Educational interventions to prevent urinary infections in institutionalized elderly people. Quasi-experimental Study / Intervención educativa para prevenir las infecciones urinarias en ancianos institucionalizados. Estudio cuasi-experimental / Intervenção educativa para prevenção de infecções urinárias de idosos institucionalizados. Estudo quase-experimental

Objective. To analyze the effectiveness of an educational intervention among nursing professionals and caregivers to prevent urinary tract infections in institutionalized elderly people. Methods. this is a quasi-experimental study carried out with 20 people (7 nurses and 13 formal caregivers). A questionnaire was applied during the pre-intervention stage, then professional training was carried out and finally, the questionnaire was reapplied 6 months after the intervention. The prevalence profile and factors associated with urinary infections in 116 elderly people was evaluated before and after the educational interventions. Statistical analysis was performed using association and correlation tests, logistic regression model comparison and prevalence rates. Results. The average number of correct answers by the nursing professionals Invest Educ Enferm. 2024; 42(1): e05Educational interventions to prevent urinary infections in institutionalized elderly people. Quasi-experimental Studyand caregivers after the educational intervention increased from the pre to the post-test by 52% regarding signs of urinary infection, 32% regarding its symptoms, 72.5% regarding its treatment, 40% regarding personal/behavioral and morbidity-related risk factors, 59% regarding conditional factors and 43.8% regarding its preventive measures. The team of caregivers showed a greater gain in knowledge compared to the nursing team in almost every question (p<0.05). The length of time working in elderly care showed no positive correlation with any variable (R<1; p>0.05). The prevalence of urinary tract infection in the pre-intervention period was 33.62%, and 20% in the post-intervention period. Conclusion.The educational intervention was effective in preventing urinary tract infections in the elderly. The increased knowledge acquired by nurses and caregivers was associated with a reduction in the infection rate and an improvement in the most prevalent modifiable factors for the development of this type of pathology

Objetivo. Analizar la eficacia de una intervención educativa con profesionales de enfermería y cuidadores para prevenir las infecciones urinarias en ancianos institucionalizados. Métodos. Estudio cuasi-experimental realizado con 20 personas (7 enfermeros y 13 cuidadores formales). Se aplicó un cuestionario antes de la intervención, se llevó a cabo la capacitación de los enfermeros y se volvió a aplicar el cuestionario 6 meses después de la intervención. Se evaluó el perfil de prevalencia de las infecciones urinarias y los factores asociados de 116 ancianos antes y después de las intervenciones educativas. En el análisis estadístico se utilizaron pruebas de asociación y correlación, comparación de modelos de regresión logística y tasas de prevalencia. Resultados. El promedio de respuestas correctas del equipo de enfermería y de los cuidadores tras la intervención educativa aumentó del pre al post-test en un 52% con los signos de infección urinaria, un 32% con los síntomas, un 72.5% con el tratamiento, y un 40% con los factores de riesgo personales/conductuales y los relacionados con la morbilidad, un 59% con los factores condicionales y un 43.8% con las medidas preventivas. El equipo de cuidadores mostró una mayor aprehensión de conocimientos en relación al equipo de enfermería en casi todas las preguntas (p<0.05). El tiempo dedicado al cuidado de ancianos no mostró correlación positiva con ninguna variable (R<1; p>0.05). La prevalencia de infección urinaria en el período pre-intervención fue del 33.62% y en el post-intervención del 20%. Conclusión. La intervención educativa fue eficaz en la prevención de las infecciones urinarias en ancianos. El aumento de conocimientos adquiridos por los enfermeros y por los cuidadores se relacionó con la reducción de la tasa de infecciones y el mejoramiento de los factores modificables más prevalentes para desarrollar este tipo de patología.

Objetivo. Analisar a efetividade de intervenção educativa com profissionais de enfermagem e cuidadores para prevenção de infecções do trato urinário de idosos institucionalizados. Métodos. Estudo quase experimental realizado com 20 pessoas (7 enfermeiros e 13 cuidadores formais). Aplicou-se questionário na pré-intervenção, realizou-se capacitação dos profissionais e reaplicação do questionário 6 meses pós-intervenção. O perfil de prevalência de infecções urinárias e fatores associados de 116 idosos foi avaliado antes e após as intervenções educativas. Na análise estatística utilizou-se testes de associação e de correlação, comparação de modelos de regressão logística e de taxas de prevalência. Resultados. A média de acertos da equipe de enfermagem e de cuidadores, após intervenção educativa, aumentou do pré para o pós-teste em 52% com relação aos sinais de infecção urinária, 32% a sintomas, 72.5% tratamento, e 40% sobre fatores de risco pessoais/comportamentais e relacionados a morbidade, 59% a fatores condicionais e 43,8% sobre medidas preventivas. A equipe de cuidadores apresentou maior ganho de conhecimento em relação à equipe de enfermagem em quase todas as questões (p<0.05). O tempo de cuidado com idoso não apresentou correlação positiva com nenhuma variável (R<1; p>0.05). A prevalência de infecção do trato urinário no período pré-intervenção foi de 33.62% e pós intervenção 20%. Conclusão. A intervenção educativa foi efetiva na prevenção às infecções do trato urinário dos idosos. O aumento do conhecimento adquirido por enfermeiros e cuidadores foi associado à redução da taxa de infecções e à melhoria dos fatores modificáveis mais prevalentes para o desenvolvimento desse tipo de patologia.

Uma escuta à gestante na instituição: entre o trauma e a inventividade / Listening to pregnant women in the institution: bettween trauma and investiveness / Una escucha de gestantes en la instituición: entre trauma y la inventiva

Trata-se de um relato de pesquisa, com referencial na teoria psicanalítica, que teve como objetivo investigar a relevância da escuta às mulheres gestantes em uma instituição de saúde pública. Com base nos relatos destas mulheres, feitos por meio de entrevistas individuais, discorremos sobre o lugar da maternidade e as consequentes transformações em suas vidas. Os significantes emergidos nesses encontros foram articulados com os conceitos de inibição, repetição e angústia, além da transmissibilidade na maternidade e suas aproximações com a noção de trauma. A partir disso, percebemos a importância de serem realizadas discussões no campo psicanalítico a respeito de temas como aborto, luto perinatal e violência obstétrica. Concluímos que o espaço de acolhimento à gestante possibilita a elaboração das angústias vividas com a maternidade, ao tempo que nos aponta a necessidade premente de um espaço de escuta às gestantes que trazem temáticas relativas à atenção à saúde da mulher (AU).

It concerns a research report, with reference on psychoanalysis, that has had the main goal of investigating the relevance of listening to pregnant women in a public health institution. Based onthe pregnant women's reports, given through individual interviews, we discussed the place of maternity and the consequent changes in those women's lives. The signifiers brought to light on those meetings were articulated with the concepts of inhibition, repetition,and anguish, apart from the transmissibility in maternity and its bonds to the notion of trauma. With that as a starting point, we perceive the importance of making discussions in the psychoanalytic field about themes such as abortion, perinatal grief,and obstetric violence. We concluded that the place of sheltering for pregnant women ensures the possibility of elaboration of the lived anguish with maternity, whilepoints us towards the compelling need of a listening space to pregnant women that raises themes related to the attention to women's health (AU).

Este es un relato de investigación, con referencia en la teoría psicoanalítica, que tuvo como objetivo investigar la relevancia de la escucha a las mujeres gestantes en una institución de salud pública. Basándonos en los relatos de estas mujeres, obtenidos por medio de entrevistas individuales, redactamos sobre el lugar de la maternidad y las consiguientes transformaciones en sus vidas. Los significantes emergidos en estos encuentros fueron articulados con los conceptos de inhibición, repetición y angustia, así como la transmisibilidad en la maternidad y sus aproximaciones a la noción de trauma. A partir de eso, notamos la importancia de llevar a cabo discusiones en el campo psicoanalítico con respecto a temas como el aborto, el duelo perinatal y la violencia obstétrica. Concluimos que el espacio de acogida a la mujer embarazada posibilita la elaboración de las angustias vividas con la maternidad, al tiempo que nos señala la necesidad apremiante de un espacio de escucha para las mujeres gestantes que traen temas relacionados a la atención a la salud de la mujer (AU)

Cuidados de enfermagem no banho de aspersão em instituição de longa permanência: revisão integrativa / Nursing care in the spray bath in a long-term care institution: integrative review

Identificar os cuidados de enfermagem necessários para o banho de aspersão seguro para idosos no quotidiano de uma instituição de longa permanência. Método: Revisão Integrativa da literatura, recorte entre 2001 e 2022. Os dados dos estudos incluídos resultaram em uma síntese descritiva, fundamentada na Teoria das Necessidades Humanas Básicas. Resultados: Obteve-se 13 estudos sobre cuidados no banho com e sem auxílio, envolvendo o equilíbrio psicobiológico, psicossocial e psicoespiritual, remoção de barreiras ambientais, adaptação domiciliar, maneiras de abordagem, musicoterapia e cuidados com a integridade da pele, oportunizando segurança e qualidade nas ações prestadas. Conclusões: Os cuidados precisam estar integrados às necessidades humanas básicas, respeitando as peculiaridades do processo de envelhecimento e as fragilidades dos idosos mais vulneráveis. A qualificação dos profissionais de enfermagem/cuidadores formais visa a padronização da execução do procedimento e a redução de ocorrência de desvios de procedimento.(AU)

To identify the nursing care necessary for safe spray baths for elderly people in daily life in a long-term care institution. Method: Integrative literature review, cut between 2001 and 2022. Data from the included studies resulted in a descriptive synthesis, based on the Theory of Basic Human Needs. Results: 13 studies were obtained on bath care with and without assistance, involving psychobiological, psychosocial and psychospiritual balance, removal of environmental barriers, home adaptation, approaches, music therapy and care for the integrity of the skin, providing safety and quality in the actions provided. Conclusions: Care needs to be integrated with basic human needs, respecting the peculiarities of the aging process and the weaknesses of the most vulnerable elderly people. The qualification of nursing professionals/formal caregivers aims to standardize the execution of the procedure and reduce the occurrence of procedural deviations.(AU)

Identificar los cuidados de enfermería necesarios para baños de aspersión seguros para personas mayores en la vida diaria en una institución de cuidados a largo plazo. Método: Revisión integrativa de la literatura, cortada entre 2001 y 2022. Los datos de los estudios incluidos resultaron en una síntesis descriptiva, basada en la Teoría de las Necesidades Humanas Básicas. Resultados: Se obtuvieron 13 estudios sobre cuidados del baño con y sin asistencia, involucrando equilibrio psicobiológico, psicosocial y psicoespiritual, remoción de barreras ambientales, adaptación domiciliaria, abordajes, musicoterapia y cuidado de la integridad de la piel, brindando seguridad y calidad en las acciones. proporcionó. Conclusiones: Los cuidados deben integrarse con las necesidades humanas básicas, respetando las peculiaridades del proceso de envejecimiento y las debilidades de las personas mayores más vulnerables. La calificación de los profesionales de enfermería/cuidadores formales tiene como objetivo estandarizar la ejecución del procedimiento y reducir la ocurrencia de desviaciones procesales.(AU)

O isolamento social no contexto da pandemia covid-19 e a saúde mental: perspectivas de idosos institucionalizados / Social isolation amid the COVID-19 pandemic and mental health: perspectives of institutionalized older adults

Resumo Objetivo Compreender a repercussão do isolamento social durante a pandemia da covid-19 na saúde mental de idosos institucionalizados, sob a óptica dos idosos institucionalizados. Método Estudo exploratório-descritivo com abordagem qualitativa, em duas ILPI's do município de Divinópolis, MG, Brasil, por meio de um questionário de identificação e, para análise dos dados qualitativos, um roteiro semiestruturado com questões norteadoras sobre a autopercepção do isolamento social durante a pandemia. Utilizou-se análise de conteúdo, à luz da teoria de Dorothea Orem. Resultados Participaram 13 idosos e foram levantadas as seguintes categorias temáticas: Sentimentos dos idosos institucionalizados frente ao isolamento social da pandemia; Ações dos residentes para preservar a saúde mental e física durante o período do isolamento social da pandemia; O isolamento social e a inatividade física como parte da vida dos idosos institucionalizados; A covid-19 encarada como algo trivial. Conclusão O isolamento social causado pela pandemia repercutiu negativamente na saúde mental dos idosos institucionalizados e trouxe à tona o fato do isolamento social já fazer parte do cotidiano desses idosos.

Abstract Objective To understand the impact of social isolation during the COVID-19 pandemic on the mental health of institutionalized older adults, from the perspective of these residents. Method An exploratory-descriptive study with a qualitative approach was conducted in two LTCFs in the city of Divinópolis, Minas Gerais State, Brazil. A questionnaire was applied for identification, whereas for qualitative data analysis, a semi-structurednscript with guiding questions about self-perceptions of social isolation during the pandemic was employed. Content analysis was used, drawing on Dorothea Orem's theory. Results Thirteen older adults participated and the following thematic categories were identified: Feelings of the residents about social isolation amid the pandemic; Actions by residents to preserve mental and physical health during pandemic social isolation; Social isolation and physical inactivity as part of the lives of residents; COVID-19 viewed as trivial. Conclusion Social isolation caused by the pandemic had a negative impact on the mental health of the institutionalized older adults and revealed the fact that social isolation was already part of their daily lives.

Current Situation of Health Technology Assessment in Traditional Chinese Medicine Hospitals / 中国实验方剂学杂志

ObjectiveThis study aims to understand the recognition of practitioners in traditional Chinese medicine （TCM） hospitals on hospital-based health technology assessment （HB-HTA）， assessment needs， challenges， and suggestions， so as to provide references for the future work. MethodThe convenient sampling method was adopted to survey the relevant practitioners in TCM hospitals. The questionnaire included 39 questions in 4 dimensions and was distributed through the online platform Weijuanxing. ResultA total of 244 questionnaires were recovered， and the obtained data were analyzed in SPSS. The results showed that 137 practitioners were very familiar with HB-HTA and there was no significant difference in the recognition of practitioners in different occupations （F=0.251； P=0.778）. The practitioners in Hong Kong， Macao， and Taiwan had lower recognition than those in other regions. In terms of the assessment needs， 127 practitioners believed that it was very necessary to carry out HB-HTA in TCM hospitals in the future. Chinese patent medicines/Chinese herbal medicine decoction pieces （5.91） and TCM appropriate technology （5.57） had higher assessment priority scores. The assessment needs were high for the effectiveness （235 practitioners） and safety （224 practitioners） of health technology. The lack of specialized organization and standardized evaluation process system and the shortage of talents were considered to be the major challenges for the future development in this field. ConclusionThe stakeholders carrying out the health technology assessment in TCM hospitals had certain awareness of HB-HTA. Most practitioners believed that it was necessary to carry out HB-HTA in TCM hospitals in the future， while the work might face challenges such as the lack of organizations and system and the shortage of talents， which requires policy support.

Analysis of current radiation protection and occupational health management in non-medical institutions in Hebei Province, China, 2022 / 中国辐射卫生

Objective To investigate the number, distribution, and types of radiation of non-medical radiation institutions in Hebei Province, China, and to explore the current radiation protection in the employing units and occupational health management of radiation workers in 2022. Methods A questionnaire survey was conducted in the non-medical institutions engaged in nuclear technology application in Hebei Province, and different types of employing units were selected to monitor the radioactivity level in the workplace. Results A total of 681 non-medical institutions engaged in radiation technology application completed the survey, covering all cities with subordinate districts in the province, including 1605 radioactive devices, 2960 active devices, 45 non-uranium metal mines, and 14 non-sealed workplaces. A total of 8617 radiation workers were surveyed, with a personal dose monitoring rate of 70.9%, a radiation protection training rate of 61.1%, and an occupational health examination rate for radiation workers of 59.3%. A total of 614 radiation protection monitoring instruments were provided, with a personal protective equipment allocation rate of 51.1% and a personal dose alarm device allocation rate of 51.8%. The radiation occupational hazardous factor testing was completed for 54 workplaces, and the results were all qualified. Conclusion There are still significant deficiencies in personal dose monitoring in the radiation work units in non-medical institutions and occupational health examination in the radiation work units in our province. The health administrative departments should strengthen health supervision and law enforcement, enhance radiation protection and skill training for employers, and more effectively control the impact of radiation hazards on personnel health.

O psicanalista e sua inserção em uma instituição de saúde da gestante / El psicoanalista y sus intersecciones en una institución de salud de la gestante / The psychoanalyst and his/her insertion in a pregnant woman's health institution

Tem-se como objetivo investigar a necessidade da escuta subjetiva das gestantes em instituição de atenção à saúde da mulher, localizada em Minas Gerais, a partir da perspectiva psicanalítica. Ao se ater aos discursos que regem a instituição, este encontro possibilita a elaboração de novos saberes sob a ótica da hipótese do inconsciente. Após uma experiência institucional, identificou-se os impactos da perda de documentos, evidenciando uma lacuna em sua história. Compreende-se que os preceitos da micro-história enodados com a psicanálise aplicada podem nortear esta investigação, fazendo emergir memórias marginalizadas. Constata-se que o espaço da gestante na instituição se restringe ao acompanhamento obstétrico. Por fim, efetuou-se, a partir de elementos da psicanálise, a constatação da carência de uma escuta na instituição.

The objective is to investigate the need for subjective listening of pregnant women in an institution of women's health care, located in Minas Gerais, from the psychoanalytic perspective. By sticking to the discourses that govern the institution, this meeting enables the elaboration of new knowledge from the perspective of the hypothesis of the unconscious. After an institutional experience, the impacts of the loss of institutional documents were identified, evidencing a gap in its history. It is understood that the precepts of micro-history knotted with applied psychoanalysis can guide this investigation, bringing out marginalized memories It appears that the pregnant woman's space in the institution is restricted to obstetric follow-up. Finally, based on elements of psychoanalysis, the verification of the lack of listening in the institution was carried out.

Se tiene como objetivo investigar la necesidad de escucha subjetiva de las gestantes en institución de atención a la salud de la mujer, ubicada en Minas Gerais, a partir de la perspectiva psicoanalítica. Al atenerse a los discursos que rigen la institución este encuentro posibilita la elaboración de nuevos saberes bajo la óptica de la hipótesis del inconsciente. Después de una experiencia institucional, se identificó los impactos de la pérdida de documentos, evidenciando un déficit en su historia. Se comprende que los preceptos de la microhistoria enlazados con el psicoanálisis aplicada pueden nortear esta investigación, haciendo

Efectividad del mousse de sangrecita y nivel de hemoglobina en los niños de 3 años en las instituciones educativas iniciales, Ica-Perú / Effectiveness of sangrecita mousse little blood and hemoglobin level in children from 3 years of age in the initial educational institutions Ica-Peru

El estudio tuvo como Objetivo: Evaluar la efectividad del mousse de sangrecita en los niveles de hemoglobina en los niños de dos instituciones Educativas iniciales. Materiales y métodos: Estudio Experimental con diseño cuasi experimental de corte longitudinal, la población de estudio estuvo conformada por 80 niños los cuales todos participaron (consentimiento de los padres), 52 niños fueron de la IEI de Ica y 28 de la IEI de Comatrana, para la muestra se realizó un muestreo no probabilístico mediante el descarte de anemia utilizando el analizador de hemoglobina (hemoQ), microcubetas, lancetas y demás implementos, de ellos 9 niños tuvieron una hemoglobina <=11gr/dl quienes ingresaron al programa de mousse de sangrecita. Se elaboró una ficha de control. Resultados: Después de 7 semanas de consumir el mousse de sangrecita los 9 niños que ingresaron al programa de las dos IEI, se evidencio un incremento en sus niveles de hemoglobina superior al primer control. Conclusiones: El consumo de mousse de sangrecita es efectiva en el tratamiento de la anemia en niños de la IEI incrementando el nivel de hemoglobina. (AU)

The Objective of the study was to evaluate the effectiveness of blood mousse on hemoglobin levels in children from two initial educational institutions. Materials and Methods: Study experimental Quasi-experimental desing of longitudinal cut, the study population was made up of 80 children who all participated (parental consent), 52 children were from the IEI of Ica and 28 from the IEI of Comatrana, for the sample a non-probability sampling was carried out by discarding anemia using the hemoglobin analyzer (hemoQ), microcuvettes, lancets andother implements, of them 9 children had a hemoglobin < = 11gr / dl who would enter the blood mousse program. A control sheet was drawn up. Results: After 7 weeks of consuming the blood mousse of the 9 children who entered the program of the two IEI, there was evidence of an increase in their hemoglobin levels higher than the first control. Conclusions: The consumption of blood mousse is effective in the treatment of anemia in children with IEI by increasing the level of hemoglobin. (AU)

Experiências dos prestadores de cuidados a idosos institucionalizados durante a pandemia de covid-19: uma perspectiva qualitativa / Experiences of providers of care for institutionalized elderly people during the covid-19 pandemic: a qualitative perspective / Vivencias de cuidadoras de personas mayores institucionalizadas, durante la pandemia por covid 19: mirada cualitativa

RESUMO Objetivo: Desvelar as vivências de cuidadores de idosos que residem em instituições de longa permanência, durante o confinamento no contexto da pandemia de Covid-19. Método: Método: pesquisa qualitativa, descritiva, através de estudo de caso intrínseco. Amostra intencionada por critério e conveniência de seis cuidadores, Região de Los Ríos, Chile, entrevista semiestruturada foi realizada no ano de 2021. Análise através de comparação constante e redução progressiva. A validade foi garantida pelo cumprimento de critérios de rigor, triangulação por especialistas. Resultados: 489 unidades de significado deram origem a quatro grupos temáticos: Significado de ter vivido a experiência, fatores facilitadores, fatores dificultadores e recomendações. Emergiram dois domínios: Contribuição dos cuidadores para o reforço do seu papel durante a pandemia e Contribuição para o reforço da gestão. Conclusões: permite reconhecer e validar o vínculo afetivo, o empenho e a vocação dos prestadores de cuidados, aspectos fundamentais a reforçar através do aconselhamento e da formação para garantir a qualidade dos cuidados.

ABSTRACT Objective: Uncover the experiences of caregivers of elderly people living in long-term care institutions, during confinement in the context of the Covid-19 pandemic. Method: Qualitative, descriptive research, through an intrinsic case study. Intentional sample by criteria and convenience of six caregivers, Los Ríos Region, Chile; a semi-structured interview was carried out in 2021. Analysis applying the constant comparative method and progressive focusing approach. Validity was ensured by compliance with the criteria of rigor and researcher triangulation. Results: 489 units of meaning gave rise to four thematic groups: Meaning of having lived the experience, facilitating factors, hindering factors and recommendations. Two domains emerged: Contribution of caregivers to strengthening their role during the pandemic and Contribution to strengthening management. Conclusions: it allows recognizing and validating the emotional bond, commitment and vocation of care providers, key aspects to be reinforced through counseling and training to guarantee the quality of care.

RESUMEN Objetivo: develar las vivencias de cuidadores de personas mayores que residen en instituciones de larga permanencia, durante el confinamiento en contexto de pandemia por Covid-19. Método: investigación cualitativa, descriptiva, mediante estudio intrínseco de casos. Muestra intencionada por criterios y conveniencia de seis cuidadoras, Región de Los Ríos, Chile, se realizó entrevista semiestructurada, en el año 2021. Análisis a través de comparación constante y reducción progresiva. Se cauteló validez cumpliendo criterios de rigor, triangulación por expertos. Resultados: 489 unidades de significado originaron cuatro núcleos temáticos: Significado de haber vivido la experiencia, factores facilitadores del trabajo, factores que lo dificultan y recomendaciones. Emergieron dos dominios: Aportes de las cuidadoras para fortalecer su rol durante la pandemia y Contribución para fortalecer la gestión. Conclusiones: permite reconocer y validar el vínculo afectivo, compromiso y vocación de las cuidadoras, aspectos fundamentales a fortalecer mediante consejería y capacitación para asegurar la calidad de los cuidados.

Cobertura vacinal contra covid-19 em instituições de longa permanência para idosos / Cobertura vacunal contra covid-19 en instituciones de larga estancia para personas mayores / Covid-19 vaccination coverage in long-term institutions for the elderly

Objetivo: analisar a cobertura vacinal contra COVID-19 em Instituições de Longa Permanência para idosos. Método: estudo transversal com dados agregados fornecidos pela Comissão Intersetorial de Acompanhamento das Instituições de Longa Permanência da Bahia. Foram incluídas as instituições identificadas em Salvador, Bahia, Brasil, com pelo menos um residente idoso (60 ou mais anos) que responderam ao inquérito de vacinação realizado entre maio a julho de 2021. Resultados: a amostra foi composta por 83 estabelecimentos, com predomínio de instituições privadas (50,1%) e filantrópicas (32,5%). A cobertura vacinal da COVID-19 atingiu 94,7% dos idosos residentes e 75,2% dos trabalhadores. Conclusão: o estudo mostra alta cobertura vacinal em idosos residentes nestas instituições, porém, menor cobertura entre os trabalhadores. A maximização da cobertura vacinal entre os cuidadores e residentes é fundamental, devido à extrema vulnerabilidade da população idosa institucionalizada à COVID-19.

Objetivo: analizar la cobertura vacunal contra COVID-19 en Instituciones de Larga Permanencia para ancianos. Método: estudio transversal con datos agregados proporcionados por la Comisión Intersectorial de Seguimiento de las Instituciones de Larga Permanencia de Bahía. Se incluyeron las instituciones identificadas en Salvador, Bahía, Brasil, con al menos un residente de edad avanzada (60 o más años) que respondieron a la encuesta de vacunación realizada entre mayo y julio de 2021. Resultados: la muestra fue compuesta por 83 establecimientos, con predominio de instituciones privadas (50,1%) y filantrópicas (32,5%). La cobertura vacunal de COVID-19 alcanzó el 94,7% de los ancianos residentes y el 75,2% de los trabajadores. Conclusión: el estudio muestra alta cobertura vacunal en ancianos residentes en estas instituciones, sin embargo, menor cobertura entre los trabajadores. La maximización de la cobertura vacunal entre cuidadores y residentes es fundamental debido a la extrema vulnerabilidad de la población de edad avanzada institucionalizada a COVID-19.

Objective to analyze vaccination coverage against COVID-19 in long-term care institutions for the elderly. Method: cross-sectional study with aggregated data provided by the Intersectoral Monitoring Commission of Long-Term Institutions of Bahia. We included the institutions identified in Salvador, Bahia, Brazil, with at least one elderly resident (60 years or older) who responded to the vaccination survey conducted between May and July 2021. Results: the sample consisted of 83 establishments, with a predominance of private (50.1%) and philanthropic (32.5%) institutions. Vaccination coverage for COVID-19 reached 94.7% of elderly residents and 75.2% of workers. Conclusion: the study shows high vaccination coverage in elderly residents of these institutions, but lower coverage among workers. Maximizing vaccination coverage among caregivers and residents is essential, due to the extreme vulnerability of the elderly population institutionalized to COVID-19.

Do Congresso Psicanalítico da Banana à cisão de 1998: deslocamentos traumáticos no lacanismo brasileiro1 / From the Psychoanalytic Congress of the Banana to the split of 1998: traumatic displacements in Brazilian lacanism / Du Congrès Psychanalytique de la Banane à la scission de 1998: des déplacements traumatiques dans le lacanisme brésilien / Del Congreso Psicoanalítico de Banana al división de 1998: dislocamiento traumáticos en el lacanismo brasileño

O manuscrito tem como objetivo uma reflexão sobre as rupturas na história das instituições de psicanálise lacaniana brasileiras. Tomou-se como base o Congresso Psicanalítico da Banana e a cisão de 1998 da Escola Brasileira de Psicanálise, eventos precursores do lacanismo brasileiro, que ainda reverberam na relação entre analistas. Documentos institucionais e discursos dos analistas partícipes desses eventos foram analisados adotando a temporalidade como característica fulcral da historiografia. Procedeu-se a uma análise histórica em direção êmica a partir do conceito de trauma articulado com as suas formas clínicas de apresentação. Concluiu-se que, no campo psicanalítico, prevalece uma política de identidade com seus aspectos de subordinação e identificação a grupos visando a hegemonia no interior do campo.

The manuscript aims to reflect on the ruptures in the history of Brazilian Lacanian psychoanalysis institutions. The basis was the Psychoanalytic Congress of the Banana and the 1998 Division of the Brazilian School of Psychoanalysis; precursor events of Brazilian lacanism that still reverberate in the relationship between analysts. Institutional documents and discourses of analysts who participated in these events were analyzed, adopting temporality as a central characteristic of historiography. A historical analysis was carried out in an emic direction from the concept of trauma articulated with its clinical forms of presentation. It was concluded that in the psychoanalytic field a policy of identity prevails with its aspects of subordination and identification to groups aiming at hegemony within the field.

L'objectif de ce manuscrit concerne à réfléchir sur les ruptures dans l›histoire des institutions psychanalytiques lacaniennes brésiliennes. Il a été basé sur le Congrès Psychanalytique de la Banane et la scission de 1998 de l'École Brésilienne de Psychanalyse; des événements précurseurs du lacanisme brésilien qui résonnent encore dans la relation entre analystes. Des documents institutionnels et les discours des analystes qui ont participé à ces événements ont été analysés en adoptant la temporalité comme caractéristique principale de l'historiographie. Une analyse historique a été effectuée d'une façon émique à partir du concept de traumatisme articulé avec ses formes cliniques de présentation. On a conclu que dans le champ psychanalytique prévaut une politique identitaire avec ses aspects de subordination et d'identification à des groupes visant l'hégémonie au sein du champ.

El manuscrito tiene como objetivo una reflexión sobre las rupturas en la historia de las instituciones de psicoanálisis lacaniana brasileñas. Se tomó como base el Congreso Psicoanalítico de Banana y la División de 1998 de la Escuela Brasileña de Psicoanálisis; eventos precursores del lacanismo brasileño que todavía reverberan en la relación entre analistas. Documentos institucionales y discursos de los analistas partícipes de estos eventos fueron analizados adoptando la temporalidad como característica indispensable de la historiografía. Se procedió un análisis histórico en dirección émica a partir del concepto de trauma articulado con las sus formas clínicas de presentación. Se concluyó que en el campo psicoanalítico prevalece una política de identidad con sus aspectos de subordinación e identificación a grupos visando la hegemonía en el interior del campo.

Perceptions of academics and nursing staff about the extension project: "Walking through the hospital" / Percepciones de los académicos y del personal de enfermería sobre el proyecto de extensión: "Caminando por el hospital" / Percepções de acadêmicos e equipe de enfermagem sobre o projeto de extensão: "Caminhando pelo hospital"

ABSTRACT Objective: To know the perception of academics and nursing staff about the extension project "Walking through the hospital". Method: Qualitative study conducted in a Brazilian university hospital from November/2019 to April/2022 with nursing students and professionals participating in a university extension project. Data were collected using instruments on the Google Forms® platform and submitted to Content Thematic Analysis. The project was approved by the Ethics Committee. Results: Fifteen academics, four nurses and six nursing technicians participated in the study. Four categories emerged from the analysis: "Knowing the hospital environment/dynamics", "Articulation between theory and practice","Bond between academics and health care professionals" and "Work process in the unit". Final considerations: The findings highlight the importance of university extension in providing knowledge and experienceof hospital clinical practice, which can contribute to strengthening teaching and academic training in nursing.

RESUMEN Objetivo: Conocer la percepción de los estudiantes y el personal de enfermería sobre el proyecto de extensión "Caminando por el hospital". Método: Estudio cualitativo realizado en un hospital universitario brasileño de noviembre/2019 a abril/2022 con estudiantes y profesionales de enfermería participantes en un proyecto de extensión universitaria. Los datos se recogieron mediante instrumentos en la plataforma Google Forms® y se sometieron a un análisis temático de contenido. El proyecto fue aprobado por el comité de ética. Resultados: Participaron en el estudio 15 académicos, cuatro enfermeros y seis técnicos de enfermería. Del análisis surgieron cuatro categorías: "Conociendo el entorno/dinámica del hospital", "Articulación entre la teoría y la práctica", "Vínculo entre los estudiantes y los profesionales sanitarios" y "Proceso de trabajo en la unidad". Consideraciones finales: Los resultados ponen de manifiesto la importancia de la extensión universitaria al proporcionar conocimientos y experiencias de la práctica clínica hospitalaria, que pueden contribuir al fortalecimiento de la enseñanza y la formación académica en enfermería.

RESUMO Objetivo: Conhecer a percepção de acadêmicos(as) e equipe de enfermagem sobre o projeto de extensão "Caminhando pelo hospital". Método: Estudo qualitativo realizado em hospital universitário brasileiro de novembro/2019 a abril/2022 com acadêmicos e profissionais de enfermagem participantes de um projeto de extensão universitária. Os dados foram coletados por meio de instrumentos na plataforma Google Forms® e submetidos à Análise da Temática de Conteúdo. Projeto aprovado pelo Comitê de Ética. Resultados: Participaram do estudo 15 acadêmicos, quatro enfermeiros e seis técnicos de enfermagem. Da análise, emergiram quatro categorias: "Conhecendo o ambiente/dinâmica hospitalar", "Articulação entre teoria e prática", "Vínculo entre acadêmicos e profissionais da saúde" e "Processo de trabalho da unidade". Considerações finais: Os achados evidenciam a importância da extensão universitária ao proporcionar conhecimentos e experiências da prática clínica hospitalar, o que pode contribuir no fortalecimento do ensino e da formação acadêmica em enfermagem.

Reflections on Research and Development Institutions Becoming Medical Device Registrants / 中国医疗器械杂志

As the special subject of the applicant for registration of medical device, the research and development institutions have insufficient conditions and abilities to become medical device registrants, and there are certain difficulties in the actual registration application process, such as not clearing the certification path for the research and development institutions to hold the certificate. In view of the existing problems, by comparing the path of medicine research and development institutions to become medical device registrants and combining with the actual medical device industry to give relevant suggestions, including improving quality management over the whole life cycle of medical devices, quality and safety responsibility ability of research and development institutions, establishing the registration and certification path of research and development institutions, supporting laws and regulations, etc., so as to ensure that the research and development institutions become medical device registrants successfully.

Medical Institution's Multiple Role in the Collaborative Innovation Transformation Mode of "Industry-University-Research-Medicine" on Domestic Surgical Robots / 中国医疗器械杂志

In recent years, with the rapid development of Chinese domestic surgical robot technology and the expansion of the application market, the "industry-university-research-medicine" collaborative innovation transformation mode has gradually developed and formed. Medical institutions play an important role in multi-party cooperation with enterprises, universities, and research institutes, as well as in product planning, technology research and development, achievement transformation, and personnel training. On the basis of reviewing the current situation of the development of the "industry-university-research-medicine" collaborative innovation transformation mode of domestic surgical robots, this study explores the multiple roles played by medical institutions in this mode and challenges, further putting forward corresponding recommendations.

Construction of an electronic medical record sharing convenience service platform based on blockchain / 中华医院管理杂志

Blockchain technology has the advantages of decentralization, secure sharing and tamper resistance, and high privacy, which can solve the current problem of sharing electronic medical records in medical institutions in China. A tertiary hospital established an electronic medical record sharing services convenience service platform based on blockchain in collaboration with China mobile gansu company in September 2021. The hardware architecture of the platform consisted of a hospital data warehouse, a local front-end computer and a blockchain platform. The functional architecture included platform front-end services, the blockchain electronic medical record archiving and service platform. The technical architecture included the underlying blockchain, service layer, interface layer and application layer, which was embedded with asymmetric encryption technology, hash algorithm, smart contract and other technical means, ensuring data ownership and on-demand, controllable, real-time and secure sharing of data. Since the operation of the platform in September 2021, as of October 2022, a tertiary hospital had accumulated 21 545 patient medical records on the chain. The overall operation of the platform was smooth, achieving reliable storage and secure sharing of patient electronic medical records, providing reference for further promoting the interconnection trusted sharing of electronic medical records in medical institutions in China.

Study on the construction of self-examination index system for hospital legal practice / 中华医院管理杂志

Objective:To construct a self-examination index system for hospital legal practice, and provide effective reference for the self-examination work of hospital practice in accordance with the law.Methods:From May 2021 to September 2022, a multi-dimensional and multi-level indicator system was initially constructed through literature review and expert interviews; Delphi expert consultation method was used to carry out a three-round questionnaire survey, experts were invited to assess the importance of indicators, and the weight values of indicators were processed by using analytic hierarchy process-fuzzy comprehensive evaluation method.Results:The Cs value of consulting experts′ familiarity with the survey content was 0.84, Ca value of judgment basis was 0.78, Cr value of authoritative evaluation was 0.81, and Kendall W value was 0.630. The index system of hospital self-examination included 5 first-level indexes, 19 second-level indexes, and 30 third-level indicators. The 5 first-level indicators included institutional practice, personnel practice, disinfection and prevention of infectious disease, online diagnosis and treatment, and anti-fraud insurance, with weights of 0.235, 0.186, 0.188, 0.185, and 0.206 respectively. Among the second-level indicators, the weights of rational use of medical insurance fund, internet hospital and internet diagnosis and treatment, organization qualification and practice behavior were the highest, with values of 0.206, 0.185, 0.122 and 0.113 respectively. Among the third-level indicators, the internet hospital physician qualification, whether the hospital had obtained the license to practice, cracking down on fraudulent insurance practices, real-name medical treatment, and reasonable and standardized use of health insurance costs had the highest weight, which were 0.185, 0.122, 0.076, 0.065, and 0.065, respectively. Conclusions:The self-examination index system of medical institutions is scientific, which could help the medical institutions to practice self-examination and ensure medical quality and safety.

Study on the social support level of family doctor team members of primary medical and health care institutions in Tai′an city / 中华医院管理杂志

Objective:To compare the social support levels as understood by family doctor team members in township hospitals/community health centers, and village clinics/community clinics, and their influencing factors, in order to provide reference for improving the work status of family doctor team members and enhancing the quality of family doctors′ contracted services.Methods:A multi-stage random cluster sampling method was used to sample medical workers from contracted family doctor teams in township hospitals/community health centers and their subordinate village clinics/community clinics in 6 counties (cities, districts) of Tai′an city, Shandong province. In August 2020, a questionnaire survey was conducted on the perceived level of social support among family doctor team members using the perceived social support scale. Descriptive analysis was conducted on the data, and independent sample t-tests and one-way ANOVA were used to conduct univariate analysis on the influencing factors of perceived social support scores of family doctor team members at different levels, while multiple linear regression analysis was used to conduct multivariate analysis. Results:A total of 765 valid questionnaires were collected, with 203 and 562 from township hospitals/community health centers and village clinics/community clinics, respectively. The total perceived social support scores of family doctor team members in township hospitals/community health centers and village clinics/community clinics were (65.56±10.29) and (67.31±10.14), respectively, featuring statistically significant differences ( t=-2.11, P<0.05). In-mirage marital status ( β=0.18, P=0.008), good/very good self-rated health status ( β= 0.25, P=0.048), participation of work-related training within one year ( β=0.17, P=0.010), relatively satisfied/very satisfied for job promotion ( β= 0.17, P=0.046), as well as above/far above average self-rated economic status as ( β=-0.15, P=0.027), were the influencing factor on the perceived social support scores of family doctor team members in township hospitals/community health centers. In-marriage marital status ( β= 0.12, P=0.002), good/very good self-rated health status ( β=0.14, P=0.026), junior or intermediate level or above professional title ( β=-0.11, P=0.003; β=-0.10, P=0.006), participation of work-related training within one year ( β= 0.14, P<0.001), and relatively satisfied/very satisfied for job promotion ( β= 0.16, P<0.001) were the influencing factors on the perceived social support scores of family doctor team members in village clinics/community clinics. Conclusions:Members of the family doctor teams in primary medical institutions in Tai′an city had a higher level of understanding of social support. There were differences in the social support levels of family doctor team members between the two levels of primary medical and health care institutions, and the influencing factors were not completely consistent. Targeted measures should be taken based on specific circumstances to enable them to better receive and perceive support from family and friends, and to improve the quality of family doctors′ contracted services.

Practice and study on the establishment of transformation-oriented scientific research program in medical field: Taking a medical new research & development institution of Haihe Laboratory of Cell Ecosystem as an example / 中华医学科研管理杂志

Objective:To explore the innovation mode of independent transformation-oriented science and technology research program approval by medical new research & development (R&D) institution.Methods:Through analyzing the program layout, funds, review experts, undertaking units, chief experts and interdisciplinarity to summarize the experiences of the independent transformation-oriented municipal program approval by Haihe laboratory of Cell Ecosystem in 2022.Results:As a new medical R&D institution, which vigorously constructed by Tianjin, Haihe laboratory of Cell Ecosystem has carried out the practice of the independent transformation-oriented municipal program through the measures of layout of full-chain transformation, conducting transformation-oriented review, gathering high-level research talents, and emphasizing interdisciplinarity.Conclusions:The experiences of Haihe laboratory of Cell Ecosystem make significance for medical new R&D institutions to explore and cultivate scientific research program with transformation potential and to promote the transformation of scientific and technological achievements, which are powerful factors for new R&D institutions to play a role of pilot and provide important support to scientific and technological innovation and transformation.

Reliability and validity of the Chinese version of health literacy-sensitive communication scale / 中华健康管理学杂志

Objective:To translate the health literacy-sensitive communication scale into Chinese and examine its reliability and validity.Methods:Following Brislin′s translation principles, the HL-COM was translated and culturally adapted into Chinese. This cross-sectional study surveyed 434 outpatients and inpatients from three tertiary hospitals in Hubei Province using a questionnaire. Cronbach′s α coefficient and split half reliability were used to evaluate the reliability of the scale. Scale-level content validity index (S-CVI) and item-level content validity index (I-CVI) were used to evaluate the content validity. Exploratory factor analysis and confirmatory factor analysis were used to test the structural validity, while measurement equivalence across gender was examined.Results:The Chinese version of HL-COM contains 9 items, which was consistent with the original English version. Reliability of the scale: Cronbach′s ɑ Coefficient=0.938, Spearman-Brown half coefficient=0.926; Content validity: Scale-level content validity index (S-CVI)=0.926, Item-level content validity index (I-CVI) was 0.833-1.000; only one factor was extracted based on exploratory factor analysis, with a cumulative variance contribution rate of 68.541%. Confirmatory factor analysis indicated a good fit, with the fitting indexes of ?χ2/df=2.794, Normed Fit Index (NFI)=0.974, Standardized Root Mean Square Residual (SRMR)=0.025, Goodness-of-Fit Index (GFI)=0.962, Root Mean Square Error of Approximation (RMSEA)=0.089, Comparative Fit Index (CFI)=0.983. Multigroup confirmatory factor analysis indicated measurement invariance of the Chinese version of HL-COM across gender. Conclusion:The Chinese version of HL-COM demonstrates good reliability and validity, and serves as a valuable tool for assessing health literate in health care organization in China.

Development trend of physical examination volume and revenue in health-checkup institutions in China from 2010 to 2019 / 中华健康管理学杂志

Objective:To investigate the development trend of physical examination volume and revenue in health-checkup institutions in China from 2010 to 2019.Methods:In this longitudinal study, the annual income, annual physical examination volume and other indicators reflecting institutional size were collected with questionnaire from 374 health-checkup institutions in the year of 2010, 2015 and 2019. The geometric mean method is used to calculate the compound annual growth rate (CAGR) of the annual physical examination volume, annual income, mean per capita cost from 2010 to 2015 and 2015 to 2019.Results:The annual physical examination volume of health-checkup institutions increased from 1.81 (1.00, 3.20) ×10 4 person times in 2010 to 5.08(3.50, 7.28)×10 4 person times in 2019; the CAGR of the physical examination volume from 2010 to 2015 was 14.04%(8.14%, 23.78%), and it was 9.49%(3.39%, 19.07%) from 2015 to 2019. The annual revenue increased from 768.73 (350.00, 1 623.75) ×10 4 yuan in 2010 to 3 500.00 (1 997.73, 6 818.54) ×10 4 yuan in 2019; the CAGR of annual revenue from 2010 to 2015 was 25.75% (15.17%, 35.09%), and it was 15.67% (8.78%, 26.11%) from 2015 to 2019. The mean per capita cost increased from 434.26 (278.82, 666.66) yuan in 2010 to 755.80 (506.90, 1 005.42) yuan in 2019; the CAGR of the mean per capita cost was 9.82% (1.71%, 17.10%) from 2010 to 2015, and it was 5.37% (0.95%, 10.46%) from 2015 to 2019. Conclusion:From 2010 to 2019, health-checkup institutions in China developed rapidly, and the CAGR of the annual physical examination volume, annual revenue, mean per capita cost are high.