Validation of a Guideline for Nurses Taking Care of Patients With Liver Cirrhosis in the Context of COVID-19 in the Emergency Department.

The objective of this study was to prepare and validate the content of a guideline for nursing care of adult patients with liver cirrhosis and COVID-19 treated in the emergency department. The study was conducted in two stages: first, the guideline was developed based on an integrative literature review and existing guidelines on the topic. The guideline was prepared with six domains and 64 care items. In the second stage, 15 specialists in urgency and emergency services performed content validation of the guideline. The data were analyzed using the Content Validity Index, with reliability assessed through Cronbach's α. The judges validated the guide regarding language clarity, objectivity, theoretical relevance, and practical pertinence. The value of the guideline's Content Validity Index was 0.96. Cronbach's α reliability reached a value of 0.93. The judges validated all domains and items of the guideline for theoretical relevance and practical pertinence, to be used by researchers and clinical practice professionals in the nursing area.

[The challenges coped by the novice in nursing practice]. / Os desafios enfrentados pelos iniciantes na prática de enfermagem.

The purpose of the study was to investigate the challenges faced by the nurses during the first years of their nursing work. A total of 31 novice nurses were included in the sample that answered a questionnaire with open and closed questions. The data analysis was conducted by using the qualitative software called Atlas Ti. The novice nurses deal with some challenges related to: a) leadership team; b) the competence and technique ability. The findings suggested that the nursing novice is not well prepared for assuming a leadership role as well as for caring in the settings of high-complexity. In order to cope those challenges new strategies of education and nursing practice has to be developed together with nurses educators and nurses practitioners.

[Living groups: contributions for an educational proposal for tuberculosis]. / Grupos de convivência: contribuições para uma proposta educativa em tuberculose.

This study is a report on care practice. Its objective was to develop a proposal for education in health care from a group of people with tuberculosis, seeking to increase the effectiveness of their treatment. The data was obtained through a proposal for education in health care, developed through a living group. Two interrelated themes resulted from the process of analyzing the data: the perception of tuberculosis and its care and treatment, and social isolation. These represent the elements that influence education in health care for people with tuberculosis, as well as the meaning that such a situation has to these people.

[People with diabetes mellitus: their care and treatment choices]. / Pessoas com Diabetes Mellitus: suas escolhas de cuidados e tratamentos.

Study based on qualitative research, from an interpretative perspective. Its objective was to understand the therapeutic itinerary of people with Diabetes Mellitus who search for different care and treatments within the different subsystems of health care. The data was collected through in-depth interviews and focus groups. As a result of the data analysis therapeutic modalities were identified, the evaluation of the care process and health treatment and the therapeutic journey in the three subsystems. The person with Diabetes Mellitus needs to reevaluate their process of living. Thus, the person circulates through various therapeutic modalities until they perceive that (or those) which are most convenient for them. This also applies to how said care or treatment becomes integrated into their day-to-day.

[Quality of life from the perspective of persons with chronic respiratory diseases: the contribution of a social group]. / Qualidade de vida na perspectiva de pessoas com problemas respiratórios crônicos: a contribuição de um grupo de convivência.

This convergent care research was carried out in a social group of persons with chronic respiratory diseases and aimed to identify the elements affecting the quality of life of persons with chronic respiratory problems, and to understand how the educative practice in a social group has contributed to the quality of life of persons with a chronic health condition. Data were collected at group meetings, during which the statements of eleven subjects and two family members were tape-recorded. Data analysis showed that controlling conflicting feelings, continuing to fight for a better life, overcoming one's limitations brought about by disease and treatment and getting family support are factors that affect the quality of life of persons with chronic respiratory problems. The study also made evident that health education acquired through social groups brings effective outcomes in promoting quality of life among the study participants.

[Quality of life of patients with chronic renal insufficiency in hemodialysis treatment]. / Qualidade de vida de pessoas com insuficiência renal crônica em tratamento hemodialítico.

This is a convergent-assistance research, which has as its objective the identification of the factors affecting the quality of life of people suffering from Chronic Kidney Failure and who are undergoing hemodialysis. Data were collected in a health education program, developed for a companionship group, across hemodialysis sessions. During the analysis, four categories were identified, representing the elements that are considered as causes for the life quality conditions of those people: health assistance; acceptance and coping with the health condition; support received, and hoping for a better future. In spite of living with an illness which has important consequences on the physical well-being and social roles, persons referred to a life where quality can be achieved, although sometimes it may be difficult to perceive or conquer such quality.