Mariane Caetano Sulino-Gonçalves, Regina Aparecida Garcia de Lima, Fabrine Aguilar Jardim, Aline Cristiane Cavicchioli Okido, Larissa Karoline Dias da Silva Cassemiro, Lucila Castanheira Nascimento, Carmen Jerez-Molina, Edmara Bazoni Soares Maia, Elsa Maria de Oliveira Pinheiro de Melo, Luís Carlos Lopes-Júnior
{"title":"Social support for family caregivers of children and youth with special health care needs for home care: a scoping review.","authors":"Mariane Caetano Sulino-Gonçalves, Regina Aparecida Garcia de Lima, Fabrine Aguilar Jardim, Aline Cristiane Cavicchioli Okido, Larissa Karoline Dias da Silva Cassemiro, Lucila Castanheira Nascimento, Carmen Jerez-Molina, Edmara Bazoni Soares Maia, Elsa Maria de Oliveira Pinheiro de Melo, Luís Carlos Lopes-Júnior","doi":"10.1590/1980-220X-REEUSP-2024-0368en","DOIUrl":"https://doi.org/10.1590/1980-220X-REEUSP-2024-0368en","url":null,"abstract":"<p><strong>Objective: </strong>To map and synthesize evidence related to the types and strategies of social support used by family caregivers of children and youth with special health care needs to ensure the continuity of home care.</p><p><strong>Method: </strong>This scoping review was conducted in accordance with the JBI methodology guidelines for Evidence Synthesis and reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). Eight databases were used: Cochrane Library, Embase, MEDLINE/PubMed, CINAHL, SCOPUS, Web of Science, PsycINFO and LILACS, as well as additional sources and reference lists of the included studies.</p><p><strong>Results: </strong>Twenty-two studies were included, presenting social support in two dimensions: informal and formal. The support strategies identified comprised groups of parents whose children share similar care needs, online parent forums, financial assistance, prayers, support from religious institutions, and temporary caregivers. Among the gaps that impact the continuity of home care are the lack of information about rights and benefits, as well as insufficient psychological support for family caregivers.</p><p><strong>Conclusion: </strong>The mapped studies showed how important a competent and structured social support network is in the lives of family caregivers, serving as an essential resource for the continuity of home care.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"59 ","pages":"e20240368"},"PeriodicalIF":0.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144628375","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}
Camila Galiano, André Almeida de Moura, Josué Souza Gleriano, Vivian Aline Mininel, Mayra de Cássia Trovó, Mariana Fraga de Figueiredo, Bethania Ferreira Goulart, Lucieli Dias Pedreschi Chaves
{"title":"Nursing supervision in the mobile pre-hospital emergency care service.","authors":"Camila Galiano, André Almeida de Moura, Josué Souza Gleriano, Vivian Aline Mininel, Mayra de Cássia Trovó, Mariana Fraga de Figueiredo, Bethania Ferreira Goulart, Lucieli Dias Pedreschi Chaves","doi":"10.1590/1980-220X-REEUSP-2024-0238en","DOIUrl":"10.1590/1980-220X-REEUSP-2024-0238en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze limitations and potentialities of nursing supervision, according to the nursing team, of a Mobile Emergency Care Service.</p><p><strong>Method: </strong>Descriptive research, with a qualitative approach, using the Critical Incident Technique. Nurses and nursing technicians participated. Data were collected in a semi-structured, individual, recorded interview, later transcribed, followed by the grouping and categorization of Critical Incidents, using Bardin's content analysis.</p><p><strong>Results: </strong>Seventy-seven critical incidents emerged from the interviews, 22% received positive and 78% negative references, indicating a predominance of factors that limit supervision. These factors were categorized into \"Singularities of nursing supervision\", \"Organizational conditions\", \"People management\", and \"Vacancy regulation\".</p><p><strong>Conclusion: </strong>Enhancing factors: institutional support, education as a supervision tool, team meetings, timely feedback and participatory management; limiting factors: indirect nursing supervision (nurse and technicians in different teams), lack of materials and maintenance and of institutional support, nurse work overload, conflicts, and lack of communication.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"59 ","pages":"e20240238"},"PeriodicalIF":0.0,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12244992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610814","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}
Laura Lopes Correia, Jéssica da Silva Pereira, Renata Cristina Gasparino
{"title":"Influence of the work environment on patient safety and stress among healthcare professionals.","authors":"Laura Lopes Correia, Jéssica da Silva Pereira, Renata Cristina Gasparino","doi":"10.1590/1980-220X-REEUSP-2024-0420en","DOIUrl":"10.1590/1980-220X-REEUSP-2024-0420en","url":null,"abstract":"<p><strong>Introduction: </strong>Healthcare professionals, due to direct contact with patients, may face physical and psychological suffering. Therefore, institutions must ensure healthy environments for professionals and patients.</p><p><strong>Objective: </strong>To classify the work environment and evaluate if healthy work environments provide greater safety climate for the patient and a lower level of professional stress.</p><p><strong>Method: </strong>Quantitative, cross-sectional, and correlational study, carried out with 110 health professionals from a public hospital. The following instruments were applied: Healthy Work Environment Assessment Tool, the \"Safety Climate\" subscale of the Safety Attitudes Questionnaire - Short Form 2006, and the Work Stress Scale.</p><p><strong>Results: </strong>In the environment evaluation, the total score obtained was 3.10 ± 0.70 points. The correlations between the domains of the environment assessment tool and the safety climate were positive and significant, and for work stress, they were negative and significant.</p><p><strong>Conclusion: </strong>This study classified the work environment as \"Good\" and healthy work environments provide a greater sensation of patient safety and a lower level of professional stress.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"59 ","pages":"e20240420"},"PeriodicalIF":0.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12211961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546730","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}
Vanessa Cláudia Souza Borba, Simone Cristina Soares Brandão, Lúcia Helena de Oliveira Cordeiro, Michele Maria Gonçalves de Godoy, Maria Cristina Falcão Raposo, Romero Carvalho Coimbra Albêlo, Marina Gabinio de Araújo Pontes, Esdras Marques Lins, Emmanuelle Tenório Albuquerque Madruga Godoy
{"title":"Clinical management and outcomes in severe COVID-19: acute respiratory distress syndrome across two waves.","authors":"Vanessa Cláudia Souza Borba, Simone Cristina Soares Brandão, Lúcia Helena de Oliveira Cordeiro, Michele Maria Gonçalves de Godoy, Maria Cristina Falcão Raposo, Romero Carvalho Coimbra Albêlo, Marina Gabinio de Araújo Pontes, Esdras Marques Lins, Emmanuelle Tenório Albuquerque Madruga Godoy","doi":"10.1590/1980-220X-REEUSP-2024-0213en","DOIUrl":"10.1590/1980-220X-REEUSP-2024-0213en","url":null,"abstract":"<p><strong>Objective: </strong>Analyze changes in epidemiological and prognostic factors, clinical management and the evolutionary impact of these variables on in-hospital outcomes by comparing the first two waves of Acute Respiratory Distress Syndrome (ARDS) due COVID-19 in a university center in Northeastern Brazil.</p><p><strong>Method: </strong>Patients hospitalized from April 2020 to February 2021 were included in the first wave sample; while the second wave from March to August 2021, according to the rise and fall of cases in Pernambuco. Prospective study where we analyzed the clinical profile, outcomes and treatment in hospitalized patients.</p><p><strong>Results: </strong>Among 176 patients, 95 were from the first and 81 from the second wave. Mortality was 35,8%, being 47,4% vs. 22,2% (p = 0.001), respectively. Median age was 55 years [IQR:46-58], with no difference between waves. The Sequential Organ Failure Assessment (SOFA) was higher in the first wave, median of 4[IQR: 3;7,7] vs. 3[IQR: 2;5,5], and 5[IQR: 3;8] vs. 3[IQR: 2;7], at 24 and 72 hours, respectively (p = 0.001). Patients in the first wave received more invasive mechanical ventilation (IMV), 68,4% vs. 45,7% (p = 0.002) and hemodialysis, 49,5% vs. 17,7% (p = 0.000), but less non-invasive ventilation (NIV), 8,4% vs. 72,5% (p = 0.000), and corticosteroids, 86,6% vs. 96,6% (p = 0.02). No one was vaccinated in the first wave, while only 7 patients had received a full vaccine in the second wave.</p><p><strong>Conclusion: </strong>Patients with ARDS had lower mortality, fewer organ dysfunctions and less need for IMV and hemodialysis, with greater use of NIV and corticosteroids in the second wave.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"59 ","pages":"e20240213"},"PeriodicalIF":0.0,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12184099/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144478381","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}
Gabriela Tayane Santana do Espirito Santo, Jennifer Hillary Costa da Conceição Pompeu, Paulo Daniel Pereira Raad, Julia Oliveira Mendes, Erlon Gabriel Rego de Andrade, Eliene do Socorro da Silva Santos, Laura Maria Vidal Nogueira, Ivaneide Leal Ataíde Rodrigues
{"title":"Knowledge of pregnant women living in riverside community about exclusive breastfeeding in the context of Primary Health Care.","authors":"Gabriela Tayane Santana do Espirito Santo, Jennifer Hillary Costa da Conceição Pompeu, Paulo Daniel Pereira Raad, Julia Oliveira Mendes, Erlon Gabriel Rego de Andrade, Eliene do Socorro da Silva Santos, Laura Maria Vidal Nogueira, Ivaneide Leal Ataíde Rodrigues","doi":"10.1590/1980-220X-REEUSP-2024-0361en","DOIUrl":"10.1590/1980-220X-REEUSP-2024-0361en","url":null,"abstract":"<p><strong>Objectivemethod: </strong>To discuss the knowledge of pregnant women living in riverside communities about exclusive breastfeeding and its influence on the decision to breastfeed.</p><p><strong>Results: </strong>A total of 448 text segments were identified, of which 342 (76.34%) were used, generating six lexical classes, organized into two thematic axes, which presented the construction of knowledge about breastfeeding, mediated by social relations, and the knowledge that impacts the decision to breastfeed, highlighting the importance of breastfeeding for the growth and development of newborns and infants and the interface with complementary feeding.</p><p><strong>Conclusion: </strong>Despite challenging experiences and expectations and the discouragement caused by people around them, pregnant women considered breastfeeding as an opportunity to strengthen bonds with their children.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"59 ","pages":"e20240361"},"PeriodicalIF":0.0,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12184773/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144478384","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}
Weiwei Gu, Xiangfu Ding, Xu Han, Junjie Jiang, Hong Li
{"title":"Comparing nurse-led and rheumatologist-led care for rheumatoid arthritis patients: a systematic review and meta-analysis of randomized controlled trials.","authors":"Weiwei Gu, Xiangfu Ding, Xu Han, Junjie Jiang, Hong Li","doi":"10.1590/1980-220X-REEUSP-2024-0186en","DOIUrl":"10.1590/1980-220X-REEUSP-2024-0186en","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to compare nurse-led and rheumatologist-led management approaches for patients with rheumatoid arthritis, as previous studies yielded inconsistent results.</p><p><strong>Method: </strong>This study explored the PubMed, Embase, and Web of Science databases for research comparing these two therapy methods for individuals with rheumatoid arthritis. Outcomes analyzed were the Health Assessment Questionnaire, fatigue, stiffness, Disease Activity Score for 28 joints using C-reactive protein, Disease Activity Score for 28 joints, erythrocyte sedimentation rate, C-reactive protein, and visual analog scale pain score.</p><p><strong>Results: </strong>Six randomized controlled trials with 1,093 patients were included following the Cochrane Collaboration principles. The baseline parameters were similar between groups, except for the Disease Activity Score for 28 joints, satisfaction levels, and disease duration. Pooled analyses demonstrated that the nurse-led care group tended to improve relevant assessment indicators relative to the rheumatologist-led care group.</p><p><strong>Conclusion: </strong>The meta-analysis results suggest that rheumatoid arthritis patients in nurse-led care tend to have a better functional status and disease activity trend than those in rheumatologist-led care.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"59 ","pages":"e20240186"},"PeriodicalIF":0.0,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12186662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144478382","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}
Júlia Rudzinski Roveri, Maiara Rodrigues Dos Santos, Ana Márcia Chiaradia Mendes-Castillo, Aline Oliveira Silveira, Regina Szylit, Maira Deguer Misko
{"title":"Experience of adolescents/young adults with chronic kidney disease and of their families during transition of care.","authors":"Júlia Rudzinski Roveri, Maiara Rodrigues Dos Santos, Ana Márcia Chiaradia Mendes-Castillo, Aline Oliveira Silveira, Regina Szylit, Maira Deguer Misko","doi":"10.1590/1980-220X-REEUSP-2024-0365en","DOIUrl":"10.1590/1980-220X-REEUSP-2024-0365en","url":null,"abstract":"<p><strong>Objective: </strong>To understand the experience of adolescents/young adults with chronic kidney disease and of their families during transition of care.</p><p><strong>Method: </strong>Qualitative study, based on the assumptions of the Grounded Theory and of the theoretical framework of Symbolic Interactionism. Interviews were held with eight families of adolescents/young adults diagnosed with chronic kidney disease, in the process of transition of care, followed in a public teaching hospital, during the years 2019 and 2020. Data were obtained through participant observation, semi-structured interviews, and consultations of clinical records.</p><p><strong>Results: </strong>Comparative analysis of the data allowed us to reveal the family's experience in the process, represented by the categories \"having to move on to the next phase\", in which participants describe the need to strengthen the independence of the adolescent/young adult through the change of roles within the family and \"exploring the new world\", where the autonomy of the teenager/young adult must be encouraged.</p><p><strong>Conclusion: </strong>The study highlighted the importance of individualized transition plans, collaboration between family and health team, and enhancement of adolescents and young adults' independence and self-care.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"59 ","pages":"e20240365"},"PeriodicalIF":0.0,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12184772/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144478383","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}
Alice Cristina Medeiros Melo, Isabella Vitral Pinto, Camila Alves Bahia, Carmen Sant Fruchtman, Taynãna César Simões, Daniel Cobos, Letícia de Oliveira Cardoso, Paula Dias Bevilacqua
{"title":"Health information systems and tackling violence against women: a necessary dialogue.","authors":"Alice Cristina Medeiros Melo, Isabella Vitral Pinto, Camila Alves Bahia, Carmen Sant Fruchtman, Taynãna César Simões, Daniel Cobos, Letícia de Oliveira Cardoso, Paula Dias Bevilacqua","doi":"10.1590/1980-220X-REEUSP-2024-0353en","DOIUrl":"10.1590/1980-220X-REEUSP-2024-0353en","url":null,"abstract":"<p><strong>Objective: </strong>To identify information obtained from Health Information Systems (HIS) allowing to detect violence against women, critically discussing strategies to promote the integration of these data and the improvement of analyses on violence.</p><p><strong>Method: </strong>Reflective theoretical essay, using a narrative review, based on the analysis of national documents on five HIS and their potential for detecting violence against women. The article discusses strategies developed within health management and academia to promote the integration and availability of data and information on violence against women.</p><p><strong>Results: </strong>The five HIS described (SIM, SINAN, SINASC, SIH and SIA) present possibilities for building diagnoses and tackling violence against women that can be better exploited by health surveillance.</p><p><strong>Final considerations: </strong>The integration of databases to produce information is strategic for tackling violence against women, enabling cases to be monitored and women to be offered more comprehensive and humanized care, helping to prevent extreme events such as femicide.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"59 ","pages":"e20240353"},"PeriodicalIF":0.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12176325/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328274","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}
Cinthya Helena Dos Anjos Carvalho, Daniela Couto Carvalho Barra, Ana Graziela Alvarez, Neide da Silva Knihs, Grace Teresinha Marcon Dal Sasso, Ricardo João Cruz-Correia, Pedro Miguel Garcez Sardo
{"title":"Validation of virtual simulation content for prevention of unplanned extubation in intensive care.","authors":"Cinthya Helena Dos Anjos Carvalho, Daniela Couto Carvalho Barra, Ana Graziela Alvarez, Neide da Silva Knihs, Grace Teresinha Marcon Dal Sasso, Ricardo João Cruz-Correia, Pedro Miguel Garcez Sardo","doi":"10.1590/1980-220X-REEUSP-2024-0443en","DOIUrl":"10.1590/1980-220X-REEUSP-2024-0443en","url":null,"abstract":"<p><strong>Objective: </strong>To develop and validate the content of an interactive virtual simulation based on a branching scenario for the prevention of unplanned extubation in adult Intensive Care Units.</p><p><strong>Method: </strong>Technological production developed through the stages of Contextualized Instructional Design and methodological study of content validation. Content validation (objectives, structure and presentation, relevance, general aspects) was carried out by five judges, with the Content Validity Index, Content Validity Ratio, and Content Validity Coefficient being calculated.</p><p><strong>Results: </strong>The virtual simulation contains five branched scenes, structured and implemented on a free virtual platform. The judges' average score was 4.3 and the agreement >0.8 in all metrics for validation.</p><p><strong>Conclusion: </strong>The virtual simulation was developed and validated in terms of content, and is recommended as an educational strategy for nurses. Digital educational technology can support nurses to promote patient safety by preventing the occurrence of unplanned extubation in the intensive care unit.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"59 ","pages":"e20240443"},"PeriodicalIF":0.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12151300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259779","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}
Adélia Karla Falcão Soares, Francisca Márcia Pereira Linhares, Mirelly da Silva Barros, Fernanda Machado Silva-Rodrigues, Erika Acioli Gomes Pimenta, Queliane Gomes da Silva Carvalho, Maria Wanderleya Lavor Coriolano-Marinus
{"title":"Communication and health literacy in pediatric emergency: nursing team's perspective.","authors":"Adélia Karla Falcão Soares, Francisca Márcia Pereira Linhares, Mirelly da Silva Barros, Fernanda Machado Silva-Rodrigues, Erika Acioli Gomes Pimenta, Queliane Gomes da Silva Carvalho, Maria Wanderleya Lavor Coriolano-Marinus","doi":"10.1590/1980-220X-REEUSP-2024-0294en","DOIUrl":"10.1590/1980-220X-REEUSP-2024-0294en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the nursing team's knowledge and perspectives on an educational process focusing on communication and health literacy in the context of a pediatric emergency.</p><p><strong>Method: </strong>A qualitative study, based on participatory health research and the health literacy theoretical framework. The educational process was conducted in a pediatric emergency room between October and November 2021, with the participation of ten nurses and 28 nursing technicians. Data were collected from operational groups' interactions and productions during the educational process and analyzed through descriptive and analytical coding, with the support of Atlas.ti software version 8.0.</p><p><strong>Results: </strong>Participants recognized barriers in communication with children and their families, expanding their repertoire of communication strategies, reinforcing the use of therapeutic toys, the teach-back technique and puppets.</p><p><strong>Conclusion: </strong>Teaching-learning activities encouraged the nursing team's active and reflective participation, expanding knowledge and health literacy skills.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"59 ","pages":"e20240294"},"PeriodicalIF":0.0,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12172668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251592","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}