Rev Lat Am Enfermagem
· 2025 · PMID 40396845
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to analyse the Liver Frailty Index in a cohort of patients from their inclusion in the waiting list to one year after the liver transplant. a cohort study with patients included in a liver transplant waiting list from Ja...to analyse the Liver Frailty Index in a cohort of patients from their inclusion in the waiting list to one year after the liver transplant. a cohort study with patients included in a liver transplant waiting list from January 2020 to December 2021. The variables were analysed and the hypothesis were contrasted by means of the Mann-Whitney U and Spearman's correlation test, a paired measures test and multivariate analysis. the sample consisted in n=51 patients with a mean age of 57.20 years old (SD=9.70), with 74.50% of men. The mean pre-transplant Liver Frailty index was 3.71 (SD=0.74), reaching higher values in patients with advanced liver disease (p=0.004), alcohol-related etiology (p=0.039) and unemployed (p=0.014). Liver frailty improved after the transplant (p<0.001), keeping a directly proportional correlation with age (p=0.014). advanced liver disease, etiology related to alcohol and time in the waiting list exert impacts on liver frailty during the liver transplant process. Older liver transplanted patients are more frail.
Rev Lat Am Enfermagem
· 2025 · PMID 40396844
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to identify the prevalence of adverse events in patients undergoing hip and knee arthroplasties following the implementation of surgical checklists. an evaluative study, based on effect analysis, conducted over three per...to identify the prevalence of adverse events in patients undergoing hip and knee arthroplasties following the implementation of surgical checklists. an evaluative study, based on effect analysis, conducted over three periods: pre- (0- 2010) and post- intervention (I- 2013; II- 2016), with retrospective consultation of a simple random sample of 291 medical records between November 2020 and March 2022. The Canadian Adverse Events Study and Global Trigger Tool forms were used to track and confirm adverse events. Cases were analyzed using descriptive and inferential statistics; p-values ≤ 0.05 indicated significance. in the post-implementation periods of surgical checklists, a reduction was observed in the frequency of patients affected by two or more events, from 27.8% to 11.3% (p = 0.002), and in the overall prevalence, from 63.9% to 36.1% (p < 0.001). A decrease in the prevalence of patients affected by urinary retention (33% to 3.1%; p < 0.001) and hemorrhage (9.3% to 0%; p = 0.012) was also noted. There was an increase in the prevalence of skin lesions, from 2.1% to 10.3% (p = 0.043). there was a reduction in the overall prevalence and frequency of adverse events in patients undergoing arthroplasty following the implementation of surgical checklists.
Rev Lat Am Enfermagem
· 2025 · PMID 40396843
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to describe the process of analyzing the intrinsic elements of the Situation-specific Theory for health control in heart failure and present its respective update. analysis of the intrinsic elements of the theory using t...to describe the process of analyzing the intrinsic elements of the Situation-specific Theory for health control in heart failure and present its respective update. analysis of the intrinsic elements of the theory using the Delphi technique. Nurses whose expertise involved knowledge in Cardiology Nursing, Nursing theories, heart failure and/or Nursing terminology were selected. the Theory was analyzed by 15 experts in the first round and 14 in the second round; all items evaluated obtained agreement greater than 80% regarding their adequacy, after two rounds of analysis. The theory maintained its original structure; however, the relationship between the factors that influence the health control of individuals with heart failure and the pictogram were updated. the updated theory offers a better understanding of the factors that can influence the health control of individuals with heart failure and, although the focus of the theory is in the outpatient setting, it assumes the possibility of its application in other settings. The Delphi technique proved to be useful for theoretical validation, considering the specificity of the theme; however, the response time of the experts can be slow, which tends to impact the time to complete the study.
Rev Lat Am Enfermagem
· 2025 · PMID 40396842
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to analyze the factors associated with mortality in patients with cardiovascular disease affected by Coronavirus Disease-2019. this was a cross-sectional study using data from the monitoring of notifications during the p...to analyze the factors associated with mortality in patients with cardiovascular disease affected by Coronavirus Disease-2019. this was a cross-sectional study using data from the monitoring of notifications during the pandemic. The sample included cases with cardiovascular comorbidity and clinical outcomes. The dependent variable was the progression of the case to death. Associations were tested using the binary logistic regression method, using the Odds Ratio. the prevalence was female (50.6%), elderly (71.1%), self-declared non-white (71.0%), with multiple comorbidities associated with cardiovascular disease (60.3%), diabetes being the main one (44.8%). The study suggests that patients who were men (OR 1.13; p = 0.028), elderly (OR 2.57; p = 0.000), self-declared white (OR 1.71; p = 0.000), and had multiple comorbidities (OR 1.70; p = 0.000) were associated with a greater chance of death. the factors associated with a higher chance of death were related to gender, age group, and the presence of comorbidities, showing the vulnerability of this population to infection.
Rev Lat Am Enfermagem
· 2025 · PMID 40396841
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to evaluate the performance of qSOFA in identifying deterioration in patients with COVID-19. retrospective cohort study conducted between February and August 2020 in the Emergency Department of a private hospital, involv...to evaluate the performance of qSOFA in identifying deterioration in patients with COVID-19. retrospective cohort study conducted between February and August 2020 in the Emergency Department of a private hospital, involving 813 adults. The variables studied included sociodemographic data, clinical characteristics, deterioration, qSOFA on admission and before the event, and outcomes. The performance of qSOFA at both moments was analyzed using the area under the ROC curve. the average age was 69 years. There was a predominance of men (61.5%), white (97.2%), catholic (73.7%), married (89.6%) and employed (66%). Comorbidities were present in 69.7%, and 58.8% were classified as "urgent" upon admission. The most frequent deterioration was respiratory failure (16.7%), and the outcome was discharge (68%). Patients with positive qSOFA on admission had a higher percentage of respiratory failure, cardiopulmonary arrest, and "very urgent" risk classification, and those with negative qSOFA showed a higher percentage of discharge (p< 0.0001). Upon admission, qSOFA showed 66% sensitivity and 55% specificity, and prior to the event it showed 48% sensitivity and 88% specificity for identifying clinical deterioration. Patients with positive qSOFA on admission were 350 times more likely to experience deterioration. qSOFA showed low sensitivity for identifying deterioration at both moments and high specificity before the event.
Rev Lat Am Enfermagem
· 2025 · PMID 40396840
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to evaluate the effectiveness of an educational intervention with hospital cleaning and sanitizing workers in protecting against injuries caused by biological agents. this was a prospective, quasi-experimental, before-an...to evaluate the effectiveness of an educational intervention with hospital cleaning and sanitizing workers in protecting against injuries caused by biological agents. this was a prospective, quasi-experimental, before-and-after study with a single group, analyzing workers' behavior regarding adherence to standard precautions. Data was collected from 106 cleaning and sanitizing workers through a demographic and occupational questionnaire and a knowledge and behavioral survey on preventing diseases caused by biological agents. Participants' behavior related to biosafety was observed before and after the educational intervention. Descriptive and inferential statistical analysis. 77.4% of the workers are female and approximately 42% have worked for up to a year. As for the level of education, 39.6% had completed high school and 29.2% had incomplete primary education. The median score for adherence to standard precautions: pre-intervention 14 points and post-intervention 17 points. Among the observations before dressing, adherence to hand hygiene with soap and water rose from 41.7% to 75.0% after the intervention. the educational intervention, based on theoretical-practical workshops and active methodologies, improved adherence to biosafety practices, as evidenced by both reported behavior and direct observation. The leadership and commitment of hospital managers are crucial for the continuity of education and biosafety practices, ensuring the safety of professionals and patients. Future studies should focus on the health of hospital cleaning and sanitizing workers, including educational programs and the relationship between their activities and patient safety against infections in healthcare services.
Rev Lat Am Enfermagem
· 2025 · PMID 40396839
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to analyze the profile of exposure to COVID-19 information and its association with depressive symptom screening in a sample of older adults in Brazil. cross-sectional study using data collected through a web-based surve...to analyze the profile of exposure to COVID-19 information and its association with depressive symptom screening in a sample of older adults in Brazil. cross-sectional study using data collected through a web-based survey with 3,307 participants recruited via social media and email. Descriptive and bivariate analyses were conducted to estimate associations of interest, as well as crude and adjusted logistic regression, controlling for predictive, sociodemographic and infodemic variables. a significant association was found between the presence of depression symptoms among older adults who were exposed to social media and television for three to six hours or more and those who reported not having been exposed to any news and information about COVID-19 on television. older women frequently exposed to COVID-19-related information on television and social media for two- to six-hour periods showed depression symptoms. This study contributes to research on infodemics and mental health by addressing a research gap on the relationship between depressive symptom screening and the profile of exposure to COVID-19 information in a sample of older adults.
Ferreira ACS, Ribeiro DA, Borges JWP
… +3 more, Pereira MG, Freitas KS, Mata LRFD
Rev Lat Am Enfermagem
· 2025 · PMID 40332197
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describe the cultural adaptation process of the International Consultation on Incontinence Questionnaire Male Sexual Matters Associated with Lower Urinary Tract Symptoms Module, as well as to analyze validity and reliabi...describe the cultural adaptation process of the International Consultation on Incontinence Questionnaire Male Sexual Matters Associated with Lower Urinary Tract Symptoms Module, as well as to analyze validity and reliability of its Brazilian version in men experiencing urinary symptoms. this cross-sectional study was conducted on 138 men with urinary symptoms who were being followed-up at the Urology outpatient clinic of an Oncology hospital. The internal structure validity evidence was assessed using the four items of the questionnaire, both through exploratory and confirmatory factor analysis. Additionally, reliability was analyzed employing the Cronbach's α and McDonald's ω coefficients. The evidence of validity in the relationship with external variables was assessed using Spearman's correlation with the International Prostate Symptom Score and Male Sexual Quotient. significant evidence of content validity, response process and a single factor that explained 78% of the variance were detected, with factor loadings ranging between 0.54 and 0.97. Cronbach's α and McDonald's ω were close to 0.95, indicating satisfactory reliability. A moderate positive correlation was found between the questionnaire used and the International Prostate Symptom Score (r=0.67), as well as a strong negative correlation with the Male Sexual Quotient (r=-0.84), supporting good evidence of validity in the relationship with external variables. the Brazilian version of the questionnaire showed strong validity and reliability evidence to assess sexual dysfunctions in the study population.
Rev Lat Am Enfermagem
· 2025 · PMID 40332196
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to map the scientific literature regarding the use of the Perme Intensive Care Unit Mobility Score in hospitalized adults. scoping review, structured according to the methodological guidelines of the Joanna Briggs Instit...to map the scientific literature regarding the use of the Perme Intensive Care Unit Mobility Score in hospitalized adults. scoping review, structured according to the methodological guidelines of the Joanna Briggs Institute - Evidence Synthesis Groups, with searches in seven databases and gray literature. The studies were selected by two reviewers, using an instrument for data extraction. the analysis of the 29 selected studies showed a predominance of longitudinal studies (34.48%), conducted in Brazil (48.27%) in Intensive Care Units (29%), and published between 2020 and 2021 (48.24%). The studies demonstrated the use of the Perme Score for description and reliability of the instrument, translation and cultural adaptation, association between functional mobility, clinical characteristics and outcomes, mobility assessment after interventions, mobility assessment and potential barriers to mobilization, and use of the score for validation of other instruments and various clinical profiles. the Perme Score is an instrument capable of measuring physical mobility, including possible barriers to mobility, with potential for use in scenarios outside the Intensive Care Unit, in intervention studies for early mobilization and prediction of hospitalization outcomes.
Rev Lat Am Enfermagem
· 2025 · PMID 40332195
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to analyze the spatial distribution of the reporting rate of events supposedly attributable to vaccination or immunization against COVID-19 and factors associated with achieving the target recommended by the Global Vacci...to analyze the spatial distribution of the reporting rate of events supposedly attributable to vaccination or immunization against COVID-19 and factors associated with achieving the target recommended by the Global Vaccine Action Plan. ecological study that considered notifications from 853 municipalities in the state of Minas Gerais. A total of 34,027 notifications recorded in the e-SUS Notifica system were analyzed. Getis-Ord Gi* and Geographically weighted regression were performed to identify spatial clusters, compliance with at least 10 notifications and factors correlated with spatial distribution. a heterogeneous distribution of reporting rates was observed throughout the state. A total of 20.3% of municipalities did not meet the recommended reporting target. The municipalities in the Northwest, Jequitinhonha and Vale do Aço macro-regions had the highest reporting rates in the state, while those in the East, East South and West macro-regions had the lowest rates. The number of nursing professionals per inhabitant (regression coefficient= 0.644; p< 0.01) and the percentage of families living in rural areas (regression coefficient= -0.013; p< 0.01) were associated with reporting rates. the presence of clusters of low reporting rates highlights the need to implement integrated strategies adapted to the particularities of each region to enhance event reporting surveillance.
Rev Lat Am Enfermagem
· 2025 · PMID 40332194
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to assess the knowledge and attitudes of pregnant women towards COVID-19 vaccination and the factors that affect them. this is a cross-sectional and analytical study with 407 pregnant women. The COVID-19 Vaccine Knowledg...to assess the knowledge and attitudes of pregnant women towards COVID-19 vaccination and the factors that affect them. this is a cross-sectional and analytical study with 407 pregnant women. The COVID-19 Vaccine Knowledge and Attitude Scale was used to assess the knowledge and attitudes of pregnant women towards COVID-19 vaccination. Mann-Whitney U and Kruskal-Wallis H tests were used for statistical analysis. it was found that 63.88% of the sample had a negative opinion about being vaccinated against COVID-19 during pregnancy. Seventy-five percent of the pregnant women believed that the vaccine would harm their fetus. The mean subscale scores of the severity (p = 0.001) and benefit (p = 0.001) of the vaccine were significantly higher in pregnant women with a higher level of education and in the first trimester (p = 0.001). It was found that pregnant women who stated that they had sufficient information about COVID-19 had significantly higher severity (p = 0.001) and benefit (p = 0.031) subscale mean scores and had a more positive attitude against COVID-19 vaccination during pregnancy. most pregnant women had negative attitudes due to concerns that the COVID-19 vaccine would harm the fetus. Healthcare professionals should provide education about the importance of vaccination during pregnancy for maternal and infant health during pregnancy follow-up.
Lioi FM, Sousa LRM, Antonini M
… +3 more, Rocha DM, Elias HC, Reis RK
Rev Lat Am Enfermagem
· 2025 · PMID 40332193
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to build and validate an information portal on the combined prevention of human immunodeficiency virus infection. a four-stage methodological study: definition, architecture, design, and implementation. The validation pr...to build and validate an information portal on the combined prevention of human immunodeficiency virus infection. a four-stage methodological study: definition, architecture, design, and implementation. The validation process was carried out by 24 nurses and 23 professionals specializing in Information Technology. A Likert-type questionnaire described the agreement between nurses/experts and IT professionals concerning the different attributes. The Content Validity Index was considered to have a cut-off point equal to or greater than 0.80. the agreement rates were satisfactory, totaling 0.94 overall among nurses and 0.96 among IT professionals. The validity indicators showed satisfactory agreement in the attributes of general impression (0.96), objectives (0.90), adequacy of content (0.98) and language (1.00), relevance (0.96), high potential for attractiveness (0.91), and for innovation (0.90). In addition, the proposed technology has resources that guarantee easy navigation (0.96), as well as the quality of the interface (0.96), aesthetics, and audiovisuals (0.99). it can be concluded that PREVI@IDST is an innovative educational resource because it brings together valid evidence for information and guidance on combined HIV prevention.
Rev Lat Am Enfermagem
· 2025 · PMID 40332192
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to develop two distinct protocols, based on evidence, with safety criteria for post-extubated and tracheostomized patients in order to support the administration of thirst relief methods. methodological study divided int...to develop two distinct protocols, based on evidence, with safety criteria for post-extubated and tracheostomized patients in order to support the administration of thirst relief methods. methodological study divided into two phases: definition of the scope and development of the protocols. Safety criteria were identified and submitted to the evaluation of reliability of the evidence using the Grading of Recommendations, Assessment, Development and Evaluation (GRADEpro) system. The criteria were incorporated into flowcharts with their respective operational manuals. The Experts formulated recommendations and the Content Validity Index was calculated. two protocols and its respective manuals were developed to assess the safety of the administration of thirst relief methods: one for post-extubated patients and the other for tracheostomized patients. Safety criteria listed: level of consciousness, signs of respiratory failure, nausea and/or vomiting, swallowing ability, coughing/airway protection, voice changes and adequate functioning of the tracheostomy tube. The Experts' recommendations were obtained with a Content Validity Index of 87%. the clinical protocols, with six safety criteria each, based on evidence for the management of thirst in post-extubated and tracheostomized patients are innovative, allow safety assessment for thirst management and shows content validity.
Rodrigues FO, Gheno EER, Castro LY
… +3 more, Nogaro A, Rosa ACMD, Kolankiewicz ACB
Rev Lat Am Enfermagem
· 2025 · PMID 40332191
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to identify the association between health literacy and sociodemographic and clinical variables of hospitalized patients in people hospitalized with chronic diseases. this was a cross-sectional study of patients with chr...to identify the association between health literacy and sociodemographic and clinical variables of hospitalized patients in people hospitalized with chronic diseases. this was a cross-sectional study of patients with chronic illnesses admitted to a general hospital. A sociodemographic/clinical questionnaire and the Health Literacy Questionnaire comprising nine scales measured by scores, were used, with descriptive and inferential data analysis. Social Support for Health was associated with the level of primary education (p=0.009). Understanding and Support from Health Professionals were related to the length of chronic illness (p=0.044). Evaluation of Health Information was associated with age (p=0.001), being able to read (p=0.010) and write (p=0.032). Navigating the Health System was also associated with age (p=0.018), as was the Ability to Find Good Health Information (p=0.002) and being able to read (p=0.010), and Understanding Health Information Well Enough to Know What to Do was associated with age (p=0.001) and being able to write (p=0.010). schooling, age group, length of time with a chronic illness, and being able to read and write interfere with health literacy. This highlights the need for personalized strategies that take these variables into account in order to improve health literacy in hospitalized populations.
Amaral EDS, Arruda G, Perondi AR
… +3 more, Cavalheiri JC, Vieira AP, Follador FAC
Rev Lat Am Enfermagem
· 2025 · PMID 40172447
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UNLABELLED: to identify the occurrence of violence at work affecting nursing professionals working in hospitals and to relate professional profile variables to this phenomenon. this is an exploratory, cross-sectional, de...UNLABELLED: to identify the occurrence of violence at work affecting nursing professionals working in hospitals and to relate professional profile variables to this phenomenon. this is an exploratory, cross-sectional, descriptive, correlational, field and quantitative study carried out with 218 nursing professionals working in hospital units in the 8th Health Region of Paraná, using a sociodemographic questionnaire and the Questionnaire for the Evaluation of Violence at Work Suffered or Witnessed by Nursing Workers. Data was analyzed using absolute and relative frequencies, and the Chi-squared test with Yates' continuity correction was used to verify the associated factors. the sample included 218 nursing professionals, 44.0% of whom reported having suffered violence at work, 11.9% physical violence, 47.7% verbal abuse and 2.8% sexual harassment. When the association was made, it was observed that professionals over 30 and who work overtime suffer more violence than other professionals. in view of the above, it was possible to see a significant occurrence of episodes of violence at work in the last 12 months, with verbal violence being the most frequently reported. BACKGROUND: (1) Significant prevalence of violence in the workplace. BACKGROUND: (2) Emphasis on workers' health for nursing professionals. BACKGROUND: (3) Verbal violence affects 47.7% of the sample studied. BACKGROUND: (4) The need for public policies to improve safety at work. BACKGROUND: (5) Encouragement for further research on the subject.
Rev Lat Am Enfermagem
· 2025 · PMID 40172446
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UNLABELLED: to map national and international scientific literature on the quality of outpatient nursing care. a scoping review guided by the Joanna Briggs Institute Collaboration, conducted across 12 databases and repos...UNLABELLED: to map national and international scientific literature on the quality of outpatient nursing care. a scoping review guided by the Joanna Briggs Institute Collaboration, conducted across 12 databases and repositories. Only original articles evaluating the quality of outpatient nursing care were included. No restrictions were applied regarding time, methodology, or language. Data were mapped and organized through thematic and statistical descriptions of the articles. This review was registered on the Open Science Framework platform. a total of 45 studies published between 1984 and 2021 were identified, resulting in 17 quality indicators for outpatient nursing care, grouped according to Donabedian's triad: four for structure, seven for process, and six for outcomes. The predominant area of care was oncology. Among the analyzed studies, 55.3% focused on patients. The most frequently cited indicators were continuing health education, service organization, communication, care coordination, and the nursing process. the limited number of studies in this field, compared to other areas of nursing, highlights the underexploitation of the topic both nationally and internationally. Additionally, the diversity of identified indicators underscores the lack of standardization in these data. BACKGROUND: (1) Few studies address the evaluation of outpatient nursing care quality. BACKGROUND: (2) Quality indicators identify challenges in healthcare services. BACKGROUND: (3) Publications on outpatient nursing care quality have increased since 2000. BACKGROUND: (4) Most of the evaluated studies focused on outpatient patients. BACKGROUND: (5) The most frequently cited quality indicator in the studies was Continuing Health Education.
Rev Lat Am Enfermagem
· 2025 · PMID 40172445
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UNLABELLED: to evaluate the effectiveness of the board game "Mural de Risco" (Risk Wall) on the prevention of the Human Immunodeficiency Virus/AIDS in the knowledge of people aged 50 and over in a school context. randomi...UNLABELLED: to evaluate the effectiveness of the board game "Mural de Risco" (Risk Wall) on the prevention of the Human Immunodeficiency Virus/AIDS in the knowledge of people aged 50 and over in a school context. randomized controlled trial, with two arms, carried out in 18 schools with 100 people in Youth and Adult Education. A validated illustrated instrument was used to assess knowledge. The educational intervention took place in groups of 3 to 5 participants, with the "Mural de Risco" game, in which the participants judged the images that represented a lot, little or no risk of HIV infection. McNemar's test was applied to the distribution of correct answers. there was a significant increase in the mean scores in the intervention group between baseline and the 30th day (p=0.001), which did not occur in the control group (p=0.953). the game was effective in increasing the knowledge of people aged 50 and over about the prevention of the Human Immunodeficiency Virus/AIDS. Brazilian Registry of Clinical Trials: RBR-5w9tx9. BACKGROUND: (1) In Brazil and around the world, there are high HIV/aids rates among older adults. BACKGROUND: (2) The board game is a low-cost, easily accessible educational resource. BACKGROUND: (3) The board game contains images of older adults in everyday situations. BACKGROUND: (4) The "Mural de Risco" (Risk Wall) game was validated by experts and evaluated by the target audience. BACKGROUND: (5) The game can be used by nurses in health education activities.
Rev Lat Am Enfermagem
· 2025 · PMID 40172444
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UNLABELLED: to evaluate the workload perceived by operating room nurses and the time spent on the activities performed and to understand the activities that influence their perception. sequential explanatory mixed method...UNLABELLED: to evaluate the workload perceived by operating room nurses and the time spent on the activities performed and to understand the activities that influence their perception. sequential explanatory mixed methods study. The quantitative stage involved a survey of 34 nurses from five hospitals and measuring the time spent on each activity in the hospitals with the highest and lowest perceived workload, during 129 hours of observation. Semi-structured interviews were then conducted with 12 nurses. The quantitative data was analyzed descriptively and inferentially, and the qualitative data was submitted to content analysis and then integrated by connection. there was a predominance of females (88.23%) and a mean age of 39±8.18 years among the nurses, with a moderate (r=0.502) and significant (p=0.002) correlation between age and perceived workload. Managerial activities spent more time and were identified as the most influential in the perception of the workload associated with the mental demand dimension. the activities that have the greatest impact on the perception of workload include managing the sector and people. Direct patient care was identified as providing job fulfillment and purpose. BACKGROUND: (1) Moderate and significant correlation between perception of workload and age. BACKGROUND: (2) The highest percentage of time measured was spent on managerial activities. BACKGROUND: (3) Mental demand scored highest in the perception of workload. BACKGROUND: (4) Direct patient care is a significant source of job fulfillment. BACKGROUND: (5) Nurses express a loss in the essence of care to the detriment of other activities.