Cuide, movimente, evite lesão por pressão no seu paciente: um relato de experiência / Care, move, avoid pressure injury in your patient: an experience report / Cuidar, mover, evitar lesiones por presión en su paciente: informe de una experiencia

Introdução: As lesões por pressão (LPP) correspondem a danos na pele ou em tecidos moles encobertos, geralmente em áreas de proeminências ósseas, ou associado ao uso de dispositivo médico ou outro tipo de artefato. Diante disso, a enfermeira deve desenvolver sua prática, baseada em evidências científicas e priorizar a prevenção da formação das lesões na pele. Objetivo: Relatar a experiência de estudantes de Enfermagem sobre o desenvolvimento de ações de promoção do cuidado seguro relacionado à prevenção de LPP em pacientes internados em um hospital público pediátrico na Bahia. Metodologia: Trata-se de um estudo de caráter descritivo, do tipo relato de experiência, realizado por seis estudantes de Enfermagem em um hospital estadual pediátrico localizado no estado da Bahia, no período de novembro 2022. Principais resultados: Percebeu-se que existem profissionais de enfermagem que possuem interesse em obter mais conhecimento sobre o assunto, porém ainda há lacunas de conhecimento por parte da equipe sobre alguns assuntos abordados, tais como a escala de Braden e a utilização do colchão caixa de ovo para todas as faixas etárias. Foi possível perceber que os passos para prevenir a lesão por pressão não são cumpridos por parte da equipe e isso pode dificultar a prevenção das lesões de forma efetiva. Conclusão: Recomenda-se, portanto, que as unidades assistenciais, juntamente com suas respectivas coordenadoras, realizem ações contínuas de educação permanente, a fim de contribuir para uma melhor qualificação profissional, promovendo, acima de tudo, a segurança do paciente.

Introduction: Pressure lesions (PPL) correspond to damage to the skin or covert soft tissue, usually in areas of bony prominence, or associated with the use of a medical device or other type of artifact. Therefore, nurses should develop their practice, based on scientific evidence and prioritize the prevention of skin lesion formation. Objective: To report the experience of nursing students on the development of actions to promote safe care related to the prevention of PPL in patients admitted to a pediatric public hospital in Bahia. Methodology: This is a descriptive study, of the type of experience report, conducted by six nursing students in a pediatric state hospital located in the state of Bahia, in the period of November 2022. Main results: It was noticed that there are nursing professionals who have an interest in obtaining more knowledge about the subject, but there are still gaps in knowledge on the part of the team on some subjects addressed, such as the Braden scale and the use of the egg box mattress for all age groups. It was possible to notice that the steps to prevent pressure injury are not met by the team and this can hinder the prevention of injuries effectively. Conclusion: It is recommended, therefore, that the care units, together with their respective coordinators, carry out continuous actions of continuing education, in order to contribute to a better professional qualification, promoting, above all, patient safety.

Introducción: Las lesiones por presión (LPP) corresponden a lesiones en la piel o tejidos blandos encubiertos, generalmente en zonas de prominencia ósea, o asociadas al uso de un dispositivo médico u otro tipo de artefacto. Por ello, el personal de enfermería debe desarrollar su práctica, basándose en la evidencia científica y priorizando la prevención de la formación de lesiones cutáneas. Objetivo: Relatar la experiencia de estudiantes de enfermería sobre el desarrollo de acciones para promover cuidados seguros relacionados a la prevención de PPL en pacientes internados en un hospital público pediátrico de Bahía. Metodología: Se trata de un estudio descriptivo, del tipo relato de experiencia, realizado por seis estudiantes de enfermería en un hospital público pediátrico localizado en el estado de Bahía, en el período de noviembre de 2022. Principales resultados: Se observó que hay profesionales de enfermería que tienen interés en obtener más conocimientos sobre el tema, pero todavía hay lagunas de conocimiento por parte del equipo en algunos temas abordados, como la escala de Braden y el uso del colchón caja de huevos para todos los grupos de edad. Se pudo notar que los pasos para prevenir lesiones por presión no son cumplidos por el equipo y esto puede dificultar la prevención de lesiones de forma efectiva. Conclusiones: Se recomienda, por lo tanto, que las unidades asistenciales, junto con sus respectivos coordinadores, realicen acciones continuas de formación continuada, con el fin de contribuir a una mejor cualificación profesional, promoviendo, sobre todo, la seguridad del paciente.

Aplicabilidad de juegos a niños con necesidades de salud especiales / Applicability of Games to Children with Special Health Care Needs

Introducción: Niños con necesidades de salud especiales pueden ser vistos con frecuencia con poco potencial para participar en juegos y jugar con su familia y cuidadores profesionales. Sin embargo, el desafío radica en saber qué actividades lúdicas son apropiadas para este grupo de niños. Objetivo: Seleccionar evidencia sobre juegos con potencial de aplicación a niños con necesidades especiales de salud en entornos hospitalarios y domiciliarios. Métodos: Revisión integrativa de la literatura cuya búsqueda se realizó en diciembre de 2020 en las fuentes de información en salud de MEDLINE vía PubMED; LILACS a través de las bases de datos BVS y PsycoInfo; Scopus y SciELO. Conclusión: Jugar es un derecho y una necesidad de los niños, independientemente del tipo de limitación que presenten, y ellos pueden sumarse a juegos que no desencadenen complicaciones en su salud(AU)

Introduction: Children with special health care needs may often be seen as having little potential to engage in play and play with their family and professional caregivers. However, the challenge lies in knowing which play activities are appropriate for this group of children. Objective: To select evidence on play with potential application to children with special health care needs in hospital and home settings. Methods: Integrative review of the literature searched in December 2020 in the health information sources MEDLINE via PubMED; LILACS through the BVS and PsycoInfo databases; Scopus and SciELO. Conclusion: Playing is a right and a need for children, regardless of the type of limitation they present, and they can join in games that do not trigger complications in their health(AU)

Representación social sobre gestión de servicios hospitalarios pediátricos para atender sospechosos de COVID-19 desde una perspectiva enfermera / Social Representation about Pediatric Hospital Services for Providing Care to Patients Suspected of COVID-19 from a Nursing Perspective

Introducción: Resulta indispensable la organización de los servicios pediátricos en el actual proceso de enfrentamiento a la pandemia COVID-19. Objetivo: Describir, desde una perspectiva enfermera, la representación social sobre gestión en la organización de los servicios hospitalarios pediátricos para la atención de pacientes sospechosos de COVID-19. Métodos: Estudio cualitativo de orientación metodológica fenomenológica transcendental, realizado en Hospital Pediátrico "Octavio de la Concepción de la Pedraja", Holguín, Cuba, entre enero y abril del 2021. Se integraron los conocimientos adquiridos de la experiencia de enfermeras, cinco supervisoras, tres jefas de áreas y ocho jefas de salas, seleccionadas por muestreo no probabilístico. Se recurrió a las etapas: descriptiva, estructural y discusión. La descriptiva constó de tres etapas: elección de técnica, entrevista semiestructurada y elaboración de la descripción. La etapa estructural: lectura, determinación del tema central, expresión en lenguaje científico y etapa de discusión de los resultados, se relacionaron con las conclusiones y hallazgos de investigadores para entender las posibles diferencias o similitudes para mayor enriquecimiento. Resultados: Del análisis de los datos emergieron cuatro categorías: Categoría I: diseño de los protocolos de atención de enfermería para pacientes sospechosos y positivos a COVID-19. Categoría II: reorganización, reclutamiento y capacitación de personal. Categoría III: organizar grupos de trabajo según cuadro clínico y resultado del test rápido y el PCR. Categoría IV: medidas generales. Conclusiones: La organización de los servicios de atención de enfermería por grupos evitó el colapso del recurso humano enfermero y garantizó la disponibilidad de camas, la seguridad propia y del paciente para minimizar la transmisibilidad intrahospitalaria(AU)

Introduction: The organization of pediatric services is essential in the current process of confronting the COVID-19 pandemic. Objective: To describe, from a nursing perspective, the social representation on management in the organization of pediatric hospital services for the care of patients suspected of COVID-19. Methods: A qualitative study of transcendental phenomenological methodological orientation was carried out at Octavio de la Concepción de la Pedraja Pediatric Hospital from Holguín, Cuba, between January and April 2021. The knowledge acquired from the experience of nurses, five supervisors, three area heads and eight ward chiefs, selected by nonprobabilistic sampling, was integrated. The following phases were used: descriptive, structural and discussion. The descriptive phase consisted of three stages: choice of technique, semistructured interview and elaboration of the description. The structural phase had the following stages: reading, determination of the central topic and expression in scientific language. In the results discussion phase, the results were related to the conclusions and findings of researchers to understand the possible differences or similarities for further enhancement. Results: Four categories emerged from the data analysis: design of nursing care protocols for COVID-19 positive and suspect patients; reorganization, recruitment and training of personnel; organization of working groups according to clinical picture and rapid test or PCR results; and general measures. Conclusions: The organization of nursing care services by groups avoided the collapse of the nursing human resource and guaranteed the availability of beds, as well as staff own safety and patient safety, to minimize in-hospital transmissibility(AU)

Beneficios del cuidado de enfermería con congruencia cultural en el bienestar y satisfacción del paciente / Benefits of Culturally Congruent Nursing Cure as Part of Patient Well-Being and Satisfaction

Introducción: En el contexto de una sociedad global y diversa, los cuidados de enfermería con congruencia cultural son una necesidad apremiante. Los acelerados procesos migratorios, los cambios en la economía global y el reconocimiento universal de los derechos humanos son evidencias inequívocas de esta necesidad. Objetivo: Identificar las evidencias sobre los beneficios del cuidado de enfermería con congruencia cultural, en el bienestar y satisfacción del paciente. Métodos: Revisión sistemática integrativa de estudios originales publicados del 2000-2019, en español e inglés. Se utilizaron siete bases de datos: SciELO, Lilacs, EBSCO Host, Dialnet, DOAJ, Redalyc y Pubmed, con la estrategia de búsqueda: "cuidado cultural" AND "enfermería", "cultural congruent care" AND "nursing" OR "cultural care" AND "nursing", cuidado cultural. Se seleccionaron 14 artículos a los que se realizó análisis de contenido. Conclusiones: Los artículos seleccionados permitieron identificar los beneficios de los cuidados de enfermería con congruencia cultural observados en diferentes grupos como adultos, adultos mayores y sus cuidadores, madres lactantes, escolares y adolescentes. Los beneficios del cuidado cultural se evidenciaron al abordar fenómenos como la funcionalidad familiar, la sobrecarga del cuidador, la promoción de la lactancia materna, el manejo del estrés, la ansiedad, la depresión y la calidad de vida de las sobrevivientes de cáncer de mama. Los cuidados de enfermería con congruencia cultural evidenciaron el desarrollo de una mejor relación enfermera-paciente y una mayor satisfacción de los pacientes y sus familias(AU)

Introduction: In the context of a global and diverse society, culturally congruent nursing care is an urgent need. Accelerated migration processes, changes in the global economy and universal recognition of human rights unequivocally evidence this need. Objective: To identify evidence on the benefits of culturally congruent nursing care as part of patient well-being and satisfaction. Methods: Integrative systematic review of original studies published from 2000 to 2019 in Spanish and English. Seven databases were used: SciELO, Lilacs, EBSCO Host, Dialnet, DOAJ, Redalyc and Pubmed. The following search strategy was designed: "cuidado cultural" AND "enfermería", "cultural congruent care" AND "nursing" OR "cultural care" AND "nursing", cuidado cultural [cultural care]. Fourteen articles were selected and processed through content analysis. Conclusions: The selected articles permitted to identify the benefits of culturally congruent nursing care observed in different groups such as adults, aged adults and their caregivers, breastfeeding mothers, school children and adolescents. The benefits of cultural care were evidenced by addressing phenomenons such as family functionality, caregiver overload, promotion of breastfeeding, coping with stress, anxiety and depression, as well as quality of life in breast cancer survivors. Culturally congruent nursing care evidenced the development of a better nurse-patient relationship, as well as greater patient and family satisfaction(AU)

NPs caring for people who are incarcerated and negatively impacted by social determinants of health.

ABSTRACT: This article explores roles filled and care provided by NPs in diverse carceral settings along with the impact of health disparities experienced as a result of social determinants of health on the chronic disease burden of people who are incarcerated. Opportunities abound for NPs to positively influence this patient population's health, but specialized education is needed.

A Novel Substrate-Inspired Fluorescence-Based Albumin Detection Improves Assessment of Clinical Outcomes in Hemodialysis Patients Receiving a Nursing Nutrition Intervention.

BACKGROUND Albumin level does not precisely reflect nutritional status. We aimed to investigate the impact of a nutrition intervention on hemodialysis patients by use of fluorescence-based plasma albumin (FPA) detection. MATERIAL AND METHODS Eighty patients underwent maintenance hemodialysis for more than half a year and had a mean albumin <3.5 g/dL for over 3 months. The subjects were randomly divided into either a Control Group (CG) or an Intervention Group (IG). The IG received nutritional supplementation, and the CG group received routine nutritional support for 12 months. FPA and plasma albumin (PA) concentrations were measured. The fluorescence probe 1,3-Dichloro-7-hydroxy-9,9-dimethyl-2(9H)-acridone methyl biphenyl benzoate was used in FPA detection. Quality of life was estimated using WHOQOL-BREF (Quality of Life Scale developed through the World Health Organization), the 36-Item Short-Form Survey (SF-36), and the 6-minute walking test (6MWT). RESULTS After a 6-month and a 12-month intervention, PA and FPA concentrations increased, and the increase in FPA concentration was higher than that of PA in the IG group (P<0.05). Comparatively, the parameters of quality of life and 6MWT were improved in the IG group (P<0.05) but there were only minor changes in the CG group (P>0.05). There is an obvious association between the changes in FPA concentration and the parameters of quality of life and 6MWT but not PA. CONCLUSIONS Use of the fluorescence probe improves the detection sensitivity of plasma albumin and provides a potential method to assess clinical outcomes in hemodialysis patients.

Cuidados de enfermería que fortalecen la lactancia materna en neonatos de un hospital / Nursing Cares that Strengthen Breastfeeding of Neonates in a Hospital

Introducción: La lactancia materna es un problema de salud pública a nivel mundial, no obstante, el porcentaje de neonatos que reciben lactancia materna exclusiva a nivel mundial en los últimos años ha disminuido. Objetivo: Describir los cuidados de enfermería que fortalecen la lactancia materna en los neonatos atendidos en alojamiento conjunto y cuidados intermedios. Métodos: Estudio de tipo cualitativo, descriptivo, con diseño exploratorio fundamentado en la teoría de Swanson y Kolcaba. Se realizó en el área de alojamiento conjunto y cuidados intermedios del Hospital Regional Docente de Trujillo, durante el 2018. Participaron 15 enfermeras asistenciales e internas de enfermería. La recolección de datos fue no aleatoria, a través de la entrevista. Se realizó el análisis del discurso, después de la transcripción literal de entrevistas. Resultados: Se identificaron dos categorías: "Asegurando el cuidado de la lactancia materna" y "Promoviendo el compromiso con la familia y la institución". Conclusiones: Los cuidados de enfermería consisten en identificar necesidades de cuidado, facilitar la lactancia mediante el confort, apoyo y educación a la madre. Asimismo, radica en el compromiso con la lactancia, a través de la continuidad del amamantamiento, con la consideración de creencias; fomento de la participación de familia e institución y la aplicación de normas vigentes que fortalezcan la lactancia materna(AU)

Introduction: Breastfeeding is a public health concern worldwide. However, the percentage of newborns worldwide who are exclusively breastfed has decreased in recent years. Objective: To describe the nursing cares that strengthen breastfeeding in neonates attended in joint accommodation and intermediate care. Methods: Qualitative and descriptive study with an exploratory design based on Swanson's and Kolcaba's theory. It was carried out during 2018, in the joint accommodation and intermediate care areas of Regional Teaching Hospital of Trujillo. Fifteen care nurses and nursing interns participated. Data collection was nonrandom and carried out using the interview. Discourse analysis was carried out after literal transcription of the interviews. Results: Two categories were identified: "Ensuring care for breastfeeding" and "Promoting commitment to the family and the institution". Conclusions: Nursing cares consist in identifying care needs, facilitating breastfeeding through comfort, support and education for the mother. Likewise, it lies in the commitment to breastfeeding, through continuity of breastfeeding, with the consideration of beliefs; as well as promotion of family and institutional involvement and the application of current norms that strengthen breastfeeding(AU)

OB Nest randomized controlled trial: a cost comparison of reduced visit compared to traditional prenatal care.

BACKGROUND: Traditional prenatal care includes up to 13 in person office visits, and the cost of this care is not well-described. Alternative models are being explored to better meet the needs of patients and providers. OB Nest is a telemedicine-enhanced program with a reduced frequency of in-person prenatal visits. The cost implications of connected care services added to prenatal care packages are unclear. METHODS: Using data from the OB Nest randomized, controlled trial we analyzed the provider and staff time associated with prenatal care in the traditional and OB Nest models. Fewer visits were required for OB Nest, but given the compensatory increase in connected care activity and supplies, the actual cost difference is not known. Nursing and provider staff time was prospectively recorded for all patients enrolled in the OB Nest clinical trial. Published 2015 national wages for healthcare workers were used to calculate the actual labor cost of providing either traditional or OB Nest prenatal care in 2015 US dollars. Overhead expenses and opportunity costs were not considered. RESULTS: Total provider cost was decreased caring for the OB Nest participants, but nursing cost was increased. OB Nest care required an average of 160.8 (+/- 45.0) minutes provider time and 237 (+/- 25.1) minutes nursing time, compared to 215.0 (+/- 71.6) and 99.6 (+/- 29.7) minutes for traditional prenatal care (P < 0.01). This translated into decreased provider cost and increased nursing cost (P < 0.01). Supply costs increased, travel costs declined, and overhead costs declined in the OB Nest model. CONCLUSIONS: In this trial, labor cost for OB Nest prenatal care was 34% higher than for traditional prenatal care. The increased cost is largely attributable to additional nursing connected care time, and in some practice settings may be offset by decreased overhead costs and increased provider billing opportunities. Future efforts will be focused on development of digital solutions for some routine nursing tasks to decrease the overall cost of the model. TRIAL REGISTRATIONS: ClinicalTrials.gov Identifier: NCT02082275 .

Research Care and Teaching Care Research in the Faculty of Nursing at Universidad de Antioquia. Testimonies and Legacies in 70 years of Institutional Life, 1950-2020.

The development of care research and its teaching in the Faculty of Nursing at Universidad de Antioquia cannot be understood outside the context in which it emerges and from the trajectory of its leading players. This is how this article will present a synthesis of the future of research, with its principal milestones and events in institutional history, in dialogue with the trajectories of four teaching nurses, protagonists of key moments in said history and living testimony of 70 years of institutional life. This panorama seeks to constitute a referent for strategic reflection, which inspires new generations to meet the research challenges and teach care research.

Impact of nurse scientist-led digital health interventions on management of chronic conditions.

BACKGROUND: Chronic conditions are a major contributor to the burden of disease worldwide. Using innovative digital health technologies, nurse scientists are well-positioned to lead efforts to reduce the burden of chronic conditions on individuals, communities, and systems. PURPOSE: The purpose of this review was to summarize the outcomes commonly measured in nurse-led digital health interventions that target chronic conditions and pose recommendations for the education of future nurse scientists to lead these studies. METHODS: A rapid review of the literature was completed using CINAHL and Ovid Emcare. Studies were included if the research: a) was led by a nurse; b) described outcomes of a digital health intervention; and c) included any population with a prevalent chronic condition. FINDINGS: 26 studies were included in this review. Nurse-led digital health interventions are being used to support and manage a range of chronic conditions in varied settings. DISCUSSION: Digital health interventions are changing the delivery of healthcare for individuals living with chronic conditions. These interventions are bridging the gaps between the digital and physical worlds and are rapidly evolving. CONCLUSION: The recommendations posed in this review reiterate the importance of robust content and methods education for nurse scientists to address future research needs in a digital era.

Propuesta de estándares y elementos medibles para conformar auditorías concurrentes de enfermería en el contexto hospitalario / Proposed Standards and Measurable Elements for Carrying Out Concurrent Nursing Audits in the Hospital Setting

Introducción: La auditoría de enfermería basada en estándares bien definidos, enfocados a la calidad asistencial de enfermería y la seguridad del paciente, permiten identificar desviaciones de manera eficaz. Objetivo: Proponer un grupo de estándares y elementos medibles que permitan conformar auditorías concurrentes de enfermería en el contexto hospitalario. Métodos: Se realizó una investigación de desarrollo tecnológico en el Hospital Hermanos Ameijeiras, desde enero de 2016 a enero de 2018. En el primer momento del estudio participaron 20 expertos, seleccionados a través de criterios. En el segundo momento, a través del muestreo intencional, se incorporaron dos licenciadas en enfermería del Grupo Médico Auditor. Como métodos teóricos se aplicaron: análisis-síntesis; inducción-deducción; enfoque de sistema y la modelación. Como empírico en el primer momento el método Delphi y en el segundo, la verificación en la práctica. Se aplicaron las consideraciones éticas para este tipo de estudio. Resultados: La propuesta quedó conformada por 17 estándares, agrupados en las 4 funciones generales de enfermería. Los estándares, a su vez, agruparon 166 elementos medibles, que permitieron revisar y evaluar el cumplimiento de los estándares. Conclusiones: Los estándares propuestos y elementos medibles, enfocados a la calidad asistencial de enfermería y la seguridad del paciente, permitirán conformar las auditorías concurrentes de enfermería en el contexto hospitalario(AU)

Introduction: Nursing audit based on well-defined standards, focused on the quality of nursing care and on patient safety, allows that deviations be identified effectively. Objective: To propose a group of standards and measurable elements that allow structuring concurrent nursing audits in the hospital setting. Methods: A technological development research was carried out at Hermanos Ameijeiras Hospital, from January 2016 to January 2018. In the first moment of the study, 20 experts participated, selected through criteria. In the second moment, through intentional sampling, two Nursing graduates were incorporated from the Audit Medical Group. The theoretical methods applied were analysis-synthesis, induction-deduction, system approach, and modeling. The empirical method applied in the first moment was the Delphi method and, in the second moment, verification in practice. Ethical considerations were applied for this type of study. Results: The proposal was made up of 17 standards, grouped into the four general functions of nursing. The standards, in turn, grouped 166 measurable elements, which made it possible to review and evaluate compliance with the standards. Conclusions: The proposed standards and measurable elements, focused on nursing care quality and patient safety, will make it possible to shape concurrent nursing audits in the hospital setting(AU)

Human-centered approaches that integrate sensor technology across the lifespan: Opportunities and challenges.

Children, parents, older adults, and caregivers routinely use sensor technology as a source of health information and health monitoring. The purpose of this paper is to describe three exemplars of research that used a human-centered approach to engage participants in the development, design, and usability of interventions that integrate technology to promote health. The exemplars are based on current research studies that integrate sensor technology into pediatric, adult, and older adult populations living with a chronic health condition. Lessons learned and considerations for future studies are discussed. Nurses have successfully implemented interventions that use technology to improve health and detect, prevent, and manage diseases in children, families, individuals and communities. Nurses are key stakeholders to inform clinically relevant health monitoring that can support timely and personalized intervention and recommendations.

Sensor technology for nursing research.

BACKGROUND: Electronic sensors measuring biological and behavioral aspects of health and the environment are becoming ubiquitous and, with advances in data science and ehealth technology, provide opportunities for new inquiry and innovative approaches to nursing research. PURPOSE: To conceptualize the use of sensor technology from the perspective of nursing science. METHODS: This review reports the keynote presentation from the Expanding Science of Sensor Technology in Nursing Research Conference presented by the Council for Advancement of Nursing Science in 2019 FINDINGS: Electronic sensors enable collection, recording, and transmission of data in real time in real life settings, remote monitoring, self-monitoring, and communication between health care professionals and patients. A deliberative approach to selecting and applying electronic sensors and analyzing and interpreting the data is needed for successful research. DISCUSSION: Electronic sensors have high potential to advance nursing science.

Multidimensional Pain Assessment Tools for Ambulatory and Inpatient Nursing Practice.

BACKGROUND: One of the critical components in pain management is the assessment of pain. Multidimensional measurement tools capture multiple aspects of a patient's pain experience but can be cumbersome to administer in busy clinical settings. AIM: We conducted a systematic review to identify brief multidimensional pain assessment tools that nurses can use in both ambulatory and acute care settings. METHODS: We searched PUBMED/MEDLINE, PsychInfo, and CINAHL databases from January 1977 through December 2019. Eligible English-language articles were systematically screened and data were extracted independently by two raters. Main outcomes included the number and types of domains captured by each instrument (e.g., sensory, impact on function, temporal components) and tool characteristics (e.g., administration time, validity) that may affect instrument uptake in practice. RESULTS: Our search identified eight multidimensional assessment tools, all of which measured sensory or affective qualities of pain and its impact on functioning. Most tools measured impact of pain on affective functioning, mood, or enjoyment of life. One tool used ecological momentary assessment via a web-based app to assess pain symptoms. Time to administer the varying tools ranged from less than 2 minutes to 10 minutes, and evidence of validity was reported for seven of the eight tools. CONCLUSIONS: Our review identified eight multidimensional pain measurement tools that nurses can use in ambulatory or acute care settings to capture patients' experience of pain. The most important element in selecting a multidimensional pain measure, though, is that one tool is selected that best fits the practice and is used consistently over time.

Reflections on equity and its applicability to the nursing work process.

OBJECTIVES: to reflect on the principle of equity from the perspective of social justice and its applicability in the dimensions of the nursing work process. METHODS: theoretical essay on the challenges for the practice with equity in the dimensions of the Nursing work process: teaching, care, research, political participation and administration. RESULTS: the principle of equity should: in education be transversal in the training of future professionals; in assistance to occur without privilege or discrimination, treating the unequal unequally and the equals equally; in research be the target in the creation of new knowledge; in political participation to count on the contribution of social movements; and in the administration to count on the creation of specific executable policies. FINAL CONSIDERATIONS: there are still inequalities in access to services by part of the Brazilian population. Nursing should promote in its work process the implementation of equity promotion policies with a view to social justice.

Nursing work in assisted human reproduction: between technology and humanization.

OBJECTIVES: To analyze the social representations of nurses who work with assisted human reproduction about the operation with reproductive biotechnologies. METHODS: Qualitative approach, supported by the Theory of Social Representations, with sixteen participants. Individual, semi-structured interviews, analyzed through the Alceste software. RESULTS: Pragmatic elements related to nurses' performance from a professional, institutional, and public policy perspective in reproductive biotechnologies emerged, demonstrating the practical dimension of these representations. The characteristics of the professional to act in this area were addressed, showing the lack of information and search for scientificity; precarious perception of the organizational structure of health services; and attributions of nursing care arising from the health care practice in assisted human reproduction. FINAL CONSIDERATIONS: Social representation is anchored in the link between technology/medicalization and humanization/reception regarding reproductive biotechnologies. Working in assisted human reproduction involves a new and challenging nursing care, requiring specific and ethical knowledge.

Introducing an oral care assessment tool with advanced cleaning products into a high-risk clinical setting.

Poor oral hygiene is an important risk factor for the development of non-ventilator hospital-associated pneumonia (NV-HAP), which imposes a significant burden on the NHS. This study aimed to establish whether the use of a 24-hour oral care kit and an oral care assessment tool can meet the needs of patients on an acute stroke unit. In comparison with the same period the preceding year, the introduction of the oral care kit and assessment tool improved compliance with oral care by more than 4 times; the overall costs of antibiotics to treat NV-HAP patients fell by 79%, with the number of doses falling by 70%, and the mortality rate decreased from 27% to 20%. According to a survey of multidisciplinary team (MDT) members keeping oral care tools available at the point of use saved time, and the oral health of patients on the unit improved after the introduction of the oral care kit and assessment tool. Almost all MDT members would recommend the use of the kit over previous interventions.

Práticas de enfermeiros na gestão do cuidado na atenção básica / Prácticas de gestión del cuidado en la atención primaria / Healthcare Management Practices in Primary Care

Introdução: Os enfermeiros em sua prática na atenção básica têm o desafio de desenvolver a gestão do cuidado, abarcando os diferentes segmentos que estruturam o contexto da saúde. Objetivo: Descrever as práticas de gestão do cuidado de enfermeiros na atenção básica. Métodos: Abordagem qualitativa do tipo descritiva e exploratória. Os participantes foram 13 enfermeiros de unidades básicas de saúde em cinco municípios da região noroeste do Rio Grande do Sul, Brasil. Os dados foram coletados por meio de entrevistas e analisados a partir de análise temática. Resultados: Foram identificadas quatro categorias: Planejamento; Organização; Gestão de pessoas; e Avaliação. Conclusão: As práticas de gestão do cuidado desenvolvidas pelos enfermeiros contribuem para a organização do ambiente de trabalho e qualidade assistencial na atenção básica(AU)

Introducción: Los enfermeros en su práctica en atención primaria tienen el desafío de desarrollar la gestión de la atención, abarcando los diferentes segmentos que estructuran el contexto de salud. Objetivo: Describir las prácticas de gestión del cuidado en la atención primaria. Métodos: Estudio cualitativo, descriptivo y exploratorio. Participaron 13 enfermeras de unidades de salud básicas en cinco municipios en la región noroeste de Rio Grande do Sul, Brasil. Los datos fueron recolectados a través de entrevistas y analizados en base al análisis temático. Resultados: Se identificaron cuatro categorías: planificación; organización; gestión de personas; y evaluación. Conclusión: Las prácticas de gestión desarrolladas por las enfermeras contribuyen a la organización del ambiente de trabajo y la calidad de la atención en la atención básica(AU)

Introduction: Nurses, in their practice in primary care, have the challenge of developing care management, covering the different segments that structure the health setting. Objective: To describe the care management practices in primary care. Methods: Qualitative, descriptive and exploratory study. 13 nurses from basic health units in five municipalities in the northwest region of Rio Grande do Sul, Brazil, participated. Data were collected through interviews and thematically analyzed. Results: Four categories were identified: planning, organization, people management, and evaluation. Conclusion: The management practices developed by nurses contribute to the organization of the work environment and the quality of care in basic care(AU)