Tecnologias em saúde da hanseníase no âmbito da Atenção Primária à Saúde: revisão de escopo / Leprosy health technologies in Primary Health Care: a scoping review / Tecnologías en salud de la lepra en el ámbito de la Atención Primaria a la Salud: revisión del alcance

Objetivo: mapear as tecnologias em saúde para manejo no cuidado à pessoa com hanseníase na Atenção Primária à Saúde. Método: revisão de escopo baseada na metodologia do JBI, em seis bases de dados, seguindo a checklist Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. Foram incluídos estudos publicados em qualquer idioma, com diferentes abordagens metodológicas. Resultados: os 14 estudos incluídos na revisão mostram que a aplicabilidade de tecnologias para o manejo do cuidado a pessoa com hanseníase na Atenção Primária à Saúde, possibilitam a confirmação de diagnóstico, acompanhamento, monitoramento e prevenção de incapacidades. Conclusão: nota-se que tecnologia em saúde se apresentam como ferramentas que auxiliam no processo de cuidado na assistência a pessoas com hanseníase, a fim de permitir aos profissionais de saúde conhecimento sobre a doença, proporcionando qualidade na sua prática de saúde.

Objective: to map health technologies for managing the care of people with leprosy in Primary Health Care. Method: scoping review based on the JBI methodology in six databases, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist. Studies published in any language were included, with different methodological approaches. Results: the 14 studies included in the review show that the applicability of technologies for the management of care for people with leprosy in Primary Health Care makes it possible to confirm diagnosis, follow-up, monitoring, and prevention of disabilities. Conclusion: it has been noted that health technologies are tools that help in the process of caring for people with leprosy, to provide health professionals with knowledge about the disease, improving quality of health practice.

Objetivo: mapear las tecnologías en salud para el manejo en el cuidado a la persona con lepra en la Atención Primaria a la Salud. Método: revisión del alcance basada en la metodología del JBI, en seis bases de datos, siguiendo la checklist Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews. Se han incluido estudios publicados en cualquier idioma, con diferentes enfoques metodológicos. Resultados: los 14 estudios incluidos en la revisión muestran que la aplicabilidad de tecnologías para el manejo del cuidado a la persona con lepra en la Atención Primaria a la Salud posibilita la confirmación de diagnóstico, seguimiento, monitoreo y prevención de incapacidades. Conclusión: se percibe que las tecnologías en salud se presentan como herramientas que ayudan en el proceso de cuidado en la asistencia a personas con lepra, con fines de permitir a los profesionales de salud el acceso al conocimiento sobre la enfermedad, proporcionando calidad en su práctica de salud.

Transformação digital na enfermagem perioperatória / Digital transformation in perioperative nursing / Transformación digital en enfermería perioperatoria

Objetivo: Promover a reflexão sobre os efeitos da transformação digital na enfermagem perioperatória. Métodos: Estudo reflexivo baseado em dados da literatura associado a prática do autor na enfermagem perioperatória e no projeto de automação. Resultados: evidenciou-se um misto de competências para enfermagem perioperatória, como atividades relacionadas a busca pelo hospital digital, uso da inteligência artificial e robótica. Conclusão: a reflexão deste tema incentiva o enfermeiro na busca de pesquisa, desenvolvimento digital e novos conhecimentos na área digital associados à sua prática clínica. (AU)

Objective: To promote reflection on the effects of digital transformation in perioperative nursing. Methods: Reflective study based on literature data associated with the author's practice in perioperative nursing and automation project. Results: a mix of skills for perioperative nursing was evidenced, such as activities related to the search for the digital hospital, use of artificial intelligence and robotics. Conclusion: the reflection on this theme encourages nurses to search for research, digital development and new knowledge in the digital area associated with their clinical practice. (AU)

Objetivo: Promover la reflexión sobre los efectos de la transformación digital en la enfermería perioperatoria. Métodos: Estudio reflexivo basado en datos de la literatura asociados a la práctica del autor en enfermería perioperatoria y proyecto de automatización. Resultados: se evidenció una mezcla de habilidades para la enfermería perioperatoria, como actividades relacionadas con la búsqueda del hospital digital, uso de inteligencia artificial y robótica. Conclusión: la reflexión sobre este tema anima al enfermero a buscar investigación, desarrollo digital y nuevos conocimientos en el área digital asociados a su práctica clínica. (AU)

Software educativo para la asignatura Estratificación de Riesgos Medioambientales / Educational software for the subject Stratification of Environmental Risks

Se realizó una investigación relacionada con la innovación tecnológica, en la Facultad de Enfermería-Tecnología de la Salud de Santiago de Cuba, durante el curso escolar 2019-2020, con el objetivo de diseñar un software educativo para la asignatura Estratificación de Riesgos Medioambientales, dirigido a los estudiantes de técnico medio en Vigilancia y Lucha Antivectorial. Se utilizaron los métodos teóricos: análisis-síntesis, histórico-lógico, modelación, sistémico-estructural e inductivo-deductivo; y empíricos: observación y análisis documental. La muestra fue de 44 estudiantes y 6 profesores escogidos al azar. Se concluye que el software propuesto es factible, pertinente y necesario como medio de enseñanza; proporciona información actualizada, su navegación es fácil y amena, y permite la autoevaluación de los estudiantes al interactuar con él mismo, lo que contribuye a mejorar el trabajo independiente.

An investigation related to the technological innovation was carried out in the Health Nursing-Technology Faculty from Santiago de Cuba, during the school course 2019-2020, aimed at designing an educational software for the subject Stratification of Environmental Risks, directed to medium technician students in Surveillance and Vector Control. The theoretical methods used were: analysis-synthesis, historical-logical, modelation, systemic-structural and inductive-deductive; and the empiric methods were: observation and documental analysis. The sample had 44 students and 6 professors chosen at random. It was concluded that the proposed software is feasible, pertinent and necessary as teaching aid; provides up-to-date information, it is easy and interesting to surf internet, and allows the self-appraisal of students in the interaction with themselves, what contributes to improve the independent work.

Tecnologías de Información y Comunicación en odontólogos docentes / Information and Communication Technologies in teaching dentists

Objetivo. Determinar la frecuencia de uso de las Tecnologías de Información y Comunicación (TIC) en docentes de odontología de una universidad pública. Métodos. Este estudio fue de tipo cuantitativo, observacional, descriptivo y de corte transversal. La muestra fue conformada por 67 docentes en labor de la Facultad de Odontología de la Universidad Nacional Mayor de San Marcos, quienes fueron seleccionados mediante el muestreo aleatorio estratificado. Dichos maestros respondieron a un formulario virtual tipo encuesta con una escala de Likert, cuyo contenido fue el cuestionario validado Uso de TIC. Resultados. Se obtuvo que el uso de las Tecnologías de Información y Comunicación fue en su mayoría alto con un 74.63%, y solo se presentó un caso de bajo uso de dicha variable en el sexo masculino y a la vez perteneciente al grupo docente que tenía de 31 a 40 años de experiencia. Conclusiones. Los catedráticos de odontología tienen una frecuencia de uso favorable de las Tecnologías de Información y Comunicación en su práctica docente.

Objective. Determine the frequency of use of Information and Communication Technologies (ICT) in dentistry teachers at a public university. Methods. This study was quantitative, observational, descriptive and cross-sectional. The sample was made up of 67 current teachers from the Faculty of Dentistry of the Universidad Nacional Mayor de San Marcos, who were selected through stratified random sampling. These teachers responded to a virtual survey-type form with a Likert scale, whose content was the validated Use of ICT questionnaire. Results. It was obtained that the use of Information and Communication Technologies was mostly high with 74.63%, and only one case of low use of said variable was presented in the male sex and at the same time belonging to the teaching group that was from 31 to 40 years of experience. Conclusions. Dentistry professors have a frequency of favorable use of Information and Communication Technologies in their teaching practice.

Evaluación de la usabilidad de la teleconsulta durante la pandemia por COVID-19 en un hospital pediátrico / Assessment of the usability of teleconsultations during the COVID-19 pandemic at a children's hospital

Introducción. La usabilidad en un sistema de teleconsulta afecta directamente la eficiencia y efectividad de la atención médica remota. Objetivo. Evaluar la usabilidad de la teleconsulta durante la pandemia por COVID-19. Población y método. Estudio de corte transversal. Incluimos a los cuidadores de niños/as de 1 mes a 12 años. Evaluamos la usabilidad mediante el Telehealth Usability Questionnaire adaptado en español. Además, evaluamos datos socioeconómicos. Resultados. Tasa de respuesta del 70,2 % (n = 221). La mayoría eran mujeres, edad promedio 33 años, con educación secundaria y cobertura de salud pública. El 87,8 % eligió atención telefónica y el 88,2 % tenía su primera teleconsulta. Alta satisfacción general con puntuaciones menores en facilidad de uso y aprendizaje en videollamadas. Conclusión. La teleconsulta mostró alta usabilidad, independientemente de la modalidad, para cuidadores de niños/as de 1 mes a 12 años.

Introduction. Usability in a telemedicine system directly affects the efficiency and effectiveness of remote health care. Objective. To assess the usability of teleconsultations during the COVID-19 pandemic. Population and method. This was a cross-sectional study. The caregivers of children aged 1 month to 12 years were included. Usability was assessed with the Telehealth Usability Questionnaire, adapted to Spanish. Socioeconomic data were also assessed. Results. The response rate was 70.2% (n = 221). Most responders were women whose average age was 33 years, had completed secondary education and had public health insurance. Of them, 87.8% selected telephone health care and 88.2% had their first teleconsultation. The overall satisfaction was high, with lower scores for ease of use and learning how to use video calls. Conclusion. Regardless of modality, the usability of teleconsultations by caregivers of children aged 1 month to 12 years was adequate.

Application of intelligent information technology in the field of medical equipment management / 西安交通大学学报(医学版)

With the rapid development of information technology, what has been widely used in the field of medical and health care includes the home detection of aging population in communities, intelligent health management, special patient positioning care management, information sharing, and interconnection management, which has also brought new opportunities for the innovative management of medical equipment in recent years. We have taken "sense, knowledge and action" as the core, and effectively improved the level of lean management of medical equipment through data acquisition, data modeling and analysis, and remote service or decision response. This paper aims to summarize the application and research progress of intelligent information technology in the lean management of medical equipment in order to provide new ideas for the refined management of medical equipment.

Informatization Management and Practical Exploration of Information Technology Laboratories in Universities and Colleges of Traditional Chinese Medicine / 医学信息学杂志

Purpose/Significance To provide reference for the information technology laboratory management in universities and col-leges of traditional Chinese medicine(TCM).Method/Process The paper focuses on the main problems faced by information technology laboratory management in universities and colleges of TCM,and proposes ideas of informatization path selection based on practices in Hu-bei University of Chinese Medicine.It constructs informatization management system from the following aspects:network foundation of in-formation technology laboratory,terminal protection cloud service,internet of things technology application,laboratory opening,experi-mental teaching resource sharing,etc.Result/Conclusion The informatization management system significantly improves the utilization rate of the laboratory,greatly reduces the personnel cost and time cost.

Analysis on Demands and Application Scenarios of Disease Prevention and Control Informatization under the New Situation / 医学信息学杂志

Purpose/Significance To discuss the new demands and scenarios of disease prevention and control informatization brought about by emerging information technologies,and to provide references for the deep integration of information technology and the modernization of disease prevention and control system.Method/Process The paper analyzes the exploratory applications of emerging in-formation technologies in electronic medical record and disease report intelligent analysis,regional syndrome monitoring,large-scale dis-ease investigation and auxiliary epidemiological investigation,multi-channel monitoring and early warning,portable individual soldier communication under health emergency,and expounds the causes of problems that have not yet formed a systematic construction situation.Result/Conclusion Suggestions on the future development of modern disease prevention and control informatization are put forward to pro-vide technical support for improving public health service capabilities and innovating business changes.

Effect analysis of information-guided enteral nutrition-associated diarrhea treatment process in patients with chronic obstructive pulmonary disease undergoing continuous non-invasive assisted ventilation: a mixed cohort study of pre- and post-control / 中华危重病急救医学

Objective:To clarify the application effect of information-guided enteral nutrition-associated diarrhea (ENAD) management process in patients with chronic obstructive pulmonary disease (COPD) undergoing non-invasive assisted ventilation.Methods:A mixed cohort study of pre- and post-control was conducted. Thirty-nine patients with COPD who were admitted to the emergency intensive care unit (ICU) of Huzhou First People's Hospital from July 1, 2021 to July 31, 2022 were enrolled. Taking the completion of the software development of ENAD management software for critically ill patients on January 28, 2022 as the time node, 20 patients admitted from July 1, 2021 to January 28, 2022 were set as the control group, and 19 patients admitted from January 29 to July 31, 2022 were set as the observation group. The two groups of patients received the same enteral nutrition support treatment, and the control group implemented the conventional ENAD treatment process with enteral nutrition intolerance disposal process as the core. On the basis of the control group, the observation group implemented the information-guided ENAD treatment process, and the system software actively captured the information of ENAD patients and reminded the medical team to improve the patient's diarrhea-related examination and provide alternative treatment plans. The duration of antidiarrhea, feeding interruption rate, and energy and protein intake, blood biochemical indexes, incidence of abnormal blood electrolyte metabolism, daily continuous non-invasive assisted ventilation and endotracheal intubation after 7 days of targeted diarrhea intervention were compared between the two groups.Results:Except for the basal pulse rate, there were no significant differences in gender distribution, age, and vital signs, basic nutritional status, arterial blood gas analysis and blood biochemistry at admission between the two groups, indicating comparability between the two groups. When ENAD occurred, the patients in the observation group obtained earlier cessation of diarrhea than those in the control group [days: 3.00 (2.00, 3.25) vs. 4.00 (3.00, 5.00), P < 0.01], and the feeding interruption rate was significantly lower than that in the control group [10.53% (2/19) vs. 65.00% (13/20), P < 0.01]. After 7 days of diarrhea intervention, the energy intake of the observation group was significantly higher than that of the control group [kJ·kg -1·d -1: 66.28 (43.34, 70.36) vs. 47.88 (34.60, 52.32), P < 0.01], the levels of hemoglobin (Hb), albumin (Alb) and serum prealbumin (PAB) were significantly higher than those in the control group [Hb (g/L): 119.79±10.04 vs. 110.20±7.75, Alb (g/L): 36.00 (33.75, 37.25) vs. 31.00 (30.00, 33.00), PAB (mg/L): 155.79±25.78 vs. 140.95±14.97, all P < 0.05], the daily continuous non-invasive assisted ventilation duration was significantly shorter than that of the control group [hours: 14 (12, 16) vs. 16 (14, 18), P < 0.01], and the arterial partial pressure of carbon dioxide (PaCO 2) was significantly lower than that of the control group [mmHg (1 mmHg ≈ 0.133 kPa): 66.00 (62.00, 70.00) vs. 68.00 (67.50, 70.05), P < 0.05]. However, there were no significant differences in protein intake, incidence of abnormal electrolyte metabolism, and incidence of endotracheal intubation due to acute respiratory failure between the two groups. Conclusion:The information-guided ENAD treatment process can enable the COPD patients undergoing continuous non-invasive assisted ventilation who experience ENAD to receive earlier cessation of diarrhea, and improve the protein energy metabolism and respiratory function of the patients.

Construction of Chinese Herbal Medicine Traceability System Based on Influencing Factors of Chinese Herbal Medicine Quality / 中国实验方剂学杂志

As a Chinese saying goes， "good Chinese medicinal material makes good medicine"， the quality of Chinese herbal medicines is related to the development prospect of Chinese medicine industry in China. With the rapid development of new technologies such as traceability methods and monitoring instruments， it is imperative to integrate and innovate traditional Chinese herbal medicines with new-generation information technology in view of the quality problems existing in the current production and circulation of Chinese herbal medicines， and it is of great significance for the construction of traceability system to ensure the quality and safety of Chinese herbal medicines and to promote the industry of Chinese herbal medicines to move towards high-quality development. This paper reviews the development history of the traceability system of Chinese herbal medicines in China， takes the influencing factors of the quality of Chinese herbal medicines as the entry point， and proposes that the construction of the traceability system should satisfy the traceability requirements of the characteristics of Chinese herbal medicines and their traditional medication experience. By analyzing the influencing factors of the quality of Chinese herbal medicines， it is pointed out that focusing on the influencing factors to build a traceability system is of great significance for targeting the problematic links at a later stage and exploring the interrelationship between environmental factors and the quality of Chinese herbal medicines. Based on the previous explorations， the author summarizes the system framework， functional modules and practical applications of the traceability system of Chinese herbal medicines， and looks forward to the development of a traceability system with risk early warning function and expert decision-making function in its functional development. Finally， based on the factors affecting the quality of Chinese herbal medicines， the author puts forward several thoughts on construction of the traceability system， and makes an in-depth analysis and puts forward a solution for the current situation that a unified， standardized and universal traceability system has not yet been built， with a view to providing ideas and references for the construction of traceability system of Chinese herbal medicines.

Design and baseline characteristics of a population-based birth cohort in Shanghai / 上海预防医学

ObjectiveTo introduce the basic design， development plan and objectives of a population-based birth cohort in Shanghai， and further present the main data and baseline characteristics of enrolled participants in the cohort， and to provide key information for reproductive health-related studies. MethodsThe Shanghai population-based birth cohort initiated on January 1， 2005， included newborns born in Shanghai every year and their parents， and collected information on reproductive health， reproductive treatment， birth characteristics， growth and development status， as well as the incidence， treatment and death of diseases by employing data linkage technology and investigations. This formed a birth cohort spanning the entire life cycle. ResultsAs of October 2022， a total of 2 978 538 newborns and their parents were included in the cohort. Among them， 2 905 135 （97.54%） were naturally conceived （NC）， and 73 403 （2.46%） were born through assisted reproductive technologies （ART）. The average age of parents was （32.56±4.12） years old for females and （34.62±5.34） years old for males in the ART group， which was higher than （28.02±4.71） years and （30.07±5.54） years for parents in the NC group. Among parents， females and males aged 30 and above accounted for 77.12% and 85.08%， respectively， which were higher than that of parents （35.28% for females and 49.66% for males） in the NC group. Furthermore， the percentage of parents with a college degree or above in the ART group was 73.23% for females and 73.66% for males， which were higher than those in the NC group （49.98% and 50.91%， respectively）. The multiple births rate in the ART group was 33.81%， which was higher than that in the NC group （1.88%）. The incidence of premature birth and low birth weight in the ART group were 24.47% and 19.08%， respectively， which was higher than that in the NC group （5.47% and 3.73%）. ConclusionThe comprehensive collection of reproductive health-related information in the birth cohort in Shanghai can provide essential resources to determine the influence of genetics， environment， reproductive treatment and other related factors on the health of offspring after birth.

Audience response system smartphone application as an adjunct to tuberculosis teaching for medical students during the coronavirus disease 2019 pandemic

SUMMARY OBJECTIVE: The growing availability of devices for mobile learning has created new opportunities for teaching. With the development of smartphone apps based on audience response systems, there is a possibility to quickly assess student knowledge. The education of health professionals, including medical students, is an essential strategy for tuberculosis control. In the context of the coronavirus disease 2019 pandemic, audience response systems are very useful as online assessment tools. The aim of this study was to use the audience response systems Socrative to assess medical students during a class on tuberculosis. METHODS: This is a quasi-experimental before-and-after study, with pre- and post-tests carried out through the Socrative app, respectively, before and after a lecture on tuberculosis for medical students. Also, a cross-sectional study was carried out after the course to evaluate the participant's satisfaction through an electronic, structured questionnaire with a Likert-type scale. RESULTS: A total of 126 students were included in the study. The overall mean pre- and post-test scores were 5.98±1.59 and 8.37±1.36, respectively, with a statistically significant difference (p<0.0001). Almost all students were totally satisfied with the use of Socrative on pre- and post-tests. CONCLUSION: This study describes how the use of Socrative in a tuberculosis class was well received by students. In addition, the baseline knowledge on tuberculosis was low in some topics, with some improvement after the lecture. These findings emphasize the need to further improve the students' knowledge on tuberculosis and help instructors customize the lecture based on the gaps identified in the Socrative assessment.

Manual informativo para a família da criança com leucemia: estudo de recepção / Manual informativo para familias de infantes con leucemia: estudio de recepción / Information manual for the family of the child with leukemia: reception study

Resumo Objetivo Compreender o sentido atribuído à recepção de um manual pelas famílias de crianças com leucemia aguda. Métodos Estudo qualitativo, embasado no referencial teórico do Estudo de Recepção. Foram realizadas entrevistas on-line com famílias de crianças em tratamento de leucemia aguda, em diferentes fases do tratamento e que utilizaram o manual 'Meu filho tem leucemia aguda. E agora?', por trinta dias. O software WebQDA® apoiou a organização dos dados que foram analisados de acordo com a Análise Qualitativa de Conteúdo indutiva. Resultados Participaram nove famílias, representadas por sete mães, um pai e uma avó. Da análise emergiram categorias analíticas relativas ao contexto vivenciado pela família ao receber o manual e a avaliação da linguagem e das ilustrações. O sentido atribuído pela família à recepção do manual, a partir das interações com o mesmo, é 'Ser Fortalecida na Esperança de Cura', que a ajuda a enfrentar as adversidades do tratamento e a mantém otimista em relação ao melhor prognóstico. Conclusão O uso de materiais informativos facilita a comunicação com a equipe, promove a literacia em saúde da família e fortalece sua esperança na cura.

Resumen Objetivo Comprender el sentido atribuido a la recepción de un manual por parte de familias de infantes con leucemia aguda. Métodos Estudio cualitativo, basado en el marco referencial teórico del estudio de recepción. Se realizaron entrevistas virtuales con familias de infantes en tratamiento de leucemia aguda, en diferentes fases del tratamiento, que utilizaron el manual "Mi hijo tiene leucemia aguda. ¿Y ahora?", durante 30 días. Se utilizó el software WebQDA® para organizar los datos, que fueron analizados de acuerdo con el análisis cualitativo de contenido inductivo. Resultados Participaron nueve familias, representadas por siete madres, un padre y una abuela. Del análisis, emergieron categorías analíticas relativas al contexto vivido por la familia al recibir el manual y a la evaluación del lenguaje y de las ilustraciones. A partir de las interacciones con el manual, el sentido atribuido por la familia al recibirlo es "fortalecerse en la esperanza de cura", que los ayuda a enfrentar las adversidades del tratamiento y los mantiene optimistas con relación al mejor pronóstico. Conclusión El uso de material informativo facilita la comunicación con el equipo, promueve la instrucción en salud de la familia y fortalece su esperanza en la cura.

Abstract Objective To understand the meaning attributed to the reception of a manual by families of children with acute leukemia. Methods Qualitative study based on the theoretical framework of the Reception Study. Online interviews were conducted with families of children undergoing treatment for acute leukemia at different stages of treatment and who used the manual 'My child has acute leukemia. How about now?' for thirty days. The WebQDA® software was used in the organization of data analyzed according to the inductive Qualitative Content Analysis. Results Participation of nine families represented by seven mothers, one father and one grandmother. From the analysis, emerged analytical categories related to the context experienced by the family when receiving the manual and to the evaluation of the language and illustrations. The meaning attributed by the family to receiving the manual, based on interactions with it, is 'Having the Hope of Healing Strengthened', which helps them to face the adversities of the treatment and keeps them optimistic about the best prognosis. Conclusion The use of informative materials facilitates communication with the team, promotes the family's health literacy and strengthens their hope for a cure.

Tecnologias de informação e comunicação: revisão de escopo dos instrumentos de avaliação dos fatores de risco psicossociais no trabalho contemporâneo / Information and communication technologies: a scoping review of instruments to evaluate psychosocial risk factors at contemporary work

Resumo Introdução: a pandemia da COVID-19 desencadeou uma recessão global e o aumento da precarização do trabalho. Nesse cenário, o uso intensivo das Tecnologias de Informação e Comunicação (TIC) contribuiu para o surgimento de novos fatores de riscos psicossociais no trabalho (FRPT) e para o aumento da ocorrência de transtornos mentais nos trabalhadores. Objetivos: identificar instrumentos que avaliam os FRPT disponíveis na literatura e verificar se eles incorporaram as novas dimensões psicossociais do trabalho mediadas pelas TIC. Métodos: revisão de escopo, com busca nas bases PubMed, Biblioteca Virtual em Saúde, Embase, Scopus e Web of Science, de artigos publicados no período de 1990 a 2023 seguindo as recomendações do Instituto Joanna Briggs e do PRISMA-ScR . Buscou-se agrupar estudos e instrumentos relevantes e identificar lacunas. Resultados: foram selecionados 18 instrumentos, de 3.424 artigos. Dez deles incluíram escalas/dimensões previstas no PRIMA-EF, dois incluíram dimensões do uso das TIC e seis foram considerados específicos para a avaliação de FRPT por TIC. Conclusão: destacam-se a importância do uso dos instrumentos de acordo com o contexto em que foram desenvolvidos, os fatores de estresse digital que ainda não foram considerados nesses questionários e a relevância do suporte da organização para a redução do tecnoestresse nos trabalhadores.

Abstract Introduction: the COVID-19 pandemic triggered a global recession and increased work precarity. In this scenario, the intensive use of Information and Communication Technologies (ICT) contributed to the appearance of new occupational psychosocial hazards, and the increase of mental disorders among workers. Objectives: to identify instruments that assess occupational psychosocial risks and stress available in literature and verify whether they include the new psychosocial work dimensions caused by ICTs. Methods: a scope review was conducted by searching the PubMed, BvS, Embase, Scopus and Web of Science databases for articles published between 1990 and 2023, following the Joanna Briggs Institute and PRISMA-ScR recommendations. It sought to group the relevant studies and instruments and identify gaps that should be observed. Results: bibliographic search identified 18 instruments, from 3424 articles. Ten included scales/dimensions foreseen by PRIMA-EF, two included dimensions on ICT use and six were considered specific for assessing ICT-related occupational psychosocial risks. Conclusion: the study highlights the importance of using context-appropriate instruments, the digital stress factors yet to be included in these questionnaires and the relevance of organizational support to reduce technostress in workers.

Evolution of the availability of Information and Communication Technologies in primary health care in Brazil, 2012 to 2018 / Evolução da disponibilidade de Tecnologias de Informação e Comunicação na Atenção Primária à Saúde do Brasil, 2012 a 2018

ABSTRACT Objective: To verify the evolution of the availability of information and communication technology equipment and inputs in primary health care services that participated in the external evaluation of the Access and Quality Improvement Program in Primary Care and its distribution according to context characteristics social and geographic. Methods: Cross-sectional study, analyzed the distribution of information and communication technology equipment in basic health units in Brazil, during the three cycles (2012 to 2018) of the Program for Improving Access and Quality in Primary Care. The variables were examined at the municipal level and stratified by geopolitical region. Univariate analysis was performed, using the chi-square test and testing the distributions of exposures among themselves and between the outcome and exposures. Results: The availability of information and communication technology equipment increased from 9.4% (2012) to 17.5% (2018), with emphasis on the Southeast and South regions, in municipalities with a population size of up to 10,000 inhabitants², with greater family health coverage and high/very high HDI-M. Over the period from 2012 to 2018, basic units joined the program and increased availability of information and communication technologies, such as Internet access, which ranged from 45.2% (n=6,249) to 74.0% (n=21,423), with emphasis on the Northeast region, which increased from 19.1% (n=970) to 58.8% (n=7,087). Conclusion: Investment in technologies and constant evaluation of primary care in the country is necessary, contributing to its strengthening.

RESUMO Objetivo: Verificar a evolução da disponibilidade de equipamentos e insumos de tecnologia de informação e comunicação nos serviços de Atenção Primária à Saúde que participaram da avaliação externa do Programa de Melhoria do Acesso e da Qualidade na Atenção Básica e sua distribuição de acordo com características do contexto social e geográfico. Métodos: Estudo transversal, que analisou a distribuição de equipamentos de tecnologia de informação e comunicação nas unidades básicas de saúde do Brasil, durante os três ciclos (2012 a 2018) do Programa de Melhoria do Acesso e da Qualidade na Atenção Básica. As variáveis foram examinadas no nível dos municípios e estratificadas por região geopolítica. Realizou-se análise univariada, com o uso do teste χ2 e teste das distribuições das exposições entre si e entre o desfecho e as exposições. Resultados: A disponibilidade do conjunto de equipamentos de tecnologias de informação e comunicação evoluiu de 9,4% (2012) para 17,5% (2018), com destaque às Regiões Sudeste e Sul, em municípios com porte populacional de até 10 mil hab.², com maior cobertura de saúde da família e índice de desenvolvimento humano municipal — IDH-M alto/muito alto. Ao longo do período de 2012 a 2018, houve adesão de unidades básicas ao programa e aumento na disponibilidade de tecnologias de informação e comunicação, como o acesso à internet, que foi de 45,2% (n=6.249) a 74,0% (n=21.423), com destaque para a Região Nordeste com aumento de 19,1% (n=970) a 58,8% (n=7.087). Conclusão: São necessários o investimento em tecnologias e a constante avaliação da atenção primária no país, contribuindo para seu fortalecimento.

POTENTIAL CONTRIBUTION OF ChatGPT® TO LEARNING ABOUT SEPTIC SHOCK IN INTENSIVE CARE / POTENCIAL APORTE DE APLICAR ChatGPT® EN LA ENSEÑANZA DE SHOCK SÉPTICO EN CUIDADOS INTENSIVOS / CONTRIBUIÇÃO POTENCIAL DE APLICAÇÃO DO ChatGPT® NA APRENDIZAGEM DO CHOQUE SÉPTICO EM TERAPIA INTENSIVA

ABSTRACT Objective: to demonstrate the application of some prompts and to problematize the use of ChatGPT® to guide the best answers for nursing students and teachers on septic shock in intensive care learning. Method: a methodological study where prompt technology was applied in ChatGPT® to support nursing learning in intensive care with an emphasis on septic shock. The study was organized in 3 stages, covering an understanding of ChatGPT® and models, as well as testing and exercising prompts. Results: applications of prompts were presented, based on a structure of pre-defined stages that made it possible to exemplify the answers given and to organize an output generation diagram as a way of summarizing the process of decision support in intensive care. Conclusion: ChatGPT® is a natural language processing model that uses deep learning approaches to generate human-like answers. However, the generation of prompts for the teaching-learning process in intensive care nursing requires in-depth association with the pillars of evidence-based practice.

RESUMEN Objetivo: demostrar la aplicación de algunos prompts y debatir cómo se utiliza ChatGPT® para orientar las mejores respuestas a estudiantes y profesores de Enfermería sobre shock séptico en la enseñanza de cuidados intensivos. Método: estudio metodológico en el que se aplicó la tecnología de prompts en ChatGPT® para respaldar la enseñanza de Enfermería en cuidados intensivos con énfasis en shock séptico. El estudio se organizó en 3 etapas, contemplando lo que se sabe sobre ChatGPT® y diversos modelos, al igual que pruebas y prácticas con prompts. Resultados: Se presentaron aplicaciones de prompts a partir de una estructura de etapas predefinidas que permitieron ejemplificar respuestas dadas por el sistema y organizar un diagrama de generación de salidas como una manera de resumir el proceso de apoyo a las decisiones que se toman en cuidados intensivos. Conclusión: ChatGPT® es un modelo de procesamiento del lenguaje natural que utiliza enfoques de aprendizaje profundo para generar respuestas semejantes a las humanas. Sin embargo, la generación de los prompts para el proceso de enseñanza-aprendizaje en Enfermería de cuidados intensivos requiere una profunda asociación con los pilares de la práctica basada en evidencias.

RESUMO Objetivo: Demostrar a aplicação de alguns prompts e problematizar o uso do ChatGPT® para guiar as melhores respostas aos estudantes e professores de enfermagem sobre choque séptico na aprendizagem em terapia intensiva. Método: Estudo metodológico, com aplicação de tecnologia de prompts no ChatGPT® para apoiar a aprendizagem de enfermagem em terapia intensiva com ênfase no choque séptico. O estudo foi organizado em 3 etapas, contemplando o entendimento sobre o ChatGPT®, modelos, bem como teste e exercício de prompts. Resultados: Foram apresentadas aplicações de prompts a partir de uma estrutura de etapas pré-definidas que permitiram exemplificar respostas dadas e organizar um diagrama de geração de saídas como uma forma de resumir o processo de apoio à tomada de decisão em terapia intensiva. Conclusão: O ChatGPT® é um modelo de processamento de linguagem natural que usa abordagens de aprendizagem profunda para gerar respostas semelhantes às humanas. Contudo, a geração dos prompts para o processo de ensino-aprendizagem em enfermagem de terapia intensiva requer associação profunda com os pilares da prática baseada em evidência.

Libro de texto electrónico para la asignatura de Informática Básica

Fundamento: los sistemas educativos enfrentan el desafío de utilizar las tecnologías de la información y las comunicaciones para proveer a sus estudiantes de las herramientas y conocimientos necesarios impuestos en el siglo XXI. Objetivo: diseñar la estructura temática del libro electrónico para la asignatura Informática Básica en las ciencias médicas. Métodos: se realizó una investigación de desarrollo con enfoque cualitativo en la Facultad de Ciencias Médicas "Calixto García" en el curso 2022. Se utilizaron métodos de nivel teórico: histórico-lógico, sistémico estructural, modelación e inductivo- deductivo. En el nivel empírico: entrevista y cuestionario para verificar los nexos y relaciones que se ofrecen en los referentes teóricos relacionados con las características que debe poseer un libro de texto como medio de enseñanza en el proceso docente educativo. Resultados: se elaboró el libro electrónico de Informática Básica donde su tuvieron en cuenta los objetivos y desarrollo de habilidades declarados en el programa de la asignatura; contiene cinco temas; está estructurado en portada, índice y capítulos; tiene ejercicios propuestos y ejercicios resueltos, diagramas, animaciones e imágenes, vínculos donde se puede extraer información adicional y precisa, y múltiples documentos bibliográficos. Conclusiones: el libro electrónico para la asignatura Informática Básica fortalece el desarrollo del proceso docente educativo y sirve de base para la formación de habilidades una vez graduado el estudiante. Fue valorado como adecuado acorde a los objetivos del curso, por los expertos consultados.

Background: educational systems face the challenge of using information and communications technologies to provide their students with the necessary tools and knowledge imposed in the 21st century. Objective: design the thematic structure of the electronic book for the subject Basic Computing in medical sciences. Methods: a development research with a qualitative approach was carried out at the "Calixto García" Faculty of Medical Sciences in the 2022 academic year. Theoretical level methods were used: historical-logical, structural systemic, modeling and inductive-deductive. At the empirical level: interview and questionnaire to verify the links and relationships offered in the theoretical references related to the characteristics that a textbook should have as a teaching aid for the teaching-learning process. Results: the Basic Computing electronic book was prepared where the objectives and development of skills declared in the subject program were taken into account; it contains five topics; It is structured into a cover, index and chapters; It has proposed exercises and solved exercises, diagrams, animations and images, links where additional and precise information can be extracted, and multiple bibliographic documents. Conclusions: the electronic book for the Basic Computing subject strengthens the development of the educational teaching process and serves as a basis for the formation of skills once the student graduates. It was assessed as adequate according to the objectives of the course, by the experts consulted.

FarmApk: software educativo para el perfeccionamiento del proceso enseñanza aprendizaje en Farmacología Clínica

Fundamento: incluir un software educativo en las actividades docentes favorece un aprendizaje activo y significativo en los estudiantes. Objetivo: diseñar un software educativo para perfeccionar el proceso enseñanza aprendizaje en la asignatura Farmacología Clínica en la educación médica. Métodos: se realizó un estudio de innovación tecnológica en el periodo de febrero a noviembre de 2022, en la Universidad de Ciencias Médicas de Villa Clara. Se utilizaron métodos teóricos: análisis-síntesis e inducción-deducción; y empíricos: revisión documental, y entrevista a especialistas para la valoración del producto diseñado. La investigación se organizó en cuatro etapas. Resultados: el producto informático FarmApk se diseñó garantizando que la interfaz de usuario fuera motivadora y estimulante, con efectos visuales afines al entorno digital, y con efectiva interrelación dinámica estudiante-software, para ejercitar y profundizar los conocimientos adquiridos sobre la Farmacología Clínica, el cual fue valorado por criterios de especialistas. Conclusiones: se elaboró un software educativo como recurso de enseñanza, que permite ejercitar y profundizar los conocimientos adquiridos a fin de lograr una mejor comprensión de los temas relacionados con la Farmacología Clínica, y garantizar la continuidad de la actividad docente en la formación del estudiante de Medicina.

Rationale: including educational software in teaching activities favors active and meaningful learning in students. Objective: to design an educational software to improve the teaching-learning process in the subject Clinical Pharmacology in medical education. Methods: a technological innovation study was carried out from February to November 2022, at the University of Medical Sciences of Villa Clara. Theoretical methods were used: analysis-synthesis and induction-deduction; and empirical methods: documentary review, and interview to specialists for the evaluation of the designed product. The research was organized in four stages. Results: the FarmApk software product was designed ensuring that the user interface was motivating and stimulating, with visual effects related to the digital environment, and with effective student-software dynamic interrelation, to exercise and deepen the knowledge acquired on Clinical Pharmacology, which was evaluated by specialists' criteria. Conclusions: an educational software was elaborated as a teaching resource, which allows exercising and deepening the acquired knowledge to achieve a better understanding of the topics related to Clinical Pharmacology, and to guarantee the continuity of the teaching activity in the formation of the Medicine student.

Experiência de Psicólogas(os) Brasileiras(os) com Atendimento Psicológico Online durante a Primeira Onda da Pandemia de Covid-19 / Brazilian Psychologists' Experience with Online Psychotherapy during the First Wave of the COVID-19 Pandemic

Resumo: Com a emergência da pandemia de Covid-19, as(os) psicólogas(os) passaram a oferecer atendimento online para pacientes que até então eram atendidos de forma presencial. Na maior parte dos casos, essa mudança se deu de forma improvisada e sem capacitação prévia. Nesse contexto, este estudo, de caráter descritivo-exploratório, quanti-qualitativo e com delineamento transversal, buscou compreender a experiência das(os) psicólogas(os) na transição das intervenções da modalidade presencial para o atendimento remoto durante a pandemia de Covid-19 no Brasil, identificando dificuldades e lacunas percebidas nas orientações disponibilizadas pelo Conselho Federal de Psicologia. Participaram da pesquisa 385 psicólogas(os). Utilizou-se um questionário online para a coleta dos dados, distribuído por meio de uma plataforma digital entre maio e novembro de 2020. O estudo também foi divulgado em grupos da categoria profissional da psicologia em diversas redes sociais. Os dados quantitativos foram analisados por meio de análise estatística descritiva, e as respostas para as questões abertas por meio de análise temática reflexiva. Os achados foram organizados em três categorias temáticas: (a) lacunas percebidas nas orientações quanto à escolha da plataforma digital; (b) lacunas quanto ao preenchimento do cadastro no site E-Psi ; e (c) falta de treinamento adequado para realizar a transição para o formato online. Entre os principais resultados, destacaram-se a insegurança gerada pela falta de preparo prévio das(os) profissionais e a resistência de alguns clientes a aceitar a transposição dos atendimentos do modelo presencial para o online. Espera-se que o mapeamento das principais dificuldades enfrentadas pela categoria contribua para qualificar o debate sobre a efetividade das orientações disponibilizadas para as(os) psicólogas(os).

Abstract: With the emergence of the COVID-19 pandemic, psychologists began to offer online consultations to their patients, who were previously seen in person. In most cases, this change happened in an improvised way and with no prior training required. In this context, this study, of a descriptive-exploratory, quanti-qualitative character with cross-sectional design, aimed to understand the experience of psychologists in the transition from in-person to remote modality during the COVID-19 pandemic in Brazil, identifying difficulties and gaps regarding the guidelines provided by the Federal Council of Psychology. A total of 385 psychologists participated in the research. An online questionnaire was used for data collection, distributed via a digital platform between May and November 2020. The study was also shared in professional Psychology groups on several social networks. The quantitative data were analyzed by descriptive statistical analysis, and the answers to the open questions by reflective thematic analysis. The findings were organized into three thematic categories: (a) gaps perceived in the guidance regarding the choice of the digital platform; (b) gaps regarding the completion of the registration on the E-Psi website; and (c) lack of adequate training to make the transition to the online format. Among the main results were the insecurity generated by the lack of previous preparation of the professionals and the resistance of some clients to accept the transposition of the face-to-face services to the online model. It is expected that the mapping of the main difficulties faced by the category will contribute to qualify the debate about the effectiveness of the orientations made available to psychologists.

Resumen: Con la emergencia de la pandemia de Covid-19, las(os) psicólogas(os) comenzaron a ofrecer atención psicológica en línea a pacientes que hasta entonces eran atendidos de forma presencial. Este cambio se producía a menudo de forma improvisada y sin la formación previa necesaria. Este estudio descriptivo, exploratorio, cuanticualitativo, con enfoque transversal, tuvo como objetivo comprender la experiencia de estos profesionales en la transición del trabajo presencial al remoto durante la pandemia de Covid-19 en Brasil, identificando dificultades y lagunas percibidas en las directrices del Consejo Federal de Psicología. Participaron en la investigación 385 psicólogos(as). Para la recogida de datos se utilizó un cuestionario en línea distribuido por plataforma digital entre mayo y noviembre de 2020. El estudio también se difundió en grupos de la categoría profesional de la Psicología en diversas redes sociales. Los datos cuantitativos se analizaron mediante análisis estadístico descriptivo, y las respuestas a las preguntas abiertas mediante análisis temático reflexivo. Los resultados se organizaron en tres categorías temáticas: (a) lagunas percibidas en la orientación sobre la elección de la plataforma digital; (b) lagunas relativas a la realización de la inscripción en el sitio web E-Psi ; y (c) falta de formación adecuada para realizar la transición al formato en línea. Entre los principales resultados, destacaron la inseguridad generada por la falta de preparación previa de los profesionales y la resistencia de algunos clientes a aceptar la transición de los servicios del modelo presencial al modelo en línea. Se espera que el estudio de las principales dificultades a las que se enfrenta la categoría contribuya a matizar el debate sobre la eficacia de las orientaciones puestas a disposición de los(as) psicólogos(as).

Protótipo de aplicativo móvel para autoavaliação cultural de Enfermagem no cuidado às pessoas com deficiência / Prototype of a mobile application for cultural self-assessment in nursing care for people with disabilities*

RESUMO Objetivo descrever a construção de um protótipo de aplicativo móvel para a autoavaliação da competência cultural dos profissionais e acadêmicos de Enfermagem no fornecimento do cuidado à pessoa com deficiência. Métodos estudo metodológico do tipo protótipo de aplicativo, a partir do Instrumento de Autoavaliação da Competência Transcultural para o Cuidado da Pessoa com Deficiência, que possui cinco níveis de responsividade e 23 itens agrupados nos cinco tipos de deficiências, em observância a Teoria Transcultural de Enfermagem. O conteúdo de layout da tecnologia foi criado conforme as cinco metodologias do aplicativo "One-Minute Preceptor". Resultados o protótipo possui 42 telas, compostas por telas iniciais com informações sobre o Instrumento de Autoavaliação e Interface de cadastro com login e senha. As telas seguintes são compostas pela autoavaliação cultural de cada deficiência. Conclusão a construção do protótipo, fundamentado no Instrumento de Autoavaliação da Competência Transcultural para Cuidar da Pessoa com Deficiência, direciona os profissionais/acadêmicos de Enfermagem à autoavaliação e à aquisição de competência cultural para o cuidado de Enfermagem. Contribuições para a prática: o protótipo possui qualidade de conteúdo constatada a partir da validação com especialistas, o que possibilita o aprendizado e melhoria no cuidado de Enfermagem com competência cultural à pessoa com deficiência.

ABSTRACT Objective to describe the construction of a prototype mobile application for self-assessment of the cultural competence of nursing professionals and students in providing care to people with disabilities. Methods a methodological study of the prototype application type, based on the Instrument for Self-Assessment of Transcultural Competence for the Care of People with Disabilities, which has five levels of responsiveness and 23 items grouped into the five types of disabilities, in compliance with the Transcultural Nursing Theory. The layout content of the technology was created according to the five methodologies of the "One-Minute Preceptor" application. Results the prototype has 42 screens, consisting of initial screens with information about the Self-Assessment Tool and the registration interface with login and password. The following screens are made up of the cultural self-assessment of each disability. Conclusion the construction of the prototype, based on the Instrument for Self-Assessment of Transcultural Competence for Caring for People with Disabilities, directs nursing professionals/academics towards self-assessment and the acquisition of cultural competence for nursing care. Contributions to practice: the prototype has the quality of its content ascertained through validation with specialists, which makes it possible to learn and improve culturally competent nursing care for people with disabilities.