RLAE | Number V30

Society and its leading role in the history of TB in Brazil: Celebrating 18 years of STOP-TB Brazil

A Sociedade Civil e seu protagonismo na história da TB no Brasil: Celebrando 18 anos do STOP-TB Brasil

Liandro Lindner, Marcia Leão, Ricardo Alexandre Arcêncio

Improving the skills and practice of nurses to provide quality care to adolescents in conditions of vulnerability

Aperfeiçoar as habilidades e a prática de enfermeiros para prestar assistência de qualidade a adolescentes em condições de vulnerabilidade

Silvia Helena De Bortoli Cassiani, Bruna Moreno Dias, Sonja Caffe

Editorial Policy, DOI and (in)visibility of scientific publications

Política Editorial, DOI e (in)visibilidade das publicações científicas

Agostinho Antônio Cruz Araújo, Ítalo Rodolfo Silva, Isabel Amélia Costa Mendes

Does Nursing have ‘The Write Stuff’?

Os enfermeiros têm a “habilidade para a escrita”?

Philip Darbyshire

The humanitarian crisis in Ukraine. Nurses around the world can and should unite to help

A crise humanitária na Ucrânia. Enfermeiros de todo o mundo podem e devem se unir para ajudar

Nancy Reynolds

Telesimulation about home visits and child care: facilitators, barriers and perception of Nursing students

Telessimulação sobre visita domiciliar e cuidado infantil: facilidades, barreiras e percepções de estudantes de enfermagem

Aline Natália Domingues, Jeniffer Stephanie Marques Hilário, Débora Falleiros de Mello, Ana Isabe...

Objective: to evaluate the facilitators, barriers and perceptions of Nursing students in learning about home visiting and child care through Telesimulation during the COVID-19 pandemic. Method: a qualitative study to evaluate Telesimulation via computers, grounded on Kolb’s theoretical model. A semi-structured questionnaire and the Student Satisfaction and Self-Confidence in Learning Scale were applied, with descriptive analysis and qualitative thematic analysis on the perceptions of 41 Nursing students. Results: the contextualized Telesimulation provided learning opportunities in dimensions of the pedagogical strategy, telesimulated scenario, communication and specificities of child care in home visits. It was considered a safe and dynamic activity that helped knowledge consolidation and reflective attitudes, proximity to reality, and develop interaction, observation and types of approaches. There were restrictions due to Internet connection failures. A large percentage of the students indicated good satisfaction and self-confidence level with learning in the scale applied. Conclusion: the real clinical situation with remote immersion allowed observation, decision-making, reflection and elaboration of conclusions, inherent to the experiential learning cycle. The set of elements of this Telesimulation created an environment that stimulated the interest of Nursing students for other learning stages, suggesting a space that strengthens knowledge and maintains dialogue with face-to-face practices.

Evaluation of an educational intervention (edworkcases) involving clinical cases and Nursing students: a cross-sectional observational study

Avaliação de uma intervenção educacional (edworkcases) envolvendo casos clínicos e estudantes de Enfermagem: um estudo observacional transversal

María Isabel Guzmán-Almagro, Cristina Oter-Quintana, Carmen Clara Martín-Salinas, María Luisa Ci...

Objective: to evaluate the impact of the (edworkcases) educational intervention on students’ evaluation outcomes in their clinical practices, their attitudes towards Nursing diagnoses, and their satisfaction. Method: this study used a cross-sectional observational design. The participants were 69 third-year Nursing students from a public university in Madrid, Spain. The data analysed in the study were the grades obtained by students for their clinical practices, as well as pre-post intervention scores on the Positions on Nursing Diagnosis Scale and a satisfaction survey. A means comparison by participation in the project (yes/no) was carried out using Student’s t-test. A means comparison by professor was conducted using Kruskal-Wallis tests. Results: participation rate: 72.4%; 92% of the participants were women; median age = 21 years old. Statistically significant differences were found between participants and non-participants in terms of mean score in the Overall Evaluation and in the Case Study Evaluation, with higher scores found among the group of participants. The mean score for attitudes towards Nursing diagnoses was 99.9 (SD=2.8) before the intervention and 111.1 (SD=2.9) after the intervention [95% CI: 3.3-19.2]. Conclusion: the use of (edworkcases) as part of the practical training was considered satisfactory, enabling theory and practice to be combined and improving students’ attitudes towards Nursing diagnoses.

Effectiveness of auriculotherapy on stress reduction in health workers: a controlled randomized clinical trial

Efetividade da auriculoterapia na redução de estresse em trabalhadores de saúde: ensaio clínico controlado randomizado

Kairo Silvestre Meneses Damasceno, Gerfson Moreira Oliveira, Mônica Beltrame, Julita Maria Freitas ...

Objective: to assess the effectiveness of auriculotherapy in reducing occupational stress among Family Health Strategy workers during the COVID-19 pandemic. Method: a controlled randomized clinical trial divided into two groups, namely: auriculotherapy for stress group and placebo group. The Shapiro-Wilk test was used to assess data normality. The ANOVA test for repeated measures and the Tukey post-hoc test were applied to the group with normal samples. In turn, the Friedman and Durbin-Conover tests were employed in the group with non-normal distribution. Cohen’s d index was calculated for the therapy effect size. A 95% significance level and p<0.05 were considered. Results: the auriculotherapy group presented 16.3% and 23.7% reductions in occupational stress after the third and sixth auriculotherapy sessions, with Cohen’s d indices of 1.12 (large effect) and 1.82 (very large effect), respectively. Conclusion: auriculotherapy proved to be effective in reducing occupational stress among Family Health Strategy workers during the COVID-19 pandemic. It is suggested that new studies are developed both during and after the pandemic in order to improve health workers’ Quality of Life. ReBEC registration: RBR - 38hjyt3.

Meaning of the spiritual aspects of health care in pregnancy and childbirth

Significado da dimensão espiritual do cuidado em saúde na gestação e no parto

Dirce Stein Backes, Eronis Borges Gomes, Rosiane Filipin Rangel, Karla Maria Carneiro Rolim, Luciano...

Objective: to know the importance of the spiritual aspects of health care during pregnancy and childbirth, in the light of complexity thinking. Method: qualitative research, based on complexity thinking. Twenty-seven postpartum women with children between one month and six months old participated in the study. The data were collected between August and November 2021, based on individual interviews with guiding questions. Thematic analysis was used for data analysis. Results: three themes were obtained: The inseparability of spiritual care and emotional care; Connection between spirituality and the uterus - sacred temple; Alternative techniques for spiritual health care. Conclusion: the spiritual aspect of health care during pregnancy and childbirth can be considered an essential resource in the support of autonomy, security, and comfort. In addition, it can enable favorable outcomes in childbirth by strengthening the maternal-fetal attachment.

Monitoring of high-risk children in health services: A geospatial mixed-methods study

Acompanhamento de crianças de alto risco em serviços de saúde: estudo de método misto geoespacial

Bianca Machado Cruz Shibukawa, Roberta Tognollo Borota Uema, Natan Nascimento de Oliveira, Rosana Ro...

Objective: to analyze adherence, non-adherence and abandonment of the monitoring of children referred to the high-risk reference centers of Rede Mãe Paranaense. Method: a parallel and convergent mixed-methods study, in which both approaches have the same weight. The study loci were two high-risk outpatient services from the South of the country. In the quantitative part, 3,107 medical charts of high-risk children were analyzed and the spatial distribution was performed. In the qualitative part, interviews were conducted with 29 health professionals, in addition to 34 family members, and content analysis was performed. Two databases were produced, which were analyzed separately and eventually integrated. Results: the rates regarding adherence to monitoring are decreasing, mainly in the municipalities that are far away from the high-risk outpatient services, and the non-adherence and abandonment rates are increasing. In the reports by the representatives and the manager, a failure was observed between the transportation offer and the active search flow of the absent patients, which contributes to the increase in the non-adherence and abandonment rates and to the consequent decrease in adherence. Conclusion: in high-risk children, adherence is decreasing and the non-adherence and abandonment rates increased.

Usability assessment of a mobile app for patients with peripherally inserted central catheters

Avaliação de usabilidade de aplicativo móvel para pacientes com cateter central de inserção periférica

Aline Nair Biaggio Mota, Ruth Natalia Teresa Turrini

Objective: to evaluate usability of the Meu PICC (My PICC) app for follow-up of outpatients using peripherally inserted central catheters through the validated System Usability Scale instrument. Method: a cross-sectional study that applied the System Usability Scale to 30 patients using peripherally inserted central catheters, ten nurses and eight Information and Communication Technology professionals to assess usability of the app. Results: a statistical difference was observed between age and usability (p=0.006), as well as a negative correlation between app use time and usability (p=0.002). As per the System Usability Scale adjectival classification, 40.0% and 33.3% of the patients considered the app as the best possible to be imagined and as excellent, respectively. In relation to the nurses, 70.0% considered the app as the best possible to be imagined and 20.0% as excellent; of the Information and Communication Technology professionals, 50.0% considered the app as the best possible to be imagined and the other 50.0%, as excellent. Conclusion: the usability assessment showed that patients, nurses and ICT professionals considered the app useful for monitoring patients using PICCs and evaluated it as appropriate, evaluating it as the best possible to be imagined or as excellent. These results corroborate use of the Meu PICC app in the monitoring of outpatient use of PICCs.

Middle-Range Theory of Ineffective Breathing Pattern in children with Congenital Heart Disease

Teoria de Médio Alcance do Padrão Respiratório Ineficaz em Crianças com Cardiopatia Congênita

Nayana Maria Gomes de Souza, Viviane Martins da Silva, Marcos Venícios Oliveira Lopes

Objective: to develop and evaluate a middle-range theory for the Nursing Diagnosis of Ineffective Breathing Pattern in children with congenital heart disease.Method: a methodological study carried out in two stages: 1) development of a middle- range theory for Ineffective Breathing Pattern in children with congenital heart diseases from the analysis of the NANDA-International taxonomy, Callista Roy’s Adaptation Model and a literature review; and 2) assessment of the middle-range theory developed using expert panel evaluation. Results: after three panel evaluations, the final version of the middle-range theory resulted in four metaparadigms, two key concepts, two pictorial diagrams, two propositions and a description of the interrelationships between the key concepts of Ineffective Breathing Pattern in children with congenital heart diseases and evidence for the Nursing practice. Conclusion: the middle-range theory developed and evaluated by experts identified stimuli and behaviors that can assist nurses in identifying the reasons why Ineffective Breathing Pattern is diagnosed and how it manifests itself in children with congenital heart disease, increasing understanding of the relationships between the causes and their temporality.

Number V30

Editorial