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Objetivos: contribuir para o conhecimento do combate ao exercício ilegal da profissão. Enquadrar na dinâmica de profissionalização da enfermagem portuguesa. Métodos: metodologia histórica, com diacronia e sincronia enquadradora, identificando o espaço e as pessoas envolvidas. Estudo de duas fontes históricas; "Revista de Enfermagem. Fazer bem sem olhar a quem" e "Enfermagem Portuguesa. Revista Técnica e Cultural". Resultados: no combate encontrámos julgamentos e condenações, depois, apelos, avisos, exposições ministeriais e comunicações em reuniões, lutando pela obrigatoriedade da Carteira Profissional, como estratégia de profissionalização. Conclusões: o combate ao exercício ilegal da profissão associa-se ao da implementação da Carteira Profissional e insere-se numa estratégia intencional, interna ao grupo, de aceleramento da profissionalização. As denúncias e publicitação das condenações, apelos públicos, avisos aos enfermeiros, exposições ministeriais, comunicações em reuniões e uso das revistas como instrumento de ação, foram estratégias usadas para alcançar o objetivo da obrigatoriedade da Carteira Profissional.

Objectives: contribute to the knowledge of combating the illegal exercise of the profession. Fit into the dynamics of professionalization of Portuguese nursing. Methods: historical methodology, with framing diachrony and synchrony, identifying the space and people involved. Study of two historical sources; "Revista de Enfermagem. Fazer bem sem olhar a quem" and "Enfermagem Portuguesa. Revista Técnica e Cultural". Results: in the fight we found trials and convictions, then appeals, warnings, ministerial presentations and communications at meetings, fighting for the obligation of the Professional Card, as a professionalization strategy. Conclusions: the fight against the illegal exercise of the profession is associated with the implementa-tion of the Professional Card and is part of an intentional strategy, internal to the group, to accelerate professionalization. Complaints and publicity of convictions, public appeals, warnings to nurses, ministerial presentations, communications at meetings and the use of magazines as an instrument of action were strategies used to achieve the objective of making the Professional Card mandatory.

Objetivo: contribuir al conocimiento de la lucha contra el ejercicio ilegal de la profesión. Encajar en la dinámica de profesionalización de la enfermería portuguesa. Métodos: metodología histórica, enmarcando la diacronía y la sincronía, identificando el espacio y las personas involucradas. Estudio de dos fuentes históricas; "Revista de Enfermagem. Fazer bem sem olhar a quem" y "Enfermagem Portuguesa. Revista Técnica e Cultural". Resultados: en la lucha encontramos juicios y condenas, luego recursos, apercibimientos, presentaciones ministeriales y comunicaciones en reuniones, luchando por la obligatoriedad de la Tarjeta Profesional, como estrategia de profesionalización. Conclusiones: la lucha contra el ejercicio ilegal de la profesión está asociada a la implementación de la Tarjeta Profesional y es parte de una estrategia intencional, interna del grupo, para acelerar la profesionalización. Denuncias y publicidad de condenas, llamamientos públicos, advertencias a enfermeros, presentaciones ministeriales, comunicaciones en reuniones y el uso de revistas como instrumento de acción fueron estrategias utilizadas para lograr el ob-jetivo de hacer obligatoria la Tarjeta Profesional.

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Background: The Central Chronic Medicines Dispensing and Distribution (CCMDD) programme has good benefits for both patients with chronic conditions and nurses if it is effectively implemented. In most of the Sekhukhune Primary Health Care (PHC) facilities, the implementation of the CCMDD programme has been highly challenging but at the same time very beneficial. Aim: The purpose of this study was to describe the experiences of nurses and patients following the implementation of the CCMDD programme in Sekhukhune clinics. Setting: Nine of the Sekhukhune district clinics in Limpopo province, South Africa, were used as study sites. Methods: The qualitative research approach with a descriptive and explorative research design was used in this study. Data were acquired through 45 one-on-one semi-structured interviews, with Sekhukhune PHC nurses managing the CCMDD programme and patients with chronic conditions who are enrolled in the programme, and then analysed thematically. Results: Positive experiences included overcrowding and workload reduction, saving of time and money for transport, improves medication adherence, reduction in incidents of file loss, reduction in patient waiting times, preservation of clinic drug supplies and easy and convenience. However, negative experiences such as shortage of staff, the lack of communication and information on the CCMDD programme hindered the effectiveness of the CCMDD programme. Conclusion: Both nurses and patients of Sekhukhune PHC facilities had positive and negative experiences with regard to the implementation of the CCMDD programme; hence, strategies to improve the programme are needed to be developed. Contribution: The study contributes by providing recommendations for nurse training in the CCMDD programme, in order to improve service delivery processes of the implementation of the CCMDD programme in Sekhukhune PHC facilities.

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Background: South Africa has seen strides in reducing HIV and tuberculosis (TB); however, adherence counselling for people living with HIV (PLHIV) coinfected with TB remains a challenge, particularly in specific sub-districts like Cape Town. Understanding the attributes of existing training programmes is crucial. Objectives: This study explored attributes of training programme development for nurses and other health professionals to enhance adherence counselling for PLHIV coinfected with TB in Cape Town. Method: An integrative literature review was conducted in five steps following PRISMA guidelines. Electronic searches encompassed multiple databases: COCHRANE, PsycINFO, PUBMED, ENMBASE, Science Direct, SCOPUS, SocINDEX, Academic Search Complete, Eric, SABINET, Health Resources and World Health Organization Global Health Library Regional Indexes. Inclusion criteria encompassed English language, peer-reviewed full-text studies on training programme development, qualitative and quantitative, published between January 2012 and May 2021. Exclusion criteria included non-English articles, conference proceedings and irrelevant studies. Thematic data analysis synthesised findings. Results: Three main themes emerged: participant identification, key programme content and programme implementation process, crucial for effective training programme development. Conclusion: Identifying participants, defining programme content and outlining implementation processes are pivotal in enhancing nurses' adherence counselling skills. This approach could stabilise patient treatment adherence, potentially reducing treatment default, loss to follow-up and mortality rates. Contribution: These findings lay the groundwork for developing effective training programmes aimed at improving adherence counselling among nurses.

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Objetivo: analisar as características socioprofissionais de enfermeiros empreendedores de negócios no Brasil e suas motivações para empreender. Métodos: estudo transversal, exploratório e descritivo, realizado com 185 enfermeiros empreendedores de negócios. A pesquisa ocorreu entre os meses de junho a dezembro de 2021. Resultados: o perfil predominante dos participantes é de mulheres brancas, na faixa etária entre 31 e 40 anos, com média de 11 anos de formação, e período de atuação empreendedora de até 12 meses, com renda bruta mensal de seus empreendimentos de até 4 salários mínimos, sem dedicação exclusiva aos seus negócios, que em sua maioria concentram-se na Região Sudeste. Cursos de marketing digital e de gestão de negócios obtiveram realce como complementares a formação dessas enfermeiras. Conclusões: é importante acompanhar os desdobramentos do perfil empreendedor do enfermeiro no Brasil, e de seus negócios. Assim, será possível identificar o impacto de suas atuações.

Objective: to analyze the socio-professional characteristics of business entrepreneur nurses in Brazil and their motivations to undertake. Methods: cross- sectional, exploratory and descriptive study, carried out with 185 business entrepreneur nurses. The research took place between June and December 2021. Results: the predominant profile of participants is white women, aged between 31 and 40 years old, with an average of 11 years of training, and a period of entrepreneurial activity of up to 12 months, with monthly gross income from their ventures of up to 4 months minimum, without exclusive dedication to its businesses, which are mostly concentrated in the Southeast Region. Digital marketing and business management courses were highlighted as complementing the training of these nurses. Conclusions: it is important to monitor the entrepreneurial profile of nurses in Brazil, and their businesses. Thus, it will be possible to identify the impact of their actions.

Objetivo: analizar las características socioprofesionales de los enfermeros empresarios de Brasil y sus motivaciones para emprender. Métodos: estudio transversal, exploratorio y descriptivo, realizado con 185 enfermeros empresarios. La investigación se realizó entre junio y diciembre de 2021, y el escenario fue Brasil. Los datos fueron analizados a partir del análisis estadístico descriptivo. Resultados: el perfil predominante de los participantes es el de mujeres blancas, con edades entre 31 y 40 años, con un promedio de 11 años de formación, y un período de actividad empresarial de hasta 12 meses, con ingresos brutos mensuales de sus emprendimientos de hasta 4 meses mínimo, sin dedicación exclusiva a sus negocios, que se concentran mayoritariamente en la Región Sudeste. Se destacaron los cursos de marketing digital y gestión empresarial como complemento a la formación de estos enfermeros. Conclusiones: es importante monitorear el perfil emprendedor de las enfermeras en Brasil y sus negocios. Así, será posible identificar el impacto de sus acciones.

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The prevalence of autism spectrum disorder (ASD) has increased significantly in every continent in the world. Research findings suggest that nearly 1 in every 100 children is diagnosed with ASD globally.(1) In the United States, more recent data from the Centers for Disease Control and Prevention (CDC) indicate an even higher prevalence, with 1 in every 36 children, or close to 2.0% being diagnosed with the disorder.(2) (Zeiddan et al., 2022; CDC, 2023). The prevalence distribution varies among different regions. In Latin American countries, like Brazil, data is limited, but it is estimated that approximately 1.5- to 2-million children could be affected by ASD. In Africa, prevalence rates are lower, with significant variations among countries due to differences in data collection methods and the diagnostics resources available.

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Objectives. To determine the prevalence and severity of nomophobia (dread of not having a smartphone) among nurses. Methods. A systematic search was carried out across different electronic databases, including Medline (PubMed), SCOPUS Embase, CINAHL, EBSCO, and Google Scholar, until March 2024. The meta-analysis included studies that reported the prevalence of nomophobia in nurses and used the Nomophobia Questionnaire (NMP-Q). Two independent reviewers identified the studies, extracted the data, and assessed the risk of bias using Joanna Briggs Institute Critical Appraisal Tool. PROSPERO register number CRD42024512079. Results. A total 10 studies (4 in Italy and 6 in Turkey) with 3086 individuals were found to meet the inclusion criteria for the systematic review. However, data could not be retrieved for one research, thus nine studies being included in the meta-analysis. The Overall Prevalence of nomophobia was 68.15% (95% CI: 57.49%-78.81%; I² = 99%). The prevalence of mild nomophobia was reported to be 43% (95% CI, 24%-65%; I2 = 99%), moderate nomophobia was 31% (95% CI, 17%-50%; I2 = 99%), and severe nomophobia was 7% (95% CI, 2%-25%; I2= 95%). Country-specific analysis revealed that Turkish nurses had a greater level of nomophobia than their Italian nurses. Conclusion. Nurses have a high prevalence of mild to moderate nomophobia which emphasizes the need of preventative initiatives and tailored intervention for nurses in health care organizations.

Objetivo. Determinar la prevalencia y severidad de la nomofobia (temor a no disponer de un teléfono inteligente) entre las enfermeras. Métodos. Se realizó una búsqueda sistemática en diferentes bases de datos electrónicas, incluyendo Medline (PubMed), SCOPUS Embase, CINAHL, EBSCO y Google Scholar, hasta marzo de 2024. El metaanálisis incluyó estudios que informaron sobre la prevalencia de la nomofobia en enfermeras y que utilizaron el Nomophobia Questionnaire (NMP-Q). Dos revisores independientes identificaron los estudios, extrajeron los datos y evaluaron el riesgo de sesgo mediante la Herramienta de Evaluación Crítica del Instituto Joanna Briggs. RegistroPROSPERO número CRD42024512079. Resultados. Se revisaron un total de 10 estudios (4 en Italia y 6 en Turquía) con un total de 3086 individuos, de los cuales nueve se incluyeron en el metaanálisis. La prevalencia de nomofobia fue: global: 68.15% (95% CI: 57.49%-78.81%; I² = 99%), leve: 43% (IC 95%, 24%-65%; I2 = 99%), moderada: 31% (IC 95%, 17%-50%; I2 = 99%) y severa: del 7% (IC 95%, 2%-25%; I2= 95%). El análisis por países reveló que las enfermeras turcas tenían un mayor nivel de nomofobia que las italianas. Conclusión. Las enfermeras tienen una alta prevalencia de nomofobia de leve a moderada, lo que enfatiza la necesidad de iniciativas preventivas y de intervención para las enfermeras en las organizaciones de salud.

Objetivo. Determinar a prevalência e gravidade da nomofobia (medo de não ter smartphone) entre enfermeiros. Métodos. Foi realizada uma pesquisa sistemática em diferentes bases de dados eletrônicas, incluindo Medline (PubMed), SCOPUS Embase, CINAHL, EBSCO e Google Scholar, até março de 2024. A meta-análise incluiu estudos que relataram a prevalência de nomofobia em enfermeiros e que utilizaram o Questionário de Nomofobia (NMP-Q). Dois revisores independentes identificaram estudos, extraíram dados e avaliaram o risco de viés usando a ferramenta de avaliação crítica do Joanna Briggs Institute. RegistroPROSPERO número CRD42024512079. Resultados. Foram revisados 10 estudos (4 na Itália e 6 na Turquia) com um total de 3.086 indivíduos, dos quais nove foram incluídos na meta-análise. A prevalência de nomofobia foi: geral: 68.15% (IC 95%: 57.49%-78.81%; I² = 99%), leve: 43% (IC 95%, 24%-65%; I2 = 99%), moderada: 31% (IC 95%, 17%-50%; I2 = 99%) e grave: 7% (IC 95%, 2%-25%; I 2 = 95%). A análise por país revelou que os enfermeiros turcos tinham um nível de nomofobia mais elevado do que os enfermeiros italianos. Conclusão. Os enfermeiros apresentam alta prevalência de nomofobia leve a moderada, enfatizando a necessidade de iniciativas preventivas e de intervenção para os enfermeiros nas organizações de saúde.

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Introdução: a ampliação da prática clínica da enfermeira na Atenção Primária à Saúde é discutida constantemente, e se faz necessário conhecer como é desenvolvida em diferentes países. Objetivo: mapear a prática clínica desenvolvida por enfermeiras na Atenção Primária à Saúde em diferentes países. Materiais e método: a revisão de escopo, por meio do método proposto pelo Joanna Briggs Institute e pelo protocolo Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews. Realizada de novembro de 2021 a agosto de 2022, em bases de dados nacionais e internacionais. Resultados: dos 1.279 artigos encontrados nas bases de dados pesquisadas, 14 compuseram a amostra final. Os conteúdos foram sintetizados em três categorias: 1) melhores práticas clínicas; 2) uso de estratégias e de ferramentas na prática clínica; e 3) ações de prática clínica. Conclusões: as ações de prática clínica envolviam a consulta de Enfermagem em Oncologia, pré-natal, doenças crônicas, depressão e doença coronariana. As ferramentas que auxiliaram na prática clínica foram os protocolos de Enfermagem, a Classificação Internacional da Prática de Enfermagem e a Classificação Internacional das Práticas de Enfermagem em Saúde Coletiva.

Introduction: the expansion of the nurse's clinical practice in Primary Health Care is constantly being discussed and it is necessary to know how it is developed in different countries. Objective: to map the clinical practice developed by nurses in Primary Health Care in different countries. Materials and method: scoping review, following the method proposed by the Joanna Briggs Institute and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews protocol. Conducted from November 2021 to August 2022 in national and international databases. Results: of the 1,279 articles found in the databases searched, 14 made up the final sample. The contents were synthesized into three categories: 1) Best clinical practices, 2) Use of strategies tools in clinical practice, and 3) Clinical practice actions. Conclusions: the clinical practice actions involved nursing consultations in oncology, prenatal care, chronic diseases, depression and coronary heart disease. The tools that help in clinical practice were nursing protocols, The International Classification of Nursing Practice, and The International Classification of Public Health Nursing Practice.

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Objetivo:identificar os saberes de enfermeiras sobre icterícia neonatal. Método:pesquisa-ação, qualitativa, realizada em uma maternidade pública no Paraná. Nove enfermeiras participaram na etapa de diagnóstico, foram realizadas entrevistas semiestruturadas e análise de conteúdo. Nas etapas de ação e avaliação, participaram 49 profissionais, ocorreu observação participante, entrevista em grupo e análise de conteúdo. Resultados: emergiram três categorias: saberes de enfermeiras para identificação da icterícia neonatal; saberes para manejo adequado; saberes sobre as consequências da icterícia não tratada. Foi identificado pouco conhecimento sobre a fisiopatologia da doença, cuidados específicos e consequências da icterícia inadequadamente tratada. Foi desenvolvida uma capacitação sobre o tema em conjunto com a instituição. Conclusões: na primeira etapa, as enfermeiras demonstraram saber avaliar e identificar precocemente a icterícia, mas tinham pouco conhecimento sobre cuidados com a fototerapia e consequências do tratamento inadequado. São necessárias ações de educação permanente para qualificar a assistência aos recém-nascidos com icterícia

Objective: to identify the knowledge of nurses about neonatal jaundice. Method: qualitative action research conducted in a public maternity hospital in Paraná. Nine nurses participated in the diagnostic stage, semi-structured interviews and content analysis were performed. In the action and evaluation stages, 49 professionals participated, and participant observation, group interviews, and content analysis were conducted. Results: three categories emerged: knowledge of nurses for the identification of neonatal jaundice; knowledge for proper management; knowledge about the consequences of untreated jaundice. Limited knowledge was identified regarding the pathophysiology of the disease, specific care, and consequences of inadequately treated jaundice. Training on the subject was developed in collaboration with the institution. Conclusions: in the first stage, nurses demonstrated the ability to evaluate and identify jaundice early, but had limited knowledge about care with phototherapy and the consequences of inadequate treatment. Continuous education actions are necessary to improve the care for newborns with jaundice.

Objetivo: identificar los conocimientos de las enfermeras sobre la ictericia neonatal. Método: investigación-acción cualitativa, en una maternidad pública en Paraná. Participaron nueve enfermeras en el diagnóstico, mediante entrevistas semiestructuradas y análisis de contenido. En las etapas de acción y evaluación, participaron 49 profesionales, con observación participante, entrevistas grupales y análisis de contenido. Resultados: surgieron tres categorías: conocimientos sobre la identificación, manejo adecuado y consecuencias de la ictericia neonatal no tratada. Se identificó poco conocimiento sobre la fisiopatología, cuidados específicos y consecuencias de la ictericia no tratada adecuadamente. Se desarrolló una capacitación en conjunto con la institución. Conclusiones: en la primera etapa, las enfermeras demostraron saber evaluar e identificar precozmente la ictericia,pero tenían poco conocimiento sobre los cuidados con la fototerapia y las consecuencias del tratamiento inadecuado. Se necesitan acciones de educación continua para mejorar la atención a los recién nacidos con ictericia

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INTRODUCTION: Hospitals may not be able to manage the chaotic environment during pandemics through classical management principles. Management can only be achieved with the help of effective leadership, appropriate flow of crisis management systems, teamwork, and collaboration. Nurse managers should have effective management skills. OBJECTIVE: To evaluate the perception of the nurse managers' practices by nurses such as resource management, organization, communication, psychosocial, care-training, and decision-making practices in the management of the pandemic based on the COVID-19 pandemic. METHODS: A quantitative, cross-sectional method was used, and a web-based online questionnaire was applied to collect data. This study included 182 nurses working in a public and private hospital in Istanbul. RESULTS: The nurses perceived the management practices of their managers at a moderate level. The leaders' resource management practices as low (16.5%), and medium (78.6%) perceive. There was a statistically significant difference (p<0.01) between the communication and team relations (p<0.05), resource management (p<0.01), care-training (p<0.05), and decision-making scores (p<0.01) of the nurses working in the private hospitals compared to those working in the public hospital. CONCLUSION: To effectively manage a complex and chaotic environment, nurse managers should trust their team, have speed and adaptation skills, be based on human factor principles, and provide a safe working environment. Education should be emphasized so that nurses can work in specialized areas and nurse managers can improve their management skills.

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sO cenário advindo como consequência da pandemia de covid-19 acarretou diversas mudanças na vida dos profissionais de saúde. A percepção desse grupo torna-se indispensável para a compreensão do contexto, visto que esses trabalhadores são figuras essenciais no enfrentamento da doença. O objetivo deste estudo foi analisar a percepção de gestores e profissionais que atuaram durante a primeira onda da pandemia de covid-19 no município de Sobral (CE). Trata-se de uma pesquisa exploratório-descritiva, com abordagem qualitativa, feita por meio da aplicação de um instrumento de coleta de dados. O estudo foi realizado com gestores e trabalhadores que atuaram de março a dezembro de 2020 no município. A coleta foi feita no formato híbrido, com auxílio da plataforma Google Meet, fundamentada na metodologia snowball sampling e no método de saturação. Após a coleta, os discursos foram transcritos ­ utilizando a ferramenta Microsoft Word ­ e analisados ­ com suporte do software NVivo11. Foram contactados 68 profissionais. Identificou-se predominância final de enfermeiros, sexo feminino e atuantes na atenção terciária. Após análise e categorização, identificaram-se 12 unidades de registro. Foram dispostos os principais desafios e dificuldades acarretados para os processos de trabalho e suas subcategorias: a sobrecarga de trabalho e o desgaste físico; a reorganização dos serviços em resposta à nova realidade; o desconhecimento sobre a doença e seu impacto psicológico no fazer profissional; e o fator social e a dificuldade de seguimento da assistência na atenção primária. Por fim, conclui-se que os desafios identificados se inter-relacionam, repercutindo uns nos outros, e constata-se a importância de conhecer esses entraves para ações mais bem direcionadas e estratégicas.

The scenario that has arisen in response to COVID-19 has led to a variety of changes in the lives of healthcare providers. The perception of this group is essential to understanding this context since they are key figures in coping with the disease. This study aimed to analyze the perception of managers and professionals who worked during the first wave of the COVID-19 pandemic in the municipality of Sobral/CE. This is an exploratory-descriptive study with a qualitative approach that applied a collection instrument with managers and workers who worked from March to December 2020 in the municipality. Data were collected using the Snowball Smapling and the saturation method in a hybrid format using the Google Meet platform. After the collection, responses were transcribed using Microsoft Word and analyzed with the aid of NVivo11. In total, 68 professionals were contacted, with a final predominance of female nurses working in tertiary care. After analysis and categorization, 12 recording units were identified. The main challenges and difficulties for work processes and their subcategories include work overload and physical exhaustion; reorganization of services in response to the new reality; lack of knowledge about the disease and its psychological impact on professional practice; and the social factor and the difficulty of following up care in primary care. Finally, we conclude that the identified challenges are interrelated and have repercussions on each other, and that it is important to understand these obstacles to take more targeted and strategic actions.

El escenario que ha surgido en respuesta a la pandemia de la COVID-19 ha provocado diversos cambios en la vida de los profesionales de la salud. La percepción de este grupo es indispensable para comprender el contexto, ya que estos trabajadores son figuras esenciales en el enfrentamiento a la enfermedad. El objetivo de este estudio fue analizar la percepción de gestores y profesionales que actuaron durante la primera ola de la pandemia de la COVID-19 en el municipio de Sobral (Ceará, Brasil). Se trata de un estudio exploratorio-descriptivo, con enfoque cualitativo, realizado mediante la aplicación de una herramienta de recolección de datos. En esta investigación participaron gestores y trabajadores que actuaron de marzo a diciembre de 2020 en el municipio. Se realizó la recolección en formato híbrido, con ayuda de la plataforma Google Meet, basada en el método bola de nieve y en el método de saturación. Después, se transcribieron los discursos, utilizando la herramienta Microsoft Word, y se analizaron con el apoyo del software NVivo11. Se contactaron 68 profesionales. Se identificó predominio de enfermeros, mujeres y trabajadores de atención terciaria. Después del análisis y de la categorización, se identificaron 12 unidades de registro. Se presentaron los principales retos y dificultades que generan los procesos de trabajo y sus subcategorías: la sobrecarga de trabajo y el agotamiento físico; la reorganización de los servicios en respuesta a la nueva realidad; el desconocimiento de la enfermedad y su impacto psicológico en la práctica profesional; y el factor social y la dificultad de seguimiento de los cuidados en atención primaria. Finalmente, se concluye que los retos identificados están interrelacionados, impactándose entre sí, y se señala la importancia de conocer estos obstáculos para emprender acciones más específicas y estratégicas.

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A reportagem publicada na Revista Enfermagem Moderna em julho/agosto/setembro de 1983, por Verônica Cobas, retrata a trajetória de Doralice Regina Ayres, enfermeira formada pela Escola Anna Neri. Embora a Enfermagem não fosse seu sonho inicial, tornou-se sua paixão. O texto destaca sua carreira na Santa Casa de Santos, no Hospital dos Servidores do Estado do Rio de Janeiro e na Escola Anna Neri, além de aspectos pessoais. A narrativa é envolvente e reflete com sensibilidade as memórias e vivências de Doralice, oferecendo uma visão rica e autêntica sobre sua experiência profissional e pessoal.

The report published in the Revista Enfermagem Moderna in July/August/September 1983, by Verônica Cobas, portrays the career of Doralice Regina Ayres, a nurse who graduated from the Escola Anna Neri. Although Nursing was not her initial dream, it became her passion. The text highlights her career at Santa Casa de Santos, the Hospital dos Servidores do Estado do Rio de Janeiro, and Escola Anna Neri, as well as personal aspects. The narrative is engaging and sensitively reflects Doralice's memories and experiences, providing a rich and authentic view of her professional and personal life.

El reportaje publicado en la Revista Enfermagem Moderna en julio/agosto/septiembre de 1983, por Verônica Cobas, retrata la trayectoria de Doralice Regina Ayres, enfermera graduada en la Escola Anna Neri. Aunque la Enfermería no era su sueño inicial, se convirtió en su pasión. El texto destaca su carrera en la Santa Casa de Santos, en el Hospital dos Servidores do Estado do Rio de Janeiro y en la Escola Anna Neri, así como aspectos personales. La narrativa es cautivadora y refleja con sensibilidad los recuerdos y vivencias de Doralice, ofreciendo una visión rica y auténtica sobre su experiencia profesional y personal.

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Objetivo: Caracterizar os aspectos trabalhistas das enfermeiras da Atenção Primária à Saúde nos municípios de tipologia urbana do estado da Bahia. Métodos: Estudo descritivo através de abordagem quantitativa a partir de informações obtidas com 32 enfermeiras, no período entre novembro de 2020 a maio de 2021, nos três maiores municípios do estado da Bahia. Resultados: Enfermeiras em sua maioria possuem vínculo trabalhista do tipo estatutário, com carga horária de 40 horas, atua há mais de um ano em unidades de saúde de modelo da Estratégia Saúde da Família, com diferenças salariais entre os municípios. Conclusão: Identificar aspectos trabalhistas das enfermeiras é de suma relevância, pois trazem implicações para melhoria das políticas de pessoal na Atenção Primária à Saúde. (AU)

Objective: To characterize the labor aspects of Primary Health Care nurses in urban municipalities of the state of Bahia. Methods: A descriptive study through a quantitative approach based on information obtained from 32 nurses, in the period between November 2020 and May 2021, in the 3 largest municipalities of the state of Bahia. Results: Most of the nurses have a statutory employment contract, work 40-hour shifts, and have been working for more than 1 year in health care units that follow the Family Health Strategy model, with wage differences among the municipalities. Conclusion: Identifying labor aspects of nurses is of utmost relevance, since they bring implications for improving personnel policies in Primary Health Care. (AU)

Objetivo: Caracterizar los aspectos laborales de las enfermeras de Atención Primaria de Salud en los municipios urbanos del estado de Bahia. Métodos: Estudio descriptivo a través de un enfoque cuantitativo basado en la información obtenida de 32 enfermeras, en el período comprendido entre noviembre de 2020 y mayo de 2021, en los tres mayores municipios del estado de Bahia. Resultados: La mayoría de las enfermeras tienen un contrato de trabajo legal, trabajan 40 horas y llevan más de 1 año en unidades sanitarias del modelo de la Estrategia de Salud Familiar, con diferencias salariales entre municipios. Conclusión: La identificación de los aspectos laborales de las enfermeras es de máxima relevancia, ya que aportan implicaciones para la mejora de las políticas de personal en Atención Primaria. (AU)

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Objetivo: identificar a percepção da equipe de enfermagem atuante em uma unidade de terapia intensiva sobre as questões éticas que envolveram o atendimento de pessoas infectadas pelo Covid 19. Métodos: estudo descritivo exploratório de abordagem qualitativa. Resultados: participaram da pesquisa seis técnicas de enfermagem e uma enfermeira, na faixa etária 30 a 40 anos, com tempo de atuação superior a seis meses na UTI Covid. Entre as questões éticas percebidas pelo grupo investigado, a impotência e tristeza por não conseguir salvar uma vida, o medo de adquirir Covid-19 ao realizar o cuidado e, por conseguinte, transmitir aos familiares, e a satisfação em reverter a doença dos acometidos pela gravidade da infecção foram sentimentos exaltados. As situações vividas junto às famílias das vítimas pelo Covid-19, as quais desencadearam sintomas de ansiedade na equipe pesquisada, foram apontadas como dilemas éticos vivenciados. Destarte, a união da equipe, interdisciplinar e de enfermagem pareceu ter contribuído, beneficamente, para o desenvolvimento do trabalho. Conclusão: as questões éticas percebidas pelas participantes no estudo envolveram a satisfação no sucesso do tratamento, e, em grande proporção, o sentimento de impotência pelo agravamento e/ou óbito das vítimas pelo Covid-19. Enaltecendo a grandeza das investigadas, reconhece-se um grupo imerso em um ambiente laboral envolvido em um processo de trabalho rico em superação de valores e princípios, e com potencialidade para a incorporação de novos valores e virtudes morais.

Objective: to identify the perception of the nursing team working in an intensive care unit on the ethical issues that involved the care of people infected by COVID-19. Method: exploratory descriptive study with a qualitative approach. Results: six nursing technicians and one nurse participated in the research, aged 30 to 40 years, with more than six months of experience in the COVID ICU. Among the ethical issues perceived by the group investigated, are impotence and sadness at not being able to save a life; Fear of acquiring COVID-19 when carrying out care and therefore transmitting it to family members, and the satisfaction in reversing the disease of those affected by the severity of the infection, were exalted feelings. The situations experienced by the families of victims of COVID-19, which triggered symptoms of anxiety in the researched team, were highlighted as ethical dilemmas experienced. Therefore, the union of the interdisciplinary and nursing teams seemed to have contributed beneficially to the development of the work. Conclusion: the ethical issues perceived by the participants in the study involved satisfaction with the success of the treatment, and to a large extent, the feeling of impotence due to the worsening and or death of victims due to COVID-19. Praising the greatness of those investigated, an immersed group is recognized in a work environment involved in a work process, rich in overcoming values and principles, and with potential for new values and moral virtues incorporation.

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Introduction: Primary health care is a strategy that involves the different health professionals and other agents in the system who can influence the social determinants that affect human wellbeing. Objective: To know the meanings about primary health care of nursing professionals practicing in this field in a municipality of Colombia. Materials and Methods: Qualitative, exploratory, descriptive study. The research was conducted in a State Social Company (ESE for its acronym in Spanish) that provides primary health care services. Data was collected through semi-structured interviews. The sample consisted of 13 professionals. IRaMuTeQ software was used to help data interpretation. Results: 'Nurse' was the most frequent word. The content analyzed was categorized into four classes: 'Meanings about primary health care', 'nursing activities in primary health care', 'barriers encountered in primary health care', 'primary health care organization and work team'. Conclusions: Primary health care meaning is understood as the entry point of users into the health system and the one responsible for coordinating their passage through other points of the healthcare network according to users' health needs. In addition, primary health care is understood as the level of care at which essential health actions focused on the early detection of health risks and complications are carried out, so that health interventions can be planned, implemented, and evaluated on that basis.

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Background and Objective@#Professionals in the Philippines must finish compulsory Continuing Professional Develop-ment (CPD) units before renewing their registration ID card with the Professional Regulation Commission (PRC). CPD has always been significant in the field of nursing. It supports nurses and other healthcare professionals, and keeps them informed about their professional development so they may provide the best care possible for patients. This study sought to engage how nurses in Bontoc, Mountain Province would benefit in continuing professional development in terms of their professional growth, increase in income, network building, and improvement of personal capabilities.@*Methods@#This study used a quantitative descriptive study design using simple random probability sampling method. Descriptive analysis was used to characterize study participants. A modified validated survey tool was used to collect data on the nurses’ perceived CPD benefits. Data collection was done among 101 nurses employed in Bontoc General Hospital, Mountain Province State Polytechnic College, Bontoc Municipal Health Office, the Department of Education (DepEd) at Bontoc, from January to February 2022 through paper and pencil method. Nurses who did not consent to participate were excluded from the study. The UNP Ethics Review Committee reviewed the protocol and did not find any ethical inappropriateness with number 22-039. An F-test and a t-test were also conducted to determine the mean differences in perceived CPD benefits according to participants’ demographic characteristics. All these statistical analysis steps were performed using the IBM Statistical Package for the Social Sciences (SPSS) version 20.@*Results@#The majority of the 101 respondents were between the ages of 30 and 39, and had 1 to 5 years of service. The overall mean of perceived CPD benefits was very high (3.40-3.58 mean rating), with career development having the highest mean rating at 3.58. This only implies that the respondents had a positive perception of CPD engagement, particularly with the favorable impact on their career development. T-test and F-test (ANOVA) were both pivotal in reaching the objectives of this study. Across the demographic characteristics of the respondents such as age, civil status, sex, highest educational attainment, length of service CPD units earned, and membership to organization, there was no significant difference found in the level of perceived benefits of engaging in continuing professional development across demographic characteristics. Each demographic factors gained a p-value greater than 0.05. Statistically, a p-value greater than 5% level of significance would result to failing to reject the null hypothesis.@*Conclusion@#Given the foregoing results, the number of credit units obtained can be used to forecast how CPD will help nurses grow in their careers. To reap significant advantages and increases in career mobility and income, as well as, to some extent, the development of professional networks and personal capacities, nurses should take advantage of expanding best practice involvement and pertinent CPD engagements. It has been discovered that CPD resources, activities, and programs have an impact on professional development. It is recommended that there be support from both the government and employers to promote CPD for nurses throughout their entire nursing careers. Earning CPD units can help nurses build their confidence and elevate their status in the workplace, increasing their chances of getting promoted.

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@#<strong>BACKGROUND</strong><p style="text-align: justify;" data-mce-style="text-align: justify;">The capability of nurse educators to teach and practice quality improvement (QI) is crucial in assisting students in their transition to becoming professionals. Understanding the strengths and limitations of nurse educators on QI can be a logical start to determine if they can keep up with the expectations.</p><strong>OBJECTIVES</strong><p style="text-align: justify;" data-mce-style="text-align: justify;">This paper aimed to determine the nurse educators' knowledge, preparation, application, and participation in QI, as well as the differences when grouped according to years of teaching and BSN degree completion.</p><strong>METHODS</strong><p style="text-align: justify;" data-mce-style="text-align: justify;">A descriptive correlational design was utilized involving nurse educators from six nursing schools in Baguio City, Philippines. Only full-time nurse educators with official teaching load during the data gathering, regardless of academic background and position, were eligible. Faculty members who were on leave were excluded. A self-made tool (CVI 0.90, Cronbach's alpha 0.90) was used to gather data. Unpaired t-tests and ANOVA were used to determine the significant differences in the scores. Multiple regression was utilized to compute the relationship between knowledge, preparation, and participation in applying QI.</p><strong>RESULTS</strong><p style="text-align: justify;" data-mce-style="text-align: justify;">104 nurse educators responded. Results show that they are knowledgeable (x̄= 15.82; SD = 0.11), somewhat prepared (x̄= 2.93; SD = 0.08), and participated reasonably well (x̄= 2.77; SD = 0.11) on QI. Higher scores were given to the application of QI in the nursing courses (x̄= 2.44; SD = 0.08) and teaching-learning strategies (x̄= 0.83; SD = 0.07), compared with its application in improving Self as educators (x̄= 2.30; SD = 0.11), and improving student's learning outcomes (x̄= 2.13; SD = 0.11). Scores of nurse educators with more than ten years of teaching experience significantly differed in the extent of knowledge, application in teaching-learning strategies, and application of QI tools to improve Self and participation compared to those with less teaching experience. The scores did not significantly vary when grouped according to BSN degree completion. A positive relationship was observed between preparation and the application of QI tools to improve Self (p = 0.00). Data also showed a positive relationship between participation with application in nursing courses (p = 0.00), application of QI tools to improve Self (p = 0.00), and student learning outcomes. (p = 0.00).</p><strong>CONCLUSION</strong><p style="text-align: justify;" data-mce-style="text-align: justify;">The results of this study are encouraging and show the potential of nurse educators to apply quality improvement in the nursing curriculum. The adept use of technological tools in producing QI projects can augment the strength of nurse educators in meeting patient-centered care. Teaching experience can contribute to a better grasp of the concepts and maximum integration of quality improvement in nursing students' learning. Identifying, mobilizing, and supporting QI champions to spearhead the mentoring of new faculty members on QI may be a viable strategy to sustain a culture that values quality improvement. It further calls for the attention of educational institutions to develop policies to inform nurse educators in applying QI concepts.</p>

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@#<p style="text-align: justify;" data-mce-style="text-align: justify;">Caring for ourselves mirrors our caring for others. This mirrored care theory serves as the embodiment of a nurse possessing a selfcare nursing competency capable of mirroring competent patient care. The key concept of the theory is self-care nursing competency. Nursing has been established within this theory to help nurses achieve patient care competencies and impact the nursing profession. Self-care nursing competency contains three domains: self-awareness, self-regarding behavior, and self love. Moreover, Hawthorne nurses are the nurse managers and leaders who must integrate and apply the self-care nursing competency and the concept of the mirrored care theory in the nursing curricula, policies, and programs. These managers and leaders should constantly monitor and appraise the system. Consequently, the mirrored care theory shall rationalize the inclusion of self-care nursing competency in the nursing scope and standards of practice. When nurses possess self-care nursing competency, they are more competent in caring for others since they develop a sense of purpose, decrease experiences of burnout and dissatisfaction, and increase their morale. With this, the quality of care given by the nurses to themselves reflects the quality of care given to their clients. Hence, the mirrored care theory shall serve as a basis of caring not only for the patients but for the nurses as well.<br></p>

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@#<strong>PURPOSE</strong><p style="text-align: justify;" data-mce-style="text-align: justify;">The importance of culture for ensuring safe and high-quality nursing care cannot be overstated. However, despite the increase in nurse migration, the concept of acculturation in nursing has not been well defined. This study aimed to elucidate the concept of acculturation in immigrant nurses.</p><strong>DESIGN</strong><p style="text-align: justify;" data-mce-style="text-align: justify;">The defining attributes of the concept were established using Walker and Avant's 8-step method. This article is due to the dissertation of the PhD degree course approved and defended at the Faculty of Nursing, Baqiyatallah University of Medical Sciences. In this study, the researcher started collecting data after receiving the Code of Ethics (IR.BMSU.REC.1401.114) from the Iran National Committee for Ethics in Biomedical Research. The researcher provided the participants with contact information and was always ready to answer their research queries.</p><strong>METHODS</strong><p style="text-align: justify;" data-mce-style="text-align: justify;">Without any time constraints, a search was conducted on databases including Scopus, Pub Med, Web of Science, SID, Magiran, Irandoc, and Oxford Medical Dictionary using the keywords 'acculturation' and 'immigrant nurses'. Atotal of 18 articles were analyzed based on the inclusion criteria.</p><strong>RESULTS</strong><p style="text-align: justify;" data-mce-style="text-align: justify;">Immigrant nurses experience acculturation through two main attributes. One-way acculturation involves the impact of social values, norms, customs, and habits on the nurses. Two-way acculturation refers to the cultural exchange between the nurse and the new environment.</p><strong>CONCLUSION</strong><p style="text-align: justify;" data-mce-style="text-align: justify;">According to the study, immigrant nurses experience acculturation as being impacted by various aspects such as beliefs, values, norms, behaviors, and habits.</p>