Empathizing and systemizing profiles of Brazilian and Portuguese nursing undergraduates.

AIM: To analyze the empathizing and systemizing profiles of Brazilian and Portuguese nursing undergraduates. BACKGROUND: Empathy is a fundamental skill for nursing practice and should be analyzed during the student's education. METHODS: Descriptive study with cross-sectional design. Participants were 968 undergraduate students, including 215 (22.2%) Brazilians from a university in the state of São Paulo and 753 (77.8%) Portuguese students from a higher education institution in central Portugal. The Portuguese and Brazilian versions of the Empathizing/Systemizing Quotient have good internal consistency and reliability. ETHICAL CONSIDERATIONS: In Brazil, approval for the study was obtained from the Research Ethics Committee of the University of São Paulo at Ribeirão Preto College of Nursing (protocol 191/2016) and in Portugal, from the Ethics Committee of the Health Sciences Research Unit: Nursing, Coimbra Higher School of Nursing (protocol P362-09/2016). RESULTS: Most (86%) participants were female and aged between 20 and 24 years. In the general profile analysis between both groups, the domains "Social Skills," "Contents," and "Processes" scored higher. Gender differences exist for the feeling of empathy and systemizing, as women scored better on the short version of the Empathy Quotient and men on the Systemizing Quotient. CONCLUSION: As demonstrated in the domain scores for "Social Skills," "Contents," and "Processes," the undergraduate nursing students analyzed have the ability to deal intuitively and spontaneously with social situations; they are also characterized as methodical people, who like to follow rules, and experience practice better than theory, and the women have a higher empathetic level than men, who in turn are more systemizing.

Empathic profile of nursing freshmen.

OBJECTIVE: To analyze the empathic profile and the empathy scores of freshmen of the nursing course. DESIGN AND PARTICIPANTS: Descriptive study involving 399 freshmen students of two modalities of nursing courses: Bachelor and Bachelor and Teaching Diploma, in the period from 2012 to 2015. A sociodemographic questionnaire and the Empathy Inventory were applied. ETHICAL CONSIDERATIONS: The research received approval from the Research Ethics Committee of the University of São Paulo at Ribeirão Preto College of Nursing. The students registered their acceptance to participate in the research by signing the Free and Informed Consent Form and anonymity was guaranteed. FINDINGS: The mean age of the participants was 19 years, being 85.5% female. The students were grouped by course modality and all groups presented high empathy scores. A significant difference (p < 0.001) was found, which indicates that students of the Bachelor and Teaching Diploma program presented a higher degree of empathy for the General Score, Domain 2 (Interpersonal Flexibility), and Domain 3 (Altruism) in relation to students in the Bachelor program. CONCLUSION: Results show that nursing undergraduate freshmen are emphatic, with minimum differences between the two courses. This profile is relevant for the development of future professionals capable to demonstrate a balance between instrumental and expressive competences.

How to measure the empathy level of undergraduate nursing students? An integrative review / ¿como mensurar el nivel de empatia de alumnos de pregrado en enfermeria? Revision integradora / Como medir o grau empático de graduandos de enfermagem? Uma revisão integrativa

ABSTRACT Objective: analyze available evidence in the literature on the measuring of empathy levels in nursing undergraduates. Method: integrative literature review developed in the databases PubMed, Web of Science, CINAHL and LILACS in September 2017. Results: among the 40 primary studies analyzed, 21 questionnaires were identified to measure the empathy levels of nursing undergraduates. Conclusion: different tools exist that are considered reliable to analyze the empathy level among nursing undergraduates.

RESUMEN Objetivo: analizar evidencias disponibles en la literatura sobre la mensuración de niveles de empatía en alumnos de pregrado en enfermería. Método: revisión integradora de la literatura desarrollada en las bases de datos PubMed, Web of Science, CINAHL y LILACS en septiembre del 2017. Resultados: entre los 40 estudios primarios analizados, fueron identificados 21 cuestionarios para mensurar los niveles de empatía de alumnos de pregrado en enfermería. Conclusión: existen diferentes herramientas que son consideradas confiables para analizar el nivel de empatía entre los alumnos de pregrado en enfermería.

RESUMO Objetivo: analisar evidências disponíveis na literatura sobre mensuração do grau empático de graduandos de enfermagem. Método: revisão integrativa da literatura realizada nas bases PubMed, Web of Science, CINHAL e LILACS, em setembro de 2017. Resultados: entre os 40 estudos primários analisados, foram identificados 21 questionários para mensuração do grau empático de graduandos de enfermagem. Conclusão: existem diversos instrumentos considerados confiáveis para a análise do perfil empático entre graduandos de enfermagem.

Semantic validation of the short versions of the Empathy-Systemizing Quotient Scales.

OBJECTIVE: to perform the semantic validation of the short versions of the Empathy-Systemizing Quotient Scales, intended to measure the empathetic and systemizing profiles of individuals. The scales originated in Cambridge and were validated in Portugal, and were assessed for their psychometric properties. METHOD: methodological study included the scales' semantic validation (content validity) and verification of their psychometric properties (internal consistency). Five judges participated in the semantic validation. The Content Validity Index was calculated, a pretest was conducted with 18 undergraduate nursing students, and, finally, the scales were applied to a sample. RESULTS: the sample was composed of 215 undergraduate nursing students, 186 (86.51%) of whom were women aged 21 years old, on average. The scales presented good internal consistency with global Cronbach's alphas equal to 0.83 and 0.79 for the Empathy Quotient and the Systemizing Quotient, respectively. Correlations between the scales and subscales of the Empathy Quotient and Systemizing Quotient were all positive and significant according to the Pearson correlation coefficient. CONCLUSION: the scales are reliable and valid to measure the empathetic and systemizing profile of undergraduate nursing students and the final version was named "versões curtas das Escalas de Medição do Quociente de Empatia/Sistematização - Brasil" [short versions of the Empathy-Systemizing Quotient Scales - Brazil].

Expectations and perceptions of clients concerning the quality of care provided at a Brazilian hospital facility.

PURPOSE: To identify the expectations and perceptions of clients concerning the quality of hospital care provided to them and their respective companions at a private Brazilian hospital using SERVQUAL. The SERVQUAL questionnaire can provide information concerning expectations and perceptions of clients. In addition, it is able to identify the participation of frontline employees and how they contribute to the organization's end product (service delivery). METHODS: In total, 172 inpatients for surgical reasons answered the SERVQUAL questionnaire. It consists of 23 pairs of statements, 22 of which are distributed into the dimensions of tangibles, reliability, responsiveness, assurance and empathy. Statement 23 refers to the overall quality of care. Exploratory analysis, internal consistency (Cronbach's alpha) and the kappa Coefficient were calculated using the Statistical Package for Social Sciences and SAS 9.2. Ethical approval was obtained from the Institutional Review Board at the Hospital das Clínicas at the University of São Paulo at Ribeirao Preto Medical School. RESULTS: Most participants had a bachelor's degree and were over than 60years old. Cronbach's alpha coefficients indicated good internal consistency (α=0.93) and high levels of agreement were observed (91.10%). CONCLUSION: The SERVQUAL questionnaire was sensitive to items in each dimension for which clients' perceptions surpassed their expectations. IMPLICATIONS FOR NURSING MANAGEMENT: The continuous quality assessment of health services is mandatory for nursing leadership. The nursing leadership can further explore the SERVQUAL with a view to better attending to the clients' expectations.

Grupos de pesquisa em enfermagem: sistemas complexos para a gestão do conhecimento / Nursing research groups: complex systems for the knowledge management / Grupos de investigación en enfermería: sistemas complejos para la gestión del conocimiento

OBJETIVOS: compreender os significados que estudantes de Enfermagem, enfermeiros assistenciais e pesquisadores atribuem aos grupos de pesquisa; discutir as implicações desses significados para a gestão do conhecimento em Enfermagem. MÉTODOS: pesquisa explicativa, de abordagem qualitativa cujo referencial teórico foi a Teoria da Complexidade e o metodológico a Teoria Fundamentada nos Dados. Pesquisa com 25 participantes, dos quais: graduandos em Enfermagem, enfermeiros assistenciais e pesquisadores, vinculados a instituições públicas do estado do Rio de Janeiro. A entrevista semiestruturada foi utilizada como técnica de coleta de dados, realizada no período de outubro de 2014 a agosto de 2015. Os dados foram codificados por análise comparativa, seguindo os preceitos da Teoria Fundamentada nos Dados. RESULTADOS: o estudo revelou que os grupos de pesquisa são compreendidos como atratores complexos que podem reordenar situações negativas para conectar pesquisa e assistência de enfermagem e, assim, impulsionar a gestão do conhecimento. CONCLUSÕES: a partir da integração entre estudantes de Enfermagem, enfermeiros assistenciais e pesquisadores, a dinâmica dos grupos de pesquisa pode favorecer a formação do enfermeiro pautada em uma perspectiva sistêmica da profissão, fundamentada na necessidade de conhecimento atualizado e conectado às demandas socais.

Objective: to understand the meanings attributed by nursing undergraduate students, care nurses and researchers to the research groups; to discuss the implications of these meanings to the knowledge management in nursing. Method: qualitative research based on the Theory of Complexity and Grounded Theory as theoretical and methodological underpinnings, respectively. Research with 25 participants, of which: nursing undergraduate students, care nurses and researchers. The semi-structured interview was used for collecting the data. Results: the research revealed that research groups are understood as complex attractors that can reorganize negative situations for connecting research and nursing care and, this way, promote the knowledge management. Conclusions: through the integration of the nursing undergraduate students, care nurses and researchers, the dynamic of the research groups can promote a nursing education based on a systemic perspective of the profession, grounded on the needs of updated knowledge and connected to social demands.

Semantic validation of the short versions of the Empathy-Systemizing Quotient Scales / Validação semântica das versões curtas das Escalas de Medição do Quociente de Empatia/Sistematização / Validación semántica de las versiones cortas de las Escalas de Medición del Cociente de Empatía/Sistematización

ABSTRACT Objective: to perform the semantic validation of the short versions of the Empathy-Systemizing Quotient Scales, intended to measure the empathetic and systemizing profiles of individuals. The scales originated in Cambridge and were validated in Portugal, and were assessed for their psychometric properties. Method: methodological study included the scales' semantic validation (content validity) and verification of their psychometric properties (internal consistency). Five judges participated in the semantic validation. The Content Validity Index was calculated, a pretest was conducted with 18 undergraduate nursing students, and, finally, the scales were applied to a sample. Results: the sample was composed of 215 undergraduate nursing students, 186 (86.51%) of whom were women aged 21 years old, on average. The scales presented good internal consistency with global Cronbach's alphas equal to 0.83 and 0.79 for the Empathy Quotient and the Systemizing Quotient, respectively. Correlations between the scales and subscales of the Empathy Quotient and Systemizing Quotient were all positive and significant according to the Pearson correlation coefficient. Conclusion: the scales are reliable and valid to measure the empathetic and systemizing profile of undergraduate nursing students and the final version was named "versões curtas das Escalas de Medição do Quociente de Empatia/Sistematização - Brasil" [short versions of the Empathy-Systemizing Quotient Scales - Brazil].

RESUMO Objetivo: realizar a validação semântica e avaliar as propriedades psicométricas das versões curtas das Escalas de Medição do Quociente de Empatia/Sistematização, originadas em Cambridge e validadas em Portugal, para mensurar o perfil empático e sistemático dos indivíduos. Método: estudo metodológico no qual foram compreendidas a validação semântica (validade de conteúdo) e a verificação das propriedades psicométricas (consistência interna) das escalas. Cinco juízes participaram da validação semântica. Foi calculado o Índice de Validade de Conteúdo, seguido de pré-teste, com 18 graduandos em enfermagem e posterior aplicação a uma amostra. Resultados: a amostra foi composta de 215 graduandos em enfermagem, sendo 186 (86,51%) do sexo feminino, com idade média de 21 anos. As escalas apresentaram boa consistência interna, com valores de Alfa de Cronbach global de 0,83 para o Quociente de Empatia e 0,79 para o Quociente de Sistematização. As correlações entre as escalas e subescalas do Quociente de Empatia e Quociente de Sistematização foram todas positivas e significantes, resultantes do teste de correlação de Pearson. Conclusão: as escalas foram consideradas confiáveis e válidas para mensurar o perfil empático e sistemático de graduandos em enfermagem e a versão final foi denominada versões curtas das Escalas de Medição do Quociente de Empatia/Sistematização - Brasil.

RESUMEN Objetivo: realizar la validación semántica y evaluar las propiedades psicométricas de las versiones cortas de las Escalas de Medición del Cociente de Empatía/Sistematización, originadas en Cambridge y validadas en Portugal, para medir el perfil empático y sistemático de los individuos. Método: estudio metodológico que comprendió la validación semántica (validez de contenido) y verificación de las propiedades psicométricas (consistencia interna) de las escalas. Cinco jueces participaron de la validación semántica. Después de calculado el Índice de Validez de Contenido, se realizó el pretest con dieciocho estudiantes de enfermería y posteriormente se aplicó a una muestra. Resultados: la muestra estuvo compuesta por 215 estudiantes de enfermería, siendo 186 (86,51%) del sexo femenino, con edad media de 21 años. Las escalas presentaron buena consistencia interna con valores de Alpha de Cronbach Global de 0,83 para el Cociente de Empatía y 0,79 para el Cociente de Sistematización. Las correlaciones entre las escalas y subescalas del Cociente de Empatía y Cociente de Sistematización fueron todas positivas y significativas, las que fueron resultado del test de correlación de Pearson. Conclusión: las escalas fueron consideradas confiables y válidas para medir el perfil empático y sistemático de estudiantes de enfermería; la versión final fue denominada de "versiones cortas de las Escalas de Medición del Cociente de Empatía/Sistematización - Brasil".

Learning through research: from teaching science to the sphere of nursing care / Aprendizaje a través de la investigación: desde la enseñanza de la ciencia al campo asistencial de la enfermería / Aprender pela pesquisa: do ensino da ciência ao campo assistencial da enfermagem

Objective: To understand the connections established between the teaching of research in undergraduate school and reflections on the context of nursing care based on the meanings assigned by nurses and undergraduate nursing students. Method: Qualitative research, the theoretical and methodological frameworks of which were Complexity Theory and Grounded Theory. Sixteen nurses and nine undergraduate nursing students participated. Data were collected through semi-structured interviews. Results: The study revealed that aspects that structure and maintain the scientific practice of nurses are connected with the teaching of nursing in undergraduate school. The transversality of teaching of research and strategies adopted by professors influence this process. Conclusion: In the nursing field, learning through research requires strategies that contextualize research within the context of care delivery, so that students perceive science as an element that structures their profession. For that, research should be a non-linear, transversal procedure that takes place over the course of the undergraduate program.

Objetivo: Comprender las conexiones entre la enseñanza de la investigación en la graduación y sus impactos en el contexto asistencial de enfermería a partir de los significados atribuidos por enfermeras y estudiantes universitarios de enfermería. Método: Investigación cualitativa cuyos referenciales teórico y metodológico fueron, respectivamente, la Teoría de la Complejidad y la Teoría Fundamentada en Datos. Participaron 16 enfermeras y nueve estudiantes, con recolección de datos por entrevista semiestructurada. Resultados: Los puntos estructurales y mantenedores de la práctica científica del enfermero presentan conexiones con la enseñanza de la investigación a nivel universitario. Impactan la transversalidad de la enseñanza y las estrategias adoptadas por los profesores. Conclusión: En la enfermería, el aprendizaje mediante la investigación necesita estrategias que contextualicen investigación con realidad asistencial, para que los estudiantes perciban la ciencia como elemento estructurante de su profesión. Así, la investigación debe ser procesual, no linear, transversal en el curso de graduación.

Objetivo: Compreender as conexões entre o ensino da pesquisa na graduação e os reflexos no contexto assistencial da enfermagem, a partir dos significados atribuídos por enfermeiros e estudantes universitários de enfermagem. Método: Pesquisa qualitativa cujos referenciais teórico e metodológico foram, respectivamente, a Teoria da Complexidade e a Teoria Fundamentada nos Dados. Participaram 16 enfermeiros e nove graduandos em enfermagem. A técnica de coleta de dados foi a entrevista semiestruturada. Resultados: O estudo revelou que pontos estruturantes e mantenedores da prática científica do enfermeiro apresentam conexões com o ensino da pesquisa na graduação. Nesse processo, influenciam a transversalidade do ensino da pesquisa e as estratégias adotadas pelos professores. Conclusão: Na enfermagem, o aprender pela pesquisa requer estratégias que contextualizem pesquisa com a realidade assistencial, de modo que o estudante perceba a ciência como elemento estruturante de sua profissão. Para tanto, a pesquisa deverá ser processual, não-linear, transversal no decurso da graduação.

Qualidade e segurança do cuidado de enfermagem ao paciente usuário de cateterismo urinário intermitente / Quality and safety of nursing care for patients using intermittent urinary catheterization

Objetivo: Descrever os riscos e a vulnerabilidade dos pacientes e as intervenções oriundas do trabalho do enfermeiro junto ao paciente com bexiga neurogênica usuário do cateterismo urinário intermitente. Métodos: Estudo realizado no Centro de Reabilitação de um hospital universitário do interior do estado de São Paulo em duas fases. Fase 1:estudo descritivo com pacientes usuários de cateterismo urinário intermitente, entre novembro de 2011 a fevereiro de 2013. Fase 2, estudo de caso, com implementações de intervenções de enfermagem com estes pacientes. Resultados: A fase 1 consistiu na coleta de dados de 168 pacientes. Na fase 2, foram inseridas no serviço as seguintes práticas: capacitação de equipe, grupos educativos com pacientes, distribuição de diários miccionais, auxílio na obtenção de materiais, treino simulado e telenfermagem. Conclusão: As intervenções implementadas são atividades promissoras para alcançar um impacto positivo no tratamento desses pacientes, oferecendo qualidade e segurança aos cuidados de enfermagem.

Conexões entre pesquisa e assistência: desafios emergentes para a ciência, a inovação e a tecnologia na enfermagem / Conexiones entre investigación y asistencia: desafíos emergentes para la ciencia, innovación y tecnología en la enfermería / Connections between research and health care assistance: emerging challenges for science, innovation and technology in nursing

RESUMO Objetivo: compreender os significados que permeiam as conexões entre a produção/resultados de pesquisa e o processo de trabalho da enfermagem no âmbito assistencial. Método: pesquisa do tipo explicativa, de abordagem qualitativa, que teve como referenciais teórico e metodológico, respectivamente, a Teoria da Complexidade e a Teoria Fundamentada nos Dados. Os dados foram coletados com 25 sujeitos, distribuídos em três grupos amostrais: dez enfermeiros assistenciais, vinculados a um hospital universitário; seis enfermeiros pesquisadores e nove estudantes de graduação em enfermagem. A entrevista semiestruturada foi utilizada como técnica de coleta de dados. A pesquisa foi validada por dez juízes de diferentes regiões do Brasil. Resultados: apresenta-se a categoria: Enfrentando desafios emergentes da enfermagem na era da ciência, inovação e tecnologia, alicerçada pelas subcategorias: Pontos de partida para uma enfermagem contextualizada: da produção científica ao consumo de resultados de pesquisa; e Conexões fragilizadas entre produção científica e prática assistencial da enfermagem. Conclusão: os sistemas de significados que influenciam as conexões entre pesquisa científica e prática assistencial da enfermagem são estruturados e fortalecidos por fenômenos plurais, dentre os quais estão as inflexões negativas do processo de comunicação, presença e pertencimento dos pares, entre quem produz pesquisa e quem poderá consumi-la.

RESUMEN Objetivo: comprender los significados que permean las conexiones entre la producción/resultados de investigación y el proceso de trabajo de la enfermería en el ámbito asistencial. Método: investigación del tipo explicativa, de abordaje cualitativo que tuvo como referenciales teórico y metodológico, respectivamente, la Teoría de la Complejidad y la Teoría Fundamentada en los Datos. Los datos fueron recolectados con 25 sujetos, distribuidos en tres grupos muestrales: diez enfermeros asistenciales, vinculados a un hospital universitario; seis enfermeros investigadores y nueve estudiantes de grado en enfermería. La entrevista semiestructurada fue utilizada como técnica de recolección de datos. La investigación fue validada por diez jueces de diferentes regiones de Brasil. La investigación fue validada por diez jueces de diferentes regiones de Brasil. Resultados: se presenta la categoría: Enfrentando desafíos emergentes de la enfermería en la era de la Ciencia, la Innovación y la Tecnología, basada en las subcategorías: Puntos de partida para una enfermería contextualizada: de la producción científica al consumo de resultados de investigación; Conexiones fragilizadas entre producción científica y práctica asistencial de la enfermería. Conclusión: los sistemas de significados que influencian las conexiones entre investigación científica y práctica asistencial de la enfermería son estructurados y fortalecidos por fenómenos plurales, entre los cuales están las inflexiones negativas del proceso de comunicación, presencia y pertenencia de los pares, entre quien produce investigación y quién puede consumirla.

ABSTRACT Objective: to understand the meanings that permeate the connections between the production / research results and the nursing work process in the care context. Method: explanatory style research using a qualitative approach, with theoretical and methodological references: Theory of Complexity and grounded theory, respectively. The data were collected from 25 subjects, distributed in three sample groups: ten clinical nurses linked to a university hospital; six nurse researchers and nine undergraduate nursing students. The semi-structured interview was used as a data collection technique. The research was validated by ten reviewers from different regions of Brazil. Results: The following category is presented: Facing Emerging Nursing Challenges in the Age of Science, Innovation and Technology, based on the subcategories: Starting points for contextualized nursing: from scientific production to the utilization of research results; And Fragile connections between scientific production and nursing care practice. Conclusion: the systems of meanings that influence the connections between scientific research and nursing care practice are structured and strengthened by plural phenomena, among which are the negative inflections of the communication process, presence and recognition between who produces research and who can use it.

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

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

Liderança e cooperação: 25 anos de missão como centro colaborador da OMS / Liderazgo y cooperación: 25 años de misión como centro colaborador de la OMS / Leadership and cooperation: 25 years of mission as a WHO collaborating center

RESUMO Objetivo: analisar a evolução da missão e visão de um Centro Colaborador da Organização Mundial da Saúde na área de Enfermagem no Brasil no contexto de implementação de seus termos de referência. Método: pesquisa histórico-social de cunho documental e abordagem qualitativa. Resultados: nos 25 anos de atuação do Centro Colaborador, sua missão de "promover e incentivar o desenvolvimento da pesquisa em enfermagem na região, com foco na América Latina" foi propulsora de atividades no contexto de seus termos de referência em quatro áreas: Formação de Recursos Humanos para a Pesquisa, Geração de Conhecimento, Disseminação de Conhecimento, Incentivo ao Intercâmbio e Fomento de Parcerias. Conclusão: as atividades desenvolvidas consolidaram-se com o fortalecimento de parcerias nacionais e internacionais, fomentadas também pelas cinco redesignações do Centro Colaborador no período analisado, permitindo a concretização de sua visão de tornar-se líder e agente propulsor de inovações nos contextos acadêmico, assistencial e político da enfermagem.

RESUMEN Objectivo: analizar la evolución de la misión y visión de un Centro Colaborador de la Organización Mundial de Salud en el área de Enfermería en Brasil en el contexto de la implementación de sus términos de referencia. Método: investigación histórico-social documental, de abordaje cualitativo. Resultados: en los 25 años del Centro Colaborador, su misión de "promover e incentivar el desarrollo de la investigación en enfermería en la región, con foco en América Latina" fue propulsora de actividades en el contexto de sus términos de referencia en cuatro áreas: Formación de Recursos Humanos para la Investigación en Enfermería; Generación de Conocimiento; Diseminación de Conocimiento; Incentivo al Intercambio y Fomento de Parcerías. Conclusión: las actividades desarrolladas se consolidaron con el fortalecimiento de parcerías nacionales e internacionales, fomentadas también por las cinco redesignaciones del Centro Colaborador, permitiendo la concretización de su visión de se tornar líder y agente propulsor de inovaciones en el contexto academico, del cuidado y político de enfermería.

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

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

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

Education, leadership and partnerships: nursing potential for Universal Health Coverage / Educação, liderança e parcerias: potencialidades da enfermagem para a cobertura universal de saúde / Educación, liderazgo y colaboraciones: potencialidades que la enfermería puede dar a la Cobertura Universal de Salud

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

Objetivo: discutir possibilidades de contribuição da enfermagem para a cobertura universal de saúde. Método: pesquisa desenvolvida com abordagem qualitativa, de análise documental das publicações da Organização Mundial da Saúde que destacam a Enfermagem e a Obstetrícia na cobertura universal de saúde. Resultados: os documentos publicados pelas lideranças da enfermagem e obstetrícia indicam a necessidade de ações coordenadas e integradas de educação, liderança e desenvolvimento de parcerias. Considerações finais: este artigo representa um chamado para a enfermagem com o propósito de fomentar a reflexão e a compreensão da relevância de sua atuação no caminho da consolidação dos princípios da cobertura universal de saúde.

Objetivo: discutir posibilidades de contribución que la enfermería puede dar a la cobertura universal de salud. Método: investigación desarrollada con metodología cualitativa, de análisis documental de las publicaciones de la Organización Mundial de la Salud que destacan a la Enfermería y la Obstetricia dentro de la Cobertura Universal de Salud. Resultados: los documentos publicados por los líderes de enfermería y obstetricia indican la necesidad de acciones coordinadas e integradas de educación, liderazgo y creación de colaboraciones. Consideraciones finales: este artículo representa un llamado a la enfermería, con el propósito de fomentar la reflexión y la comprensión de la importancia de su participación en el camino de la consolidación de los principios de la cobertura universal de salud.

The Evolution of World Health Organization's Initiatives for the Strengthening of Nursing and Midwifery.

PURPOSE: To describe the evolution in the resolutions approved by World Health Organization (WHO)'s World Health Assembly (WHA) to strengthen nursing and midwifery. METHODS: Qualitative and descriptive study, undertaken through a search of resolutions presented by WHA, on the WHO website, regarding the theme "strengthening of nursing and midwifery." The resolutions on the theme "nursing and midwifery" were included, whose titles were available and whose full texts were accessed, excluding those on general health themes. The key words used were resolutions, strengthening, and nursing and midwifery. Among the 20 resolutions found, 12 were selected, adopted between 1948 and 2013, in accordance with the study inclusion criteria. The data were interpreted using thematic qualitative analysis, identifying and grouping the data in categories related to the study theme. FINDINGS: Based on the content analysis of the 12 resolutions studied, three thematic categories were defined: "nursing and midwifery in primary health"; "role of nursing and midwifery in health for all"; and "nurses and midwives' professional training." CONCLUSIONS: Based on the categories, the evolution in the strengthening of nursing and midwifery was demonstrated through the initiatives and resolutions approved by WHA, highlighting the importance of nurses and midwives as multiprofessional health team members and their fundamental role in the improvements of the health system. Therefore, in accordance with the needs of each country, the member states can implement strategies presented by the WHA resolutions to strengthen nursing and midwifery services. CLINICAL RELEVANCE: This study has relevance for the development of health policies considering the relevant contributions of nurses and midwives to healthcare systems and services, based on the analysis of WHO resolutions involving these professions.

Empathy in Brazilian nursing professionals: a descriptive study.

BACKGROUND: Essential for the help relation, empathy is the ability to understand, share, and perceive the subjective experience of other human beings. OBJECTIVE: The objective in this non-experimental, exploratory, and descriptive research was to verify, observe, and document empathy in nursing professionals. RESEARCH DESIGN: Non-experimental, exploratory, and descriptive research. Participants and research context: the study was conducted at two large hospitals, one public and the other private, across all shifts. The sample included 159 individuals. A questionnaire was used to identify sociodemographic characteristics and the empathy inventory was applied. ETHICAL CONSIDERATIONS: This study received approval from the Research Ethics Committee at the University of São Paulo at Ribeirão Preto College of Nursing, opinion 1348/2011, and authorization from the health institutions involved. FINDINGS: The association tests demonstrated that professionals working in the night shift and in a work scale rotation scheme, older professionals, and professionals with longer professional experience are less empathetic. On the other hand, professionals working in the day shift and in a single shift are more empathetic. Other influential factors are the time on the job, education, and work shift. CONCLUSION: There is a lack of empathy studies in professional practice contexts, in human resource development programs, and throughout the professional education process.

RESEARCH ETHICS COMMITTEES' ANALYSIS OF NURSING PROJECTS IN BRAZIL.

The objective in this exploratory study is to consider the demand for nursing related projects in the Ethics Committees registered on the website of the National Information System Commission about Ethics in Research Involving Human Beings (SISNEP) between 2003 and 2010. The data were collected in two phases: research projects approved in specific Ethics Committees of Nursing Schools/ Faculties registered for at least four years, and projects whose title contained the keywords Nurse and/or Nursing, approved in general Ethics Committees. In total, 2576 projects were approved in the six Committees analyzed.

The perception of drug users about their human rights.

The objective was to understand how illegal drug users monitored at a psychosocial care center for alcohol and drug users perceive and experience their human rights. The data were collected through semistructured interviews with 17 users and analyzed through content analysis. The results demonstrated the difficulty the users perceive to express what their human rights are, as if rights were something extraneous to their own life, particularly in function of the prejudice and stigma related to illegal drugs use in Brazil.