{"title":"Identifying patient-centered communication barriers in palliative care.","authors":"Betülay Kiliç, Ece Kafadar, Tuğba Yardimci Gürel","doi":"10.1590/1980-220X-REEUSP-2025-0262en","DOIUrl":"https://doi.org/10.1590/1980-220X-REEUSP-2025-0262en","url":null,"abstract":"<p><strong>Objective: </strong>To identify patient-centered communication barriers among palliative care patients and to explore their relationship with sociodemographic and clinical characteristics.</p><p><strong>Method: </strong>This cross-sectional study was conducted with 124 patients hospitalized in the palliative care clinic of a state hospital. Data were collected using the Sociodemographic Data Form and the Patient-Centered Communication Barriers Scale. Mann-Whitney U test, Kruskal-Wallis test, and multiple linear regression analysis were used for statistical analysis.</p><p><strong>Results: </strong>Analysis showed that the presence of a caregiver was significantly associated with lower levels of insecurity (β = -0.542, p = 0.022, 95% CI [-1.001, -0.081]), explaining 7.6% of the variance in insecurity (Adjusted R2 = 0.076). However, the association between caregiver presence and perceived prejudice was not statistically significant (β = 0.202, p = 0.08).</p><p><strong>Conclusion: </strong>The findings indicate that palliative care patients experience notable communication barriers, particularly related to insecurity. Structured caregiver involvement may help reduce insecurity-related communication barriers and support more effective patient-centered communication in palliative care settings.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20250262"},"PeriodicalIF":0.0,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229608","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}
Amilton Diniz Dos Santos, Ravena Melo Silva, Maria Rita Sousa Silva, Irisdalva França Soares Brito, Maria Edileuza Soares Moura
{"title":"Analysis of the attitudes of people with type 2 diabetes mellitus in Primary Health Care.","authors":"Amilton Diniz Dos Santos, Ravena Melo Silva, Maria Rita Sousa Silva, Irisdalva França Soares Brito, Maria Edileuza Soares Moura","doi":"10.1590/1980-220X-REEUSP-2025-0549en","DOIUrl":"10.1590/1980-220X-REEUSP-2025-0549en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the attitudes of people with type 2 diabetes mellitus toward the disease.</p><p><strong>Method: </strong>This cross-sectional study was conducted in Primary Health Care with 129 participants diagnosed with type 2 diabetes mellitus. The Diabetes Attitude Questionnaire (ATT-19) was administered. Statistical analysis included logistic regression, assessment of multicollinearity, model fit assessment, and statistical significance testing.</p><p><strong>Results: </strong>Participants were predominantly female (n = 84; 65.12%), self-identified as mixed-race (n = 63; 48.84%), retired (n = 73; 56.59%), had completed elementary school (n = 49; 37.98%), and were married or living in a stable union (n = 64; 49.61%). Male sex showed a trend toward an association with a negative attitude (OR = 2.66; 95%CI: 0.97-8.10; p = 0.067), whereas living alone demonstrated a protective effect (OR = 0.10; 95%CI: 0.01-0.73; p = 0.032).</p><p><strong>Conclusion: </strong>A predominance of negative attitudes toward type 2 diabetes mellitus, as measured by the ATT-19, was identified. A more negative attitude was associated with male sex, whereas living alone had a protective effect, indicating the need for strategies focused on attitudes in Primary Health Care.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20250549"},"PeriodicalIF":0.0,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13675011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149208372","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":"Use of Instructional Therapeutic Play during the preoperative nursing consultation of a child with orofacial clefts.","authors":"Mariana Martire Mori, Camila Moraes Garollo Piran, Alana Vitória Escritori Cargnin, Laís Moreira Martins, Maricy Morbin Torres, Marcela Demitto Furtado","doi":"10.1590/1980-220X-REEUSP-2026-0112en","DOIUrl":"https://doi.org/10.1590/1980-220X-REEUSP-2026-0112en","url":null,"abstract":"<p><strong>Objective: </strong>To report the use of Instructional Therapeutic Play during the preoperative nursing consultation of a child with an orofacial cleft.</p><p><strong>Method: </strong>A case study conducted at an association that supports children with orofacial clefts located in northwestern Paraná, Brazil. Data were collected in May 2025 during a nursing consultation using Instructional Therapeutic Play, book reading, and drawing activities to prepare the child for surgery. The consultation was audio-and video-recorded with consent, and the data were analyzed descriptively. The study was approved by the Research Ethics Committee under Opinion 7,041,250/2024.</p><p><strong>Results: </strong>The study included an 8-year-old girl scheduled to undergo cleft palate repair surgery. She presented fear and anxiety related to the surgical procedure, particularly fear of not waking up after anesthesia. The use of Instructional Therapeutic Play enabled the child to understand the procedure, express her concerns, and, at the end of the session, she reported feeling calmer.</p><p><strong>Conclusion: </strong>Instructional Therapeutic Play promoted emotional expression and facilitated the surgical preparation of the child with an orofacial cleft.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20260112"},"PeriodicalIF":0.0,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198624","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}
{"title":"Psychosocial experiences in IVF and spontaneous pregnancies: a comparative study.","authors":"Kübra Nur Budak, Meltem Aydın Beşen","doi":"10.1590/1980-220X-REEUSP-2026-0218en","DOIUrl":"10.1590/1980-220X-REEUSP-2026-0218en","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to compare psychological well-being, perceived stress, and self-compassion in women who conceived via IVF and those with spontaneous pregnancies.</p><p><strong>Method: </strong>This descriptive, comparative cross-sectional study included 50 women who conceived via IVF and 100 who conceived spontaneously. Data were collected through face-to-face interviews between July 2024 and January 2025 using standardized scales. The Mann-Whitney U test, chi-square test, Kruskal-Wallis test, and Spearman correlation analysis were used.</p><p><strong>Results: </strong>Women in the IVF group had significantly higher perceived stress and lower psychological well-being and self-compassion than those with spontaneous pregnancies (p < 0.001). In the spontaneous pregnancy group, psychological well-being was positively associated with self-compassion and negatively associated with perceived stress.</p><p><strong>Conclusion: </strong>Women who conceived via IVF may benefit from comprehensive psychosocial support, particularly interventions aimed at enhancing self-compassion.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20260218"},"PeriodicalIF":0.0,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13671634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198621","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}
Sara Soares Dos Santos, Ítalo Rodolfo Silva, Agostinho A C Araújo, Simone de Godoy, Emerson Willian Santos de Almeida, Lucas Gardim, Kristina Mikkonen, Isabel Amélia Costa Mendes
{"title":"Stress and coping strategies among nursing students in clinical practice: a qualitative study.","authors":"Sara Soares Dos Santos, Ítalo Rodolfo Silva, Agostinho A C Araújo, Simone de Godoy, Emerson Willian Santos de Almeida, Lucas Gardim, Kristina Mikkonen, Isabel Amélia Costa Mendes","doi":"10.1590/1980-220X-REEUSP-2026-0056en","DOIUrl":"https://doi.org/10.1590/1980-220X-REEUSP-2026-0056en","url":null,"abstract":"<p><strong>Objective: </strong>To explore nursing students' experiences with stress in clinical practice and the coping strategies they employ in that context.</p><p><strong>Method: </strong>A qualitative study based on Grounded Theory (GT) from the Corbinian perspective, conducted with 15 undergraduate nursing students at a public university in the Southeast region of Brazil.</p><p><strong>Results: </strong>For nursing students, the start of clinical practice was marked by stress, insecurity, and difficulties adapting, influenced by the organization of activities, the relationships established in clinical settings, and the available support. Coping strategies included: 1) individual actions, such as emotional regulation and seeking support; and 2) collective actions, such as peer support and institutional spaces for dialogue.</p><p><strong>Conclusion: </strong>Stress in clinical practice emerges as a challenging formative experience influenced by individual, relational, and institutional factors. Recognizing these dimensions broadens the possibilities for pedagogical and institutional intervention, contributing to the quality of education in the context of clinical practice and to students' adaptation throughout their nursing education.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20260056"},"PeriodicalIF":0.0,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225608","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}
{"title":"A situation ignored in the healthcare: a systematic review of sexual harassment against healthcare professionals.","authors":"Sinem Saricoban, Handan Alan, Hatice Ulusoy","doi":"10.1590/1980-220X-REEUSP-2025-0419en","DOIUrl":"https://doi.org/10.1590/1980-220X-REEUSP-2025-0419en","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to systematically examine the findings of previous studies conducted in Türkiye on sexual harassment against healthcare professionals and to explore their experiences of sexual harassment.</p><p><strong>Method: </strong>The study, which was conducted with the systematic review method, was conducted within the framework of the PRISMA protocol, various keywords were searched in national and international databases and 16 studies were included in the review.</p><p><strong>Results: </strong>The exposure rate of sexual harassment varies between 0.0% and 75.0%. Female healthcare professionals, nurses, those aged 28-34 and those working in inpatient clinics are more likely to be subjected to sexual harassment. Healthcare professionals most frequently reported doctors as harassers. It has been found that healthcare professionals subjected to sexual harassment often did nothing and ignored the behavior.</p><p><strong>Conclusion: </strong>Further and in-depth research is needed to understand the experiences and coping methods of health workers who experience sexual harassment in Türkiye, and the impact of culture on them. Gender norms, stigmatization and workplace hierarchies often prevent reporting. Strategies should be developed by health policy makers to address these barriers.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20250419"},"PeriodicalIF":0.0,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13660675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186864","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}
Clodoaldo da Silva Almeida, Ana Lúcia Siqueira Costa Calache, David Lopes Neto, Ednário Barbosa de Mendonça
{"title":"Prevalence and severity of work-related musculoskeletal disorders among military firefighters in Manaus: a cross-sectional study.","authors":"Clodoaldo da Silva Almeida, Ana Lúcia Siqueira Costa Calache, David Lopes Neto, Ednário Barbosa de Mendonça","doi":"10.1590/1980-220X-REEUSP-2025-0205en","DOIUrl":"10.1590/1980-220X-REEUSP-2025-0205en","url":null,"abstract":"<p><strong>Objective: </strong>To assess the prevalence and severity of work-related musculoskeletal disorders (WRMDs) among military firefighters in Manaus.</p><p><strong>Method: </strong>A cross-sectional study involving 272 active firefighters (79.3% of the workforce of the Capital Fire Department/CBMAM). A sociodemographic/occupational questionnaire and the Nordic Musculoskeletal Symptoms Questionnaire (NMQ, Brazilian version) were used. Data were collected via REDCap (March 2024). Analyses were conducted in RStudio using nonparametric tests (Mann-Whitney, Kruskal-Wallis, Spearman; α = 5%) and effect sizes (95% CI).</p><p><strong>Results: </strong>The sample was predominantly male (76.8%), with a mean age of 42.5 years; most participants were police officers (79.8%) and engaged in operational duties (84.2%). High occupational exposure was observed (shift work: 74.6%; overtime: 93.0%) as well as regular physical activity (87.9%). The lumbar region showed the highest prevalences of pain, work absenteeism, and seeking medical care. The severity of WRMDs varied across units (p = 0.010; η2 = 0.045), with higher values in COBOM and the 1st BI. Correlations between the severity index and pain over 12 months, pain over 7 days, work disability, and healthcare utilization reflected the instrument's internal consistency.</p><p><strong>Conclusion: </strong>Military firefighters presented a high prevalence and severity of work-related musculoskeletal disorders (WRMDs), with variations across units. The findings support initiatives in health surveillance, ergonomics, and work organization, especially within the field of occupational nursing.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20250205"},"PeriodicalIF":0.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13648200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149121199","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}
Luciano Silveira Pacheco de Medeiros, Giovana Calcagno Gomes, Max Dos Santos Afonso, Thiago Ferreira Abreu, Jacqueline Flores de Oliveira, Francisco Rosemiro Guimarães Ximenes Neto, Luciano Garcia Lourenção, Clarice Alves Bonow
{"title":"Inventing inclusive care norms in the adoption of children with disabilities: coordinating routines, networks and filiation.","authors":"Luciano Silveira Pacheco de Medeiros, Giovana Calcagno Gomes, Max Dos Santos Afonso, Thiago Ferreira Abreu, Jacqueline Flores de Oliveira, Francisco Rosemiro Guimarães Ximenes Neto, Luciano Garcia Lourenção, Clarice Alves Bonow","doi":"10.1590/1980-220X-REEUSP-2025-0554en","DOIUrl":"10.1590/1980-220X-REEUSP-2025-0554en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze how and why adoptive families of children with disabilities invent and establish norms of inclusive care in their daily lives.</p><p><strong>Method: </strong>Qualitative study, based on Grounded Theory, carried out in a municipality in southern Brazil, with 11 adoptive families. Individual, face-to-face, semi-structured interviews were conducted and analyzed using constant comparison and open, axial, and selective coding.</p><p><strong>Results: </strong>The analysis revealed a substantive theory that explains the invention of inclusive care norms as a relational, dynamic, and situated process. The model links causes, context, and intervening conditions to action/interaction strategies guided by an ethics of care, expressed in three movements: coordinating routines, activating networks and advocacy, and recognizing social-affective parentage. These movements produce participation, predictability, comfort, and continuity, sustaining care in contexts marked by institutional fragmentation.</p><p><strong>Conclusion: </strong>The invention of inclusive care standards expresses the production of situated responses to the child's needs and institutional limitations. The findings reinforce the importance of care coordination, family involvement, and the role of Nursing in mediating between families and services.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20250554"},"PeriodicalIF":0.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13640957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149121131","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":"The impact of a minor child's cancer diagnosis on parental work: a scoping review.","authors":"Shuyuan Shi, Yuqi Jiang, Hongyan Zhao, Wen Lu, Yuwen Zhou, Yujie Guo","doi":"10.1590/1980-220X-REEUSP-2026-0175en","DOIUrl":"https://doi.org/10.1590/1980-220X-REEUSP-2026-0175en","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to systematically analyze the impact of having a minor child with cancer on parents' work, including the influencing factors and dynamic adjustment strategies.</p><p><strong>Method: </strong>The study used Arksey and O' Malley framework and PRISMA-ScR list to guide the review process and minimize potential bias. The Ecological Model of Health was adopted as the theoretical framework to analyze the influencing factors extracted from the included studies. We searched PubMed, Excerpt Medica Database (Embase), Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and the Cochrane Library databases for articles published from the date of database inception to December 31, 2025. Two researchers performed article screening and data extraction.</p><p><strong>Results: </strong>A total of 8,236 articles were retrieved, of which 21 met the inclusion criteria. Guided by the Ecological Model of Health, this study demonstrates that parental work is influenced by the interplay of multiple factors. Parental work adjustments are dynamic and may include sick leave, changes in work hours, resignation, or job changes.</p><p><strong>Conclusion: </strong>When a child is diagnosed with cancer, parents' work is often significantly affected. Personalized workplace interventions and stronger policy support are therefore needed to help them balance work and caregiving responsibilities.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20260175"},"PeriodicalIF":0.0,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13638201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149121185","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}
Maria Raquel Gomes Maia Pires, Gabriela Duarte Almeida Mundim
{"title":"It is not love, but social reproduction labor: nursing care in light of Nancy Fraser.","authors":"Maria Raquel Gomes Maia Pires, Gabriela Duarte Almeida Mundim","doi":"10.1590/1980-220X-REEUSP-2026-0127en","DOIUrl":"10.1590/1980-220X-REEUSP-2026-0127en","url":null,"abstract":"<p><p>This is a theoretical study that adopts Nancy Fraser's conception of care as social reproduction labor as a critique of the scientific self-discourse that defines care as \"love\" in nursing. We argue that care as social reproduction labor-purposeful labor aimed at meeting the social needs of the labor force in capitalist societies-reveals the weaknesses of the notion of \"love\" in nursing by exposing the material, intersectional, capitalist, and sociohistorical conditions that sustain it, thereby supporting counter-hegemonic practices. First, we reflect on the contradiction between care and capitalism. Subsequently, we undertake an immanent critique of the nursing self-discourse of love through the negative trihedron of care. Finally, we recalculate alternatives for a critical pathway regarding care work in the profession. We propose incorporating a gender perspective and dialogue with feminist epistemology into undergraduate and graduate curricula, with repercussions for scientific production and the political practice of nursing. The science we produce should problematize the social and gender contradictions within nursing, whose labor has been rigidly domesticated.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20260127"},"PeriodicalIF":0.0,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13622891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149077149","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}