Objective:  to describe the competencies of advanced nursing practice for the care of mothers participating in CACTO: a unitary care program for mothers of children with autism spectrum disorder and/or disability. Method:  qualitative study based on the Unitary Caring Science, conducted with 39 mothers of children with autism spectrum disorder. Data were collected from medical records, field diaries, meeting minutes, and CACTO’s social media profile. Deductive, reflective thematic analysis was used for data analysis. Results:  the results revealed a broadening of the scope of competencies that can be performed by nurses in primary health care, for example: understanding health needs, creating new ways of caring, recognizing ethical dilemmas, establishing collaborative relationships, valuing the social role of mothers, suggesting care with recommended scientific evidence, conducting scientific research, and acting autonomously. Conclusion:  the competencies of nurses working at CACTO are distributed across seven dimensions, namely: care management, ethics, interprofessional collaboration, health promotion and risk prevention, evidence-based nursing, research, and leadership.

Objective:   to analyze nursing consultations with people with systemic arterial hypertension in primary health care according to the Brazilian Guidelines for Arterial Hypertension, the stages of the Nursing Process, and clinical communication. Method:  a cross-sectional analytical study that evaluated 29 nursing consultations performed by 13 nurses with users with arterial hypertension in four Brazilian states. The consultations were assessed using a structured checklist. The data were subjected to descriptive and bivariate analyses, using tables and graphs to characterize the sample and explore potential associations among variables. Results:  there was low adherence to the Nursing Process and the recommendations of the Brazilian Guidelines for Hypertension. Only 20% of the steps in the Nursing Process were fully complied with. Specifically, regarding the Guidelines, there was a lack of fundamental actions, such as blood pressure measurement, risk factor assessment, and communication of the diagnosis. Conclusion:  there was a weakness in the application of the Nursing Process in consultations with people with hypertension. Factors such as case complexity, interruptions, high work demands, gaps in training, and the absence of structured protocols contributed to these findings.

Objective:  to conduct a temporal and spatial time-series analysis of low birth weight cases in the Sergipe state from 2013 to 2023, identifying regions with the highest rates. Method:  data from live births in the state, provided by the State Health Department, were analyzed. Kernel density maps were generated by municipality, and time-series analyses were conducted by health region. Results:  between 2013 and 2023, the state recorded 370,329 births, of which 30,999 newborns weighed less than 2,500 grams (8.4%). According to the Kernel density map, the municipalities of Nossa Senhora do Socorro followed by Propriá presented the highest LBW rates. Time-series analysis showed a decreasing trend in the Nossa Senhora da Glória and Nossa Senhora do Socorro regionals. Conclusion:  LBW cases were spatially clustered, and most health regions exhibited stationary trends.

Objective:   to understand family experiences of hope, from pregnancy to the care for high-risk newborns. Method:  qualitative research, guided by the Theoretical Model for Understanding the Complex Nature of Hope, which took place in a multiprofessional outpatient clinic for high-risk newborn care. A total of 28 individuals from 14 families participated through oral history interviews. This allowed for the construction of family narratives, which were submitted to deductive thematic analysis. Results:  family experiences of hope are established based on four dimensions: understanding, judgment, and interpretation about hope; affective aspects and feelings regarding the lived experience; actions, behaviors, and strategies that strengthen family hope; and influence of context and life situations. These are influenced by the temporality in which the family finds itself. At the beginning of the experience of risk, hope appears fragile and uncertain, with negative feelings and desires for better days. Over time, strategies, such as spirituality and intrapersonal relationship skills, are strengthened and maintained, reframing feelings. Conclusion:  understanding family experiences of hope and hopelessness can enable healthcare providers to strengthen and contribute to a more positive experience in the presence of gestational and neonatal risk.

Objective:  to analyze the knowledge, attitudes, and practices regarding disaster preparedness among nursing students, in a municipality highly vulnerable to natural disasters, in relation to their preparation for such events. Method:  a questionnaire was administered to 363 students, with a mean age of 21.54 years, most of whom were women (78.51%). Results:  97.25% demonstrated adequate knowledge about disasters; however, only 66.67% were familiar with their college’s evacuation procedures. In terms of attitudes, 93.11% showed a positive disposition toward disaster preparedness, although only 26.72% had received continuing academic training on the subject. Regarding practices, only 20.39% reported adequate actions in emergency situations, and 19.01% considered that their university was prepared to face a natural disaster. A positive correlation was identified between the level of knowledge and practices, suggesting that a higher level of knowledge favors the application of effective measures in emergency contexts. Conclusion:  although nursing students demonstrated favorable knowledge and attitudes, practices remain limited. These findings highlight the need to reinforce practical training in disaster management to strengthen their capacity to respond to emergencies.