The Pedagogical Residency Program and the Digital Training of Graduates in Natural Sciences

The immersion of digital technologies in the initial training of Natural Sciences teachers has become even more complex since the beginning of the Covid-19 Pandemic. In this sense, the present study proposed to analyze how digital technologies are present in the training of Natural Sciences teachers. For this, 15 semi-structured interviews were carried out and an online questionnaire was applied to teachers and students of the Biology, Chemistry and Physics subprojects of the Pedagogical Residency Program/Capes (RP/Capes) of the Federal University of Bahia (UFBA). Based on the principles of Critical Discourse Analysis, the reports identified difficulties in problematizing training with digital technologies, in view of the need to restructure the curricular matrices of the degrees, in addition to the already rooted instrumental training of future teachers. In this way, it is essential to expand the promotion of initial teacher training programs, such as PR, regarding the need to remove the instrumentalizing perspective that limits dialogue with technologies, making actions attentive to the potential of such digital spaces. © 2023 Universidade Federal do Rio Grande do Sul, Instituto de Fisica. All rights reserved.

Housing in Portugal and the COVID-19 Pandemic

The adoption of important housing-related measures in Portugal occurred in 2018/2019, before the period in which the SARS-COV-2 pandemic began to manifest itself. Although these measures intended to anticipate and regulate several dimensions of the right to housing, they were not fully prepared, or were not in a state of concreteness, such as to allow a timely reaction to Covid-19 related changes. The purpose of this paper is to analyze the intersection between the new demands brought about by the pandemic and the distinct legal responses that had an impact on the housing market in Portugal.

Distance teaching during the Covid-19 pandemic and school-related well-being of primary school students

Bromeliad phytotelmata: the first scientometric study Bromeliads are plants predominantly found in the Neotropical Region, with high diversity of species and wide distribution. Some representatives of this family have the ability to form phytotelma environments through the accumulation of water and organic matter, serving as substrate and food for a variety of organisms. Here, a scientometric analysis was carried out to show trends in scientific work on bromeliad phytotelmata and the importance of these microcosms for the maintenance of biodiversity. The papers were analyzed using the Thomson Reuters, Scopus and Scielo databases between the years 1970 and 2021. Information was sought on the years of publications, geographic regions, countries, article design (descriptive, predictive, experimental, review), focus (ecological, biological, molecular), and ecological level of study (organism, population, community and ecosystem). South America presented the highest number of works developed with the subject and also with researchers involved. Most studies presented predictive designs focusing on community ecology. Insecta, followed by Crustacea and Anura, were the most studied groups of organisms. The results contribute to a better understanding of biodiversity in bromeliad phytotelmata, pointing out gaps and trends in research directed at these natural microcosms.

Psychosocial Risks in Health Professionals a Literature Review

Psychosocial risks are highly relevant to healthcare professionals, with the covid-19 pandemic exacerbating risk factors and associated impacts. To analyse the risk factors and related impacts of psychosocial risks on healthcare professionals, in particular during the Covid-19 pandemic. systematic literature review based on analysing 17 articles selected from the B-On database. Most health professionals deal with stress and Burnout, which affects not only their mental health and quality of life but also the quality of health services and the quality of care provided. The pandemic has significantly increased psychosocial risks, particularly for professionals working in emergency and urgent care services and female professionals. Health professionals in general.

What changed between the peak and plateau periods of the first COVID-19 pandemic wave? A multicentric Portuguese cohort study in intensive care

Objective: To analyze and compare COVID-19 patient characteristics, clinical management and outcomes between the peak and plateau periods of the first pandemic wave in Portugal. Methods: This was a multicentric ambispective cohort study including consecutive severe COVID-19 patients between March and August 2020 from 16 Portuguese intensive care units. The peak and plateau periods, respectively, weeks 10 - 16 and 17 - 34, were defined. Results: Five hundred forty-one adult patients with a median age of 65 [57 - 74] years, mostly male (71.2%), were included. There were no significant differences in median age (p = 0.3), Simplified Acute Physiology Score II (40 versus 39;p = 0.8), partial arterial oxygen pressure/fraction of inspired oxygen ratio (139 versus 136;p = 0.6), antibiotic therapy (57% versus 64%;p = 0.2) at admission, or 28-day mortality (24.4% versus 22.8%;p = 0.7) between the peak and plateau periods. During the peak period, patients had fewer comorbidities (1 [0 - 3] versus 2 [0 - 5];p = 0.002) and presented a higher use of vasopressors (47% versus 36%;p < 0.001) and invasive mechanical ventilation (58.1 versus 49.2%;p < 0.001) at admission, prone positioning (45% versus 36%;p = 0.04), and hydroxychloroquine (59% versus 10%;p < 0.001) and lopinavir/ ritonavir (41% versus 10%;p < 0.001) prescriptions. However, a greater use of high-flow nasal cannulas (5% versus 16%, p < 0.001) on admission, remdesivir (0.3% versus 15%;p < 0.001) and corticosteroid (29% versus 52%, p < 0.001) therapy, and a shorter ICU length of stay (12 days versus 8, p < 0.001) were observed during the plateau. Conclusion: There were significant changes in patient comorbidities, intensive care unit therapies and length of stay between the peak and plateau periods of the first COVID-19 wave. © 2023 Associacao de Medicina Intensiva Brasileira - AMIB. All rights reserved.

Psychosocial risks among the healthcare workforce working in COVID services: findings from a crosssectional study on psychosocial risks

Introduction: Poor management in healthcare can have significant consequences in the workers' health, performance, and quality of care. Several risks worsened during the COVID-19 pandemic, namely among the workforce caring for patients with suspected/ confirmed COVID-19 infection. Objective(s): We aimed to assess psychosocial risks among a sample of 235 healthcare workers deployed in COVID-19-related services in Portugal's Lower Alentejo. Method(s): Participants filled out with ten sociodemographic questions and the Euro-Portuguese medium version of the COPSOQ II questionnaire. Data collection occurred February 2021. Tertiles were used to render a traffic light risk categorization. Results were processed with qualitative and quantitative descriptive statistical analysis. To compare groups relative to each outcome, t-tests were used for variables with two categories. Whenever data was not normally distributed, Mann-Whitney tests were used. For variables with more than two groups non-parametric Kruskal-Wallis was applied. Bonferroni correction was also applied, testing each individual hypothesis at the level of significance of alphai=0.05/29. A statistically significant difference between two groups did not necessarily yield a different risk colour. Result(s): Overall, cognitive demands, emotional demands and influence at work showed the highest risk, while 19 domains showed intermediate risk. The burnout domain showed to be highest among nurses and operational assistants working in the Intensive Care Unit. Several associations between COPSOQ domains and sociodemographic variables are also discussed. Conclusion(s): Assessment of psychosocial stressors in healthcare units is needed to promote risk reduction policies and workplace reforms. Accessible occupational services, therapeutic and rehabilitative strategies should play a role in improving health hazards in unhealthy workplaces.

An integrated analysis of COVID-19 impacts on energy and environment: Lessons learnt.

Carbon neutrality, sustainable development and reducing our impact on the environment is the top priority in future measures. The COVID-19 pandemic brought challenges to every sector at a global scale but can provide valuable insight to reach these goals. The main objective of this work is to provide an integrated analysis of the impact of the COVID-19 pandemic, focused on energy and its related aspects, i.e., environment and costs. Mainland Portugal was used as a case study and two years were analysed, one pre pandemic (2019) and another post pandemic (2020). In 2020, the majority of sectors - Transport, Services, Industry and Agriculture & Fisheries - show a reduction of energy consumption, atmospheric emissions, carbon footprint and related monetary and social costs. In contrast, the Domestic sector presents an overall increase, with maximums of 25.4% in electricity consumption (during Spring), 0.72% in the PM10 (particulate matter) and NOx (nitrogen dioxides) emissions (in Summer), and 2.9% in carbon footprint (in Spring). The integrated analysis proposed in this work was crucial to identify the paths to a post pandemic world focused on the different aspects of sustainability - new concepts of mobility and workplace, as well as increased investment in energy performance and renewable energy sources. This study showed that changing our energy consumption patterns could significantly affect future greenhouse gas emissions, and contribute to the sustainable growth of the economy, while maintaining good progress towards climate-neutral goals.

CHARACTERISTICS OF A COVID-19 COHORT WITH LARGE VESSEL OCCLUSION: A MULTICENTER INTERNATIONAL STUDY

Background The mechanisms and outcomes in COVID-19- associated stroke are unique from those of non-COVID-19 stroke. Objectives The purpose of this study is to describe the efficacy and outcomes of acute revascularization of large vessel occlusion (LVO) in the setting of COVID-19 in an international cohort. Methods We conducted an international multicenter retrospective study of consecutively admitted COVID-19 patients with concomitant acute large vessel occlusion (LVO) across 50 comprehensive stroke centers. Our control group constituted historical controls of patients presenting with LVO and receiving a MT between January 2018 to December 2020.Results: The total cohort was 575 patients with acute LVO, 194 had COVID-19 while 381 patients did not. Patients in the COVID-19 group were younger (62.5 vs. 71.2;p<0.001), and lacked vascular risk factors (49, 25.3% vs. 54, 14.2%;p =0.001). mTICI 3 revascularization was less common in the COVID-19 group (74, 39.2% vs. 252, 67.2%;p < 0.001). Poor functional outcome at discharge (defined as mRS 3-6) was more common in the COVID-19 group (150, 79.8% vs.132, 66.7%;p =0.004). COVID-19 was independently associated with a lower likelihood of achieving mTICI 3 (OR: 0.4, 95% CI: 0.2 -0.7;p<0.001), and unfavorable outcomes (OR: 2.5, 95% CI: 1.4 - 4.5;p=0.002). Conclusion COVID-19 was an independent predictor of incomplete revascularization and poor outcomes in patients with stroke due to LVO. COVID-19 patients with LVO patients were younger, had fewer cerebrovascular risk factors, and suffered from higher morbidity/mortality rates. (Figure Presented).

ANEMIA APLÁSTICA ADQUIRIDA SECUNDÁRIA À INFECÇÃO PELO SARS-COV-2

Introdução: A anemia aplástica adquirida (AAA) é uma condição rara, com alta morbidade. Em 70-80% dos casos é idiopática e ocorre por destruição das células tronco-hematopoiéticas por fenômeno autoimune. Com as terapias imunossupressoras e o transplante de medula óssea (TMO), a AAA teve excelentes resultados com taxas de sobrevida de 80% em 10 anos. Pode estar relacionada à outros mecanismos, como exposição a agentes tóxicos e infecções virais, especialmente vírus Epstein Barr, vírus de hepatite, HIV e parvovírus B19. A recente pandemia pelo vírus SARS-Cov-2 foi relacionada ao desenvolvimento de doenças autoimunes, corroborando a associação entre infecção viral e desbalanço imune. Apresentamos o caso de uma paciente, previamente hígida, que 60 dias após infecção pelo Sars-Cov-2 iniciou plaquetopenia, evoluindo para pancitopenia. Relato de caso: Paciente feminina, 29 anos, infecção pelo Sars-Cov-2 em agosto/20, quadro leve, sem necessidade de internação hospitalar. Em outubro/2020, apresentou equimoses persistentes, procurou atendimento médico, com os exames: Hb 11,5 g/dL;neutrófilos 1054/mm3 e 130.000/mm3 plaquetas, com conduta expectante nesse momento. Em janeiro/2021, com piora das equimoses e fadiga, retornou em atendimento com Hb 9,8 g/dL, neutrófilos 1278/mm3 e plaquetas 45.000/mm3. Iniciada investigação com sorologias para hepatites virais, HIV, sífilis, provas reumatológicas, vitamina B12, ácido fólico, função renal, hepática, tireoidiana e pesquisa de clone HPN, todos dentro da normalidade. Como tratamento, foi iniciado prednisona 1 mg/kg/dia e agendado retorno ambulatorial. Antes do previsto, procurou novamente atendimento por gengivorragia com plaquetas de 19.000/mm3, Hb 9,8 g/dL, neutrófilos 900/mm3 e Reticulócitos 46,536/mm3. Submetida a avaliação medular, com biópsia evidenciando hipocelularidade (cerca de 30%) com hipoplasia de todas as séries. O estudo imunofenotípico não mostrou proliferação de células imaturas, anômalas ou displásicas, cariótipo XX, FISH para síndrome mielodisplásica e DEB test negativos. Como pesquisas virais, citomegalovírus e parvovírus B19, além de RNA do vírus SARS-Cov-2 na extração de DNA em medula óssea, resultaram todos negativos. O diagnóstico de AAA foi estabelecido, evoluindo com piora progressiva da pancitopenia e necessidade de suporte transfusional recorrente. Apesar de candidata a transplante alogênico de medula óssea, a paciente não tinha irmãos e então, iniciado tratamento timoglobulina de coelho 3,5 mg/kg/dia por 5 dias, ciclosporina 10 mg/kg/dia e eltrombopag 150 mg/dia, além eritropoetina 40.000 UI/semana. O último exame de 29/06/2021 mostra resposta parcial a terapia estabelecida com Hb 11,7 g/dL, neutrófilos 1889/mm3 e 90.000/mm3 plaquetas. Conclusão: A AAA é uma condição que necessita de rápido diagnóstico e tratamento. O desbalanço imunológico, especialmente a hiperativação de linfócitos T citotóxicos CD8+, desencadeado por infecção viral pode ser gatilho para a condição em predispostos. Outros relatos semelhantes corroboram a associação temporal entre a infecção do SARS-Cov-2 e AAA. Sendo assim, consideramos importante compartilhar essa informação no meio científico.

Spirituality in organizations and professional stress during Covid-19

This article aims to analyze whether an organization's level of spirituality can mitigate professional stress. An online questionnaire was developed based on the following measures: A job stress scale and an organization's spirituality inventory, both were consolidated assessment applied in previous studies. This questionnaire was applied through a digital survey, strongly shared in social media and other channels, which obtained a total of 996 respondents from all over the country and with diverse demographic and professional characteristics. The data were standardized, coded and run on Stata IC v.15. in the multiple linear regression method. This study sought to enrich the knowledge on spirituality as a strategy for organizations, especially in crises situations, as Covid-19 pandemic. The results showed that the level of spirituality enhances the chance for organizations to take actions to deal with crises and reduces the professional stress in the context of uncertainties, as it is a benefit for mental health and well-being. This article could make important contributions presenting a quantitative analysis for a not usual subject in organization strategy: spirituality. It can bring new insights in people management studies, concluding that a company with greater spirituality is more likely to attract and retain people with the best talent.

PROFESSIONAL CHALLENGES IN EDUCATION REMOTE TEACHING DURING THE COVID-19 PANDEMIC

The purpose of this investigation was to analyze professional challenges faced by Brazilian teachers teaching remotely in the context of the Covid-19 pandemic.The quantitative method was applied via Multiple Logistic Regression, using the 15.0 version of the Stata Software. The study was conducted with 258 education professionals working from home. A significant number of teachers described themselves as being unprepared to cope with remote teaching (26.8%). A greater percentage stated their enthusiasm for learning new technologies (70.2%), despite an increased workload (77.5%);still, 61.4% indicated that student absence had increased. The impact of the new working conditions on the participating teachers' performance revealed to be attenuated by such variables as educational level;pleasant work environment, including flexibility and well-being;tolerance to meetings and training sessions;perception of productivity;and professional identity. The results indicate that post-pandemic educational policies should foster participation as well as consider inequalities and issues of access to information and communications technologies, with attention to vulnerable groups of students and the necessary professional enhancement and appreciation of teachers.

P.0715 Sleep, stress, burnout, and depressive symptoms among healthcare workers from COVID-19 services: findings from a cross-sectional study on psychosocial risks

Background: Poor management in healthcare institutions can have significant consequences for the workplace and for the physical and mental health of its workers. The exposure to unsustainable pressure and demand can impair the worker's performance and the quality of care provided. Four common issues are sleeping troubles, stress, burnout, and depressive symptoms. Several of these risks were exacerbated during the COVID-19 pandemic, especially among healthcare workers working with patients either suspected of, or confirmed, COVID-19 infection. Methods: Using the Copenhagen Psychosocial Questionnaire (COPSOQ) II questionnaire, we aimed to assess the psychosocial risks among a sample of 235 healthcare workers deployed in COVID-19-related services in the Local Health Unit of Baixo Alentejo (Portugal). The participants filled out a questionnaire, which comprised ten sociodemographic questions and the Euro-Portuguese medium version of the COPSOQ II questionnaire. Data collection occurred February 15th-28th 2021. As recommended by the COPSOQ authors, tertiles cut-off points of 33.3 and 66.6 (percentage scale) were used, rendering a traffic light risk classification where green represents a favourable situation, red a health risk and yellow an intermediate risk. [1] The results were processed with qualitative and quantitative descriptive statistical analysis. To compare groups relative to each outcome, t-tests were used for variables with two categories. Whenever data was not normally distributed, Mann-Whitney tests were used. For variables with more than two groups non-parametric Kruskal-Wallis was applied. Bonferroni correction was also applied, testing each individual hypothesis at the level of significance of αi=0.05/29. Note that a statistically significant difference between two groups does not necessarily yield a different risk colour. The mean (and categorial) values of the COPSOQ's sleep, stress, burnout and depressive symptoms domains were also compared to a dataset from a previous assessment (same institution) performed in 2017 [2]. Results: Except for depressive symptoms in the paediatric and general emergency services, domains such as stress, burnout, sleep issues and depressive symptoms showed an intermediate health risk. The burnout domain showed the highest level of risk among nurses and operational assistants working in the Intensive Care Unit. Several associations, with sociodemographic variables, are also discussed, such as a statistically significant association between the burnout domain and the number of hours spent in COVID-19 services, as well as (in medical doctors) time of service with COVID-19 patients, or between stress and age group. Overall, comparing with a similar evaluation made in 2017 [1], depressive symptoms worsened in nurses, slightly ameliorated in medical doctors, while the rest of the four domains remained in the yellow risk category, even though most of them exhibited a numerical aggravation, though not sufficient to change risk category. Conclusions: Working in COVID-19 services can worsen sleep troubles, stress, burnout and depressive symptoms among health care workers. These results support the assessment of psychosocial stressors in healthcare units, to promote risk reduction policies in healthcare workers through workplace reforms. Accessible occupational services, therapeutic and rehabilitative strategies are also crucial. Neuropharmaceuticals may play a role in improving some health hazards in unhealthy workplaces. No conflict of interest

Predictors of mortality of covid-19 in chronic hemodialysis patients

BACKGROUND AND AIMS: Coronavirus disease 2019 (COVID-19) has affected the care of patients on chronic hemodialysis (HD). It has been reported that older adults and those with comorbidities, such as diabetes mellitus, hypertension, cardiovascular disease and chronic kidney disease are prone to develop severe disease and poorer outcomes. By virtue of their average old age, multiple comorbidities, immunosuppression and frequent contact with other patients in dialysis facilities, chronic HD patients are at particular risk for severe COVID-19 infection. The aim of this study was to compare clinical presentation, laboratory and radiologic data and outcomes between HD and non-HD COVID-19 patients and find possible risk factors for mortality on HD patients. METHOD: A single center retrospective cohort study including patients on HD hospitalized with a laboratory confirmed COVID-19 infection, from March 1st to December 31st of 2020 and matched them to non-dialysis patients (non-HD) (1:1). Data regarding patient baseline characteristics, symptoms, laboratory and radiologic results at presentation were collected, as well as their outcomes. Categorical variables are presented as frequencies and percentages, and continuous variables as means or medians for variables with skewed distributions. A paired Student's t-test was performed on parametric continuous values or Mann-Whitney for non-parametric continuous variables. Chi-squared test was performed for comparing categorical variables. Logistic regression was used to identify risk factors for mortality on HD patients. A p-value of less than 0,05 indicated statistical significance. RESULTS: A total of 34 patients HD patients were included, 70,6% male, mean age of 76,5 years, median time of dialysis of 3,0 years. Among them 85,3% were hypertensive, 47,1% diabetic, 47,1% had cardiovascular disease, 30,6% pulmonary chronic disease and 23,5% cancer. The most frequent symptoms were fever (67,6%), shortness of breath (61,8%) and cough (52,9%). At admission, 55,9% of patients needed oxygen supply, one required mechanic ventilation and was admitted to intensive care unit. Regarding laboratory data, the most common features were lymphopenia in 58,9% (median-795/uL), elevated LDH in 64,7% (median-255 U/L), raised C-reactive protein in 97,1% (median-6,3 mg/dlL, raised D-dimer in 95,8% (median 1,7 ng/mL), and all patients presented high ferritin (median 1658 ng/mL) and elevated Troponin T (median 130ng/mL). The majority presented with radiologic changes, particularly bilateral infiltrates in 29,4%. Concerning clinical outcomes, the median hospitalization time was 11 days and 13 patients (38,2%) developed bacterial superinfection. Mortality rate was 32,4%. When matched to 34 non-HD patients there was no statistical significant differences in sex, age and comorbidities. The HD group had a tendency to more ventilator support need (p=0,051), higher ferritin and troponin levels (p=<0,001 for both), whereas the non-HD group presented with greater levels of transaminases (p= 0,017). There was o significant difference in hospitalization time (median of 11 vs 7 days, p=0,222) neither in mortality (median of 32,4 vs 35,3%, p=0,798). When the logistic regression was performed, only bacterial superinfection was a predictor for mortality on hemodialysis patients (p=0,004). CONCLUSION: Our study compared outcomes for COVID-19 patients on chronic HD to non-dialysis patients and showed no difference in hospitalization time nor in death rate. In spite of these results, the mortality in patients on chronic HD is still not negligible, with up to 32% of in-hospital mortality. Bacterial superinfection is a predictive risk factor for mortality. Hence the importance of interventions to mitigate the burden of COVID-19 in these patients, by preventing its spread, particularly in hemodialysis centers.

The COVID effect on stroke response

Background & Significance: The Covid-19 pandemic has created a host of challenges for healthcare systems and hospital teams that have put unprecedented stress on staff and leaders to re-design care and management of not only the Covid positive patient but also the hospitalized non- Covid patient. As this large healthcare system began to prepare for a Covid surge of patients, stroke program leaders recognized the need for alternative placement and management plans. With the redesignation of units and beds and deployment of staff into non-primary units, program leaders were concerned with not only placement of stroke patients outside of regular stroke and Neurocritical Care Units but also with non-trained stroke nursing staff caring for the patient. In response, this stroke program convened a working group to create alternative guidelines for care of the stroke patient during Covid surge and critical bed shortages. Design & Methods: The need for established criteria to guide all sites in the care of patients post IV thrombolytic or mechanical thrombectomy was the key objective. The alternative guideline was drafted and submitted to the system Covid clinical command center for emergent approval. Once approval given, education was provided to all stroke coordinators and key leaders at each site. To provide full access, guidelines were posted and available on the system SharePoint site for access to all team members. Results: The drafting of alternative stroke guidelines allowed for improved patient safety during our 27-hospital healthcare systems Covid surge. Care of multiple patients occurred outside normal critical care and stroke units with a decreased number of assessments for patients from the standard, pre-Covid and without increase safety events or adverse outcomes. The success of the alternative guidelines and this Covid effect on stroke care management not only helped our staff and patients during a time of need in safe care but also provided a new model of care for our stroke program leaders to consider and implement across our organizations.

Forward guidance and the semiotic turn of the European Central Bank

This article discusses central bank forward guidance as a performative (Austin) and conative (Jakobson) practice–hence, as a form of audience-centred communication that intends to transform their behaviour when deployed by a narrator who is simultaneously also a character in the story. Taking the European Central Bank (ECB) as its primary example, the article conveys how the double role of narrator and character assumed by this institution renders it more permeable to reactions from the markets and the public. As such, ECB forward guidance is frequently misguided, with its communicative imperatives indeed being ‘corrected’ and ‘reoriented’ by market actors and publics wishing to perceive the European Central Bank as behaving like an impartial and just frontline hero. While acknowledging the presence of conversational features within these reflexive communication practices, the article approaches forward guidance as an unfolding story, not only due to the relevance of the characterisation processes through which the European Central Bank is repositioned as hero or villain by its publics, but also because exemplary episodes exhibit a reminiscent quality that isolates them from their original context and opens them up to the possibility of re-activation–as indeed happened during the recent Covid-19 pandemic crisis. © 2021 Informa UK Limited, trading as Taylor & Francis Group.

DEVELOPMENT OF TERMINOLOGICAL SUBSET FOR PEOPLE WITH COVID-19 SEQUELAE

Objectives: to develop a terminological subset of the International Classification for Nursing Practice (ICNP) for people with covid-19 sequelae.® Method: methodological study, which followed the steps: Identification of the relevant terms contained in the literature related to Covid-19 sequelae;Cross-mapping of the terms identified in the review with the terms of the classification;Construction of the statements of diagnoses, outcomes and nursing interventions and mapping of the constructed statements;Content validation of the statements by specialist nurses;and Structuring of the subset based on Roy’s Adaptation Model. For data analysis, the Content Validity Index was used, and the statements with Content Validity Index were validated ≥ 0.80. Content validation was performed by 28 specialist nurses. Results: 178 statements of nursing diagnoses/outcomes were constructed, with 450 nursing intervention statements. After content validation, a quantity of 127 diagnoses/outcomes and 148 nursing interventions were obtained, which comprised the terminological subset proposed in the study. Conclusion: the validated statements that make up the terminological subset with greater predominance were those outlines in the physiological adaptive mode. However, the repercussions on the spiritual, social and personal dimensions are also highlighted. © 2022, Universidade Federal de Santa Catarina. All rights reserved.