Resumo Objetivo Conhecer e analisar as percepções de jovens universitários sobre a ciberviolência e sobre as possibilidades de enfrentamento para o problema. Métodos Estudo exploratório e descritivo, de abordagem qualitativa, fundamentado na Teoria da Intervenção Práxica da Enfermagem em Saúde Coletiva. Os dados foram coletados no mês de julho de 2024, em uma sessão da Oficina de Trabalho Crítico-Emancipatória, com sete estudantes universitários que tiveram suas falas submetidas à análise de conteúdo temática de abordagem indutiva com apoio do software MaxQDA. Derivam da análise duas categorias empíricas: Vozes universitárias: experiências e percepções sobre a ciberviolência; e, A universidade e a ciberviolência: vislumbrando caminhos para o enfrentamento da problemática. Resultados A ciberviolência permeia a vida dos participantes da pesquisa e afeta aspectos sociais, acadêmicos e de saúde dos indivíduos. Como forma de enfrentamento dessa problemática no contexto universitário, os entrevistados propuseram um projeto de extensão universitária multidisciplinar. Essa iniciativa deve incluir ações como acolhimento psicológico, suporte jurídico, campanhas educativas e fortalecimento dos canais de denúncia, com o objetivo de tornar o ambiente universitário mais seguro, inclusivo e informado sobre a ciberviolência. Conclusão A ciberviolência é, frequentemente, naturalizada pelos jovens universitários, especialmente em relações íntimas, nas quais comportamentos abusivos são interpretados como expressões de afeto. A Oficina estimulou reflexões críticas e a construção de ações para o enfrentamento da ciberviolência. O estudo amplia o conhecimento na área sobre o tema, oferece subsídios para abordagens transformadoras e fomenta intervenções colaborativas para o enfrentamento da violência no ambiente universitário.
Resumo Objetivo Compreender como crianças e adolescentes vivenciam seu comportamento suicida. Métodos Trata-se de um estudo qualitativo, baseado em representações sociais, realizado com quinze crianças e adolescentes brasileiros com comportamento suicida. Os dados foram coletados entre 2020 e 2021, por meio de entrevistas abertas e fotoelicitação para facilitar a expressão dos participantes. O conteúdo foi analisado de acordo com a técnica do Discurso do Sujeito Coletivo. Resultados Os discursos foram categorizados de acordo com os temas: “Sentindo-se perturbado em um cenário hostil” (conflitos pessoais, familiares e sociais), “Passando por uma crise permeada pelo sofrimento” (ideações, planejamentos e tentativas de suicídio) e “Imaginando seu futuro” (buscando ajuda para a recuperação e incerteza sobre o futuro). Conclusão Os participantes são capazes de descrever gatilhos que agravam sua saúde mental e identificar sinais de crise suicida. Profissionais de saúde pública treinados para intervir rapidamente ajudam a garantir que essa população não arrisque suas vidas, melhorando sua esperança para o futuro.
Resumo Objetivo Identificar evidências do uso da realidade virtual como estratégia tecnológica educacional no ensino de estudantes de enfermagem em centro cirúrgico. Introdução Ainda existem muitos erros relacionados a procedimentos cirúrgicos. O treinamento adequado de profissionais de saúde pode reduzir a variabilidade dos dados. A realidade virtual pode ser considerada uma ferramenta de treinamento para esses profissionais, proporcionando maior segurança no cuidado ao paciente. Critérios de inclusão Os participantes foram estudantes de graduação em enfermagem; o conceito foi o uso da realidade virtual como estratégia de ensino; e o contexto foi o ensino relacionado ao centro cirúrgico. Métodos Revisão de escopo de acordo com a metodologia do JBI, com busca de estudos na Cochrane Library, Portal BVS, MEDLINE/PubMed, ScienceDirect, Web of Science, Scopus, OpenGrey e Biblioteca Brasileira de Teses e Dissertações, publicados em inglês, português e espanhol, sem restrições temporais. Os estudos foram identificados, triados e selecionados utilizando a plataforma Rayyan. Resultados Encontraram-se 25 estudos, e sete foram selecionados. Os sistemas de realidade virtual utilizados foram headsets e óculos de realidade virtual, controladores de toque, controladores manuais, computadores, microfones e animação 3D. Os estudos incluíram vídeo 360º, briefing e debriefing, simulação, palestras, sala de cirurgia replicada, e feedback, e os tópicos abordados foram uma visão geral do centro cirúrgico, instrumentação cirúrgica, assepsia cirúrgica, reconhecimento de erros e eventos adversos, segurança contra incêndio e preparação do paciente. Os resultados encontrados estão relacionados à experiência, atitude, conhecimento, emoção e produto. Conclusão A realidade virtual é um recurso complementar, bem aceito e eficaz no ensino de estudantes de enfermagem no centro cirúrgico. No entanto, são necessários estudos com cenários complexos e monitoramento longitudinal.
Abstract Objective To map the occurrences and consequences of compassion satisfaction and fatigue among oncology nursing professionals. Methods This scoping review was carried out on six databases in the period June-November 2024. It followed the recommendations of the Joanna Briggs Institute and the checklist of the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews. The results were summarized in a chart and analyzed descriptively. Results The final sample consisted of 12 articles. The articles were predominantly published in Brazil and the United States of America, with the greatest number in the years 2016, 2020, and 2022. The main data collection instrument used in the research was the Professional Quality of Life, followed by the Professional Satisfaction Index and the Maslach Burnout Inventory. In general, professionals reported high compassion satisfaction and job satisfaction. Investigations into satisfaction and fatigue have shown that the higher the level of education and professional achievement, the higher the compassion satisfaction. They also showed that fatigue, dissatisfaction, and burnout are phenomena that should be evaluated as they are common. Conclusion Compassion satisfaction and fatigue are present in the journey of oncology professionals. From the perspective of compassion fatigue, harm to nurses’ mental health can affect their personal and professional quality of life.
Objectif Analyser, sur la base des justifications de la connexion avec les influenceurs numériques en soins infirmiers, la manière dont leur influence se manifeste dans la diffusion de l’information et la lutte contre la désinformation en matière de santé. Méthodes Une étude transversale de nature quantitative et qualitative a été réalisée. Dans la phase quantitative, les influenceurs numériques en soins infirmiers ont été caractérisés en fonction de leur leadership d’opinion, de leur engagement, de leur durée d’activité et de leur portée. L’échantillonnage a été réalisé sur les plateformes Instagram, Facebook, TikTok, X et YouTube entre 2022 et 2024. Les données ont été analysées à l’aide du logiciel SPSS 27, par le calcul des fréquences et des tests du chi carré (α=0,05). Dans la phase qualitative, une analyse de contenu a été réalisée à l’aide du logiciel Iramuteq afin d’identifier des catégories thématiques. Résultats Au total, 324 influenceurs numériques dans le domaine des soins infirmiers ont été identifiés, avec une portée combinée supérieure à 45 millions d’abonnés. La majorité (91,4 %) étaient des infirmiers diplômés utilisant Instagram. Le contenu était principalement axé sur la formation en soins infirmiers, mais aussi sur la lutte contre la désinformation en matière de santé. Les influenceurs infirmiers éduquent, combattent la désinformation, exposent les défis du métier et renforcent l’identité, la cohésion et la visibilité professionnelles. Conclusion les influenceurs numériques en soins infirmiers jouent un rôle clé dans la diffusion d’informations fiables sur la santé et dans la lutte contre la désinformation. Grâce à des contenus éducatifs, à un engagement émotionnel et à la défense de la profession, ils favorisent l’éducation à la santé, renforcent la confiance du public et renforcent l›identité des soins infirmiers. Leur présence sur les réseaux sociaux transforme les espaces numériques en environnements d›apprentissage, d›autonomisation et de résistance collective contre la désinformation.
Abstract Objective To construct a middle-range theory for the “Impaired Peripheral Neurovascular Function” nursing diagnosis in diabetic patients. Methods The theory was constructed in six stages: defining the approach to theory construction; defining the conceptual models to be included; defining the main concepts; constructing a pictogram; formulating propositions; and establishing causal relationships and evidence for practice. Results The theory incorporated 14 etiological factors and 16 clinical indicators. Additionally, six associated conditions from risk diagnosis in NANDA International were homologated for theory construction. A pictogram was developed, and eight propositions for etiological factors and five for clinical indicators were formulated to verify causal relationships and evidence for practice. Conclusion This study led to the development of a middle-range theory for the “Impaired Peripheral Neurovascular Function” nursing diagnosis in patients with diabetes, incorporating etiological factors, clinical indicators, a pictogram, and causal relationships among concepts.
Objetivo Analizar, basándose en las justificaciones para la conexión con los influencers digitales de enfermería, la forma en que su influencia se produce en la difusión de información y en la lucha contra la desinformación en materia de salud. Métodos Se realizó un estudio transversal de naturaleza cuantitativa y cualitativa. En la fase cuantitativa, los influencers digitales de enfermería se caracterizaron en función de su liderazgo de opinión, compromiso, tiempo de actividad y alcance. El muestreo se realizó en las plataformas Instagram, Facebook, TikTok, X y YouTube en el período comprendido entre 2022 y 2024. Los datos se analizaron con el software SPSS 27, utilizando frecuencias y pruebas de ji-cuadrado (α=0,05). En la fase cualitativa, se realizó un análisis de contenido con el programa Iramuteq para identificar categorías temáticas. Resultados Se identificaron un total de 324 influencers digitales de enfermería, con un alcance combinado de más de 45 millones de seguidores. La mayoría (91,4 %) eran enfermeros titulados que utilizaban Instagram. El contenido se centraba principalmente en la educación en enfermería, además de combatir la desinformación en materia de salud. Los influencers de enfermería educan, combaten la desinformación, exponen los retos del trabajo y fortalecen la identidad, la cohesión y la visibilidad profesionales. Conclusión Los influencers digitales de enfermería actúan como agentes clave en la difusión de información sanitaria fiable y en la lucha contra la desinformación. A través de contenidos educativos, el compromiso emocional y la defensa profesional, promueven la alfabetización en materia de salud, fortalecen la confianza del público y refuerzan la identidad de la enfermería. Su presencia en las redes sociales transforma los espacios digitales en entornos de aprendizaje, empoderamiento y resistencia colectiva contra la desinformación.
Objective: To analyze, based on the justifications for connecting with digital nursing influencers, how their influence occurs in the dissemination of information and combating misinformation in health. Methods: A cross-sectional study of a quantitative-qualitative nature was conducted. In the quantitative phase, digital nursing influencers were characterized based on opinion leadership, engagement, length of activity, and reach. Sampling was performed on the Instagram, Facebook, TikTok, X, and YouTube platforms from 2022 to 2024. The data were analyzed with SPSS 27 software, using frequencies and chi-square tests (alpha=0.05). In the qualitative phase, content analysis was performed with Iramuteq software to identify thematic categories. Results: A total of 324 nursing digital influencers were identified, with a combined reach of over 45 million followers. The majority (91.4%) were registered nurses who used Instagram. The main focus of the content was nursing education, while also confronting health misinformation. Nursing influencers educate, combat misinformation, expose the challenges of the job, and strengthen professional identity, cohesion, and visibility. Conclusion: Digital nursing influencers act as key agents in disseminating reliable health information and combating misinformation. Through educational content, emotional engagement, and professional advocacy, they promote health literacy, strengthen public trust, and reinforce the identity of nursing. Their presence on social media transforms digital spaces into environments for learning, empowerment, and collective resistance against misinformation.
Resumo Objetivo Analisar, com base nas justificativas para a conexão com influenciadores digitais de enfermagem, a forma como a sua influência ocorre na disseminação de informação e no combate à desinformação em saúde. Métodos Foi realizado um estudo transversal de natureza quanti-qualitativa. Na fase quantitativa, os influenciadores digitais de enfermagem foram caracterizados com base em liderança de opinião, engajamento, tempo de atividade e alcance. A amostragem foi realizada nas plataformas Instagram, Facebook, TikTok, X e YouTube no período de 2022 a 2024. Os dados foram analisados com o software SPSS 27, utilizando frequências e testes do qui-quadrado (α=0,05). Na fase qualitativa, foi realizada análise de conteúdo com o software Iramuteq para identificar categorias temáticas. Resultados Um total de 324 influenciadores digitais de enfermagem foram identificados, com alcance combinado superior a 45 milhões de seguidores. A maioria (91,4%) era composta por enfermeiros registrados que utilizavam o Instagram. O principal foco do conteúdo foi a Educação em Enfermagem, confrontando também a desinformação em saúde. Os influenciadores de enfermagem educam, combatem a desinformação, expõem os desafios do trabalho e fortalecem a identidade, a coesão e a visibilidade profissionais. Conclusão Os influenciadores digitais de enfermagem atuam como agentes-chave na disseminação de informações de saúde confiáveis e no confronto à desinformação. Por meio de conteúdo educacional, engajamento emocional e defesa profissional, promovem a literacia em saúde, fortalecem a confiança do público e reforçam a identidade da enfermagem. Sua presença nas redes sociais transforma os espaços digitais em ambientes de aprendizagem, empoderamento e resistência coletiva contra à desinformação.
Objective: to develop and validate a mobile app to supportthe care of low-risk newborns in home environments. Methods: a methodological and technological study conducted between April 2022 and June 2023, in two phases: app development and content validation with experts. The app was developed based on the Scrum and Kanban methodology, using Kodular, Web Trello, and Web Canva platforms for managing team documents and activities. Content and usability validation was conducted with experts working as researchers, healthcare professionals, healthcare managers, and an IT technician. The Content Validity Index was calculated using the Delphi technique, and agreement rates above 0.80 were considered. Results: the mobile app called RnNeo provides access to six menus on its main screen: breastfeeding, sleep, crying, bathing, vaccinations, and important tips. The Content Validity Index was above 0.80 among the experts, although the app's crashing issue was unfavorable in the assessment of 16.7% of the evaluators. Based on this evidence, the app was returned to the technical professionals for appropriate adjustments and improvements. Available on the Android operating system, the app can be accessed by any user, any day and at any time. Conclusion: The RnNeo app achieved acceptable agreement among the experts and demonstrates that its content and functionalities are reliable and have the potential to support caregivers of low-risk newborns in the home environment.
Objective: To evaluate the effectiveness of an educational video on sexual violence in the knowledge of school-aged adolescents. Methods: A quasi-experimental, non-randomized, single-group study was conducted from February to June 2024, using an educational video for 82 adolescents from a public school. The same questionnaire was used before and after the intervention. For data analysis, the generalized version of McNemar's chi-square test was applied. Results: There was an increase in the percentage of knowledge among adolescents after the educational intervention, with statistical significance in the variables "presentation of sexual violence", "I would take you home," and "reporting sexual violence and dangerous situations". Conclusion: The implementation of educational videos increased adolescents' knowledge and encouraged youth leadership by promoting reflection and critical thinking about sexual violence.
Objective: To verify the prevalence of depression symptoms in women and their association with socioeconomic, clinical and behavioral characteristics. Methods: Depressive symptoms were assessed using the Beck Depression Inventory (BDI). Data were analyzed using descriptive statistics, taking unadjusted and relative frequencies along with 95% Confidence Intervals (95%CIs). In bivariate analyses, Pearson's chi-square test was used. Poisson regression was performed with robust variance using unadjusted and adjusted Prevalence Ratios (PRs) along with 95%CIs. Analyses were performed using Stata 17. Results: The highest prevalence of depressive symptoms was observed in women with lower education (PR: 1.59; 95%CI: 1.19-2.12), without religion (PR: 1.47; 95%CI: 1.15-1.88), who receive government aid (PR: 1.41; 95%CI:1.11-1.80), do not practice physical exercise (PR: 1.47; 95%CI:1.17-1.87), smokers (PR: 1.51; 95%CI:1.18-1.94) and with a diagnosis of multimorbidity (PR: 1.60; 95%CI: 1.29-1.98). Conclusion: The data point to the urgency of strengthening and expanding the services offered in psychosocial care networks, as well as public policies to respond to women's demands and needs, considering their difficulties in accessing services.
Objective: To construct and validate a clinical simulation scenario on nursing care for individuals experiencing alcohol withdrawal syndrome (AWS). Methods: This was a methodological study on the construction and validity of a script based on scientific recommendations regarding advanced life support and simulation-based teaching. The scenario was submitted to validity by specialists through self-administered instruments. In data analysis, the Content Validity Index (CVI) and Gwet's first-order agreement coefficient were used. A minimum agreement of 0.80 was adopted. Results: The proposed simulation scenario in AWS was developed to validate the clinical simulation script and the Objective Structured Clinical Examination (OSCE) guide, under assessment by seven specialists in chemical dependency, clinical simulation, and emergency medicine. The scenario script and the OSCE showed high CVI values in most items, proving to be adequate in providing the necessary conditions for fulfilling the learning objectives, obtaining an overall CVI value of 0.98. Furthermore, it showed a high coefficient of agreement among specialists (0.95). Conclusion: This study provides a validated and free guide for teaching skills, attitudes, and competencies in nursing care for people with AWS, which can be used as a pedagogical strategy in undergraduate, graduate, and continuing education.
Objective: To perform cross-cultural adaptation and psychometric evaluation of the Brief Estimate of Health Knowledge and Action (BEHKA)-HIV Version questionnaire for use in Brazil. Methods: Two-stage psychometric study. In the first stage, cross-cultural adaptation was performed. Translators, back-translators, a committee of experts, and people living with HIV participated. Kappa and content validity coefficients were calculated. In the second stage, psychometric evaluation was performed using exploratory factor analysis, discriminant analysis, Spearman's Rho correlation, and network analysis. Results: The agreement among judges was high (k=1.0) with an adequate content validity coefficient (CVC=0.96). The instrument showed internal validity, with Kayser-Meyer-Olkin (KMO = 0.53) and Bartlett's sphericity test significant. Network analysis showed strong relationships between questions in the same domain. Discriminant analysis showed adequate indicators in Spearman's Rho correlation and network analysis. Conclusion: The questionnaire (BEHKA)-HIV Version shows evidence of validity for use in Brazil. The identification of factors related to adherence and treatment promotes health literacy and can contribute to practices and policies aimed at the prevention and clinical management of HIV/AIDS.
Objective: To describe the process of constructing and assessing the content and appearance of a graphic management protocol for assessing safe nursing care for people with mental disorders in mobile pre-hospital care. Methods: This methodological study was conducted from July to November 2023, using three procedures: theoretical, through a scoping review to map scientific evidence; empirical, through the development of a protocol and checklist for assessing safe care; and analytical, for assessment. The Delphi technique was used with the participation of expert judges to achieve agreement. The items were developed according to Pasquali's psychometric methodological framework. Items with a Content Validity Coefficient (CVC) greater than 0.80 and a consensus of more than 80% in the Delphi technique were considered valid. Data were analyzed using descriptive and inferential statistics (binomial test). Results: The overall score for the graphic management protocol and the checklist for appearance and CVC validity was 0.98 at the end of the second Delphi round. After the inclusion of suggested changes, 100% of judges recommended using the protocol and checklist. Conclusion: The graphic protocol and checklist content and appearance proved to be valid, and their implementation in mobile pre-hospital care can contribute to patient safety and quality management by promoting safe nursing care directed at people with mental disorders in this specific care context.
Objective: To analyze the individual, social, and programmatic vulnerabilities and their associations with the history of Sexually Transmitted Infections (STIs) and/or HIV in the Prison Population in Cear & aacute;. Methods: This cross-sectional study was performed in May-September 2022 in Cear & aacute; prison units (20,666 prisoners). Data were collected using a questionnaire with sociodemographic, prison, and health history information. The predictor variables were categorized according to the theoretical framework of vulnerabilities. The diagnosis of any STI/HIV during or after entry into the prison system was the outcome variable. For continuous variables, measures of position, dispersion, and normality analysis were calculated and for the association between vulnerability marker variables and STI history, binary logistic regression was performed. Results: The prevalence of STIs was 445 (2.2%), and Syphilis and HIV were the most prevalent diseases. Most diagnoses (54.4%) were made on admission. The markers of greater vulnerability to STIs were as follows: be 30 years of age or older, have a psychiatric condition or previous chronic illness, low income, have been arrested for a drug crime, have relationships with other prisoners, work in the system, and prison time of up to one year. The markers of lowest vulnerability were the following: having a religion, previous formal employment, having a disability, being LGBTQIA+, receiving condoms in prison, reporting violence by police officers, receiving a visit from a partner, and having been transferred from one unit to another. Conclusion: The prison population of Cear & aacute; presented individual, social, and programmatic vulnerabilities to STIs/HIV, which were active before and during imprisonment. The high admission prevalence reinforces the importance of understanding such vulnerabilities to promote health and life quality actions, considering the pre- and intra-prison context.
Objective: To assess the performance of qSOFA for identifying sepsis in an emergency department. Methods: This retrospective cohort study was conducted at a private hospital in S & atilde;o Paulo, Brazil, between 2018 and 2019. Data were extracted from the medical records of all individuals treated with suspected sepsis and assessed using the qSOFA tool, according to demographic, clinical, and outcome variables. Statistical analysis was performed using Student's t-test, chi-square test, and McNemar's test. Results: A total of 5,017 patients with suspected sepsis were assessed using qSOFA, of which 88% had a negative qSOFA score and 12% a positive qSOFA. Individuals with a positive qSOFA (score>2) had a higher percentage of sepsis diagnosis, with a statistically significant association. Patients with a positive qSOFA were 49% men and 37.3% women, with a mean age of 74.28 years. It was observed that there was a similarity in the percentages between the scored variables of the qSOFA scale (systolic blood pressure (SBP) <= 100 mmHg or MAP < 65 mmHg, respiratory rate (RR) >= 22 rpm and level of consciousness). The most prevalent site of infection was the respiratory (55.7%). In relation to the outcome, 6.8% of sepsis cases progressed to death. Conclusion: In this study, the qSOFA score showed good specificity (94%) and low sensitivity (32%) for detecting sepsis in an emergency department, demonstrating its effectiveness. This tool can be considered, due to its ease of application and worldwide knowledge, in the identification of sepsis.
Objective: This study aims to determine nursing students' attitudes and anxiety levels toward using artificial intelligence. Methods: This descriptive cross-sectional study was conducted with 234 nursing students from a private university. Inclusion criteria included being a Turkish citizen and enrolled in the nursing program. Data were collected using a Socio-demographic Form, the General Attitude towards Artificial Intelligence Scale, and the Artificial Intelligence Anxiety Scale. Data were analyzed using t-test, ANOVA, and Pearson correlation (p < 0.05). Results: According to results, the participants' mean age was 20.47 +/- 1.00 and 85.9% were female. The mean total score of the General Attitude towards Artificial Intelligence Scale was 69.54 +/- 8.79. The mean score of Positive Attitude Towards Artificial Intelligence was 44,38 +/- 6,10 and Negative Attitude Towards Artificial Intelligence was 25,16 +/- 5,73. The mean score of Artificial Intelligence Anxiety Scale was calculated as 45,90 +/- 11,57. A significant and moderate negative correlation was found between the total scores of General Attitude Scale to Artificial Intelligence scores and Artificial Intelligence Anxiety Scale (r=-0.595). It was determined that positive attitude scores of participants who had detailed knowledge about Artificial Intelligence and used Artificial Intelligence in education were significantly higher than those who didn't know about Artificial Intelligence and didn't use it in education (p<0.05). The anxiety scores of female participants were significantly higher than male participants. It was observed that the Artificial Intelligence Anxiety Scale scores of participants who didn't use AI in education were significantly higher than those who did (p<0.05). Conclusion: Supporting positive attitudes and integrating Artificial Intelligence into nursing education may help reduce anxiety and improve students' readiness for future healthcare technologies. Enhancing awareness and experience with Artificial Intelligence can further strengthen acceptance and effective use among nursing students.
Objective: To develop and validate an animated infographic for health education of patients on fall prevention in hospitals. Methods: This methodological study was based on the Instructional Design model and comprised four stages: 1-Planning (including literature reviews and technology script development); 2-Production (instructional design and media development with the help of a graphic designer); 3-Implementation and assessment (judges validated the infographic appearance and content using the Educational Health Content Validity Instrument); and 4-Application of educational technology with the target audience for appearance assessment. The Content Validity Index (CVI) was calculated to assess the animated infographic validity. Results: The infographic, lasting seven minutes and 43 seconds, uses audio narration with textual information, illustrations, and animations to address topics such as: definition of falls and their consequences; riskfactors for falls in hospital settings; and guidance on fall prevention for patients and their companions. In the content and appearance validity by experts, the technology obtained an overall CVI of 1.0, considered the gold standard. In the appearance assessment by the target audience, it achieved an overall CVI of 0.975, considered excellent. Conclusion: The animated infographic is a valid and appropriate technology for patient education regarding fall prevention during hospital stays.
