How to Perform Prehospital Emergency Telephone Triage: A Systematic Review.

Prehospital emergency telephone triages are mechanisms to verify the appropriate need for care in an emergency call by telephone. Considering the high rates of trauma and clinical cases that need prehospital care, the importance of knowing how the services that send rescue teams can guarantee improved care is highlighted. The objective of this study was to characterize the services that support effective telephone triage. Literature review was conducted in 6 phases to answer the following question: How can prehospital emergency telephone triage be performed? To search for primary studies, we used specific search strategies in the databases: LILaCs, PubMed, CINAHL, LISA, ISTA, and SCOPUS. The sample consisted of 23 studies whose information was extracted using a validated tool. Among the selected studies, 2 come from CINAHL, 2 from LISA, 4 from PubMed, 1 from ISTA, and 14 from SCOPUS, which were published between 2006 and 2016 in 17 different journals with varying types of scopes and originated from 13 countries on 3 distinct continents. The articles were nonexperimental and indicated the broad use of software constructed to support the telephone triage. The prehospital emergency telephone triages are frequently performed to identify the event, deduct the need for support, and prioritize those calls that require a rescue team. They should take place with the support of institutional protocols and technological support to guarantee dynamic data and constant training of the ambulance dispatchers.

Challenges for nursing education in Angola: the perception of nurse leaders affiliated with professional education institutions.

BACKGROUND: Angola is one of the African countries with the highest morbidity and mortality rates and a devastating lack of human resources for health, including nursing. The World Health Organization stimulates and takes technical cooperation initiatives for human resource education and training in health and education, with a view to the development of countries in the region. The aim in this study was to identify how nurses affiliated with nursing education institutions perceive the challenges nursing education is facing in Angola. METHODS: After consulting the National Directory of Human Resources in Angola, the nurse leaders affiliated with professional nursing education institutions in Angola were invited to participate in the study by email. Data were collected in February 2009 through the focus group technique. The group of participants was focused on the central question: what are the challenges faced for nursing education in your country? To register and understand the information, besides the use of a recorder, the reporters elaborated an interpretative report. Data were coded using content analysis. RESULTS: Fourteen nurses participated in the meeting, most of whom were affiliated with technical nursing education institutions. It was verified that the nurse leaders at technical and higher nursing education institutions in Angola face many challenges, mainly related to the lack of infrastructure, absence of trained human resources,bureaucratic problems to regularize the schools and lack of material resources. On the opposite, the solutions they present are predominantly centered on the valuation of nursing professionals, which implies cultural and attitude changes. CONCLUSIONS: Public health education policies need to be established in Angola, including action guidelines that permit effective nursing activities. Professional education institutions need further regularizations and nurses need to be acknowledged as key elements for the qualitative enhancement of health services in the country.

Production and validation of an educational video on the use of the Z-Track Technique.

OBJECTIVE: to create and validate an educational video on intramuscular drug administration using the Z-track technique. METHODS: the Delphi Technique was used to validate the script. PhDs in Nursing and PhDs in Social Communication with experience in the production of educational videos participated in the process. After editing, the video was validated by three nursing professors and assessed by students of the undergraduate nursing program at a public university. RESULTS: the video was validated by the examiners with 100% agreement in three rounds for script validation and in two for video validation after editing. The duration of the video was 9 minutes. CONCLUSION: after validation by the examiners, students assessed the video and considered it suitable for learning. We This video is expected to aid in the training of nursing professionals and the enhancement of patient care.

[Metabolic syndrome components in arterial hypertension]. / Componentes da síndrome metabólica na hipertensão arterial.

The objectives of this study were to identify and compare the prevalence of metabolic syndrome among hypertensive individuals and people with normal blood pressure measurements. The metabolic syndrome definition used in this study is that of the National Cholesterol Education Program/Adult Treatment Panel (NCEP-ATP III). The data referring to the clinical and biochemical profiles were processed using the SPSS software to obtain absolute frequencies and percentages. The Student's t-test was used to compare the means, with values of p<0.05 considered statistically significant. The sample was comprised of 93 participants with normal blood pressure levels and 168 participants with hypertension. It was found that 60.7% of the individuals with hypertension had metabolic syndrome, versus 18.3% of those with normal blood pressure levels. Individuals with hypertension showed a significant difference in blood pressure levels (p<0.001), abdominal circumference (p<0.001), blood glucose (p<0.05) and plasma triglycerides (p<0.05). The frequency of cardiometabolic risks associated with metabolic syndrome is greater when hypertension is present.

Mapping of advanced practice nursing actions in the Family Health Strategy.

OBJECTIVES: to map advanced practice nursing actions implemented in the Family Health Strategy context. METHODS: cross-sectional exploratory study carried out with Family Health Strategy nurses. Data obtained in the mapping were compared to the characteristics that define advanced practice nurses and are adopted internationally by using a checklist based on the International Council of Nurses Guidelines. RESULTS: the mapping allowed to identify advanced practice nursing actions, such as advanced assessment, judgement, decision-making, and diagnostic reasoning skills and authority to diagnose and prescribe medications, diagnostic testing, and therapeutic treatments. However, evidence found in the educational preparation domain indicated evident fragility, expressed as the low percentage of nurses credentialed with a professional master's degree. CONCLUSIONS: the present study showed that nurses in the Family Health Strategy carry out advanced practice nursing actions without the professional master's degree recommended for credentialing, with pertinent legislation, which requires initiatives to be taken by nursing leaders to overcome this deficiency.

Reuse of hospital bedpans.

OBJECTIVES: to evaluate the results of two methods of hospital bedpan reprocessing. METHODS: cross-sectional study. Hospital bedpans containing a biological material contamination simulator or organic matter were submitted to manual cleaning followed by disinfection with 70% alcohol solution or thermodisinfection. Permanence of simulated contamination was evaluated by using the fluorescence technique and presence of organic matter was verified by carrying out the protein detection test. RESULTS: the contamination simulator was found in bedpans submitted to both processes. The seat was dirtier after manual cleaning (p=0.044) in comparison with the result obtained with thermodisinfection. Automatized decontamination led to worse results when compared to the manual procedure for the scoop and external bottom (p=0.000). The protein detection test was positive in two items after thermodisinfection. CONCLUSIONS: manual cleaning followed by rubbing with 70% alcohol solution proved more effective than automatized cleaning in the reprocessing of hospital bedpans. There are relevant issues regarding reuse of hospital bedpans.

Development, implementation, and assessment of a distance module in endocrine physiology.

This study aimed to develop, implement, and assess a distance module in endocrine physiology in TelEduc for undergraduate nursing students from a public university in Brazil, with a sample size of 44 students. Stage 1 consisted of the development of the module, through the process of creating a distance course by means of the Web. Stage 2 was the planning of the module's practical functioning, and stage 3 was the planning of student evaluations. In the experts' assessment, the module complied with pedagogical and technical requirements most of the time. In the practical functioning stage, 10 h were dedicated for on-site activities and 10 h for distance activities. Most students (93.2%) were women between 19 and 23 yr of age (75%). The internet was the most used means to remain updated for 23 students (59.0%), and 30 students (68.2%) accessed it from the teaching institution. A personal computer was used by 23 students (56.1%), and most of them (58.1%) learned to use it alone. Access to a forum was more dispersed (variation coefficient: 86.80%) than access to chat (variation coefficient: 65.14%). Average participation was 30 students in forums and 22 students in the chat. Students' final grades in the module averaged 8.5 (SD: 1.2). TelEduc was shown to be efficient in supporting the teaching-learning process of endocrine physiology.

Peripheral Venipuncture Education Strategies for Nursing Students: An Integrative Literature Review.

This integrative literature review identified strategies to teach peripheral venipuncture to nursing students. The following databases were searched for primary studies: Biblioteca Virtual em Saúde (BVS), PubMed, Web of Science, Education Resources Information Center (ERIC), SCOPUS, and Cumulative Index to Nursing and Allied Health Literature (CINAHL). The final sample was composed of 24 studies. The literature ranged from descriptive studies to controlled clinical trials and methodologic studies to construct products/instruments for teaching peripheral venipuncture. The most frequently identified teaching strategies were theoretical contents taught via theoretical lecture, e-learning courses, video lessons, and demonstration by specialists combined with practical exercises using a mannequin, human arms, and/or haptic devices. Despite the different methods used currently, the best patient outcomes were achieved when the student received the theoretical content in an educational setting before the practical training on a mannequin and/or a virtual simulator.

Real and illusory perceptions of patients in induced coma.

OBJECTIVE: To identify, in the scientific literature, real and illusory perceptions of adult patients in induced coma. METHODS: This is an integrative review of 15 primary studies from the Medline, Web of Science, LILACS, CINAHL and SCOPUS databases. RESULTS: The main memories reported after induced coma were thirst, cold, and pain. In some studies, patients reported they were unable to tell whether they were awake or dreaming, whether it was real or unreal. Satisfactory memories were reported by patients related to the care received and the use of bedside journals. CONCLUSION: Evidence showed a number of studies aiming to identify delirium, but without a focus on analyzing real or illusory perceptions of patients after induced coma. Thus, this integrative review identified scientific evidence of memories related to perceptions of sedated patients in the intensive care unit.

Administração de medicamentos por via intramuscular: caracterização dos vídeos brasileiros veiculados no YouTube® / Intramuscular drug administration: characterization of Brazilian videos on YouTube®

RESUMO Objetivo caracterizar os vídeos que contém a demonstração do procedimento de administração de medicamentos por via intramuscular em indivíduos adultos. Métodos estudo de corte transversal descritivo, foram selecionados 44 vídeos brasileiros disponíveis no YouTube® que abordavam o procedimento de administração de medicamentos por via intramuscular. Resultados a maioria dos vídeos selecionados é de origem pessoal (86,4%), tem como autor um técnico de Enfermagem (59,1%), adota a região dorsoglútea como local de injeção (54,5%), foi produzido em ambiente de saúde utilizando um paciente para a demonstração do procedimento (52,3%). Nenhum vídeo apresentou a completude do procedimento, sendo identificada grande frequência de erros em todas as etapas do procedimento. Observou-se uma diferença estatisticamente significante entre os testes de confiabilidade e popularidade dos vídeos (p=0,042). Conclusão os vídeos que abordam o procedimento de administração de medicamentos por via intramuscular disponíveis na plataforma YouTube® foram considerados atuais, de pouca relevância, elaborados por fontes não confiáveis, de baixa acurácia e frágil finalidade. Contribuições para a prática os vídeos disponíveis na plataforma YouTube® sobre a administração de medicamentos por via intramuscular não devem ser indicados como material educativo para a formação ou atualização profissional.

ABSTRACT Objective to characterize videos that contain a demonstration of the procedure for administering drugs intramuscularly to adults. Methods a descriptive cross-sectional study, 44 Brazilian videos available on YouTube® were selected which addressed the procedure of intramuscular drug administration. Results the majority of the videos selected are of personal origin (86.4%), were made by a Nursing technician (59.1%), used the dorsal gluteal region as the injection spot (54.5%), and were produced in a healthcare environment using a patient to demonstrate the procedure (52.3%). No video showed the completeness of the procedure, and a high frequency of errors was identified at all stages of the procedure. There was a statistically significant difference between the reliability and popularity tests of the videos (p=0.042). Conclusion the videos on intramuscular drug administration available on the YouTube® platform were considered to be up-to-date, of little relevance, produced by unreliable sources, of low accuracy, and with a weak purpose. Contributions to practice the videos available on the YouTube® platform on intramuscular drug administration should not be used as educational material for professional training or updating.

Production and validation of an educational video on the use of the Z-Track Technique / Preparación y validación de un vídeo educativo sobre el uso de la Técnica Z / Elaboração e validação de vídeo educativo sobre a utilização da Técnica em Z

ABSTRACT Objective: to create and validate an educational video on intramuscular drug administration using the Z-track technique. Methods: the Delphi Technique was used to validate the script. PhDs in Nursing and PhDs in Social Communication with experience in the production of educational videos participated in the process. After editing, the video was validated by three nursing professors and assessed by students of the undergraduate nursing program at a public university. Results: the video was validated by the examiners with 100% agreement in three rounds for script validation and in two for video validation after editing. The duration of the video was 9 minutes. Conclusion: after validation by the examiners, students assessed the video and considered it suitable for learning. We This video is expected to aid in the training of nursing professionals and the enhancement of patient care.

RESUMEN Objetivo: construir y validar un vídeo educativo sobre la administración intramuscular de fármacos, utilizando la Técnica Z. Métodos: se utilizó la técnica Delphi para validar el guion. Participaron en el proceso dos doctores en enfermería y dos doctores en comunicación social con experiencia en la producción de vídeos educativos. Tras su edición, el vídeo fue validado por tres docentes de enfermería y evaluado por estudiantes del curso de licenciatura en enfermería de una universidad pública. Resultados: el vídeo fue validado por los expertos con un 100% de acuerdo en tres rondas para la validación del guion y dos para la validación del vídeo después de la edición. La duración del vídeo fue de 9 minutos. Conclusión: tras la validación por parte de los expertos, los estudiantes evaluaron el vídeo y lo consideraron adecuado para el aprendizaje. Se espera que este vídeo pueda contribuir a la formación de los profesionales de enfermería y mejorar la asistencia a los pacientes.

RESUMO Objetivo: construir e validar um vídeo educativo sobre a administração de medicamentos por via intramuscular, com utilização da Técnica em Z. Métodos: utilizou-se a Técnica Delphi para a validação do roteiro. Participaram do processo doutores em enfermagem e doutores em comunicação social com experiência na produção de vídeos educativos. Após a edição, o vídeo foi validado por três docentes de enfermagem e avaliado por estudantes do Curso de Graduação em Enfermagem de uma universidade pública. Resultados: o vídeo foi validado pelos juízes com 100% de concordância ocorrida em três rodadas para validação do roteiro e duas para validação do vídeo após a edição. A duração do vídeo foi de 9 minutos. Conclusão: Após a validação pelos juízes, estudantes avaliaram o vídeo e o consideraram adequado para o aprendizado. Espera-se que esse vídeo possa contribuir para a formação do profissional de enfermagem e melhoria da assistência ao paciente.

Volume residual de frascos-ampola e subdosagens de medicamentos preparados pela equipe de enfermagem / Residual volume of ampoule-vials and underdosing of medications prepared by a nursing staff / Volumen residual de frascos ampolla y subdosificación de medicamentos preparados por el equipo de enfermería

RESUMO Objetivo: Identificar o volume residual em frascos-ampola, após o preparo de injetáveis, associando os erros relacionados a subdoses com as classes dos medicamentos. Método: Estudo descritivo, de abordagem quantitativa. Os dados foram coletados no período de dezembro de 2020 a setembro de 2021, em um serviço ambulatorial privado de um município brasileiro localizado a nordeste do Estado de São Paulo. Foram analisados 562 frascos-ampola de medicamentos preparados pela equipe de enfermagem. Utilizou-se formulário contendo o nome comercial do medicamento, classe/indicação terapêutica, data e horário de reconstituição, volume utilizado para reconstituição do medicamento e volume residual de cada frasco. Os dados foram tabulados e analisados por estatística descritiva e teste ANOVA. Resultados: 462 (82,2%) frascos-ampola continham volume residual que variou de 0,1 ml a 1,5 ml e 165 (29,4%) continham 0,2 ml de solução residual, com perda média de 4,5% da solução. Não houve diferença na perda de solução entre as diferentes classes de medicamentos. Conclusão: Os achados destacam a necessidade de intervenções para a redução de falhas, nas fases de preparo dos medicamentos, com ênfase nos erros associados às subdosagens terapêuticas.

ABSTRACT Objective: Identify the residual volume in ampoule-vials after the preparation of injectables, associating the errors related to underdosing with the classes of drugs. Method: This is a descriptive study with a quantitative approach. Data were collected between December 2020 and September 2021, in a private outpatient service located in a Brazilian municipality in the northeast of the state of São Paulo. A total of 562 ampoule-vials of medications prepared by a nursing staff were analyzed. A form was used containing the commercial name of the medication, therapeutic class/indication, reconstitution date and time, volume used to reconstitute the medication and residual volume of each vial. The data were tabulated and analyzed using descriptive statistics and the ANOVA test. Results: the residual volume of 462 (82.2%) ampoule-vials varied between 0.1 ml and 1.5 ml, whereas 165 (29.4%) ampoule-vials had 0.2 ml of residual volume, with a mean loss of 4.5% of the solution. There was no difference in the loss of solution between the different classes of drugs. Conclusion: The findings highlight the need for interventions to reduce failures in the medication preparation phases, with emphasis on errors associated with therapeutic underdosing.

RESUMEN Objetivo: Identificar volúmenes residuales en frascos ampolla luego de prepararse inyectables, asociando los errores relacionados a subdosificaciones con las clases de los medicamentos. Método: Estudio descriptivo, de abordaje cuantitativo. Datos recolectados entre diciembre de 2020 y setiembre de 2021 en servicio ambulatorio privado de un municipio brasileño del noreste del Estado de São Paulo. Fueron analizados 562 frascos ampolla de medicamentos preparados por el equipo de enfermería. Se utilizó formulario, consignando nombre comercial del medicamento, clase/indicación terapéutica, fecha y hora de reconstitución, volumen utilizado para reconstituir el medicamento y volumen residual de cada frasco. Los datos fueron tabulados y analizados por estadística descriptiva y test ANOVA. Resultados: 462 (82,2%) frascos ampolla contenían volumen residual de entre 0,1 ml y 1,5 ml, y 165 (29,4%) contenían 0,2 ml de solución residual, con una pérdida media del 4,5% de solución. No se observó diferencia de pérdida de solución entre las diferentes clases de medicamentos. Conclusión: Los hallazgos destacan la necesidad de intervenciones para reducir fallos en las fases de preparación de medicamentos, haciendo énfasis en los errores asociados con subdosificaciones terapéuticas.

Characterization of Oral Microbiota in Removable Dental Prosthesis Users: Influence of Arterial Hypertension.

INTRODUCTION: Studies have described the possible relation between oral infections and atherosclerotic events. OBJECTIVE: To characterize the oral microbiota of normotensive and hypertensive users of dental prostheses. METHODS: The sample consisted of 41 complete dental prosthesis users, divided into groups: 21 participants with systemic arterial hypertension and 20 normotensive participants. The data collection included the characteristics of the sociodemographic variables and the determination of the microbial load in the saliva. For the descriptive analyses, Statistical Package for the Social Sciences was used. The description of the proportional differences between the groups was based on the application of Mann-Whitney's statistical test. Statistical significance was set at 5% (p < 0.05). RESULTS: The analysis of the oral microbiota showed the vast growth of aerobic microorganisms in all samples from both groups. The microbial load of streptococci and staphylococci was significantly higher among hypertensive participants. Candida yeasts were detected in the saliva culture of most samples. The hypertensive participants rank in the category of very high colonization index/high risk of infection related to this microorganism. CONCLUSIONS: The mouth of dental prosthesis users, especially when hypertensive, can constitute an important reservoir of pathogens, indicating an established inflammatory or infectious condition or risk for developing this condition.

Utilização da Técnica em Z na administração de medicamentos por via intramuscular: revisão integrativa / Use of the Z-Technique in intramuscular drug administration: integrative review / Uso de la Técnica Z en la administración intramuscular de fármacos: revisión integradora

Objetivo: analisar as evidências disponíveis na literatura sobre a utilização da Técnica em Z na administração de medicamentos por via intramuscular. Método: revisão integrativa realizada entre os meses de julho e dezembro de 2021 por meio da busca de publicações em periódicos indexados no Pubmed, Cinahl, Lilacs, Web of Science, Scielo e Cochrane, seguindo as etapas das diretrizes PRISMA. Os critérios de elegibilidade foram: artigos publicados em periódicos que abordassem o uso da Técnica em Z na administração de medicamentos por via intramuscular; encontrados nos idiomas português, inglês e espanhol; sem apresentação de delimitação de tempo de publicação. Resultados: foram incluídos 11 artigos (10 das bases de dados e um extraído das referências dos estudos selecionados), analisados em duas categorias: dor/reações locais da injeção e realização da Técnica em Z na prática profissional. A utilização da Técnica em Z mostrou redução da dor e das reações locais quando comparada ao procedimento sem o emprego da Técnica. A maioria dos profissionais de enfermagem relatou não conhecer ou nunca ter empregado a Técnica em Z. Conclusão: Os resultados podem alertar para a necessidade de ampliar a investigação deste tema, visando incentivar o conhecimento e a prática assistencial na administração de medicamentos por via intramuscular.(AU)

Objective: to analyze the evidence available in the literature on the use of the Z-Technique in intramuscular drug administration. Method: integrative review conducted between July and December 2021 by searching for publications in journals indexed in Pubmed, Cinahl, Lilacs, Web of Science, Scielo and Cochrane, following the steps of the PRISMA guidelines. The eligibility criteria were: articles published in journals that addressed the use of Z-Technique in intramuscular drug administration; found in Portuguese, English, and Spanish; without presenting publication time delimitation. Results: 11 articles were included (10 from the databases and one extracted from the references of the selected studies), analyzed in two categories: pain/local reactions to the injection and performance of the Z-Technique in professional practice. The use of the Z-Technique showed reduction of pain and local reactions when compared to the procedure without the use of the technique. Most nursing professionals reported not knowing or never having used the ZTechnique. Conclusion: The results may point to the need to expand the investigation of this topic, aiming to encourage knowledge and care practice in intramuscular medication administration.(AU)

Objetivo: analizar la evidencia disponible en la literatura sobre el uso de la Técnica Z en la administración intramuscular de medicamentos. Método: revisión integradora realizada entre julio y diciembre de 2021 mediante la búsqueda de publicaciones en revistas indexadas en Pubmed, Cinahl, Lilacs, Web of Science, Scielo y Cochrane, siguiendo los pasos de las directrices PRISMA. Los criterios de elegibilidad fueron: artículos publicados en revistas que abordaran el uso de la Técnica Z en la administración intramuscular de fármacos; encontrados en los idiomas portugués, inglés y español; sin delimitación del tiempo de publicación. Resultados: Se incluyeron 11 artículos (10 de las bases de datos y uno extraído de las referencias de los estudios seleccionados), analizados en dos categorías: dolor/reacciones locales a la inyección y realización de la Técnica Z en la práctica profesional. El uso de la técnica Z mostró una reducción del dolor y de las reacciones locales en comparación con el procedimiento sin el uso de la técnica. La mayoría de los profesionales de la enfermería afirmaron no conocer o no haber utilizado nunca la Técnica Z. Conclusión: Los resultados pueden alertar sobre la necesidad de ampliar la investigación de este tema, con el objetivo de fomentar el conocimiento y la práctica asistencial en la administración de la medicación intramuscular.(AU)

Saúde digital e enfermagem: ferramenta de comunicação na Estratégia Saúde da Família / Salud digital y enfermería: herramienta de comunicación en la Estrategia Salud de la Familia / Digital health and nursing: communication tool in the Family Health Strategy

Resumo Objetivo Avaliar o conhecimento de profissionais acerca do aplicativo DigiSUS e verificar a necessidade de desenvolvimento de software para comunicação entre profissionais de enfermagem e usuários da Estratégia Saúde da Família. Métodos Estudo descritivo, transversal com abordagem quantitativa. A investigação foi conduzida nos meses de abril e maio de 2020 em uma cidade com uma cobertura de 100% da Atenção Básica. Foram convidados todos os enfermeiros cadastrados (140) e atuantes na ESF do município. Resultados Foram analisadas as respostas de 39 enfermeiros, com idade entre 29 e 50 anos, maioria mulher, com atuação há mais de 10 anos na Estratégia Saúde da Família do município norte-mineiro. A maior parte dos enfermeiros informou conhecer as tecnologias disponibilizadas pelo Ministério da Saúde, porém 25 (64,1%) não conhecem o aplicativo do DigiSUS. Conclusão Esta pesquisa demonstra a necessidade e expectativa dos enfermeiros de terem acesso a um protótipo de aplicativo que facilite a comunicação com os usuários da Estratégia Saúde da Família do Sistema Único de Saúde.

Resumen Objetivo Evaluar el conocimiento de profesionales sobre la aplicación DigiSUS y verificar la necesidad de desarrollar un software para la comunicación entre profesionales de enfermería y usuarios de la Estrategia Salud de la Familia. Métodos Estudio descriptivo, transversal, con enfoque cuantitativo. La investigación fue llevada a cabo en los meses de abril y mayo de 2020 en una ciudad con una cobertura del 100 % de la Atención Básica. Se invitó a todos los enfermeros registrados (140) y que trabajan en la ESF del municipio. Resultados Se analizaron las respuestas de 39 enfermeros, entre 29 y 50 años, mayoría de mujeres, que trabajan hace más de 10 años en la Estrategia Salud de la Familia de un municipio del norte del estado de Minas Gerais. La mayor parte de los enfermeros informó que conocía las tecnologías que el Ministerio de Salud pone a disposición, pero 25 (64,1 %) no conocen la aplicación DigiSUS. Conclusión Este estudio demuestra la necesidad y expectativa de los enfermeros de tener acceso a un prototipo de aplicación que facilite la comunicación con los usuarios de la Estrategia Salud de la Familia del Sistema Único de Salud.

Abstract Objective Evaluate the knowledge of professionals about the DigiSUS application and verify the need for software development for communication between nursing professionals and users of the Family Health Strategy (FHS). Methods Descriptive, cross-sectional study with quantitative approach. The research was undertaken in April and May 2020 in a city with 100% Primary Care coverage. All registered nurses (140) who were working in the city's FHS were invited. Results We analyzed the answers of 39 nurses, aged between 29 and 50 years, mostly women, who had been working for more than 10 years in the Family Health Strategy of the city in the North of Minas Gerais. Most nurses reported knowing the technologies provided by the Health Department, but 25 (64.1%) do not know the DigiSUS application. Conclusion This research demonstrates the nurses' need and expectation to have access to a prototype application that facilitates communication with users of the Family Health Strategy in the Unified Health System.

Empoderando enfermeiros em Angola: as transformações resultantes da educação de heróis pioneiros / Empowering nurses in Angola: the transformative outcome of training pioneer heroes / Empoderando enfermeros en Angola: cambios resultantes de la educación de héroes pioneros

Objetivo: revisitar a história de cooperação de dois países de língua portuguesa, que resultou na formação dos primeiros enfermeiros de Angola; Caracterizar os alunos angolanos que participaram do acordo de cooperação ; Identificar suas perspectivas e sentimentos ao final do programa, as influências da educação recebida, motivações para continuarem estudando e satisfação no trabalho. Método: estudo exploratório conduzido com alunos angolanos que graduados em Escola de Enfermagem pública do Brasil. Os dados foram coletados por meio de questionário desenvolvido pelos pesquisadores, culturalmente validado com dois especialistas enfermeiros de Angola. Resultados: os esforços, desafios e realizações de heróis de ambos os lados do Atlântico são reconhecidos e se refletem na realidade social do país africano. Conclusão: acordos de cooperação são recomendados como um caminho para a sustentabilidade das políticas de saúde a partir de uma perspectiva global

Objective: to revisit the history of cooperation of two Portuguese Speaking countries, which resulted in the graduation of the first Nurses in Angola; to characterize the Angolan students who participated in the cooperation agreement; to identify their perspectives regarding their feelings at the end of the undergraduate program, the influences of the education received, their motivation to continue studying and their work satisfaction. Methods: exploratory study conducted with Angolan students who graduated at a public Nursing School in Brazil. Data were collected through a questionnaire developed by the researchers, and culturally validated by two Angolan nurses experts. Results: efforts, challenges and achievements of heroes from both sides of the Atlantic are recognized and reflected in the social reality of the African country. Conclusion: cooperation agreements are recommended as a path for the sustainability of the health policies at a global perspective

Objetivo: revisitar la história de cooperación de dos países de lengua portuguesa, que ha resultado en la formación de los primeiros enfermeros de Angola; Caracterizar los alumnos angolanos que participaron del acuerdo de cooperación ; Identificar sus perspectivas y sentimientos al final del programa, las influencias de la educación recibida, motivaciones para continuar estudiando y satisfacción en el trabajo. Métodos: estudio exploratório conducido con alumnos angolanos que se graduaron en una Escuela de Enfermería pública de Brasil. Los datos fueron recoleccionados por medio de cuestionário desarrollado por los investigadores y culturalmente validado con dos especialistas enfermeros de Angola. Resultados: esfuerzos, retos y realizaciones de héroes de ambos los lados del Atlántico son reconocidos reflejados en la realidad social del país africano. Conclusión: acuerdos de cooperación son recomendados como un camino para la sostenibilidad de las políticas de salud a partir de una perspectiva global

Leadership and cooperation: 25 years of mission as a WHO collaborating center. / Liderança e cooperação: 25 anos de missão como centro colaborador da OMS.

OBJECTIVE:: analyse the evolution in the mission and vision of a World Health Organization Collaborating Centre in Nursing in Brazil in the context of the implementation of its terms of reference. METHOD:: Historical-social documentary research with a qualitative approach. RESULTS:: During the 25 years of its activities as a Collaborating Centre, its mission to "promote and stimulate the development of nursing research in the region, with a focus on Latin America" triggered activities in the context of its terms of reference in four areas: Human Resource Formation for Research, Knowledge Production, Knowledge Dissemination, Encouragement of Exchange and Stimulus of Partnerships. CONCLUSION:: The activities developed were consolidated through the strengthening of Brazilian and international partnerships, further stimulated by the five redesignations of the Collaborating Centre in the period analysed. Thus, its vision of becoming leader and driving agent of innovations in the academic, care and political context of nursing could be put in practice.

Use of noninvasive procedures in the cardiovascular risk assessment of hypertensive and normotensive individuals.

BACKGROUND: Arterial hypertension is associated with a high prevalence of vascular alterations. The use of noninvasive procedures to assess peripheral arterial diseases in the ranking of cardiovascular risks has been increasingly valued in clinical practice and should be adopted in nursing. OBJECTIVE: To identify the cardiovascular risk of hypertensive and normotensive individuals through the use of different noninvasive procedures to assess the vascular function and integrity: ankle-brachial index, pulse pressure, and delta brachial-brachial and delta ankle-brachial indexes. METHODS: Quantitative, descriptive, and cross-sectional study undertaken at a health service in a Brazilian city. The research variables were age, sex, blood pressure, abdominal circumference, body mass index, ankle-brachial index, pulse pressure, and delta brachial-brachial and delta ankle-brachial indexes. RESULTS: Fifty-four (43.1%) normotensive and 69 (56.9%) hypertensive individuals participated in the study. Alterations were identified in ankle-brachial index, corresponding to mild and moderate arterial obstruction, among hypertensive individuals only (7.2%), with higher pulse pressure indices (P < 0.0001). The assessment of the correlation between the ankle-brachial index and pulse pressure showed no correlation in the normotensive group and a statistically significant correlation among hypertensive patients (Pearson's coefficient = -0.45, P < 0.0001, r(2) = 0.21). A statistically significant difference (P < 0.05) was found in the analysis of the mean delta brachial-brachial (6.2 ± 0.71 mm Hg for normotensive and 10.16 ± 1.45 mm Hg for hypertensive individuals) and delta ankle-brachial index (0.06 ± 0.01 for normotensive and 0.11 ± 0.01 for hypertensive individuals). CONCLUSIONS: The use of the proposed cardiovascular risk predictors shows more frequent alterations among hypertensive than normotensive individuals.

Education, leadership and partnerships: nursing potential for Universal Health Coverage.

OBJECTIVE: to discuss possibilities of nursing contribution for universal health coverage. METHOD: a qualitative study, performed by means of document analysis of the World Health Organization publications highlighting Nursing and Midwifery within universal health coverage. RESULTS: documents published by nursing and midwifery leaders point to the need for coordinated and integrated actions in education, leadership and partnership development. FINAL CONSIDERATIONS: this article represents a call for nurses, in order to foster reflection and understanding of the relevance of their work on the consolidation of the principles of universal health coverage.

Mapping of advanced practice nursing actions in the Family Health Strategy / Mapeo de acciones de Prácticas Avanzadas de Enfermería en Estrategia Salud de la Familia / Mapeamento de ações de práticas avançadas de enfermagem na Estratégia Saúde da Família

ABSTRACT Objectives: to map advanced practice nursing actions implemented in the Family Health Strategy context. Methods: cross-sectional exploratory study carried out with Family Health Strategy nurses. Data obtained in the mapping were compared to the characteristics that define advanced practice nurses and are adopted internationally by using a checklist based on the International Council of Nurses Guidelines. Results: the mapping allowed to identify advanced practice nursing actions, such as advanced assessment, judgement, decision-making, and diagnostic reasoning skills and authority to diagnose and prescribe medications, diagnostic testing, and therapeutic treatments. However, evidence found in the educational preparation domain indicated evident fragility, expressed as the low percentage of nurses credentialed with a professional master's degree. Conclusions: the present study showed that nurses in the Family Health Strategy carry out advanced practice nursing actions without the professional master's degree recommended for credentialing, with pertinent legislation, which requires initiatives to be taken by nursing leaders to overcome this deficiency.

RESUMEN Objetivos: mapear acciones de Prácticas Avanzadas de Enfermería implementadas en Estrategia Salud de la Familia. Métodos: estudio transversal, exploratorio, realizado con enfermeros actuantes en Estrategia Salud de la Familia. Los datos obtenidos fueron comparados con las características definitorias del Enfermero de Prácticas Avanzadas adoptadas internacionalmente, mediante checklist elaborado sobre referencia de directrices del International Council of Nurses. Resultados: el mapeo permitió identificar acciones de Prácticas Avanzadas de Enfermería como: habilidades avanzadas de evaluación, juicio, toma de decisiones, razonamiento diagnóstico, autoridad para diagnosticar, prescribir medicamentos, test, diagnósticos y tratamiento terapéutico. Sin embargo, las evidencias registradas en el dominio preparación educacional marcan clara debilidad, por la carencia notable de enfermeros con maestrías cursadas. Conclusiones: el estudio demuestra que los enfermeros del ámbito estudiado desarrollan acciones de práctica avanzada careciendo de cursado de maestría recomendado para acreditación, con legislación pertinente, demandándose iniciativas de los líderes del área para superar dicho desafío.

RESUMO Objetivos: mapear ações de Práticas Avançadas de Enfermagem implementadas no contexto da Estratégia Saúde da Família. Métodos: estudo transversal, exploratório, realizado com enfermeiros que trabalham na Estratégia Saúde da Família. Os dados obtidos no mapeamento foram comparados às características definidoras do Enfermeiro de Prática Avançada adotadas internacionalmente, por meio de checklist elaborado tendo como referência as diretrizes do International Council of Nurses. Resultados: o mapeamento permitiu identificar ações de Práticas Avançadas de Enfermagem, como: habilidades avançadas de avaliação, julgamento, tomada de decisão e raciocínio diagnóstico, autoridade para diagnosticar, prescrever medicamentos, testes diagnósticos e tratamento terapêutico. No entanto, as evidências registradas no domínio Preparação Educacional denotam clara fragilidade pela inexpressiva frequência de enfermeiros credenciados com mestrado profissional. Conclusões: o estudo demonstra que enfermeiros do contexto estudado desenvolvem ações de prática avançada carecendo de mestrado profissional recomendado para credenciamento, com legislação pertinente, demandando iniciativas por parte das lideranças da enfermagem para superar esse desafio.