Dalmolin A, Gomes EDS, Moraes JT
… +3 more, Rozinelli L, Lacerda MR, Girardon-Perlini NMO
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· 2026 · PMID 42307351
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OBJECTIVE: to develop a specific situational theory representative of the transition experience of people with intestinal ostomies and their families, based on Afaf Meleis' Theory of Transitions. METHOD: theoretical stud...OBJECTIVE: to develop a specific situational theory representative of the transition experience of people with intestinal ostomies and their families, based on Afaf Meleis' Theory of Transitions. METHOD: theoretical study, guided by the theory-research-theory strategy and based on an integrative approach, which combines deductive and inductive strategies. In the deductive stage, the Theory of Transitions was listed to provide a conceptual structure and organize theoretical thinking. Inductive strategies involved conducting an integrative review, document analysis, and focus group development. RESULTS: a specific situation theory was developed to describe and explain the transition experience of people with intestinal ostomies and their families, comprising seven concepts and 20 sub-concepts. The theoretical framework also includes relational statements, as well as a diagram representing its concepts and their interrelationships. CONCLUSION: the theory developed has the potential to guide and systematize nursing care for people with ostomies and their families, covering the different phases of the transition process.
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· 2026 · PMID 42307350
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OBJECTIVE: to map the evidence available in the literature on self-care among people with type 1 diabetes mellitus using continuous insulin infusion systems. METHOD: this is a scoping review based on the principles recom...OBJECTIVE: to map the evidence available in the literature on self-care among people with type 1 diabetes mellitus using continuous insulin infusion systems. METHOD: this is a scoping review based on the principles recommended by the JBI and the PRISMA guidelines for data extraction, conducted using ten databases and gray literature. The PCC strategy was used for data collection. Studies were selected after duplicates were removed and individual and paired assessments were conducted. Descriptive analysis and diagrams were used to present the results. RESULTS: an analysis of the 18 selected articles showed three self-care behaviors: glycemic management, insulin bolus, and carbohydrate counting. The factors influencing these behaviors were Knowledge, Freedom/flexibility, Sensor use, Context, and Responsibility. CONCLUSION: the studies indicate that in-depth knowledge of self-care enables professionals to make better decisions about individualized treatment plans and enables people using the Continuous Insulin Infusion System to seek actions and information related to daily care for proper diabetes management. There is a need for future intervention studies to optimize self-care in this population.
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· 2026 · PMID 42307349
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OBJECTIVE: to compare diagnostic-treatment time indicators for care provided to women with breast cancer, according to inclusion in a nursing navigation program. METHOD: retrospective cohort study conducted at a large ho...OBJECTIVE: to compare diagnostic-treatment time indicators for care provided to women with breast cancer, according to inclusion in a nursing navigation program. METHOD: retrospective cohort study conducted at a large hospital. Patients with breast cancer, navigated (n=133) or not (n=226), were included. Sociodemographic and clinical variables were analyzed, and the times (in days) from diagnosis to the start of different treatment modalities constituted the dependent variables. Descriptive and inferential analysis was performed at a significance level of 5%. RESULTS: patients covered by the Unified Health System had significantly shorter median times between diagnosis and any treatment (77.0) and neoadjuvant chemotherapy (77.0) (p-value < 0.001) than those not covered (100.5 and 112.2, respectively). Patients navigated by supplementary health insurance also had shorter access times to both treatment in general (38.0 versus 47.0; p-value <0.001) and neoadjuvant chemotherapy (31.0 versus 50.0; p-value <0.001). Without considering the health insurance plan, no significant differences were found. CONCLUSION: the navigation program had a positive impact on the accessibility of breast cancer diagnosis and treatment. Investment in this type of care management promoted by nurses is recommended, with greater emphasis on the Unified Health System.
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· 2026 · PMID 42307348
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OBJECTIVE: to investigate the barriers to clinical alarm management according to nurses and nursing technicians and to examine characteristics of clinical alarm response in intensive care units. METHOD: a cross-sectional...OBJECTIVE: to investigate the barriers to clinical alarm management according to nurses and nursing technicians and to examine characteristics of clinical alarm response in intensive care units. METHOD: a cross-sectional study was conducted in a hospital accredited by the Joint Commission International and the American Nurses Credentialing Center Magnet Recognition. A questionnaire was used to identify barriers to clinical alarm management and 84 hours of observation were carried out. RESULTS: 92 professionals participated (33 nurses; 59 nursing technicians). The perception of inadequate nursing staffing levels was more frequent among nurses (21.2%) than among nursing technicians (3.4%; p=0.006). Competition between clinical alarms and noise from other equipment was identified as similar among nurses (20; 60.6%) and nursing technicians (35; 53.9%; p=0.981). Frequent interruptions of activities were reported by nurses (6; 18.2%) and nursing technicians (17; 28.8%) (p=0.615). Forty-nine clinical alarms were recorded, with a mean response time of 2.5 minutes (SD 2.8) and three (6.1%) were ignored. CONCLUSION: several barriers to adequate management were identified, including human resources, environmental factors and work processes. Regarding care, alarms from multiparameter monitors predominated, responded to mainly by the nursing staff, with a low proportion of ignored clinical alarms.
Barros JA, Ferreira TFA, Bolela F
… +3 more, Pan R, Toffano SEM, Nicolussi AC
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· 2026 · PMID 42307347
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OBJECTIVE: to assess nursing professionals› knowledge and self-efficacy regarding palliative care before and after an educational intervention. METHOD: a quasi-experimental study conducted in a teaching hospital with nur...OBJECTIVE: to assess nursing professionals› knowledge and self-efficacy regarding palliative care before and after an educational intervention. METHOD: a quasi-experimental study conducted in a teaching hospital with nursing professionals who care for adults and the elderly. Data collection was performed at two times: first, a sociodemographic questionnaire and the Bonn Palliative Care Knowledge Test, which assesses knowledge and self-efficacy in palliative care, were administered; immediately afterward, an educational intervention on the topic was conducted. Four weeks later, the instrument that assesses knowledge and self-efficacy was reapplied. The data were analyzed using the Statistical Package for the Social Sciences (SPSS) version 21.0. RESULTS: 179 professionals participated, with an average age of 40.17 years and a predominance of females. The knowledge score obtained higher averages after the intervention (pre-test=11.77; post-test=15.03), while the self-efficacy score was lower (pre-test=3.21; post-test=3.38), but both were statistically significant (p<0.01). CONCLUSION: the educational intervention was effective in increasing knowledge and self-efficacy in palliative care among nursing professionals. These results may support the development and dissemination of palliative care practices in health services.
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· 2026 · PMID 42307346
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OBJECTIVE: to analyze, from a comparative perspective, the training and regulation of nurses' work and the proposals for the implementation of the advanced practice nurse role in selected Latin American countries. METHOD...OBJECTIVE: to analyze, from a comparative perspective, the training and regulation of nurses' work and the proposals for the implementation of the advanced practice nurse role in selected Latin American countries. METHOD: a descriptive comparative case study was conducted to understand the training and regulation of nursing work in five countries: Brazil, Chile, Colombia, Costa Rica, and Mexico. Data were collected in five focus groups with key informants from each country. The content was systematized in an analytical matrix that was validated by the participants. RESULTS: the countries are at different stages of debate and implementation of expanding the scope of practice. The primary care level is considered a potential space for the performance of this role. In addition, master's programs constitute a training opportunity for these professionals. The exchange of international experiences and working groups have been initiatives to discuss the role and consider the specific characteristics of each country in its implementation process. CONCLUSION: there are interest and initiatives to expand the role of nurses in Latin America; however, there is still a long way to go in terms of training, scope of practice, regulation, and the labor market.
Piran CMG, Cargnin AVE, Mori MM
… +3 more, Oliveira RR, Frade JMG, Furtado MD
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· 2026 · PMID 42307345
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OBJECTIVE: to identify factors associated with retreatment after loss to follow-up among adolescents and young adults living with Human Immunodeficiency Virus. METHOD: paired case-control study (1:1 ratio) with data coll...OBJECTIVE: to identify factors associated with retreatment after loss to follow-up among adolescents and young adults living with Human Immunodeficiency Virus. METHOD: paired case-control study (1:1 ratio) with data collection from medical records. The cases were adolescents and young adults diagnosed with Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome who underwent retreatment after loss to follow-up. The controls were adolescents and young adults diagnosed with the disease who were lost to follow-up and had no history of retreatment. Logistic regression was used for statistical analysis. RESULTS: 76 cases and 76 controls were included. The variable associated with the highest chance of retreatment was not having a religion (ORaj: 3.46; 95% CI: 1.52-7.88; p=0.003). The factors that decreased the chances of retreatment were 21.91 years of age at the beginning of follow-up (ORaj: 0.78; 95% CI: 0.62-0.98; p=0.039), female gender (ORaj: 0.12; 95% CI: 0.03-0.45; p=0.001), living in an institution (ORaj: 0.72; 95% CI: 0.12-0.43; p=0.004), alcohol use (ORaj: 0.20; 95% CI: 0.08-0.49; p<0.001), diagnosis of Human Immunodeficiency Virus at the Treatment and Counseling Center (ORaj: 0.31; 95% CI: 0.13-0.74; p=0.008), and missed appointment(s) before loss to follow-up (ORaj: 0.20; 95% CI: 0.07-0.52; p=0.001). CONCLUSION: the return to treatment of adolescents and young people living with Human Immunodeficiency Virus is multifactorially determined by sociodemographic, behavioral, and clinical profiles.
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· 2026 · PMID 42307344
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OBJECTIVE: to analyze the concept of socio-emotional well-being in the context of health care. METHOD: concept analysis theoretical study based on the method of Walker and Avant, organized into eight stages, through scop...OBJECTIVE: to analyze the concept of socio-emotional well-being in the context of health care. METHOD: concept analysis theoretical study based on the method of Walker and Avant, organized into eight stages, through scoping review. Seven data sources were searched, resulting in the selection of seven studies for the literature corpus. RESULTS: social-emotional well-being is characterized by essential attributes such as emotional balance, perceived social support, feeling of control over one's life, and emotional regulation skills. Antecedent factors included resilience, social support, self-knowledge, supportive environment, emotional stability, autonomy and decision-making and positive interpersonal bonds. Consequent factors included improved quality of life, increased social engagement, reduced psychosocial symptoms, and better performance in daily activities. CONCLUSION: the study showed that social-emotional well-being is a multifaceted concept that transcends individual mental health, encompassing social, emotional and cultural dimensions. Integrating social-emotional well-being into health care requires interdisciplinary approaches that consider individual and social factors, promoting holistic and patient-centered health care.
Hong MV, Velozo BC, Novello I
… +3 more, Miot HA, Castro MCNE, Abbade LPF
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· 2026 · PMID 42307343
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OBJECTIVE: to evaluate the healing evolution of pressure injuries developed in the hospital setting among adult patients in the post-discharge period, as well as the complications and care provided to these patients. MET...OBJECTIVE: to evaluate the healing evolution of pressure injuries developed in the hospital setting among adult patients in the post-discharge period, as well as the complications and care provided to these patients. METHOD: prospective cohort study with patients who developed pressure injuries during hospitalization and were subsequently discharged. Data were collected at 7, 15, 30, and 60 days after hospital discharge. RESULTS: the sample included 113 patients, 63 men (55.8%), with a mean age of 64.6 years old (± 15.1). A total of 246 injuries occurred, predominantly in the sacral region (91; 37.0%) and classified as stage 2 (117; 47.6%). Readmission rates ranged from 10.6% to 16.8% over 60 days and 25 deaths (22.1%) occurred. At the last interview, 57 patients participated, of whom 29 (50.9%) remained bedridden or with very limited mobility, while 48 (84.2%) showed improvement or complete healing. Stroke occurred in 22 (19.5%) patients and was an unfavorable factor in the healing process (HR = 0.6; p = 0.021). CONCLUSION: during the 60 days after discharge, patients experienced unfavorable outcomes, including death, hospital readmission, and non-healing of pressure injuries. Stroke was associated with a slower progression of the healing process.
Ramos SF, Amadigi FR, Gonçalves N
… +3 more, Waterkemper R, Silva KL, Lino MM
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· 2026 · PMID 42307342
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OBJECTIVE: to develop a competency matrix for healthcare professionals caring for people with chronic conditions. METHOD: ex-post-facto impact assessment research, based on David Kolb's Experiential Learning Theory. The...OBJECTIVE: to develop a competency matrix for healthcare professionals caring for people with chronic conditions. METHOD: ex-post-facto impact assessment research, based on David Kolb's Experiential Learning Theory. The recommendations of SQUIRE 2.0 were adopted. Intervention projects from the Specialization Course in Care for People with Chronic Noncommunicable Diseases were analyzed. The analysis involved pre-analysis, exploration, coding, categorization, treatment of results, inference, and interpretation using AtlasTi® software. RESULTS: 337 projects were analyzed, adapted to David Kolb's theoretical framework on the experiential learning cycle, which comprised four domains: identification, analysis, problematization, and transformation. These results supported the development of a matrix of general and specific competencies. CONCLUSION: the proposed matrix contributed to the qualification of health professionals, prepares specialists to work with chronic conditions and reinforced the importance of critical thinking, analytical skills, and the application of knowledge, promoting a comprehensive understanding of complex issues in learning.
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· 2026 · PMID 41983788
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this study aims to determine the relationship between climate change worry, premenstrual syndrome severity, and quality of life among women of reproductive age and related factors. this cross-sectional correlational stud...this study aims to determine the relationship between climate change worry, premenstrual syndrome severity, and quality of life among women of reproductive age and related factors. this cross-sectional correlational study included women of reproductive age. The sample included 614 women. Data were collected using Descriptive Information Form, Climate Change Worry Scale, Premenstrual Syndrome Scale, SF-12 Quality of Life Scale. a positive correlation was found between the Climate Change Worry Scale and Premenstrual Syndrome Scale, whereas a negative correlation was discovered between the Climate Change Worry Scale and both the physical and mental sub-dimensions of SF-12 Quality of Life Scale (p<0.05). Climate Change Worry Scale, Premenstrual Syndrome Scale and SSF-12 Quality of Life Scale showed statistically significant effects on physical and mental dimension scores (p<0.05). Accordingly, a 1-unit increase in Climate Change Worry Scale score causes a 1.11-unit increase in Premenstrual Syndrome Scale score, a 0.08-unit decrease in physical component score of quality of life scale and a 0.13-unit decrease in mental component score. as climate change worry among women intensifies, the severity of premenstrual syndrome symptoms increases, while their quality of life diminishes. Climate change anxiety, premenstrual syndrom severity, and quality of life were influenced by women's identifying characteristics.
Brunelli MV, Fajreldines AV, Catalán L
… +1 more, Kappes M
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· 2026 · PMID 41983787
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to map the existing evidence on the phenomenon of second victims in Latin American countries. an exploratory review was carried out according to guidelines from the Joanna Briggs Institute, including studies on the secon...to map the existing evidence on the phenomenon of second victims in Latin American countries. an exploratory review was carried out according to guidelines from the Joanna Briggs Institute, including studies on the second victim phenomenon among health personnel and health students in Latin America. The search was performed on the Scopus, PubMed, Ebsco, ProQuest, Journal Storage, Virtual Health Library and Google Scholar databases. Quantitative, qualitative, mixed, editorial, and case reports published between 2014 and 2025 in English, Spanish, and Portuguese, were considered. 25 studies were included, most of them conducted in Brazil (52.0%), which focused on a range of healthcare professionals and students. The main psychological consequences included guilt, recurrent thoughts and sleep disturbances. The lack of studies on structured support programs in Latin America is a highlight. the second victim phenomenon is frequent in Latin America, predominantly impacting psychological aspects on health personnel. Lack of regional interventions underscore the need for specific support programs, highligthing the importance of coping strategies and institutional support to strengthen patient well-being, retention, and safety culture.
Rocha KAA, Almeida ALCA, Moura VP
… +3 more, Alves D, Gir E, Reis RK
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· 2026 · PMID 41983786
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to develop and validate a mobile application for self-care in sexual and reproductive health for women living with HIV/AIDS. a six-stage methodological study: literature review; content organization; application developm...to develop and validate a mobile application for self-care in sexual and reproductive health for women living with HIV/AIDS. a six-stage methodological study: literature review; content organization; application development; validation by experts; adaptation after validation; validation by the target audience; and adaptation after validation. Health professionals and women living with HIV/AIDS participated. Descriptive statistics, Content Validity Index, were used, considering a minimum agreement value of 0.80 and Gwet's AC1 test. the application was validated by a multidisciplinary team composed of professionals in gynecology/obstetrics and infectious diseases, yielding a Content Validity Index of 0.93. Additionally, it was validated by the target audience, achieving a score of 0.94. It was well accepted and found to be reliable in validation by experts (AC1 = 0.446; p < 0.001) and by the target audience (AC1 = 0.483; p < 0.001). All professionals pointed out the personal contribution and educational potential of the application. The application represents an essential evidence-based technological tool for strengthening self-care in the sexual and reproductive health of women living with HIV/AIDS. Intervention studies are therefore suggested.
Valença ABM, Silva DHMD, Ferreira MRL
… +3 more, Abreu PD, Andrade-Gonçalves RLP, Monroe AA
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· 2026 · PMID 41983785
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to map the literature on the use of Rapid Molecular Tests in the diagnosis of tuberculosis in people experiencing homelessness. this is a scoping review guided by the Joanna Briggs Institute and the Preferred Reporting I...to map the literature on the use of Rapid Molecular Tests in the diagnosis of tuberculosis in people experiencing homelessness. this is a scoping review guided by the Joanna Briggs Institute and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews. A search was conducted in gray literature databases and websites, and the results were summarized narratively. the 10 publications included in the scoping review allowed us to categorize the dimensions of Rapid Molecular Test use into cost-effectiveness, including reduction in isolation and hospitalization time; time to implement diagnosis and start treatment; effectiveness in implementing measures and strategies for active tuberculosis case finding; case management based on the repercussions of bacteriological confirmation on therapeutic management; decentralization of diagnosis through strategic location of technologies to increase case detection; and diagnostic efficacy, considering the strong predictive power of the diagnosis. the use of the test contributed to the early detection of tuberculosis and, as benefits, reduced disease transmission and saved resources. However, many studies conducted with people experiencing homelessness include other vulnerable populations, revealing a significant gap in the literature for this specific group.
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· 2026 · PMID 41983784
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to compare breastfeeding self-efficacy, parenting behaviors, and adaptation to the maternal role in mothers with planned and unplanned pregnancies during the early postpartum period. a cross-sectional study was conducted...to compare breastfeeding self-efficacy, parenting behaviors, and adaptation to the maternal role in mothers with planned and unplanned pregnancies during the early postpartum period. a cross-sectional study was conducted with 414 mothers using a convenience sample at a postpartum clinic in a university hospital. Data collection was performed using a form containing sociodemographic and obstetric variables, the Postpartum Parenting Behavior Scale, the Myself as Mother Scale, and the Breastfeeding Self-Efficacy Scale - Short Form. of the 414 mothers included in the study, 163 (39.4%) had unplanned pregnancies. Mothers with unplanned pregnancies had significantly lower breastfeeding self-efficacy, parenting behavior, and maternal role scores than those of mothers with planned pregnancies (p < 0.001). According to regression analysis, unplanned pregnancy is a risk factor that negatively affects mothers' breastfeeding self-efficacy, parenting behavior, and maternal role (p < 0.001). the self-efficacy in breastfeeding among mothers with unplanned pregnancies was quite low, and their parenting behaviors and maternal roles were quite inadequate. Nurses and midwives should support mothers with unplanned pregnancies in terms of breastfeeding their babies, both during pregnancy and in the early postpartum period, and in adapting to the role of motherhood and raising children.
Bueno ML, Sousa JCG, Monteiro VS
… +6 more, Sá AAS, Mendonça AKMS, Siqueira KM, Guimarães RA, Rossetto EG, Castral TC
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· 2026 · PMID 41919825
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OBJECTIVE: to estimate the incidence of exclusive breastfeeding and weaning in premature infants and identify risk factors after hospital discharge. METHOD: prospective cohort study with 237 participants. Factors associa...OBJECTIVE: to estimate the incidence of exclusive breastfeeding and weaning in premature infants and identify risk factors after hospital discharge. METHOD: prospective cohort study with 237 participants. Factors associated with breastfeeding discontinuation and weaning were analyzed using Poisson regression. RESULTS: after discharge, 35.3% (95% CI: 29.6-41.8) interrupted breastfeeding and 9.8% (95% CI: 6.5-14.2) weaned. The following factors were associated with breastfeeding cessation: maternal age (RR=0.70; 95% CI: 0.49-0.99); education (elementary school: RR=1.68; 95% CI: 1.00-2.80; high school: RR=1.79; 95% CI: 1.20-2.66); breast stimulation (>6 h: RR=1.88; 95% CI: 1.13-3.13; no stimulation: RR=1.69; 95% CI: 0.98-2.88); hospitalization (RR=1.85; 95% CI: 1.10-3.08); first feeding (>24 h: RR=0.61; 95% CI: 0.38-0.99; did not breastfeed: RR=0.66; 95% CI: 0.43-1.01); and breastfeeding at discharge (RR=3.64; 95% CI: 2.45-5.40). Weaning was associated with not breastfeeding at discharge (RR=3.64; 95% CI: 2.45-5.40). CONCLUSION: maternal age, education, hospitalization, and breastfeeding at discharge influenced the interruption of breastfeeding. The absence of breastfeeding at discharge increased the risk of weaning. Early interventions, family support, and policies are essential for maintaining breastfeeding.
Modesto MMO, Oliveira NN, Pereira ND
… +3 more, Baccon WC, Carreira L, Salci MA
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· 2026 · PMID 41919824
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OBJECTIVE: to analyze the alcohol consumption patterns of adults and older adults before the development of COVID-19 and the influence of alcohol consumption on the outcomes and complications of long COVID. METHOD: cross...OBJECTIVE: to analyze the alcohol consumption patterns of adults and older adults before the development of COVID-19 and the influence of alcohol consumption on the outcomes and complications of long COVID. METHOD: cross-sectional study based on data from a retrospective cohort conducted with adults and older adult who had COVID-19 and who consumed alcohol before infection with the disease. A standardized electronic form was used to collect sample data and a path model was adjusted to prove the theoretical model on the influence of alcohol consumption on negative outcomes for COVID-19. RESULTS: sample of 1,171 participants who responded to the question about alcohol. Of these, 408 (34.84%) reported alcohol consumption prior to the disease. The majority were male, younger, highly educated, and had children over the age of 18. The presence of chronic noncommunicable diseases leads to an 11% increase in the chance of hospitalization and a 12% increase in the chance of long COVID. The age of the participants affected alcohol use and directly affected the need for hospitalization. CONCLUSION: It is important to adopt intervention strategies aimed at reducing alcohol consumption, especially in contexts of syndemic, to mitigate the associated risks.