Rev Lat Am Enfermagem
· 2025 · PMID 40834125
·
Full text
UNLABELLED: to elaborate a Middle-Range Theory for the diagnosis of situational low self-esteem in nursing students based on the mapping of scientific literature. methodological study aimed at building a Middle-Range The...UNLABELLED: to elaborate a Middle-Range Theory for the diagnosis of situational low self-esteem in nursing students based on the mapping of scientific literature. methodological study aimed at building a Middle-Range Theory, developed on the basis of the causal-theoretical model and based on Roy's Adaptation Model. The process was operationalized in six stages: (1) defining the approach to building the theory; (2) defining the theoretical-conceptual models; (3) identifying the key concepts; (4) drawing up a pictorial scheme; (5) formulating propositions; and (6) establishing causal relationships and evidence for practice. five essential attributes, 15 antecedents and 23 clinical consequents were identified. The analysis of these elements enabled the development of the Middle-Range Theory, consisting of an illustrative diagram, eight propositions, 12 causal relationships and evidence for practice. the small number of studies shows how little the subject has been explored in national and international contexts. The Middle-Range Theory broadened the understanding of the diagnosis of situational low self-esteem, offering support for nurses' work in the university context. BACKGROUND: (1) MRT introduces elements for nurses to use in clinical practice. BACKGROUND: (2) Broadens understanding of the diagnosis of situational low self-esteem. BACKGROUND: (3) Supports the advancement of practice and research related to the student care process. BACKGROUND: (4) Can serve as a guiding resource for implementing actions to address low self-esteem.
Rev Lat Am Enfermagem
· 2025 · PMID 40736107
·
Full text
to understand the therapeutic itinerary of women who experienced the gestational period during the COVID-19 pandemic. a descriptive and exploratory study with a qualitative approach, conducted with 16 women who were preg...to understand the therapeutic itinerary of women who experienced the gestational period during the COVID-19 pandemic. a descriptive and exploratory study with a qualitative approach, conducted with 16 women who were pregnant during COVID-19. The theoretical framework used was the Health Care Systems Model proposed by Arthur Kleinman. Semi-structured interviews were conducted, which were audio recorded, fully transcribed, and submitted to content analysis as proposed by Bardin and to the IRaMuTeQ software. the study included women whose ages ranged from 20 to 47 years. Most participants were White and married. Content analysis yielded three categories: 1- Main support networks during pregnancy - family subsystem; 2- Follow-up during pregnancy - professional subsystem; and 3- Spirituality as therapeutic support - cultural subsystem. it was observed that the paths taken by pregnant women seeking healthcare during the COVID-19 pandemic became even more challenging, being permeated by doubts and uncertainties brought about by the disease, as well as by new configurations of routines and services adopted by healthcare providers.
Rev Lat Am Enfermagem
· 2025 · PMID 40736106
·
Full text
to identify factors related to sick leave absenteeism among Brazilian nursing professionals before, during, and after the COVID-19 pandemic. a cross-sectional study involving nursing professionals from medical, surgical,...to identify factors related to sick leave absenteeism among Brazilian nursing professionals before, during, and after the COVID-19 pandemic. a cross-sectional study involving nursing professionals from medical, surgical, intensive care, and adult emergency units, with absences recorded between 2019 and 2022. Sociodemographic, occupational, and absence-related variables were evaluated. Descriptive statistical analysis, absenteeism rate calculation, and Poisson Regression with robust variance were performed, considering p≤0.05. a sample of 839 professionals, with 7,375 absences, was analyzed. Sick leave absenteeism resulted in an average of 54.1±2.5 lost days (p<0.001) and was more prevalent among professionals aged 41 years or younger (31.8%; p=0.003). The intensive care (31.3%) and medical inpatient (27.5%) units reported the highest number of absences. The highest absenteeism rate (9.9%) occurred in July 2020. The risk of illness was associated with male gender (p≤0.001) and intensive care unit work (p=0.007) in the 1st period; being single (p=0.002) and being a nursing technician (p=0.022) in the 2nd period; and working in intensive care (p=0.003) and as a nursing technician (p≤0.001) in the 3rd period. after the end of the pandemic, absenteeism rates did not return to pre-pandemic levels. COVID-19 and musculoskeletal diseases were the most prevalent causes. It was possible to investigate the factors related to absenteeism.
Matsubara MDGS, Makdissi FBA, Elias S
… +3 more, Bergerot CD, Ashing KT, Domenico EBL
Rev Lat Am Enfermagem
· 2025 · PMID 40736105
·
Full text
to evaluate the acceptability and feasibility of the Treatment Summary and Care Plan for Breast Cancer Survivors (TSSCP-P Br) document. this was a cross-sectional, quantitative and qualitative study involving women who h...to evaluate the acceptability and feasibility of the Treatment Summary and Care Plan for Breast Cancer Survivors (TSSCP-P Br) document. this was a cross-sectional, quantitative and qualitative study involving women who had completed treatment for breast cancer (n=50) and nurses (n=10) who incorporated the document into the care plan at outpatient follow-up appointments during the experimental phase of a clinical study. The feasibility and acceptability questionnaires were administered in the last data collection stage of the experiment. The data was analyzed using descriptive statistics and content analysis. in the evaluation of the surviving women, feasibility showed retention of 98.0% and adherence of 99.3%. Acceptability in terms of suitability, convenience, efficacy and adherence reached 81.6%. From the professionals' perspective, feasibility and acceptability were 84.2%, in terms of suitability, convenience, effectiveness, risks, availability, training, fidelity, reach and resources. The document was praised and the main problems in practice were pointed out, such as professional experience. the Treatment Summary and Care Plan proved to be feasible and acceptable for the clinical practice of caring for women who have survived breast cancer.
Rev Lat Am Enfermagem
· 2025 · PMID 40736104
·
Full text
to compare maternal and neonatal care outcomes based on women's parity and to describe neonatal morbidity and mortality among newborns of women admitted in labor. a cross-sectional study involving 3,397 women admitted fo...to compare maternal and neonatal care outcomes based on women's parity and to describe neonatal morbidity and mortality among newborns of women admitted in labor. a cross-sectional study involving 3,397 women admitted for childbirth at a Freestanding Birth Centre and their newborns. The exposure variable was parity, and the outcomes included the use of oxytocin and amniotomy, type of birth, perineal trauma, postpartum hemorrhage, maternal and neonatal transfer, and newborn admission to neonatal intensive or intermediate care units. Data were analyzed descriptively and through logistic regression. primiparity was associated with a higher likelihood of receiving oxytocin and amniotomy, intrapartum transfer, second-degree tear, episiotomy, postpartum hemorrhage, cesarean section, forceps-assisted birth, and neonatal admission to neonatal intensive or intermediate care units. Births predominantly occurred in semi-seated and upright positions, either on a bed or in the birthing tub. The maternal transfer rate was 21.8%, while the neonatal transfer rate was 3.3%. primiparity is a predictor of the analyzed interventions and unfavorable maternal and neonatal outcomes. However, the studied Freestanding Birth Centre can be considered a safe setting for childbirth among health pregnant women.
Leite VF, Kogien M, Dias TL
… +3 more, Maia MCW, Rézio LA, Marcon SR
Rev Lat Am Enfermagem
· 2025 · PMID 40736103
·
Full text
to analyze the effects of a Hatha-Yoga program on the emotional indicators of undergraduate students. this is a quasi-experimental pilot study carried out with 36 students, with the final sample consisting of 14 in the i...to analyze the effects of a Hatha-Yoga program on the emotional indicators of undergraduate students. this is a quasi-experimental pilot study carried out with 36 students, with the final sample consisting of 14 in the intervention group and 18 in the control group, totaling 32. The participants' emotional indicators were assessed before and after the Hatha-Yoga intervention, using the Mindful Attention Awareness Scale; Santa Clara Brief Compassion Scale; Self-Compassion Scale; Mini International Neuropsychiatric Interview; Depression, Anxiety, and Stress Scale; Barratt Impulsiveness Scale and Epworth Sleepiness Scale. Descriptive and inferential analyses were carried out using t-tests (paired and for independent groups) to assess the effect of the intervention. in the intra-group analysis, the intervention group showed an increase in the emotional indicators of compassion, self-compassion and a decrease in anxiety and daytime sleepiness after eight weeks of practicing Hatha-Yoga. In the control group, there was a significant decrease in dispositional mindfulness. In the post-test between-groups analysis, moderate effect size differences were found for self-compassion and dispositional mindfulness. the practice of Hatha-Yoga had a positive impact on the students' emotional indicators, contributing to health promotion and expanded self-care (RBR-10jgv7ky).
Rev Lat Am Enfermagem
· 2025 · PMID 40736102
·
Full text
to implement a realistic simulation scenario aimed at developing communication and teamwork skills in nursing undergraduates and analyzing its contributions during hospital internships. exploratory study conducted with 2...to implement a realistic simulation scenario aimed at developing communication and teamwork skills in nursing undergraduates and analyzing its contributions during hospital internships. exploratory study conducted with 27 final-year nursing students from a higher education institution. Data were collected in 2021 using a checklist and a validated scenario centered on communication and teamwork in the hospital setting. Data collection took place in two stages: first, during the execution of the scenario/debriefing in the institution's skills lab, and later, after the completion of the hospital internship, through semi-structured interviews. The debriefing and interviews discussions were analyzed through inductive thematic analysis. during the debriefing stage, the undergraduate students reflected on their participation in the scenario, the case resolution, and their experiences with communication and teamwork. In the interviews, the students expressed a desire to include additional academic disciplines in the simulated classes and highlighted the benefits of using simulation in hospital practice. the simulation deepened the students' understanding by fostering critical and reflective thinking on communication and teamwork during their hospital internship, thus highlighting the value of its implementation throughout their university education.
Sawada NO, Reis TMD, Freitas PS
… +6 more, Moraes CM, Peloso-Carvalho BM, Assunção MRS, Horvath CMSP, Silva RS, Mendes KDS
Rev Lat Am Enfermagem
· 2025 · PMID 40667951
·
Full text
to identify the prevalence of systemic complications of COVID-19 in critically ill patients, to estimate the clinical conditions that may have a worse prognosis when associated with COVID-19. systematic review with meta-...to identify the prevalence of systemic complications of COVID-19 in critically ill patients, to estimate the clinical conditions that may have a worse prognosis when associated with COVID-19. systematic review with meta-analysis of observational studies, based on the recommendations of the JBI Manual for Evidence Synthesis for systematic reviews of prevalence and incidence, in six databases and grey literature, period 2020 to 2024, languages Portuguese, English and Spanish. We identified 2393 publications. The selection, data extraction and methodological evaluation of the studies were carried out by two independent researchers. The meta-analysis was performed using the Freeman Tukey transformational random-effects statistical method. ten papers were included. The meta-analysis of seven papers dealing with respiratory complications due to COVID-19 demonstrated a mean prevalence of 42%, (95% CI 0.2-0.66) with heterogeneity I2=97.4; the meta-analysis of 4 papers involving the prevalence of neurological complications due to COVID-19 showed an average prevalence of 62%, (95% CI 0.49- 0.74) with heterogeneity I2=87.4 and the meta-analysis of 8 studies showed a prevalence of mortality due to COVID-19 of 33%, (95% CI 0.23- 0.44) with heterogeneity I2=93.6. respiratory and neurological complications were the most prevalent in the reviewed studies. PROSPERO Registration: CRD42020214617.
Rev Lat Am Enfermagem
· 2025 · PMID 40667950
·
Full text
to map scientific knowledge on the dimensions of the Social Determinants of Health in the health of children born preterm in the first two years of life. this is a scoping review guided by the Joanna Briggs Institute and...to map scientific knowledge on the dimensions of the Social Determinants of Health in the health of children born preterm in the first two years of life. 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. From the studies found in five databases and the reference list of those selected, data was extracted using a coding tool based on the Social Determinants of Health theoretical model with the support of the MaxQDA software. 31 publications were included. The most investigated dimensions of the social determinants of children's health were related to the characteristics of the individual, with emphasis on health conditions and age, sex, and hereditary factors, highlighting the search for factors that have a direct impact on children's health. the dimensions of child health most explored were those related to child development. Behavior and living conditions were little investigated. Future studies with a broader approach to the Social Determinants of Health in an integrated way could contribute to the development of care centered on premature infants and early interventions concerning child health outcomes.
Williams HK, Docal M, Chiu AC
… +2 more, Ling C, Reynolds NR
Rev Lat Am Enfermagem
· 2025 · PMID 40667949
·
Full text
this scoping review aims to search the literature about conducting research on pregnant women during outbreaks globally and synthesize the findings to identify themes, analyze knowledge gaps, and provide evidence-based r...this scoping review aims to search the literature about conducting research on pregnant women during outbreaks globally and synthesize the findings to identify themes, analyze knowledge gaps, and provide evidence-based recommendations to inform future research. a comprehensive literature search was conducted in November 2023 using PubMed, Embase, CINAHL, Web of Science, Scopus, and Global Health databases. Key terms included "pregnancy," "disease outbreaks," "biomedical research," and "eligibility criteria." Twenty-three articles published between 2017 and 2023 were included in the synthesis. this review identified a pattern of exclusion of pregnant women from research during multiple disease outbreaks across diverse regions. The exclusion rates ranged from 52% to 97.8%. Ethical and moral concerns were raised, emphasizing the need for a shift toward the presumptive inclusion of pregnant women in research. Recommendations emerged from discussions on the risks and benefits of research participation, global institutional and strategic changes, and the standardized collection of pregnancy-specific data to inform public health responses. this scoping review highlights the systemic exclusion of pregnant women from research during disease outbreaks, underscoring ethical concerns, critical knowledge gaps, and structural barriers while providing a foundation for advancing maternal health research during public health emergencies.
Caqueo-Urízar A, Ponce-Correa F, Urzúa A
… +2 more, Fond G, Boyer L
Rev Lat Am Enfermagem
· 2025 · PMID 40667948
·
Full text
this study aimed at analyzing the internalized stigma latent profiles and the covariates that predict variations in their levels considering antecedent variables such as ethnicity, gender and some relevant clinical chara...this study aimed at analyzing the internalized stigma latent profiles and the covariates that predict variations in their levels considering antecedent variables such as ethnicity, gender and some relevant clinical characteristics like premorbid adjustment, Duration of Untreated Psychosis and symptoms. Latent Class Analysis (LCA) was used to devise a solution with three internalized stigma profiles in a sample comprised by 227 patients diagnosed with schizophrenia from the Public Mental Health Centers of the city of Arica, Chile. the results showed that premorbid adjustment is a significant predictor of class belonging for the latent stigma profiles. When analyzing the sociodemographic characteristics and contrary to what was hypothesized, ethnicity was not a relevant predictor of internalized stigma profiles. the latent classification model is suitable for assessing stigma profiles in order to target future interventions in specific foci and at-risk populations.
Silva MM, Menegaz JDC, Ferreira GRON
… +3 more, Costa JJQT, Martins MEL, Squires A
Rev Lat Am Enfermagem
· 2025 · PMID 40667947
·
Full text
to characterize and describe the spatial and temporal distribution of nursing care establishments in Brazil according to the National Registry of Health Establishments. ecological study, using secondary data from the Nat...to characterize and describe the spatial and temporal distribution of nursing care establishments in Brazil according to the National Registry of Health Establishments. ecological study, using secondary data from the National Register of Health Establishments, aggregated by year, state and region. The variables extracted were: year of registration, gender of the nurse manager or administrator, number of nurses per establishment, type of establishment, main activity, level of care, legal nature and agreement. Descriptive statistics and temporal analysis were carried out using the Jointpoint program. between 2003 and 2023, 340 nursing establishments were found with active registrations. The South and Southeast concentrated most of the establishments. There was a predominance of practices, specialized clinics and home care services. The temporal analysis indicated that between 2003 and 2021, there was an annual growth of 30.07% (p= 0.00). Considering the total period (2003-2023), there was an annual growth of 25.01%, indicating an upward trend in businesses over the years. formalization and registration reflect the professionalization of nursing management. There has been an increase in registrations following the publication of resolutions by the Federal Nursing Council that support autonomous and/or liberal practice.
Marin FC, Sousa CA, Abuchaim ESV
… +1 more, Silva IA
Rev Lat Am Enfermagem
· 2025 · PMID 40667946
·
Full text
to investigate the relationship between diagnostic characteristics, lifestyle, habits and the occurrence of breast cancer subtypes in adult and elderly women. cross-sectional study of women over 18 years old undergoing t...to investigate the relationship between diagnostic characteristics, lifestyle, habits and the occurrence of breast cancer subtypes in adult and elderly women. cross-sectional study of women over 18 years old undergoing treatment or follow-up for breast cancer at a cancer institute in the state of São Paulo. Data were collected between December 2022 and July 2023 through telephone interviews and a survey of electronic medical records. Statistical analysis included absolute and relative frequency distribution and bivariate analysis, using the Chi-square test or Fisher's Exact Test, considering statistically significant values with p≤0.05, with a 95% confidence interval. 323 women took part in the study. Women who did not consume processed foods, soft drinks, or artificial juices had a lower proportion of ductal carcinoma. And those aged <40 had a higher proportion of the triple negative breast cancer subtype. the results indicate a significant relationship between age at diagnosis and molecular subtype, as well as relevant patterns between the consumption of industrialized foods and soft drinks or artificial juices and the histological subtypes of the disease. These findings highlight the importance of considering such factors in the prevention of the disease.
Schneider DR, Thurow CF, Franzoloso T
… +7 more, Silva LGD, Silva GG, Santos ELD, Domingues LP, Anjos LPD, Lopes FM, Noto AR
Rev Lat Am Enfermagem
· 2025 · PMID 40667945
·
Full text
to map studies that have developed evaluation processes of prevention programs for the use of alcohol and other drugs in Brazil, analyzing their methodological characteristics. a scoping review guided by the Joanna Brigg...to map studies that have developed evaluation processes of prevention programs for the use of alcohol and other drugs in Brazil, analyzing their methodological characteristics. a scoping review guided by the Joanna Briggs Institute Manual and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews. The searches were carried out in eight databases and a theses and dissertations database, screened with double-blind in Rayyan®, analyzed with a focus on the methodology of the evaluative studies and through qualitative synthesis. of the 56 publications included, the majority used an observational design, generally related to process evaluations (n = 26), followed by experimental (n = 23) and quasi-experimental (n = 8) analyses of results in terms of effectiveness and efficacy, respectively. Of the eleven actions analyzed, eight are universal prevention programs, one is selective prevention and two are a preventive strategy. most of the programs evaluated are universal, aimed at adolescents, carried out in schools and focused on various drugs. It is recommended to focus on new groups, such as Indigenous populations and other risk conditions, and to develop selective programs in future government initiatives to prevent drug use in Brazil.
Rev Lat Am Enfermagem
· 2025 · PMID 40667943
·
Full text
to synthesize the scientific evidence on the effectiveness of telemedicine-based interventions in improving health-related quality of life and self-management of patients with heart disease. systematic review of effectiv...to synthesize the scientific evidence on the effectiveness of telemedicine-based interventions in improving health-related quality of life and self-management of patients with heart disease. systematic review of effectiveness, following the recommendations of the Joanna Briggs Institute and the reporting guideline Preferred Reporting Items for Systematic Reviews and Meta-Analyses Checklist. The search was conducted in six databases: Cochrane Library, Virtual Health Library, PubMed, CINAHL, Web of Science Core Collection and Scopus, without period restriction, in English, Portuguese or Spanish. The methodological quality and risk of bias of the studies were assessed using the JBI critical appraisal tool and the certainty of the evidence was classified using the GRADE tool. of the 44 randomized clinical trials included, the main interventions analyzed were telemonitoring, telephone contact and telerehabilitation. Out of the studies evaluated, 88.63% demonstrated an improvement in health-related quality of life, with 45.45% of these showing a statistically significant difference. telemedicine shows promise as a valuable tool for the care and self-management of individuals with cardiac conditions. However, further studies are needed to confirm its effectiveness and impact on health outcomes.