Abstract Objective to analyze the relationship between climate change and environmental health in texts published in national media outlets in the context of COP30. Method a descriptive study with a qualitative approach, based on 94 news articles published between 2023 and 2025 in national media outlets and on Google News. The data were processed using the IRAMUTEQ software and analyzed according to Reinert’s and Bardin's Content Analysis technique. Furthermore, Muniz Sodré's theoretical framework was applied. The corpus utilization rate was 75.53%. Results the final analysis generated three categories covering COP30 from political, environmental, and infrastructure perspectives; COP30 and the dialogue between health, sustainability, and climate change; and COP30 in the Amazon as a Brazilian legacy. The results showed that, although the discourse reinforces government mobilization, structural challenges remain, such as basic sanitation, urban deficiencies, and socio-environmental inequalities. Final considerations and implications for practice the Amazon as the host location for COP30 increases the international visibility of the biome. Media coverage of COP30 highlights political and environmental discussions, but there are gaps in the approach to health and its interface with climate change. There is a clear need to broaden the public debate, capable of impacting global environmental health.
Resumo Objetivo analisar a relação entre as mudanças climáticas e a saúde ambiental nos textos publicados em veículos de comunicação nacionais, no contexto da COP30. Método estudo descritivo de abordagem qualitativa, baseado em 94 reportagens publicadas entre os anos de 2023 e 2025, em veículos de comunicação nacional e no Google Notícias. Os dados foram processados no software IRAMUTEQ e analisados, segundo o método de Reinert e a técnica de Análise de Conteúdo de Bardin. Além disso, aplicou-se o referencial teórico de Muniz Sodré. O aproveitamento do corpus foi de 75,53%. Resultados a análise final gerou três categorias que abarcaram a COP30 na perspectiva política, ambiental e de infraestrutura; a COP30 e a interlocução entre saúde, sustentabilidade e mudanças climáticas; e a COP30 na Amazônia como legado brasileiro. Os resultados evidenciaram que, embora o discurso reforce a mobilização governamental, permanecem desafios estruturais como o saneamento básico, as deficiências urbanas e as desigualdades socioambientais. Considerações finais e implicações para a prática a Amazônia como local sede da COP30 ampliou a visibilidade internacional do bioma. A cobertura midiática da COP30 apontou discussões políticas e ambientais, porém, apresentou lacunas na abordagem da saúde e de sua interface com as mudanças climáticas. Evidencia-se a necessidade de ampliar o debate público, capaz de impactar a saúde ambiental planetária.
Abstract Objective to analyze the application of an educational technology aimed at workers of a Long-Term Care Institution for Elderly People, based on Nonviolent Communication. Method descriptive qualitative study. A bingo-style game was applied with 21 statements containing situations that workers frequently encounter, and that can trigger reactions. The game was administered to nine workers from four Long-Term Care Institution for Elderly People in a medium-sized city in the interior of São Paulo state in two workshops in December 2024 and February 2025. The study was submitted to the Research Ethics Committee with Human Beings. Data were analyzed using Thematic Content Analysis. Results the game's application enabled discussions related to the behavior of older adults, the work process, and the conditions of the workers themselves. It also allowed for adaptation of the statements, proposing a version with 17 statements that more directly reflect daily events in a Long-Term Care Institution for Elderly People. Final considerations and implications for practice the development and application of the educational game “Humanize LTCI” demonstrated its potential as an innovative strategy to promote reflections on the humanization of care in this assistance context.
Abstract Objective to analyze the work context and the pleasure and suffering relations among Primary Health Care professionals during the 2019 Coronavirus pandemic. Method mixed-method study conducted with 52 health teams from September 2021 to February 2022. A total of 224 professionals participated in the quantitative stage and 20 in the qualitative stage. Quantitative data were submitted to analytical statistics, and qualitative data to Thematic Content Analysis. Results scales indicated a critical evaluation of organization (mean 3.45 ± 0.71) and working conditions (3.22 ± 1.02), as well as professional burnout (3.29 ± 1.71), and lack of recognition (2.33 ± 1.69); freedom of expression was satisfactory (4.30 ± 1.37). Professionals with chronic diseases showed higher levels of burnout (p≤0.001) and lower fulfillment/greater lack of recognition (p≤0.002); longer professional experience was associated with fulfillment and freedom of expression (p≤0.002), but also with burnout (p≤0.004). Qualitatively, suffering due to uncertainties, readaptations, and fear stood out; pleasure was derived from vaccination and recognition. Conclusion and implications for the practice The pandemic changed working conditions and organization, with subjective suffering predominating, mediated by labor obstacles, while pleasure acted as resistance. Investment in infrastructure, professional appreciation, and occupational health policies within Primary Health Care is urgently needed.
ABSTRACT Objective to describe the challenges and weaknesses faced by nurses in applying renal replacement therapy at the bedside in patients with acute kidney injury in intensive care units in Santa Catarina. Method a qualitative, descriptive-exploratory study conducted between May and August 2024, involving 20 nurses working in intensive care units and hospital dialysis services. Data were collected through an electronic questionnaire and analyzed according to the content analysis method proposed by Bardin. Results two thematic categories emerged. The first revealed interruptions in renal replacement therapy due to non-clinical factors, related to difficulties in vascular access management, returning blood from the extracorporeal circuit, identifying coagulation, and water distribution. The second highlighted aspects that compromise safe use in the intensive care unit, including work organization, nursing staff sizing, communication between intensive care and hemodialysis services, and infrastructure adequacy. Final considerations and implications for the practice the study revealed challenges in the operationalization of renal replacement therapy that affect patient safety in intensive care units. Acknowledging these weaknesses demonstrates the need for strategies that enhance care quality and promote greater safety in clinical practice.
Abstract Objective to compare caregiver burden among aged caregivers considering presence or absence of frailty in the older adults under their care. Method a cross-sectional and quantitative study conducted with 96 older adults, including 48 caregivers and 48 care recipients, linked to Family Health Units located in areas marked by high social vulnerability in the municipality of São Carlos, São Paulo. The data were collected at the participants' homes using a sociodemographic and care-context characterization questionnaire, the Fried Frailty Phenotype and the Zarit Burden Interview. Descriptive analyses were performed and the Mann-Whitney and Pearson's Chi-square tests were applied. Results caregivers of frail older adults had a higher mean total burden score (27.96±17.75) when compared with the group caring for non-frail older adults (19.43±14.03), although no statistically significant difference was found (p=0.109). Conclusion and implications for the practice frailty in aged care recipients did not result in a significantly higher caregiver burden for aged caregivers, but it reinforces the importance of continuous support and health education strategies for caregivers, including guidance on self-care, caregiver burden prevention and strengthening of support networks, especially in contexts marked by high social vulnerability.
Abstract Objective to comparatively analyze sexual behaviors, knowledge about Sexually Transmitted Infections (STIs), and access to health services among young heterosexual and homosexual men. Method a descriptive, cross-sectional, and quantitative study conducted with 200 young men aged 18 to 29 years (100 heterosexuals and 100 homosexuals) in social settings in Rio de Janeiro, Brazil. Data were collected through an anonymous questionnaire and analyzed using descriptive and inferential statistics. Results heterosexual young men presented a lower mean age and reported a higher proportion of stable affective relationships compared to homosexual men. Conversely, homosexual men showed higher educational levels, a greater number of sexual partners, and more frequent use of alcohol and other drugs before sexual intercourse. They also demonstrated closer contact with health services, undergoing more HIV and STI testing, and seeking professional counseling more often. Regarding condom use, the practice was irregular in both groups. Conclusion and implications for the practice the findings highlight the need for inclusive sexual education, non-stigmatizing healthcare environments, and intersectional policies that promote health equity.
Abstract Objective to perform the cross-cultural adaptation and validity of the Questionnaire on Handwashing Knowledge and Behavior (QHKB) into Brazilian Portuguese. Method a methodological study conducted in two phases: cross-cultural adaptation according to the COnsensus-based Standards for the selection of health Measurement INstruments guidelines; and psychometric assessment. A total of 49 adolescents participated in the pretest stage and 618 in the validity phase. Content validity, factorial structure, and internal reliability were assessed. Results the Brazilian version of the instrument (QHKB-Br) achieved an overall Content Validity Index higher than 0.95. In the pretest, the agreement rate among adolescents was 98.7%. Factor analysis indicated a better fit for the unidimensional model compared with the original bidimensional model, with explained variance of 61.5%. Reliability of the total instrument showed α=0.67 and Ω=0.76, which were considered adequate for instruments with few items. Conclusion and implications for the practice QHKB-Br is a brief, self-administered, and easy-to-use instrument that demonstrated better fit to a unidimensional model in the studied sample. Its use by healthcare professionals may support educational actions and strategies to promote health literacy, contributing to the health promotion of Brazilian adolescents in different school and community settings.
Abstract Objective to evaluate self-care capacity and quality of life in older adults and their associations with sociodemographic and health variables. Method this is a quantitative, cross-sectional study with a sample of 302 older adults, in which sociodemographic characteristics, health conditions, and satisfaction with aging were analyzed using instruments such as the WHOQOL-BREF, WHOQOL-OLD, and the Appraisal of Self-Care Agency Scale (ASA-A). Results these indicate that most older adults had good self-care capacity, associated with better quality of life, especially among those with higher education and a positive self-perception of health. It was observed that factors such as marital status, religious practice, and participation in health programs influence quality of life, although they are not directly related to self-care. Conclusions and implications for the practice health programs for older adults should integrate preventive practices and social support to ensure active and healthy aging. The research reinforces the importance of integrated approaches that consider both physical, emotional, and social aspects to promote autonomy and well-being in old age.
Abstract Objective to analyze the potentialities of the education of quilombola nurses in confronting racism and promoting equity and racial equality. Method a theoretical-reflective study grounded in decolonial and counter-colonial epistemologies, articulated with the authors’ educational experiences and critical literature on health, education, and quilombola populations. The analysis was organized based on references from the Global South and on categories that problematize inequalities, territoriality, and knowledge production in nursing education. The study was conducted between January and October 2025. Results the text is structured around three main axes: aquilombamento as an educational practice and epistemic resistance; critical interculturality in nursing education; and the transformative potentialities of the presence of quilombola nurses within the structure of the Unified Health System. Final considerations and implications for practice the inclusion of quilombola peoples in undergraduate nursing programs represents an opportunity for implementing epistemological change within curricula. The incorporation of concepts developed by authors from the Global South, aligned with social resistance, politics, and the epistemology of quilombola populations, promotes structural mechanisms for confronting different forms of racism.
ABSTRACT Objective to analyze the experiences of nursing staff during the transition from a general Intensive Care Unit (ICU) to a COVID-19 ICU in a rural municipality. Method descriptive qualitative research conducted with 20 nursing staff. The setting was a general ICU of a philanthropic hospital located in a rural region of southern Brazil. Data were collected through semi-structured interviews and then subjected to thematic content analysis using NVivo software. Results nursing staff reported challenging experiences in the COVID-19 ICU, marked by aspects of internalization. The transition to general beds was abrupt, marked by a lack of trained human resources, staff inexperience, and infrastructure deficiencies. However, the general ICU was considered a victory for the municipality and region, streamlining the availability of intensive care and addressing network deficits. Final considerations and implications for practice this study contributed to understanding the transformation of intensive care in the years following COVID-19. Aspects inherent to interiorization were experienced in the implementation of intensive care beds. However, this phenomenon is seen as a step forward in the care of critically ill patients in rural municipalities.
Abstract Objective to describe the experience of extension students in the development of a newspaper created together with older adults. Method this is an experience report linked to a university extension project conducted with older adults attending a Teaching Health Center who were undergoing mental health follow-up and presented difficulties in social skills. Maguerez’s Arch was used as the methodological framework, with four meetings held between July and August 2024, culminating in the collective production of a newspaper. Results ten older adults participated, contributing memories and affective content. The process included a symbolic autograph session and the delivery of printed copies. The construction of the newspaper promoted active listening, subjective expression, strengthening of bonds, and appreciation of identity. Final considerations and implications for practice the experience demonstrated potential for promoting mental health and the critical education of students. This activity may be replicated in different contexts as a strategy for care, inclusion, and social protagonism.
Abstract Objective to reflect on nurses’ role in environmental disaster situations, using Callista Roy’s Adaptation Theory as a framework. Method a reflective essay that emerged from discussions in a graduate-level Nursing course, in line with the four adaptive modes proposed by Callista Roy and in the literature on nursing practice in environmental disaster situations. Results environmental disasters should be understood as complex social processes, with direct and indirect impacts on public health, including physical harm, psychological distress, social disruption, and overload of health services. Callista Roy’s Adaptation Model proved to be a relevant framework for interpreting these responses, as it allows the identification of focal, contextual, and residual stimuli, as well as regulatory and cognator coping mechanisms. The application of the four adaptive modes made it possible to organize Nursing actions ranging from immediate physical care to emotional support, reorganization of social roles, and strengthening of community support networks. Final considerations and implications for the practice Roy’s Theory is relevant to guide Nursing practice in environmental disasters, as it promotes a comprehensive and systematic approach to care and management. By placing adaptation at the center of the intervention, the model supports practices for community recovery and resilience.
Abstract Objective to validate a protocol for nursing consultations with children with autism in Primary Health Care. Method this is a methodological study, focusing on the validation of a protocol consisting of 12 flowcharts according to the 12 activities of life proposed by Roper, Logan and Tierney. The research was carried out between March 2023 and June 2024 using apps, platforms, emails, social networks and the like, for content validation by nursing specialists and appearance validation by information technology specialists. Results the overall content validity index for content validation was 0.98. The suitability index using the Suitability Assessment of Materials instrument was considered superior and obtained an appearance Content Validity Index of 0.77. After statistical analysis of the validation, the experts' suggestions and recommendations were incorporated to improve the protocol, and it was finally adapted. Conclusion and implications for practice the protocol was assessed as methodologically adequate due to its ability to guarantee the adequacy of valid material suitable for use by nurses in Primary Health Care.
Resumo Objetivo Desenvolver um protocolo de enfermagem para a avaliação e o tratamento de lesão por pressão em pessoas idosas hospitalizadas, com posterior validação de seu conteúdo. Método Pesquisa descritiva e quantitativa, desenvolvida entre março de 2024 e agosto de 2025 em três etapas: polo teórico (revisão de escopo e elaboração do protocolo); polo empírico (validação do conteúdo por juízes); e polo analítico (análise das sugestões e adaptação do protocolo). Participaram 11 especialistas. Aplicaram-se o Índice de Validade de Conteúdo e o Coeficiente de Kappa Modificado, considerando-se satisfatórios valores superiores a 0,8. Resultados Os especialistas avaliaram os objetivos, a estrutura, a apresentação e a relevância do protocolo, obtendo um Índice de Validade de Conteúdo global de 0,88 e concordância excelente. O protocolo contempla, por meio de textos, diagramas e figuras, orientações para a avaliação e o tratamento de lesões por pressão em pessoas idosas, incluindo a mensuração, o registro das lesões e orientações para a alta hospitalar. Considerações finais e implicações para a prática O protocolo mostrou-se válido e adequado para a prática clínica, podendo favorecer intervenções de enfermagem mais seguras, individualizadas e baseadas em evidências no cuidado à população idosa hospitalizada.
Abstract Objective To develop a nursing protocol for the assessment and treatment of pressure injuries in hospitalized older adults, with subsequent content validity. Method A descriptive, quantitative study was conducted between March 2024 and August 2025 in three stages: theoretical phase (scoping review and protocol development); empirical phase (content validity by expert judges); and analytical phase (analysis of suggestions and adaptation of the protocol). Eleven experts participated. The Content Validity Index and the Modified Kappa Coefficient were applied, with values above 0.8 considered satisfactory. Results Experts assessed the objectives, structure, presentation, and relevance of the protocol, obtaining a global Content Validity Index of 0.88 and excellent agreement. The protocol includes, through texts, diagrams, and figures, guidelines for the assessment and treatment of pressure injuries in older adults, including measurement, recording of injuries, and guidelines for hospital discharge. Final considerations and implications for practice The protocol proved to be valid and appropriate for clinical practice, and may promote safer, more individualized, and evidence-based nursing interventions in the care of hospitalized older adults.
Resumo Objetivo descrever o planejamento, a organização e a execução de uma simulação in situ com múltiplas situações críticas em um hospital. Método relato de experiência decorrente de um curto-circuito que provocou um incêndio, nos seguintes cenários: atendimento a uma queda durante a manipulação da rede elétrica; atendimento a uma crise de ansiedade; evacuação de uma paciente em hemodiálise; remoção de dois pacientes graves da Unidade de Terapia Intensiva; e transporte de uma vítima de traumatismo para outro hospital. A simulação in situ ocorreu em 2024, em colaboração com a Defesa Civil e com uma universidade, e contou com a participação de 110 pessoas. Foram realizadas sessões estruturadas de briefing e de debriefing. Resultados obtiveram-se resultados satisfatórios, evidenciando o potencial da simulação in situ em múltiplos cenários como estratégia para a formação em atendimento a vítimas, para o transporte de pacientes e para a preparação de profissionais em instituições hospitalares. Conclusão e implicações para a prática a experiência demonstrou o potencial da simulação in situ para a formação em situações de crise, para a identificação de fragilidades institucionais, para a melhoria dos fluxos de atendimento e para o fortalecimento da cultura de segurança do paciente.
Abstract Objective to describe the planning, organization, and execution of an in situ simulation involving multiple critical situations in a hospital. Method an experience report based on a short circuit that caused a fire, involving the following scenarios: care for a fall during work on the electrical system; care for an anxiety crisis; evacuation of a patient undergoing hemodialysis; removal of two critically ill patients from the Intensive Care Unit; and transfer of a trauma victim to another hospital. The in situ simulation took place in 2024, in collaboration with the Civil Defense and the university, and involved 110 participants. Structured briefing and debriefing sessions were conducted. Results satisfactory results were obtained, highlighting the potential of in situ simulation across multiple scenarios as a training strategy for victim care, patient transport, and professional preparation in hospital settings. Conclusions and implications for practice the experience demonstrated the potential of in situ simulation for training in crisis situations, identifying institutional weaknesses, improving care flows, and strengthening the patient safety culture.
Abstract Objective to understand the meanings attributed by the nursing team to experiences related to pediatric emergency care. Method a descriptive, exploratory, qualitative study grounded in Symbolic Interactionism, conducted with the nursing team of the emergency department of a public hospital in Paraná, Brazil. Data collection took place between July and October 2022 through semi-structured interviews, analyzed using Thematic Content Analysis, with support from IRaMuTeQ®. Results thirteen professionals participated, including seven nurses and six nursing technicians, and two categories emerged: 1) Meanings attributed to care in pediatric emergencies – addressing the negative meanings related to pediatric emergency care, associated with lack of technical and emotional preparedness. 2) Challenges experienced by the nursing team in pediatric emergencies – in which positive feelings toward dealing with the pediatric reality, continuous training, and the proposal of an exclusive pediatric care room symbolized strategies for safety. Final considerations and implications for the practice nursing professionals attribute a duality of meanings, including challenges and re-significations in the care of children in emergency settings. The need for continuous team qualification, implementation of Standard Operating Procedures, and reorganization of care flows is emphasized to ensure safer care.
Resumo Objetivo compreender os significados atribuídos pela equipe de Enfermagem às experiências vivenciadas no atendimento de emergências pediátricas. Método estudo descritivo, exploratório, qualitativo, fundamentado no Interacionismo Simbólico, conduzido com a equipe de Enfermagem do setor de emergência de um hospital público, do estado do Paraná/Brasil. A coleta de dados ocorreu entre julho e outubro de 2022, por meio de entrevistas semiestruturadas, analisadas por meio da Análise de Conteúdo Temática, com suporte do IRaMuTeQ®. Resultados participaram 13 profissionais, sendo sete enfermeiros e seis técnicos de Enfermagem, e emergiram duas categorias: 1) sentidos atribuídos ao cuidado nas emergências pediátricas - que aborda os significados negativos atribuídos ao cuidado em emergências pediátricas, associados à falta de preparo técnico e emocional; 2) desafios vivenciados pela equipe de Enfermagem frente às emergências pediátricas - em que os sentimentos positivos relacionados ao enfrentamento da realidade pediátrica, as capacitações contínuas e a proposta de uma sala exclusiva para o atendimento infantil simbolizam estratégias para a segurança. Considerações finais e implicações para a prática os profissionais de Enfermagem atribuem uma dualidade de significados, incluindo desafios e ressignificações no cuidado à criança em atendimento emergencial. Ressalta-se a necessidade de qualificação contínua da equipe, da implementação de Protocolos Operacionais Padrão e da reorganização dos fluxos assistenciais, visando à oferta de uma assistência mais segura.
