Caracterización de Trabajos Especiales de Investigación 2016-2023 / Characterization of Special Research Works 2016-2023

Los Trabajos Especiales de Investigación (TEI) de la Escuela de Enfermería de la Universidad Central de Venezuela, representan el primer acercamiento con la investigación formal y son requisito para finalizar los estudios de pregrado. Objetivo: Caracterizar los TEI presentados por los estudiantes como requisito parcial para obtener el título de licenciado en enfermería, desde el año 2016 al 2023. Materiales y Métodos: investigación descriptiva con un diseño documental, retrospectivo, transversal. Las unidades de análisis fueron los TEI presentadas entre los años 2016 al 2023. El instrumento utilizado fue la Matriz de Registro de Trabajo Especial de Investigación (MRTEI), validada por expertos en el área de investigación y docencia de la EEUCV. La recolecciónde información se efectuó en el primer semestre de 2024. Resultados: El 82,4 % de los TEI son descriptivos, 90 % con enfoque cuantitativo, 82 % son realizados en el área asistencial y la población estudiada fueron 53 % profesionales de enfermería y el 17 % pacientes. Las normas utilizadas en un 97 % son de la American Psichiatric Asociación (APA) y el 3 % utiliza el estilo Vancouver. Se encontró consentimiento informado solo en el 16 % de los TEI. Estos resultados dan cuenta de la necesidad de la reflexiónepistémica y ontológica sobre la investigación que se precisa en Enfermería, es necesario revisar las normas para su presentación con el objeto de favorecer su visibilidad.

Abstract Introduction: The Special Research Works (TEI) of the School of Nursing of the Central University of Venezuela, represent the first approach with formal research and are a requirement to complete undergraduate studies. Objective: To characterizethe TEI presented by students as a partial requirement to obtain the degree in nursing, from 2016 to 2023. Materials and Methods: descriptive research with a documentary, retrospective, transversal design. The units of analysis were the TEIs presented between the years 2016 to 2023. The instrument used was the Special Research Work Registry Matrix (MRTEI), validated by experts in the research and teaching area of the EEUCV. Information collection was carried outin the first semester of 2024. Results: 82.4 % of the research papers (TEI) were descriptive, with 90 % employing a quantitative approach. Eighty-two percent were conducted in healthcare settings, with the study population comprising 53 % nursing professionals and 17% patients. The American Psychiatric Association (APA) style was used in 97 % of the papers, while 3 % utilized the Vancouver style. Informed consent was obtained in only 16 % of the TEIs. These results show the need for epistemic and ontological reflection on the research that is required in Nursing; it is necessary to review the standards for its presentation in order to promote its visibility

Community of Practice for Nursing: connecting nurses in the Region of the Americas.

OBJECTIVE: to analyze the use profile and content of the messages posted in the Community of Practice for Nursing in the Region of the Americas of the Pan American Health Organization as a tool intended to share experiences, knowledge and opportunities for nurses. METHODS: a descriptive and qualitative study aimed at analyzing the messages posted in the Community of Practice forums. The data were analyzed by content analysis. RESULTS: the Community of Practice has allowed the participation of 1,765 professionals from 20 countries, with a total of 4,001 posts. The topics analyzed (education, employment, leadership and service delivery) were addressed from the perspective of professionals from different countries, presenting the challenges they face and their reflections regarding the situation of nursing in the region. CONCLUSIONS: the platform allowed professionals from different countries and performance scopes to interact and discuss relevant topics for nursing education and practice in the Region of the Americas. Through the Community of Practice, the expectation is to enhance commitment, cooperation and solidarity for collective learning and skills development, thus maximizing nurses' contributions to health systems and services.

(1) The platform has allowed exchanging experiences, knowledge and opportunities. (2) The participation of different actors enhances commitment and cooperation. (3) It is a useful resource to discuss important topics for the nursing context.

Fortalecimiento de programas de doctorado en enfermería con base en las necesidades de salud / Strengthening doctoral programs in nursing based on health care needs / Fortalecimento dos programas de doutorado em enfermagem com base nas necessidades de saúde

[RESUMEN]. Este artículo se propone a analizar y contextualizar la formación de enfermeras y enfermeros a nivel de posgrado, y presentar orientaciones estratégicas para ampliar su formación doctoral en América Latina y el Caribe. En esta comunicación se presentan estrategias para avanzar el potencial de la contribución del personal de enfermería a los sistemas de salud y el desarrollo de competencias científicas por medio de los estudios de posgrado -nivel doctorado-, con hincapié en la cooperación e internacionalización, la formación alineada con las necesidades de salud de la población, la transferencia de conocimientos a la práctica y la sostenibilidad de las acciones. El personal de enfermería está bien posicionado para actuar como investigadores, docentes y líderes, y para contribuir a la elaboración de estrategias más eficaces para las futuras acciones y políticas que requieren los sistemas de salud. Sin embargo, será necesaria la inversión y el compromiso de diferentes actores clave para transformar la formación de enfermería.

[ABSTRACT]. This article aims to analyze and contextualize the training of nurses at the postgraduate level, and to present strategic orientations to expand their doctoral education in Latin America and the Caribbean. This paper presents strategies to advance the potential of nurses' contribution to health systems and the development of scientific competencies through postgraduate studies–at the doctoral level–with emphasis on cooperation and internationalization, training aligned with the health needs of the population, transfer of knowledge to practice and sustainability of actions. Nurses are well positioned to act as researchers, faculty members and leaders, and to contribute to the development of more effective strategies for future actions and policies that are required by health systems. However, investment and commitment from different key stakeholders will be needed to transform nursing education.

[RESUMO]. Este artigo tem como objetivo analisar e contextualizar a formação de enfermeiros e enfermeiras em nível de pós-graduação e apresentar orientações estratégicas para a expansão da formação de doutores na América Latina e Caribe. Este estudo apresenta estratégias para promover o potencial da contribuição dos professionais de enfermagem aos sistemas de saúde e o desenvolvimento de competências científicas por meio de estudos de pós-graduação – nível de doutorado – com ênfase na cooperação e na internacionalização, na formação alinhada com as necessidades de saúde da população, na transferência do conhecimento para a prática e na sustentabilidade das ações. Os profissionais de enfermagem estão bem-posicionados para atuar como pesquisadores, professores e líderes, e para contribuir com o desenvolvimento de estratégias mais eficazes para ações e políticas futuras requeridas pelos sistemas de saúde. No entanto, serão necessários o investimento e o comprometimento de diferentes partes interessadas para transformar o ensino de enfermagem.

Multicenter study on satisfaction, stress and working conditions in nursing in Latin American countries.

to assess the job satisfaction level, stressors and working conditions of nursing professionals in some Latin American countries during the COVID-19 pandemic.this is a cross-sectional study of nursing professionals working in hospital, primary care, educational, governmental, research, commercial and independent institutions. An online survey was carried out to assess satisfaction with the Font-Roja instrument, sociodemographic characteristics, stress factors and working conditions.a total of 1,215 workers from Argentina, Colombia, Mexico, Ecuador and Panama participated. The overall satisfaction score was 81.5 (SD:11.6). There was less satisfaction in the dimensions of tension, pressure, extrinsic characteristics and monotony. Increased stress at work (84.3%), workload (81.3%), fear of SARS-CoV-2 (67.7%), uncertainty at work (51.2%) and salary reduction (20.4%) were reported. The work factors related to satisfaction were, as follows: job recommendation, mixed working hours, care work, increased stress, increased workload, salary reduction and purchase of protective equipment.the aspects of job satisfaction most affected during the pandemic were pressure, tension, lack of independence and monotony at work; this satisfaction was reduced due to increased stress and workload, the acquisition of personal protective equipment and a reduction in salary.

(1) Job satisfaction in Latin America is perceived as a stress factor. (2) Wage injustice in nursing during the pandemic is highlighted. (3) The pressure and tension perceived by the profession limits their autonomy and independence. (4) Satisfaction is directly related to educational level and the position held.

O vivenciar das mulheres que vivem com hiv sobre o processo de não amamentação / The experience of women living with HIV about the process of not breastfeeding

Compreender o significado da não amamentação em mulheres que vivem com o Vírus da Imunodeficiência Humana. Método: Trata-se de um estudo qualitativo, que utilizou como alicerce teórico, metodológico e filosófico a abordagem fenomenológica heideggeriana. A coleta de dados foi realizada por meio de entrevista fenomenológica. Resultados: A análise das narrativas permitiu identificar aspectos relevantes frente às orientações sobre o processo de não amamentação, fragilidade no acolhimento/vínculo do profissional da saúde para com essas mulheres, gerando sentimentos de tristeza, culpa e impotência, corroborando com o desafio de ser mãe na condição de viver com o Vírus da Imunodeficiência Humana. Conclusão: As mulheres que vivem com o Vírus da Imunodeficiência Humana sofrem com o processo da não amamentação e desejam encontrar nos serviços de saúde profissionais preocupados em sanar suas dúvidas, desconfortos e que respeitem sua individualidade.(AU)

To understand the meaning of non-breastfeeding in women living with the Human Immunodeficiency Virus. Method: This is a qualitative study, which used the Heideggerian phenomenological approach as its theoretical, methodological and philosophical foundation. Data collection was performed through phenomenological interviews. Results: The analysis of the narratives allowed us to identify relevant aspects regarding the guidelines on the process of non-breastfeeding, fragility in the reception/bond of the health professional towards these women, generating feelings of sadness, guilt and helplessness, corroborating with the challenge of being a mother in the condition of living with the Human Immunodeficiency Virus. Conclusion: Women living with the Human Immunodeficiency Virus suffer with the process of non-breastfeeding and wish to find professionals in health services concerned with solving their doubts, discomfort and who respect their individuality.(AU)

Comprender el significado de no amamantar en mujeres que viven con el Virus de Inmunodeficiencia Humana. Método: Se trata de un estudio cualitativo, que utilizó como fundamento teórico, metodológico y filosófico el enfoque fenomenológico heideggeriano. La recolección de datos se realizó a través de entrevistas fenomenológicas. Resultados: El análisis de las narrativas permitió identificar aspectos relevantes respecto a las directrices sobre el proceso de no lactancia materna, fragilidad en la acogida/vínculo del profesional de la salud con estas mujeres, generando sentimientos de tristeza, culpa e impotencia, corroborando el desafío de ser madre viviendo con el Virus de Inmunodeficiencia Humana. Conclusión: Las mujeres que viven con el Virus de Inmunodeficiencia Humana sufren el proceso de no lactancia materna y desean encontrar en los servicios de salud profesionales que se preocupen por resolver sus dudas y malestares y que respeten su individualidad.(AU)

A percepção dos enfermeiros (as) acerca das tecnologias leves em um centro oncológico: revisão integrativa / Nurses' perception of light technologies in an oncology center: integrative review

Analisar as evidências científicas sobre como os profissionais de enfermagem percebem o acesso, o fluxo de atendimento e o vínculo como tecnologia leve no Centro Oncológico. Método: Trata-se de uma revisão integrativa de literatura nas bases de dados BDENF, BVS, LILACS e SCIELO, por meio dos descritores "Tecnologias leves", Enfermagem AND Oncologia, no idioma português. Utilizou-se para o cruzamento dos descritores os operadores booleanos "OR" E "AND". O levantamento de dados buscou identificar estudos no período de 2018 a 2023. Resultados: No primeiro momento obteve-se 1.665 artigos e logo após aplicado os critérios de inclusão, exclusão e leitura dos artigos foram selecionados 10 artigos para compor este presente estudo. Foram encontrados temas como tecnologias-leves, vínculo, cuidado e aspectos educacionais na assistência. Conclusão: o estudo identificou superficialidade na compreensão do entendimento das tecnologias-leves gerenciadas ao cuidado. Concluindo, fragilidade no processo de formação do enfermeiro.(AU)

To analyze the scientific evidence on how nursing professionals perceive access, care flow and bonding as soft technology in the Oncology Center. Method: This is an integrative literature review in the BDENF, BVS, LILACS and SCIELO databases, using the descriptors "Light technologies", Nursing AND Oncology, in Portuguese. The Boolean operators "OR" and "AND" were used to cross-reference the descriptors. The data collection sought to identify studies from 2018 to 2023. Results: Initially, 1,665 articles were obtained and, after applying the inclusion, exclusion and reading criteria, 10 articles were selected to compose this study. Topics such as soft technologies, bonding, care and educational aspects in care were found. Conclusion: the study identified superficiality in the understanding of soft technologies managed in care. In conclusion, fragility in the nursing training process.(AU)

Analizar evidencia científica sobre cómo los profesionales de enfermería perciben el acceso, flujo de atención y vinculación como tecnología ligera en el Centro de Oncología. Método: Se trata de una revisión integradora de la literatura en las bases de datos BDENF, BVS, LILACS y SCIELO, utilizando los descriptores "Tecnologías de Luz", Enfermería Y Oncología, en portugués. Se utilizaron los operadores booleanos "O" y "Y" para cruzar los descriptores. La recolección de datos buscó identificar estudios del año 2018 al 2023. Resultados: En un primer momento se obtuvieron 1,665 artículos e inmediatamente después de aplicar los criterios de inclusión, exclusión y lectura de los artículos, se seleccionaron 10 artículos para componer el presente estudio. Se encontraron temas como tecnologías blandas, vinculación, cuidado y aspectos educativos en la asistencia. Conclusión: el estudio identificó superficialidad en la comprensión de las tecnologías blandas gestionadas en el cuidado. En conclusión, fragilidad en el proceso de formación del enfermero.(AU)

Descrição do modelo de serviço de desospitalização de um hospital privado no município de São Paulo / Description of the dehospitalization service model of a private hospital in the city of São Paulo

Descrever o modelo do serviço de desospitalização e avaliar os indicadores deste serviço de desospitalização de um hospital privado no município de São Paulo; Avaliar se o serviço de desospitalização gera impactos na gestão de leitos do hospital.Metodologia: Estudo descritivo de natureza exploratória, de caráter retrospectivo, com abordagem quantitativa.Resultados: Foram analisados os dados coletados pelo serviço de desospitalização do Hospital Sírio Libanês referentes a 2035 solicitações de desospitalização no período de janeiro de 2014 a dezembro de 2016. Das 2035 solicitações de desospitalização feitas neste período, 72% foram autorizadas pelas fontes pagadoras. Conclusões: Conclui-se que os objetivos do estudo proposto foram atingidos. Constata-se a inexpressiva produção de conhecimento a respeito de atuações de equipes de desospitalização em instituições hospitalares. Através dos indicadores avaliados deste serviço é possível afirmar que a instituição que possui uma equipe ativa e dedicada na gestão da permanência do paciente, bem como do processo de desospitalização em todas as suas fases ou necessidades, gera capacidade para atendimento de pacientes agudos, com aumento do giro de leitos, bem como a disponibilidade destes.Admite-se a limitação deste estudo, sendo importante a realização de outras investigações para explorar a desospitalização.(AU)

To describe the de-hospitalization service model and evaluate the indicators of this de-hospitalization service at a private hospital in the city of São Paulo; To assess whether the de-hospitalization service has an impact on the hospital's bed management.Methodology: A descriptive, exploratory, retrospective study with a quantitative approach.Results: Data collected by the de-hospitalization service at the Sírio Libanês Hospital was analyzed, referring to 2035 de-hospitalization requests from January 2014 to December 2016. Of the 2035 dehospitalization requests made in this period, 72% were authorized by the paying sources. Conclusions: The objectives of the proposed study were achieved. There is a lack of knowledge about the work of dehospitalization teams in hospital institutions. Through the indicators evaluated for this service, it is possible to state that an institution that has an active and dedicated team managing the patient's stay, as well as the dehospitalization process in all its phases or needs, generates capacity to care for acute patients, with an increase in bed turnover and bed availability.(AU)

Describir el modelo de servicio de des-hospitalización y evaluar los indicadores de este servicio de des-hospitalización en un hospital privado de la ciudad de São Paulo; Evaluar si el servicio de des-hospitalización tiene impacto en la gestión de camas del hospital.Metodología: Estudio descriptivo, exploratorio, retrospectivo y con abordaje cuantitativo.Resultados: Se analizaron los datos recogidos por el servicio de deshospitalización del Hospital Sirio Libanés, referidos a 2035 solicitudes de deshospitalización de enero de 2014 a diciembre de 2016. De las 2035 solicitudes de deshospitalización realizadas en este período, 72% fueron autorizadas por las fuentes pagadoras. Conclusiones: Se cumplieron los objetivos del estudio propuesto. Existe desconocimiento sobre la labor de los equipos de deshospitalización en las instituciones hospitalarias. A través de los indicadores evaluados para este servicio, es posible afirmar que una institución que cuenta con un equipo activo y dedicado a la gestión de la estadía del paciente, así como del proceso de deshospitalización en todas sus fases o necesidades, genera capacidad de atención a pacientes agudos, con aumento de la rotación y disponibilidad de camas.(AU)

Nursing teleconsultation in primary health care: scoping review.

OBJECTIVE: to map nurses' skills for nursing teleconsultation in Primary Health Care. METHOD: this is a scoping review guided by the recommendations of the Joanna Briggs Institute Reviewer's Manual, carried out in seven databases and repositories of theses and dissertations. The selection of studies was carried out in Rayyan by two independent, blind reviewers. Data analysis was carried out descriptively. RESULTS: 23 studies were selected, which showed that the skills necessary for nursing teleconsultation in primary care were: communication, clinical, technological and ethical. The lack of digital infrastructure was identified as one of the main barriers to the implementation of teleconsultation. The lack of access to information and communications technology and/or the internet, the severity of the clinical condition and the patient's non-adherence to the remote consultation were also identified. CONCLUSION: nursing teleconsultation in primary care is an emerging way of providing health care. However, for its implementation it is necessary to train nurses in the following skills: communication, clinical, technological, ethical and those related to the infrastructure of the teleconsultation environment.

Sociodemographic and training profile of nursing professionals in the state of São Paulo in relation to Integrative and Complementary Health Practices.

OBJECTIVE: to analyze the sociodemographic and training profile of nursing professionals in the state of São Paulo in relation to Integrative and Complementary Practices in Health. METHOD: cross-sectional study, developed with 3,794 nursing professionals in the state of São Paulo, from 645 municipalities. To collect data, an online questionnaire was used containing sociodemographic and professional training variables. A hierarchical multiple Poisson regression model was constructed, considering training in practices as the dependent variable, with a significance level of 5%. RESULTS: of the 3,794 (100%) participants, 479 (12.62%) had training in Integrative and Complementary Health Practices. The most frequent practices were auriculotherapy, Traditional Chinese Medicine/acupuncture and Reiki. The predominant training modalities were free, face-to-face and theoretical-practical courses. The variables age, no formal religion, higher education and specialization level, working hours and knowledge and previous experience on integrative practices were significant. CONCLUSION: the results indicate the need to encourage and expand the training of Integrative and Complementary Health Practices for nursing professionals, in order to strengthen their performance in health services.

Stock, composition and distribution of the nursing workforce in Brazil: a snapshot.

OBJECTIVE: to analyze the availability (in terms of stock and composition) and accessibility (in terms of geographical distribution) of the nursing workforce in Brazil. METHOD: this is a descriptive, cross-sectional study with retrospective data collection, identified by combining databases available on institutional websites and structured according to indicators from the World Health Organization's "National Health Workforce Accounts". The study considered nursing professionals at senior level (nurses) and middle level (nursing auxiliaries and technicians). Indicators of stock, composition, distribution (by age group and gender) and the ratio of nurses to doctors were included. RESULTS: there was an increase in the number of personnel between 2005 and 2010, mainly in middle and technical level professionals. There are more personnel aged between 36 and 55, with a predominance of women in all categories, despite the increase in men. There was an uneven distribution of personnel across the country's regions, with the Southeast having the largest number of professionals. The ratio of nurses to doctors is less than one in the South and Southeast. CONCLUSION: despite the large number of nurses, their distribution is uneven. The growth of nursing technicians has significantly outstripped that of nurses, indicating more intensive technical training policies than those found in higher education.

A relevância da disciplina presencial de libras no curso de graduação em enfermagem / The relevance of the face-to-face Libras course in the undergraduate nursing course

O trabalho teve como objetivo identificar a relevância atribuída pelos alunos do curso de Graduação em Enfermagem ao aprendizado da Língua Brasileira de Sinais, de forma presencial, caracterizando os aspectos positivos e negativos das estratégias de ensino e mensurar a percepção dos alunos em relação aos princípios de inclusão social. Trata-se de uma pesquisa exploratória e descritiva, de recorte retrospectivo com abordagem quantitativa, escolhermos a escala Likert como instrumento da pesquisa. Analisa-mos que os alunos, a partir do conhecimento teórico e prático refletem sobre a importância do ensino da língua de sinais, como inclusão e acessibilidade durante o curso de Enfermagem e com impacto para a prática profissional. Concluímos que a pesquisa contribuirá para delinear metas e compreender a demanda do aprendizado da língua de sinais, para que possamos aplica-lo em outras formas de multiplicar esses aprendizados para demais áreas do conhecimento.(AU)

The aim of the work was to identify the relevance attributed by students of the Undergraduate Nursing course to learning Brazilian Sign Language, in person, characterizing the positive and negative aspects of teaching strategies and measuring students' perception in relation to the principles of social inclusion. This is an exploratory and descriptive research, with a retrospecti-ve approach and a quantitative approach. We chose the Likert scale as the research instrument. We analyzed that students, based on theoretical and practical knowledge, reflect on the importance of teaching sign language, such as inclusion and accessibility during the Nursing course and with an impact on professional practice. We conclude that the research will contribute to outlining goals and understanding the demand for learning sign language, so that we can apply it in other ways of multiplying this learning to other areas of knowledge.(AU)

El objetivo del trabajo fue identificar la relevancia atribuida por estudiantes de la carrera de Graduación en Enfermería al aprendizaje presencial de la Lengua de Signos Brasileña, caracterizando los aspectos positivos y negativos de las estrategias de enseñanza y midiendo la percepción de los estudiantes en relación a los principios de inclusión social. Se trata de una investigación exploratoria y descriptiva, con enfoque retrospectivo y enfoque cuantitativo. Se eligió como instrumento de investigación la escala Likert. Analizamos que los estudiantes, a partir de conocimientos teóricos y prácticos, reflexionan sobre la importancia de la enseñan-za de la lengua de signos, como la inclusión y accesibilidad durante la carrera de Enfermería y con impacto en la práctica profesional. Concluimos que la investigación contribuirá a trazar objetivos y comprender la demanda de aprendizaje de la lengua de signos, de modo que podamos aplicarla en otras formas de multiplicar este aprendizaje a otras áreas del conocimiento.(AU)

A interação no cuidar em fim de vida - Uma revisão narrativa da literatura / Interaction in end-of-life care - A narrative review of the literature

OBJETIVOS: Compreender o papel da interação e comunicação na prestação de cuidados altamente humanizada e de qualidade; identificar a natureza da interação e comunicação na prestação de cuidados altamente humanizada e de qualidade.MÉTODO: Revisão narrativa. RESULTADOS: O processo de interação entre enfermeiro, pessoa doente e família é central no cuidar em fim de vida. As interações estabelecidas não são lineares, pois envolvem diversas variáveis. As interações que são estabelecidas entre enfermeiros, pessoas doentes ou seus familiares apresentam caraterísticas próprias, pois dependem de caraterísticas do contexto e dos intervenientes no processo. As competências comunicacionais e de relação interpessoal do enfermeiro são determinantes no desenrolar da interação. CONCLUSÃO: A interação, onde se alicerçam os cuidados de enfermagem, constitui-se num instrumento terapêutico de extrema utilidade no cuidar em fim de vida, onde a formação e investigação assumem um papel preponderante. Não é possível medir a qualidade, tanto da interação como a comunicação, pelo seu caracter totalmente subjetivo.(AU)

OBJECTIVES: To understand the role of interaction and communication in the provision of highly humanized and quality care; to identify the nature of interaction and communication in the provision of highly humanized and quality care. METHOD: Narra-tive review. RESULTS: The process of interaction between nurse, patient and family is central to end-of-life care. The interactions established are not linear, as they involve several variables. The interactions that are established between nurses, sick people and their families have their own characteristics, as they depend on the characteristics of the context and those involved in the process. The nurse's communication and interpersonal skills are decisive in the course of the interaction. CONCLUSION: Interaction, on which nursing care is based, is an extremely useful therapeutic tool in end-of-life care, where training and research play a key role. It is not possible to measure the quality of both interaction and communication, due to their totally subjective nature.(AU)

OBJETIVOS: Comprender el papel de la interacción y la comunicación en la prestación de una atención altamente huma-nizada y de calidad; identificar la naturaleza de la interacción y la comunicación en la prestación de una atención altamente humaniza-da y de calidad. MÉTODO: Revisión narrativa. RESULTADOS: El proceso de interacción entre la enfermera, el paciente y la familia es fundamental en los cuidados al final de la vida. Las interacciones que se establecen no son lineales, ya que en ellas intervienen diversas variables. Las interacciones que se establecen entre la enfermera, el paciente y su familia tienen características propias, ya que dependen de las características del contexto y de los implicados en el proceso. Las habilidades comunicativas e interpersonales de la enfermera son decisivas en el curso de la interacción. CONCLUSIÓN: La interacción, en la que se basan los cuidados de enfermería, es una herramienta terapéutica de gran utilidad en los cuidados al final de la vida, donde la formación y la investigación desempeñan un papel fundamental. No es posible medir la calidad tanto de la interacción como de la comunicación, debido a su naturaleza totalmente subjetiva.(AU)

Online course on vaccinating people with HIV/AIDS - effectiveness in the knowledge of nursing professionals.

OBJECTIVE: analyzing the effectiveness of an educational intervention on the knowledge of nursing professionals regarding the immunization of people with the human immunodeficiency virus. METHOD: a quasi-experimental study evaluated professionals' knowledge through a knowledge test applied before and after the development of an online training course. The data was analyzed using frequency, median, mean, standard deviation, and association tests. RESULTS: the sample consisted of 77 nursing professionals whose mean age was 43.2 years (SD+/-8.2). More than half of the individuals worked in basic health units (58.4%), 22.1% worked in specialized services that provide clinical monitoring for people with the human immunodeficiency virus, and 42 (54.5%) were nursing assistants or technicians. The professionals' performance improved after the intervention, with an increase in the median number of correct answers from 23.0 to 27.0 (p<0.001). CONCLUSION: offering an online training course on the immunization of people with the human immunodeficiency virus, as a continuing education activity, proved to be effective in improving nursing professionals' knowledge on this subject. HIGHLIGHTS: (1) Services do not evaluate the vaccination status of people living with HIV.(2) The knowledge of health professionals may influence vaccination rates.(3) Health professionals' knowledge of immunization may be insufficient.

Nursing workload: use of artificial intelligence to develop a classifier model.

OBJECTIVE: to describe the development of a predictive nursing workload classifier model, using artificial intelligence. METHOD: retrospective observational study, using secondary sources of electronic patient records, using machine learning. The convenience sample consisted of 43,871 assessments carried out by clinical nurses using the Perroca Patient Classification System, which served as the gold standard, and clinical data from the electronic medical records of 11,774 patients, which constituted the variables. In order to organize the data and carry out the analysis, the Dataiku® data science platform was used. Data analysis occurred in an exploratory, descriptive and predictive manner. The study was approved by the Ethics and Research Committee of the institution where the study was carried out. RESULTS: the use of artificial intelligence enabled the development of the nursing workload assessment classifier model, identifying the variables that most contributed to its prediction. The algorithm correctly classified 72% of the variables and the area under the Receiver Operating Characteristic curve was 82%. CONCLUSION: a predictive model was developed, demonstrating that it is possible to train algorithms with data from the patient's electronic medical record to predict the nursing workload and that artificial intelligence tools can be effective in automating this activity.

Educational technology to promote self-efficacy in newborn care: a validation study / Tecnología educativa para promover la autoeficacia en los cuidados neonatales: un estudio de validación / Tecnologia educacional para promover a autoeficácia em cuidados neonatais: um estudo de validação

Objective. To build and validate an educational technology consisting of a flipchart to promote self-efficacy in newborn care. Methods. A methodological study was carried out in two stages: (i) creation of the flipchart and (ii) validation by 25 experts and 50 people who could be the target audience (pregnant women, mothers or family members of newborns). Clarity, language, practical relevance and theoretical relevance were reviewed using the Suitability Assessment of Materials (SAM) instrument. The Content Validity Index and the Flesch Readability Index were calculated. Results. The serial album "Can you take care of your baby" consists of 30 pages. The overall Content Validity Index was 0.93 among experts and 1.0 among the target audience. The flipchart was considered superior quality material, reaching an agreement percentage of 94.9, indicating that it is suitable as an educational technology. Participants suggested adjustments, incorporated into the material for printed production. Conclusions. The flipchart developed and with content validated by experts is suitable for use in health education activities that aim to promote self-efficacy in caring for newborns.

Objetivo. Construir y validar una tecnología educativa consistente en un rotafolio para promover la autoeficacia en el cuidado del recién nacido. Métodos. Se realizó un estudio metodológico en dos etapas: (i) creación del rotafolio y (ii) validación por parte de 25 expertos y 50 personas que podrían ser el público objetivo (mujeres embarazadas, madres o familiares de recién nacidos). La claridad, el lenguaje, la relevancia práctica y la relevancia teórica se revisaron utilizando el instrumento de Evaluación de idoneidad de materiales (SAM). Se calcularon el Índice de Validez de Contenido y el Índice de Legibilidad de Flesch. Resultados. El rotafolio "¿Puedes cuidar a tu bebé?" tuvo un Índice de Validez de Contenido general de 0.93 entre los expertos y de 1.0 entre el público objetivo. Este rotafolio fue considerado como material educativo de calidad superior, alcanzando un porcentaje de acuerdo de 94.9%, indicando que es apto como tecnología educativa. Los participantes sugirieron ajustes que fueron, incorporados al material para la producción impresa. Conclusiones. El rotafolio desarrollado y con contenido validado por expertos es apto para su uso en actividades de educación en salud que tengan como objetivo promover la autoeficacia en el cuidado del recién nacido.

Introdução. Construir e validar uma tecnologia educativa composta por álbum seriado para promover a autoeficácia no cuidado ao recém-nascido. Métodos. Foi realizado um estudo metodológico em duas etapas: (i) criação do álbum seriado e (ii) validação por 25 especialistas e 50 pessoas que poderiam ser o público-alvo (gestantes, mães ou familiares de recém-nascidos). A clareza, a linguagem, a relevância prática e a relevância teórica foram revisadas por meio do instrumento Suitability Assessment of Materials (SAM). Foram calculados o Índice de Validade de Conteúdo e o Índice de Legibilidade de Flesch. Resultados. O álbum seriado "Você consegue cuidar do seu bebê" consiste em 30 páginas. O Índice de Validade de Conteúdo geral foi de 0.93 entre os especialistas e de 1.0 entre o público-alvo. O álbum seriado foi considerado um material de qualidade superior, atingindo percentual de concordância de 94.9, indicando que é adequado como tecnologia educativa. Os participantes sugeriram ajustes, incorporados ao material para a produção impressa. Conclusões. O álbum seriado desenvolvido e com conteúdo validado por especialistas é adequado para utilização em atividades de educação em saúde que visam promover a autoeficácia no cuidado ao recém-nascido.

Temporally Prescription of Care: a Challenge to Advance in Nursing Sciences

Within the Nursing field, it is common that when talking about prescription an association is established among drug administration, prescribed dosage, frequency and route of administration and it is also normal for this to be the case; a drug without dosage, frequency and route of administration is not of much use, given that little could be decided about its effects, safety in administration, and response of the body to substances prescribed to solve health problems. Following this common thread, when we nurses hear about prescription, we quickly associate this term with drugs, opening a collective debate between what can be prescribed and what cannot. However, we often forget our real competence in prescribing, which is undoubtedly care.

Perception of Knowledge Transfer from Clinical Simulations to the Care Practice in Nursing Students / Percepción de la transferencia de conocimientos de las simulaciones clínicas a la práctica asistencial en estudiantes de enfermería / Percepção da transferência de conhecimentos das simulações clínicas para a prática assistencial em estudantes de enfermagem

Objetivo. Avaliar a percepção da transferência de conhecimentos das simulações clínicas para a prática assistencial em estudantes de enfermagem por meio de um debriefing eficaz. Métodos. Foi realizado um estudo observacional, descritivo e transversal com uma lista de 281 estudantes de enfermagem de uma universidade espanhola durante o curso 2020-2021, por meio de uma consulta ad hoc a partir do Debriefing Assessment for Simulation in Healthcare (DASH) em português, para valorizar as áreas competentes que um estudante de graduação deve alcançar ao finalizar seus estudos. Resultados. A consulta realizada após cada simulação mostrou que os estudantes valorizaram positivamente as sessões de debriefing realizadas por especialistas, com uma pontuação média de 6.61 sobre 7 [6.56-6.65%] com base em 675 consultas analisadas, e cada estudante realizou mais de uma simulação dentro do curso acadêmico. Foram observadas 221 respostas cumulativas que o aprendizado na simulação se traduziu na prática em 89.23% [86.39-92.06%], especificamente nas áreas de Comunicação, Segurança do paciente, Trabalho em equipe e Liderança. Conclusão. Na percepção dos estudantes participantes, o uso de um debriefing eficaz na simulação clínica permitiu a transferência de conhecimentos para a prática assistencial, mostrando ser uma ferramenta crucial que ajuda a melhorar a formação dos futuros enfermeiros.

Objetivo. Evaluar la percepción de la transferencia de conocimientos de las simulaciones clínicas a la práctica asistencial en estudiantes de enfermería mediante un debriefing eficaz.Métodos. Se realizó un estudio observacional, descriptivo y transversal con una muestra de 281 estudiantes durante el curso 2020-2021, mediante una encuesta ad hoc a partir de la Debriefing Assessment for Simulation in Healthcare (DASH) en español, para valorar las áreas competenciales que un estudiante de grado debe alcanzar al finalizar sus estudios. Resultados. La encuesta realizada después de cada simulación mostró que los estudiantes valoraban positivamente las sesiones de debriefing realizadas por expertos, con una puntuación media de 6.61 sobre 7 [6.56 % - 6.65 %] en base a 675 encuestas analizadas, ya que cada estudiante realizaba más de una simulación dentro del curso académico. Se observó en 221 respuestas cumplimentadas que lo aprendido en la simulación se transfirió a la práctica en el 89.23 % [86.39 % - 92.06 %], específicamente en áreas de Comunicación, Seguridad del paciente, Trabajo en equipo y Liderazgo. Conclusión. En la percepción de los estudiantes participantes, el uso de un debriefing eficaz en la simulación clínica permitió la transferencia de conocimientos a la práctica asistencial, mostrando ser una herramienta crucial que ayuda a mejorar la formación a de los futuros enfermeros.

Objective. This work sought to assess the perception of knowledge transfer from clinical simulations to the care practice in nursing students through effective debriefing.Methods. An observational, descriptive, and cross-sectional study was conducted with a sample of 281 students during the 2020-2021 course, through una ad hoc survey from the Debriefing Assessment for Simulation in Healthcare (DASH) in Spanish, to assess competence areas that undergraduate students must reach to complete their studies.Results. The survey conducted after each simulation showed that the students valued positively the debriefing sessions conducted by experts, with a mean score of 6.61 over 7 [6.56%-6.65%] based on 675 surveys analyzed, given that each student conducted more than one simulation within the academic course. It was observed in 221 completed answers that what was learned in the simulation was transferred to the practice in 89.23% [86.39%-92.06%], specifically in areas of Communication, Patient safety, Teamwork, and Leadership. Conclusion. In the perception by the participating students, the use of effective debriefing in clinical simulation enabled knowledge transfer to the care practice, proving to be a crucial tool that helps to improve the formation of the future nurses.