Objective: To reflect on the sustainability of the work environment of nurses in Primary Health Care (PHC) in light of the dimensions proposed by Ignacy Sachs. Method: Theoretical-reflective study of an analytical nature, grounded in the scientificliterature on nursing and occupational health and in institutional documents, consulted in a subsidiary capacity to the reflection. The pathway was organized into five phases: delimitation of the object; exploratory approach to the literature in PubMed, Scopus, and LILACS; selection of the analytical lens among three multidimensionalapproaches to sustainability; identification of problematizing cores; and articulation of these cores with the criteria formulated by Sachs, grouped by the authors into four analytical axes. Results: The reflection resulted in four analytical categories: (1) nursing work in PHC is socially and culturally sustained but faces institutional weakening; (2) economic and institutional sustainability conditions the continuity of nursing work; (3) the territory organizes the work but also imposes limits on its sustainability; and (4) the environmental sustainability of the work environment remains subordinate to care priorities. The categories are articulated dynamically and interdependently. Final considerations: The sustainability of the work environment in PHC emerges from the articulation among the social, cultural, economic, political-institutional, territorial, and environmental dimensions. Adopting it as an analytical lens shifts the debate from a descriptive register to a relational one and supports recommendations for service management, public policy, education, and research, with a view to professional retention and continuity of care.
Objective: To determine the relationship between self-care level and the risk of chronic obstructive pulmonary disease (COPD) in adults exposed to environmental pollutants. Methods: A cross-sectional, correlational study was conducted. Participants included 342 adults aged 35 years selected through stratified probability sampling from a population of 3,065 inhabitants. Self-care was assessed using the Appraisal of Self-Care Agency Scale (ASA), and COPD risk was measured with the COPD Population Screener (COPD-PS) questionnaire. The Kolmogorov–Smirnov test was used to evaluate normality (p < 0.05), and Spearman’s rho correlation coefficient was applied for inferential analysis. Results: Low self-care was identified in 78.4% of participants, while 52.0% presented a high risk of COPD. A moderate, inverse, and statistically significant correlation was found between both variables (rho = -0.485; p < 0.001), indicating that higher levels of self-care are associated with lower respiratory risk. Conclusion: The coexistence of low self-care and elevated respiratory risk evidences community vulnerability.
Introduction: Burns constitutes a public health problem with a high socioeconomic impact worldwide. Historically, honey has been used to treat wounds. Manuka honey stands out for its high methylglyoxalcontent, which gives it superior therapeutic potential. However, clinical evidence on its effectiveness in burns is heterogeneous and lacks a synthesis that evaluates clinical outcomes. Objective: to synthesize the available evidence on the composition of dressings with Manuka honey and their outcomes in the care of burn patients in hospital settings. Methods: Scope review was conducted according to PRISMA-ScR guidelines. The PCC (Population, Content, Context) strategy was employed. The population of interest consisted of burn patients. Treatments with Manuka honey and their outcomes, such as healing,infection, pain, exudate, patient satisfaction, costs, and others, were analyzed. Finally, the study context focused on inpatient settings. Results: Five articles were included: three case series, one uncontrolled clinical trial, and one retrospective cohort study. The findings show that Manuka honey accelerates epithelialization, reduces bacterial load (including multidrug-resistant strains), promotes pain management, and is cost-effective. Conclusion: Available clinical evidence suggests that Manuka honey has positive effects on wound healing, bacterial control, and pain. However, the findings are not conclusive due to the study's limitations. Therefore, more rigorous clinical trials are needed tovalidate these findings.
