Objective: To map and synthesize the available clinical evidence on the use of Allium sativum in the management of vulvovaginal candidiasis. Method: This is a scoping review protocol based on the Joanna Briggs Institute (JBI) methodology. Primary studies and grey literature involving women diagnosed with vulvovaginal candidiasis that investigate the use of this herbal therapy will be included, without restriction on publication year or language. Searches will be conducted in the Web of Science, CINAHL, PubMed, Scopus, Embase, Cochrane, LILACS, SciELO, ScienceDirect, and Epistemonikos databases. Study selection and data extraction will be performed independently by two reviewers. OSF registration: https://doi.org/10.17605/OSF.IO/2KXGY.
Objective: To report the development process for a nasoenteral tube securing device. Methods: A technological innovation report study conducted between September and December 2024 during and Entrepreneurship Marathon, according to the 11 stages for the design of health products. The prototype was made with polylactic acid and subjected to an exploratory test on a realistic silicone doll. The following aspects were evaluated by means of direct observation: adherence, tube stability, response to gradual manual traction, structural integrity and securement for 72 hours under different orientations and action of gravity. Results: Seven alternatives were constructed, selecting and refining one of them. The prototype remained adhered to the simulated model and kept the tube in position for 72 hours, presenting no full detachment, visually perceptible displacement or structural damage in the conditions evaluated. Gradual manual traction did not produce immediate tube release. The assessments were qualitative, without resorting to a dynamometer, standardized repetition or tests in human beings. Conclusion: The study developed a functional prototype for a nasoenteral tube securing device by means of tridimensional modeling and printing on polylactic acid. The conception and simulated test process was documented.
Objective: To analyze Primary Health Care nurses' perceptions regarding an artificial intelligence-based clinical decision support system, identifying implementation challenges and barriers. Method: A qualitative study conducted through face-to-face semi-structured interviews in the workplace with 20 nurses. The interview recordings were transcribed and subjected to thematic content analysis, as proposed by Bardin. Results: Three categories were identified: Perception of the system and its impact on clinical practice, highlighting the tool's potential to support clinical reasoning, qualify the Nursing Process, and standardize documentation; Barriers and challenges in the implementation and use of the system, highlighting difficulties related to the lack of interoperability, technological infrastructure limitations, and increased workload; and Suggestions for improvement and future recommendations, pointing to the need for system integration, usability enhancements, and strategies that favor its incorporation into Primary Health Care workflows. Conclusion: Artificial intelligence-based systems show potential to support clinical practice in Primary Health Care; however, their effective incorporation depends on system integration, investments in digital infrastructure, and implementation strategies aligned with the organizational context.
Objective: To correlate quality assessment indicators in Long-Term Care Facilities for Older Adults. Method: Longitudinal, prospective implementation study conducted through training cycles for the multidisciplinary team and monthly and/or semiannual monitoring of 21 indicators, collected in an Excel spreadsheet over one year (May 2023 to August 2024) and discussed in monthly meetings with the team, the research leader, and academic fellows. Spearman’s test was applied to identify significant correlations (p<0.05; p<0.10). The study was approved by the Research Ethics Committee. Results: Longitudinal analysis of the indicators revealed geriatric clinical patterns well established in the literature and others that were seasonal, such as: mortality was correlated with malnutrition (0.033); diarrhea with urinary tract infection (0.010), pain (0.032), absence of family visits (0.002), and pediculosis (0.021); malnutrition with pressure injury (0.026); urinary tract infection with pain (0.011); constipation with respiratory infection (0.026); falls with functionality (0.043) and friction injury (0.095; p<0.10); functionality with oral care (0.029); pain with absence of family visits (0.026) and pediculosis (0.010). Conclusion: This study recommends expanding the indicators as a strategy to qualify the assessment of care provided in Long-Term Care Facilities for Older Adults in order to identify weaknesses, recognize good practices, and efficiently allocate resources.
Objective: To reflect on the applicability of Imogene King’s theory of goal attainment in the context of continuing health education (CHE). Method: This is a theoretical-reflective essay that analyzes the correlation between Imogene King’s theory of goal attainment and CHE practices developed by health professionals. Development: The articulation between the concepts proposed by King and the practical application of CHE can be understood in light of the principles of andragogy and interprofessionality. As a contribution of this study, an adaptation of King’s schematic model is proposed, aligning it with the context of CHE in order to expand its applicability in this setting. From this perspective, the model can be reinterpreted as a process that favors the construction of collective transactions between the educator and other health professionals. Conclusion: The reflections presented show that Imogene King’s theory of goal attainment constitutes a relevant tool for guiding CHE practices, since its applicability is grounded in interaction, communication, and the establishment of shared goals.
