Revista Latino-americana De Enfermagem[JOURNAL]
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200 papers
Evaluation of nasogastric tube fixation methods: adhesion, displacement and skin integrity.
Thorpe LIF, Silva JCD, Moraes RB … +3 more , Gonçalves NDS, Alves ADN, Santos ICRV
Rev Lat Am Enfermagem · 2024 · PMID 39319894 · Full text
OBJECTIVE: to evaluate three methods of nasogastric tube fixation in terms of adhesion, displacement and skin integrity. METHOD: ex vivo study, with a sample of 30 experimental noses (10 for each type of fixation), devel...
OBJECTIVE: to evaluate three methods of nasogastric tube fixation in terms of adhesion, displacement and skin integrity. METHOD: ex vivo study, with a sample of 30 experimental noses (10 for each type of fixation), developed with porcine skin, based on the average measurements of the human nose, in which 14-gauge polyvinyl chloride probes were inserted and 2 methods of fixation with adhesive tape (Fixation A and B) and one with an industrial device (Fixation C) were used. Each group was exposed to traction of 50, 100 and 500g sequentially over 12 and 24 hours, testing: adhesion capacity, probe displacement and skin integrity. The Chi-square test of independence was calculated for nominal variables and Student's t-tests and analysis of variance (p< 0.05) for rational variables. RESULTS: fixation B showed lower adhesion capacity (p <0.001) when compared to the other two fixations. A mean displacement of 52.17 mm was observed in the probes fixed by methods A and B and a greater occurrence of lesions associated with fixations A and C (p = 0.001). CONCLUSION: the results show complications related to the fixations: lack of adhesion, displacement of the probe and skin lesions, drawing attention to the complexity of the procedure.
Promoting mental health in the workplace: web software development and validation.
Pinhatti EDG, Machado RCBR, Pimenta RA … +2 more , Jaques AE, Haddad MDCFL
Rev Lat Am Enfermagem · 2024 · PMID 39319893 · Full text
OBJECTIVE: to develop and validate the content and technical aspects of a web software program for promoting mental health in the workplace. METHOD: applied methodological study and technological development, carried out...
OBJECTIVE: to develop and validate the content and technical aspects of a web software program for promoting mental health in the workplace. METHOD: applied methodological study and technological development, carried out in three stages: 1) Umbrella review development; 2) Web software development; 3) Content and technical validation carried out by 14 judges. The data was submitted to descriptive statistical analysis and calculation of the content validity index. RESULTS: based on the guidelines' recommendations, information was defined and extracted in order to develop the web software consisting of the following dimensions: mental health education, support among coworkers, promotion strategies and mental health self-assessment. For the technical development, the objectives, general functions and technological infrastructure were defined. After development and functional testing, the version was made available for content and technical validation by judges. The overall content validity index was 0.98 and for the technical aspects it was 0.97. CONCLUSION: the agreement between the judges in relation to the content and technical aspects, as well as the suggestions incorporated, demonstrated the potential for using web software to promote mental health in the workplace.
Complications in the use of peripherally inserted central catheter associated with peripheral intravenous therapy: retrospective cohort.
Santos ESD, Ferreira EB, Braga FTMM … +3 more , Margatho AS, Sousa P, Silveira RCCP
Rev Lat Am Enfermagem · 2024 · PMID 39319892 · Full text
OBJECTIVE: to analyze the occurrence of difficulty in the peripheral insertion of the central catheter and the presence of complications in the use of this device in hospitalized adults who received peripheral intravenou...
OBJECTIVE: to analyze the occurrence of difficulty in the peripheral insertion of the central catheter and the presence of complications in the use of this device in hospitalized adults who received peripheral intravenous therapy through a short peripheral intravenous catheter and to identify whether there is an association between peripheral intravenous therapy and the presence of complications in the use of the peripherally inserted central catheter. METHOD: retrospective cohort, with patients aged 18 years or over, in a tertiary teaching hospital, with a peripherally inserted central catheter, who had at least one previous short peripheral intravenous catheter. Data were analyzed using descriptive statistics and Poisson regression. RESULTS: the sample consisted of 76 patients. There was an association between difficulty in the insertion procedure and number of punctures (p<0.01) and insertion in the external jugular vein compared to the upper limbs (p<0.01). The insertion site was also associated with the removal of the peripherally inserted central catheter due to complications in the robust analysis of variance (p=0.02). No associations were identified between: difficulty inserting the device and time on peripheral intravenous therapy (crude model p=0.23; adjusted model p=0.21); difficulty in insertion with administration of irritating and vesicant medication (crude model p=0.69; adjusted model p=0.53); complication in the use of peripherally inserted central catheter and time of peripheral intravenous therapy (crude and adjusted models p=0.08); and secondary migration of the catheter tip with the device insertion site (p=0.24). CONCLUSION: it was possible to identify secondary migration as one of the main complications, resulting in premature removal of the device. Furthermore, the greater the number of puncture attempts to insert the PICC, the greater the difficulty in inserting it. Insertion into the external jugular vein was recurrent, with a higher risk of removal due to complications in relation to the upper limbs.
Young nurses' perceptions about their employment, working and health conditions.
Díaz MRH, Morales ZBS, Monroy AMV … +1 more , Prieto ASC
Rev Lat Am Enfermagem · 2024 · PMID 39319891 · Full text
OBJECTIVE: to interpret young nursing professionals' perceptions about the relationship between working, employment and health conditions. METHOD: a qualitative study with an interpretive approach regarding the work-rela...
OBJECTIVE: to interpret young nursing professionals' perceptions about the relationship between working, employment and health conditions. METHOD: a qualitative study with an interpretive approach regarding the work-related experiences of 15 young nurses, who took part in the research through voluntary snowball sampling. The data from the interviews and the focus group were analyzed to reach an approximation to the realities inherent to the nurses' work life. RESULTS: the relevant study findings pointed out that work precariousness is a characteristic feature in the population group, mainly related to hiring modalities and to wages. According to the participants, the psychosocial working conditions (which were intensified during the COVID-19 pandemic) were the ones that caused the most effects on their mental and physical health. CONCLUSION: from the young nurses' perspective, this study reports how the macro- and micro-structural working conditions and their relationship with health are perceived, pointing out the key elements to devise interventions focused on life paths that foster decent and healthy work postulates in their work environments, as well as actions to prevent injuries or harms to nurses' health.
Aerospace nurses' competencies in disaster situations: a scoping review.
Paula BAC, Haberland DF, Guilherme FJA … +3 more , Barbosa BL, Oliveira AB, Silva TASMD
Rev Lat Am Enfermagem · 2024 · PMID 39319890 · Full text
OBJECTIVE: to map the competencies of aerospace nurses in disaster situations. METHOD: a scoping review following the steps recommended by the JBI and the Preferred Reporting Items for Systematic reviews and Meta-Analyse...
OBJECTIVE: to map the competencies of aerospace nurses in disaster situations. METHOD: a scoping review following the steps recommended by the JBI and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist. The review was conducted in three phases by two independent reviewers, with blinding, and supported by a third reviewer to resolve disagreements. Selection was based on the analysis of titles, descriptors, and abstracts, with specific eligibility criteria, followed by the full-text reading. At the end of the selection phase, 37 publications were included. RESULTS: the results highlighted the need for the development of technical skills, knowledge of flight physiology, familiarity with aeronautical emergency procedures, communication skills, leadership, and responsibilities in aircraft preparation. During transport, nurses perform patient history taking (anamnesis), physical examinations, patient monitoring, clinical procedures, and manage in-flight complications. After the flight, they conduct documentation, develop procedures, sanitize clinical equipment, and replenish consumable materials. CONCLUSION: given the complexity of aerospace nursing practices in disaster situations, it is essential for professionals to develop competencies to ensure safe and effective care. There is a need to develop technologies, regulatory frameworks, and legal provisions for legal support, as well as future studies to validate and deepen the mapped competencies.
National practice of Nursing professionals in the insertion of peripheral vascular access devices.
Silva BSM, Santos LMD, Rocha PK … +3 more , Mota ANB, Avelar AFM, Kusahara DM
Rev Lat Am Enfermagem · 2024 · PMID 39319889 · Full text
OBJECTIVE: to identify and compare the practice of Nursing professionals regarding the insertion of peripheral vascular access devices, according to professional category. METHOD: descriptive sectional study carried out...
OBJECTIVE: to identify and compare the practice of Nursing professionals regarding the insertion of peripheral vascular access devices, according to professional category. METHOD: descriptive sectional study carried out between July 2021 and May 2022 with 2,584 Nursing professionals, using a questionnaire validated by three judges with expertise in intravenous therapy, containing variables related to catheterization and the vascular access device. Descriptive and inferential analysis was carried out. RESULTS: most professionals do not prepare the patient or perform some essential care before attempting peripheral intravenous catheterization. Regarding the preferred catheterization site, hands, arm and forearm stand out. There is no control over the tourniquet time, and the patient is punctured more than three times. The most used device materials are polyurethane and Teflon ® , more than one criterion is adopted for device selection, and Micropore ® type adhesive tape was the covering most cited by Nursing professionals. The identification of catheterization was not adequate. CONCLUSION: Nursing technicians and assistants are the professionals who least comply with what is recommended in recognized guidelines. Nurses' practice also presents deviations from scientific evidence.
Epidemic curves and the profile of patients hospitalized by COVID-19 in a border region.
Kunkel M, Gordillo ÉAF, Cicchelero LM … +7 more , Porzsolt F, Meira MCR, Ferreira H, Moreira NM, Luz LDPD, Orfão NH, Silva-Sobrinho RA
Rev Lat Am Enfermagem · 2024 · PMID 39319888 · Full text
OBJECTIVE: to describe the epidemic curves and analyze the epidemiological profile of patients hospitalized with COVID-19 in a triple border city. METHOD: descriptive-quantitative. The population consisted of COVID-19 ca...
OBJECTIVE: to describe the epidemic curves and analyze the epidemiological profile of patients hospitalized with COVID-19 in a triple border city. METHOD: descriptive-quantitative. The population consisted of COVID-19 cases that required hospitalization, analyzing variables such as: age, gender, race/color, city where they lived, occupation, pregnant woman, institutionalized patient and evolution. Descriptive statistical analysis and analysis of variance and chi-square tests were used. RESULTS: four epidemic curves were identified in the studied period. Among hospitalized cases, males predominated (55%). Cure was the most frequent outcome in curves 1, 2 and 4, but with no statistical difference (p = 0.2916). Curve 3 showed a higher frequency of deaths (41.70%) in relation to cures (38.77%). The mean ages were significantly different between the curves, with curve 4 having the lowest mean age. CONCLUSION: it was concluded that the epidemic curves were influenced by different situations; unvaccinated population, easing of restrictive measures, reopening of the Brazil-Paraguay border, interruption of control actions, crowding of people and circulation of new variants of the disease. Through the epidemiological profile of hospitalized patients, it was concluded that being male, of mixed race/color, aged between 61 and 85 years, and being deprived of freedom were associated with hospitalization and the occurrence of death.
Validation of the Family Integration Experience Scale: Chronic Illness for the Portuguese language spoken in Brazil.
Ichikawa CRF, Szylit R
Rev Lat Am Enfermagem · 2024 · PMID 39319887 · Full text
OBJECTIVE: to conduct the cross-cultural adaptation and psychometric validation of the Family Integration Experience Scale: Chronic Illness in Brazilian Portuguese. METHOD: a methodological study divided into two stages....
OBJECTIVE: to conduct the cross-cultural adaptation and psychometric validation of the Family Integration Experience Scale: Chronic Illness in Brazilian Portuguese. METHOD: a methodological study divided into two stages. In the first stage, the Family Integration Experience Scale: Chronic Illness was cross-culturally adapted for Brazilian culture, when the scale was subjected to translations, back-translations, and a committee of judges - to verify the semantic, linguistic, and contextual equivalence between the original and translated items. The second step was to validate the scale in a sample of families of children and adolescents with chronic illnesses. The participants were 230 families of children with chronic illnesses attending the outpatient clinic of a tertiary public hospital with teaching and research characteristics. RESULTS: internal consistency was tested using Cronbach's alpha (0.81) and McDonald's omega (0.81). Confirmatory factor analysis was also tested, and the model's fit was acceptable for validation standards. CONCLUSION: the version of the Family Integration Experience Scale: Chronic Illness showed evidence of validation and can be considered a valid and reliable instrument in Brazilian culture. The Brazilian Portuguese version of the Family Integration Experience Scale: Chronic Illness can be used to measure the experience of family integration in chronic illness.
Sociodemographic and training profile of nursing professionals in the state of São Paulo in relation to Integrative and Complementary Health Practices.
Gnatta JR, Domingos TDS, Gherardi-Donato ECDS … +3 more , Fusco SFB, Kurebayashi LFS, Borges TP
Rev Lat Am Enfermagem · 2024 · PMID 39319886 · Full text
OBJECTIVE: to analyze the sociodemographic and training profile of nursing professionals in the state of São Paulo in relation to Integrative and Complementary Practices in Health. METHOD: cross-sectional study, develope...
OBJECTIVE: to analyze the sociodemographic and training profile of nursing professionals in the state of São Paulo in relation to Integrative and Complementary Practices in Health. METHOD: cross-sectional study, developed with 3,794 nursing professionals in the state of São Paulo, from 645 municipalities. To collect data, an online questionnaire was used containing sociodemographic and professional training variables. A hierarchical multiple Poisson regression model was constructed, considering training in practices as the dependent variable, with a significance level of 5%. RESULTS: of the 3,794 (100%) participants, 479 (12.62%) had training in Integrative and Complementary Health Practices. The most frequent practices were auriculotherapy, Traditional Chinese Medicine/acupuncture and Reiki. The predominant training modalities were free, face-to-face and theoretical-practical courses. The variables age, no formal religion, higher education and specialization level, working hours and knowledge and previous experience on integrative practices were significant. CONCLUSION: the results indicate the need to encourage and expand the training of Integrative and Complementary Health Practices for nursing professionals, in order to strengthen their performance in health services.
Enhancing early bonding between mothers and preterm infants: findings from a Multicentre Qualitative Study of Nurses.
Khasanah NN, Rustina Y, Wanda D … +1 more , Luthfa I
Rev Lat Am Enfermagem · 2024 · PMID 39319885 · Full text
OBJECTIVES: this study aims to explore neonatal nurses' experiences of facilitating early bonding between mothers and premature babies. METHOD: a descriptive qualitative approach was adopted, using focus group discussion...
OBJECTIVES: this study aims to explore neonatal nurses' experiences of facilitating early bonding between mothers and premature babies. METHOD: a descriptive qualitative approach was adopted, using focus group discussions with 13 participants from four referral hospitals in a major city in a developing country. This was followed by in-depth interviews with three participants. RESULTS: three main themes emerged, highlighting the barriers and facilitators to early bonding between mothers and preterm infants. The study also explored care practices aimed at facilitating early bonding within the social environment of preterm infants, involving mothers, families, nurses and hospitals. CONCLUSIONS: the barriers and facilitators identified inform the development of intervention strategies for neonatal nurses to promote early bonding. Optimal early bonding requires enhanced nurse management skills, adequate hospital infrastructure and involvement of the patient's family. These findings contribute to the advancement of health and nursing knowledge.
Nursing teleconsultation in primary health care: scoping review.
Sousa VLP, Dourado Júnior FW, Anjos SJSBD … +1 more , Moreira ACA
Rev Lat Am Enfermagem · 2024 · PMID 39230178 · Full text
OBJECTIVE: to map nurses' skills for nursing teleconsultation in Primary Health Care. METHOD: this is a scoping review guided by the recommendations of the Joanna Briggs Institute Reviewer's Manual, carried out in seven...
OBJECTIVE: to map nurses' skills for nursing teleconsultation in Primary Health Care. METHOD: this is a scoping review guided by the recommendations of the Joanna Briggs Institute Reviewer's Manual, carried out in seven databases and repositories of theses and dissertations. The selection of studies was carried out in Rayyan by two independent, blind reviewers. Data analysis was carried out descriptively. RESULTS: 23 studies were selected, which showed that the skills necessary for nursing teleconsultation in primary care were: communication, clinical, technological and ethical. The lack of digital infrastructure was identified as one of the main barriers to the implementation of teleconsultation. The lack of access to information and communications technology and/or the internet, the severity of the clinical condition and the patient's non-adherence to the remote consultation were also identified. CONCLUSION: nursing teleconsultation in primary care is an emerging way of providing health care. However, for its implementation it is necessary to train nurses in the following skills: communication, clinical, technological, ethical and those related to the infrastructure of the teleconsultation environment.
IST Nurse®: development and validity evidence of a mobile application as a support for the clinical management of Sexually Transmitted Infections.
Sousa LB, Sousa IM, Costa EC … +3 more , Freitas APF, Santos LVFD, Ferreira AGN
Rev Lat Am Enfermagem · 2024 · PMID 39230177 · Full text
OBJECTIVE: to develop and evaluate the validity evidence of a mobile application to support nurses in the clinical management of sexually transmitted infections. METHOD: methodological study conducted in four steps: anal...
OBJECTIVE: to develop and evaluate the validity evidence of a mobile application to support nurses in the clinical management of sexually transmitted infections. METHOD: methodological study conducted in four steps: analysis and definition of requirements; content definition; computational representation with system design; and coding with testing and refinement. In the first steps, nurses with expertise in the subject participated, and in the last, professionals with education in information and communication technology. Data analysis was performed by calculating the Content Validity Index (CVI), considering the minimum agreement value of 0.78. To confirm the viability of the CVI, the binomial test was used through the R software. Variables with p > 0.05 indicated agreement between the judges. RESULTS: the CVI was 0.98 for content, 1.0 for usability and 0.85 for functional performance, showing that the developed application has high validity. CONCLUSION: it is believed that the IST Nurse® application represents an important technological tool in strengthening evidence-based nursing care. Intervention studies are therefore suggested.
Moral sensitivity as a personal and work attribute of emergency care nurses: a cross-sectional study.
Ferraz MOA, Dalla Nora CR, Martins MMFPDS … +3 more , Barata RS, Dantas Ferreira L, Santa Rosa DO
Rev Lat Am Enfermagem · 2024 · PMID 39230176 · Full text
OBJECTIVE: to analyze the moral sensitivity of Brazilian emergency care nurses according to their personal and work characteristics. METHOD: this is a quantitative, descriptive, cross-sectional study with a convenience s...
OBJECTIVE: to analyze the moral sensitivity of Brazilian emergency care nurses according to their personal and work characteristics. METHOD: this is a quantitative, descriptive, cross-sectional study with a convenience sample. A total of 422 nurses from emergency care services in the five regions of Brazil took part. Sociodemographic and work-related information was collected, as well as the Brazilian version of the Moral Sensitivity Questionnaire. After approval by the Research Ethics Committee, the data was collected using a self-administered form on the Google Forms Platform, organized using Excel software and analyzed using the R language. RESULTS: nurses with longer experience in emergency care services showed higher levels in the interpersonal orientation, moral conflict and moral significance dimensions, while in the professional knowledge dimension, men showed higher levels, as evidenced by items that include confidence in nursing knowledge, intuition, experience and opinion. CONCLUSION: the differences in the nurses' moral sensitivity were due to their professional experience. It should be emphasized that valuing the sharing of intergenerational experiences in service could be a possible strategy for fostering moral competencies in the field of practice.
Efficacy of auriculotherapy for decreasing anxiety and stress among perioperative nursing workers: a mixed study.
Munhoz OL, Morais BX, Luz EMFD … +3 more , Greco PBT, Ilha S, Magnago TSBS
Rev Lat Am Enfermagem · 2024 · PMID 39230175 · Full text
OBJECTIVE: to analyze the effectiveness of auriculotherapy for decreasing anxiety and stress of perioperative nursing professionals. METHOD: mixed methods research, embedded experimental model. In the quantitative stage,...
OBJECTIVE: to analyze the effectiveness of auriculotherapy for decreasing anxiety and stress of perioperative nursing professionals. METHOD: mixed methods research, embedded experimental model. In the quantitative stage, a randomized, triple-blind clinical trial was conducted with perioperative nursing professionals, who answered a characterization questionnaire, the List of Signs and Symptoms of Stress, and the General Anxiety Disorder-GAD 7. The participants attended eight auriculotherapy sessions with semi-permanent needles. The qualitative stage was exploratory and descriptive, in which data were collected through semi-structured interviews. Data were mixed with the incorporation of qualitative findings to examine the intervention in the experimental study. RESULTS: 13 professionals participated in the intervention group and 14 in the control group. Anxiety and stress levels decreased significantly within groups, though no statistical difference was found between groups (p>0.05). The central category, "Auriculotherapy as an intervention to treat anxiety and stress," emerged from the qualitative data, which was subdivided into a base unit and three categories concerning the therapy's benefits. CONCLUSION: applying real and sham auriculotherapy had the same effect on the participants' anxiety and stress levels; the reports reinforced such evidence. Non-pharmacological interventions, such as auriculotherapy, are essential for recovering and promoting the health of perioperative nursing professionals. Brazilian Clinical Trials Registry: RBR-3jvmdn.
Predisposing and precipitating factors for the development of postoperative delirium in critically ill patients in a university intensive care unit.
Marques DM, Alves DDSB, Vernaglia TVC
Rev Lat Am Enfermagem · 2024 · PMID 39230174 · Full text
OBJECTIVE: to detect the incidence of postoperative delirium in critically ill patients admitted to a surgical intensive care unit and to evaluate the predisposing and precipitating factors associated with postoperative...
OBJECTIVE: to detect the incidence of postoperative delirium in critically ill patients admitted to a surgical intensive care unit and to evaluate the predisposing and precipitating factors associated with postoperative delirium in critically ill patients admitted to a surgical intensive care unit. METHOD: this is a prospective cohort study of 157 critically ill surgical patients. Fisher's exact test and Chi-square test were used for the association between factors and the occurrence of delirium, the Wilcoxon test for numerical variables, and the logistic regression model for the analysis of predisposing and precipitating factors. RESULTS: the incidence of delirium was 28% (n=44). Age was a significant predisposing factor (p=0.001), followed by the length of surgery (p<0.001), blood transfusion (p=0.043), administration of crystalloids (p=0.008), and anti-inflammatory drugs (p=0.037), which were the precipitating factors identified. The best-adjusted models were: age, length of surgery, non-administration of anti-emetics, use of sufentanil, and blood transfusion. CONCLUSION: delirium is a frequent condition in critically ill adults undergoing surgery and the existence of precipitating and predisposing factors is relevant to the outcome, with the anesthetic-surgical procedure as the catalyst event.
Validation of a mobile application for adults with neurological lower urinary tract dysfunction.
Gomes DSLF, Souza PA, Assis GM … +1 more , Paula DG
Rev Lat Am Enfermagem · 2024 · PMID 39230136 · Full text
OBJECTIVE: to validate with experts the content of a mobile application to guide patients with neurological dysfunction of the lower urinary tract. METHOD: methodological study. For content validation, 81 specialist nurs...
OBJECTIVE: to validate with experts the content of a mobile application to guide patients with neurological dysfunction of the lower urinary tract. METHOD: methodological study. For content validation, 81 specialist nurses took part. The data collection instrument was designed in the form of an electronic form, and included assessments of the application's objectives, content, language, relevance, functionality and usability. The data was submitted to descriptive and inferential statistical analysis, based on the measurement of the Content Validity Index. RESULTS: the overall content validity index of the prototype application was 0.98. The lowest item (0.93) was related to the adequacy of the font size, and the highest module (1) was associated with usability, showing ease in handling the application. The experts recommended correcting spelling and grammar, as well as adding and minimizing information, standardizing language, among others. CONCLUSION: the content of the MeduLar sem Medo ® mobile app was validated with excellence by specialists, and presented important resources for teaching urinary dysfunction control and adherence to rehabilitation. With these results, it is possible to envision the next stages of validation, with application in the populations for which it is intended and incorporation of this care technology into the Unified Health System.
Telenursing with elderly people in home care service during the COVID-19 pandemic: quasi-experimental study.
Rodrigues MA, Santana RF, Hercules ABS … +2 more , Barros PFA, Lima CB
Rev Lat Am Enfermagem · 2024 · PMID 39230135 · Full text
OBJECTIVE: to evaluate telenursing as a support technology in the transition of care for elderly people and their caregivers in the context of home care during the COVID-19 pandemic. METHOD: quasi-experimental before-aft...
OBJECTIVE: to evaluate telenursing as a support technology in the transition of care for elderly people and their caregivers in the context of home care during the COVID-19 pandemic. METHOD: quasi-experimental before-after, non-randomized study, with 219 elderly people and caregivers from the home care service, divided into 131 in the intervention groups and 88 in the control group. Analytical treatment, descriptive and inferential statistics were carried out. RESULTS: 1691 calls were made, 1515 to the intervention group and 176 to the control group. It was observed that in the first call there is a greater need for interventions to promote health and this quantity decreases throughout the calls with a significant result (p-value < 0.001). The outcomes analyzed were hospitalization, death, discharge or continuation of the home care service and it was observed that the chance of discharge from the service was nine times greater in the intervention group. Continuity of care from the home care service and discharge after the end of the calls were also significant (p-value < 0.001). CONCLUSION: telenursing was a technology to support care, mainly for health promotion and discharge from home care services.
Digital health literacy, behavior and knowledge of adolescents for hand hygiene during the COVID-19 pandemic.
Prata RA, Silva JBD, Pimentel SM … +2 more , Nunes HRC, Avila MAG
Rev Lat Am Enfermagem · 2024 · PMID 39230134 · Full text
OBJECTIVE: to investigate factors associated with digital health literacy, hand hygiene knowledge and behavior among Brazilian adolescents during the COVID-19 pandemic. METHOD: cross-sectional study with 473 adolescents...
OBJECTIVE: to investigate factors associated with digital health literacy, hand hygiene knowledge and behavior among Brazilian adolescents during the COVID-19 pandemic. METHOD: cross-sectional study with 473 adolescents aged 15 to 19. Data were collected virtually between June and August 2021 through a questionnaire on sociodemographic characteristics, digital health literacy, knowledge and behavior regarding hand hygiene. Variables were adjusted using multiple linear regression models with normal response. RESULTS: the average digital health literacy score was 29.89 ±5.30; for hand hygiene knowledge and behavior was 13.1 ±1.5 and 11.1±2.7, respectively. Higher knowledge and behavior scores for hand hygiene were associated with having completed high school, compared to those attending college, among those who attend health courses, seek information about the pandemic and in scientific articles. Higher digital health literacy scores in adolescents who did not wear masks when playing sports (p= 0.017). There was an association between digital health literacy and knowledge (p = 0.000) and behavior (p = 0.000) regarding hand hygiene. CONCLUSION: there is an association between higher digital health literacy scores and hand hygiene knowledge and behavior.
Factors associated with medication non-adherence among patients with heart failure.
Lima JG, Barros ALBL, Lopes JL
Rev Lat Am Enfermagem · 2024 · PMID 39230133 · Full text
OBJECTIVE: to identify the factors contributing to medication non-adherence among patients with heart failure. METHOD: cross-sectional and analytical study using the Medida de Adesão ao Tratamento [Treatment Adherence Me...
OBJECTIVE: to identify the factors contributing to medication non-adherence among patients with heart failure. METHOD: cross-sectional and analytical study using the Medida de Adesão ao Tratamento [Treatment Adherence Measure] scale to assess medication non-adherence. Independent variables were collected using the European Heart Failure Self-care Behavior Scale and an instrument developed by the authors based on a previous study. Statistical tests were implemented to analyze data with p≤0.05 statistical significance. RESULTS: the sample comprised 340 patients, with 9.4% considered non-adherent. The multiple analysis results showed that one unit increase in an individual's self-care score led to an 8% increase in the prevalence of non-adherence; patients with a family income above three times the minimum wage presented a prevalence of non-adherence equal to 3.5% of the prevalence of those with up to one times the minimum wage; individuals consuming alcohol or with depression presented 3.49 and 3.69 times higher prevalence of non-adherence, respectively, than individuals not presenting such history. CONCLUSION: medication non-adherence was associated with self-care, family income, depression, and alcohol consumption.
Nurses' perception about their role in reducing health inequalities in community contexts.
Sotelo-Daza J, Jaramillo YE, Chacón MV
Rev Lat Am Enfermagem · 2024 · PMID 39230132 · Full text
OBJECTIVE: to understand nurses' perception about their role in reducing health inequalities in community contexts. METHOD: a qualitative study with a phenomenological approach addressed from Heidegger's Interpretive The...
OBJECTIVE: to understand nurses' perception about their role in reducing health inequalities in community contexts. METHOD: a qualitative study with a phenomenological approach addressed from Heidegger's Interpretive Theory and the health inequality settings. A total of 18 in-depth interviews were conducted with nurses working in health institutions devoted to community interventions. The following five-phase process was adopted for the qualitative data analysis: Accumulation; Disassembling; Reassembling; Interpretation; and Conclusion. RESULTS: four main topics that nurses mobilize to mitigate health inequalities in community settings were identified, namely: Competences to create, operationalize, monitor and assess health policies; Leadership and management for health and care processes at the individual and collective levels; Professionals that devise care strategies; and Care approach based on characteristics of the territory. CONCLUSION: nurses perceive that their role contributes significantly to reducing health inequalities in community settings based on the creation, operationalization, monitoring and assessment of health policies. From the sociocultural, economic and political characteristics of the territory, they prioritize actions in disadvantaged human groups in order to improve access, opportunities, continuity and quality in health.
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