RLAE | Number V32

Community of Practice for Nursing: connecting nurses in the Region of the Americas

Comunidade de Prática de Enfermagem: conectando enfermeiros e enfermeiras na Região das Américas

Bruna Moreno Dias, Johel Nazareth Díaz Pérez, Silvia Helena de Bortoli Cassiani.

Objective: to analyze the use profile and content of the messages posted in the Community of Practice for Nursing in the Region of the Americas of the Pan American Health Organization as a tool intended to share experiences, knowledge and opportunities for nurses. Method: a descriptive and qualitative study aimed at analyzing the messages posted in the Community of Practice forums. The data were analyzed by content analysis. Results: the Community of Practice has allowed the participation of 1,765 professionals from 20 countries, with a total of 4,001 posts. The topics analyzed (education, employment, leadership and service delivery) were addressed from the perspective of professionals from different countries, presenting the challenges they face and their reflections regarding the situation of nursing in the region. Conclusion: the platform allowed professionals from different countries and performance scopes to interact and discuss relevant topics for nursing education and practice in the Region of the Americas. Through the Community of Practice, the expectation is to enhance commitment, cooperation and solidarity for collective learning and skills development, thus maximizing nurses’ contributions to health systems and services.

Nurse educators’ satisfaction with online Objective Structured Clinical Examination scoring system

Satisfação dos educadores de enfermagem com o sistema de pontuação do Objective Structured Clinical Examination online

Fahni Haris, Ferika Indarwati, Yanuar Primanda, Resti Yulianti Sutrisno, Kellyana Irawati, Yin-Hwa S...

Objective: the paper-based OSCE (Pa-OSCE) scoring system has several drawbacks, including significant paper waste and being time-consuming. This study aims to assess examiner satisfaction with the On-OSCE scoring management system, identify and weigh the potential benefits of the innovation, and promote its use. Method: using a cross-sectional study design, we developed satisfaction inventory consisting of four domains: time-saving, user-friendliness, prospective application, and objectivity. This inventory was used to compare satisfaction scores between two examiner groups (a total of 67 subjects). Results: the 20-item satisfaction inventory demonstrated high validity and reliability (0.98 and 0.97, respectively). The average scoring time was significantly shorter in the online scoring management system group (p<0.001). Both the total satisfaction score and the scores for each domain were significantly higher in the online scoring management system group compared to the paper-based scoring management system group (p<0.001). Conclusion: a high proportion of the examiners provided positive feedback on the online scoring management system. The online scoring management system saves the time to score, and is more objective, easier to use, and is recommended for implementation. Online scoring management systems can be implemented in nursing education institutions globally to improve scoring efficiency. Additionally, the 20-item satisfaction inventory can serve as a benchmarking tool to assess educators worldwide.

Self-care dependency assessment of person with lower limb amputation: an exploratory study

Avaliação da dependência do autocuidado em pessoas com amputações dos membros inferiores: um estudo exploratório

Diana Fonseca Rodrigues, Paulo Alexandre Puga Machado, Teresa Martins, António Luís Rodrigues Fari...

Objective: to identify the sociodemographic and clinical characteristics of the person with dysvascular major lower limb amputation and to assess their degree of dependence and autonomy in self-care activities at home. Method: quantitative, exploratory, cross-sectional and descriptive study. The convenience sample consisted of 40 participants. A sociodemographic questionnaire and the short version of the Self-Care Dependence Assessment Form were used for data collection. Results: of the 40 (100%) participants, the majority were male; 75% were over 65 years of age, 77.5% had a transfemoral amputation, and 72.5% were confined to a wheelchair. The higher levels of dependency predominated in self-care: “walking”, “bathing”, “dressing and undressing”, “using the toilet” and “transferring”. Conclusion: this study showed that the self-care domain with the highest level of dependence is “walking” self-care, and the lowest is “feeding”. Greater autonomy in using the toilet, walking and transferring from bed to chair were shown to be self-care activities with the best ability to predict patient autonomy.

Availability of residents and preceptors for interprofessional practices: mixed methods study

Disponibilidade de residentes e preceptores para práticas interprofissionais: estudo de métodos mistos

André Lucas Maffissoni, Jussara Gue Martini, Daniele Delacanal Lazzari, Carine Vendruscolo, Marina ...

Objective: to evaluate the level of availability of residents and preceptors for interprofessional practices. Method: mixed methods study of the concurrent triangulation type, carried out with residents and preceptors of a hospital Multiprofessional Residency in Health. Results: more than 90% (n=186) of participants are highly available for interprofessional practices. However, practices instituted during undergraduate studies and the professional profile of those involved, especially with regard to the lack of communication between professions and openness to dialogue, were indicated as difficulties in implementing interprofessionality in the scenario investigated, which may negatively influence the availability of residents and preceptors. Conclusion: although residents and preceptors have high availability for the development of interprofessionality, certain factors make its implementation difficult, hindering collaborative work.

Smartphone use by older adult in the healthy ageing process: a theory based on data

Uso de smartphone por pessoas idosas no processo de envelhecimento saudável: uma teoria fundamentada nos dados

Adriana Martins Gallo, Juliane Pagliari Araujo, Wanessa Cristina Baccon, Francielle Renata Danielli ...

Objective: to understand the feelings and recognitions of older adults when they experience the use of smartphones in everyday life, as well as the implications for the healthy aging process. Method: qualitative research, using the Unified Theory of Acceptance and Use of Technology; the Senior Technology Acceptance & Adoption Model and the methodological framework of Constructivist Grounded Theory. We intentionally recruited people aged 60+; smartphone users; participants for 6 months or more in an extension project, without cognitive impairment, determined by theoretical sampling. A semi-structured script guided data collection. Constant and concomitant comparative analysis followed the steps of initial and focused coding, supported by memos, until theoretical saturation. The Sankey diagram was used to analyze the data, using Atlas.ti software. Results: 37 participants were allocated to two sample groups. We present the category “Experiencing technological evolution during the aging process” and two subcategories: “Experiencing feelings when aging in the face of technological development”; “Using the smartphone and recognizing new experiences”. Conclusion: when experiencing the use of smartphones, older adult understand and recognize the search for digital skills based on their need for usefulness and applicability of information and communication technology in their daily lives, integrating it into the healthy ageing process.

Knowledge, attitude and practice of puerperal adolescents after an educational intervention on the mini contraceptive pill

Conhecimento, atitude e prática de puérperas adolescentes após intervenção educativa sobre minipílula anticoncepcional

Claudionete Abreu Costa, Ana Karina Bezerra Pinheiro, Lena Maria Barros Fonseca, Tatiane Gomes Guede...

Objective: to evaluate the effectiveness of an educational intervention on the knowledge, attitude and practice of adolescent puerperal women regarding the mini-pill as a method of contraception in the postpartum period. Method: a quasi-experimental study with pre- and post-tests carried out with 139 puerperal adolescents in four public maternity hospitals, using an instrument with sociodemographic/gyneco-obstetric questions and a targeted survey called Knowledge, Attitude and Practice. The following were used in the analysis: Statistical Package for the Social Sciences software, version 20.1 for Windows; 5% significance level; 95% confidence interval; Shapiro-Wilk test to test data normality and paired t-test. Results: the average scores for the Knowledge, Attitude and Practice instrument were inadequate before the educational intervention; after the intervention, they remained inadequate, but with a slight improvement; the attitude was markedly inadequate. This instrument, before the intervention, was associated with age, education, number of pregnancies and having had prenatal care; after the intervention, in addition to these, it was associated with other variables, such as place of residence, being in school and having used contraception. The three domains were associated before and after the intervention. Conclusion: the educational intervention, mediated by the nurse, was effective in promoting the knowledge, attitude and practice of puerperal adolescents in the proper use of the mini-pill as postpartum contraception.

Parental norms and perceptions regarding use of mobile devices by children under five years

Normas e percepções dos pais com relação ao uso de dispositivos móveis por crianças menores de cinco anos

David San-Martín-Roldán, Adrián González-Marrón, Sonia de-Paz-Cantos, Cristina Lidón-Moyano, A...

Objective: to describe the norms and perceptions of a sample of Spanish parents and guardians on the use of mobile devices (smartphone and/or tablet) by their children and their association with such use. Method: a quantitative, analytical, cross-sectional, online, exploratory study was conducted with a non-probability sample of parents or guardians of children using smartphones or tablets. The virtual questionnaire consisted of 44 questions and was available at https://www.kenkolab.org/participa/. Results: the total number of participants (parents or guardians) was 183 people. It was observed that 26.2% of parents admitted that their children had free and unrestricted access to smartphones or tablets. Associations were identified between time spent using mobile devices and parental attitudes, such as permission without time limitation and use as a reward or punishment. Approximately half of the respondents believe that their children use the mobile device longer than recommended. Conclusion: most parents exercise some control over their children’s use of devices. Acting on parental norms and perceptions is vital to success in addressing children’s time spent on mobile devices. Community nursing could be a vehicle for education in healthy screen consumption habits in early childhood.

Information Model on pain management for elder adults aged 75 years or older

Modelo de informação do gerenciamento da dor em pessoas idosas com 75 anos ou mais

Ana Clara de Brito Cruz, Amália de Fátima Lucena, Aline Tsuma Gaedke Nomura, Miriam de Abreu Almei...

Objective: to develop an information model on pain management in hospitalized aged people. Method: a Big Data retrospective and observational study guided by the Applied Healthcare Data Science Roadmap. The sample included all Electronic Health Records related to pain management in older adults aged at least 75 years old considered vulnerable in the institution and admitted to clinical and surgical units. Data science packages were used in Python ® for data analysis. Results: a total of 9,635 hospitalizations were found for 4,753 patients, with a mean age of 81 years old and 54% belonging to the female gender. The main reasons for hospitalization were diseases of the circulatory system (n=1,593; 28.6%), neoplasms (n=893; 16%) and diseases of the genitourinary system (n=508; 9.1%). A total of 60 attributes related to pain were identified and organized into groups: current pain, assessment instruments and characteristics, Nursing diagnosis, etiology of the Nursing diagnosis, interventions for relief, consultations to specialties and pain reassessment. The groups were classified into four large panels that constituted the information model. Conclusion: the information model developed presented an overview of the healthcare reality of pain management in vulnerable aged people, supporting decision-making for pain management in this population segment.

Maternal-fetal attachment and interrelated factors in pregnant women assisted in Primary Health Care

Apego materno-fetal e fatores inter-relacionados em gestantes assistidas na Atenção Primária à Saúde

Cássio de Almeida Lima, Maria Fernanda Santos Figueiredo Brito, Lucineia de Pinho, Sélen Jaqueline...

Objective: to analyze maternal-fetal attachment and interrelated factors in pregnant women assisted in Primary Health Care. Method: a cross-sectional, population-based, analytical epidemiological survey. A sample of 937 participants attended by Family Health Strategy teams was investigated. Maternal-fetal attachment (outcome), sociodemographic and clinical variables, social support, family functionality, depressive symptoms and perceived stress were assessed. Multivariate analysis was adopted using structural equation modeling. Results: maternal-fetal attachment had an average of 92.6 (SD=±15.3). The adjusted structural model showed that the following factors had a direct effect on the outcome: gestational weeks (β=0.29; p<0.001), household crowding (β=-0.07; p=0.027), depressive symptoms (β=-0.11; p=0.003), social support (β=0.08; p<0.001) and family functionality (β=0.19; p<0.001). Indirect effects of social support (β=-0.29; p<0.001) and family functionality (β=-0.20; p<0.001) were identified, mediated by depressive symptoms. Conclusion: a set of interrelationships was identified between maternal-fetal attachment, gestational weeks, household crowding, depressive symptoms, social support and family functionality. It is suggested that the Family Health Strategy offer prenatal care anchored in integrality and humanization, which promotes biopsychosocial well-being during pregnancy and healthy maternal-fetal attachment.

Usability of the “Systematic Review Support” computer system: a methodological study

Usabilidade do sistema computacional “Apoio à Revisão Sistemática”: um estudo metodológico

Fernanda Martins Dias Escaldelai, Leandro Escaldelai, Denise Pimentel Bergamaschi.

Objective: to evaluate the usability of the “Systematic Review Support” computer system. Method: methodological study involving 21 students who evaluated the computer system in a remote and synchronous usability test. Two activities were carried out, containing 21 tasks simulating the initial steps of a review study, proposals for eliminating duplicate references, selecting studies and resolving disagreements between evaluators. At the end, participants answered the System Usability Scale questionnaire. The measures used were: completion rate with assistance (effectiveness) and time to complete the task (efficiency). The data was described in a table using the mean, standard deviation, minimum and maximum values. Results: in a total of 21 tasks, the participants had an assisted completion rate of 9% and an average time of 55.1 minutes (the expected time being 60 minutes). The average score provided by the System Usability Scale instrument was 82.4 (considering a score from 0 to 100), median 85; minimum value 35 and maximum 97.5. Conclusion: the computer system has the effectiveness and efficiency parameters required of a computer review tool. It has a usability score of 82.4 on a scale of 0 to 100 assessed by the System Usability Scale instrument. The version presented incorporates the adjustments identified in the test in use.

Mental health crisis situations: the nurse’s work in Primary Health Care

Situações de crise de saúde mental: o trabalho do enfermeiro na Atenção Primária à Saúde

Gessner Bravo de Paula, Nur Mohamad Ali El Akra, Lucas Ferraz Córdova, Lucilene Cardoso, Ana Caroli...

Objective: to analyze the nurses’ work in Primary Health Care in the face of mental health crisis situations. Method: this is a descriptive-exploratory study with a qualitative approach, supported by the theoretical-interpretive frameworks of behavior analysis and historical-dialectical materialism. The data was collected through a semi-structured interview with twelve Primary Health Care nurses and analyzed using the deductive technique proposed by the Theorical Domains Framework, the methodological reference adopted. Results: the data analyzed made it possible to draw up two themes: “Nurses’ work: material and social determinants” and “Nurses’ subjective conditions in the face of mental health crisis situations”. Nurses’ work was guided by the protocol execution of “technical” steps related to clinical psychiatry, with an understanding of the crisis as a “psychiatric outbreak”. Conclusion: the study made it possible to analyze the nurse’s work in crisis situations, describing the objective and subjective contradictions, their understanding of the crisis phenomenon and the emotional repercussions of this work on the professionals. This situation raises the need for action, organization and political-social mobilization of the nursing category in the fight against the asylum model of care and the consolidation of the Psychiatric Reform perspective.

Quality of life, health perception, learning motivation and behavior of adolescents in an educational institution

Qualidade de vida, percepção de saúde, motivação para aprendizagem e comportamento de adolescentes em instituição de ensino

Graziela Nunes Alfenas Fernandes, Stela Maris Aguiar Lemos.

Objective: to analyze sociodemographic variables, quality of life, self-perceived health, learning motivation and behavior of adolescents in 2018 and 2021. Method: observational cross-sectional study with 124 adolescents in 2018, and 68 in 2021. A Form for sociodemographic variables, Pediatric Quality of Life Inventory, Self-Perceived Health instrument, Learning Motivation Scale and Strengths and Difficulties Questionnaire were used to collect data. Data collection was carried out using forms on Google Forms. For the analysis, descriptive statistics and logistic regression were used. Results: the majority of participants belonged to class A. In the comparison between 2018 and 2021, there was a worsening in the assessment of self-perceived health. In the assessment of QoL by parents, there was a statistically significant difference between the scores of the social and psychosocial dimensions. Among adolescents, there were differences between QoL scores in the physical and psychosocial dimensions. Conclusion: the adolescent with a better mental health assessment had a greater chance of having a better quality of life in the periods investigated (OR=5.35 and OR=5.51). Younger students showed greater motivation to learn, increasing the chance of improving their quality of life by up to 9.75 and 5.02 times in the two periods, respectively.

Number V32

Original Articles