{"title":"Psychological impact of caregiving: anxiety and depression levels among caregivers of patients with pressure ulcers.","authors":"Nur Simsek Yurt, Erdinc Yavuz","doi":"10.1590/1980-220X-REEUSP-2024-0380en","DOIUrl":"10.1590/1980-220X-REEUSP-2024-0380en","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess the anxiety and depression levels among caregivers of patients with pressure ulcers and explored associated factors.</p><p><strong>Materials and methods: </strong>This cross-sectional study was conducted between July and August 2024, in Samsun, Turkey. The study population consisted of caregivers of patients with pressure ulcers registered with the Home Care Services of Samsun Training and Research Hospital. Patient data were obtained from medical records, while caregiver characteristics and psychological status were assessed through face-to-face interviews using standardized anxiety and depression scales. Statistical analyses were performed, with p < 0.05 considered significant.</p><p><strong>Results: </strong>The study included 122 patient-caregiver pairs. Patients had a mean age of 76.35 ± 13.50 years, with 66.4% female, while caregivers averaged 53.56 ± 11.82 years, with 82.8% female. Caregivers' anxiety and depression scores were 12.0 ± 10.6 and 12.6 ± 10.1, respectively. Higher anxiety (p = 0.039) and depression (p = 0.002) were observed in caregivers of patients with advanced-stage pressure ulcers. Greater psychological distress was also noted in caregivers providing more than 12 hours of daily care, delivering continuous care, lacking personal income, or having chronic illness (p < 0.05).</p><p><strong>Conclusion: </strong>Caregivers of patients with severe pressure ulcers experience significant anxiety and depression, highlighting the need for targeted psychological support. Interventions should prioritize caregivers facing prolonged caregiving demands, chronic illness, or financial hardship to protect their mental well-being.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"59 ","pages":"e20240380"},"PeriodicalIF":0.0,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12700353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558808","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}
Eliel de Oliveira Bandeira, Daniele Alcalá Pompeo, Natália Sperli Geraldes Marin Dos Santos Sasaki, Camila Garcel Pancote, Luiz Antônio Alves de Menezes-Júnior, Danilo de Miranda Alves, Letícia Palota Eid, Luciano Garcia Lourenção
{"title":"General health, anxiety, and depression: relationship with perceived self-efficacy and positive mental health in nursing students.","authors":"Eliel de Oliveira Bandeira, Daniele Alcalá Pompeo, Natália Sperli Geraldes Marin Dos Santos Sasaki, Camila Garcel Pancote, Luiz Antônio Alves de Menezes-Júnior, Danilo de Miranda Alves, Letícia Palota Eid, Luciano Garcia Lourenção","doi":"10.1590/1980-220X-REEUSP-2025-0260en","DOIUrl":"10.1590/1980-220X-REEUSP-2025-0260en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the general health, anxiety, and depression of nursing students and analyze their relationship with the perception of general self-efficacy and positive mental health while coping with COVID-19.</p><p><strong>Method: </strong>A cross-sectional, descriptive, and correlational study with 138 nursing students from a public institution. Instruments were applied for sociodemographic variables, the Hospital Anxiety and Depression Scale, the General Self-Efficacy Scale, the General Health Questionnaire, and the Positive Mental Health Questionnaire. The analyses included descriptive statistics, correlations, and univariate and multivariate logistic regression.</p><p><strong>Results: </strong>A 5% increase in the Positive Mental Health score was associated with a 20.4% reduction in the probability of anxiety (OR = 0.83; 95% CI: 0.73-0.93) and a 26.6% reduction in the probability of depression (OR = 0.79; 95% CI: 0.70-0.89). Similar increases in the General Health Questionnaire were associated with higher probabilities of anxiety (29%) and depression (18%). A 5% increase in the perception of general self-efficacy reduced the probability of both outcomes (anxiety and depression) by 12.4%.</p><p><strong>Conclusion: </strong>Positive mental health and self-efficacy were protective factors, reinforcing the importance of institutional actions to promote academic well-being.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"59 ","pages":"e20250260"},"PeriodicalIF":0.0,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12625990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145544681","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}
Daniella Rosaly Leite, Patrícia Silva Carneiro, Vivian Aline Mininel, Rosana Aparecida Salvador Rossit, Valéria Marli Leonello, Geisa Colebrusco de Souza Gonçalves, Jaqueline Alcântara Marcelino da Silva
{"title":"Competencies and pedagogical foundations for faculty development in interprofessional health education: a scoping review.","authors":"Daniella Rosaly Leite, Patrícia Silva Carneiro, Vivian Aline Mininel, Rosana Aparecida Salvador Rossit, Valéria Marli Leonello, Geisa Colebrusco de Souza Gonçalves, Jaqueline Alcântara Marcelino da Silva","doi":"10.1590/1980-220X-REEUSP-2024-0421en","DOIUrl":"10.1590/1980-220X-REEUSP-2024-0421en","url":null,"abstract":"<p><strong>Objective: </strong>To map the competencies for faculty development in interprofessional health education.</p><p><strong>Method: </strong>This is a scoping review based on the recommendations of the Joanna Briggs Institute with the guiding question: \"What competencies are used for faculty development in interprofessional education?\" Searches were conducted in the MEDLINE/OVID, ERIC, CINAHL, Scopus, Web of Science, Google Scholar, EBSCO Open Dissertations, BDTD, CAPES Theses and Dissertations, OpenGrey, and MedNar databases, with no time restrictions and in Portuguese, Spanish, and English.</p><p><strong>Results: </strong>Twenty-six publications were included, grouped into two categories: the first refers to interprofessional collaborative and facilitation competencies for interprofessional education, with an emphasis on the domains of communication and teamwork. The second category concerns the pedagogical foundations of IPE, theories, approaches, teaching-learning and assessment strategies in faculty development actions for interprofessional education.</p><p><strong>Conclusion: </strong>The evidence mapped contributes to strengthening faculty development initiatives and advancing the theoretical and methodological foundations of interprofessional health education.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"59 ","pages":"e20240421"},"PeriodicalIF":0.0,"publicationDate":"2025-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12594216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460963","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":"Care strategies for children with tracheostomy at school: a scoping review.","authors":"Fernanda Borges Pessanha, Jéssica Renata Bastos Depianti, Thaís Guilherme Pereira Pinheiro Pimentel, Ivone Evangelista Cabral","doi":"10.1590/1980-220X-REEUSP-2025-0096en","DOIUrl":"10.1590/1980-220X-REEUSP-2025-0096en","url":null,"abstract":"<p><strong>Objective: </strong>To map care strategies for children with tracheostomies in school settings.</p><p><strong>Method: </strong>A scoping review was conducted following the JBI® methodology. A comprehensive search strategy was employed across health, education, and gray literature databases in July 2024. The included studies described guidelines, care policies, and the experiences of family members, healthcare professionals, and education professionals regarding the care of children (6-12 years old) with tracheostomies who regularly attend school.</p><p><strong>Results: </strong>The 30 texts retrieved that met the eligibility criteria identified three models of school healthcare: family-based, health-education intersectoral, and school health outpatient-based.</p><p><strong>Conclusion: </strong>The successful inclusion of children with tracheostomies in educational settings necessitates intersectoral health-education coordination in the development of guidelines. Review protocol registered at https://osf.io/3tcg4.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"59 ","pages":"e20250096"},"PeriodicalIF":0.0,"publicationDate":"2025-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12629661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558793","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":"Effect of a new nursing organization management mode constructed by appreciative inquiry on gynecological tumor patients in the perioperative period.","authors":"Chuntao Fang, Jing Yang","doi":"10.1590/1980-220X-REEUSP-2025-0016en","DOIUrl":"10.1590/1980-220X-REEUSP-2025-0016en","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effect of a new nursing organizational management model based on appreciative inquiry on gynecological tumor patients during the perioperative period.</p><p><strong>Method: </strong>A retrospective analysis was conducted on 204 gynecological tumor patients who underwent surgical treatment between June 2021 and June 2024. Patients were assigned to a control group (n = 102; routine nursing organization management mode) or a study group (n = 102; new nursing organization management mode constructed by appreciative inquiry) according to their nursing mode during the perioperative period.</p><p><strong>Results: </strong>Both groups had increased World Health Organization Quality of Life Scale Brief Version (WHOQOL-BREF) scores and decreased Pelvic Floor Distress Inventory-Short Form 20 (PFDI-20) scores compared to before the intervention. The study group had higher WHOQOL-BREF scores and lower PFDI-20 scores than the control group (p < 0.05). Scores on the Social Impact Scale in each dimension and the total score declined in both groups compared to baseline, with lower scores observed in the study group than in the control group (p < 0.05).</p><p><strong>Conclusion: </strong>The new nursing organizational management model developed using appreciative inquiry can optimize perioperative indicators, improve pelvic floor dysfunction, and enhance psychological resilience.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"59 ","pages":"e20250016"},"PeriodicalIF":0.0,"publicationDate":"2025-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12571229/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145403327","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}
José Lucas Dos Santos, Gabriella Santos Cisneiros, Jussiely Cunha Oliveira, Eduesley Santana Santos, Fernanda Gomes de Magalhães Soares Pinheiro
{"title":"Factors associated with the diagnosis of Brain Death in hospitals in the State of Sergipe.","authors":"José Lucas Dos Santos, Gabriella Santos Cisneiros, Jussiely Cunha Oliveira, Eduesley Santana Santos, Fernanda Gomes de Magalhães Soares Pinheiro","doi":"10.1590/1980-220X-REEUSP-2025-0014en","DOIUrl":"10.1590/1980-220X-REEUSP-2025-0014en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the factors associated with the diagnosis of brain death (BD) in hospitals in the State of Sergipe, Brazil.</p><p><strong>Method: </strong>Qualitative study based on the theoretical-methodological framework of French DiscouCross-sectional study carried out between 2023 and 2024 in four hospitals in Sergipe. Participants were over 18 years of age, of both sexes, with three points on the Glasgow Coma Scale, neurological injury confirmed by brain tomography and absence of at least two brainstem reflexes.</p><p><strong>Results: </strong>The study included 69 participants and a higher prevalence of individuals from inland cities (65%), with median age of 52 years (42.0-68.0), female (59%), and of mixed ethnicity (62%) was observed. The main neurological causes were stroke and traumatic brain injury. Individuals in older age groups and individuals with cancer are less likely to have BD confirmed. The variable place of residence was significantly associated with the diagnosis.</p><p><strong>Conclusion: </strong>Integration of well-defined institutional protocols, telehealth consultations, and professional training are recommended as strategies that can lead to faster, safer, and more equitable diagnosis in contexts of structural vulnerability.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"59 ","pages":"e20250014"},"PeriodicalIF":0.0,"publicationDate":"2025-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12594460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145403395","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}
Lilian Cristiane Gomes, Maria Lúcia do Carmo Cruz Robazzi, Sérgio Valverde Marques Dos Santos, Fábio de Souza Terra, Mônica La Salette da Costa Godinho, Cristiane Aparecida Silveira, Ana Kelley de Rezende, João Vitor Andrade, Namie Okino Sawada
{"title":"Nursing care from the perspective of subcultural identities: a reflective essay.","authors":"Lilian Cristiane Gomes, Maria Lúcia do Carmo Cruz Robazzi, Sérgio Valverde Marques Dos Santos, Fábio de Souza Terra, Mônica La Salette da Costa Godinho, Cristiane Aparecida Silveira, Ana Kelley de Rezende, João Vitor Andrade, Namie Okino Sawada","doi":"10.1590/1980-220X-REEUSP-2025-0140en","DOIUrl":"10.1590/1980-220X-REEUSP-2025-0140en","url":null,"abstract":"<p><p>This theoretical-reflective study investigated Identity Diversity and Nursing Care, based on materials selected from PubMed/MedLine and FurScience, providing a critical reflection on the topic. Two categories were developed: \"New Identities: Their Expressions and Social Implications,\" which addresses the construction of social and subcultural identities in groups with common interests and how these identities influence society, and \"Nursing Care from the Perspective of New Identities,\" which highlights the importance of knowledge about subcultures and social identities in care, especially for adolescents and young people. This understanding favors humanization, strengthens the therapeutic bond, and minimizes barriers in nursing care. The new identities are seen as dynamic sociocultural constructions, whose theoretical reflection highlights the importance of demystifying stigmas and promoting humanized care. In addition, it emphasizes nursing cultural and ethical competencies in redefining care for stigmatized people, encouraging debates in professional health training.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"59 ","pages":"e20250140"},"PeriodicalIF":0.0,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12543436/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145350898","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}
Marília Alves Hoffmann, Aline Carrilho Menezes, Tatiana Aparecida Rodrigues, Larissa Assis Caputo Figueiredo, Aldenora Laísa Paiva de Carvalho Cordeiro, Helen Cristiny Teodoro Couto Ribeiro, Luciana Regina Ferreira da Mata
{"title":"Organizational culture and climate for patient safety in dialysis services: a scoping review.","authors":"Marília Alves Hoffmann, Aline Carrilho Menezes, Tatiana Aparecida Rodrigues, Larissa Assis Caputo Figueiredo, Aldenora Laísa Paiva de Carvalho Cordeiro, Helen Cristiny Teodoro Couto Ribeiro, Luciana Regina Ferreira da Mata","doi":"10.1590/1980-220X-REEUSP-2024-0319en","DOIUrl":"10.1590/1980-220X-REEUSP-2024-0319en","url":null,"abstract":"<p><strong>Objective: </strong>To map the scientific literature on the assessment of the organizational culture and climate for patient safety in renal dialysis services from the perspective of the multidisciplinary team.</p><p><strong>Method: </strong>Scope review according to JBI methodology. The articles were extracted from LILACS via VHL, Medline via PubMed, Cochrane Library, Scopus, Web of Science, Embase and gray literature (Google Scholar, CAPES, and university repositories). All descriptors were controlled terms extracted from DeCS/MeSH or Emtree. The guiding question was: which studies available in the literature assessed the organizational culture and climate for patient safety in renal dialysis services from the perspective of the multidisciplinary team?</p><p><strong>Results: </strong>A total of 13,703 studies were identified, 312 were read in full, and 12 were included. The greatest strengths were in the domains: teamwork, organizational learning and continuous improvement, feedback, and error communication. Weaknesses and opportunities for improvement involved staffing, shift change, leadership support, adverse event reporting, and non-punitive responses to errors. The professional category and type of management influenced the perception of the patient care team.</p><p><strong>Conclusion: </strong>The findings highlighted areas of weakness in the organizational culture and climate for patient safety in nephrology practices, but did not detail the causal factors, which calls for further studies.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"59 ","pages":"e20240319"},"PeriodicalIF":0.0,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12543328/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145350863","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}
Juliana Rizzo Gnatta, Vanessa de Brito Poveda, Elaine Ribeiro, Erika Christiane Marocco Duran, Camila Takao Lopes, Cassiane de Santana Lemos, Marla Andréia Garcia de Avila, Suzimar de Fátima Benato Fusco, Taysa de Fátima Garcia, Rita Catalina Aquino Caregnato
{"title":"Perioperative Nursing Process: reflection on updating the SAEP nomenclature.","authors":"Juliana Rizzo Gnatta, Vanessa de Brito Poveda, Elaine Ribeiro, Erika Christiane Marocco Duran, Camila Takao Lopes, Cassiane de Santana Lemos, Marla Andréia Garcia de Avila, Suzimar de Fátima Benato Fusco, Taysa de Fátima Garcia, Rita Catalina Aquino Caregnato","doi":"10.1590/1980-220X-REEUSP-2025-0165en","DOIUrl":"10.1590/1980-220X-REEUSP-2025-0165en","url":null,"abstract":"<p><strong>Objective: </strong>To reflect on the relevance of the Systematization of Nursing Care in the perioperative practice (SAEP) of nurses, comparing it to Resolution No. 736 of 2024 of the Brazilian Federal Nursing Council (COFEN) and proposing the update of its nomenclature to ensure compliance with the aforementioned Resolution.</p><p><strong>Method: </strong>This is a reflective study in which experts in perioperative care and/or in Nursing Process (NP) met to discuss the framework named SAEP, adopted by the Brazilian perioperative nurses since the 1990s. Historical aspects of the conceptual framework \"Perioperative Nursing Systematics\" are discussed, addressing its relevance in the perioperative nurses' practice and comparing it with Resolution No. 736/2024 of the Federal Nursing Council.</p><p><strong>Results: </strong>The SAEP framework proposed in the 1990s is still current in perioperative nursing practice, as it covers the stages of the NP in its entirety. Considering its importance, current status, and applicability in the perioperative nursing practice, parallels are established with the stages of the NP described in Resolution No. 736, suggesting a new nomenclature: Perioperative Nursing Process (PEP).</p><p><strong>Conclusion: </strong>An update of the nomenclature from SAEP to PEP is recommended, by aligning the SAEP conceptual framework, COFEN Resolution No. 736 of 2024, and the \"Nursing Process\" terminology adopted globally.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"59 ","pages":"e20250165"},"PeriodicalIF":0.0,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12543329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145350886","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}
Élida Fernanda Rêgo de Andrade, Sandy Isabelly Osório de Sousa, Sarah Souza de Carvalho, Débora de Cássia Quaresma Silva, Erlon Gabriel Rego de Andrade, Ana Kedma Correa Pinheiro, Ivaneide Leal Ataíde Rodrigues, Paula Gisely Costa Silva, Laura Maria Vidal Nogueira
{"title":"Environmental health literacy among riverside residents in the Amazon region of Pará.","authors":"Élida Fernanda Rêgo de Andrade, Sandy Isabelly Osório de Sousa, Sarah Souza de Carvalho, Débora de Cássia Quaresma Silva, Erlon Gabriel Rego de Andrade, Ana Kedma Correa Pinheiro, Ivaneide Leal Ataíde Rodrigues, Paula Gisely Costa Silva, Laura Maria Vidal Nogueira","doi":"10.1590/1980-220X-REEUSP-2025-0015en","DOIUrl":"10.1590/1980-220X-REEUSP-2025-0015en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze environmental health literacy and its impact on the daily lives of riverside residents in the Amazon region of Pará.</p><p><strong>Method: </strong>A descriptive, qualitative study conducted with 29 riverside residents at the Cotijuba Island Municipal Health Unit, in Belém, Pará, Brazil. Data were collected between April and July 2024 through semi-structured individual interviews. The corpus was subjected to lexical analysis using the Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires 0.7/alpha 2 software, using Descending Hierarchical Classification.</p><p><strong>Results: </strong>A total of 552 text segments were identified, of which 488 (88.41%) were used, generating seven lexical classes, organized into three thematic axes, which pointed out knowledge for dealing with the environment, the relationship between the environment and health, and the leading role and socio-environmental responsibility of riverside residents.</p><p><strong>Conclusion: </strong>Environmental health literacy among riverside residents involves the meanings they attribute to the environment that surrounds them, the adoption of care practices, and access to information on the topic. This is essential for them to understand how their actions impact individual and collective health.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"59 ","pages":"e20250015"},"PeriodicalIF":0.0,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12543437/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145350923","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}