Doralice Ayres: uma vida dedicada à Enfermagem / Doralice Ayres: a life dedicated to Nursing / Doralice Ayres: una vida dedicada a la Enfermería

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.

Saberes de enfermeiras de uma maternidade pública do Paraná sobre icterícia neonatal: pesquisa-ação / Knowledge of nurses in a public maternity hospital in Paraná sobre la ictericia neonatal: investicación-acción / Conocimientos de enfermeras de una maternidad pública de Paraná sobre la ictericia neonatal: investigación-acción

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

Nurses' perceptions about management practices of nurse managers during pandemics: a descriptive and cross-sectional study

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.

Percepção dos profissionais da saúde no enfrentamento da covid-19: principais desafios no processo de trabalho / Healthcare providers' perception of COVID-19: main challenges in the work process / Percepción de los profesionales de la salud sobre el afrontamiento de la COVID-19: principales retos en el proceso de trabajo

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.

Enfermeiras da atenção primária à saúde: olhares para aspectos trabalhistas em municípios urbanos / Nurses in primary health care: looks at labor aspects in urban municipalities / Enfermeras de atención primaria de salud: mira a aspectos laborales en los municipios urbanos

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)

Primary health care: Nurses' meanings in a Colombian municipality

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.

Perceived benefits of engaging in continuing professional development among nurses in Bontoc, Mountain Province

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.

Nurse educators' knowledge, preparation, application, and participation in quality improvement

@#<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>

The self-care nursing competency: Framing the mirrored care theory

@#<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>

Acculturation in immigrant nurses: A concept analysis study using Walker and Avant's Approach

@#<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>

Registro de saúde na APS: educação permanente para enfermeiros, médicos da equipe de saúde da família, cirurgiões-dentistas e equipes multiprofissionais / Health record in PHC: ongoing education for nurses, family health team doctors, dental surgeons and multidisciplinary teams

O Sistema Único de Saúde tem enfrentado grandes desafios relacionados à formação, qualificação e organização do processo de trabalho dos profissionais de saúde. Neste momento, com a incorporação da Estratégia e-SUS Atenção Primária à Saúde, alinhada à Estratégia de Saúde Digital do Brasil, já em um patamar de cobertura bastante avançada de municípios com prontuário eletrônico, vivenciamos um cenário de qualificação permanente no uso de tecnologias digitais e uma frente promissora no enfrentamento dos obstáculos para prover saúde para todos e fixar profissionais em áreas mais afastadas dos grandes centros urbanos e nas regiões de maior vulnerabilidade social. No entanto, prover recursos tecnológicos não basta; é preciso estar atento aos profissionais que, de fato, fazem a transformação digital acontecer. Nesse sentido, a Secretaria de Atenção Primária à Saúde coordena uma agenda positiva e apresenta um projeto de retomada da construção do SUS com base na inovação tecnológica centrada nas pessoas. E, dentre as diversas estratégias, implanta um projeto nacional de educação permanente em saúde digital, que potencializa o uso qualificado, ético e responsável do Sistema e-SUS APS e da estratégia como um todo. O Educa e-SUS APS oferece trajetórias formativas para a adequação do perfil profissional e técnico às demandas e necessidades do cuidado primário, mediado por tecnologia e fortalecido pelo conjunto de inovações que compõem a saúde digital. Acreditamos que, quando capacitada e motivada, a força de trabalho da APS será capaz de transformar os mais diversos cenários do cuidado em dados, analisar as informações geradas e utilizá-las no aprimoramento do cuidado à saúde das pessoas, da gestão e transparência de suas ações. Além disso, poderá contribuir para ampliar a cobertura e a resolutividade da diversa carteira de serviços da APS, com o emprego de recursos de comunicação à distância, incorporados aos protocolos de cuidado. É o comprometimento de cada um, aliado à educação permanente para consolidação das boas práticas em saúde digital, que trará mudanças significativas na tomada de decisão baseada em informação confiável e oportuna, fomentando as melhores soluções para enfrentar os grandes desafios da atenção à saúde no país.

Nurses' perceptions of leadership in Brazilian hospitals during COVID-19 through Kotter's conception / Percepções de enfermeiros sobre liderança em hospitais brasileiros na COVID-19 pela concepção de Kotter / Percepciones de los enfermeros sobre el liderazgo en hospitales brasileños durante la pandemia de COVID-19 según la concepción de Kotter

Abstract Objective: to understand nurses' leadership perceptions during the COVID-19 pandemic in Brazilian university hospitals, through the lens of John Kotter's concepts and his eight-step change model. Method: a multicenter qualitative research with an analytical design. The sample comprised 139 nurses working in COVID-19 settings, interviewed using a semi-structured interview guide. Data were categorized through Bardin's content analysis based on John Kotter's concepts and his eight-step change model. Results: the findings yielded significant insights into nurses' perceptions of leadership during the COVID-19 response, which exhibited characteristics consistent with Kotter's principles. There is evidence of leadership based on the pursuit of knowledge, grounded in polished communication, facilitating teamwork through a relationship of trust and respect. The recognition of the complexity and difficulty of exercising nursing leadership, particularly in crisis contexts, is apparent. Conclusion: nurses' perceptions reinforce essential elements for leadership practice, such as the importance of seeking diverse knowledge, polished communication, relationships based on trust and respect, and recognition of the complexity of leadership, thus presenting characteristics in line with Kotter's principles.

Resumo Objetivo: conhecer as percepções de liderança de enfermeiros durante a pandemia da COVID-19 em hospitais universitários brasileiros, pela concepção dos conceitos do referencial de John Kotter e seu modelo de mudança de oito etapas. Método: pesquisa multicêntrica de natureza qualitativa e delineamento analítico. A amostra foi constituída por 139 enfermeiros atuantes na COVID-19 entrevistados mediante um roteiro de entrevistas semiestruturadas, categorizadas por meio de análise de conteúdo de Bardin com base nos conceitos de John Kotter e seu modelo de mudança de oito etapas. Resultados: os achados resultaram em importantes percepções dos enfermeiros acerca da liderança durante o enfrentamento da COVID-19, que apresentaram características condizentes com os preceitos de Kotter. Evidencia-se uma liderança baseada na busca pelo conhecimento, pautada em uma comunicação polida, facilitando o trabalho em equipe por meio de uma relação de confiança e respeito. O reconhecimento da complexidade e dificuldade que é exercer a liderança do enfermeiro, principalmente, em contextos de crise. Conclusão: as percepções dos enfermeiros reforçam elementos essenciais para a prática da liderança, como a importância pela busca de conhecimentos múltiplos, comunicação polida, relação baseada na confiança e respeito, e o reconhecimento da complexidade em liderar, apresentando, assim, características acerca dos preceitos de Kotter.

Resumen Objetivo: comprender las percepciones sobre liderazgo de los enfermeros durante la pandemia de COVID-19 en hospitales universitarios brasileños, a través de la concepción de los conceptos del marco de John Kotter y su modelo de cambio de ocho pasos. Método: investigación multicéntrica de carácter cualitativo y diseño analítico. La muestra estuvo compuesta por 139 enfermeros que trabajaban durante la pandemia de COVID-19 entrevistados mediante una guía de entrevistas semiestructuradas; categorizadas a través del análisis de contenido de Bardin basándose en los conceptos de John Kotter y su modelo de cambio de ocho pasos. Resultados: los hallazgos revelaron importantes percepciones de los enfermeros sobre el liderazgo en la lucha contra el COVID-19, que presentó características consistentes con los preceptos de Kotter. Se observa un liderazgo basado en la búsqueda del conocimiento y una comunicación respetuosa, que facilita el trabajo en equipo por medio de una relación de confianza y respeto. Se reconoce lo complejo y difícil que es ejercer el liderazgo como enfermero, especialmente en contextos de crisis. Conclusión: las percepciones de los enfermeros destacan elementos esenciales para la práctica del liderazgo, como la importancia de adquirir múltiples conocimientos, tener una comunicación respetuosa, relaciones basadas en la confianza y el respeto, y reconocer la complejidad del liderazgo, que representa las características de los preceptos de Kotter.

Moral sensitivity as a personal and work attribute of emergency care nurses: a cross-sectional study / Sensibilidade moral como atributo pessoal e de trabalho das enfermeiras nas urgências: estudo transversal / Sensibilidad moral como atributo personal y laboral de las enfermeras en urgencias: estudio transversal

Abstract Objective: to analyze the moral sensitivity of Brazilian emergency care nurses according to their personal and work characteristics. Method: this is a quantitative, descriptive, cross-sectional study with a convenience sample. A total of 422 nurses from emergency care services in the five regions of Brazil took part. Sociodemographic and work-related information was collected, as well as the Brazilian version of the Moral Sensitivity Questionnaire. After approval by the Research Ethics Committee, the data was collected using a self-administered form on the Google Forms Platform, organized using Excel software and analyzed using the R language. Results: nurses with longer experience in emergency care services showed higher levels in the interpersonal orientation, moral conflict and moral significance dimensions, while in the professional knowledge dimension, men showed higher levels, as evidenced by items that include confidence in nursing knowledge, intuition, experience and opinion. Conclusion: the differences in the nurses' moral sensitivity were due to their professional experience. It should be emphasized that valuing the sharing of intergenerational experiences in service could be a possible strategy for fostering moral competencies in the field of practice.

Resumo Objetivo: analisar a sensibilidade moral das enfermeiras que atuam em serviços brasileiros de urgência conforme suas características pessoais e de trabalho. Método: pesquisa quantitativa, descritiva, transversal e com amostra por conveniência. Participaram 422 enfermeiras dos serviços de atenção à urgência das cinco regiões do território brasileiro. Foram coletadas informações sociodemográficas e laborais, e a versão brasileira do Moral Sensitivity Questionnaire. Os dados foram coletados, após aprovação no Comitê de Ética, por meio de um formulário autoaplicado na Plataforma Google Forms, sendo submetidos à organização pelo software Excel e analisados via linguagem R. Resultados: as enfermeiras com maior tempo de experiências nos serviços de atenção às urgências apresentaram maiores níveis nas dimensões de orientação interpessoal, conflito moral e significado moral, já na dimensão conhecimento profissional, os homens apresentaram maiores níveis, evidenciado por itens que incluem a confiança no conhecimento de enfermagem, na intuição, experiência e opinião. Conclusão: as distinções da sensibilidade moral das enfermeiras se deu quanto à experiência profissional. Destaca-se que valorizar o compartilhamento de vivências e experiências intergeracionais em serviço, pode ser uma possível estratégia para fomentar competências morais no campo de prática.

Resumen Objetivo: analizar la sensibilidad moral de las enfermeras que trabajan en servicios brasileños de urgencia según sus características personales y laborales. Método: investigación cuantitativa, descriptiva, transversal y con muestra por conveniencia. Participaron 422 enfermeras de los servicios de atención a la urgencia de las cinco regiones del territorio brasileño. Se recopilaron información sociodemográfica y laboral, y la versión brasileña del Moral Sensitivity Questionnaire. Los datos fueron recogidos, tras la aprobación en el Comité de Ética, mediante un formulario autoaplicado en la Plataforma Google Forms y sometidos a organización por el software Excel y analizados vía lenguaje R. Resultados: las enfermeras con mayor tiempo de experiencias en los servicios de atención a las urgencias mostraron mayores niveles en las dimensiones orientación interpersonal, conflicto moral y significado moral; en la dimensión conocimiento profesional, los hombres mostraron mayores niveles, evidenciado por ítems que incluyen la confianza en el conocimiento de enfermería, en la intuición, experiencia y opinión. Conclusión: las distinciones de la sensibilidad moral de las enfermeras se dieron en cuanto a la experiencia profesional. Se destaca que valorar el compartir vivencias y experiencias intergeneracionales en servicio, puede ser una posible estrategia para fomentar competencias morales en el campo de práctica.

Segundas víctimas en enfermería y su desafío para Latinoamérica / Second Victims in Nursing and its Challenge in Latina America

Introducción: El paciente y su familia son las primeras víctimas de un evento adverso. Los profesionales de la salud pueden desarrollar signos y síntomas físicos y psicológicos conocidos como el fenómeno de segundas víctimas. Este fenómeno se puede resolver con aprendizaje, pero también puede llevar al abandono de la profesión o al suicidio. Objetivo: Reflexionar acerca del fenómeno de segundas víctimas y la evidencia que existe acerca del fenómeno en enfermeras. Métodos: Se realizó una revisión de alcance con la pregunta: ¿cuál es la evidencia que existe del fenómeno de segundas víctimas en enfermeras?, en las bases de datos PUBMED, Google Scholar y EBSCO, entre noviembre y diciembre 2022, para artículos sobre el fenómeno de segundas víctimas en enfermería. Se utilizaron palabras clave "gestión de la calidad", "eventos adversos" y "enfermería". Se siguió la guía de PRISMA para seleccionar los artículos relevantes. Se incluyeron 11 estudios en la revisión. La prevalencia global de segundas víctimas oscila entre el 10,40 por ciento y el 43,30 por ciento, las enfermeras son las más afectadas. Los trastornos del sueño y cansancio son los signos y síntomas físicos más comunes, mientras que la vergüenza y la culpa son los síntomas psicológicos predominantes. Hay estrategias personales y organizativas para afrontar el fenómeno de segundas víctimas. En Latinoamérica hay investigación limitada y falta de programas de apoyo. Conclusiones: El fenómeno de segundas víctimas afecta más a las enfermeras que a otras profesionales. En Latinoamérica se debe estudiar este fenómeno de segundas víctimas y crear un foco en planes de soporte adaptados a nuestra cultura(AU)

Introduction: The patient and their family are the first victims of an adverse event. Health professionals can develop physical and psychological signs and symptoms known as the second victim phenomenon. This phenomenon can be resolved with learning, but it can also lead to abandonment of the profession or suicide. Objective: To reflect on the second victim phenomenon and the existing evidence about the phenomenon in nurses. Methods: A scoping review was conducted under the question: What evidence exists on the phenomenon of second victims in nurses in the databases PubMed, Google Scholar and EBSCO, between November and December 2022, for articles about the phenomenon of second victims in nursing? The following keywords were used: gestión de la calidad [quality management], eventos adversos [adverse events] and enfermería [nursing]. PRISMA guidelines were followed to select relevant articles. Eleven studies were included in the review. The overall prevalence of second victims ranged from 10.40 percent to 43.30 percent, nurses being the most affected. Sleep disturbances and fatigue are the most common physical signs and symptoms, while shame and guilt are the predominant psychological symptoms. There are personal and organizational strategies to cope with the second victim phenomenon. In Latin America, there is limited research and lack of support programs. Conclusions: The second victim phenomenon affects nurses more than other professionals. In Latin America, the second victim phenomenon should be studied and a focus on support plans adapted to our culture should be created(AU)

Un modelo explicativo de la satisfacción laboral en enfermeras / An Explanatory Model of Job Satisfaction in Nurses

Introducción: La satisfacción laboral constituye una actitud resultante de la evaluación cognitiva y afectiva de las experiencias laborales. Sus consecuencias positivas en el comportamiento organizacional de las enfermeras se encuentran bien documentadas en la literatura. No obstante, sus determinantes disposicionales son aún motivo de investigación. Objetivo: Examinar un modelo explicativo de satisfacción laboral basado en el interjuego entre resiliencia, trabajo significativo, edad y antigüedad laboral. Métodos: Investigación cuantitativa correlacional explicativa en una población de enfermeras de un hospital nivel 3 en Santa Fe, Argentina, durante el segundo semestre de 2022. Se conformó por muestreo aleatorio simple una muestra de 133 enfermeras. Resiliencia, trabajo significativo y satisfacción laboral se midieron cada una con una escala tipo Likert, y las características sociodemográficas mediante cuestionario estructurado. La recolección de los datos se realizó mediante formulario electrónico. Se obtuvieron evidencias de estructura interna, validez y confiabilidad de los instrumentos. Se calcularon estadísticos descriptivos y coeficientes de correlación. La mediación moderada se estimó mediante bootstrapping, con el software IBM-SPSS y la macro PROCESS. Resultados: Se encontraron correlaciones positivas entre las variables (p< 0,001) y efectos indirectos de la resiliencia sobre la satisfacción laboral (ß = 0,46; IC 95 por ciento = 0,289; 0,750). Se comprobó el rol moderador de la edad y la antigüedad laboral (Edad:ß = 0,54; IC 95 por ciento = 0,295; 0,649; Antigüedad: ß = 0,68; IC 95 por ciento = 0,346; 0,759). Conclusiones: El trabajo significativo media el efecto de la resiliencia sobre la satisfacción laboral, y este efecto se incrementa con la edad y la antigüedad laboral de las enfermeras(AU)

Introduction: Job satisfaction is an attitude resulting from the cognitive and affective assessment of occupational experiences. Its positive consequences on nurses' organizational behavior are well documented in the literature. However, its dispositional determinants are still under investigation. Objective: To examine an explanatory model of job satisfaction based on the interplay between resilience, meaningful work, age and occupational seniority. Methods: A quantitative, correlational and explanatory research was carried out in a population of nurses from a level-3 hospital in Santa Fe, Argentina, during the second semester of 2022. A sample of 133 nurses was formed by simple random sampling. Resilience, meaningful work and job satisfaction were each measured using a Likert-type scale; while sociodemographic characteristics were measured using a structured questionnaire. Data collection was performed using an electronic form. Evidence of the internal structure, validity and reliability of the instruments was obtained. Descriptive statistics and correlation coefficients were calculated. Moderated mediation was estimated by bootstrapping, using the IBM-SPSS software and the PROCESS macro. Results: Positive correlations were found between variables (p < 0.001), as well as indirect effects of resilience on job satisfaction (ß = 0.46; 95 percent CI = 0.289, 0.750). The moderating role of age and occupational seniority was tested (age: ß = 0.54; 95 percent CI = 0.295, 0.649; seniority: ß = 0.68; 95 percent CI = 0.346, 0.759). Conclusions: Meaningful work mediates the effect of resilience on job satisfaction, and such effect increases with nurses' age and occupational seniority(AU)

Estrés y satisfacción laboral de enfermeras en servicios críticos durante la pandemia de COVID-19 / Occupational Stress and Job Satisfaction among Nurses in Critical Services during the COVID-19 Pandemic

Introducción: La pandemia de COVID-19 ha tenido un impacto negativo en la salud mental de las enfermeras, de ahí la existencia del estrés que ha implicado en la satisfacción laboral, lo que ha desafiado y puesto a prueba la capacidad emocional del profesional. Objetivo: Describir los niveles de estrés de las enfermeras y su relación con la satisfacción laboral en servicios críticos durante la pandemia de COVID-19. Métodos: Se realizó un estudio descriptivo, correlacional y transversal en 30 enfermeras que laboraban en la Unidad de Cuidados Intensivos de adultos y neonatos en un hospital público de Jaén (Cajamarca, Perú), entre noviembre y diciembre de 2022. Se utilizaron dos instrumentos tipo Likert, la Escala de Estrés de Enfermería, confiabilidad (0,919), y Satisfacción del Personal de Salud, confiabilidad (0,97). Se empleó la estadística descriptiva para procesar y analizar los datos con el software IBM SPSS versión 27, y la prueba ji al cuadrado de Pearson para establecer la relación entre las variables. Resultados: La prueba ji al cuadrado de Pearson evidenció correlación significativa entre las variables (p= 0,020), dado que p es menor a 0,05. El nivel de estrés que prevaleció fue alto (53,30 por ciento), seguido de medio (23,30 por ciento) y bajo (23,30 por ciento). El nivel de satisfacción laboral que predominó fue bajo (53,30 por ciento), seguido de medio (26,70 por ciento) y alto (20 por ciento). Conclusión: Se encontró relación significativa entre el estrés y la satisfacción laboral. Según los resultados, una de las formas más efectivas de aumentar la satisfacción en el entorno sanitario es disminuir los niveles de estrés(AU)

Introduction: The COVID-19 pandemic has had a negative impact on the mental health of nurses; hence the existence of the stress that has had implications in job satisfaction, challenging and testing the emotional capacity of the professional. Objective: To describe the stress levels among nurses and their relationship with job satisfaction in critical services during the COVID-19 pandemic. Methods: A descriptive, correlational and cross-sectional study was carried out with 30 nurses who worked in the intensive care unit for adults and neonates in a public hospital in Jaén (Cajamarca, Peru), between November and December 2022. Two Likert-type instruments were used: The Nursing Stress Scale, (reliability of 0.919) and the Health Personnel Satisfaction Scale (reliability of 0.97). Descriptive statistics were used to process and analyze the data, using the software IBM SPSS version 27; and Pearson's chi-square test was used to establish the relationship between the variables. Results: Pearson's chi-square test showed a significant correlation between the variables (p = 0.020), given that p is lower than 0.05. The level of stress that prevailed was high (53.30 percent), followed by medium (23.30 percent) and low (23.30 percent). The predominant level of job satisfaction was low (53.30 percent), followed by medium (26.70 percent) and high (20 percent). Conclusion: A significant relationship was found between stress and job satisfaction. According to the results, one of the most effective ways to increase satisfaction in the healthcare environment is reducing stress levels(AU)

Perceived stress, optimism-pessimism, psychological adjustment, and death distress of nurses during the COVID-19 pandemic / Estrés percibido, optimismo-pesimismo, ajuste psicológico y angustia ante la muerte en profesionales de enfermería durante la pandemia de COVID-19 / Estresse percebido, otimismo-pessimismo, ajuste psicológico e angústia de morte em profissionais de enfermagem durante a pandemia de COVID-19

Objective: the aim of this study is to investigate the relationship between death distress, psychological adjustment, optimism, pessimism and perceived stress among nurses working during the COVID-19 pandemic. Method: this study was designed as cross-sectional/cohort. The population of the study involved 408 nurses from Northern Cyprus, which are registered as full members of the Nurse Council. The sample comprised 214 nurses, who volunteered to participate in the study. The study data was collected using a web-based online survey (Demographic form, the Coronavirus Stress Measure, The Optimism and Pessimism Questionnaire, The Brief Adjustment Scale-6, The Death Distress Scale). Results: the results indicated that perceived stress significantly and negatively predicted optimism (β = -0.21, p < 0.001) and pessimism (β = 0.38, p < 0.001). Perceived stress had significant and positive predictive effects on psychological adjustment (β = 0.31, p < 0.001) and death distress (β = 0.17, p < 0.01). Further analysis results revealed that pessimism mediates the association of stress with psychological adjustment and death distress; however, optimism only mediates the effect of stress on psychological adjustment among nurses. Conclusion: a low level of pessimism is effective in strengthening nurses' psychological adjustment skills againt perceived stress and death distress. Nurses should consider behavioral strategies to help reduce the level of pessimism during periods such as pandemics.

Objetivo: el objetivo de este estudio fue investigar la relación entre la ansiedad ante la muerte, el ajuste psicológico, el optimismo, el pesimismo y el estrés percibido entre los profesionales de enfermería que trabajaron durante la pandemia de COVID-19. Método: este estudio se diseñó como un estudio transversal/de cohortes. La población del estudio incluía a 408 profesionales de enfermería del Chipre del Norte registrados como miembros de pleno derecho del Consejo de Enfermería. La muestra consistió en 214 profesionales de enfermería que se ofrecieron voluntariamente a participar en el estudio. Los datos del estudio se recogieron a través de una encuesta online basada en la web (formulario demográfico, Medida de Estrés por Coronavirus, Cuestionario de Optimismo y Pesimismo, Escala Breve de Adaptación-6 y Escala de Sufrimiento por Muerte). Resultados: los resultados indicaron que el estrés percibido predecía significativa y negativamente el optimismo (β = -0,21, p < 0,001) y pesimismo (β = 0,38, p < 0,001). El estrés percibido tuvo efectos predictivos significativos y positivos sobre el ajuste psicológico (β = 0,31, p < 0,001) y angustia de muerte (β = 0,17, p < 0,01). Los resultados de otros análisis revelaron que el pesimismo es mediador en la asociación del estrés con el ajuste psicológico y la angustia de muerte; sin embargo, el optimismo sólo es mediador del efecto del estrés sobre el ajuste psicológico entre los profesionales de enfermería. Conclusión: un bajo nivel de pesimismo es eficaz para reforzar las habilidades de ajuste psicológico de los profesionales de enfermería frente al estrés percibido y la angustia por la muerte. Los profesionales de enfermería deberían considerar estrategias conductuales para ayudar a reducir el nivel de pesimismo durante periodos como las pandemias.

Objetivo: o objetivo deste estudo é investigar a relação entre angústia de morte, ajuste psicológico, otimismo, pessimismo e estresse percebido entre profissionais de enfermagem que trabalham durante a pandemia de COVID-19. Método: este estudo foi concebido como estudo transversal/coorte. A população do estudo envolveu 408 profissionais de enfermagem do Chipre do Norte, que estão registrados como membros plenos do Conselho de Enfermagem. A amostra foi composta por 214 profissionais de enfermagem que se ofereceram para participar do estudo. Os dados do estudo foram coletados por meio de uma pesquisa online baseada na web (formulário demográfico, Medida de Estresse por Coronavírus, Questionário de Otimismo e Pessimismo, Escala Breve de Ajuste-6 e Escala de Sofrimento por Morte). Resultados: os resultados indicaram que o estresse percebido previu significativa e negativamente o otimismo (β = -0,21, p < 0,001) e pessimismo (β = 0,38, p < 0,001). O estresse percebido teve efeitos preditivos significativos e positivos sobre o ajuste psicológico (β = 0,31, p < 0,001) e angústia de morte (β = 0,17, p < 0,01). Os resultados de outras análises revelaram que o pessimismo é mediador da associação do estresse com o ajuste psicológico e a angústia de morte; no entanto, o otimismo é mediador apenas do efeito do estresse sobre o ajuste psicológico entre os profissionais de enfermagem. Conclusão: um baixo nível de pessimismo é eficaz para fortalecer as habilidades de ajuste psicológico dos profissionais de enfermagem contra o estresse percebido e a angústia por morte. Os profissionais de enfermagem devem considerar estratégias comportamentais para ajudar a reduzir o nível de pessimismo durante períodos como os de pandemias.

Suicide prevention in a virtual environment: a roadmap for simulation-based education / Prevención del suicidio en un entorno virtual: guion para la enseñanza basada en una simulación / Prevenção do suicídio em ambiente virtual: roteiro para ensino baseado em simulação

Objective: to build and validate a simulation-based education roadmap on suicide prevention in the virtual environment. Method: methodological research subdivided into a development and validation stage. The roadmap was built using a previously drafted template based on international guidelines on good clinical simulation practices and scientific literature on suicide prevention in the virtual environment. For validation, the roadmap was validated by experts through self-application of an assessment form with answers based on "adequate, fair, and inadequate", with a field for suggestions. Descriptive statistics and the Content Validity Index (CVI≥0.8) were used. Results: nine experts took part in the study, the majority of whom were nurses (66.7%), female (55.6%), with an average age of 42.22 years. All the items in the roadmap met the acceptance criteria (CVI≥0.8). Conclusion: this study provides a useful roadmap for teaching suicide prevention in the virtual environment.

Objetivo: elaborar y validar un guion de enseñanza basada en la simulación sobre la prevención del suicidio en el entorno virtual. Método: investigación metodológica subdividida en etapa de elaboración y validación. La elaboración se realizó a partir de un template creado previamente y basado en lineamientos internacionales sobre buenas prácticas de simulación clínica y literatura científica sobre prevención del suicidio en el entorno virtual. Para la validación los especialistas validaron el guion mediante la autoaplicación de un formulario de evaluación cuyas respuestas son: "adecuado, regular e inadecuado", con un campo para sugerencias. Se utilizó estadística descriptiva e Índice de Validez de Contenido (IVC≥0,8). Resultados: participaron nueve especialistas, la mayoría enfermeros (66,7%), mujeres (55,6%), con una edad promedio de 42,22 años. Todos los elementos del guion cumplieron con el criterio de aceptación (IVC≥0,8). Conclusión: este estudio proporciona un guion útil para la enseñanza sobre la prevención del suicidio en el entorno virtual.

Objetivo: construir e validar um roteiro de ensino baseado em simulação sobre a prevenção do suicídio no ambiente virtual. Método: pesquisa metodológica subdividida em etapa de construção e validação. A construção foi realizada a partir de um template previamente elaborado e embasado por diretrizes internacionais em boas práticas de simulação clínica e literatura científica sobre a prevenção do suicídio no ambiente virtual. Para a validação, o roteiro foi validado por especialistas por meio de autoaplicação de formulário de avaliação com respostas baseadas em: "adequado, regular e inadequado", com campo para as sugestões. Foi utilizada a estatística descritiva e o Índice de Validade de Conteúdo (IVC≥0,8). Resultados: participaram nove especialistas, sendo a maioria enfermeiras (66,7%), gênero feminino (55,6%), com média de idade de 42,22 anos. Todos os itens do roteiro alcançaram o critério de aceitação (IVC≥0,8). Conclusão: este estudo disponibiliza um roteiro útil para ser empregado no ensino sobre a prevenção do suicídio no ambiente virtual.