentrated in few contexts and is predominantly based on observational study designs.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"47 ","pages":"e20250290"},"PeriodicalIF":0.0,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fabrício Soares Braga, Agnes Olschowsky, Mariane da Silva Xavier, Aline Basso da Silva, Elitiele Ortiz Dos Santos, Cristiane Kenes Nunes
{"title":"Therapeutic relationships and care in addressing vulnerability in the psychiatric revolving-door phenomenon.","authors":"Fabrício Soares Braga, Agnes Olschowsky, Mariane da Silva Xavier, Aline Basso da Silva, Elitiele Ortiz Dos Santos, Cristiane Kenes Nunes","doi":"10.1590/1983-1447.2026.20250168.en","DOIUrl":"https://doi.org/10.1590/1983-1447.2026.20250168.en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze therapeutic relationships in psychosocial care and their role in addressing the vulnerability of people involved in the revolving door phenomenon.</p><p><strong>Method: </strong>A qualitative case study, grounded in historical-dialectical materialism, was conducted in health and social assistance services in southern Brazil between March and August 2023. Participants included eight patients over 18 years of age, all with at least two psychiatric hospitalizations between 2021 and 2023. Data collection included guided discursive interviews, information from the hospitalization system, and field notes. Data were analyzed, supported by NVivo® 14, in stages: segmentation, qualification, and individuation.</p><p><strong>Results: </strong>The narratives revealed multiple vulnerabilities: individual (severe mental disorders, problematic substance use, low therapeutic adherence), social (unemployment, family breakdown, precarious housing), and programmatic (weaknesses in the care network, limited access to social assistance). It was evident that experiences of integration between Psychosocial Care Centers and social assistance services provide concrete alternatives to rehospitalization, such as access to benefits, housing support, rights mediation, and community strengthening.</p><p><strong>Final considerations: </strong>Therapeutic relationships, guided by acceptance, shared responsibility, community support, and the guarantee of rights, constitute essential technology for the continuity of care in freedom and the confrontation of vulnerability.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"47 ","pages":"e20250168"},"PeriodicalIF":0.0,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Guilherme Frederico Abdul Nour, Maria Wendiane Gueiros Gaspar, Ana Kelve de Castro Damasceno, Lorena Pinheiro Barbosa, Tatiane da Silva Coelho, Paula Renata Amorim Lessa, Samila Gomes Ribeiro, Francisca Elisangela Teixeira Lima
{"title":"Care-educational technologies for labor and delivery: a scoping review.","authors":"Guilherme Frederico Abdul Nour, Maria Wendiane Gueiros Gaspar, Ana Kelve de Castro Damasceno, Lorena Pinheiro Barbosa, Tatiane da Silva Coelho, Paula Renata Amorim Lessa, Samila Gomes Ribeiro, Francisca Elisangela Teixeira Lima","doi":"10.1590/1983-1447.2026.20250304.en","DOIUrl":"https://doi.org/10.1590/1983-1447.2026.20250304.en","url":null,"abstract":"<p><strong>Objective: </strong>To map the care-educational technologies for labor and delivery.</p><p><strong>Method: </strong>A scoping review, developed using the recommendations of the Joanna Briggs Institute. The research question was formulated using the PCC strategy and its report described according to PRISMA-ScR. Searches were conducted in April 2025 in the Medline/Pubmed, Cochrane, Scopus, EMBASE, CINAHL, Web of Science databases and gray literature, without idiomatic and/or temporal restrictions.</p><p><strong>Results: </strong>Twenty-two studies were included, identifying ten types of technologies, mainly aimed at preparing pregnant women and their companions for labor, reducing anxiety and strengthening autonomy, as well as supporting healthcare professionals in monitoring labor and making clinical decisions.</p><p><strong>Conclusion: </strong>Care-educational technologies are configured as strategies to support obstetric care, prepare pregnant women for labor, and improve professional practice during childbirth. Its use can contribute to safer, more participatory practices aligned with the humanization of childbirth.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"47 ","pages":"e20250304"},"PeriodicalIF":0.0,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Loeste de Arruda-Barbosa, Alícia Araújo Alves Dos Santos, Sarah Soares Rodrigues, Gabriel Mendonça Lima, Brena da Costa Fonseca, Elaine Cristina Mendes Dos Santos, José Maria Marques de Melo Filho
{"title":"Perspective of health professionals on the cross-cultural challenges in prenatal care for pregnant Venezuelan immigrant women.","authors":"Loeste de Arruda-Barbosa, Alícia Araújo Alves Dos Santos, Sarah Soares Rodrigues, Gabriel Mendonça Lima, Brena da Costa Fonseca, Elaine Cristina Mendes Dos Santos, José Maria Marques de Melo Filho","doi":"10.1590/1983-1447.2026.20250183.en","DOIUrl":"10.1590/1983-1447.2026.20250183.en","url":null,"abstract":"<p><strong>Objective: </strong>To identify the challenges faced by healthcare professionals in prenatal care for pregnant Venezuelan immigrant women from a cross-cultural perspective.</p><p><strong>Method: </strong>This was an exploratory, qualitative study that employed snowball sampling. Data collection (March-April 2024) was conducted via interviews and subjected to Bardin's content analysis.</p><p><strong>Results: </strong>Interviewees' experiences with pregnant immigrant women ranged from 1 to 10 years; five had specialized in Primary Care. Two categories emerged: 1) Challenges in cross-cultural communication - language as an obstacle, especially for less experienced professionals; 2) Cross-cultural challenges in prenatal care - culture and behaviors: preference for cesarean section, low adherence to prenatal care, and resistance to practices such as family planning, partner monitoring, vaccination, and prevention of sexually transmitted infections. Dietary differences and a lack of knowledge about the Brazilian healthcare system were also mentioned.</p><p><strong>Final considerations: </strong>The conclusion is that the quality of care is compromised by linguistic and cultural barriers, which also contribute to an elevated clinical risk. To overcome these barriers, the adoption of transcultural competencies and cultural mediation of care is required. Therefore, investing in professional training for cultural negotiation will positively impact patient care and the organizational structure of health services.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"47 ","pages":"e20250183"},"PeriodicalIF":0.0,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eduardo Neves da Cruz de Souza, Maria de Lourdes de Almeida, Katiuska Reynaldos Grandón, Pablo Dubo Araya, Juana Elvira Suárez Conejero, Aida Maris Peres
{"title":"Contemporary competencies of public health professionals: a conceptual analysis and scoping review.","authors":"Eduardo Neves da Cruz de Souza, Maria de Lourdes de Almeida, Katiuska Reynaldos Grandón, Pablo Dubo Araya, Juana Elvira Suárez Conejero, Aida Maris Peres","doi":"10.1590/1983-1447.2026.20250161.en","DOIUrl":"https://doi.org/10.1590/1983-1447.2026.20250161.en","url":null,"abstract":"<p><strong>Objective: </strong>To map the contemporary competencies of public health professionals and synthesize how the concept has been described in recent literature.</p><p><strong>Method: </strong>A conceptual analysis study based on Rodgers' evolutionary method, integrated with a scoping review according to the Joanna Briggs Institute. The review constituted the empirical corpus of the conceptual analysis, enabling the identification of uses, attributes, and transformations of the concept. Empirical and theoretical studies published between 2020 and 2025 were included, identified across eight databases selected for their scope, relevance, and multidisciplinary nature.</p><p><strong>Results: </strong>Five sets of competencies emerged: analytical and decision-making; communicational and sociocultural; interpersonal and managerial; technological and digital; and those related to prevention, comprehensive care, and emergency response. Structural stability of the construct \"public health competence\" was observed, sustained by the integration of knowledge, skills, and attitudes, along with the incorporation of emerging elements such as systems thinking, use of technologies, and collaborative practices.</p><p><strong>Conclusion: </strong>The study contributes to the conceptual refinement of public health competencies by clarifying essential attributes, antecedents, and consequences in the contemporary context. The findings provide support for competency-based education, professional evaluation, and health workforce planning.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"47 ","pages":"e20250161"},"PeriodicalIF":0.0,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Deise Vacario de Quadros, Ana Maria Müller de Magalhães, Denilse Damasceno Trevilato, Franco Carnevale, Ricardo de Souza Kuchenbecker
{"title":"Risks that cause illness, voices that warn: leadership strategies in supporting healthcare workers.","authors":"Deise Vacario de Quadros, Ana Maria Müller de Magalhães, Denilse Damasceno Trevilato, Franco Carnevale, Ricardo de Souza Kuchenbecker","doi":"10.1590/1983-1447.2026.20250143.en","DOIUrl":"10.1590/1983-1447.2026.20250143.en","url":null,"abstract":"<p><strong>Objective: </strong>to identify the obstacles in the work process and the strategies used by leaders in supporting healthcare workers involved in incidents related to psychosocial risks.</p><p><strong>Method: </strong>an exploratory, descriptive, and qualitative study conducted between January 2023 and September 2024, with ten leaders at a university hospital in southern Brazil. Data were collected from records of the occupational health and psychology services, the human resources department, the institution's strategic operational management software, as well as from semi-structured interviews, which were subjected to Thematic Content Analysis.</p><p><strong>Results: </strong>twenty-three psychosocial incidents with repercussions for workers were identified. Two categories emerged from the interviews: Worker support; focusing on the challenges and strategies for its effective implementation, and Participatory management, aimed at building environments that promote worker's involvement and shared responsibility.</p><p><strong>Final considerations: </strong>the main factors that interfere with the effective support to healthcare workers following incidents involving psychosocial risks. The strategies adopted by leadership, although present, require improvement and greater systematization to ensure adequate psychosocial support, favoring the promotion of the team's health and safety.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"47 ","pages":"e20250143"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tatiane da Conceição Ribeiro, Rafaela Dias Rodrigues, Amanda Lopes da Silva Vitorino, Alanna Gomes da Silva, Miriam Maria Gonçalves Chaves, Giselle Lima de Freitas, Alexandra Dias Moreira
{"title":"Socioeconomic inequalities in health-related risk and protective behaviors among pregnant women diagnosed with gestational diabetes mellitus.","authors":"Tatiane da Conceição Ribeiro, Rafaela Dias Rodrigues, Amanda Lopes da Silva Vitorino, Alanna Gomes da Silva, Miriam Maria Gonçalves Chaves, Giselle Lima de Freitas, Alexandra Dias Moreira","doi":"10.1590/1983-1447.2026.20250179.en","DOIUrl":"10.1590/1983-1447.2026.20250179.en","url":null,"abstract":"<p><strong>Objective: </strong>To estimate the association between sociodemographic and economic factors, prenatal care, and health-related risk and protective behaviors among pregnant women with gestational diabetes mellitus.</p><p><strong>Method: </strong>This was a cross-sectional study with data collected between November 2023 and March 2024 from 391 pregnant women in a maternity hospital in Belo Horizonte, Minas Gerais, Brazil. Data collection was carried out through interviews using a semi-structured questionnaire. Poisson regression was used for data analysis.</p><p><strong>Results: </strong>Fruit consumption was significantly higher among pregnant women aged over 35 years (PR: 1.29; 95% CI: 1.03-1.63) and those with higher education (PR: 1.66; 95% CI: 1.11-2.50). Vegetable consumption was significantly higher among those with higher education (PR: 1.47; 95% CI: 1.00-2.15) and without government assistance (PR: 1.39; 95% CI: 1.08-1.77). Physical activity was more prevalent among women with an income greater than three minimum wages (PR: 2.38; 95% CI: 1.36-4.16). Furthermore, women with higher income had a lower prevalence of alcohol consumption (PR: 0.25; 95% CI: 0.07-0.85).</p><p><strong>Conclusion: </strong>Unfavorable socioeconomic conditions are associated with risk behaviors among pregnant women with gestational diabetes, particularly alcohol consumption. Conversely, more favorable socioeconomic conditions are associated with health-protective factors, especially fruit and vegetable consumption and physical activity.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"47 ","pages":"e20250179"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adriana Maria da Silva, Luciana Dantas Farias de Andrade, Haline Costa Dos Santos Guedes, Sandino Bezerra Toscano de Mendonça, Natália Souza Beserra, Anne Jaquelyne Roque Barrêto
{"title":"Aspects hindering the quality of tuberculosis care records in primary health care.","authors":"Adriana Maria da Silva, Luciana Dantas Farias de Andrade, Haline Costa Dos Santos Guedes, Sandino Bezerra Toscano de Mendonça, Natália Souza Beserra, Anne Jaquelyne Roque Barrêto","doi":"10.1590/1983-1447.2026.20250198.en","DOIUrl":"10.1590/1983-1447.2026.20250198.en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze managers' discourses regarding aspects that hinder the quality of records related to tuberculosis care in Primary Health Care.</p><p><strong>Method: </strong>A qualitative study conducted in a municipality in the state of Paraíba, Brazil. Data were collected through 55 individual interviews between June and September 2023. The collected material was systematized using ATLAS-ti® 23 software. The theoretical-methodological framework of Pecheutian Discourse Analysis was used for the corpus analysis.</p><p><strong>Results: </strong>The main aspects hindering the quality of records are related to factors inherent to professionals and services: improper completion of forms, insufficient information in medical records, the large number of reports, and difficulties with the electronic record system. Another set of hindering aspects is associated with users, such as: failure to attend health services, treatment abandonment, and lack of recognition of the disease.</p><p><strong>Conclusion: </strong>It was found that managers recognize the difficulties regarding the quality of records, but do not demonstrate proactivity in addressing them. There is a need for managers to participate in continuing education processes, with the aim of developing and applying specific strategies to improve records related to the care of people with tuberculosis, especially in terms of notification, treatment follow-up, and data completeness.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"47 ","pages":"e20250198"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alice de Andrade Santos, Tânia Maria de Oliva Menezes, Mariane Teixeira Dantas Farias, Amélia Maria Pithon Borges Nunes, Roberta Pereira Goés, Adriana Valéria da Silva Freitas, Leandro Alves Da Luz, Cláudia Geovana da Silva Pires
{"title":"Development of an indicator matrix for the quality of care for older adults in emergencies.","authors":"Alice de Andrade Santos, Tânia Maria de Oliva Menezes, Mariane Teixeira Dantas Farias, Amélia Maria Pithon Borges Nunes, Roberta Pereira Goés, Adriana Valéria da Silva Freitas, Leandro Alves Da Luz, Cláudia Geovana da Silva Pires","doi":"10.1590/1983-1447.2026.20250203.en","DOIUrl":"10.1590/1983-1447.2026.20250203.en","url":null,"abstract":"<p><strong>Objective: </strong>To develop an indicator matrix to assess the quality of care provided to older adults in Emergency Care Units.</p><p><strong>Method: </strong>Applied methodological study, conducted in three stages, between September 2023 and March 2024: Bibliographic survey and selection of structuring foundations; Development of the analysis and judgment matrix; Content validation by a panel of experts (16), using the Delphi technique, calculating the Agreement Rate and the Content Validity Index.</p><p><strong>Results: </strong>At the end of the two rounds, the matrix showed an overall agreement of 0.94. As for the Content Validity Index, the mean values were 0.95 in the first round and 0.93 in the second round. After adjustments recommended by the expert judges and the reallocation of 2 indicators between the process and outcome dimensions, the matrix comprised 16 items, distributed as follows: structure (n=7), process (n=3), and outcome (n=6).</p><p><strong>Conclusion: </strong>The matrix was conceptually validated to measure the quality of care for older adults in Emergency Care Units and to capture specific aspects across the three dimensions addressed. It proved to be a technology capable of supporting managers and professionals in decision-making, enabling continuous, sustainable improvement in the quality of care for the older population.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"47 ","pages":"e20250203"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}