The influence of informal caregivers on the rehabilitation of the elderly in the postoperative period of proximal femoral fracture. / Influência do cuidador informal na reabilitação do idoso em pós-operatório de fratura de fêmur proximal.

Objective To analyze the influence of informal caregivers on the functional independence of older adults in the postoperative period of proximal femoral fracture due to falls. Method It is an integrative review of a corpus for analysis that gathered 23 articles, between 2002 and 2012, from databases "Literatura Latino-Americana e do Caribe em Ciências da Saúde" (Latin-American and Caribbean Health Sciences Literature in Health Sciences), Cumulative Index to Nursing and Allied Health Literature, US National Library of Medicine and Scopus. Results There was a predominance of studies by Chinese authors and nurses. The analysis of the studies evidenced that falls followed by fractures lead to dependence of older adults and, consequently, an overload to caregivers. Moreover, older adults and caregivers showed a need for support in the rehabilitation process. Conclusions Informal caregivers still need to be included in care planning and to be qualified for such care by health professionals, since they positively influence functional independence in the postoperative period.

[Surgical site infection and its risk factors in colon surgeries]. / Infecção de sítio cirúrgico e seus fatores de risco em cirurgias de colon.

OBJECTIVE: To identify the occurrence of surgical site infection (SSI) and its risk factors in patients undergoing colon surgery in a tertiary hospital located in the countryside of the state of São Paulo. METHOD: Retrospective cohort study, with collection of information contained in the medical records of patients undergoing colon surgery in the period between January 2010 and December 2013. The studied variables were the possible risk factors related to the patient, to demographic characteristics and the surgical procedure. RESULTS: In total, were evaluated 155 patients with an overall SSI incidence of 16.7%. A statistically significant association was found both in the univariate as in the multivariate analysis between the SSI and the following variables: male gender, Charlson index and mechanical bowel preparation. CONCLUSION: The understanding of health professionals about the factors that influence the incidence of SSI in colon surgery may contribute to the quality of care provided to surgical patients, from effective actions to minimize the risk of infections.

Telenursing in the postoperative period: a scoping review.

OBJECTIVES: to map available evidence on telenursing use in the postoperative period and its impact on patient outcomes. METHODS: a scoping review, conducted according to the JBI model and the PRISMA-ScR checklist. The search was carried out in the CINAHL, Embase, LILACS, PubMed, Web of Science, SciELO, Scopus and Cochrane Library databases. RESULTS: twelve studies were included, published between 2011 and 2023, 66.6% of which were in developed countries. Of the positive outcomes, we highlight improved levels of disability, autonomy and quality of life, lower rates of post-operative complications, pain and reduced costs. Telephone monitoring was the most widely used modality, but there were few studies in the pediatric context and in Brazil. CONCLUSIONS: of the studies, 11 (91.6%) identified at least one positive outcome in telenursing use and none showed negative aspects in the postoperative period. The role of nurses in digital health needs further study.

Factors related to health literacy among Brazilian adolescents: cross-sectional study.

OBJECTIVE: To analyze the relationship between sociodemographic and clinical factors with health literacy in Brazilian adolescents. METHOD: This is a cross-sectional study with 526 adolescents aged 14 to 19. Data were collected virtually between July and September 2021 using a sociodemographic characterization questionnaire, clinical profile and the Health Literacy Assessment Tool - Portuguese version. The variables were evaluated by multiple linear regression with normal response, with significance p < 0.05. RESULTS: The average age was 16.9 years (±1.6), the average health literacy score was 25.3 (±5.4). Female gender (p = 0.014), university educational level (p = 0.002) and use of medication (p = 0.020) were related to higher levels of health literacy. Adolescents with chronic illnesses had a higher total literacy score, on average 1.51 points, compared to those without chronic illnesses. CONCLUSION: Male adolescents and those with less education performed worse in health literacy and, therefore, deserve special attention in health promotion actions.

Health literacy of adolescents in the COVID-19 pandemic: an integrative review.

OBJECTIVE: to analyze the scientific production on health literacy (HL) of adolescents during the COVID-19 pandemic. METHOD: an integrative review, in the MEDLINE, LILACS, CINAHL and Web of Science databases, between March 2020 and August 2021. Original articles in English, Spanish and Portuguese were included. RESULTS: of the 65 studies found in the search, eight were included for analysis, with no publication in Brazil, with five publications in 2021, predominantly in English (n=7) and all classified with level of evidence VI. Of the instruments used, eHealth literacy was the most applied instrument (n=2). Television, family and the internet were identified as the main sources of health information during the pandemic. FINAL CONSIDERATIONS: the literature has indicated that HL can interfere with adolescents' decision making and that a low HL can lead to decisions and physical and mental exposure actions of adolescents.

Association of health literacy, COVID-19 threat, and vaccination intention among Brazilian adolescents.

OBJECTIVE: investigate the influence of health literacy on the assessment of COVID-19 threat to health and the intention not to be vaccinated among Brazilian adolescents. METHOD: cross-sectional study with 526 Brazilian adolescents aged 14 to 19 years. Socioeconomic aspects, health-disease profile, health literacy, health threat by COVID-19 and intention not to be vaccinated were analyzed by bivariate association and multiple linear regression with Poisson response. RESULTS: higher health literacy score (p=0.010), cardiovascular disease (p=0.006), lower income (p=0.000), and living in the North region (p=0.007) were factors that contributed to feeling more threatened by COVID-19. Health literacy did not influence the intention not to be vaccinated (p=0.091), whose prevalence was lower among adolescents in the Southeast region when compared to those in the North region (p=0.010), among those who attended higher education (p=0,049) and those with higher income (p=0.000). CONCLUSION: health literacy influenced the perception of COVID-19 threat, but not the intention not to be vaccinated. Assessment of COVID-19 threat to health and prevalence of the intention not to be vaccinated were influenced by the region of residence, income, and education, which reinforces the importance of social determinants of health in this context. KEYPOINTS: (1) Average health literacy (HL) score of Brazilian adolescents: 25.3 (p-HLAT-8). (2) Adolescents in the Southeast region felt less threatened by COVID-19. (3) Higher HL score indicated adolescents felt more threatened by COVID-19. (4) Intention not to be vaccinated was observed among adolescents with higher income and education. (5) About 87% of Brazilian adolescents want to be vaccinated against COVID-19.

Telephonic Nurse Guidance for Colonoscopy: A Clinical Trial.

This study aims to analyze the effectiveness of nurse-conducted telephone guidance for bowel preparation before a colonoscopy after patients have received routine recommendations. A randomized, controlled, colonoscopist-blinded clinical trial was conducted at a Brazilian teaching hospital. Participants included patients aged ≥ 18, who were available via telephone (the intervention group was given guidance over telephone). Of the 109 total participants, 55 were placed into the intervention group (IG) and 54 into the control group (CG). Outcomes included Boston Bowel Preparation Scale (BBPS) scores, adenoma detection, and cecal intubation. Total BBPS scores showed a statistically significant reduction for the IG when compared to the CG (p < .001) (all colon segments were evaluated thus). Cecal intubation occurred in all exams for those in the IG (p = .027). No significant differences were found regarding adenoma detection. The examined educational intervention was an effective strategy for reeducating patients about bowel preparation.

Team-Based Learning: a randomized clinical trial in undergraduate nursing.

OBJECTIVES: To compare the knowledge on surgical safety through the team-based learning methodology and lecture classes for undergraduate Nursing students, and evaluate the learning satisfaction with team-based learning. METHODS: Randomized, controlled, parallel, two-arm, unblinded clinical trial developed in the Faculty of Medicine of a public university in Botucatu, Brazil. The groups included 14 students for team-based learning and 11 students for lecture classes. RESULTS: Students' apprehension of knowledge in the team-based learning group was significantly higher compared to the control group (p<0.002) by considering the pre-test results. After 30 days, there was no significant difference between groups. The experience with the methodology was considered positive among students. CONCLUSIONS: Team-based learning is an important pedagogic tool available and has proven effective in education and learning with students playing the role of protagonists.

Factors related to health literacy among Brazilian adolescents: cross-sectional study / Factores relacionados con la alfabetización en salud de adolescentes brasileños: estudio transversal / Fatores relacionados ao letramento em saúde de adolescentes brasileiros: estudo transversal

ABSTRACT Objective: To analyze the relationship between sociodemographic and clinical factors with health literacy in Brazilian adolescents. Method: This is a cross-sectional study with 526 adolescents aged 14 to 19. Data were collected virtually between July and September 2021 using a sociodemographic characterization questionnaire, clinical profile and the Health Literacy Assessment Tool - Portuguese version. The variables were evaluated by multiple linear regression with normal response, with significance p < 0.05. Results: The average age was 16.9 years (±1.6), the average health literacy score was 25.3 (±5.4). Female gender (p = 0.014), university educational level (p = 0.002) and use of medication (p = 0.020) were related to higher levels of health literacy. Adolescents with chronic illnesses had a higher total literacy score, on average 1.51 points, compared to those without chronic illnesses. Conclusion: Male adolescents and those with less education performed worse in health literacy and, therefore, deserve special attention in health promotion actions.

RESUMEN Objetivo: Analizar la relación entre factores sociodemográficos y clínicos con la alfabetización en salud de adolescentes brasileños. Método: Se trata de un estudio transversal llevado con 526 adolescentes entre 14 y 19 años. Los datos se recogieron virtualmente entre julio y septiembre de 2021 mediante un cuestionario de caracterización sociodemográfica, de perfil clínico y de la Health Literacy Assessment Tool - versión en portugués. Las variables se sopesaron por regresión linear múltiple con respuesta normal y significación p < 0,05. Resultados: La edad promedio era de 16,9 años (±1,6) y la puntuación media en alfabetización en salud de 25,3 (±5,4). El sexo femenino (p = 0,014), la mayor escolaridad (p = 0,002) y el uso de medicación (p = 0,020) estaban relacionados con niveles más altos de alfabetización en salud. Los adolescentes con enfermedades crónicas obtuvieron una puntuación total de alfabetización más alta, en media, 1,51 puntos, en comparación con los que no padecían dichas enfermedades. Conclusión: Adolescentes del sexo masculino y aquellos con menos escolaridad presentaron un desempeño pobre en la alfabetización en salud y, por esa razón, necesitan atención especial durante las acciones de promoción de la salud.

RESUMO Objetivo: Analisar a relação entre fatores sociodemográficos e clínicos com o letramento em saúde de adolescentes brasileiros. Método: Trata-se de um estudo transversal com 526 adolescentes de 14 a 19 anos. Os dados foram coletados virtualmente entre julho e setembro de 2021 por meio de questionário de caracterização sociodemográfica, do perfil clínico e do Health Literacy Assessment Tool - versão em português. As variáveis foram avaliadas por regressão linear múltipla com resposta normal, com significância p < 0,05. Resultados: A média de idade foi de 16,9 anos (±1,6), a pontuação média do letramento em saúde foi de 25,3 (±5,4). Sexo feminino (p = 0,014), maior escolaridade (p = 0,002) e uso de medicamentos (p = 0,020) foram relacionados a maiores níveis de letramento em saúde. Adolescentes com doenças crônicas apresentaram pontuação total do letramento superior, em média 1,51 pontos, comparados aos sem doença crônica. Conclusão: Adolescentes do sexo masculino e os com menor escolaridade apresentaram pior desempenho no letramento em saúde e, por isso, merecem especial atenção nas ações de promoção da saúde.

Comfort level of caregivers of cancer patients receiving palliative care.

OBJECTIVE: To verify the association between the level of comfort of the caregiver and socio-demographic variables related to caregiving, and the patient's functional status and symptoms. METHOD: Cross-sectional study with non-probabilistic intentional sample. The instruments Palliative Performance Scale (score 0 to 100%), Edmonton Symptom Assessment Scale (symptom scores from zero to ten) and Holistic Comfort Questionnaire (total score ranging from 49 to 294 and mean score from 1 to 6) were used. The relationship between comfort scores and independent variables was calculated by multiple linear regression. RESULTS: Fifty informal caregivers participated in the study - 80% were female, 32% were 60 years old or older, 36% were children of the patient, 58% had paid work and 60% did not have help in the care. The mean overall comfort was 4.52 points. A better functional status of the patients was associated with higher levels of comfort of the caregivers. Older caregivers who received helped in the care activities presented higher comfort scores. CONCLUSION: The level of comfort of caregivers of cancer patients receiving palliative care was associated with socio-demographic variables and patients' functional status and symptoms.

Health literacy of adolescents in the COVID-19 pandemic: an integrative review / Alfabetización en salud de adolescentes en la pandemia de COVID-19: revisión integradora / Letramento em saúde de adolescentes na pandemia de COVID-19: revisão integrativa

ABSTRACT Objective: to analyze the scientific production on health literacy (HL) of adolescents during the COVID-19 pandemic. Method: an integrative review, in the MEDLINE, LILACS, CINAHL and Web of Science databases, between March 2020 and August 2021. Original articles in English, Spanish and Portuguese were included. Results: of the 65 studies found in the search, eight were included for analysis, with no publication in Brazil, with five publications in 2021, predominantly in English (n=7) and all classified with level of evidence VI. Of the instruments used, eHealth literacy was the most applied instrument (n=2). Television, family and the internet were identified as the main sources of health information during the pandemic. Final considerations: the literature has indicated that HL can interfere with adolescents' decision making and that a low HL can lead to decisions and physical and mental exposure actions of adolescents.

RESUMEN Objetivo: analizar la producción científica sobre alfabetización en salud (AS) de adolescentes durante la pandemia de COVID-19. Método: revisión integradora, en las bases de datos MEDLINE, LILACS, CINAHL y Web of Science, entre marzo de 2020 y agosto de 2021. Se incluyeron artículos originales en inglés, español y portugués. Resultados: de los 65 estudios encontrados en la búsqueda, ocho fueron incluidos para análisis, sin publicación en Brasil, con cinco publicaciones en el año 2021, predominantemente en inglés (n=7) y todos clasificados con nivel de evidencia VI. De los instrumentos utilizados, la eHealth literacy fue la herramienta más aplicada (n=2). La televisión, la familia e internet fueron identificadas como las principales fuentes de información en salud durante la pandemia. Consideraciones finales: la literatura ha indicado que la AS puede interferir en la toma de decisiones de los adolescentes y que una AS baja puede conducir a decisiones y acciones de exposición física y mental de los adolescentes.

RESUMO Objetivo: analisar a produção científica sobre o letramento em saúde (LS) de adolescentes durante a pandemia de COVID-19. Método: revisão integrativa, nas bases de dados MEDLINE, LILACS, CINAHL e Web of Science, entre março de 2020 e agosto de 2021. Foram incluídos artigos originais nos idiomas inglês, espanhol e português. Resultados: dos 65 estudos encontrados na busca, oito foram incluídos para análise, não havendo nenhuma publicação no Brasil, com cinco publicações no ano de 2021, predominância na língua inglesa (n=7) e todos classificados com nível de evidência VI. Dos instrumentos utilizados, eHealth literacy foi a ferramenta mais aplicada (n=2). Televisão, família e internet foram apontadas como as principais fontes de informações de saúde durante a pandemia. Considerações finais: a literatura sinalizou que o LS pode interferir na tomada de decisão dos adolescentes e que um baixo LS pode levar a decisões e ações de exposição física e mental dos adolescentes.

Association of health literacy, COVID-19 threat, and vaccination intention among Brazilian adolescents / Associação entre letramento em saúde, ameaça pela COVID-19 e intenção vacinal de adolescentes brasileiros / Relación entre alfabetización en salud, amenaza por COVID-19 e intención de vacunación entre los adolescentes brasileños

Abstract Objective: investigate the influence of health literacy on the assessment of COVID-19 threat to health and the intention not to be vaccinated among Brazilian adolescents. Method: cross-sectional study with 526 Brazilian adolescents aged 14 to 19 years. Socioeconomic aspects, health-disease profile, health literacy, health threat by COVID-19 and intention not to be vaccinated were analyzed by bivariate association and multiple linear regression with Poisson response. Results: higher health literacy score (p=0.010), cardiovascular disease (p=0.006), lower income (p=0.000), and living in the North region (p=0.007) were factors that contributed to feeling more threatened by COVID-19. Health literacy did not influence the intention not to be vaccinated (p=0.091), whose prevalence was lower among adolescents in the Southeast region when compared to those in the North region (p=0.010), among those who attended higher education (p=0,049) and those with higher income (p=0.000). Conclusion: health literacy influenced the perception of COVID-19 threat, but not the intention not to be vaccinated. Assessment of COVID-19 threat to health and prevalence of the intention not to be vaccinated were influenced by the region of residence, income, and education, which reinforces the importance of social determinants of health in this context.

Resumo Objetivo: investigar a influência do letramento em saúde na avaliação da ameaça à saúde pela COVID-19 e sobre a intenção de não se vacinar de adolescentes brasileiros. Método: estudo transversal com 526 adolescentes brasileiros de 14 a 19 anos. Aspectos socioeconômicos, perfil saúde-doença, letramento em saúde, ameaça à saúde pela COVID-19 e intenção de não se vacinar foram analisados por associação bivariada e regressão linear múltipla com resposta Poisson. Resultados: maior pontuação de letramento em saúde (p=0,010), doença cardíaca (p=0,006), menor renda (p=0,000) e morar na região norte (p=0,007) foram fatores que contribuíram para o sentimento de maior ameaça pela COVID-19. O letramento em saúde não influenciou a intenção de não se vacinar (p=0,091), cuja prevalência foi menor entre os adolescentes do Sudeste quando comparados aos do Norte (p=0,010), entre os que cursavam o ensino superior (p=0,049) e entre aqueles com maior renda (p=0,000). Conclusão: letramento em saúde influenciou a percepção da ameaça da doença, mas não a intenção de não se vacinar. Avaliação da ameaça à saúde pela COVID-19 e a prevalência da intenção de não se vacinar foram influenciadas pela região de residência, renda e escolaridade, o que reforça a importância dos determinantes sociais da saúde nesse contexto.

Resumen Objetivo: investigar la influencia de la alfabetización en salud sobre la evaluación de la amenaza por COVID-19 y sobre la intención de los adolescentes brasileños de no vacunarse. Método: estudio transversal con 526 adolescentes brasileños entre 14 y 19 años. Se analizaron aspectos socioeconómicos, perfil epidemiológico, alfabetización en salud, amenaza a la salud por COVID-19 y la intención de no vacunarse mediante una relación bivariada y regresión lineal múltiple de respuesta de Poisson. Resultados: una elevada puntuación de alfabetización en salud (p=0,010), enfermedades cardiovasculares (p=0,006), menor nivel de renta (p=0,000) y vivir en la región norte (p=0,007) fueron factores que ayudaron a la sensación de mayor amenaza por COVID-19. La alfabetización en salud no influyó en la intención de no vacunarse (p=0,091), cuya prevalencia fue más baja entre los adolescentes del Sudeste en comparación con los del Norte (p=0,010), entre los que cursaban estudios superiores (p=0,049) y mayor nivel de renta (p=0,000). Conclusión: la alfabetización en salud influyó sobre la percepción de la amenaza de la enfermedad pero no en la intención de no vacunarse. La evaluación de la amenaza a la salud por COVID-19 y la prevalencia de la intención de no vacunarse fueron condicionadas por la región de residencia, nivel de renta y educación, acentuando la importancia de los determinantes sociales de la salud en este contexto.

Adaptação transcultural do Heart Disease Knowledge Questionnaire: estudo metodológico / Cross-cultural adaptation of the Heart Disease Knowledge Questionnaire: a methodological study / Adaptación transcultural del Heart Disease Knowledge Questionnaire: estudio metodológico

OBJETIVO: Descrever o processo de adaptação transcultural do Heart Disease Knowledge Questionnaire para o português do Brasil. MÉTODO: Estudo metodológico de adaptação transcultural realizado entre agosto e dezembro de 2019, em cinco etapas: tradução inicial, síntese das traduções, retrotradução, avaliação por juízes e pré-teste. O questionário traduzido foi avaliado por um comitê de nove juízes quanto às equivalências semântica, idiomática, conceitual e cultural. A versão pré-teste foi aplicada a 50 participantes para verificação da compreensão e clareza do questionário. RESULTADOS: Termos utilizados nas diferentes traduções foram revisados, buscando-se aqueles com significados semelhantes. Treze itens apresentaram porcentagem de concordância abaixo de 90% na avaliação pelos juízes, sendo realizadas alterações sugeridas. Os participantes da versão pré-teste avaliaram o questionário e sugeriram alterações em oito itens para melhor compreensão. CONCLUSÃO: A versão em português do Heart Disease Knowledge Questionnaire foi culturalmente adaptada para a população estudada, sem perder o objetivo do questionário original.

OBJECTIVE: to describe the process of cross-cultural adaptation to Brazilian Portuguese for the Heart Disease Knowledge Questionnaire. METHOD: a methodological cross-cultural adaptation study carried out between August and December 2019, in five stages: initial translation, synthesis of the translations, back-translation, evaluation by judges, and pre-test. The translated questionnaire was evaluated by a committee of nine judges regarding semantic, idiomatic, conceptual and cultural equivalences. The pre-test version was applied to 50 participants to verify understanding and clarity of the questionnaire. RESULTS: the terms used in the different translations were reviewed, looking for those with similar meanings. Thirteen items presented an agreement percentage below 90% in the judges' assessment, with suggested changes being made. The participants in the pre-test version evaluated the questionnaire and suggested changes in eight items for better understanding. CONCLUSION: the Portuguese version of the Heart Disease Knowledge Questionnaire was culturally adapted for the population under study, without losing the objective of the original questionnaire.

OBJETIVO: Describir el proceso de adaptación transcultural del Heart Disease Knowledge Questionnaire al portugués brasileño. MÉTODO: Estudio metodológico de adaptación transcultural realizado entre agosto y diciembre de 2019, en cinco etapas: traducción inicial, síntesis de las traducciones, retrotraducción, evaluación por jueces y pretest. El cuestionario traducido fue evaluado por un comité de nueve jueces en cuanto a la equivalencia semántica, idiomática, conceptual y cultural. La versión pretest se aplicó a 50 participantes para verificar la comprensión y la claridad del cuestionario. RESULTADOS: Los términos utilizados en diferentes traducciones fueron revisados, y se buscó aquellos con significados similares. Trece ítems presentaron un porcentaje de concordancia por debajo del 90% en la evaluación de los jueces, habiendose realizado los cambios sugeridos. Los participantes de la versión de pretest evaluaron el cuestionario y sugirieron cambios en ocho ítems para una mejor comprensión. CONCLUSIÓN: La versión del Heart Disease Knowledge Questionnaire en português brasileño fue culturalmente adaptada a la población estudiada, sin perder el objetivo del cuestionario original.

Informal caregivers of older people recovering from surgery for hip fractures caused by a fall: fall prevention.

The objectives of this study were to investigate the sociodemographic characteristics of informal caregivers of elderly persons who had undergone surgery for hip fractures caused by a fall, explore the level of caregiver's knowledge regarding fall prevention, and assess the relationship between this knowledge and the use of preventative measures in practice. This investigation consists of a cross-sectional study using nonprobability sampling methods conducted over a period of 12 months and involving 89 caregivers. The majority of caregivers were female (76.4%) and sons or daughters of the patients (64%). Environmental modification was the predominant preventative measure used by caregivers (88.2%). 58.1% of caregivers believed it was possible to prevent falls in the elderly and there was a significant association (p = 0,002) between believing it was possible to prevent falls and carrying out modifications in the home and/or to the daily routine of the older person. Informal caregivers with wide or partial knowledge of fall prevention put preventative measures into practice. These findings demonstrate that the number of falls among older persons could be significantly reduced if health care programmes widened their actions to include the guiding principles of the WHO falls prevention model.

Team-Based Learning: a randomized clinical trial in undergraduate nursing / Aprendizaje Basado en Equipos: un ensayo clínico randomizado en la graduación en enfermería / Aprendizagem baseada em equipes: um ensaio clínico randomizado na graduação em enfermagem

ABSTRACT Objectives: To compare the knowledge on surgical safety through the team-based learning methodology and lecture classes for undergraduate Nursing students, and evaluate the learning satisfaction with team-based learning. Methods: Randomized, controlled, parallel, two-arm, unblinded clinical trial developed in the Faculty of Medicine of a public university in Botucatu, Brazil. The groups included 14 students for team-based learning and 11 students for lecture classes. Results: Students' apprehension of knowledge in the team-based learning group was significantly higher compared to the control group (p<0.002) by considering the pre-test results. After 30 days, there was no significant difference between groups. The experience with the methodology was considered positive among students. Conclusions: Team-based learning is an important pedagogic tool available and has proven effective in education and learning with students playing the role of protagonists.

RESUMEN Objetivos: Comparar la aprehensión del conocimiento en seguridad quirúrgica por la metodología del aprendizaje basada en equipos y clase expositiva para alumnos de graduación en enfermería y evaluar la satisfacción del aprendizaje en el aprendizaje basado en equipos. Métodos: Ensayo clínico aleatorizado, controlado, paralelo, con dos brazos, no ciego, desarrollado en una universidad pública ubicada en Botucatu, Brasil. Los grupos fueron compuestos por 14 alumnos para el aprendizaje basado en equipos y 11 alumnos para clase expositiva. Resultados: La aprehensión del conocimiento de los alumnos del grupo aprendizaje basado en equipos fue significativamente mayor comparado al grupo control (p <0,002) considerados los resultados del pre-test. Después de los 30 días, no hubo diferencia significativa entre los grupos. La experiencia con la metodología fue considerada positiva entre los alumnos. Conclusiones: El aprendizaje basado en equipos es una importante herramienta pedagógica disponible y se muestra eficaz en el proceso de enseñanza-aprendizaje teniendo al alumno como su protagonista.

RESUMO Objetivos: Comparar a apreensão do conhecimento em segurança cirúrgica pela metodologia da aprendizagem baseada em equipes e aula expositiva dialogada para alunos de graduação em enfermagem e avaliar a satisfação do aprendizado na aprendizagem baseada em equipes. Métodos: Ensaio clínico randomizado, controlado, paralelo, com dois braços, sem cegamento, desenvolvido em uma universidade pública paulista. Os grupos foram compostos por 14 alunos para aprendizagem baseada em equipes e 11 alunos para aula expositiva dialogada. Resultados: A apreensão de conhecimento dos alunos do grupo aprendizagem baseada em equipes foi significativamente maior em comparação com o grupo controle (p<0,002) considerados os resultados do pré-teste. Após os 30 dias, não houve diferença significativa entre os grupos. A experiência com a metodologia foi considerada positiva entre os alunos. Conclusões: A aprendizagem baseada em equipes é uma importante ferramenta pedagógica disponível e mostra-se eficaz no processo de ensino-aprendizagem tendo o aluno como seu protagonista.

Team-Based Learning: a randomized clinical trial in undergraduate nursing / Aprendizaje Basado en Equipos: un ensayo clínico randomizado en la graduación en enfermería / Aprendizagem baseada em equipes: um ensaio clínico randomizado na graduação em enfermagem

ABSTRACT Objectives: To compare the knowledge on surgical safety through the team-based learning methodology and lecture classes for undergraduate Nursing students, and evaluate the learning satisfaction with team-based learning. Methods: Randomized, controlled, parallel, two-arm, unblinded clinical trial developed in the Faculty of Medicine of a public university in Botucatu, Brazil. The groups included 14 students for team-based learning and 11 students for lecture classes. Results: Students' apprehension of knowledge in the team-based learning group was significantly higher compared to the control group (p<0.002) by considering the pre-test results. After 30 days, there was no significant difference between groups. The experience with the methodology was considered positive among students. Conclusions: Team-based learning is an important pedagogic tool available and has proven effective in education and learning with students playing the role of protagonists.

RESUMEN Objetivos: Comparar la aprehensión del conocimiento en seguridad quirúrgica por la metodología del aprendizaje basada en equipos y clase expositiva para alumnos de graduación en enfermería y evaluar la satisfacción del aprendizaje en el aprendizaje basado en equipos. Métodos: Ensayo clínico aleatorizado, controlado, paralelo, con dos brazos, no ciego, desarrollado en una universidad pública ubicada en Botucatu, Brasil. Los grupos fueron compuestos por 14 alumnos para el aprendizaje basado en equipos y 11 alumnos para clase expositiva. Resultados: La aprehensión del conocimiento de los alumnos del grupo aprendizaje basado en equipos fue significativamente mayor comparado al grupo control (p <0,002) considerados los resultados del pre-test. Después de los 30 días, no hubo diferencia significativa entre los grupos. La experiencia con la metodología fue considerada positiva entre los alumnos. Conclusiones: El aprendizaje basado en equipos es una importante herramienta pedagógica disponible y se muestra eficaz en el proceso de enseñanza-aprendizaje teniendo al alumno como su protagonista.

RESUMO Objetivos: Comparar a apreensão do conhecimento em segurança cirúrgica pela metodologia da aprendizagem baseada em equipes e aula expositiva dialogada para alunos de graduação em enfermagem e avaliar a satisfação do aprendizado na aprendizagem baseada em equipes. Métodos: Ensaio clínico randomizado, controlado, paralelo, com dois braços, sem cegamento, desenvolvido em uma universidade pública paulista. Os grupos foram compostos por 14 alunos para aprendizagem baseada em equipes e 11 alunos para aula expositiva dialogada. Resultados: A apreensão de conhecimento dos alunos do grupo aprendizagem baseada em equipes foi significativamente maior em comparação com o grupo controle (p<0,002) considerados os resultados do pré-teste. Após os 30 dias, não houve diferença significativa entre os grupos. A experiência com a metodologia foi considerada positiva entre os alunos. Conclusões: A aprendizagem baseada em equipes é uma importante ferramenta pedagógica disponível e mostra-se eficaz no processo de ensino-aprendizagem tendo o aluno como seu protagonista.

Compreensão de pacientes às orientações de enfermagem no cateterismo cardíaco: uma pesquisa qualitativa / Comprensión de pacientes de las indicaciones de enfermería sobre cateterismo cardíaco: una investigación cualitativa / Patients' understanding of nursing instructions in cardiac catheterism: a qualitative study

RESUMO Objetivo: compreender o conhecimento dos pacientes sobre o procedimento do cateterismo cardíaco a fim de elaborar orientações de enfermagem no pré-exame. Métodos: pesquisa qualitativa com 31 pacientes adultos de um hospital de ensino do interior do estado de São Paulo, realizada no primeiro semestre de 2015. Os dados foram coletados mediante entrevista semiestruturada e analisados pelo método de Análise de Conteúdo. Resultados: dos discursos emergiram três categorias: Compreensão dos sinais e sintomas que levaram à necessidade de realização do cateterismo cardíaco, Assimilação parcial das informações recebidas na forma escrita pelos pacientes, e Desconhecimento sobre o procedimento de cateterismo cardíaco realizado. Os resultados apontam para pacientes que recebem orientações insuficientes para a compreensão de procedimento tão complexo. Conclusão: o planejamento adequado de orientações em saúde, ao ser construído e colocado em prática, esclarece e fortalece os indivíduos para a promoção da saúde e promove o reconhecimento das ações de enfermagem.

RESUMEN: Objetivo: Comprender el conocimiento del paciente sobre el procedimiento de cateterismo cardíaco, a efectos de elaborar indicaciones de enfermería previas al estudio. Métodos: Investigación cualitativa con 31 pacientes adultos de un hospital de enseñanza del interior del estado de São Paulo, realizada en el primer semestre de 2015. Datos recolectados mediante entrevista semiestructurada, estudiados según Análisis de Contenido. Resultados: Surgieron tres categorías de los discursos: Comprensión de señales y síntomas que determinaron la necesidad de realizar un cateterismo cardíaco, Asimilación parcial de la información escrita recibida por los pacientes, y Desconocimiento del procedimiento de cateterismo cardíaco realizado. Los resultados demuestran que los pacientes reciben indicaciones insuficientes para comprender un proceso tan complejo. Conclusión: La planificación adecuada de indicaciones de salud, al elaborarse y ponerse en práctica, brinda claridad y fortaleza a los individuos en la promoción de salud, y promueve el reconocimiento de las acciones de enfermería.

ABSTRACT Objective: To understand patients' knowledge about the cardiac catheterization procedure in order to elaborate pre-catheterization nursing instructions. Methods: Qualitative study with 31 adult patients from a teaching hospital in the inland of the state of São Paulo, conducted in the first half of 2015. Data was collected through semi-structured interviews and analyzed with the use of Content Analysis. Results: Three categories emerged from the statements, as follows: Understanding of the signs and symptoms that led to the need to perform cardiac catheterization; Partial assimilation of written information received by the patients, and Ignorance of the cardiac catheterization procedure performed. Conclusion: The construction and implementation of adequate planning of health instructions clarifies the doubts of the individuals, so that they are more prepared to make sound decisions regarding their health, and promotes the recognition of nursing actions.

Adesão ao checklist de cirurgia segura: análise das cirurgias pediátricas / Safe surgery compliance checklist: analysis of pediatric surgeries / Adhesión al checklist de cirugía segura: análisis de las cirugías pediátricas

Objetivo: Este estudo analisou a adesão ao preenchimento do checklist de cirurgia segura em procedimentos realizados em crianças e adolescentes de até 17 anos, bem como os fatores que influenciam a sua utilização. Método: Estudo analítico, transversal, realizado em um hospital público. Foram analisados os prontuários de cirurgias executadas em crianças e adolescentes de até 17 anos, no ano de 2017. Foi aplicada análise estatística descritiva, teste Exato de Fisher e regressão logística. Resultados: A amostra foi composta por 262 prontuários de crianças e adolescentes, 65,68% do sexo masculino, prevalecendo os procedimentos de adenoidectomia e amigdalectomia. Observou-se em 12,9% dos checklists o preenchimento completo, em 86,4%, parcial e em 0,7% a lista não foi preenchida. Não houve associação significativa entre a adesão ao instrumento e os fatores analisados. Conclusão: A adesão completa ao checklist foi de 12,9% com diferença no preenchimento entre as etapas, e não houve um único fator responsável pela inadequação. O preenchimento parcial na maioria dos casos sinaliza a necessidade de desconstruir as barreiras para conduzir o checklist, com ações educativas envolvendo as equipes e o real entendimento da aplicação do instrumento, que pode favorecer a segurança cirúrgica e a qualidade da assistência.

Objective: This study analyzed the safe surgical checklist compliance in surgeries performed in children and adolescents up to 17 years old, as well as the factors that influence its use. Method: Cross-sectional, analytical study performed in a public hospital. The medical charts of surgeries performed on children and adolescents up to the age of 17 were analyzed in the year 2017. Descriptive statistical analysis, Fisher's exact test and logistic regression were applied. Results: The sample consisted of 262 medical records of children and adolescents, 65.68% belonged to males, adenoidectomy and tonsillectomy procedures were prevalent. It was observed that 12.9% checklists were fully completed, 86.4% partially completed and 0.7% were not completed. There was no significant association between compliance to the instrument and the factors analyzed. Conclusion: Complete adherence to the checklist was 12.9%, with differences in completion between stages, and there was no single factor responsible for the inadequacy. The partial completion in most cases indicates the need to deconstruct the barriers related to performing the checklist, by employing educational actions involving the teams and understanding the application of the instrument, which may benefit surgical safety and quality of care.

Objetivo: Este estudio analizó la adhesión al llenado del checklist de cirugía segura en cirugías realizadas en niños y adolescentes de hasta 17 años, así como los factores que influyen su utilización. Método: Estudio analítico, transversal, realizado en un hospital público. Fueron analizados los prontuarios de cirugías ejecutadas en niños y adolescentes de hasta 17 años, el año de 2017. Fue aplicado análisis estadístico descriptivo, test Exacto de Fisher y regresión logística. Resultados: La muestra fue compuesta por 262 históricos médicos de niños y adolescentes, un 65,68% del sexo masculino, prevaleciendo los procedimientos de adenoidectomía e amigdalectomía. Se observó en un 12,9% de los checklists el llenado completo, en un 86,4%, parcial y en un 0,7% la lista no fue llenada. No hubo asociación significativa entre la adhesión al instrumento y los factores analizados. Conclusión: La adhesión completa al checklist fue del 12,9% con diferencia en el llenado entre las etapas, y no hubo un único factor responsable por la inadecuación. El llenado parcial en la mayoría de los casos señala la necesidad de deconstruir las barreras para conducir el checklist, con acciones educativas involucrando los equipos y el real entendimiento de la aplicación del instrumento, que puede favorecer la seguridad quirúrgica y la calidad de la asistencia.

Conhecimento de pacientes sobre a doença arterial coronariana / Knowledge of patients on coronary arterial disease / Conocimiento del paciente sobre la enfermedad arterial coronaria

OBJETIVO: verificar o conhecimento dos pacientes sobre a doença arterial coronariana (DAC) por meio do Cardiovascular Artery Disease Questionnaire (CADE-Q). MÉTODO: estudo transversal, descritivo e de abordagem quantitativa, realizado em uma unidade coronariana e setor de hemodinâmica de um hospital público e de ensino. Os participantes do estudo foram indivíduos com 18 anos ou mais, internados na unidade coronariana e pacientes ambulatoriais atendidos no setor de hemodinâmica para realização de cateterismo cardíaco ou angioplastia coronariana eletiva. Para avaliação do conhecimento sobre DAC utilizou-se o CADE-Q, que classifica o conhecimento como excelente, bom, aceitável, pouco ou insuficiente. RESULTADOS: foram incluídos 49 pacientes com média de idade de 58,3 anos, sendo 57,1% do sexo masculino. O nível de conhecimento sobre a DAC, de acordo com o CADE-Q, foi considerado aceitável para 19 pacientes (38,7%), bom para oito deles (16,3%), pouco conhecimento para 13 (26,5%) e insuficiente para nove (18,3%). CONCLUSÃO: identificar o perfil dos pacientes atendidos e seu conhecimento sobre a DAC é importante para o estabelecimento de estratégias educativas adequadas para essa população, com foco no controle dos fatores de risco. Além disso, busca-se melhor enfrentamento da doença e melhoria da qualidade de vida.(AU)

Objective: to verify patients' knowledge of coronary artery disease (CAD) using the Cardiovascular Artery Disease Questionnaire (CADE-Q). Method: a cross-sectional and descriptive study with a quantitative approach, performed in a coronary unit and hemodynamic sector of a public teaching hospital. The study participants were individuals aged 18 years old or older, admitted to the coronary care unit, and outpatients treated in the hemodynamic sector for cardiac catheterization or elective coronary angioplasty. To assess knowledge about CAD we used CADE-Q, which classifies knowledge as excellent, good, acceptable, little or insufficient. Results: 49 patients were included with a mean age of 58.3 years old, 57.1% male. According to CADE-Q, the knowledge level about CAD was considered acceptable for 19 patients (38.7%), good for eight of them (16.3%), poor knowledge for 13(26.5%) and insufficient for nine (18.3%). Conclusion: identifying the profile of the patients treated and their knowledge about CAD is important for establishing appropriate educational strategies for this population, focusing on the control of the risk factors. In addition, it seeks to better cope with the disease and improve the quality of life.(AU)

Objetivo: comprobar el conocimiento de los pacientes sobre la enfermedad de la arteria coronaria (EAC) a través Cardiovascular Artery Disease Questionnaire (CADE-Q). Método: estudio de enfoque transversal, descriptivo y cuantitativo, realizado en una unidad coronaria y sector hemodinámico de un hospital público docente. Los participantes del estudio eran individuos de 18 años o más, ingresados en la unidad de atención coronaria y pacientes ambulatorios tratados en el sector hemodinámico para cateterismo cardíaco...(AU)

Comfort level of caregivers of cancer patients receiving palliative care / Avaliação do nível de conforto de cuidadores de pacientes com câncer em cuidados paliativos / Evaluación del nivel de confort de los cuidadores de pacientes con cáncer en cuidados paliativos

ABSTRACT Objective: To verify the association between the level of comfort of the caregiver and socio-demographic variables related to caregiving, and the patient's functional status and symptoms. Method: Cross-sectional study with non-probabilistic intentional sample. The instruments Palliative Performance Scale (score 0 to 100%), Edmonton Symptom Assessment Scale (symptom scores from zero to ten) and Holistic Comfort Questionnaire (total score ranging from 49 to 294 and mean score from 1 to 6) were used. The relationship between comfort scores and independent variables was calculated by multiple linear regression. Results: Fifty informal caregivers participated in the study - 80% were female, 32% were 60 years old or older, 36% were children of the patient, 58% had paid work and 60% did not have help in the care. The mean overall comfort was 4.52 points. A better functional status of the patients was associated with higher levels of comfort of the caregivers. Older caregivers who received helped in the care activities presented higher comfort scores. Conclusion: The level of comfort of caregivers of cancer patients receiving palliative care was associated with socio-demographic variables and patients' functional status and symptoms.

RESUMO Objetivo: Verificar associação entre o nível de conforto do cuidador e variáveis sociodemográficas do cuidado realizado, com avaliação do estado funcional e sintomas do paciente. Método: Estudo transversal com amostragem não probabilística, de tipo intencional. Utilizaram-se os instrumentos Palliative Performance Scale (escore de zero a 100%), Escala de Avaliação de Sintomas de Edmonton (escore por sintoma de zero a dez) e Questionário de Conforto Holístico - cuidador (escore total de 49 até 294 e escore médio de 1 até 6). A relação dos escores de conforto em função das variáveis independentes foi realizada por regressão linear múltipla. Resultados: Participaram da pesquisa 50 cuidadores informais -80% do sexo feminino, 32% com 60 anos ou mais, 36% filhos(as), 58% exerciam trabalho remunerado e 60% não contavam com ajuda no cuidado. A média do conforto geral do cuidador foi de 4,52 pontos. Quanto maior a funcionalidade do paciente, maior é o conforto do cuidador. Os cuidadores com mais idade e que contaram com ajuda para o desempenho do cuidado possuem maiores escores de conforto. Conclusão: O nível de conforto dos cuidadores de pacientes com câncer acompanhados pelo serviço de cuidados paliativos apresentou associação com variáveis sociodemográficas, avaliação do estado funcional e sintomas do paciente.

RESUMEN Objetivo: comprobar la asociación entre el nivel de bienestar del cuidador y las variables sociodemográficas del cuidado realizado, la evaluación del estado funcional y los síntomas del paciente. Método: Estudio transversal con muestreo no probabilístico de tipo intencional. Se utilizaron los instrumentos: Escala de Funcionalidad en Cuidados Paliativos o Palliative Performance Scale (puntuación de cero a 100%), Sistema de Evaluación de Síntomas de Edmonton (puntuación por síntoma de cero a diez) y Cuestionario de Confort Holístico - cuidador (puntuación total de 49 hasta 294 y puntuación promedio de 1 a 6). La relación de las puntuaciones de confort en función de las variables independientes se realizó mediante regresión lineal múltiple. Resultados: participaron de la investigación 50 cuidadores informales, 80% del sexo femenino, 32% con 60 años o más, 36% hijos(as), 58% realizaban trabajo remunerado y 60% no contaba con ayuda en el cuidado. El promedio general de confort del cuidador fue de 4,52 puntos. Cuanto más alta la funcionalidad del paciente, mayor el confort del cuidador; los cuidadores de mayor edad y que contaban con ayuda para desempeñar el cuidado obtuvieron puntuación de confort más alta. Conclusión: el nivel de confort de los cuidadores de pacientes con cáncer acompañados por el servicio de cuidados paliativos está asociado a variables sociodemográficas, a la evaluación del estado funcional y a los síntomas del paciente.