Revista Latino-americana De Enfermagem[JOURNAL]
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200 papers
Construction and validation of a video on the insertion of gastric and enteral tubes in children.
Leonhardt GB, Silva GBD, Prates GK … +2 more , Canabarro ST, Souza LM
Rev Lat Am Enfermagem · 2025 · PMID 40172443 · Full text
UNLABELLED: to construct and validate an educational video on the procedure for inserting gastric and enteral tubes in children. a methodological study in three phases: a) pre-production of the video; b) production; and...
UNLABELLED: to construct and validate an educational video on the procedure for inserting gastric and enteral tubes in children. a methodological study in three phases: a) pre-production of the video; b) production; and c) post-production. First, a script was created based on scientific literature. The video was recorded in the Simulation Laboratory and edited using Movavi® software. The script and video were evaluated by 23 and 12 experts, respectively, via Google Forms®. The Health Education Content Validation, Video Validation, and Content Validity Index instruments were used, with a cut-off point ≥ 0.80. the experts covered three regions of the country. The video contains scenes recorded with a pediatric simulation mannequin, images of materials used in the procedure, and screens with theoretical content. The video script obtained an overall content validation index of 0.83 and the video 0.94, both in one round. The final video lasts 10 minutes and 10 seconds. the script and video were validated. It is freely available on YouTube® and can be used by nurses/nursing students as a tool for study and professional assistance. BACKGROUND: (1) Educational nursing videos require a scientific methodology to be produced. BACKGROUND: (2) The video script and the video were validated by the experts. BACKGROUND: (3) The material was rated as excellent and of excellent quality. BACKGROUND: (4) The video is freely accessible and can contribute to qualified and safe practices.
Public social protection policies for people affected by tuberculosis: a documentary analysis.
Ferreira MRL, Ballestero JGA, Andrade RLP … +3 more , Arakawa T, Fronteira I, Monroe AA
Rev Lat Am Enfermagem · 2025 · PMID 40105659 · Full text
BACKGROUND: (1) The right to health care includes public policies in the scope of SUS to address TB. (2) The right to social care emphasized access to services, programs, and benefits. (3) The right to social security co...
BACKGROUND: (1) The right to health care includes public policies in the scope of SUS to address TB. (2) The right to social care emphasized access to services, programs, and benefits. (3) The right to social security covered retirements and benefits for people with TB. (4) Interministerial responsibility, intersectoral responsibility, and responsibility shared between SUS and SUAS. (5) Challenges in accessing rights to social care and health care persist for people with TB. UNLABELLED: to analyze the normative documents that seek to guarantee the right to social protection for people affected by tuberculosis in force in Brazil in 2023. UNLABELLED: qualitative documentary research carried out in September 2023, based on the survey of documents at the national, state and municipal levels, from government agencies and social control bodies after the promulgation of the Federal Constitution, on four electronic platforms, exported and organized in the Atlas.ti software, and interpreted based on content analysis, thematic mode. UNLABELLED: the analytical corpus consisted of 30 normative documents - nine laws, seven technical-institutional materials, five ordinances, four resolutions, two decrees, a technical cooperation agreement, a normative instruction, and an operational instruction - from which four thematic categories emerged: the right to health care, the right to social care, the right to social security, and the sharing of responsibilities. UNLABELLED: policies to protect people with tuberculosis in Brazil are recent and there is still much room for improvement toward a comprehensive approach through intersectoral and interministerial coordination, aiming to address social vulnerability and reaffirming the State's duty to guarantee social protection by means of public policies that promote life, citizenship, human rights, and social justice.
Telehealth in primary health care: a study of activities and time spent by professionals.
Bernardo D, Bonfim D, Almeida LY … +3 more , Vesga-Varela AL, Bonassi NM, Belotti L
Rev Lat Am Enfermagem · 2025 · PMID 40105658 · Full text
BACKGROUND: (1) Telehealth practices in PHC take place via voice connection. (2) The nursing team carries out the highest volume of telehealth activities in PHC. (3) Consultations accounted for the largest share of time...
BACKGROUND: (1) Telehealth practices in PHC take place via voice connection. (2) The nursing team carries out the highest volume of telehealth activities in PHC. (3) Consultations accounted for the largest share of time and frequency of telehealth activities in PHC. UNLABELLED: to describe the telehealth activities carried out by professionals in Primary Health Care (PHC). UNLABELLED: descriptive observational study, using time-motion methodology. The sample consisted of 31 Family Health teams, 14 Oral Health teams and two multidisciplinary teams working in PHC. An adapted workload instrument was used to collect the data. A descriptive analysis of the data was carried out considering the total time, average time and percentage of activities according to professional category and telehealth modality. UNLABELLED: 632 telehealth activities were observed, representing 2.67% of all activities. The most used modality was voice calls (60.28%). The average nursing consultation time was 4.86 minutes and 6.17 minutes for medical consultations. The greatest number of telehealth activities and time spent in PHC was carried out by the nursing team. UNLABELLED: PHC professionals carry out a variety of telehealth activities, predominantly by voice connection, with the nursing team being the most expressive. In addition, the study shows the time dedicated and the distribution of activities, supporting discussions on the planning and sizing of the digital health workforce.
User perception of quality of care in patient navigation for type 1 diabetes mellitus.
Foppa L, Nemetz B, Matos R … +1 more , Schaan BD
Rev Lat Am Enfermagem · 2025 · PMID 40105657 · Full text
BACKGROUND: (1) The quality of care provided by the patient navigation program was positive. (2) Patient navigation opens new avenues for research in chronic diseases. (3) Remote patient navigation enabled individualized...
BACKGROUND: (1) The quality of care provided by the patient navigation program was positive. (2) Patient navigation opens new avenues for research in chronic diseases. (3) Remote patient navigation enabled individualized and high-quality care. (4) Self-care practices in type 1 diabetes can be encouraged through patient navigation. UNLABELLED: to understand the perception of individuals with type 1 diabetes mellitus regarding the quality of care provided by a patient navigation program. UNLABELLED: descriptive study with a qualitative approach, conducted at a university hospital in southern Brazil. A total of 35 individuals with type 1 diabetes mellitus participated. Data were collected through semi-structured interviews conducted via teleconsultation. The data were submitted to thematic content analysis. UNLABELLED: of the 35 (100%) participants, 18 (51.4%) were men, with an average age of 45 (±13) years. Two thematic categories and three main topics related to care quality emerged from data analysis: diabetes management (quality of health care provided; knowledge gained during consultations; improvement in self-care practices as a result of received care) and remote and in-person health services (availability of health services during the pandemic; desire for continued access to services provided by nurses; importance of received care). UNLABELLED: after analyzing participants' perceptions, it was understood that the quality of care offered by the patient navigation program is generally positive. Users requested the continuation of this care model, seeing it as an opportunity beyond the challenges and limitations imposed by treatment.
Health literacy and quality of life of riverine populations in primary health care.
Pinheiro AKC, Viegas RFP, Lima IB … +3 more , Rodrigues ILA, Farias SNP, Nogueira LMV
Rev Lat Am Enfermagem · 2025 · PMID 40105656 · Full text
BACKGROUND: (1) Health literacy of riverine populations is inadequate. (2) Health literacy was not associated with quality of life. (3) Health literacy was associated with sociodemographic aspects of riverine populations...
BACKGROUND: (1) Health literacy of riverine populations is inadequate. (2) Health literacy was not associated with quality of life. (3) Health literacy was associated with sociodemographic aspects of riverine populations. (4) Quality of life was related to the sociodemographic profile of riverine populations. UNLABELLED: to analyze functional health literacy and health-related quality of life in riverine populations using primary care services, according to sociodemographic variables. UNLABELLED: an analytical, cross-sectional study with 312 users of the riverine family health strategy. Data were collected using a health literacy test, the 12-item Health Survey, and a socioeconomic questionnaire adapted by the researchers. Spearman correlation, Mann-Whitney and Kruskal-Wallis tests, as well as multiple logistic regression were performed, considering p≤0.05. UNLABELLED: 65.7% presented inadequate functional health literacy, with higher risk for men (p<0.001), aged 40-49 (p=0.010) and 50-59 years (p=0.031), incomplete (p<0.001) and complete (p=0.024) elementary education, and residing far from health services (p<0.001). Quality of life showed no association with health literacy. However, lower quality of life was related to female gender (p=0.049), incomplete elementary education (p=0.016), use of mobile phones with internet and radio (p=0.013), advanced age (p<0.001), increased number of children (p=0.002), and lower age at the start of work activities (p<0.001). UNLABELLED: functional health literacy of riverine populations is inadequate and not associated with quality of life. However, both are influenced by the sociodemographic profile.
Virtual simulation in nursing education in Latin America and the Caribbean: A bibliometric study.
Araújo AAC, Gardim L, Santos SSD … +4 more , Silva ÍR, Silva MCND, Godoy S, Mendes IAC
Rev Lat Am Enfermagem · 2025 · PMID 40105655 · Full text
BACKGROUND: 1) Virtual simulation connects theory and practice in nursing education.(2) Only Brazil, Chile, Colombia, and Cuba conducted research on the subject. (3) Brazilian journals lead scientific production on virtu...
BACKGROUND: 1) Virtual simulation connects theory and practice in nursing education.(2) Only Brazil, Chile, Colombia, and Cuba conducted research on the subject. (3) Brazilian journals lead scientific production on virtual simulation. (4) Scientific production on the subject has increased. OBJECTIVE: to examine the characteristics of scientific production in Latin America and the Caribbean regarding virtual simulation in nursing education. METHOD: a bibliometric study conducted in five stages: research design, compiling the bibliometric data, analysis, visualization, and interpretation; and based on the recommendations of the Preferred Reporting Items for Bibliometric Analysis (PRIBA). The search was conducted in the Latin American and Caribbean Health Sciences Literature (LILACS). VOSviewer version 1.6.20 was used for bibliometric analysis. Bradford's and Zipf's Laws were applied to interpret the data, considering the temporal dynamics of publications, an analytical approach to the structure of the selected studies and their repercussions in virtual simulation in nursing education in Latin America and the Caribbean. RESULTS: 579 studies were identified, of which 46 were included in the final sample. The studies included were published between 1994 and 2022, and only Brazil, Chile, Colombia, and Cuba conducted research related to virtual simulation. The semantic map resulted in five clusters, highlighting "simulation training" as the most important term. CONCLUSION: our findings suggest a projected increase in Scholarly publications on virtual simulation in nursing education in Latin America and the Caribbean in the coming years.
Photobiomodulation and photodynamic therapy in the treatment of pressure injuries: a scoping review.
Silva AMD, Silva GM, Martins JC … +2 more , Bavaresco T, Echevarría-Guanilo ME
Rev Lat Am Enfermagem · 2025 · PMID 39969041 · Full text
OBJECTIVE: to map the scientific literature on photobiomodulation and photodynamic therapy in the treatment of pressure injuries. METHOD: this was a scoping review, as recommended by the Joanna Briggs Institute. It inclu...
OBJECTIVE: to map the scientific literature on photobiomodulation and photodynamic therapy in the treatment of pressure injuries. METHOD: this was a scoping review, as recommended by the Joanna Briggs Institute. It included primary and secondary studies available in full in Portuguese, English and Spanish, published in the last 10 years, from 2014 to 2024, in nine databases. RESULTS: 24 studies were included according to the eligibility criteria. The findings suggest that photobiomodulation and photodynamics can play an important role in tissue repair, size reduction and improvement of clinical indicators in the management of pressure injuries. A diversity of laser types used in photobiomodulation was observed and the most common wavelengths used included 658 nm, 660 nm, 808 nm and 980 nm. CONCLUSION: the studies identified show that photobiomodulation and photodynamic therapies have promising results in healing, reducing the size of lesions and improving clinical indicators in the treatment of pressure injuries. BACKGROUND: (1) Light therapies are effective in treating pressure injuries. (2) Optimized healing is a promising result of the therapies studied. (3) Reduction in lesion size is a positive effect of the therapies used. (4) There is clinical improvement shown in the indicators in the studies reviewed.
Influence of frailty and cognitive decline on dual task performance in older adults: an analytical cross-sectional study.
Casemiro FG, Carvalho LPN, Matiello FB … +2 more , Resende MC, Rodrigues RAP
Rev Lat Am Enfermagem · 2025 · PMID 39969040 · Full text
OBJECTIVE: to analyze the influence of frailty and cognitive decline on dual-task performance in older adults. METHODS: cross-sectional study carried out with older adults at a geriatrics outpatient clinic, in São Paulo....
OBJECTIVE: to analyze the influence of frailty and cognitive decline on dual-task performance in older adults. METHODS: cross-sectional study carried out with older adults at a geriatrics outpatient clinic, in São Paulo. Sociodemographic data, cognitive performance, frailty phenotype, gait speed and dual-task assessments were used. The analysis was descriptive, combined with a multiple linear regression model. RESULTS: 219 older adults participated, with a mean age of 72.55 years, aged between 60 and 79 years (82.65%) and predominantly female (70.32%). Among them, 86 (39.27%) were frail and 123 (57.48%) presented cognitive decline. The mean time for simple walking was 15.95 (7.02) seconds; for the motor dual-task, 17.64 (8.44) seconds; and for the cognitive dual-task, 23.88 (11.87) seconds. Women without a partner, living with family, and with low education (0-4 years) required more time to perform both the cognitive and motor dual-tasks compared to the time for simple walking. Frail older adults exhibited impared gait performance, both in simple and dual motor/cognitive tasks. CONCLUSION: frail older adults experienced a significant decline in performance in simple gait and in dual motor/cognitive tasks, with no difference in performance between those with and without cognitive decline. Multidisciplinary interventions should focus on promoting the health of older adults. BACKGROUND: (1) Frailty and sarcopenia are important syndromes that need to be assessed in older adults. (2) Older adults with T2DM have a higher vulnerability to developing frailty. (3) Nurses should implement preventive measures to address frailty and sarcopenia.
Socio-emotional competency matrix in nursing education: undergraduate student perspectives.
Leal LA, Henriques SH, Cruchinho PJM … +3 more , Silva IGD, Gleriano JS, Cassiano C
Rev Lat Am Enfermagem · 2025 · PMID 39969039 · Full text
UNLABELLED: to develop a socioemotional competency matrix proposal for undergraduate nursing students. this exploratory, descriptive study used a qualitative approach. Fifty-seven nursing students from a public higher ed...
UNLABELLED: to develop a socioemotional competency matrix proposal for undergraduate nursing students. this exploratory, descriptive study used a qualitative approach. Fifty-seven nursing students from a public higher education institution participated. Data were collected through focus groups and analyzed using inductive thematic analysis. six socioemotional competencies were identified: Assertive Communication, Receptivity, Adaptability, Teamwork, Emotional Intelligence, and Shared Leadership. Additionally, recognizing associated behaviors/attitudes enabled the construction of the matrix. Strategies for competency development were mentioned, such as teacher support, participation in academic leagues, research projects, and workshops as initiatives from graduate programs. the socio-emotional competency matrix for nursing students should assist health care managers and training centers in designing competency-based educational projects. BACKGROUND: (1) The matrix should assist training centers in developing educational projects. (2) The matrix aims to address gaps in the training of future nurses. (3) The socio-emotional competency matrix for nursing contributes to qualification improvement.
Primary Health Care in context with the plurality in the care of people with tuberculosis.
Santos EF, Cunha FTS, Palha PF … +1 more , Kritski AL
Rev Lat Am Enfermagem · 2025 · PMID 39969038 · Full text
OBJECTIVE: to analyze the plurality of care provided to individuals with tuberculosis in Primary Health Care services in Rio de Janeiro, RJ, Brazil. METHOD: this qualitative study was conducted from 2017 to 2021. Discour...
OBJECTIVE: to analyze the plurality of care provided to individuals with tuberculosis in Primary Health Care services in Rio de Janeiro, RJ, Brazil. METHOD: this qualitative study was conducted from 2017 to 2021. Discourse Analysis was adopted as the theoretical-methodological framework. Semi-structured interviews were conducted with service managers, healthcare professionals, and patients. The interviews were categorized using ATLAS.ti 8. The theoretical contributions of public space, plurality, and natality, as discussed by Hannah Arendt, were used to anchor the Discursive Formations on the health field. RESULTS: the discourses revealed the complexity and challenges of organizing and implementing care practices among individuals with tuberculosis, highlighting the relevance of considering the historical, social, and individual contexts of managers, patients, and healthcare professionals. Difficulties were found in the operationalization of Health Care Networks and in searching for the patients' uniqueness. CONCLUSION: an ongoing dispute was found in the interactions between Primary Health Care and the National Tuberculosis Control Program, between policies that value plurality, organize Health Care Networks, and consider democratic rights in public spaces. BACKGROUND: (1)Healthcare provided to individuals with tuberculosis should be considered from a plural perspective. (1)Changes in universal treatment favor patient-centered care. (2)The care provided for chronic diseases is complex and requires organization in thematic networks. (3)Universal systems organized in networks favor innovative care practices. (4)The participation and empowerment of individuals with illnesses improve health care delivery.
Clinical simulation on intimate partner violence in adolescent girls: contributions to health teaching.
Baragatti DY, Scotto LDS, Alves CA … +3 more , Soares APMA, Girão FB, Carlos DM
Rev Lat Am Enfermagem · 2025 · PMID 39969037 · Full text
OBJECTIVE: to learn about the contributions of using clinical simulation with undergraduate health students to care for adolescent girls in situations of intimate partner violence in the context of Primary Health Care. M...
OBJECTIVE: to learn about the contributions of using clinical simulation with undergraduate health students to care for adolescent girls in situations of intimate partner violence in the context of Primary Health Care. METHOD: a qualitative study with 30 medical and 28 nursing undergraduates from a public university in Brazil. Data collection was mediated by holistic debriefing, with subsequent reflective and inductive thematic analysis. RESULTS: two themes emerged: the complexity of violence and the skills developed using simulation. The students brought up the complexity of care due to family aspects, the particularities of the population, the ambivalence of feelings in a violent relationship, and the limit between preserving autonomy and the obligation to report. Various skills were developed and practiced, such as conflict mediation skills, respect, bonding, welcoming, and recognizing the support network. CONCLUSION: the use of simulation proved to be a powerful tool for the teaching-learning process in undergraduate courses, as it allowed reflection on the specificities of adolescent care. The qualitative look at the process also allowed us to delve into how this strategy can be coherent with complex themes that involve the acquisition and experimentation of cognitive, procedural, and attitudinal skills. BACKGROUND: (1) Simulation proved to be a powerful tool for teaching health courses. (2) The qualitative approach allowed for in-depth contributions to a complex subject. (3) The students developed and practiced skills for handling a sensitive subject. (4) Attributes of Primary Health Care were mobilized in the process. (5) The holistic debriefing allowed for an original and pertinent construction of the theme.
Effectiveness of e-share intervention for caregivers of elderly people after stroke: a pragmatic randomized trial.
Costa FMD, Canto DFD, Paskulin LMG
Rev Lat Am Enfermagem · 2025 · PMID 39969036 · Full text
OBJECTIVE: to analyse the effectiveness of a virtual educational intervention for family caregivers on the burden and ability to care for elderly people after stroke. METHOD: randomized pragmatic trial with 58 caregivers...
OBJECTIVE: to analyse the effectiveness of a virtual educational intervention for family caregivers on the burden and ability to care for elderly people after stroke. METHOD: randomized pragmatic trial with 58 caregivers of elderly survivors of stroke. The intervention group received access to an online course for caregiver education. Caregiver training was assessed using the Scale of Capabilities of Informal Caregivers for Dependent Elderly People due to Stroke and burden through the Caregiver Burden Scale before and three months after hospital discharge, both adapted and validated for use in Brazil. The Generalized Estimating Equations model complemented by the Least Significant Difference was adopted. RESULTS: the sample was homogeneous and the groups differed statistically only in relation to kinship (p=0.034), with a higher proportion of children observed in the control group. There was an effect of the intervention on improving medication administration (p=0.006) and reducing disappointment (p=0.011) in the intervention group. CONCLUSION: the intervention benefited the caregivers who received it in terms of improving medication administration and reducing disappointment. This is the first study in Brazil that proposes the use of digital educational technologies for this group, representing an important advance in Nursing. Clinicaltrial.gov registration: NCT05553340. BACKGROUND: (1)First study in Brazil that proposes a MOOC for caregivers of elderly people after stroke. (2)Advances in Nursing in the construction of digital educational technologies. (3)E-share helped caregivers improve medication administration. (4)E-share helped caregivers reduce overload in the disappointment domain. (5)Digital tools contribute to the use of nurses' work.
Nursing consultation and diabetes: an educational and transformative process for primary health care.
Silva SO, Moreira ACA, Centenaro APFC … +3 more , Girardon-Perlini NMO, Weiller TH, Schimith MD
Rev Lat Am Enfermagem · 2025 · PMID 39969035 · Full text
METHOD: convergent care research carried out with 12 nurses. Participant observation, semi-structured individual interviews and convergence groups were used to collect data, which were treated by participatory analysis,...
METHOD: convergent care research carried out with 12 nurses. Participant observation, semi-structured individual interviews and convergence groups were used to collect data, which were treated by participatory analysis, with an interpretative approach. RESULTS: the promotion of self-care, the bond between professionals and users, and the support for lifestyle changes for people with diabetes were aligned with the proposed Care Model. On the other hand, attitudes, values and knowledge that weaken care were identified as divergent. The theoretical and practical deepening of the care model, diabetes, dealing with work overload, and the implementation of a guide and a protocol for the development of the nursing consultation were points of convergence for improving the quality of the consultation. It was also observed that nurses' autonomy was strengthened, critical thinking was awakened, and the search for improvement and redefinition of the relationship with the user was sought. CONCLUSION: the nursing consultation was enhanced through the active participation of nurses in an educational, reflective and dialogical process. BACKGROUND: (1) The Nursing Consultation for people with DM by nurses consisted of elements that are similar to and different from the MACC. (2) Elements that align with the MACC: as establishing a bond with users, accountability, longitudinal care, and the social and family approach. (3) Elements diverged from the assumptions of MACC: a limited understanding of the care model, the professional attitude of blaming the user and the weaknesses in the application of the nursing process. (4) The nursing consultation was enhanced through the active participation of nurses in an educational, reflective and dialogical process.
The use of Generative Artificial Intelligence in Scholarly Communication.
Nassi-Calò L
Rev Lat Am Enfermagem · 2025 Feb · PMID 39969034 · Full text
Abstract loading — click title to view on PubMed.
Validation of the reduced version of the Brazilian Scale of Moral Distress in Nurses.
Carvalho JL, Lopes LFD, Ramos FRS … +1 more , Dalmolin GL
Rev Lat Am Enfermagem · 2025 · PMID 39969033 · Full text
OBJECTIVE: to validate a model of the reduced version of the Brazilian Scale of Moral Distress in Nurses. METHOD: methodological study, with a sample of 269 nurses from a public university hospital in southern Brazil. A...
OBJECTIVE: to validate a model of the reduced version of the Brazilian Scale of Moral Distress in Nurses. METHOD: methodological study, with a sample of 269 nurses from a public university hospital in southern Brazil. A sociodemographic questionnaire and the Brazilian Moral Distress Scale for Nurses were used. Descriptive statistics, structural equation modeling, and invariance analysis between age groups were used. RESULTS: regarding profile, professionals aged between 31 and 40, women, married, and specialists prevailed. The structural model fitted the data with acceptable fit indices. The proposed model showed excellent internal consistency, convergent validity, and discriminant validity. The analysis of the structural model revealed that the five hypotheses were confirmed, and the invariance between the age groups indicates that the way the variables are conceptualized, measured, and interrelated in the model does not affect the results, regardless of the groups compared. CONCLUSION: the scale achieved satisfactory psychometric indicators, proving to be suitable for use, maintaining the relevant validation elements per dimension, and offering practical advantages. Further research is suggested to deepen our understanding of the consequences of moral distress and to develop effective strategies for managing it. BACKGROUND: (1)The reduced version of the EDME-BR consisted of 24 questions and six factors. (2)Analysis of invariance and structural equation modeling were used for validation. (3)Internal consistency and composite reliability values were adequate. (4)The tests indicated sufficient predictive relevance of the proposed model. (5)The reduced scale offers a clear, accessible approach with a shorter response time.
Evaluation of advanced practice nurse competencies: validation of an instrument for primary care.
Dias FCP, Ferreira TDM, Vergílio MSTG … +3 more , Sastre-Fullana P, São-João TM, Gasparino RC
Rev Lat Am Enfermagem · 2025 · PMID 39907391 · Full text
OBJECTIVE: to evaluate the construct validity and reliability of the Brazilian version of the Instrument for the Evaluation of Advanced Practice Nurse Competencies in Primary Health Care. METHOD: methodological study car...
OBJECTIVE: to evaluate the construct validity and reliability of the Brazilian version of the Instrument for the Evaluation of Advanced Practice Nurse Competencies in Primary Health Care. METHOD: methodological study carried out in 78 primary health care centers in the southeast of Brazil, with 215 nurses. Data was collected using three instruments: the sample characterization form, the Brazilian version of the Advanced Practice Nurse Competency Assessment Instrument and the Therapeutic Interventions category of the Nurse Competency Scale. Construct validity was verified using confirmatory factor analysis and Spearman's correlation coefficient. Reliability was assessed using Cronbach's alpha and composite reliability. RESULTS: in the factor analysis, the model converged on a satisfactory result, with six items excluded, resulting in an instrument with 38 items distributed over eight dimensions. In convergent construct validity, positive, significant correlations were observed (p<0.0001) and ranged from weak to moderate in magnitude (r=0.2701 and r=0.397). Satisfactory evidence was found through the Composite Reliability analysis (0.78-0.89). CONCLUSION: the instrument showed evidence of construct validity and internal consistency. It could be used to help implement strategies for developing advanced practice in nursing. BACKGROUND: (1) Encourage discussion on Advanced Practice Nursing (APN) in Brazil. (2) To provide an instrument for evaluating APN in Primary Health Care. (3) To help implement APN in Brazil in Primary Health Care. (4) The Brazilian version of the instrument can be applied in different contexts. (5) A strategy for strengthening the nursing workforce.
Health dashboard for information management in cervical cancer screening.
Paz AA, Paula ACM, Lima AM … +3 more , Castro GL, Silva MCBD, Silva LT
Rev Lat Am Enfermagem · 2025 · PMID 39907390 · Full text
OBJECTIVE: to create a digital health dashboard for information management in the planning, monitoring, and evaluation of cervical cancer screening. METHOD*: the study developed a technological production based on User-C...
OBJECTIVE: to create a digital health dashboard for information management in the planning, monitoring, and evaluation of cervical cancer screening. METHOD*: the study developed a technological production based on User-Centered Design, using fictitious data from cytopathological exams performed by women between 25 and 64 years old in Primary Health Care. The study complied with the requirements regarding copyright, ethics, and data protection. RESULTS: the model was created on the Looker Studio® platform. The developed health dashboard is intended for use by nurses, professionals, and health managers. The dashboard's usability simulations were carried out in fictitious cities. The dashboard optimizes access to information management in near real-time and presents a comprehensive health situation for health planning, monitoring, and evaluation. The model is reusable, which makes it a powerful tool for opportunistic and organized screening activities in the context of Primary Health Care. CONCLUSION*: the health dashboard model as an information management tool allows nurses, professionals and health managers to make decisions to improve cervical cancer screening. BACKGROUND: (1) The health dashboard is intended for use by nurses and health professionals. (2) The information management dashboard can be used for planning, monitoring and evaluation. (3) The dashboard optimizes access to information management in near real time. (4) The dashboard provides a comprehensive view of the status of cytopathological exams performed. (5) The dashboard can be reused with real quarterly reports issued by Brazilian Health Information System for Primary Care (SISAB).
Factors related to complications of the invasive blood pressure system among adult and elderly patients: a prospective study.
Souza WM, Cypriano VHB, Sousa RA … +3 more , Lino RLB, Mroczinski AL, Garbuio DC
Rev Lat Am Enfermagem · 2025 · PMID 39907389 · Full text
OBJECTIVE: to identify the main factors related to complications of the invasive blood pressure system. METHOD: prospective study conducted with patients over 18 years of age admitted to intensive care, using a device fo...
OBJECTIVE: to identify the main factors related to complications of the invasive blood pressure system. METHOD: prospective study conducted with patients over 18 years of age admitted to intensive care, using a device for measuring invasive blood pressure. Participants were monitored during the catheter dwell-time and sociodemographic, clinical and device data were collected. The outcome analyzed was removal due to non-indication of use or due to complications. Student's t-test, Mann-Whitney U test, chi-square test and Fisher's exact test were used for the analyses. RESULTS: 50 participants were included and monitored, and most devices were installed in the radial artery (86%), with a 20-gauge catheter (50%), all with a flexible catheter. Each patient remained, on average, 4.36 days (SD: 3.504) with the device. Regarding the outcomes, 60.0% of the devices were removed due to non-indication of use and 40.0% due to complications. Phlebitis was the most prevalent complication, and pressure in the bag was the factor associated with catheter removal before the time of indication (p=0.046). CONCLUSION: the main complications associated with this device were obstruction and phlebitis, while pressure in the bag was the factor related to catheter removal before indication. BACKGROUND: (1) Phlebitis was the most prevalent complication. (2) Pressure in the bag was associated with catheter removal before indication. (3) Length of stay and use of sedation were related to the onset of phlebitis.
Women's reproductive autonomy during the COVID-19 pandemic: a cross-sectional study.
Barbosa CSM, Silva ACSD, Melo GC … +1 more , França AMB
Rev Lat Am Enfermagem · 2025 · PMID 39907388 · Full text
OBJECTIVE: to analyze the reproductive autonomy of women during the COVID-19 pandemic, considering sociodemographic, clinical, and reproductive factors. METHOD: a quantitative study with a cross-sectional design, conduct...
OBJECTIVE: to analyze the reproductive autonomy of women during the COVID-19 pandemic, considering sociodemographic, clinical, and reproductive factors. METHOD: a quantitative study with a cross-sectional design, conducted with 314 women aged 18 to 49 years old. Data were collected through an online questionnaire containing sociodemographic, clinical, and reproductive data, as well as the Reproductive Autonomy Scale. The Mann-Whitney and Student's t tests were used to compare variables. RESULTS: significant differences were found between the average scores of "decision-making" and marital status (p = <0.001); and "absence of coercion" and "communication" with age group (p = 0.03 e <0.001), residence (p = <0.001 and <0.01), schooling level (p = 0.02 e 0.02), pregnancy (p = <0.001 e 0.04) and contraception (p = 0.02 e <0.001). CONCLUSION: not having a sexual partner positively influenced autonomy in reproductive decision-making during the COVID-19 pandemic. Women of younger age, living in the capital, with higher education levels, who had never been pregnant, and who used contraceptives during the pandemic showed greater autonomy in the absence of coercion and communication. It was possible to identify the groups that require greater attention and interventions to support their sexual health and reproductive choices. BACKGROUND: (1) A high reproductive autonomy score was observed even during the pandemic. (2) Not having a stable partner positively influenced reproductive decision-making. (3) Women living in the capital, of younger age, and with lower education levels experienced less coercion. (4) Being nulligravida and using contraception were associated with less coercion and better communication. (5) The use of an online tool during the pandemic expanded the program's reach to women.
Psychometric properties of the Burnout Assessment Tool - General version in nursing workers.
Santin Júnior LJ, Martins BG, Campos JADB … +7 more , Vazquez ACS, Marziale MHP, Mendes IAC, Freire NP, Schaufeli WB, De Witte H, Rocha FLR
Rev Lat Am Enfermagem · 2025 · PMID 39907387 · Full text
OBJECTIVE: to analyze the validity evidence of the BAT - General version in a sample of Brazilian nursing workers. METHOD: a cross-sectional study design with non-probability sampling method was used among 3594 Brazilian...
OBJECTIVE: to analyze the validity evidence of the BAT - General version in a sample of Brazilian nursing workers. METHOD: a cross-sectional study design with non-probability sampling method was used among 3594 Brazilian nursing workers. The validity evidence was assessed by means of analysis based on the internal structure, on the relations to external variables, and on response process of the items. RESULTS: the factor models of the BAT - General version showed goodness-of-fit to the data. However, the complete factor model enabled a better understanding of burnout syndrome in the sample. It was attested the BAT - General version dimensions were positively correlated with depression, anxiety and stress symptoms and negatively correlated with job satisfaction and satisfaction with life. The validity evidence analysis based on response process of the items revealed that BAT - General version works properly both in the group of nursing workers who reported having emotional or psychological health problems and in the group who denied these problems. CONCLUSION: the results provided robust validity evidence of the BAT - General version in Brazilian nursing workers. BACKGROUND: (1) BAT - General version was shown to be a robust and consistent instrument. (2) BAT - General version can become an important management tool for nursing leaders. (3) It is a tool that can be used in the individual assessment of burnout symptoms. (4) BAT - General version should not be used for clinic diagnosis of burnout.
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