Jéssica Teles Schlemmer, Luane Moreira de Aguiar, Mirela de Sousa Nunes Duarte, Fernanda Peixoto Córdova, Aline Alves Veleda
{"title":"Perceptions of midwives regarding their role in childbirth at hospitals from Porto Alegre.","authors":"Jéssica Teles Schlemmer, Luane Moreira de Aguiar, Mirela de Sousa Nunes Duarte, Fernanda Peixoto Córdova, Aline Alves Veleda","doi":"10.1590/1983-1447.2025.20240096.en","DOIUrl":"10.1590/1983-1447.2025.20240096.en","url":null,"abstract":"<p><strong>Objectives: </strong>To understand the perceptions of obstetric nurses (midwives) about the work dynamics in the parturition process at hospitals from Porto Alegre/Rio Grande do Sul.</p><p><strong>Method: </strong>Exploratory-descriptive study with a qualitative approach with 12 midwives Who worked at eight obstetric centers in the city, recruited using the snowball technique. Data collection was carried out by the application of a semi-structured instrument and electronically, from September to November of 2023. The data analysis technique was thematic.</p><p><strong>Results: </strong>Midwives realize that their performance contributes to the rescue of physiological birth. The work of midwives in households was replaced by a non-collaborative and often interventionist model. Administrative demands, the staffing framework, and the relationships between professionals appear as factors that hinder the insertion of nurses in childbirth care.</p><p><strong>Final considerations: </strong>The legislation does not guarantee autonomy to provide birth assistance. Implications for practice are the need for managers committed to implementing the collaborative birth care model and review in staffing for full autonomy of midwives in this scenario.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"46 ","pages":"e20240096"},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765319","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}
Margani Cadore Weis-Maia, Moisés Kogien, Victor Hugo Martins Santos, Vanessa Ferraz Leite, Marina Nolli Bittencourt
{"title":"Auricular acupuncture for compassion fatigue in nursing professionals: a randomized clinical trial protocol.","authors":"Margani Cadore Weis-Maia, Moisés Kogien, Victor Hugo Martins Santos, Vanessa Ferraz Leite, Marina Nolli Bittencourt","doi":"10.1590/1983-1447.2025.20240063.en","DOIUrl":"10.1590/1983-1447.2025.20240063.en","url":null,"abstract":"<p><strong>Objective: </strong>To present a study protocol to evaluate the efficacy of auricular acupuncture on compassion fatigue scores in nursing professionals, compared to the placebo group and control group.</p><p><strong>Method: </strong>Randomized, controlled, double-blind, three-arm parallel clinical trial protocol, conducted with nursing professionals from a teaching hospital who present compassion fatigue. Volunteers will be randomly assigned to three groups to receive eight sessions of auricular acupuncture or follow-up. The primary outcome will be the compassion fatigue score, and the secondary outcome will be compassion satisfaction, measured by the Brazilian version of the Professional Quality of Life scale, and the depression, anxiety, and stress scores, measured by the Depression, Anxiety, and Stress scale, Brazilian version.</p><p><strong>Expected results: </strong>The results may strengthen the validity of auricular acupuncture to mitigate compassion fatigue, enabling its incorporation as a mental health care strategy for the nursing team in the workplace.</p><p><strong>Final considerations: </strong>This protocol aims to test the efficacy of auricular acupuncture for compassion fatigue in hospital nursing professionals. In addition, it may contribute to the management of these professionals' quality of life and support future research on the application of this therapy by nurses. Record identifier RBR-28xttdt.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"46 ","pages":"e20240063"},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765314","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}
Daniela Barella, Karina de Oliveira Azzolin, Michelle Dornelles Santarém, Ruy de Almeida Barcellos, Luísa Brehm Santana
{"title":"Risk of bleeding and predictors of hemorrhagic transformation in patients with stroke after thrombolysis.","authors":"Daniela Barella, Karina de Oliveira Azzolin, Michelle Dornelles Santarém, Ruy de Almeida Barcellos, Luísa Brehm Santana","doi":"10.1590/1983-1447.2025.20240086.en","DOIUrl":"10.1590/1983-1447.2025.20240086.en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the prediction of hemorrhagic transformation in patients with ischemic stroke undergoing thrombolytic therapy and its association with the nursing diagnosis \"Risk of bleeding\".</p><p><strong>Method: </strong>Retrospective cohort study in patients with post-thrombolysis ischemic stroke from a hospital in Rio Grande do Sul from January 2019 to December 2021. The patient data were extrected from electronic medical records. After processing, univariable and multivariable analysis was conducted using Poisson regression with robust variance.</p><p><strong>Results: </strong>249 patients were analyzed, 43 (17.4%) had hemorrhagic transformation, hospitalization time was 8 (5-12.5) days and 25 (10%) died. The predictors of hemorrhagic transformation were: increased age, pre-thrombolysis National Institute of Health Stroke Scale score and use of oxygen therapy via nasal goggles and Hudson mask. The nursing diagnosis \"Risk of bleeding\" was not associated with hemorrhagic transformation.</p><p><strong>Conclusion: </strong>The predictors found can improve the nursing diagnosis \"Risk of bleeding\", but there was no correlation observed between this and the occurrence of hemorrhagic transformation.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"46 ","pages":"e20240086"},"PeriodicalIF":0.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711527","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}
Raquel Borges-Silva, Luciane Sá de Andrade, Marta Angélica Iossi Silva, Josué Souza Gleriano, Marlene Fagundes Carvalho Gonçalves
{"title":"Reframing the concept of health promotion by nursing teachers.","authors":"Raquel Borges-Silva, Luciane Sá de Andrade, Marta Angélica Iossi Silva, Josué Souza Gleriano, Marlene Fagundes Carvalho Gonçalves","doi":"10.1590/1983-1447.2025.20240091.en","DOIUrl":"10.1590/1983-1447.2025.20240091.en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the reframing of the concept of Health Promotion by nursing professors.</p><p><strong>Method: </strong>Action research, combined with Lev Vygotsky's historical-cultural approach, developed with professors from the undergraduate Nursing course at a state university, in 2023. Data was produced during an extension course, recording and transcribing the discussions that took place in five meetings on the topic. Thematic analysis led to four themes: The concept of Health Promotion: reframing meanings; Contradictions between HP teaching and nursing practices in the service; Teaching Health Promotion in graduation; Perception of participants regarding their own transformation.</p><p><strong>Results: </strong>At first, health promotion was understood as synonymous with prevention and specific health actions. During discussions, the redefinition of the concept of health promotion was demonstrated by presenting elements of the concept, such as principles and guidelines, as well as discussions about the presence of behavioral and critical pedagogy models in health promotion.</p><p><strong>Conclusion: </strong>Reframing implies the need for reviewing, reorganizing, and transforming of teaching based on the appropriation of the concept of health promotion, with the use of innovative teaching methodologies and strategies, allowing progress in the undergraduate Nursing course.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"46 ","pages":"e20240091"},"PeriodicalIF":0.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711524","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}
Lilian Miranda Belineli, Eliza Maria Rezende Dázio, Eliane Garcia Rezende, Namie Okino Sawada, Murilo César do Nascimento, Bianca de Moura Peloso-Carvalho, Tábatta Renata Pereira de Brito, Silvana Maria Coelho Leite Fava
{"title":"Woman with cancer: cross-sectional analysis of health-related quality of life and social support.","authors":"Lilian Miranda Belineli, Eliza Maria Rezende Dázio, Eliane Garcia Rezende, Namie Okino Sawada, Murilo César do Nascimento, Bianca de Moura Peloso-Carvalho, Tábatta Renata Pereira de Brito, Silvana Maria Coelho Leite Fava","doi":"10.1590/1983-1447.2025.20240023.en","DOIUrl":"10.1590/1983-1447.2025.20240023.en","url":null,"abstract":"<p><strong>Objective: </strong>To verify the correlation between perceived social support and health-related quality of life among women diagnosed with cancer.</p><p><strong>Method: </strong>Analytical cross-sectional study conducted in 2019 with a sample of 119 women diagnosed with cancer treated at a reference hospital for oncological treatment in the southern region of Minas Gerais. Data collection was carried out through interviews and medical record analysis. The Medical Outcomes Study social support scale and the European Organization for Research and Treatment of Cancer quality of life questionnaire were used. Statistical analysis was performed using Spearman's correlation test.</p><p><strong>Results: </strong>There was a positive correlation between all types of social support and the emotional and social functions of quality of life. Emotional/information, affective, and positive social interaction supports were positively correlated with global health status and negatively correlated with appetite loss.</p><p><strong>Conclusion: </strong>Higher social support scores were correlated with a better quality of life among the women with cancer assessed. By identifying the specific types of social support that can improve certain dimensions of quality of life, nursing professionals will be able to plan and implement interventions more effectively.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"46 ","pages":"e20240023"},"PeriodicalIF":0.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617454","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}
Anniely Rodrigues Soares, Daniele de Souza Vieira, Anna Tereza Alves Guedes, Paloma Karen Holanda Brito, Mayara Evangelista de Andrade, Analine de Souza Bandeira Correia, Altamira Pereira da Silva Reichert
{"title":"Child Health Handbook in Primary Care: perspectives of family health professionals and mothers.","authors":"Anniely Rodrigues Soares, Daniele de Souza Vieira, Anna Tereza Alves Guedes, Paloma Karen Holanda Brito, Mayara Evangelista de Andrade, Analine de Souza Bandeira Correia, Altamira Pereira da Silva Reichert","doi":"10.1590/1983-1447.2025.20240022.en","DOIUrl":"10.1590/1983-1447.2025.20240022.en","url":null,"abstract":"<p><strong>Objective: </strong>To understand the use of the Child Health Handbook in Primary Care from the perspective of family health professionals and mothers.</p><p><strong>Method: </strong>Qualitative research, grounded in Symbolic Interactionism, with 25 family health professionals and 11 mothers, in a city in Northeast Brazil. The data were collected in the months of September and October 2020, through semi-structured interviews and submitted to inductive thematic analysis.</p><p><strong>Results: </strong>The following thematic units were developed: \"Use of the Child Health Handbook in Primary Care: the role of nursing\", which revealed nurses as the professionals who most frequently observe and fill out the records in the handbook and guide mothers; and \"Obstacles to the use of the Child Health Handbook in Primary Care\", which highlighted the weaknesses in academic training and the unavailability of the handbook as obstacles to its use.</p><p><strong>Conclusion: </strong>Nurses play a central role in monitoring child development using the Child Health Handbook in Primary Care. The work of nurses, as important members of the multiprofessional team, has the potential to give new meaning to this instrument for other professionals, and for mothers, positively impacting child development.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"46 ","pages":"e20240022"},"PeriodicalIF":0.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617399","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}
Samantha da Silva Cruz, Suzele Cristina Coelho Fabrício, Rosalina Aparecida Partezani Rodrigues, Vanderlei José Haas, Kusumota Luciana
{"title":"Behavioral therapy in elderly women with urinary incontinence: content validation of a protocol.","authors":"Samantha da Silva Cruz, Suzele Cristina Coelho Fabrício, Rosalina Aparecida Partezani Rodrigues, Vanderlei José Haas, Kusumota Luciana","doi":"10.1590/1983-1447.2025.20240084.en","DOIUrl":"10.1590/1983-1447.2025.20240084.en","url":null,"abstract":"<p><strong>Objective: </strong>To develop and validate the content of a behavioral therapy protocol aiming at improving urinary incontinence in elderly women.</p><p><strong>Method: </strong>This is a methodological study to develop and validate the content of a protocol to be applied with elderly women with urinary incontinence. It was conducted in two phases: 1) development of the protocol based on a literature review, NANDA-I and NIC; 2) content validation through evaluation of the protocol by experts in a focus group.</p><p><strong>Results: </strong>Five experts participated in the validation of the protocol. The analysis occurred over six days in November 2023. The items evaluated were: 1) Education about urinary incontinence; 2) Assessment of behavior using the voiding diary; 3) Identification of urinary loss using the pad test; 4) Proprioception; 5) Assessment of pelvic floor muscle strength; 6) Perineal exercises. Data analysis followed three stages: pre-analysis, material exploration, and data treatment and interpretation, using thematic content analysis by frequency. Out of the six items, four received total agreement.</p><p><strong>Final considerations: </strong>The protocol is applicable by nurses. The content and presentation of the protocol are considered valid for the implementation in the treatment of urinary incontinence in elderly women.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"46 ","pages":"e20240084"},"PeriodicalIF":0.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617397","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}
Hallana Laisa de Lima Dantas, Ana Beatriz de Almeida Lima, Ryanne Carolynne Marques Gomes Mendes, Francisca Márcia Pereira Linhares, Gabriela Cunha Schechtman Sette, Eliane Maria Ribeiro de Vasconcelos
{"title":"Competences and skills of nurses in school health: a scoping review.","authors":"Hallana Laisa de Lima Dantas, Ana Beatriz de Almeida Lima, Ryanne Carolynne Marques Gomes Mendes, Francisca Márcia Pereira Linhares, Gabriela Cunha Schechtman Sette, Eliane Maria Ribeiro de Vasconcelos","doi":"10.1590/1983-1447.2025.20240034.en","DOIUrl":"10.1590/1983-1447.2025.20240034.en","url":null,"abstract":"<p><strong>Objective: </strong>to map scientific evidence on the professional competences and skills of nurses who work in school health.</p><p><strong>Method: </strong>Scoping review based on the manual from the protocol for writing Evidence Syntheses from the Joanna Briggs Institute and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses - extension for Scoping Reviews. The search was conducted in the following databases: Cumulative Index to Nursing and Allied Health Literature; Latin American and Caribbean Literature in Health Sciences; Medical Literature Analysis and Retrieval System Online; SCOPUS; Web of Science; Science Direct; Educational Resources Information Center; Embase; Google Scholar.</p><p><strong>Results: </strong>Twenty studies were selected, none of them Brazilian. The scientific evidence was organized into four thematic axes: promotion, prevention, assistance, and health education. There was a shortcoming as the role of nurses in schools was not well understood, with routines and regulations that vary according to the sociocultural aspects of each territory. The most mentioned skills were communication, management and leadership.</p><p><strong>Conclusion: </strong>The nursing competences and skills mapped proved to be internationally diverse, however, studies are recommended that investigate the practices of nurses working in the context of Brazilian student health public policies and a better delimitation of the concept of school nursing.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"46 ","pages":"e20240034"},"PeriodicalIF":0.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617400","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}
Bárbara Peres Gama, Ana Lúcia Schaefer Ferreira de Mello, Diovane Ghignatti da Costa, Elena Bohomol
{"title":"Assessment of patient safety from their perspective during the COVID-19 pandemic.","authors":"Bárbara Peres Gama, Ana Lúcia Schaefer Ferreira de Mello, Diovane Ghignatti da Costa, Elena Bohomol","doi":"10.1590/1983-1447.2025.20240068.en","DOIUrl":"10.1590/1983-1447.2025.20240068.en","url":null,"abstract":"<p><strong>Objective: </strong>to assess patient safety, from their own perspective, during hospitalization for COVID-19 in a university hospital.</p><p><strong>Method: </strong>cross-sectional study conducted in a university hospital in São Paulo, Brazil, involving patients hospitalized due to COVID-19. The sample included 129 participants hospitalized between March 2020 and June 2021 who responded to the Patient Measure of Safety instrument. Descriptive statistics and correlation tests were used to analyze sociodemographic factors, comorbidities, and symptomatology related to the total score and each domain of the instrument.</p><p><strong>Results: </strong>the majority of participants were male (50.8%), aged 56 years or younger (51.9%), and white (43.8%). The overall mean score of Patient Measure of Safety was 3.8±0,4, with variations between 3.0±0,4, in the \"equipment\" domain, to 4.1±0,5, in the \"communication and teamwork\" domain. There were no statistically significant differences among sociodemographic variables and comorbidities regarding safety perception. Statistical significance results were observed among those with specific symptoms such as cough (p=0.018), nausea and vomiting (p=0.020) and diarrhea (p=0.013) reflecting less favorable perception of safety.</p><p><strong>Conclusion: </strong>participants assessed the safety of care with the highest score in the \"communication and teamwork\" domain.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"46 ","pages":"e20240068"},"PeriodicalIF":0.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617396","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}