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Revista Latino-americana De Enfermagem[JOURNAL]

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Community of Practice for Nursing: connecting nurses in the Region of the Americas.

Dias BM, Pérez JND, Cassiani SHB

Rev Lat Am Enfermagem · 2024 · PMID 39570193 · Full text

OBJECTIVE: to analyze the use profile and content of the messages posted in the Community of Practice for Nursing in the Region of the Americas of the Pan American Health Organization as a tool intended to share experien... OBJECTIVE: to analyze the use profile and content of the messages posted in the Community of Practice for Nursing in the Region of the Americas of the Pan American Health Organization as a tool intended to share experiences, knowledge and opportunities for nurses. METHODS: a descriptive and qualitative study aimed at analyzing the messages posted in the Community of Practice forums. The data were analyzed by content analysis. RESULTS: the Community of Practice has allowed the participation of 1,765 professionals from 20 countries, with a total of 4,001 posts. The topics analyzed (education, employment, leadership and service delivery) were addressed from the perspective of professionals from different countries, presenting the challenges they face and their reflections regarding the situation of nursing in the region. CONCLUSIONS: the platform allowed professionals from different countries and performance scopes to interact and discuss relevant topics for nursing education and practice in the Region of the Americas. Through the Community of Practice, the expectation is to enhance commitment, cooperation and solidarity for collective learning and skills development, thus maximizing nurses' contributions to health systems and services.

Nurse educators' satisfaction with online Objective Structured Clinical Examination scoring system.

Haris F, Indarwati F, Primanda Y … +3 more , Sutrisno RY, Irawati K, Shih YH

Rev Lat Am Enfermagem · 2024 · PMID 39570192 · Full text

OBJECTIVE: the paper-based OSCE (Pa-OSCE) scoring system has several drawbacks, including significant paper waste and being time-consuming. This study aims to assess examiner satisfaction with the On-OSCE scoring managem... OBJECTIVE: the paper-based OSCE (Pa-OSCE) scoring system has several drawbacks, including significant paper waste and being time-consuming. This study aims to assess examiner satisfaction with the On-OSCE scoring management system, identify and weigh the potential benefits of the innovation, and promote its use. METHODS: using a cross-sectional study design, we developed satisfaction inventory consisting of four domains: time-saving, user-friendliness, prospective application, and objectivity. This inventory was used to compare satisfaction scores between two examiner groups (a total of 67 subjects). RESULTS: the 20-item satisfaction inventory demonstrated high validity and reliability (0.98 and 0.97, respectively). The average scoring time was significantly shorter in the online scoring management system group (p<0.001). Both the total satisfaction score and the scores for each domain were significantly higher in the online scoring management system group compared to the paper-based scoring management system group (p<0.001). CONCLUSIONS: a high proportion of the examiners provided positive feedback on the online scoring management system. The online scoring management system saves the time to score, and is more objective, easier to use, and is recommended for implementation. Online scoring management systems can be implemented in nursing education institutions globally to improve scoring efficiency. Additionally, the 20-item satisfaction inventory can serve as a benchmarking tool to assess educators worldwide.

Digital health: contributions from Nursing.

Haddad AE, Barbosa S, Sellera PEG … +1 more , D'Agostino M

Rev Lat Am Enfermagem · 2024 Nov · PMID 39504074 · Full text

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Nursing participation in health technology assessment: a pending issue?

Lacalle-Remigio JR, Benot-López S

Rev Lat Am Enfermagem · 2024 Nov · PMID 39504073 · Full text

Abstract loading — click title to view on PubMed.

International Nursing doctoral education: quality matters.

Ketefian S, Malvarez S

Rev Lat Am Enfermagem · 2024 Nov · PMID 39504072 · Full text

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Investing in the future of Nursing: the urgent need for sustainable and innovative work environment.

Gasparino RC, Ribeiro OMPL, Santos JLGD … +1 more , Bernardes A

Rev Lat Am Enfermagem · 2024 Nov · PMID 39504071 · Full text

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Maternal-fetal attachment and interrelated factors in pregnant women assisted in Primary Health Care.

Lima CA, Brito MFSF, Pinho L … +3 more , Ruas SJS, Messias RB, Silveira MF

Rev Lat Am Enfermagem · 2024 · PMID 39476144 · Full text

BACKGROUND: (1) Maternal-fetal attachment should be assessed in Primary Health Care. BACKGROUND: (2)  Depressive symptoms were negatively related to maternal-fetal attachment. BACKGROUND: (3)  Social support and family f... BACKGROUND: (1) Maternal-fetal attachment should be assessed in Primary Health Care. BACKGROUND: (2)  Depressive symptoms were negatively related to maternal-fetal attachment. BACKGROUND: (3)  Social support and family functionality had a positive effect on attachment. BACKGROUND: (4)  Greater household crowding had a negative effect on the outcome. BACKGROUND: (5)  It is recommended to screen pregnant women with depression, poor social and family support. UNLABELLED: to analyze maternal-fetal attachment and interrelated factors in pregnant women assisted in Primary Health Care. UNLABELLED: a cross-sectional, population-based, analytical epidemiological survey. A sample of 937 participants attended by Family Health Strategy teams was investigated. Maternal-fetal attachment (outcome), sociodemographic and clinical variables, social support, family functionality, depressive symptoms and perceived stress were assessed. Multivariate analysis was adopted using structural equation modeling. UNLABELLED: maternal-fetal attachment had an average of 92.6 (SD=±15.3). The adjusted structural model showed that the following factors had a direct effect on the outcome: gestational weeks (β=0.29; p<0.001), household crowding (β=-0.07; p=0.027), depressive symptoms (β=-0.11; p=0.003), social support (β=0.08; p<0.001) and family functionality (β=0.19; p<0.001). Indirect effects of social support (β=-0.29; p<0.001) and family functionality (β=-0.20; p<0.001) were identified, mediated by depressive symptoms. UNLABELLED: a set of interrelationships was identified between maternal-fetal attachment, gestational weeks, household crowding, depressive symptoms, social support and family functionality. It is suggested that the Family Health Strategy offer prenatal care anchored in integrality and humanization, which promotes biopsychosocial well-being during pregnancy and healthy maternal-fetal attachment.

Availability of residents and preceptors for interprofessional practices: mixed methods study.

Maffissoni AL, Martini JG, Lazzari DD … +3 more , Vendruscolo C, Sanes MDS, Bresolin P

Rev Lat Am Enfermagem · 2024 · PMID 39476143 · Full text

BACKGROUND: (1) The level of availability influences hospital interprofessional practices. BACKGROUND: (2)  Difficulties in interprofessional communication impede collaborative practices. BACKGROUND: (3)  There is resist... BACKGROUND: (1) The level of availability influences hospital interprofessional practices. BACKGROUND: (2)  Difficulties in interprofessional communication impede collaborative practices. BACKGROUND: (3)  There is resistance to the adoption of interprofessional practices related to education. BACKGROUND: (4)  Residencies are important spaces to develop interprofessional practices. UNLABELLED: to evaluate the level of availability of residents and preceptors for interprofessional practices. UNLABELLED: mixed methods study of the concurrent triangulation type, carried out with residents and preceptors of a hospital Multiprofessional Residency in Health. UNLABELLED: more than 90% (n=186) of participants are highly available for interprofessional practices. However, practices instituted during undergraduate studies and the professional profile of those involved, especially with regard to the lack of communication between professions and openness to dialogue, were indicated as difficulties in implementing interprofessionality in the scenario investigated, which may negatively influence the availability of residents and preceptors. UNLABELLED: although residents and preceptors have high availability for the development of interprofessionality, certain factors make its implementation difficult, hindering collaborative work.

Pelvic floor muscle training in men with post-prostatectomy urinary incontinence: a scoping review.

Santos JEMD, Brasil VV, Azevedo C … +4 more , Izidoro LCR, Batista AJG, Ferreira ACS, Mata LRFD

Rev Lat Am Enfermagem · 2024 · PMID 39476142 · Full text

BACKGROUND: (1) The pelvic floor muscle training is an effective first choice intervention. BACKGROUND: (2)  Scarcity of studies describing the protocols of pelvic floor muscle training detail. BACKGROUND: (3)  There is... BACKGROUND: (1) The pelvic floor muscle training is an effective first choice intervention. BACKGROUND: (2)  Scarcity of studies describing the protocols of pelvic floor muscle training detail. BACKGROUND: (3)  There is no consensus between the instructions contained in the different protocols. OBJECTIVE: to map pelvic floor muscle training protocols available in the literature for the management of post-prostatectomy urinary incontinence. METHOD: this is a scoping review conducted in six databases. Information retrieval was performed using a specific instrument, including: title, authorship, year of publication, journal, objective, study design and description of the protocols' content. RESULTS: a total of 24 studies were included, which resulted in different protocols. The most frequent recommendations were the following: three sessions per day; with a frequency of six to 15 contractions per session; performing the exercises in the lying, sitting, and standing positions. The most cited guidelines in the protocols were anal sphincter and bulbocavernosus muscle contractions. All protocols followed the principle of regular pelvic floor muscle contraction, but there was no consensus regarding the start of the protocol, treatment duration, contraction/relaxation time, and intensity of the contraction force. CONCLUSION: different orientations were found in the pelvic floor muscle training protocols post-prostatectomy urinary incontinence, with emphasis on contraction time, relaxation time, number of contractions per session, training position, and protocol duration time. Different concepts were adopted to define urinary continence in the protocols. It is necessary to develop consensus guidelines that clearly define the parameters of training protocols.

Smartphone use by older adult in the healthy ageing process: a theory based on data.

Gallo AM, Araujo JP, Baccon WC … +3 more , Marques FRDM, Salci MA, Carreira L

Rev Lat Am Enfermagem · 2024 · PMID 39476141 · Full text

BACKGROUND: (1) Older adult are still segregated from young people when it comes to technology. BACKGROUND: (2) On a daily basis, older people recognize the need, usefulness and applicability of the smartphone. BACKGROUN... BACKGROUND: (1) Older adult are still segregated from young people when it comes to technology. BACKGROUND: (2) On a daily basis, older people recognize the need, usefulness and applicability of the smartphone. BACKGROUND: (3) Older adult are gradually moving towards digital skills. BACKGROUND: (4) Digital tools are means of enhancing healthy ageing. BACKGROUND: (5) WhatsApp ® groups help older people to engage virtually with peers. UNLABELLED: to understand the feelings and recognitions of older adults when they experience the use of smartphones in everyday life, as well as the implications for the healthy aging process. UNLABELLED: qualitative research, using the Unified Theory of Acceptance and Use of Technology; the Senior Technology Acceptance & Adoption Model and the methodological framework of Constructivist Grounded Theory. We intentionally recruited people aged 60+; smartphone users; participants for 6 months or more in an extension project, without cognitive impairment, determined by theoretical sampling. A semi-structured script guided data collection. Constant and concomitant comparative analysis followed the steps of initial and focused coding, supported by memos, until theoretical saturation. The Sankey diagram was used to analyze the data, using Atlas.ti software. UNLABELLED: 37 participants were allocated to two sample groups. We present the category "Experiencing technological evolution during the aging process" and two subcategories: "Experiencing feelings when aging in the face of technological development"; "Using the smartphone and recognizing new experiences". UNLABELLED: when experiencing the use of smartphones, older adult understand and recognize the search for digital skills based on their need for usefulness and applicability of information and communication technology in their daily lives, integrating it into the healthy ageing process.

Usability of the "Systematic Review Support" computer system: a methodological study.

Escaldelai FMD, Escaldelai L, Bergamaschi DP

Rev Lat Am Enfermagem · 2024 · PMID 39476140 · Full text

BACKGROUND: (1) The "Systematic Review Support" system has a high degree of perceived usability. BACKGROUND: (2)  Its use facilitates the exclusion of duplicate references and the selection of studies. BACKGROUND: (3)  R... BACKGROUND: (1) The "Systematic Review Support" system has a high degree of perceived usability. BACKGROUND: (2)  Its use facilitates the exclusion of duplicate references and the selection of studies. BACKGROUND: (3)  Remote and synchronous usability testing made research possible during the pandemic. BACKGROUND: (4)  Combining usability techniques made it possible to identify the necessary adjustments. BACKGROUND: (5)  The method used expanded the test's capacity in a real context of use. UNLABELLED: to evaluate the usability of the "Systematic Review Support" computer system. UNLABELLED: methodological study involving 21 students who evaluated the computer system in a remote and synchronous usability test. Two activities were carried out, containing 21 tasks simulating the initial steps of a review study, proposals for eliminating duplicate references, selecting studies and resolving disagreements between evaluators. At the end, participants answered the System Usability Scale questionnaire. The measures used were: completion rate with assistance (effectiveness) and time to complete the task (efficiency). The data was described in a table using the mean, standard deviation, minimum and maximum values. UNLABELLED: in a total of 21 tasks, the participants had an assisted completion rate of 9% and an average time of 55.1 minutes (the expected time being 60 minutes). The average score provided by the System Usability Scale instrument was 82.4 (considering a score from 0 to 100), median 85; minimum value 35 and maximum 97.5. UNLABELLED: the computer system has the effectiveness and efficiency parameters required of a computer review tool. It has a usability score of 82.4 on a scale of 0 to 100 assessed by the System Usability Scale instrument. The version presented incorporates the adjustments identified in the test in use.

Parental norms and perceptions regarding use of mobile devices by children under five years.

San-Martín-Roldán D, González-Marrón A, de-Paz-Cantos S … +3 more , Lidón-Moyano C, Díez-Izquierdo A, M Martínez-Sánchez J

Rev Lat Am Enfermagem · 2024 · PMID 39476139 · Full text

BACKGROUND: (1) Most parents are concerned about their children's time on mobile devices. BACKGROUND: (2) Unrestricted access is associated with increased use of mobile devices in children. BACKGROUND: (3) Parents are co... BACKGROUND: (1) Most parents are concerned about their children's time on mobile devices. BACKGROUND: (2) Unrestricted access is associated with increased use of mobile devices in children. BACKGROUND: (3) Parents are concerned about early exposure to mobile devices by children. BACKGROUND: (4) Parental presence influences children's mobile device usage time. BACKGROUND: (5) Need for education and collaboration. UNLABELLED: to describe the norms and perceptions of a sample of Spanish parents and guardians on the use of mobile devices (smartphone and/or tablet) by their children and their association with such use. UNLABELLED: a quantitative, analytical, cross-sectional, online, exploratory study was conducted with a non-probability sample of parents or guardians of children using smartphones or tablets. The virtual questionnaire consisted of 44 questions and was available at https://www.kenkolab.org/participa/ . UNLABELLED: the total number of participants (parents or guardians) was 183 people. It was observed that 26.2% of parents admitted that their children had free and unrestricted access to smartphones or tablets. Associations were identified between time spent using mobile devices and parental attitudes, such as permission without time limitation and use as a reward or punishment. Approximately half of the respondents believe that their children use the mobile device longer than recommended. UNLABELLED: most parents exercise some control over their children's use of devices. Acting on parental norms and perceptions is vital to success in addressing children's time spent on mobile devices. Community nursing could be a vehicle for education in healthy screen consumption habits in early childhood.

Use of Telenursing in the conservative treatment of patients with chronic renal insufficiency: scoping review.

Biancamano AO, Camacho ACLF, Cortez EA … +3 more , Menezes HF, Almeida YS, Rocha CCDM

Rev Lat Am Enfermagem · 2024 · PMID 39476138 · Full text

OBJECTIVE: to map the evidence of the use of telenursing in adherence to treatment and promotion of self-care in patients with chronic renal insufficiency undergoing conservative treatment. METHOD: scoping review study,... OBJECTIVE: to map the evidence of the use of telenursing in adherence to treatment and promotion of self-care in patients with chronic renal insufficiency undergoing conservative treatment. METHOD: scoping review study, with selection of documents indexed in eight databases and two catalogs of theses and dissertations. Additionally, the reference lists of selected studies were consulted. Selection and analysis of studies were carried out using Rayyan software through double, independent and blind investigation. RESULTS: 56 eligible publications were found and ten were selected to compose the study. The following stand out among telenursing interventions: cell phone applications, websites, digital platform, telephone support and teleconferencing. CONCLUSION: it was evident that the use of Telehealth by Nursing is relevant to the health sector, but still little explored in national and international literature, representing a gap in knowledge to be filled in future research. Studies have shown that its implementation helps and supports healthcare professionals, providing inferences and guidance for quick, safe and effective assistance, even remotely. Telenursing presents itself as a strategy capable of promoting adherence to treatment and self-care in patients with chronic renal insufficiency undergoing conservative treatment. BACKGROUND: (1) Develops health innovation strategies in remote treatment. BACKGROUND: (2) Provides support to professionals with preventive measures, minimizing costs. BACKGROUND: (3) Encourages the practice of self-management of care. BACKGROUND: (4) Provides inferences and guidance for quick and safe assistance. BACKGROUND: (5) Contributes to the advancement of public policies in the area of noncommunicable diseases.

Mental health crisis situations: the nurse's work in Primary Health Care.

Paula GB, Akra NMAE, Córdova LF … +3 more , Cardoso L, Zanetti ACG, Giacon Arruda BCC

Rev Lat Am Enfermagem · 2024 · PMID 39476137 · Full text

OBJECTIVE: to analyze the nurses' work in Primary Health Care in the face of mental health crisis situations. METHOD: this is a descriptive-exploratory study with a qualitative approach, supported by the theoretical-inte... OBJECTIVE: to analyze the nurses' work in Primary Health Care in the face of mental health crisis situations. METHOD: this is a descriptive-exploratory study with a qualitative approach, supported by the theoretical-interpretive frameworks of behavior analysis and historical-dialectical materialism. The data was collected through a semi-structured interview with twelve Primary Health Care nurses and analyzed using the deductive technique proposed by the Theorical Domains Framework, the methodological reference adopted. RESULTS: the data analyzed made it possible to draw up two themes: "Nurses' work: material and social determinants" and "Nurses' subjective conditions in the face of mental health crisis situations". Nurses' work was guided by the protocol execution of "technical" steps related to clinical psychiatry, with an understanding of the crisis as a "psychiatric outbreak". CONCLUSION: the study made it possible to analyze the nurse's work in crisis situations, describing the objective and subjective contradictions, their understanding of the crisis phenomenon and the emotional repercussions of this work on the professionals. This situation raises the need for action, organization and political-social mobilization of the nursing category in the fight against the asylum model of care and the consolidation of the Psychiatric Reform perspective. BACKGROUND: (1) Manicomial protocol action to identify and reduce crisis symptoms. BACKGROUND: (2) Reducing the experience of crisis as a psychopathological phenomenon. BACKGROUND: (3) Use of theoretical-critical references aligned with the proposals of psychosocial care. BACKGROUND: (4) Internationally validated methodological and analytical framework. BACKGROUND: (5) The need for political and social action on the nursing profession's part.

Knowledge, attitude and practice of puerperal adolescents after an educational intervention on the mini contraceptive pill.

Costa CA, Pinheiro AKB, Fonseca LMB … +3 more , Guedes TG, Corrêa RDGCF, Ferreira AGN

Rev Lat Am Enfermagem · 2024 · PMID 39476136 · Full text

BACKGROUND: (1) Statistically significant association between sociodemographic and gynecological-obstetric variables. BACKGROUND: (2) The puerperal women had inadequate knowledge, attitudes and practices about the mini-p... BACKGROUND: (1) Statistically significant association between sociodemographic and gynecological-obstetric variables. BACKGROUND: (2) The puerperal women had inadequate knowledge, attitudes and practices about the mini-pill. BACKGROUND: (3) After two months, there was an increase in the puerperal women's knowledge and practice. BACKGROUND: (4) The average Knowledge, Attitude and Practice scores before the intervention and after 60 days remained inadequate. BACKGROUND: (5) The technology used in the educational intervention is effective in promoting the Knowledge, Attitude and Practice domains. UNLABELLED: to evaluate the effectiveness of an educational intervention on the knowledge, attitude and practice of adolescent puerperal women regarding the mini-pill as a method of contraception in the postpartum period. UNLABELLED: a quasi-experimental study with pre- and post-tests carried out with 139 puerperal adolescents in four public maternity hospitals, using an instrument with sociodemographic/gyneco-obstetric questions and a targeted survey called Knowledge, Attitude and Practice. The following were used in the analysis: Statistical Package for the Social Sciences software, version 20.1 for Windows; 5% significance level; 95% confidence interval; Shapiro-Wilk test to test data normality and paired t-test. UNLABELLED: the average scores for the Knowledge, Attitude and Practice instrument were inadequate before the educational intervention; after the intervention, they remained inadequate, but with a slight improvement; the attitude was markedly inadequate. This instrument, before the intervention, was associated with age, education, number of pregnancies and having had prenatal care; after the intervention, in addition to these, it was associated with other variables, such as place of residence, being in school and having used contraception. The three domains were associated before and after the intervention. UNLABELLED: the educational intervention, mediated by the nurse, was effective in promoting the knowledge, attitude and practice of puerperal adolescents in the proper use of the mini-pill as postpartum contraception.

Exploring the metaverse in the education of healthcare students: A scoping review.

Bernardes A, Gardim L, Araújo AAC … +5 more , Jensen R, Motta RA, Almeida DM, Lima RR, Peres HHC

Rev Lat Am Enfermagem · 2024 · PMID 39476135 · Full text

OBJECTIVE: to map the literature on the incorporation of the metaverse in the education of undergraduate healthcare students. METHOD: scoping review following the recommendations of the JBI and Preferred Reporting Items... OBJECTIVE: to map the literature on the incorporation of the metaverse in the education of undergraduate healthcare students. METHOD: scoping review following the recommendations of the JBI and Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR), performed on Web of Science, Medical Literature Analysis and Retrieval System Online (MEDLINE) via PubMed, Embase, Scopus, Cumulative Index to Nursing and Allied Health (CINAHL), Latin American and Caribbean Health Sciences Literature (LILACS) and ProQuest. RESULTS: a total of 23 records were included, published between 2020 and 2023, and developed in 10 countries. The metaverse allows the simulation of hypothetical cases, making education interactive and attractive. However, it faces limitations, including the possibility of depersonalizing students, concerns about data security and privacy, and the high cost of implementing and maintaining its infrastructure. CONCLUSION: the metaverse enables the development of clinical competencies that support the construction of students' professional identity. However, it may not be equitable, as it requires resources and knowledge from educators to implement it, contributing to increasing inequality in the education of healthcare students. BACKGROUND: (1) The metaverse is promising in the education of undergraduate healthcare students. BACKGROUND: (2) The metaverse makes education interactive and attractive. BACKGROUND: (3) It promotes the protagonism of students in the teaching-learning process. BACKGROUND: (4) It presents risks related to data security and privacy. BACKGROUND: (5) High cost of implementing and maintaining its infrastructure.

Quality of life, health perception, learning motivation and behavior of adolescents in an educational institution.

Fernandes GNA, Lemos SMA

Rev Lat Am Enfermagem · 2024 · PMID 39476134 · Full text

OBJECTIVE: to analyze sociodemographic variables, quality of life, self-perceived health, learning motivation and behavior of adolescents in 2018 and 2021. METHOD: observational cross-sectional study with 124 adolescents... OBJECTIVE: to analyze sociodemographic variables, quality of life, self-perceived health, learning motivation and behavior of adolescents in 2018 and 2021. METHOD: observational cross-sectional study with 124 adolescents in 2018, and 68 in 2021. A Form for sociodemographic variables, Pediatric Quality of Life Inventory, Self-Perceived Health instrument, Learning Motivation Scale and Strengths and Difficulties Questionnaire were used to collect data. Data collection was carried out using forms on Google Forms. For the analysis, descriptive statistics and logistic regression were used. RESULTS: the majority of participants belonged to class A. In the comparison between 2018 and 2021, there was a worsening in the assessment of self-perceived health. In the assessment of QoL by parents, there was a statistically significant difference between the scores of the social and psychosocial dimensions. Among adolescents, there were differences between QoL scores in the physical and psychosocial dimensions. CONCLUSION: the adolescent with a better mental health assessment had a greater chance of having a better quality of life in the periods investigated (OR=5.35 and OR=5.51). Younger students showed greater motivation to learn, increasing the chance of improving their quality of life by up to 9.75 and 5.02 times in the two periods, respectively. BACKGROUND: (1) The school environment is a space favorable to promoting physical, mental and social health. BACKGROUND: (2) Awareness about healthy lifestyle habits should be carried out during adolescence. BACKGROUND: (3) Aspects related to health can influence behavior and learning. BACKGROUND: (4) Quality of life (QoL) and its dimensions are related to the motivation to learn. BACKGROUND: (5) Adolescent mental health is related to self-perception of QoL.

Self-care dependency assessment of person with lower limb amputation: an exploratory study.

Rodrigues DF, Machado PAP, Martins T … +2 more , Carvalho ALRF, Pinto CMCB

Rev Lat Am Enfermagem · 2024 · PMID 39476133 · Full text

BACKGROUND: (1) Dysvascular major lower limb amputation interferes with activities of daily living. BACKGROUND: (2) Self-care with the highest level of dependency is "walking". BACKGROUND: (3) Self-care with the lowest l... BACKGROUND: (1) Dysvascular major lower limb amputation interferes with activities of daily living. BACKGROUND: (2) Self-care with the highest level of dependency is "walking". BACKGROUND: (3) Self-care with the lowest level of dependency is "feeding". BACKGROUND: (4) Develop future interventions on the degree of dependency of patients with dysvascular amputation. BACKGROUND: to identify the sociodemographic and clinical characteristics of the person with dysvascular major lower limb amputation and to assess their degree of dependence and autonomy in self-care activities at home. BACKGROUND: quantitative, exploratory, cross-sectional and descriptive study. The convenience sample consisted of 40 participants. A sociodemographic questionnaire and the short version of the Self-Care Dependence Assessment Form were used for data collection. BACKGROUND: of the 40 (100%) participants, the majority were male; 75% were over 65 years of age, 77.5% had a transfemoral amputation, and 72.5% were confined to a wheelchair. The higher levels of dependency predominated in self-care: "walking", "bathing", "dressing and undressing", "using the toilet" and "transferring". BACKGROUND: this study showed that the self-care domain with the highest level of dependence is "walking" self-care, and the lowest is "feeding". Greater autonomy in using the toilet, walking and transferring from bed to chair were shown to be self-care activities with the best ability to predict patient autonomy.

Information Model on pain management for elder adults aged 75 years or older.

Cruz ACB, Lucena AF, Nomura ATG … +1 more , Almeida MA

Rev Lat Am Enfermagem · 2024 · PMID 39476132 · Full text

BACKGROUND: (1) The model attributes were classified as: pain assessment, interventions and reassessment. BACKGROUND: (2) Greater importance is given to pain assessment and pharmacological interventions. BACKGROUND: (3)... BACKGROUND: (1) The model attributes were classified as: pain assessment, interventions and reassessment. BACKGROUND: (2) Greater importance is given to pain assessment and pharmacological interventions. BACKGROUND: (3) There was greater variability in the pain care measures prescribed by nurses. BACKGROUND: (4) Absence of multidimensional instruments for pain assessment was identified. BACKGROUND: (5) Pain care interventions were prescribed recurrently in aged people at risk of falls. UNLABELLED: to develop an information model on pain management in hospitalized aged people. UNLABELLED: a Big Data retrospective and observational study guided by the Applied Healthcare Data Science Roadmap. The sample included all Electronic Health Records related to pain management in older adults aged at least 75 years old considered vulnerable in the institution and admitted to clinical and surgical units. Data science packages were used in Python ® for data analysis. UNLABELLED: a total of 9,635 hospitalizations were found for 4,753 patients, with a mean age of 81 years old and 54% belonging to the female gender. The main reasons for hospitalization were diseases of the circulatory system (n=1,593; 28.6%), neoplasms (n=893; 16%) and diseases of the genitourinary system (n=508; 9.1%). A total of 60 attributes related to pain were identified and organized into groups: current pain, assessment instruments and characteristics, Nursing diagnosis, etiology of the Nursing diagnosis, interventions for relief, consultations to specialties and pain reassessment. The groups were classified into four large panels that constituted the information model. UNLABELLED: the information model developed presented an overview of the healthcare reality of pain management in vulnerable aged people, supporting decision-making for pain management in this population segment.

Mobile devices for developing nursing students' professional skills: scoping review.

Silva AOVD, Pinto CMCB, Vieira RM

Rev Lat Am Enfermagem · 2024 · PMID 39319895 · Full text

OBJECTIVE: to map the scientific literature on the use of mobile devices to develop the professional skills of nursing students. METHOD: this was a scoping review guided by JBI recommendations. Six databases and gray lit... OBJECTIVE: to map the scientific literature on the use of mobile devices to develop the professional skills of nursing students. METHOD: this was a scoping review guided by JBI recommendations. Six databases and gray literature were included. The selection of studies was carried out through individual and peer assessment. Data were extracted based on an elaborate script and presented in a descriptive, tabular and graphical format. RESULTS: 264 studies were identified, of which 13 comprised the corpus of analysis. The studies were carried out mainly on the Asian continent. Interventions ranged from one to 12 weeks, with a predominance of the use of Apps. The skills addressed were mainly clinical skills, techniques and procedures inherent to nursing practice, followed by decision-making and problem-solving. CONCLUSION: the studies analyzed not only revealed the potential of mobile devices in the training context, but also highlighted their contribution to improving clinical capabilities, as they offer support for a more dynamic and effective approach to the learning process. The gap in knowledge appears in the still unexplored possibility of integrating different professional skills through a single digital educational tool.
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