Tecnologias educacionais direcionadas ao aleitamento materno produzidas na pós-graduação em enfermagem brasileira / Educational technologies directed to breastfeeding produced in brazilian nursing graduate / Tecnologías educativas orientadas a la lactancia materna producidas en programas de posgrado en enfermería brasileños

Objetivo: Conhecer as tecnologias educacionais voltadas à prática do aleitamento materno desenvolvidas por enfermeiros. Método: Revisão Integrativa realizada nas bases de dados da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior e Biblioteca Digital Brasileira de Teses e Dissertações, em dezembro de 2021. Inicialmente foram identificados 313 trabalhos, após aplicados critérios de inclusão e exclusão foram selecionados 13 estudos para a amostra. Resultados: Verificou-se as seguintes tecnologias: álbum seriado, iconografia 3D, rádio, telefone, literatura de cordel, websites e simuladores realísticos de baixa fidelidade. Os estudos visaram desenvolver, avaliar ou validar tecnologias educacionais voltadas para o aleitamento materno no que diz respeito aos benefícios quando se trata do manejo correto. Conclusão: As tecnologias educacionais têm sido alvo no desenvolvimento de pesquisas em Enfermagem, contribuindo para a promoção do aleitamento materno, beneficiando mães e bebês e dinamizando o processo de cuidar.

Objective: To learn about educational technologies related to breastfeeding practice. Methods: Integrative Review conducted in the Coordination for the Improvement of Higher Education Personnel (CAPES) and Brazilian Digital Library of Theses and Dissertations (BDTD) databases, from December 2019 to December 2021. Initially, 313 studies were identified, and after applying the inclusion and exclusion criteria, 13 studies were selected for the sample. Results: The following technologies were verified: serialized album, 3D iconography, radio, telephone, string literature, websites, and low fidelity realistic simulators. The studies aimed to develop, evaluate, or validate educational technologies focused on breastfeeding with regard to the benefits when it comes to the correct management. Conclusion: Educational technologies have been a target in the development of nursing research, contributing to the promotion of breastfeeding, benefiting mothers and babies and streamlining the care process.

Objetivo: Conocer las tecnologías educativas orientadas a la práctica de la lactancia materna. Métodos: revisión integradora realizada en las bases de datos Coordinación para el Perfeccionamiento del Personal de Educación Superior (CAPES) y la Biblioteca Digital Brasileña de Tesis y Disertaciones (BDTD), desde diciembre de 2019 hasta diciembre de 2021. Inicialmente se identificaron 313 estudios, luego de aplicar los criterios de inclusión y exclusión, se seleccionaron 13 estudios para la muestra. Resultados: se verificaron las siguientes tecnologías: álbum en serie, iconografía 3D, radio, teléfono, literatura de cuerdas, sitios web y simuladores realistas de baja fidelidad. Los estudios tuvieron como objetivo desarrollar, evaluar o validar tecnologías educativas orientadas a la lactancia materna en cuanto a beneficios en cuanto a un correcto manejo se refiere. Conclusión: Las tecnologías educativas han sido un objetivo en el desarrollo de la investigación en enfermería, contribuyendo a la promoción de la lactancia materna, beneficiando a madres y bebés y agilizando el proceso de atención.

La comunicación efectiva para mejorar la interacción del personal de enfermería durante el enlace de turno / Effective communication to improve the interaction of nursing staff during shift change

La razón del ser y del saber que es objeto de estudio de la enfermería es el cuidado de las personas. Para garantizar la continuidad en el cuidado de las personas, el personal de enfermería realiza el enlace de turno en los diversos escenarios clínicos, durante el cual es imprescindible una actitud de compromiso, empatía y habilidad de comunicación efectiva para compartir ­transferir­ el estado de las personas que son sujetos de cuidados. Se han desarrollado herramientas que ayudan a reducir errores durante la transferencia de pacientes y el enlace de turno, como el protocolo Escuchar-escribir-leer-confirmar y la técnica SAER (Situación, antecedentes, evaluación y recomendaciones) o SBAR por sus siglas en inglés.

The entire purpose which is the object of study of nursing is the care of individuals. To guarantee continuity on this task, the nursing staff performs the shift change in the various clinical scenarios, during which an attitude of commitment, empathy and effective communication skills is essential to share ­transfer­ the status of the individuals under care. Tools that help reducing errors during patient transfer and shift change have been developed, such as the Listen-Write-Read-Confirm protocol, and the SBAR technique

Evaluación del cumplimiento de registros clínicos de enfermería en un hospital de segundo nivel atención / Evaluation of compliance with clinical nursing records in a secondary care hospital

Introducción: los registros clínicos de enfermería conforman la evidencia escrita de los cuidados otorgados al paciente, son medio de comunicación y coordinación entre profesionales de la salud; los registros están orientados a documentar los cuidados en un marco ético legal, además de ser un indicador para la calidad del cuidado. Objetivo: evaluar el cumplimiento de los registros clínicos de enfermería. Metodología: estudio cuantitativo, de diseño transversal descriptivo. Se realizó en el Hospital General de Zona No. 2 del IMSS de Fresnillo, México. Se utilizó el total de los registros clínicos de enfermería del tablero de control, se capturaron en el instrumento de evaluación de los registros clínicos de enfermería, y se analizaron mediante estadística descriptiva, medidas de tendencia central. Resultados: el porcentaje de cumplimiento de los registros clínicos de enfermería es de 8.03%, el porcentaje de congruencia de indicaciones médicas con los registros clínicos de enfermería es de 84.48%, por lo que queda en el parámetro de 80% con base en lo estipulado en el indicador institucional clave 2660-021-002. Conclusiones: dentro del indicador de evaluación por rubro, 15 de 18 se encuentran en suficiente y tres en insuficiente; respecto al cumplimiento es suficiente, al igual que en el porcentaje de congruencia de indicaciones médicas con registros clínicos de enfermería.

Introduction: Clinical nursing records make up the written evidence of the care given to the patient, they are a means of communication and coordination between health professionals; the records are aimed at documenting care in a legal ethical framework, as well as being an indicator for the quality of care. Objective: To evaluate the compliance of the clinical nursing records. Methodology: Quantitative study, descriptive cross-sectional design. It was carried out at the General Hospital of Zone No. 2 of the Instituto Mexicano del Seguro Social in Fresnillo, Mexico. The total number of clinical nursing records from the control panel were used, they were captured in the evaluation instrument of clinical nursing records, and they were analyzed using descriptive statistics, measures of central tendency. Results: The percentage of compliance of the clinical nursing records is 8.03%, the percentage of congruence of medical indications with the clinical nursing records is 84.48%, so it remains within the parameter of 80% based on the stipulated in the key institutional indicator 2660-021-002. Conclusions: within the evaluation indicator by category, 15 of 18 are found to be sufficient and three are insufficient; Regarding compliance, it is sufficient, as is the percentage of congruence of medical indications with clinical nursing records.

Evaluación del modelo de calidad de Donabedian en base a los criterios de Chinn y Kramer / Evaluation of the Donabedian quality model based on the Chinn and Kramer criteria

INTRODUCCIÓN: La evaluación de teorías es un proceso crucial para el desarrollo del conocimiento enfermero, permite seleccionar y utilizar la teoría en función de los problemas y fenómenos del cuidado, sin embargo, es escasamente realizada, especialmente en teorías de otras disciplinas. OBJETIVO: Analizar críticamente el modelo de calidad de la atención de salud de Donabedian, a través de la propuesta metodológica de Chinn y Kramer. DESARROLLO: Se realizó un estudio descriptivo-reflexivo del componente teórico y conceptual del modelo de Donabedian, se explica el propósito, conceptos, relaciones, estructura y supuestos. Se continua con la evaluación crítica del modelo, analizada bajo los criterios de claridad, sencillez, generalidad, accesibilidad e importancia, a través de una revisión narrativa de la literatura. CONCLUSIÓN: el modelo es útil para la gestión, los procesos de mejora, evaluación de estrategias y programas. Con valor para enfermería, puesto que coinciden en el significado e importancia otorgada a la calidad de la atención, reconociendo su contribución en la implementación, desarrollo de intervenciones y mejoramiento de la salud.

NTRODUCTION: The evaluation of theories is a crucial process for the development of nursing knowledge, as it allows the selection and use of such theories to address the problems of patient care. However, it is scarcely performed, especially with theoriesfrom disciplines other than nursing. OBJECTIVE: To critically analyze the Donabedian model of health care quality, through the methodological approach of Chinn and Kramer (1999). METHODOLOGY: A descriptive-reflexive study of the theoretical and conceptualcomponent of the Donabedian model was carried out, explaining its purpose, concepts, relationships, structure, and assumptions. A critical evaluation of the model was then conducted, using the criteria of clarity, simplicity, generality, accessibility, and importance, through a narrative review of the literature. CONCLUSIONS: The model is useful for management, improvement processes, and the evaluation of strategies and programs. It is especially valuable for nursing, since it coincides with the meaning and importance given to the quality of nursing care, recognizing its contribution in the development and implementation of interventions and improvement of health.

The Business Case for Magnet ® Designation : Using Data to Support Strategy.

The Magnet® journey has increased in relevance as the sources of evidence reflect the complex role of the nurse in quality, safety, and the patient care experience. Creating a business case to secure the resources required to embark and travel on the Magnet journey is an essential tool for the chief nurse. Identifying expenses, cost savings or avoidance, and return on investment for nursing services are all important elements of a business case.

Structuring the Investment Opportunity for a Transition to Practice Program.

Gaining organizational commitment to build or expand a transition to practice program is greatly enhanced by following a business strategy that calls out an encompassing program return on investment (ROI). This article proposes the ROI categories that are powerful investment influencers for executives responsible for funding programs. The business strategy offers insight on how to connect workforce pipeline, retention, program accreditation/reimbursement, traveler replacement, improved quality measures, and career advancement data into a persuasive investment case. Additionally, for advanced practice residency/fellowships, additional categories of linking quality outcomes, billing and revenue generation, productivity, and procedural services are highlighted. [J Contin Educ Nurs. 2022;53(7):293-296.].

Better together: Coalitions committed to advancing health equity.

The Future of Nursing 2020-2030 report identifies coalitions as a driving force for advancing health equity. Five coalitions provided insight into their accomplishments, lessons learned, and role in advancing health equity. The exemplar coalitions included Latinx Advocacy Team and Interdisciplinary Network for COVID-19, Black Coalition Against COVID, Camden Coalition, National Coalition of Ethnic Minority Nurse Associations, and The Future of Nursing: Campaign for Action. While all exemplar coalitions, credited relationship building and partnerships to their success, they used unique strategies for striving to meet their populations' needs, whether the needs arose from COVID-19, racial and/or ethnic disparities, socioeconomic disparities, or other barriers to health. Research and policy implications for coalitions are discussed. Nurses play a critical role in every highlighted coalition and in the national effort to make health and health care more equitable.

An Overdue Reckoning on Racism in Nursing.

ABSTRACT: In response to the killing of George Floyd on May 25, 2020, and with a sense of urgency, the authors created and conducted a unique approach-a reckoning-to confronting racism in nursing. The project began with a series of five online discussions centering on the voices of nurses of color, followed by further ongoing discussions aimed at building antiracist capabilities for all participating nurses. This article describes the implementation and early outcomes of the project and provides its underlying principles, which are based on insights from activists and scholars whose work has focused on antiracist guidelines.

A Conversation with Abigail Matos-Pagán.

An expert in disaster nursing discusses COVID-19, Hurricane Maria, and emergency preparedness.

O enfermeiro no cuidado à pessoa idosa: construção do vínculo na atenção primária à saúde / El enfermero en el cuidado al adultomayor: construcción del vínculo en la atención primaria de salud / Nurses in the care of older adults: building a bond in primary health care

RESUMO Objetivo: compreender como o enfermeiro na Estratégia de Saúde da Família constrói o vínculo profissional com a pessoa idosa. Métodos: pesquisa qualitativa, com 30 enfermeiros de Estratégias de Saúde da Família de Joinville, entrevistados entre janeiro e março de 2018. Foi utilizado um instrumento de entrevista semiestruturado. Os dados foram analisados conforme a análise de conteúdo temática. Resultados: os resultados que emergiram das categorias apontam a importância de reconhecer o território de atuação, aprimorar a escuta sensível para questões do envelhecimento, valorizar a individualidade da pessoa idosa e seu contexto, a necessidade de trabalhar com parcerias intersetoriais e entre a equipe multiprofissional realizando atividades coletivas de promoção e prevenção da saúde, visando a qualidade no cuidado e, esse modo de trabalho possibilita que os enfermeiros tornem-se protagonistas, referências no cuidar, otimizando a construção e o fortalecimento de vínculo com as pessoas idosas e equipe o que pode proporcionar maior adesão a estilos de vida saudáveis e ao tratamento de saúde. Considerações finais: os enfermeiros estão imersos a um processo de construção de vínculo em suas unidades, são protagonistas, referência para sua equipe e para pessoa idosa. No entanto, há que se perfazer um longo caminho até que essas habilidades estejam de acordo ao que se postula como melhores práticas de enfermagem.

RESUMEN Objetivo: comprender cómo el enfermero en la Estrategia de Salud de la Familia construye el vínculo profesional con el adulto mayor. Métodos: investigación cualitativa, con 30 enfermeros de Estrategias de Salud de la Familia de Joinville, entrevistados entre enero y marzo de 2018. Se utilizó un instrumento de entrevista semiestructurado. Los datos fueron analizados según el análisis de contenido temático. Resultados: los resultados que surgieron de las categorías señalan la importancia de reconocer el territorio de actuación, mejorar la escucha sensible para cuestiones del envejecimiento, valorar la individualidad del adulto mayor y su contexto, la necesidad de trabajar con alianzas intersectoriales y entre el equipo multiprofesional, realizando actividades colectivas de promoción y prevención de la salud, buscando la calidad en el cuidado y, ese modo de trabajo posibilita que los enfermeros se vuelvan protagonistas, referencias en el cuidado, optimizando la construcción y el fortalecimiento de vínculo con los adultos mayores y el equipo que puede proporcionar mayor adhesión a estilos de vida saludables y al tratamiento de salud. Consideraciones finales: los enfermeros están inmersos en un proceso de construcción de vínculo en sus unidades, son protagonistas, referencia para su equipo y para la persona anciana. Sin embargo, hay que hacer un largo camino hasta que esas habilidades estén de acuerdo con lo que se postula como mejores prácticas de enfermería.

ABSTRACT Objective: tounderstand how Family Health Strategy nurses build a bond with older adults. Methods: qualitative research, with 30 nurses from the Family Health Strategies of Joinville, interviewed between January and March 2018. A semi-structured interview instrument was used. Data were analyzed according to thematic content analysis. Results: the results that emerged from the categories point to the importance of recognizing the territory of action, improving sensitive listening to aging issues, valuing the individuality of older adults and their context, the need to work with intersectoral partnerships and among the multidisciplinary team, carrying out collective health promotion and prevention activities, aiming at quality in care. This way of working allows nurses to become leaders, references in care, optimizing the building and strengthening of bonds with older adults and the team, which can provide greater adherence to healthy lifestyles and health care. Final considerations: nurses are immersed in a process of building a bond in their units, they are leaders, a reference for their team and for older adults. However, there is still a long way to go before these skills are in line with what is postulated as nursing best practices.

As tecnologias no processo de empoderamento dos cuidados primários de enfermagem em contexto da Covid-19 / Tecnologías en el proceso de empoderamiento de la atención primaria de enfermería en el contexto de Covid-19 / Technologies in the empowerment process of primary nursing care in the Covid-19 context

RESUMO Objetivo: Compreender o uso de tecnologias no processo de empoderamento das práticas de enfermagem no âmbito da Atenção Primária à Saúde (APS) em contexto de isolamento social provocado pela pandemia da Covid-19. Métodos: Estudo descritivo e exploratório, com abordagem qualitativa, realizado de forma online, com 23 enfermeiros e residentes de enfermagem que atuam na Atenção Primária, através da aplicação de um formulário virtual divulgado no período de maio-junho de 2020. Os dados foram analisados pelo Discurso do Sujeito Coletivo, com o aporte dos conceitos teóricos de Merhy e Nietsche. Resultados: Os discursos foram compilados no uso de tecnologias de interação social e ações individuais de educação em saúde, como também no resgate da comunicação em massa para reestruturação da assistência na identificação de indivíduos expostos. Estas tecnologias permeiam as densidades leve, leve-dura e dura, com fins educacionais, assistenciais e gerenciais. Conclusão: Novos modos de construir o processo de trabalho navegam por possibilidades antes invisíveis, com o recurso das tecnologias que empoderamos enfermeiros diante dos cuidados primários à saúde.

RESUMEN Objetivo: comprender el uso de tecnologías en el proceso de empoderamiento de las prácticas de enfermería en el ámbito de la Atención Primaria de Salud (APS) en contexto de aislamiento social provocado por la pandemia de Covid-19. Métodos: estudio descriptivo y exploratorio, con enfoque cualitativo, realizado de forma online, con 23 enfermeros y residentes de enfermería que actúan en la Atención Primaria, a través de la aplicación de un formulario virtual divulgado en el período de mayo-junio de 2020. Los datos fueron analizados por el Discurso del Sujeto Colectivo, con el aporte de los conceptos teóricos de Merhy y Nietsche. Resultados: los discursos fueron compilados en el uso de tecnologías de interacción social y acciones individuales de educación en salud, así como en el rescate de la comunicación de masas para reestructuración de la asistencia en la identificación de individuos expuestos. Estas tecnologías permean las densidades: blanda, blanda-dura y dura, con fines educativos, asistenciales y de gerencia. Conclusión: nuevos modos de construir el proceso de trabajo navegan por posibilidades antes invisibles, con el recurso de las tecnologías que empoderamos enfermeros ante la atención primaria de salud.

ABSTRACT Objective: Understand the use of technologies in the empowerment process of nursing practices in the Primary Health Care (PHC) context in a social isolation scenarios ulting from the Covid-19 pandemic. Methods: A descriptive and exploratory study, with a qualitative approach, conducted online, with 23 nurses and nursing residents who work in Primary Care, through the application of a virtual form released from May to June 2020. Data analysis was performed using the Collective Subject Discourse, with the contribution of Merhy and Nietsche's theoretical concepts. Results: The speeches were compiled regarding the use of social interaction technologies and individual health education actions, as well as in the recruitment of mass communication to restructure assistance in the identification of exposed individuals. These technologies permeate light, light-hard and hard densities, with educational, care and management objectives. Conclusion: New ways of creating the work process pass through previously unseen possibilities, using technologies that empower nurses in primary health care.

Compreensão das necessidades de saúde do homem em assistência domiciliar: estratégia para a contra-hegemonia / Comprensión de las necesidades de salud del hombre en asistencia domiciliaria: estrategia para la contrahegemonía / Understanding the health needs of men in home care: a strategy for counter-hegemony

RESUMO Objetivo: compreender as necessidades de saúde dos homenscuidados no domicílio. Métodos: estudo de abordagem qualitativa,analítica e interpretativa, fundamentada no referencial teórico-epistemológico sobre Necessidades. A coleta de dados foi realizada entre os meses de janeiro e fevereiro de 2019. Participaram da pesquisa 34 cuidadores e 24 homens assistidos pelo Serviço de Atenção Domiciliar de João Pessoa, Paraíba. Os dados foram obtidos de entrevistas abertas e observação assistemática e submetidos à Análise de Discurso Crítica. Resultados: os discursos revelam que as necessidades de saúde dos homens assistidos pela atenção domiciliar remetem a um modelo biologista hegemônico, invulnerável, construído por lideranças morais, ideologias dominantes e culturas particulares. Mas, devido à condição de limitação, os participantes passam a identificar necessidades de saúde consideradas contra-hegemônicas, tais como gregária; ser acolhido; ter vínculo; religiosidade; acesso aos serviços e tecnologias de saúde; insumos; lazer; tecnologia digital; socialização e acessibilidade. Considerações finais: conclui-se que as singularidades dos homens em atenção domiciliar precisam ser reconhecidas para uma assistência à saúde mais integral e equânime.

RESUMEN Objetivo: comprender las necesidades de salud de los hombres cuidados en el domicilio. Método: estudio de abordaje cualitativo, analítico e interpretativo, fundamentado en el referencial teórico-epistemológico sobre Necesidades. La recolección de datos se realizó entre los meses de enero y febrero de 2019. Participaron de la investigación 34 cuidadores y 24 hombres asistidos por el Servicio de Atención Domiciliaria de João Pessoa, Paraíba-Brasil. Los datos fueron obtenidos de entrevistas abiertas y observación asistemática y sometidos al Análisis de Discurso Crítico. Resultados: los discursos revelan que las necesidades de salud de los hombres asistidos por la atención domiciliaria remiten a un modelo biologismo hegemónico, invulnerable, construido por liderazgos morales, ideologías dominantes y culturas particulares. Pero, debido a la condición de limitación, los participantes pasan a identificar necesidades de salud consideradas contrahegemónicas, tales como gregaria; ser acogido; tener vínculo; religiosidad; acceso a los servicios y tecnologías de salud; insumos; ocio; tecnología digital; socialización y accesibilidad. Consideraciones finales: se concluye que las singularidades de los hombres en atención domiciliaria necesitan ser reconocidas para una asistencia a la salud más integral y ecuánime.

ABSTRACT Objective: to understand the health needs of men cared for at home. Methods: study with a qualitative, analytical and interpretive approach, based on the theoretical-epistemological framework on Needs. Data collection took place between January and February 2019. The survey included 34 caregivers and 24 men assisted by the Home Care Service in João Pessoa, Paraíba. Data were obtained from open interviews and unsystematic observation and submitted to Critical Discourse Analysis. Results: the discourses reveal that the health needs of men assisted by home care refer to a hegemonic and invulnerable biological model, built by moral leaders, dominant ideologies and particular cultures. But, due to the condition of limitation, the participants started to identify health needs considered counter-hegemonic, such as gregariousness; to be welcomed; to have a bond; religiosity; access to health services and technologies; inputs; leisure; digital technology; socialization and accessibility. Final considerations: we conclude that the singularities of men in home care must be recognized for a more comprehensive and equitable health care.

Building a nursing legacy.

ABSTRACT: A nurse's legacy can be defined in multiple ways. This article describes a project based on a qualitative research study that focused on legacy building in nursing.

Comparative analysis of ageing in Nigeria and United Kingdom using life course approach: the implication for the Nursing profession in Nigeria.

The population of Nigerian older persons is expected to reach 26 million by 2050 from 9 million reported in 2016. This population change has several implications, thus the need to pay attention to healthy ageing. Hence, this report aims to compare ageing and its facilitators in Nigeria and the United Kingdom (UK). The life course theory was used to explore the influence of early life factors and experiences on ageing. Unlike the UK, little attention is given to the care of Nigerian older persons. Therefore, Nigerian stakeholders must design and implement a comprehensive policy on healthy ageing. Also, there is an urgent need for training nurses to meet this demand as it arises.