Quézia Boeira da Cunha, Etiane de Oliveira Freitas, Daiane Dal Pai, José Luís Guedes Dos Santos, Rosângela Marion da Silva, Silviamar Camponogara
{"title":"Adherence to standard precautions in university hospitals during the COVID-19 pandemic: a mixed study.","authors":"Quézia Boeira da Cunha, Etiane de Oliveira Freitas, Daiane Dal Pai, José Luís Guedes Dos Santos, Rosângela Marion da Silva, Silviamar Camponogara","doi":"10.1590/1980-220X-REEUSP-2023-0289en","DOIUrl":"10.1590/1980-220X-REEUSP-2023-0289en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze adherence to standard precautions by healthcare professionals and associated factors during the COVID-19 pandemic in Brazilian university hospitals.</p><p><strong>Method: </strong>Multicenter study, with a mixed approach, with a concomitant incorporated strategy and a sample of 559 health professionals and 53 managers from five university hospitals in Southern Brazil. Data collected online from September 2020 to October 2021 with the Instrument of Variables Related to Standard Precautions and sociodemographic and pandemic-related variables. Descriptive and inferential statistical analysis (Mann-Whitney and Kruskal-Wallis test) and content analysis were performed.</p><p><strong>Results: </strong>High level of adherence to standard precautions, with a significant association with having children (p = 0.014); COVID area (p < 0.001), biosafety training (p = 0.018), and social distancing (p < 0.001). The testimonies demonstrated a high risk perception and search for the use of protective equipment and biosafety knowledge.</p><p><strong>Conclusion: </strong>High adherence to standard precautions, associated with having children, working in COVID-19 care units, receiving biosafety guidance/training at the institution and practicing social distancing.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"58 ","pages":"e20230289"},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11259396/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141728418","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}
Qiang Li, Xiaoshuan Liu, Min Zhang, Jungang Liu, Juan Lu
{"title":"Gentiopicroside injection promotes the healing of pressure injury wounds by upregulating the expression of bFGFR1.","authors":"Qiang Li, Xiaoshuan Liu, Min Zhang, Jungang Liu, Juan Lu","doi":"10.1590/1980-220X-REEUSP-2023-0183en","DOIUrl":"10.1590/1980-220X-REEUSP-2023-0183en","url":null,"abstract":"<p><strong>Objective: </strong>To observe the therapeutic effect of gentiopicroside, as the main component of Gentianaceae, on wounds in pressure injury (PI) model rats and explore its mechanism.</p><p><strong>Method: </strong>Male Sprague Dawley rats were randomly divided into control group, model group and gentiopicroside groups (50, 100 and 200 mg·kg-1·d-1 for 9 consecutive days). The mice's skeletal muscle fibroblast line NOR-10 cells were collected after being treated with gentiopicroside (0.2~5.0 M) and basic fibroblast growth factor receptor 1 (bFGFR1) inhibitor (5.0 M SU5402) for 7 days.</p><p><strong>Results: </strong>Compared to the model group, the gentiopicroside groups showed significantly increased wound healing rates, reduced inflammatory cells in the wound tissues, and significantly increased expression levels of proliferating cell nuclear antigen (PCNA) and bFGFR1, accompanied by increased proliferation of new myofibroblasts. Gentiopicroside upregulated the mRNA expression of bFGFR1 and PCNA in NOR-10 cells in a dose-dependent manner; however, SU5402 reversed the effect of gentiopicroside.</p><p><strong>Conclusion: </strong>Gentiopicroside may promote myofibroblast proliferation by upregulating the expression of bFGFR1 and PCNA and ultimately accelerating the healing of PI wounds.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"58 ","pages":"e20230183"},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11236275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581965","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":"Culture circle in primary care: dialogues with managers on health promotion.","authors":"Ivonete Teresinha Schulter Buss Heidemann, Michelle Kuntz Durand, Izaltina Adão, Priscila Juceli Romanoski, Adriana Rufino Moreira, Aline Megumi Arakawa Belaunde, Vladimir Araujo da Silva, Kamila Soares Maciel","doi":"10.1590/1980-220X-REEUSP-2023-0420en","DOIUrl":"10.1590/1980-220X-REEUSP-2023-0420en","url":null,"abstract":"<p><strong>Objective: </strong>To identify health promotion strategies used by managers in primary health care.</p><p><strong>Method: </strong>Qualitative research, of a participant action nature, which adopted the Culture Circle proposed by Paulo Freire as its methodological reference. Eleven primary health care managers from a medium-sized municipality in southern Brazil took part.</p><p><strong>Results: </strong>Nine generative themes emerged, categorized into four themes that highlight the interconnection between health promotion, social determinants and primary health care. These themes highlight preventive approaches, healthy habits and underline the need for a multidisciplinary approach to health care, recognizing the complexity of the dimensions involved, the influence of social determinants, environmental and health issues. These aspects call for intersectoral policies and actions, demonstrating the viability of health promotion in line with the principles of the Unified Health System.</p><p><strong>Final considerations: </strong>The autonomy of professionals working in primary health care services is highlighted, especially that of nurses, who play a central role in connecting and organizing health promotion actions.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"58 ","pages":"e20230420"},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11236274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581964","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}
Edenise Maria Santos da Silva Batalha, Elisabete Maria das Neves Borges, Marta Maria Melleiro
{"title":"Association between patient safety culture and professional quality of life among nursing professionals.","authors":"Edenise Maria Santos da Silva Batalha, Elisabete Maria das Neves Borges, Marta Maria Melleiro","doi":"10.1590/1980-220X-REEUSP-2023-0359en","DOIUrl":"10.1590/1980-220X-REEUSP-2023-0359en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the association between patient safety culture and professional quality of life in nursing professionals.</p><p><strong>Method: </strong>Correlational study carried out in a hospital in Salvador, Bahia, Brazil, with 180 participants. The data were collected through the Hospital Survey on Patient Safety Culture and Professional Quality of Life Scale and analyzed with correlation tests.</p><p><strong>Results: </strong>The use of the Quality of Professional Life model, which encompasses Compassion Satisfaction, Burnout and Traumatic Stress, showed that a better assessment of the safety culture was negatively associated with Burnout. Regarding the dimensions of culture, better evaluations of the general perception of safety, teamwork and staffing were negatively associated with Burnout and Traumatic Stress. Higher Burnout was negatively associated with better handoffs and greater Traumatic Stress was positively associated with error communication.</p><p><strong>Conclusion: </strong>Higher levels of Burnout were associated with worse perception of safety culture and worse teamwork evaluations; staffing and general perception of safety were associated to a higher level of Burnout and Traumatic Stress, which emphasizes the importance of investment in these areas.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"58 ","pages":"e20230359"},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11268136/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581963","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}
André Pereira Dos Santos, Jéssica Fernanda Correa Cordeiro, Pedro Pugliesi Abdalla, Lucimere Bohn, Emerson Sebastião, Leonardo Santos Lopes da Silva, Márcio Fernando Tasinafo Júnior, Ana Cláudia Rossini Venturini, Alynne Christian Ribeiro Andaki, Edmar Lacerda Mendes, Pablo Jorge Marcos-Pardo, Jorge Mota, Dalmo Roberto Lopes Machado
{"title":"Sleep quality and falls in middle-aged and older adults: ELSI-Brazil study.","authors":"André Pereira Dos Santos, Jéssica Fernanda Correa Cordeiro, Pedro Pugliesi Abdalla, Lucimere Bohn, Emerson Sebastião, Leonardo Santos Lopes da Silva, Márcio Fernando Tasinafo Júnior, Ana Cláudia Rossini Venturini, Alynne Christian Ribeiro Andaki, Edmar Lacerda Mendes, Pablo Jorge Marcos-Pardo, Jorge Mota, Dalmo Roberto Lopes Machado","doi":"10.1590/1980-220X-REEUSP-2024-0027en","DOIUrl":"10.1590/1980-220X-REEUSP-2024-0027en","url":null,"abstract":"<p><strong>Objective: </strong>To verify the association between low self-reported sleep quality (LSQ) and fall in middle-aged and older adults every half-decade of life.</p><p><strong>Method: </strong>A cross-sectional study was conducted using data from the first wave (2015-2016) of the Brazilian Longitudinal Study of Aging (ELSI-Brazil), which is nationally representative. The sample consisted of 8,950 participants who were allocated into eight age groups: 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80-84, and ≥ 85 years. The questionnaires used included self-reported sleep quality and the International Physical Activity Questionnaire short version. Fisher's exact test followed by binary logistic regression analysis was performed to identify the odds ratio of sleep quality for fall occurrence, controlled for confounding variables.</p><p><strong>Results: </strong>Individuals aged 50-105 years (63.6 ± 10.2 years), 57.0% females and 43.0% males, participated in this study. Overall, 21.5% of participants experienced at least one fall. The relative frequency of participants classified as having high or LSQ remained constant across each half-decade of life. The LSQ exhibited a statistically significant OR (p < 0.05) for falls across age groups up to 84, even after accounting for confounding variables.</p><p><strong>Conclusion: </strong>LSQ is significantly associated with an increased occurrence of fall in adults aged >50 years, but not for ≥ 85 years regardless of sex and physical activity level.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"58 ","pages":"e20240027"},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11239206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592510","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":"Interprofessional approach to fall prevention in hospital care.","authors":"Anna Carolina da Silva Albertini, Marina Peduzzi","doi":"10.1590/1980-220X-REEUSP-2023-0239en","DOIUrl":"10.1590/1980-220X-REEUSP-2023-0239en","url":null,"abstract":"<p><strong>Objective: </strong>To understand the perception and experience of health professionals regarding fall prevention practices in hospital inpatient units.</p><p><strong>Method: </strong>This is a qualitative exploratory and descriptive case study based on the Canadian framework of interprofessional competences. Data was collected from two focus groups, with different health professionals in each group, and thematic content analysis was used.</p><p><strong>Results: </strong>Five categories were drawn up which showed intense convergence between the participants of the two focus groups, within the context of fall prevention practices: communication between professionals and patients/carers for fall prevention, interprofessional communication for fall prevention, clarification of roles for fall prevention, health education about risk and fall prevention and continuing education for fall prevention.</p><p><strong>Conclusion: </strong>Teamwork and collaborative practice are important for achieving good results in the prevention of falls in hospital care, but for this to happen, health professionals need to acquire the necessary competences for collaborative action.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"58 ","pages":"e20230239"},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11243146/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592509","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}
Camila Medeiros Cruvinel Cunha, Eliane de Fátima Almeida Lima, Dulce Maria Pereira Garcia Galvão, Ana Paula Almeida Brito, Luciana Mara Monti Fonseca, Cândida Caniçali Primo
{"title":"Breastfeeding assistance for preterm and low birth weight infants: best practices implementation project.","authors":"Camila Medeiros Cruvinel Cunha, Eliane de Fátima Almeida Lima, Dulce Maria Pereira Garcia Galvão, Ana Paula Almeida Brito, Luciana Mara Monti Fonseca, Cândida Caniçali Primo","doi":"10.1590/1980-220X-reeusp-2023-0380en","DOIUrl":"10.1590/1980-220X-reeusp-2023-0380en","url":null,"abstract":"<p><strong>Objective: </strong>To describe the process of best practices implementation for breastfeeding assistance for preterm and low birth weight infants.</p><p><strong>Method: </strong>Participatory research that used the evidence implementation methodology of the JBI, held at a university hospital in southeastern Brazil, with the participation of a multidisciplinary team and managers.</p><p><strong>Stages: </strong>Situational diagnosis, baseline audit and feedback, protocol development, training, implementation, and monitoring.</p><p><strong>Results: </strong>Seven audit criteria were defined. In the baseline audit, three criteria were met, with eleven barriers to be resolved being listed. The strategies carried out were protocol development and multidisciplinary and intersectoral training. After the training, compliance was achieved with the seven criteria audited in the first follow-up audit and five in the second, emphasizing the increase in compliance after the implementation of the outlined strategies.</p><p><strong>Conclusion: </strong>The project achieved the objective of improving evidence-based practice, and allowed the implementation of the institution's first breastfeeding protocol. However, it shows the need to maintain training for adherence and enculturation of new practices.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"58 ","pages":"e20230380"},"PeriodicalIF":0.0,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141474177","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}
Dirce Stein Backes, Roseléia Regina Halmenschlager, Talita Portela Cassola, Alacoque Lorenzini Erdmann, Kerstin Hämel, Regina Gema Santini Costenaro
{"title":"Inseparability between public health, planetary health and the nursing process: premise for sustainable development.","authors":"Dirce Stein Backes, Roseléia Regina Halmenschlager, Talita Portela Cassola, Alacoque Lorenzini Erdmann, Kerstin Hämel, Regina Gema Santini Costenaro","doi":"10.1590/1980-220X-REEUSP-2024-0026en","DOIUrl":"10.1590/1980-220X-REEUSP-2024-0026en","url":null,"abstract":"<p><p>The aim is to conduct theoretical reflection on the inseparability among public health, planetary health and the nursing process in light of complexity thinking, with the aim of contributing to healthy and sustainable development. Study with a theoretical-reflexive approach that accessed bibliographical sources from contemporary authors who defend the inseparability between public health and planetary health and, at the same time, provide theoretical-systemic support to the nursing process, under an inductive critical bias. The nursing process is conceived as a complex phenomenon, which comprises interdependent dynamics, dialogical approaches, critical-reflective perception and prospective leadership. Theoretical reflection on the nursing process and sustainable development raises an expanded, contextualized and interdependent look at the role of nursing professionals in different health contexts, in order not to compromise well-being and environmental health.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"58 ","pages":"e20240026"},"PeriodicalIF":0.0,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216715/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141474180","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}
Bruna Moreno Dias, Lúcia Marta Giunta da Silva, Marina de Góes Salvetti, Vanessa Pellegrino Toledo, Silvia Franco da Rocha Tonhom, Marli Teresinha Cassamassimo Duarte, Beatriz Barco Tavares Jontaz Irigoyen, Simone Teresinha Protti-Zanatta, Carmen Silvia Gabriel
{"title":"Implementation of the São Paulo Nursing Courses Consortium for the Progress Test: experience report.","authors":"Bruna Moreno Dias, Lúcia Marta Giunta da Silva, Marina de Góes Salvetti, Vanessa Pellegrino Toledo, Silvia Franco da Rocha Tonhom, Marli Teresinha Cassamassimo Duarte, Beatriz Barco Tavares Jontaz Irigoyen, Simone Teresinha Protti-Zanatta, Carmen Silvia Gabriel","doi":"10.1590/1980-220X-REEUSP-2023-0347en","DOIUrl":"10.1590/1980-220X-REEUSP-2023-0347en","url":null,"abstract":"<p><strong>Objective: </strong>To report the experience of implementing the São Paulo Nursing Courses Consortium for the Progress Test.</p><p><strong>Method: </strong>This is an experience report of the consortium's work in Progress Test preparation and application for Public Schools of Nursing in São Paulo in 2019, 2021 and 2022, with a descriptive analysis of the work process and the results obtained.</p><p><strong>Results: </strong>The consortium's activities are structured into the following stages: planning; theme review; distributing and requesting questions; professor training; question elaboration; question reception; question selection; question validation; student registration; test application; analysis and dissemination of results. A total of 57.3% of enrolled students participated. There was a predominance of questions of medium difficulty and a gradual progression in the level of discrimination of the questions, with, in 2022, 82.5% being considered adequate.</p><p><strong>Final considerations: </strong>The consortium has allowed the test to be applied interinstitutionally, with greater scope, accuracy, and quality of questions. Through this experience, it is expected to encourage progress testing in undergraduate nursing courses in other contexts.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"58 ","pages":"e20230347"},"PeriodicalIF":0.0,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141474179","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":"Caring for children and families during the COVID-19 pandemic: innovations and changes experienced by nurses.","authors":"Talita Cristina Pegorin, Margareth Angelo","doi":"10.1590/1980-220X-reeusp-2023-0355en","DOIUrl":"10.1590/1980-220X-reeusp-2023-0355en","url":null,"abstract":"<p><strong>Objective: </strong>To understand the experience of nurses working in pediatric units in the face of innovations and changes in the process of caring for children and families during the COVID-19 pandemic. Also, the objective is to understand the typical experience of nurses in this care.</p><p><strong>Method: </strong>Qualitative research, which involved the participation of 16 nurses from pediatric units of a public teaching hospital. The data were analyzed according to the theoretical-methodological framework of Alfred Schütz's social phenomenology.</p><p><strong>Results: </strong>The participants' reports generated the categories: the challenge of experiencing changes amid fear, the team's adaptation to innovations and changes caused by the COVID-19 pandemic and the expectation for care and the work process.</p><p><strong>Conclusion: </strong>The understanding of the nurses' experience highlighted changes, team adaptations and expectations for the care of children and families, which, although permeated by learning, were experienced by ethical dilemmas and moral suffering for these professionals.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"58 ","pages":"e20230355"},"PeriodicalIF":0.0,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141474178","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}