Revista Latino-Americana De Enfermagem最新文献

{"title":"Virtual simulation in nursing education in Latin America and the Caribbean: A bibliometric study.","authors":"Agostinho A C Araújo, Lucas Gardim, Sara Soares Dos Santos, Ítalo Rodolfo Silva, Manoel Carlos Neri da Silva, Simone de Godoy, Isabel Amélia Costa Mendes","doi":"10.1590/1518-8345.7261.4422","DOIUrl":"10.1590/1518-8345.7261.4422","url":null,"abstract":"<p><strong>Background: </strong>1) Virtual simulation connects theory and practice in nursing education.(2) Only Brazil, Chile, Colombia, and Cuba conducted research on the subject. (3) Brazilian journals lead scientific production on virtual simulation. (4) Scientific production on the subject has increased.</p><p><strong>Objective: </strong>to examine the characteristics of scientific production in Latin America and the Caribbean regarding virtual simulation in nursing education.</p><p><strong>Method: </strong>a bibliometric study conducted in five stages: research design, compiling the bibliometric data, analysis, visualization, and interpretation; and based on the recommendations of the Preferred Reporting Items for Bibliometric Analysis (PRIBA). The search was conducted in the Latin American and Caribbean Health Sciences Literature (LILACS). VOSviewer version 1.6.20 was used for bibliometric analysis. Bradford's and Zipf's Laws were applied to interpret the data, considering the temporal dynamics of publications, an analytical approach to the structure of the selected studies and their repercussions in virtual simulation in nursing education in Latin America and the Caribbean.</p><p><strong>Results: </strong>579 studies were identified, of which 46 were included in the final sample. The studies included were published between 1994 and 2022, and only Brazil, Chile, Colombia, and Cuba conducted research related to virtual simulation. The semantic map resulted in five clusters, highlighting \"simulation training\" as the most important term.</p><p><strong>Conclusion: </strong>our findings suggest a projected increase in Scholarly publications on virtual simulation in nursing education in Latin America and the Caribbean in the coming years.</p>","PeriodicalId":48692,"journal":{"name":"Revista Latino-Americana De Enfermagem","volume":"33 ","pages":"e4422"},"PeriodicalIF":1.5,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11912820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Telehealth in primary health care: a study of activities and time spent by professionals.","authors":"Debora Bernardo, Daiana Bonfim, Leticia Yamawaka de Almeida, Andrea Liliana Vesga-Varela, Natalia Martins Bonassi, Lorrayne Belotti","doi":"10.1590/1518-8345.7255.4500","DOIUrl":"10.1590/1518-8345.7255.4500","url":null,"abstract":"<p><strong>Background: </strong>(1) Telehealth practices in PHC take place via voice connection. (2) The nursing team carries out the highest volume of telehealth activities in PHC. (3) Consultations accounted for the largest share of time and frequency of telehealth activities in PHC.</p><p><p>to describe the telehealth activities carried out by professionals in Primary Health Care (PHC).</p><p><p>descriptive observational study, using time-motion methodology. The sample consisted of 31 Family Health teams, 14 Oral Health teams and two multidisciplinary teams working in PHC. An adapted workload instrument was used to collect the data. A descriptive analysis of the data was carried out considering the total time, average time and percentage of activities according to professional category and telehealth modality.</p><p><p>632 telehealth activities were observed, representing 2.67% of all activities. The most used modality was voice calls (60.28%). The average nursing consultation time was 4.86 minutes and 6.17 minutes for medical consultations. The greatest number of telehealth activities and time spent in PHC was carried out by the nursing team.</p><p><p>PHC professionals carry out a variety of telehealth activities, predominantly by voice connection, with the nursing team being the most expressive. In addition, the study shows the time dedicated and the distribution of activities, supporting discussions on the planning and sizing of the digital health workforce.</p>","PeriodicalId":48692,"journal":{"name":"Revista Latino-Americana De Enfermagem","volume":"33 ","pages":"e4500"},"PeriodicalIF":1.5,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11912818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Public social protection policies for people affected by tuberculosis: a documentary analysis.","authors":"Melisane Regina Lima Ferreira, Jaqueline Garcia de Almeida Ballestero, Rubia Laine de Paula Andrade, Tiemi Arakawa, Inês Fronteira, Aline Aparecida Monroe","doi":"10.1590/1518-8345.7526.4503","DOIUrl":"10.1590/1518-8345.7526.4503","url":null,"abstract":"<p><strong>Background: </strong>(1) The right to health care includes public policies in the scope of SUS to address TB. (2) The right to social care emphasized access to services, programs, and benefits. (3) The right to social security covered retirements and benefits for people with TB. (4) Interministerial responsibility, intersectoral responsibility, and responsibility shared between SUS and SUAS. (5) Challenges in accessing rights to social care and health care persist for people with TB.</p><p><p>to analyze the normative documents that seek to guarantee the right to social protection for people affected by tuberculosis in force in Brazil in 2023.</p><p><p>qualitative documentary research carried out in September 2023, based on the survey of documents at the national, state and municipal levels, from government agencies and social control bodies after the promulgation of the Federal Constitution, on four electronic platforms, exported and organized in the Atlas.ti software, and interpreted based on content analysis, thematic mode.</p><p><p>the analytical corpus consisted of 30 normative documents - nine laws, seven technical-institutional materials, five ordinances, four resolutions, two decrees, a technical cooperation agreement, a normative instruction, and an operational instruction - from which four thematic categories emerged: the right to health care, the right to social care, the right to social security, and the sharing of responsibilities.</p><p><p>policies to protect people with tuberculosis in Brazil are recent and there is still much room for improvement toward a comprehensive approach through intersectoral and interministerial coordination, aiming to address social vulnerability and reaffirming the State's duty to guarantee social protection by means of public policies that promote life, citizenship, human rights, and social justice.</p>","PeriodicalId":48692,"journal":{"name":"Revista Latino-Americana De Enfermagem","volume":"33 ","pages":"e4503"},"PeriodicalIF":1.5,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11912822/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health literacy and quality of life of riverine populations in primary health care.","authors":"Ana Kedma Correa Pinheiro, Rejane de Fátima Parada Viegas, Ingrid Bentes Lima, Ivaneide Leal Ataide Rodrigues, Sheila Nascimento Pereira de Farias, Laura Maria Vidal Nogueira","doi":"10.1590/1518-8345.7402.4440","DOIUrl":"10.1590/1518-8345.7402.4440","url":null,"abstract":"<p><strong>Background: </strong>(1) Health literacy of riverine populations is inadequate. (2) Health literacy was not associated with quality of life. (3) Health literacy was associated with sociodemographic aspects of riverine populations. (4) Quality of life was related to the sociodemographic profile of riverine populations.</p><p><p>to analyze functional health literacy and health-related quality of life in riverine populations using primary care services, according to sociodemographic variables.</p><p><p>an analytical, cross-sectional study with 312 users of the riverine family health strategy. Data were collected using a health literacy test, the 12-item Health Survey, and a socioeconomic questionnaire adapted by the researchers. Spearman correlation, Mann-Whitney and Kruskal-Wallis tests, as well as multiple logistic regression were performed, considering p≤0.05.</p><p><p>65.7% presented inadequate functional health literacy, with higher risk for men (p<0.001), aged 40-49 (p=0.010) and 50-59 years (p=0.031), incomplete (p<0.001) and complete (p=0.024) elementary education, and residing far from health services (p<0.001). Quality of life showed no association with health literacy. However, lower quality of life was related to female gender (p=0.049), incomplete elementary education (p=0.016), use of mobile phones with internet and radio (p=0.013), advanced age (p<0.001), increased number of children (p=0.002), and lower age at the start of work activities (p<0.001).</p><p><p>functional health literacy of riverine populations is inadequate and not associated with quality of life. However, both are influenced by the sociodemographic profile.</p>","PeriodicalId":48692,"journal":{"name":"Revista Latino-Americana De Enfermagem","volume":"33 ","pages":"e4440"},"PeriodicalIF":1.5,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11912821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"User perception of quality of care in patient navigation for type 1 diabetes mellitus.","authors":"Luciana Foppa, Betina Nemetz, Rosimeri de Matos, Beatriz D'Agord Schaan","doi":"10.1590/1518-8345.7350.4491","DOIUrl":"10.1590/1518-8345.7350.4491","url":null,"abstract":"<p><strong>Background: </strong>(1) The quality of care provided by the patient navigation program was positive. (2) Patient navigation opens new avenues for research in chronic diseases. (3) Remote patient navigation enabled individualized and high-quality care. (4) Self-care practices in type 1 diabetes can be encouraged through patient navigation.</p><p><p>to understand the perception of individuals with type 1 diabetes mellitus regarding the quality of care provided by a patient navigation program.</p><p><p>descriptive study with a qualitative approach, conducted at a university hospital in southern Brazil. A total of 35 individuals with type 1 diabetes mellitus participated. Data were collected through semi-structured interviews conducted via teleconsultation. The data were submitted to thematic content analysis.</p><p><p>of the 35 (100%) participants, 18 (51.4%) were men, with an average age of 45 (±13) years. Two thematic categories and three main topics related to care quality emerged from data analysis: diabetes management (quality of health care provided; knowledge gained during consultations; improvement in self-care practices as a result of received care) and remote and in-person health services (availability of health services during the pandemic; desire for continued access to services provided by nurses; importance of received care).</p><p><p>after analyzing participants' perceptions, it was understood that the quality of care offered by the patient navigation program is generally positive. Users requested the continuation of this care model, seeing it as an opportunity beyond the challenges and limitations imposed by treatment.</p>","PeriodicalId":48692,"journal":{"name":"Revista Latino-Americana De Enfermagem","volume":"33 ","pages":"e4491"},"PeriodicalIF":1.5,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11912819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Primary Health Care in context with the plurality in the care of people with tuberculosis.","authors":"Edna Ferreira Santos, Fátima Teresinha Scarparo Cunha, Pedro Fredemir Palha, Afranio Lineu Kritski","doi":"10.1590/1518-8345.6978.4473","DOIUrl":"10.1590/1518-8345.6978.4473","url":null,"abstract":"<p><strong>Objective: </strong>to analyze the plurality of care provided to individuals with tuberculosis in Primary Health Care services in Rio de Janeiro, RJ, Brazil.</p><p><strong>Method: </strong>this qualitative study was conducted from 2017 to 2021. Discourse Analysis was adopted as the theoretical-methodological framework. Semi-structured interviews were conducted with service managers, healthcare professionals, and patients. The interviews were categorized using ATLAS.ti 8. The theoretical contributions of public space, plurality, and natality, as discussed by Hannah Arendt, were used to anchor the Discursive Formations on the health field.</p><p><strong>Results: </strong>the discourses revealed the complexity and challenges of organizing and implementing care practices among individuals with tuberculosis, highlighting the relevance of considering the historical, social, and individual contexts of managers, patients, and healthcare professionals. Difficulties were found in the operationalization of Health Care Networks and in searching for the patients' uniqueness.</p><p><strong>Conclusion: </strong>an ongoing dispute was found in the interactions between Primary Health Care and the National Tuberculosis Control Program, between policies that value plurality, organize Health Care Networks, and consider democratic rights in public spaces.</p><p><strong>Background: </strong>(1)Healthcare provided to individuals with tuberculosis should be considered from a plural perspective. (1)Changes in universal treatment favor patient-centered care. (2)The care provided for chronic diseases is complex and requires organization in thematic networks. (3)Universal systems organized in networks favor innovative care practices. (4)The participation and empowerment of individuals with illnesses improve health care delivery.</p>","PeriodicalId":48692,"journal":{"name":"Revista Latino-Americana De Enfermagem","volume":"33 ","pages":"e4473"},"PeriodicalIF":1.5,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11835005/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of the reduced version of the Brazilian Scale of Moral Distress in Nurses.","authors":"Jordana Lopes Carvalho, Luis Felipe Dias Lopes, Flavia Regina Souza Ramos, Graziele de Lima Dalmolin","doi":"10.1590/1518-8345.7123.4455","DOIUrl":"10.1590/1518-8345.7123.4455","url":null,"abstract":"<p><strong>Objective: </strong>to validate a model of the reduced version of the Brazilian Scale of Moral Distress in Nurses.</p><p><strong>Method: </strong>methodological study, with a sample of 269 nurses from a public university hospital in southern Brazil. A sociodemographic questionnaire and the Brazilian Moral Distress Scale for Nurses were used. Descriptive statistics, structural equation modeling, and invariance analysis between age groups were used.</p><p><strong>Results: </strong>regarding profile, professionals aged between 31 and 40, women, married, and specialists prevailed. The structural model fitted the data with acceptable fit indices. The proposed model showed excellent internal consistency, convergent validity, and discriminant validity. The analysis of the structural model revealed that the five hypotheses were confirmed, and the invariance between the age groups indicates that the way the variables are conceptualized, measured, and interrelated in the model does not affect the results, regardless of the groups compared.</p><p><strong>Conclusion: </strong>the scale achieved satisfactory psychometric indicators, proving to be suitable for use, maintaining the relevant validation elements per dimension, and offering practical advantages. Further research is suggested to deepen our understanding of the consequences of moral distress and to develop effective strategies for managing it.</p><p><strong>Background: </strong>(1)The reduced version of the EDME-BR consisted of 24 questions and six factors. (2)Analysis of invariance and structural equation modeling were used for validation. (3)Internal consistency and composite reliability values were adequate. (4)The tests indicated sufficient predictive relevance of the proposed model. (5)The reduced scale offers a clear, accessible approach with a shorter response time.</p>","PeriodicalId":48692,"journal":{"name":"Revista Latino-Americana De Enfermagem","volume":"33 ","pages":"e4455"},"PeriodicalIF":1.5,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11835009/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The use of Generative Artificial Intelligence in Scholarly Communication.","authors":"Lilian Nassi-Calò","doi":"10.1590/1518-8345.0000.4560","DOIUrl":"10.1590/1518-8345.0000.4560","url":null,"abstract":"","PeriodicalId":48692,"journal":{"name":"Revista Latino-Americana De Enfermagem","volume":"33 ","pages":"e4560"},"PeriodicalIF":1.5,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11835001/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical simulation on intimate partner violence in adolescent girls: contributions to health teaching.","authors":"Daniella Yamada Baragatti, Leticia da Silva Scotto, Claudia Adão Alves, Ana Paula de Miranda Araújo Soares, Fernanda Berchelli Girão, Diene Monique Carlos","doi":"10.1590/1518-8345.7441.4470","DOIUrl":"10.1590/1518-8345.7441.4470","url":null,"abstract":"<p><strong>Objective: </strong>to learn about the contributions of using clinical simulation with undergraduate health students to care for adolescent girls in situations of intimate partner violence in the context of Primary Health Care.</p><p><strong>Method: </strong>a qualitative study with 30 medical and 28 nursing undergraduates from a public university in Brazil. Data collection was mediated by holistic debriefing, with subsequent reflective and inductive thematic analysis.</p><p><strong>Results: </strong>two themes emerged: the complexity of violence and the skills developed using simulation. The students brought up the complexity of care due to family aspects, the particularities of the population, the ambivalence of feelings in a violent relationship, and the limit between preserving autonomy and the obligation to report. Various skills were developed and practiced, such as conflict mediation skills, respect, bonding, welcoming, and recognizing the support network.</p><p><strong>Conclusion: </strong>the use of simulation proved to be a powerful tool for the teaching-learning process in undergraduate courses, as it allowed reflection on the specificities of adolescent care. The qualitative look at the process also allowed us to delve into how this strategy can be coherent with complex themes that involve the acquisition and experimentation of cognitive, procedural, and attitudinal skills.</p><p><strong>Background: </strong>(1) Simulation proved to be a powerful tool for teaching health courses. (2) The qualitative approach allowed for in-depth contributions to a complex subject. (3) The students developed and practiced skills for handling a sensitive subject. (4) Attributes of Primary Health Care were mobilized in the process. (5) The holistic debriefing allowed for an original and pertinent construction of the theme.</p>","PeriodicalId":48692,"journal":{"name":"Revista Latino-Americana De Enfermagem","volume":"33 ","pages":"e4470"},"PeriodicalIF":1.5,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11835003/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing consultation and diabetes: an educational and transformative process for primary health care.","authors":"Silvana de Oliveira Silva, Andréa Carvalho Araújo Moreira, Alexa Pupiara Flores Coelho Centenaro, Nara Marilene Oliveira Girardon-Perlini, Teresinha Heck Weiller, Maria Denise Schimith","doi":"10.1590/1518-8345.7546.4464","DOIUrl":"10.1590/1518-8345.7546.4464","url":null,"abstract":"<p><strong>Objective: </strong></p><p><strong>Method: </strong>convergent care research carried out with 12 nurses. Participant observation, semi-structured individual interviews and convergence groups were used to collect data, which were treated by participatory analysis, with an interpretative approach.</p><p><strong>Results: </strong>the promotion of self-care, the bond between professionals and users, and the support for lifestyle changes for people with diabetes were aligned with the proposed Care Model. On the other hand, attitudes, values and knowledge that weaken care were identified as divergent. The theoretical and practical deepening of the care model, diabetes, dealing with work overload, and the implementation of a guide and a protocol for the development of the nursing consultation were points of convergence for improving the quality of the consultation. It was also observed that nurses' autonomy was strengthened, critical thinking was awakened, and the search for improvement and redefinition of the relationship with the user was sought.</p><p><strong>Conclusion: </strong>the nursing consultation was enhanced through the active participation of nurses in an educational, reflective and dialogical process.</p><p><strong>Background: </strong>(1) The Nursing Consultation for people with DM by nurses consisted of elements that are similar to and different from the MACC. (2) Elements that align with the MACC: as establishing a bond with users, accountability, longitudinal care, and the social and family approach. (3) Elements diverged from the assumptions of MACC: a limited understanding of the care model, the professional attitude of blaming the user and the weaknesses in the application of the nursing process. (4) The nursing consultation was enhanced through the active participation of nurses in an educational, reflective and dialogical process.</p>","PeriodicalId":48692,"journal":{"name":"Revista Latino-Americana De Enfermagem","volume":"33 ","pages":"e4464"},"PeriodicalIF":1.5,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11835004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}