Sleep quality and the intention to modify sleep behaviors among night-shift nurses.

PURPOSE: To explore the relationship between sleep quality and intent to change sleep behaviors among night-shift nurses. METHODS: Full-time night-shift nurses in a hospital setting completed a cross-sectional online survey including demographics, Snoring, Tiredness during daytime, Observed apnea, and High Blood Pressure (STOP) Questionnaire, the Pittsburgh Sleep Quality Index (PSQI), and the Intention to Change Behavior Scale (ICBS). The relationship between PSQI and ICBS scores was tested using Spearman's rho correlation coefficient. RESULTS: Most participants reported poor sleep and did not engage in health behaviors that promote good sleep. There was a weak, positive relationship between PSQI and ICBS scores. Those who reported poor sleep quality indicated a high intent to improve sleep. CONCLUSION: These findings support the need for night-shift nurses to prioritize enhancing their sleep quality by advocating for policy and practice improvements. The findings also highlight the importance of support from nurse leaders, educators, and researchers to raise awareness and implement holistic strategies for better sleep health.

Validation of the Brazilian Portuguese version of Evidence-based Practice Knowledge Assessment in Nursing (EKAN).

OBJECTIVE: The Evidence-based Practice Knowledge Assessment in Nursing (EKAN) is an objective measure of evidence-based practice (EBP) knowledge. The aims of the project were to translate the EKAN instrument into Brazilian Portuguese, test its psychometric properties, and document a baseline assessment of students' EBP knowledge. METHOD: This study used methodological design. The EKAN-Brazilian Portuguese was administered to nursing students from two baccalaureate programs. Data were analyzed using Rasch procedures. RESULTS: 123 students participated (87% ranged 19-25 years old; 60% were juniors; 38% perceived having no exposure to EBP). Validity indices showed the mean difficulty index = -2.48 to 2.07, the Infit (WMS) mean was.985 (SD = 2.13), and the Outfit (UMS) mean was.975 (SD = 0.17). Reliability indices showed sufficient item separation index (4.47); moderate person separation index (.47); high item reliability (.95); and low person reliability (.18). The mean EKAN sum score (max = 20) was 7.6 (SD = 2.13). CONCLUSION: This study on the EKAN-Brazilian Portuguese version provided sufficient evidence for validity and reliability; the person reliabilities showed the need for improvement in incorporating EBP concepts and content in nursing programs.

Care recommendations for parturient and postpartum women and newborns during the COVID-19 pandemic: a scoping review.

Objective to map the current knowledge on recommendations for labor, childbirth, and newborn (NB) care in the context of the novel coronavirus. Method scoping review of papers identified in databases, repositories, and reference lists of papers included in the study. Two researchers independently read the papers' full texts, extracted and analyzed data, and synthesized content. Results 19 papers were included, the content of which was synthesized and organized into two conceptual categories: 1) Recommendations concerning childbirth with three subcategories - Indications to anticipate delivery, Route of delivery, and Preparation of the staff and birth room, and 2) Recommendations concerning postpartum care with four categories - Breastfeeding, NB care, Hospital discharge, and Care provided to NB at home. Conclusion prevent the transmission of the virus in the pregnancy-postpartum cycle, assess whether there is a need to interrupt pregnancies, decrease the circulation of people, avoid skin-to-skin contact and water births, prefer epidural over general anesthesia, keep mothers who tested positive or are symptomatic isolated from NB, and encourage breastfeeding. Future studies are needed to address directed pushing, instrumental delivery, delayed umbilical cord clamping, and bathing NB immediately after birth.

COVID-19 and the production of knowledge regarding recommendations during pregnancy: a scoping review.

OBJECTIVE: to map the production of knowledge regarding recommendations for providing care to pregnant women dealing with the novel coronavirus. METHOD: scoping review, using a broadened strategy to search databases and repositories, as well as the reference lists in the sources used. Data were collected and analyzed by two independent reviewers. Data were analyzed and synthesized in the form of a narrative. RESULTS: the final sample was composed of 24 records, the content of which was synthesized in these conceptual categories: clinical manifestations, diagnosis, treatment, working pregnant women, vaccine development, complications, prenatal care, vertical transmission, and placental transmissibility. It is recommended to confirm pregnancy and disease early on, to use technological resources for screening and providing guidance and support to pregnant women. CONCLUSION: recommendations emphasize isolation, proper rest, sleep, nutrition, hydration, medications, and in the more severe cases, oxygen support, monitoring of vital signs, emotional support, and multiprofessional and individualized care. Medications should be used with caution due to a lack of evidence. Future research is needed to analyze the impact of the infection at the beginning of pregnancy and the psychological aspects of pregnant women infected with the virus.

Validation of Chinese version of the Modified Pulmonary Functional Status and Dyspnea Questionnaire with heart failure patients in Taiwan.

BACKGROUND: Dyspnea is a distressing and functionally limiting symptom that patients with heart failure commonly experience. A valid instrument to quantify dyspnea for comparison of groups and for illness management is important. OBJECTIVE: To validate the Chinese version of the Modified Pulmonary Functional Status and Dyspnea Questionnaire. METHODS: The Chinese version was developed by using translation and back translation and was tested in Taiwan in 88 patients who had heart failure but no pulmonary disease or comorbid conditions limiting physical function. Data on a Taiwanese subsample (n=30) were compared with data on 30 patients in the United States matched by sex, age, and severity of disease to determine the equivalence of the Chinese and English versions. Construct validity was assessed by testing the hypothesis that health-related quality of life measured by using the Minnesota Living With Heart Failure Questionnaire is associated with the score on the dyspnea questionnaire. Reliability was assessed by using the Cronbach alpha and item-total correlations. RESULTS: Equivalence between the US and Taiwanese samples was high, from 0.67 to 0.91 for each item of the questionnaire and for the total score. Satisfactory correlations between the Chinese dyspnea and the Minnesota questionnaires, especially in the physical dimension (r=0.71, P<.001), provided support for the construct validity of the Chinese questionnaire. Reliability of the Chinese questionnaire was adequate (alpha=0.94). CONCLUSIONS: The Chinese Modified Pulmonary Functional Status and Dyspnea Questionnaire is a reliable and valid measure for dyspnea that can be used in Taiwanese patients with heart failure.

Validation of the Brazilian Portuguese version of Evidence-based Practice Knowledge Assessment in Nursing (EKAN) / Validação da versão Brasileira da Evidence-based Practice Knowledge Assessment in Nursing (EKAN) / Validación de versión brasileña de la Evidence-based Practice Knowledge Assessment in Nursing (EKAN)

ABSTRACT Objective The Evidence-based Practice Knowledge Assessment in Nursing (EKAN) is an objective measure of evidence-based practice (EBP) knowledge. The aims of the project were to translate the EKAN instrument into Brazilian Portuguese, test its psychometric properties, and document a baseline assessment of students' EBP knowledge. Method This study used methodological design. The EKAN-Brazilian Portuguese was administered to nursing students from two baccalaureate programs. Data were analyzed using Rasch procedures. Results 123 students participated (87% ranged 19-25 years old; 60% were juniors; 38% perceived having no exposure to EBP). Validity indices showed the mean difficulty index = -2.48 to 2.07, the Infit (WMS) mean was.985 (SD = 2.13), and the Outfit (UMS) mean was.975 (SD = 0.17). Reliability indices showed sufficient item separation index (4.47); moderate person separation index (.47); high item reliability (.95); and low person reliability (.18). The mean EKAN sum score (max = 20) was 7.6 (SD = 2.13). Conclusion This study on the EKAN-Brazilian Portuguese version provided sufficient evidence for validity and reliability; the person reliabilities showed the need for improvement in incorporating EBP concepts and content in nursing programs.

RESUMO Objetivo A Evidence-based Practice Knowledge Assessment in Nursing (EKAN) é uma medida objetiva do conhecimento sobre prática baseada em evidência (PBE). Os objetivos do projeto foram traduzir a EKAN para o português do Brasil, testar suas propriedades psicométricas e documentar avaliação de linha de base do conhecimento de estudantes sobre a PBE. Método A EKAN-Versão Brasileira foi aplicada a estudantes de dois programas de bacharelado em enfermagem e os dados foram submetidos a análise de Rasch. Resultados Participaram 123 estudantes (87%-idades entre 19-25 anos; 60%-primeiro ano; 38% sem exposição prévia a conteúdo de PBE). Índices de validade: dificuldade média = -2,48 a 2,07; Infit (WMS) médio = 0,985 (DP = 2,13); Outfit (UMS) médio = 0,975 (DP = 0,17). Índices de confiabilidade mostraram índice de separação suficiente (4,47); de separação de pessoa moderado (0,47); alta confiabilidade dos itens (0,95); baixa confiabilidade de pessoas (0,18). O escore médio na EKAN (máximo = 20) foi 7,6 (DP = 2,13). Conclusão Esse estudo produziu evidências de validade e confiabilidade da EKAN-Versão Brasileira; a confiabilidade de pessoas mostrou a necessidade de incorporar conceitos e conteúdos sobre a PBE nos programas de enfermagem.

RESUMEN Objetivo La Evidence-based Practice Knowledge Assessment in Nursing (EKAN) es una medida objetiva del conocimiento sobre práctica basada en la evidencia (PBE). Los objetivos del proyecto fueron traducir el EKAN al portugués brasileño, testear sus propiedades psicométricas y documentar una evaluación de línea de base del conocimiento de estudiantes sobre la PBE. Método El EKAN-Versión Brasileña fue aplicado a estudiantes de dos programas de licenciatura en enfermería, los datos fueron sometidos a análisis de Rasch. Resultados Participaron 123 estudiantes (87%-edades entre 19-25 años; 60%-primer año; 38% sin contacto previo con material sobre PBE). Índices de validez: dificultad promedio = -2,48 a 2,07; Infit (WMS) promedio = 0,985 (SD = 2,13); Outfit (UMS) promedio = 0,975 (SD = 0,17). Los índices de confiabilidad mostraron índice de separación suficiente (4,47); de separación de persona moderado (0,47); alta confiabilidad de ítems (0,95); baja confiabilidad de personas (0,18). El puntaje promedio en la EKAN (máximo = 20) fue 7,6 (SD = 2,13). Conclusión El estudio produjo evidencias de validez y confiabilidad de la EKAN-Versión Brasileña; la confiabilidad de personas mostró necesidad de incorporar conceptos y contenidos sobre PBE en los programas de enfermería.

Care recommendations for parturient and postpartum women and newborns during the COVID-19 pandemic: a scoping review / Recomendaciones asistenciales a la mujer en el parto y postparto y al recién nacido durante la pandemia de COVID-19: revisión sistemática exploratoria / Recomendações assistenciais à parturiente, puérpera e recém-nascido durante a pandemia de COVID-19: revisão de escopo

Objective to map the current knowledge on recommendations for labor, childbirth, and newborn (NB) care in the context of the novel coronavirus. Method scoping review of papers identified in databases, repositories, and reference lists of papers included in the study. Two researchers independently read the papers' full texts, extracted and analyzed data, and synthesized content. Results 19 papers were included, the content of which was synthesized and organized into two conceptual categories: 1) Recommendations concerning childbirth with three subcategories - Indications to anticipate delivery, Route of delivery, and Preparation of the staff and birth room, and 2) Recommendations concerning postpartum care with four categories - Breastfeeding, NB care, Hospital discharge, and Care provided to NB at home. Conclusion prevent the transmission of the virus in the pregnancy-postpartum cycle, assess whether there is a need to interrupt pregnancies, decrease the circulation of people, avoid skin-to-skin contact and water births, prefer epidural over general anesthesia, keep mothers who tested positive or are symptomatic isolated from NB, and encourage breastfeeding. Future studies are needed to address directed pushing, instrumental delivery, delayed umbilical cord clamping, and bathing NB immediately after birth.

Objetivo mapear la producción de conocimientos sobre las recomendaciones para la atención a la mujer en el parto y postparto y al recién nacido (RN) ante la pandemia del nuevo coronavirus. Método revisión sistemática exploratoria con selección de artículos en bases de datos, repositorios y listas de referencia de los estudios. Dos revisores independientes llevaron a cabo la lectura de los textos completos, la extracción de los datos, el análisis del material y la síntesis del contenido. Resultados se incluyeron 19 artículos, que tuvieron el contenido resumido y presentado en dos categorías conceptuales: 1) Recomendaciones sobre la atención al parto, con tres subcategorías - Indicaciones para la anticipación del parto; Vía de nacimiento y Preparación del equipo y del medio ambiente para el nacimiento, y 2) Recomendaciones sobre la atención puerperal, con cuatro subcategorías - Lactancia materna; Cuidados con el RN; Alta hospitalaria y Cuidados domiciliarios con RN. Conclusión en el ciclo gravídico-puerperal, se debe evitar la transmisión del virus, evaluar la necesidad de interrumpir la gestación, reducir la circulación de personas, evitar el contacto piel con piel y el parto en el agua, preferir la anestesia peridural a la anestesia general, mantener a la mujer aislada del RN y estimular la lactancia. Se necesitan estudios futuros sobre pujo dirigido, parto instrumental, pinzamiento tardío del cordón umbilical y baño inmediato del RN.

Objetivo mapear a produção de conhecimento sobre as recomendações para assistência ao parto, puerpério e cuidados com o recém-nascido em face da pandemia do novo coronavírus. Método revisão de escopo com seleção dos artigos em bancos de dados, repositórios e em listas de referências dos estudos. Dois revisores independentes realizaram leitura dos textos completos, extração dos dados, análise do material e sintetização do conteúdo. Resultados foram incluídos 19 artigos, que tiveram os conteúdos sintetizados e apresentados em duas categorias conceituais: 1) recomendações sobre a assistência ao parto, com três subcategorias - indicações para antecipação do parto; via de nascimento e preparação da equipe e do ambiente para o nascimento; 2) recomendações sobre a assistência puerperal, com quatro subcategorias - aleitamento materno; cuidados com o recém-nascido; alta hospitalar e cuidados domiciliares com recém-nascido. Conclusão no ciclo gravídico-puerperal deve-se prevenir a transmissão do vírus, avaliar a necessidade da interrupção da gestação, reduzir a circulação de pessoas, evitar o contato pele a pele e o parto na água, preferir a anestesia peridural à anestesia geral, manter a mulher isolada do recém-nascido e estimular a amamentação. Estudos futuros sobre puxo dirigido, parto instrumental, clampeamento tardio do cordão umbilical e banho imediato do recém-nascido são necessários.

COVID-19 and the production of knowledge regarding recommendations during pregnancy: a scoping review / COVID-19 e a produção de conhecimento sobre as recomendações na gravidez: revisão de escopo / COVID-19 y la producción de conocimiento sobre las recomendaciones en el embarazo: revisión del alcance

Objective to map the production of knowledge regarding recommendations for providing care to pregnant women dealing with the novel coronavirus. Method scoping review, using a broadened strategy to search databases and repositories, as well as the reference lists in the sources used. Data were collected and analyzed by two independent reviewers. Data were analyzed and synthesized in the form of a narrative. Results the final sample was composed of 24 records, the content of which was synthesized in these conceptual categories: clinical manifestations, diagnosis, treatment, working pregnant women, vaccine development, complications, prenatal care, vertical transmission, and placental transmissibility. It is recommended to confirm pregnancy and disease early on, to use technological resources for screening and providing guidance and support to pregnant women. Conclusion recommendations emphasize isolation, proper rest, sleep, nutrition, hydration, medications, and in the more severe cases, oxygen support, monitoring of vital signs, emotional support, and multiprofessional and individualized care. Medications should be used with caution due to a lack of evidence. Future research is needed to analyze the impact of the infection at the beginning of pregnancy and the psychological aspects of pregnant women infected with the virus.