COVID-19: The question of genetic diversity and therapeutic intervention approaches.

Coronavirus disease 2019 (COVID-19), caused by the Severe Acute Respiratory Syndrome Coronavirus type 2 (SARS-CoV-2), is the largest pandemic in modern history with very high infection rates and considerable mortality. The disease, which emerged in China's Wuhan province, had its first reported case on December 29, 2019, and spread rapidly worldwide. On March 11, 2020, the World Health Organization (WHO) declared the COVID-19 outbreak a pandemic and global health emergency. Since the outbreak, efforts to develop COVID-19 vaccines, engineer new drugs, and evaluate existing ones for drug repurposing have been intensively undertaken to find ways to control this pandemic. COVID-19 therapeutic strategies aim to impair molecular pathways involved in the virus entrance and replication or interfere in the patients' overreaction and immunopathology. Moreover, nanotechnology could be an approach to boost the activity of new drugs. Several COVID-19 vaccine candidates have received emergency-use or full authorization in one or more countries, and others are being developed and tested. This review assesses the different strategies currently proposed to control COVID-19 and the issues or limitations imposed on some approaches by the human and viral genetic variability.

[Instrument for evaluating care given by undergraduate nursing students to people with wounds]. / Instrumento para avaliar o cuidado de graduandos de enfermagem à pessoa com ferida.

OBJECTIVE: The aim of this study was to present the process of construction and validation of an instrument for evaluating the care provided to people with wounds, to be used with undergraduate nursing students. METHOD :Methodological study, with quantitative approach, using the Delphi technique in two rounds, the first with 30 judges and the second with 18. The analysis was made with Kappa coefficient ≥0.80, and content validity index greater than >0.80, also using the Wilcoxon test for comparison of the indices between the rounds. RESULTS: It was found that of the 20 categories of the instrument, 18 presented better scores in the second Delphi round. Scores were greater in the second round in seven of the ten evaluation categories. CONCLUSION: Based on the evaluation by the judges, a version of the instrument was defined with adequate indices of agreement and validity, which will be able to help in evaluating care of people with cutaneous injury given by undergraduate nursing students.

Cesarean Scar Pregnancy: A systematic review on expectant management.

A Cesarean Scar Pregnancy (CSP) is a variant of uterine ectopic pregnancy defined by full or partial implantation of the gestational sac in the scar of a previous cesarean section. The continuous increase of Cesarean Deliveries is causing a parallel increase in CSP and its complications. Considering its high morbidity, the most usual recommendation has been termination of pregnancy in the first trimester; however, several cases progress to viable births. The aim of this systematic review is to evaluate the outcome of CSP managed expectantly and understand whether sonographic signs could correlate to the outcomes. An online-based search of PubMed and Cochrane Library Databases was used to gather studies including women diagnosed with a CSP who were managed expectantly. The description of all cases was analysed by the authors in order to obtain information for each outcome. 47 studies of different types were retrieved, and the gestational outcome was available in 194 patients. Out of these, 39 patients (20,1%) had a miscarriage and 16 (8,3%) suffered foetal death. 50 patients (25,8%) had a term delivery and 81 (41,8%) patients had a preterm birth, out of which 27 (13,9%) delivered before 34 weeks of gestation. In 102 (52,6%) patients, a hysterectomy was performed. Placenta Accreta Spectrum (PAS) was a common disorder among CSP and was linked to a higher rate of complications such as foetal death, preterm birth, hysterectomy, haemorrhagic morbidity and surgical complications. Some of the analysed articles showed that sonographic signs with specific characteristics, such as type II and III CSP classification, Crossover Sign - 1, "In the niche" implantation and lower myometrial thickness could be related to worse outcomes of CSP. This article provides a good understanding of CSP as an entity that, although rare, presents with a high rate of relevant morbidity. It is also understood that pregnancies with confirmed PAS had an even higher rate of morbidity. Some sonographic signs were shown to predict the prognosis of these pregnancies and further investigation is necessary to validate one or more signs so they can be used for a more reliable counselling of women with CSP.

Assessment of the Psychosocial Care Center multidisciplinary team from users' and family members' perspective.

OBJECTIVES: to assess the multidisciplinary team of a Psychosocial Care Center I from users' and family members' perspective. METHODS: an evaluative study, anchored in the fourth generation evaluation theoretical-methodological framework, carried out in a Psychosocial Care Center I, from September 2021 to March 2022. Eleven users and 06 family members participated. Data were collected through non-participant observation, individual interviews and negotiation sessions, and analyzed using the Constant Comparative Method, using the MAXQDA software. RESULTS: the team develops its care based on individual and collective care, with integrated and complementary work by professionals. They seek to facilitate treatment initiation and continuation, considering health needs and offering support, understanding and guidance to users and their families. FINAL CONSIDERATIONS: the multidisciplinary team's work is based on the psychosocial paradigm, which can qualify care and strengthen the service role in the mental health network.

Process of building an entrepreneurial career in Nursing.

OBJECTIVE: To learn about the experiences of nurse entrepreneurs in building their careers and business trajectories. METHOD: A descriptive and exploratory, qualitative study carried out with nurse entrepreneurs, recruited using the snowball technique. Interviews were conducted via Skype and audio-recorded between June and July 2021, which were transcribed and subjected to content analysis. RESULTS: 15 nurses participated. Three thematic axes were identified: "Entrepreneurship in nursing with the use of technologies", which presented niches of activity and the use of technologies; "Desire to innovate even with fear of the new", which reports feelings and motivations related to entrepreneurship, especially innovation; and "What nurses need to know before starting a business", which presents the risks and benefits of entrepreneurship, as well as the skills needed by entrepreneurs. CONCLUSION: The entrepreneurial experience presents challenges for nurses. Thus, encouraging knowledge about entrepreneurship makes it possible to strengthen autonomy and gain new opportunities in nursing.

Multiprofessional intervention and telenursing in the treatment of obese people in the COVID-19 pandemic: a pragmatic clinical trial.

OBJECTIVES: to analyze the effects of a multiprofessional remote intervention and telenursing in the treatment of obesity. METHODS: pragmatic clinical trial of intervention, conducted with obese adults. The multiprofessional remote intervention with a nurse occurred for 16 weeks through a messaging application. The application analyzed body composition, hemodynamic and laboratory variables, comparing the results obtained with the group that participated in face-to-face multiprofessional intervention without a nurse. The study investigated the effects of the intervention comparing the intervention groups and the moments through the ANOVA test for repeated measures. RESULTS: Group 1 obtained significance in the variables: percentage of body fat (p = 0.008); blood glucose (p = 0.014); insulin (p = 0.001); abdominal and waist circumference; and HDL cholesterol (p = 0.000). CONCLUSIONS: the effects of multiprofessional remote intervention and telenursing significantly decreased the risk variables for metabolic syndrome in the treatment of obesity.

Prevalence of non-communicable chronic diseases and associated factors in deaf people.

OBJECTIVE: To analyze the prevalence and factors associated with non-communicable chronic diseases in deaf people. METHODS: Cross-sectional study with 110 deaf people in Maringá-Paraná, selected using the snowball sampling technique. Data were collected from February to August 2019, using a structured instrument; and, in the analysis, multiple logistic regression was used. RESULTS: The self-reported prevalence of chronic diseases was 43.6%, the most frequent being: arterial hypertension (12.7%), depression (6.4%), diabetes mellitus (5.4%), respiratory disease (5.4%) and hypothyroidism (4.5%). Using health services for routine consultations was significantly associated with being bimodal bilingual. The only risk behavior significantly associated with chronic disease was excessive consumption of sweet foods. CONCLUSION: The prevalence of chronic diseases in this population may be higher than that found, as there is a possibility of underdiagnosis due to the low demand for routine consultations and the difficulty of communication with health professionals.

Effects of multidisciplinary rounds and checklist in an Intensive Care Unit: a mixed methods study.

OBJECTIVES: to analyze the implementation of multidisciplinary checklist-directed rounds before health indicators and multidisciplinary team perception of an Intensive Care Unit. METHODS: a mixed methods study, with an explanatory sequential design, carried out at a hospital in southern Brazil, from September 2020 to August 2021. The integration of quantitative and qualitative data was combined by connection. RESULTS: after the implementation of checklist-directed rounds, there was a significant reduction in hospital stay from ventilator-associated pneumonia, urinary tract infection and daily invasive device use. The investigated practice is essential for comprehensive care, harm reduction, effective work and critical patient safety. CONCLUSIONS: the multidisciplinary rounds with checklist use reduced data on health indicators of critically ill patients and was considered a vital practice in the intensive care setting.

The hidden experience of nursing professionals sued for error.

OBJECTIVE: To understand the experience of judicialization due to error from the viewpoint of nursing professionals. METHOD: Qualitative study with two nursing professionals sued for error in a state in southern Brazil. The data were collected between January and June 2018 through an online survey and analyzed with the Oral History technique. RESULTS: The reports discussed the experience of error and its influence on professional practice. The perception of being unable to intervene in errors and the lack of support from institutions and professional associations were mentioned as causes of emotional suffering, a feeling of injustice, and revolt. Nonetheless, both participants mentioned receiving support from the local health sector union and hoping to carry on with their profession. CONCLUSION: Emotional suffering caused by judicialization is amplified by a feeling of helplessness regarding error prevention and lack of institutional support.

Judicialization of nursing malpractice in perioperative care, and delivery and birth assistance.

OBJECTIVES: to analyze the legal outcomes of malpractices in perioperative care, and delivery and birth assistance related to nursing, from the perspective of legal support for malpractice prevention. METHODS: an exploratory, documentary, qualitative study, based on the cases tried by the Court of Justice of the State of Paraná, available online until April 2018. For the data analysis, we codified the processes and summarized the judicial outcome by the severity of the malpractice. Then, we recommended practices for the prevention of each case we presented. RESULTS: among the thirteen processes analyzed, eight corresponded to the perioperative period (mainly electrocautery burn), and five to nursing care for delivery and birth. The severity of the cases was high (n=7). The judicial outcome of most cases (n=11) was the conviction of the institution. CONCLUSIONS: despite the multifactorial nature of the malpractices, the identified ones are preventable since there is a description of good practices.

Perceptions of adults with obesity about multiprofessional remote monitoring at the beginning of the COVID-19 pandemic.

OBJECTIVE: To understand the perception of adults with obesity about remote monitoring at the beginning of the pandemic of COVID-19. METHODS: A descriptive-exploratory, qualitative study with participants in remote monitoring of a multi-professional treatment program in southern Brazil. Data was collected through digital platforms with interviews in written or audio-recorded records. The results were submitted to content analysis, thematic modality. RESULTS: 26 women participated, emerging the thematic category "Difficulties and potentialities in adherence to lifestyle changes during the pandemic. Among the difficulties are the change of routine and increased anxiety; and, among the potentialities are the multi-professional accompaniment, decreased tension, and weight control. FINAL CONSIDERATIONS: The participants' perception showed considerable weaknesses in adhering to the program, caused by social distance. Studies with remote interventions are essential to improve the quality of this type of health care.

Comparison of a computer system evaluation of intrapartum cardiotocographic events and a consensus of clinicians.

AIMS: To compare between computer analysis of intrapartum cardiotocography (CTG) features by the Omniview-SisPorto 3.5 and a consensus of clinicians. METHODS: Agreement study using 50 consecutively acquired tracings (206 h of signals) with >60 min duration, <10% signal loss and recorded in labor at term by internal fetal heart rate (FHR) monitoring. Tracings were divided into 10-min segments and independently analyzed by three experienced clinicians, in order to estimate the FHR baseline and identify periodic events. A consensus was reached using a three round Delphi procedure. Results were compared with the analysis provided by the Omniview-SisPorto 3.5 system. RESULTS: For baseline estimation, agreement between the computer and the consensus was high [intraclass correlation coefficient (ICC)=0.85; 95% confidence interval (CI) 0.46-0.93], with a mean difference of 3.7 bpm (limits of agreement -4.4-11.9 bpm), and 99% of differences under 15 bpm. A concordant identification was observed in 71% of accelerations (95% CI: 69%-73%), 68% of decelerations (95% CI: 66%-70%), and 87% of uterine contractions (95% CI: 85%-89%). CONCLUSIONS: A high agreement was observed between the Omniview-SisPorto 3.5 and a consensus of clinicians in evaluation of intrapartum CTG baseline, accelerations, decelerations and uterine contractions.

Natural history of the late-onset phenotype of Fabry disease due to the p.F113L mutation.

BACKGROUND: The common GLA gene mutation p.F113L causes late-onset phenotype of Fabry disease (FD) with predominant cardiac manifestations. A founder effect of FD due to this mutation was found in the Portuguese region of Guimarães. Our study aims to deepen the knowledge on the natural history of this late-onset variant. METHODS: 203 consecutive adult Fabry patients with p.F113L mutation (79 males; mean age 46 ± 18 years), from this region, were submitted at baseline to a predefined diagnostic protocol. The occurrence of FD manifestations was analyzed in each decade of age in both genders. RESULTS: In males, left ventricular hypertrophy (40.2%) and late gadolinium enhancement (21.4%) arose over 30 years; heart failure (HF) (21.9%), ventricular tachycardia (8.9%) and conduction disorders over 40 years; and bifascicular (13.1%) and complete atrioventricular blocks (5.9%) beyond 50 years of age. Cardiac manifestations occurred more commonly and 1-2 decades earlier in males; their frequency increased with age. Septum and posterior wall thickness, LV mass, QRS interval duration and pro-BNP levels increased with age in both genders. Mean survival free from HF (64 ± 1 vs. 76 ± 2 years) and pacemaker (71 ± 2 vs. 86 ± 1 years) was higher in females (p < .001). Albuminuria A2/A3 (33.7%), brain white matter lesions (50.3%) and sensorineural deafness (44.7%) arose before 30 years of age in both genders, increasing with age. Renal failure and stroke were rare. Lysosomal inclusions were demonstrated in podocytes of patients with proteinuria. CONCLUSION: This study improves the knowledge on natural history of late-onset variants of FD, carrying major impact on clinical decisions and guidelines.

Effectiveness of a dietary re-education and physical activity program on obesity.

OBJECTIVE: To evaluate the effects on obesity of a weight loss method that associates dietary re-education and physical activity. METHOD: A retrospective, cross-sectional, and quantitative study using secondary data from individual follow-up forms of a weight loss clinic located in a municipality in northwestern Paraná, Brazil. Data collection took place in August 2018 through a checklist of anthropometric parameters, being stored in Excel spreadsheets and analyzed by descriptive statistics using the SPSS program. RESULTS: The mean weight loss was 15.22 kg, and the weight loss method was associated with beneficial results in relation to the following variables: weight, body mass index, body and visceral fat, muscle mass, basal metabolism rate, waist circumference, and hip circumference. CONCLUSION: The association of dietary re-education with regular physical exercise has a positive impact on obesity.

Percepção de acadêmicos de enfermagem sobre morte encefálica e doação de órgãos / Perception of nursing academics about brain death and organ donation / Percepción de los académicos de enfermería sobre la muerte encefálica y la donación de órganos

Objetivo: Conhecer as percepções de acadêmicos do curso de enfermagem acerca de morte encefálica e doação de órgãos. Método: Estudo descritivo, qualitativo, com acadêmicos de enfermagem de uma universidade pública do sul do país. As entrevistas aconteceram em 2019, foram transcritas e submetidas à análise de conteúdo. Resultados: Participaram trinta acadêmicos. Emergiram-se três categorias: "Conhecimento enquanto fator de (des)interesse", que demonstra a falta de abordagem do tema na graduação; "Doação como sinal de empatia com familiares e/ou pessoa que receberá o órgão" que versa sobre o interesse em ser doador e "Ansiedades enquanto (possível) profissional responsável pelos casos" que aponta insegurança pela falta de conhecimento. Conclusão: Os acadêmicos apresentam uma visão positiva em relação à doação de órgãos sem ressalvas em relação a ser doador, entretanto, quando colocados no âmbito de atuação como enfermeiros, a resposta é pautada na insegurança relacionada à falta de conhecimento (AU).

Objective: To know the action of organs of death in the course of. Method: Qualitative Nursing Study, Public Nursing Comments from a university in the south of the country. The interviews took place in 2019, were transcribed and revealed for analysis. Results: Bets participated. Three categories emerged: "Knowledge as a factor of (dis)interest"; which demonstrates the lack of approach to the subject in graduation; "Donation as a sign of empathy with family members and/or the person who will receive the organ" which deals with the interest in being a donor and "Anxieties as a (possible) professional responsible for the cases" which points to insecurity due to lack of knowledge. Conclusion: The answer is given by a positive relationship in relation to organs without respect to a knowledge of reference of acting as nurses, the answer is the donor in the relationship of involvement in reference (AU).

Objetivo: Conocer las percepciones de los estudiantes de enfermería sobre la muerte encefálica y la donación de órganos. Método: Estudio cualitativo descriptivo con estudiantes de enfermería de una universidad pública del sur del país. Las entrevistas se realizaron en 2019, fueron transcritas y sometidas a análisis de contenido. Resultados: Participaron 30 académicos. Emergieron tres categorías: "El conocimiento como factor de (des)interés" lo que demuestra la falta de abordaje del tema en la graduación; "La donación como muestra de empatía con los familiares y/o con la persona que va a recibir el órgano" que trata sobre el interés de ser donante y "Angustias como (posible) profesional responsable de los casos" que apunta a la inseguridad por falta de conocimiento. Conclusión: Los académicos tienen una visión positiva de la donación de órganos sin reservas sobre ser donante, sin embargo, cuando se ubican en el ámbito del trabajo como enfermeros, la respuesta se basa en la inseguridad relacionada con la falta de conocimiento (AU).

Atenção à saúde do homem na perspectiva do usuário

Objetivo: Identificar as atividades realizadas pela atenção primária a saúde voltada à saúde do homem, na perspectiva do usuário. Material e Método: Pesquisa quantitativa, exploratória e descritiva, realizada com 58 homens, com idade entre 20 a 59 anos, em um município do Sul do Brasil. O estudo utilizou amostragem não probabilística e a coleta de dados ocorreu de dezembro de 2019 a março de 2020. Resultados: A idade entre 50 e 59 anos esteve presente em 43,1% dos pesquisados, religião católica 58,62%, ensino médio incompleto 36,21%, etnia 46,55% brancos. Dos participantes, 37,9% responderam que procuravam as unidades para prevenção à saúde, mas não souberam especificar quais seriam tais ações preventivas. 8,62% inferiram realizar exames de rotina como método de prevenção. Em relação ao Programa Saúde do Homem a maioria, 70,7%, afirmou não possuir conhecimento. A falta de tempo (12,06%) foi citada como fator para não cuidar da saúde. Conclusão: Conclui-se que os participantes não conhecem as ações que as unidades realizam para o cuidado à saúde do homem. A necessidade de estudos que identifiquem as ações efetivas que estão sendo realizadas na atenção à saúde do homem para que possam subsidiar estratégias que estimulem profissionais e gestores a reforçarem a atenção primária como ambiente de produção de cuidado integral a saúde do homem.

Objective: To identify the activities carried out by primary health care, aimed at men's health, from the user's perspective. Material and Method: Quantitative, exploratory and descriptive research, conducted with 58 men, aged between 20 and 59 years, in a municipality in southern Brazil. The study was carried out using non-probability sampling and data collection took place from December 2019 to March 2020. Results: Respondents were between 50 and 59 years old (43.1%), of Catholic religion (58.62%), with incomplete secondary education (36.21%), belonging to white ethnicity (46.55%). 37.9% of the participants responded that they sought health prevention units but were unable to specify what these preventive actions were. 8.62% inferred routine examinations as a method of prevention. Regarding the Brazilian Men's Health Program, the majority, 70.7%, stated that they were unaware of the program. Lack of time (12.06%) was cited as a factor for not taking care of health. Conclusion: It can be pointed out that the participants are unaware of the actions carried out by the units responsible for men's health care. More studies are needed to identify the effective actions that are being carried out in men's health care, so that they can generate strategies that encourage professionals and managers to strengthen primary health care for comprehensive men's health care.

Objetivo: Identificar las actividades realizadas por la atención primaria de salud dirigidas a la salud del hombre, desde la perspectiva del usuario. Material y Método: Investigación cuantitativa, exploratoria y descriptiva, realizada con 58 hombres en un municipio del sur de Brasil, con edades entre 20 y 59 años. Se utilizó muestreo no probabilístico y el período de recolección incluyó diciembre de 2019 a marzo de 2020. Resultados: La edad entre 50 y 59 años estuvo presente en el 43,1% de los encuestados, religión católica 58,62%, educación secundaria incompleta 36,21%, etnia blanca 46,55%. De los participantes, 37,9% respondieron que buscaban unidades de prevención en salud, pero no pudieron especificar cuáles serían esas acciones preventivas. El 8,62% infirió la realización de exámenes de rutina como método de prevención. En cuanto al Programa de Salud del Hombre de Brasil, la mayoría, 70,7%, dijo no tener conocimiento. La falta de tiempo (12,06%) fue citada como factor para no cuidar la salud. Conclusión: Se concluye que los participantes desconocen las acciones que realizan las unidades para el cuidado de la salud del hombre. Se requiere de estudios que identifiquen las acciones efectivas que se están realizando en la atención a la salud del hombre para que puedan sustentar estrategias que alienten a los profesionales y gestores a reforzar la atención primaria como ámbito de producción de la atención integral a la salud del hombre.

Cuidados de enfermería para personas sometidas a cirugía bariátrica: revisión integradora / Cuidados de enfermagem às pessoas submetidos à cirurgia bariátrica: revisão integrativa / Nursing care for people undergoing bariatric surgery: integrative review

Objetivo: Identificar a partir de la literatura científica los cuidados de Enfermería brindados a personas con obesidad sometidas a cirugía bariátrica. Método: Revisión integrativa de la literatura, se realizaron búsquedas de julio a agosto/2021 en cuatro bases de datos: MEDLINE, LILACS, BDENF y EMBASE. La pregunta de investigación fue delimitada a través de la estrategia PICo, considerando: P – Pacientes con obesidad; I - Atención de Enfermería; Co – Pacientes obesos sometidos a cirugía bariátrica. Se elaboró la siguiente pregunta: “¿Cuáles son los principales cuidados de Enfermería en pacientes con obesidad sometidos a cirugía bariátrica?”. Criterios de inclusión artículos primarios que cumplieron con la pregunta orientadora; disponible en su totalidad; durante el período de 2016 a 2021; Idiomas portugués, inglés y español. Criterios de exclusión literatura gris, estudios que no respondieron a la pregunta orientadora. Los resultados de la búsqueda fueron analizados e interpretados. Resultados: 14 artículos fueron incluidos en la síntesis de la investigación. El análisis de los resultados mostró que los cuidados de Enfermería prestados a las personas sometidas a cirugía bariátrica fueron identificados en el período preoperatorio: educación en salud sobre el procedimiento quirúrgico y posibles complicaciones; y en el postoperatorio: pautas para aliviar la ansiedad. En el período intraoperatorio no se mencionaron los procedimientos de atención. Conclusión: Considerando, por lo tanto, la presentación de resultados, los hallazgos demuestran la inequívoca necesidad e importancia de incorporar nuevas tecnologías en el cuidado de Enfermería; promover la formación de habilidades y destrezas de los integrantes del equipo, además de realizar nuevas investigaciones que permitan ampliar la actuación del equipo de Enfermería en el cuidado de los pacientes sometidos a cirugía bariátrica. (AU)

Objetivo: Identificar a partir da literatura científica os cuidados de Enfermagem prestados as pessoas com obesidade submetidas à cirurgia bariátrica. Método: Revisão integrativa da literatura, buscas foram realizadas em julho a agosto/2021 em quatro bases de dados: MEDLINE, LILACS, BDENF e EMBASE. Delimitou-se a questão de pesquisa por meio da estratégia PICo, considerada: P – Pacientes com obesidade; I – Cuidados de Enfermagem; Co – Obesos submetidos à cirurgia bariátrica. Elaborou-se a seguinte questão: “Quais os principais cuidados de Enfermagem em pacientes com obesidade que foram submetidos à cirurgia bariátrica?”. Critérios de inclusão artigos primários que atenderam a questão norteadora; disponíveis na íntegra; durante o período de 2016 a 2021; idiomas português, inglês e espanhol. Critérios de exclusão literaturas cinzentas, estudos que não respondessem à questão norteadora. Os resultados das buscas foram analisados e interpretados. Resultados: Foram incluídos 14 artigos na síntese da pesquisa. Análise dos resultados permitiu evidenciar que os cuidados de Enfermagem prestados às pessoas submetidas à cirurgia bariátrica foram identificados nos períodos pré-operatório: educação em saúde quanto ao procedimento cirúrgico e possíveis complicações; e no pós-operatório: orientações para aliviar ansiedade. No período intraoperatório, não foram citados quais cuidados são realizados. Conclusão: Considerando, portanto, a exposição dos resultados, os achados demonstram a inequívoca necessidade e a importância da incorporação de novas tecnologias nos cuidados de Enfermagem; promover a capacitação das competências e habilidades dos integrantes da equipe, além da realização de novas pesquisas que permitam ampliar a atuação da equipe de Enfermagem no atendimento a pacientes submetidos à cirurgia bariátrica. (AU)

Objective: To identify from the scientific literature the Nursing care provided to people with obesity undergoing bariatric surgery. Method: Integrative literature review, searches were carried out from July to August/2021 in four databases: MEDLINE, LILACS, BDENF and EMBASE. The research question was delimited through the PICo strategy, considering P – Patients with obesity; I – Nursing care; Co – Obese patients undergoing bariatric surgery. The following question was elaborated: “What are the main Nursing care in patients with obesity who underwent bariatric surgery?”. Inclusion criteria primary articles that met the guiding question; available in full; during the period from 2016 to 2021; Portuguese, English and Spanish languages. Exclusion criteria gray literature, studies that did not respond to the guiding question. Search results were analyzed and interpreted. Results: 14 articles were included in the research synthesis. Analysis of the results showed that the Nursing care provided to people undergoing bariatric surgery was identified in the preoperative period: health education regarding the surgical procedure and possible complications; and in the postoperative period: guidelines for relieving anxiety. In the intraoperative period, care procedures were not mentioned. Conclusion: Considering, therefore, the presentation of results, the findings demonstrate the unequivocal need for and importance of incorporating new technologies in Nursing care; promote the training of skills and abilities of team members, in addition to carrying out new research that allows expanding the performance of the Nursing team in the care of patients undergoing bariatric surgery. (AU)

Percepção dos docentes sobre as dificuldades de ensinar e formar um profissional em meio a pandemia / Teachers' perception on the difficulties of teaching and training a professional in the midst of the pandemic / Percepción de los profesores sobre las dificultades de enseñar y formar un profesional en medio a la pandemia

Objetivo: verificar na percepção dos docentes as dificuldades de ensinar e formar um profissional em meio a pandemia por COVID-19 e como isso poderá impactar na formação profissional dos acadêmicos. Método: pesquisa de abordagem qualitativa, realizada com 90 docentes de uma Universidade Estadual localizada na região no Sul do Brasil, que desenvolveram atividades de ensino remoto durante o ano letivo de 2020. A coleta de dados ocorreu no mês de junho de 2020 por meio de um questionário semiestruturado aplicado pelo GoogleForms®. Para as respostas foi utilizada a análise lexicográfica com o software "Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires - IRaMuTeQ® a partir do mecanismo de análise de Classificação Hierárquica Descendente. Resultados: O dendograma resultante da análise do corpus deste estudo foi composto por cinco classes: Fragilidade de comunicação professor-aluno e em relação a métodos de ensino adotados; Ausência de acesso dos alunos à internet e as diversas plataformas que são utilizadas para o ensino remoto; Impacto no ensino-aprendizado após a pandemia do COVID-19; Avaliação do processo de aprendizado do aluno e ausência de envolvimento do mesmo nas atividades remotas; Saúde mental dos acadêmicos em tempos de pandemia do COVID-19. Considerações finais: existem fragilidades e dificuldades no processo de ensino e aprendizagem remoto durante este período de distanciamento social devido a Pandemia por COVID-19. Os docentes acreditam que estas dificuldades podem refletir e impactar na formação profissional dos acadêmicos e se preocupam com a saúde mental dos alunos devido ao cenário complexo vivenciado atualmente.

Objective: to verify the perception of professors about the difficulties of learning and training a professional in the best possible way in the pandemic due to COVID-19 and how it is possible to impact the professional training of academics. Method: research with a qualitative approach, carried out with 90 professors from a State University in southern Brazil, who develop distance learning activities during the year 2020. applied by GoogleForms®. For the answers, lexicographical analysis was used with the software "Interface de R pour les Analysis Multidimensionnelles de Textes et de Questionnaires - IRaMuTeQ® from the analysis mechanism of Descending Hierarchical Classification. Results: The dendrogram resulting from the analysis of the corpus of this study was composed of five classes: Fragility of teacher-student communication and in relation to the teaching methods adopted; Lack of access by students to the internet and to the different platforms that are used for distance learning; Impact on teaching-learning after the COVID-19 pandemic; Validation of the student's learning process and assistance in their involvement in remote activities; Mental health of academics in times of the COVID-19 pandemic. Final considerations: there are weaknesses and difficulties in the distance teaching and learning process in this period of social distancing due to the COVID-19 pandemic. Professors recognize that these difficulties can reflect and impact the professional training of academics and are concerned with the mental health of students residing in the centenary complex they currently live in.

Objetivo: verificar la percepción de los profesores sobre las dificultades de enseñar y formar un profesional de la mejor forma posible en plena pandemia debido al COVID-19 y como es posible impactar en la formación profesional de los académicos. Método: investigación con abordaje cualitativo, realizada con 90 profesores de una Universidad Estadual del sur de Brasil, que desarrollan actividades de educación a distancia durante el año 2020. aplicado por GoogleForms®. Para las respuestas se utilizó análisis lexicográfico con el software "Interface de R pour les Analysis Multidimensionnelles de Textes et de Questionnaires - IRaMuTeQ® a partir del mecanismo de análisis de Clasificación Jerárquica Descendente. Resultados: El dendrograma resultante del análisis del corpus de este estudio estaba compuesto por cinco clases: Fragilidad de la comunicación profesor-alumno y en relación a los métodos de enseñanza adoptados; Falta de acceso de los alumnos a internet y a las diferentes plataformas que se utilizan para la enseñanza a distancia; Impacto en la enseñanza- aprendizaje después de la pandemia del COVID-19; Validación del proceso de aprendizaje del alumno y asistencia en su participación en actividades a distancia; Salud mental de los académicos en tiempos de la pandemia del COVID-19. Consideraciones finales: existen debilidades y dificultades en el proceso de enseñanza y aprendizaje a distancia en este período de distanciamiento social debido a la pandemia del COVID-19. Los profesores reconocen que estas dificultades pueden reflejar e impactar en la formación profesional de los académicos y están preocupados con la salud mental de los estudiantes que residen en el complejo centenario en el que viven actualmente.

Assessment of the Psychosocial Care Center multidisciplinary team from users' and family members' perspective / Evaluación del equipo multidisciplinario del Centro de Atención Psicosocial desde la perspectiva de los usuarios y familiares / Avaliação da equipe multiprofissional do Centro de Atenção Psicossocial na perspectiva de usuários e familiares

ABSTRACT Objectives: to assess the multidisciplinary team of a Psychosocial Care Center I from users' and family members' perspective. Methods: an evaluative study, anchored in the fourth generation evaluation theoretical-methodological framework, carried out in a Psychosocial Care Center I, from September 2021 to March 2022. Eleven users and 06 family members participated. Data were collected through non-participant observation, individual interviews and negotiation sessions, and analyzed using the Constant Comparative Method, using the MAXQDA software. Results: the team develops its care based on individual and collective care, with integrated and complementary work by professionals. They seek to facilitate treatment initiation and continuation, considering health needs and offering support, understanding and guidance to users and their families. Final Considerations: the multidisciplinary team's work is based on the psychosocial paradigm, which can qualify care and strengthen the service role in the mental health network.

RESUMEN Objetivos: evaluar el equipo multidisciplinario de un Centro de Atención Psicosocial I desde la perspectiva de los usuarios y familiares. Métodos: estudio evaluativo, anclado en el referencial teórico-metodológico de la evaluación de cuarta generación, realizado en un Centro de Atención Psicosocial I, de septiembre de 2021 a marzo de 2022. Participaron 11 usuarios y 06 familiares. Los datos fueron recolectados a través de observación no participante, entrevistas individuales y sesiones de negociación, y analizados mediante el Método Comparativo Constante, utilizando el software MAXQDA. Resultados: el equipo desarrolla su asistencia a partir de la asistencia individual y colectiva, con trabajo integrado y complementario de los profesionales. Busca facilitar el inicio y la continuación del tratamiento, considerando las necesidades de salud y ofreciendo apoyo, comprensión y orientación a los usuarios y sus familias. Consideraciones Finales: la actuación del equipo multidisciplinario se basa en el paradigma psicosocial, que puede calificar la atención y fortalecer el papel del servicio en la red de salud mental.

RESUMO Objetivos: avaliar a equipe multiprofissional de um Centro de Atenção Psicossocial I na perspectiva dos usuários e familiares. Métodos: estudo avaliativo, ancorado no referencial teórico-metodológico da avaliação de quarta geração, realizado em um Centro de Atenção Psicossocial I, de setembro de 2021 a março de 2022. Participaram 11 usuários e 06 familiares. Os dados foram coletados por observação não participante, entrevistas individuais e sessões de negociação, e analisados pelo Método Comparativo Constante, com uso do software MAXQDA. Resultados: a equipe desenvolve sua assistência pautada em atendimentos individuais e coletivos, com trabalho integrado e complementar dos profissionais. Busca facilitar o início e a continuidade do tratamento, considerando as necessidades de saúde e ofertando apoio, compreensão e orientações ao usuário e familiares. Considerações Finais: a atuação da equipe multiprofissional se pauta no paradigma psicossocial, o que pode qualificar o cuidado e fortalecer o papel do serviço na rede de saúde mental.

Ensino de segurança do paciente na pandemia da covid-19: percepção de estudantes de enfermagem / Enseñanza de la seguridad del paciente en la pandemia de COVID-19: percepción de los estudiantes de enfermería / Teaching patient safety in the COVID-19 pandemic: perception of nursing students

Resumo Objetivo Apreender a percepção de discentes de curso técnico e superior de Enfermagem sobre o ensino das competências de segurança do paciente na pandemia da COVID-19. Método Estudo qualitativo, realizado em 2021, com estudantes de Enfermagem de nível técnico e superior do Paraná, por meio de entrevistas individuais. Utilizou-se técnica de análise de conteúdo. Resultados Emergiram as categorias: Compreensão do conceito segurança do paciente potencializada pela prática clínica; Atitudes e sentimentos frente ao near miss, evento adverso e prática insegura e; Reflexos negativos da pandemia da COVID-19 no ensino da segurança do paciente. Conclusão e implicações para a prática O ensino das competências de segurança do paciente foi apreendido pelos estudantes com sentimentos negativos pela vivência de near miss, eventos adversos e práticas inseguras. Devido à pandemia da COVID-19, referiram fragmentação no ensino do tema em estudo, distanciamento da prática e; consequentemente, insegurança acadêmica e profissional. O aprofundamento da discussão do ensino das competências de segurança do paciente durante a pandemia é indispensável à qualidade de formação e atuação profissional.

Resumen Objetivo Aprehender la percepción de los estudiantes de curso técnico y superior de enfermería sobre la enseñanza de competencias en seguridad del paciente en la pandemia del COVID-19. Método Estudio cualitativo, realizado en 2021, con estudiantes de Enfermería de nivel técnico y superior en Paraná, mediante entrevistas individuales. Se utilizó la técnica del análisis de contenido. Resultados Surgieron las siguientes categorías: Comprensión del concepto de seguridad del paciente, reforzada por la práctica clínica; Actitudes y sentimientos hacia los cuasi accidentes, los acontecimientos adversos y la práctica insegura y; Reflejos negativos de la pandemia del COVID-19 sobre la educación en seguridad del paciente. Conclusión e implicaciones para la práctica La enseñanza de competencias en seguridad del paciente fue percibida por los estudiantes con sentimientos negativos debido a la experiencia de cuasi accidentes, eventos adversos y prácticas inseguras. Debido a la pandemia del COVID-19, denunciaron fragmentación en la enseñanza de la materia objeto de estudio, alejamiento de la práctica y, en consecuencia, inseguridad académica y profesional. La profundización del debate sobre la enseñanza de competencias en materia de seguridad del paciente durante la pandemia es esencial para la calidad de la formación y el desempeño profesional.

Abstract Objective To apprehend the perception of technical and undergraduate nursing students about the teaching of patient safety competencies in the pandemic of COVID-19. Method Qualitative study, conducted in 2021, with technical and undergraduate nursing students from Paraná, through individual interviews. The content analysis technique was used. Results The following categories emerged: Understanding of the concept of patient safety enhanced by clinical practice; Attitudes and feelings towards near miss, adverse events and unsafe practice and; Negative reflexes of the COVID-19 pandemic on patient safety teaching. Conclusion and implications for practice The teaching of patient safety competencies was perceived by students with negative feelings due to the experience of near misses, adverse events and unsafe practices. Due to the pandemic of COVID-19, they reported fragmentation in the teaching of the subject under study, distance from practice and, consequently, academic and professional insecurity. Further discussion of the teaching of patient safety competencies during the pandemic is indispensable to the quality of training and professional performance.