Factors associated with adherence to the COVID-19 vaccine in pregnant women.

OBJECTIVE: to identify factors associated with adherence to the COVID-19 vaccine during pregnancy. METHOD: cross-sectional and analytical study with 348 postpartum women in shared accommodation at the Municipal Maternities of Recife-PE. Data was collected through interviews during the months of June to September 2022. Pearson's Chi-Square or Fisher's Exact tests and the Poisson regression model were applied for statistical analysis. RESULTS: 17.2% of pregnant women adhered to the complete vaccination schedule, and adherence was associated with access to the internet/TV/radio (p-value = 0.011), routine prenatal vaccination (p-value = 0.019), safety of the efficacy of the COVID-19 vaccine and partner support (p-value = 0.020). Postpartum women without access to the internet/TV/radio, and who feel confident about the effectiveness of the vaccine, had higher prevalence rates for adhering to COVID-19 vaccination, with PRs of 2.56 and 3.25, respectively. CONCLUSION: there was evidence of low adherence to the vaccination schedule against COVID-19 during the gestational period, considering the number of recommended doses and the interval between them. Therefore, professionals in their clinical practice must make pregnant women aware of the importance of immunization and compliance with the vaccination schedule. BACKGROUND: (1) Maternal vaccination plays a significant role in preventing and combating maternal morbidity. (2) Some factors may influence acceptance or hesitancy of the COVID-19 vaccine during pregnancy. (3) Safety regarding the effectiveness of vaccination against COVID-19 during pregnancy is a factor associated with adherence to COVID-19 vaccines. (4) Postpartum women without access to the internet/TV/radio have 2.56 times the risk of adhering to the COVID-19 vaccination schedule. (5) Health education helps to increase the level of knowledge and acceptance of the vaccine by pregnant women.

Experiences of women with physical disabilities in labor and delivery assistance.

OBJECTIVE: To understand the meaning attributed by women with physical disabilities to the health care received and expected during labor and delivery. METHODS: Qualitative study, based on Social Network Theory, conducted through an online workshop in April 2022, with the participation of six women with physical disabilities. Data, collected through the focus group technique, underwent thematic content analysis with the assistance of the IRaMuTeQ tool. RESULTS: Three thematic categories emerged: Challenges experienced during pregnancy; The experience within the maternity ward; and, The importance of social networks. The assistance provided by healthcare professionals sometimes differed between what was expected and what was received by women with physical disabilities during labor and delivery. FINAL CONSIDERATIONS: Experiences were predominantly negative, resulting from inappropriate professional conduct due to ableist attitudes. Support from members of social networks is crucial for preventing stressors.

Factors associated with adherence to the COVID-19 vaccine in pregnant women / Factores asociados a la adherencia a la vacuna contra la COVID-19 en mujeres embarazadas / Fatores associados à adesão da vacina contra a COVID-19 em gestantes

Objective: to identify factors associated with adherence to the COVID-19 vaccine during pregnancy. Method: cross-sectional and analytical study with 348 postpartum women in shared accommodation at the Municipal Maternities of Recife-PE. Data was collected through interviews during the months of June to September 2022. Pearson's Chi-Square or Fisher's Exact tests and the Poisson regression model were applied for statistical analysis. Results: 17.2% of pregnant women adhered to the complete vaccination schedule, and adherence was associated with access to the internet/TV/radio (p-value = 0.011), routine prenatal vaccination (p-value = 0.019), safety of the efficacy of the COVID-19 vaccine and partner support (p-value = 0.020). Postpartum women without access to the internet/TV/radio, and who feel confident about the effectiveness of the vaccine, had higher prevalence rates for adhering to COVID-19 vaccination, with PRs of 2.56 and 3.25, respectively. Conclusion: there was evidence of low adherence to the vaccination schedule against COVID-19 during the gestational period, considering the number of recommended doses and the interval between them. Therefore, professionals in their clinical practice must make pregnant women aware of the importance of immunization and compliance with the vaccination schedule.

Objetivo: identificar factores asociados con la adherencia a la vacuna contra la COVID-19 durante el embarazo. Método: estudio transversal y analítico con 348 puérperas en alojamiento compartido en Maternidades Municipales de Recife-PE. Los datos fueron recolectados por medio de entrevistas durante los meses de junio a septiembre de 2022. Para el análisis estadístico se aplicaron las pruebas Chi-Cuadrado de Pearson o Exacta de Fisher y el modelo de regresión de Poisson. Resultados: el 17,2% de las gestantes cumplió con el esquema completo de vacunación, y la adherencia se asoció con el acceso a internet/televisión/radio (p-valor = 0,011), la vacunación prenatal de rutina (p-valor = 0,019), la seguridad con relación a la eficacia de la vacuna contra la COVID-19 y el apoyo de la pareja (p-valor = 0,020). Las mujeres puérperas sin acceso a internet/televisión/radio, y que se sienten seguras de la eficacia de la vacuna, tuvieron tasas de prevalencia más altas de adherencia a la vacunación contra la COVID-19, con RP de 2,56 y 3,25, respectivamente. Conclusión: se evidenció baja adherencia al esquema de vacunación contra la COVID-19 durante el período gestacional, considerándose el número de dosis recomendadas y el intervalo entre ellas. Por ello, los profesionales en su práctica clínica deben concienciar a las mujeres embarazadas sobre la importancia de la inmunización y del cumplimiento del esquema vacunal.

Objetivo: identificar os fatores associados à adesão da vacina contra a covid-19 no período gestacional. Método: estudo transversal e analítico com 348 puérperas em alojamentos conjuntos das Maternidades Municipais de Recife-PE. Os dados foram coletados por meio de entrevistas durante os meses de junho a setembro de 2022. Aplicou-se para a análise estatística o teste Qui-Quadrado de Pearson ou Exato de Fisher e o modelo de regressão de Poisson. Resultados: 17,2% das gestantes aderiram ao esquema completo de vacinação, e a adesão estava associada ao acesso à internet/TV/rádio (p-valor = 0,011), à vacinação de rotina no pré-natal (p-valor = 0,019), à segurança da eficácia da vacina contra a covid-19 e ao apoio do companheiro/parceria (p-valor = 0,020). As puérperas sem acesso à internet/TV/rádio, e que se sentem seguras com relação à eficácia da vacina, apresentaram maiores prevalências para adesão à vacinação da COVID-19, com RP de 2,56 e 3,25, respectivamente. Conclusão: evidenciou-se uma baixa adesão ao esquema vacinal contra a covid-19 no período gestacional, considerando-se o número de doses recomendadas e o intervalo entre as mesmas. Dessa maneira, os profissionais em sua prática clínica devem conscientizar as gestantes da importância da imunização e do cumprimento do esquema vacinal.

Board game on syphilis prevention for women in detention / Juego de mesa sobre prevención de sífilis para mujeres privadas de libertad / Jogo de tabuleiro sobre prevenção da sífilis para mulheres em privação de liberdade

ABSTRACT Objective: to develop and analyze evidence of content and appearance validity of a board game for the prevention of syphilis in women deprived of their liberty. Method: methodological study conducted in three stages: 1) Board game development by means of a theoretical-bibliographical foundation and game design; 2) Content validation by 22 health specialist judges, 10 education specialists and a graphic designer; 3) Appearance evaluation by the target audience of 10 women deprived of their liberty. Data was collected between March 2021 and January 2022, and the psychometric analysis was based on the Likert scale to calculate the Content Validity Coefficient and Intraclass Correlation Coefficient. Results: the board game developed was called "Race against Syphilis" and consisted of 50 squares and 34 question cards. When it came to content validation, the judges from the health sector agreed on 13 items, while those from the education and graphic design sectors agreed satisfactorily on all items. After the adjustments, the second version of the board game was sent to the 22 health judges, seven of whom responded, reinforcing the judges' agreement, which was satisfactory in all items. In the appearance assessment with the target audience, all items received 100% agreement. Conclusion: the game that has been developed shows evidence of validity, being attractive, dynamic and playful, so that it can help build the knowledge of women in prison about the prevention and syphilis control.

RESUMEN Objetivo: desarrollar y analizar pruebas de validez de contenido y apariencia de un juego de mesa para la prevención de la sífilis en mujeres privadas de libertad. Método: estudio metodológico realizado en tres etapas: 1) Desarrollo del juego de mesa mediante fundamentación teórica y bibliográfica y elaboración del juego; 2) Validación de contenido por 22 jueces especializados en salud, 10 especialistas en educación y un diseñador gráfico; 3) Evaluación de apariencia por el público objetivo con 10 mujeres privadas de libertad. Los datos fueron recolectados entre marzo de 2021 y enero de 2022, y el análisis psicométrico se basó en la escala de Likert para el cálculo del Coeficiente de Validez de Contenido y el Coeficiente de Correlación Intraclase. Resultados: el juego de mesa desarrollado se denominó "Carrera contra la sífilis" y constaba de 50 casillas y 34 tarjetas de preguntas. En la validación de contenido, los jueces de salud coincidieron en 13 ítems y los jueces de educación y diseño gráfico coincidieron satisfactoriamente en todos los ítems. Después de los ajustes, la segunda versión del juego de mesa fue enviada a los 22 jueces de salud, siete de los cuales regresaron, reforzando el acuerdo de los jueces, que fue satisfactorio en todos los ítems. En la evaluación de la apariencia con el público objetivo, todos los ítems obtuvieron 100% de acuerdo. Conclusión: el juego desarrollado presenta evidencias de validez, y resulta atractivo, dinámico y lúdico, por lo que podría favorecer la construcción de conocimiento de las mujeres privadas de libertad sobre la prevención y el control de la sífilis.

RESUMO Objetivo: desenvolver e analisar evidências de validade de conteúdo e de aparência de um jogo de tabuleiro para prevenção da sífilis em mulheres privadas de liberdade. Método: estudo metodológico conduzido em três etapas: 1) Desenvolvimento do jogo de tabuleiro por meio de fundamentação teórico-bibliográfica e elaboração do jogo; 2) Validação de conteúdo por 22 juízes especialistas em saúde, 10 especialistas em educação e designer gráfico; 3) Avaliação de aparência pelo público-alvo com 10 mulheres privadas de liberdade. A coleta dos dados ocorreu entre março de 2021 e janeiro de 2022, e a análise psicométrica baseou-se na escala Likert para cálculo de Coeficiente de Validade de Conteúdo e Coeficiente de Correlação Intraclasse. Resultados: o jogo de tabuleiro desenvolvido foi denominado "Corrida contra a Sífilis", composto por 50 casas e 34 cartas-perguntas. Na validação de conteúdo, os juízes da área da saúde apresentaram concordância em 13 itens; e os da área da educação e design gráfico tiveram concordância satisfatória em todos os itens. Após os ajustes, foi enviada a segunda versão do jogo de tabuleiro para os 22 juízes da área da saúde, dos quais sete retornaram, robustecendo a concordância dos juízes, que foi satisfatória em todos os itens. Na avaliação de aparência com o público-alvo, todos os itens obtiveram concordância de 100%. Conclusão: o jogo construído apresenta evidências de validade, sendo atrativo, dinâmico e lúdico, de modo que poderá favorecer a construção do conhecimento das mulheres em privação de liberdade sobre a prevenção e controle da sífilis.

Experiences of women with physical disabilities in labor and delivery assistance / Experiencias de mujeres con discapacidad física en la asistencia durante el trabajo de parto y parto / Vivências de mulheres com deficiência física na assistência ao trabalho de parto e parto

ABSTRACT Objective: To understand the meaning attributed by women with physical disabilities to the health care received and expected during labor and delivery. Methods: Qualitative study, based on Social Network Theory, conducted through an online workshop in April 2022, with the participation of six women with physical disabilities. Data, collected through the focus group technique, underwent thematic content analysis with the assistance of the IRaMuTeQ tool. Results: Three thematic categories emerged: Challenges experienced during pregnancy; The experience within the maternity ward; and, The importance of social networks. The assistance provided by healthcare professionals sometimes differed between what was expected and what was received by women with physical disabilities during labor and delivery. Final Considerations: Experiences were predominantly negative, resulting from inappropriate professional conduct due to ableist attitudes. Support from members of social networks is crucial for preventing stressors.

RESUMEN Objetivo: Comprender el significado atribuido por mujeres con discapacidad física a la asistencia de salud recibida y esperada durante el trabajo de parto y parto. Métodos: Estudio cualitativo, fundamentado en la Teoría de Redes Sociales, llevado a cabo mediante un taller en línea en abril de 2022, con la participación de seis mujeres con discapacidad física. Los datos, recopilados mediante la técnica de grupo focal, fueron sometidos a análisis de contenido temático con la ayuda de la herramienta IRaMuTeQ. Resultados: Emergieron tres categorías temáticas: Problemas experimentados durante el embarazo; La experiencia dentro de la maternidad; y La importancia de las redes sociales. La asistencia proporcionada por los profesionales de la salud, en ocasiones, difirió entre lo esperado y lo recibido por las mujeres con discapacidad física durante el trabajo de parto y parto. Consideraciones finales: Las experiencias fueron predominantemente negativas, resultado de conductas profesionales inadecuadas debido a actitudes capacitistas. El apoyo de los miembros de las redes sociales es fundamental para la prevención de factores estresores.

RESUMO Objetivo: Compreender o significado atribuído por mulheres com deficiência física à assistência de saúde recebida e esperada durante o trabalho de parto e parto. Métodos: Estudo qualitativo, fundamentado na Teoria de Rede Social, realizado por meio de uma oficina online em abril de 2022, com a participação de seis mulheres com deficiência física. Os dados, coletados por meio da técnica de grupo focal, foram submetidos à análise de conteúdo temático com o auxílio da ferramenta IRaMuTeQ. Resultados: Três categorias temáticas emergiram: Problemas vivenciados na gravidez; A experiência dentro da maternidade; e A importância das redes sociais. A assistência prestada pelos profissionais de saúde, por vezes, diferiu entre o esperado e o recebido pelas mulheres com deficiência física durante o trabalho de parto e parto. Considerações Finais: As vivências foram predominantemente negativas, resultantes de condutas profissionais inadequadas devido a atitudes capacitistas. O apoio dos membros das redes sociais é fundamental para a prevenção de fatores estressores.

Validação de conteúdo e análise semântica de inquérito CAP sobre conhecimentos, atitudes e práticas das avós no contexto da amamentação / Content validation and semantic analysis of a KAP survey on grandmothers' knowledge, attitudes, and practices in the context of breastfeeding / Validación del contenido y análisis semántico de una encuesta CAP sobre conocimientos, actitudes y prácticas de las abuelas en el contexto de la lactancia materna

Objetivo: avaliar a validade de conteúdo e a semântica de um inquérito sobre conhecimentos, atitudes e práticas das avós no contexto da amamentação. Métodos: pesquisa metodológica, de validação de conteúdo de inquérito Conhecimentos, Atitudes e Práticas (CAP) por especialistas e análise semântica por meio da compreensibilidade dos itens pelas avós de crianças em amamentação. Foram calculados os índices de validade de conteúdo, dos itens e da escala, e teste binomial. Para análise semântica foram calculadas as frequências absolutas e as relativas da compreensão dos itens. Resultados: participaram 22 especialistas, e dez avós. O índice de validade de conteúdo do inquérito CAP tanto para versão pré-teste como pós-teste foi de 0,94. Uma questão da versão pré-teste e duas questões da versão pós-teste não alcançaram compreensão > 90%. Foi excluída uma questão do inquérito e 21 foram reformuladas, resultando em 45 itens distribuídos em três domínios: conhecimentos (23 itens), atitudes (oito itens) e práticas (14 itens). Conclusão:as versões finais do pré e pós-teste do inquérito de conhecimentos, atitudes e práticas das avós sobre a amamentação, alcançaram validade de conteúdo e de semântica compatível para sua utilização.

Objective: assessing the content and semantic validity of a survey on grandmothers' knowledge, attitudes, and practices in the context of breastfeeding. Methods: methodological research for content validation of a Knowledge, Attitudes, and Practices (KAP) survey by experts and semantic analysis through the comprehensibility of the items by grandmothers of breastfeeding children. Content validity indices were calculated for the items and the scale, as well as the binomial test. Absolute and relative frequencies of understanding of the items were calculated for the semantic analysis. Results: participants were 22 experts and ten grandmothers. The content validity index of the KAP survey for both the pre-test and post-test versions was 0.94. One question in the pre-test version and two questions in the post-test version did not reach > 90% comprehension. One question was excluded from the survey and 21 were reworded, resulting in 45 items distributed into three domains: knowledge (23 items), attitudes (8 items), and practices (14 items). Conclusion: the final pre- and post-test versions of the survey of grandmothers' knowledge, attitudes, and practices on breastfeeding achieved content and semantic validity compatible with its use.

Objetivo: evaluación de la validez semántica y de contenido de una encuesta sobre conocimientos, actitudes y prácticas de las abuelas en el contexto de la lactancia materna. Métodos: investigación metodológica, validación del contenido de la encuesta Conocimiento, Actitudes y Prácticas (CAP) por expertos y análisis semántico a través de la comprensibilidad de los ítems por abuelas de niños lactantes. Se calcularon índices de validez de contenido para los ítems y la escala, así como la prueba binomial. Para el análisis semántico, se calcularon las frecuencias absolutas y relativas de comprensión de los ítems. Resultados: participaron 22 expertos y diez abuelas. El índice de validez de contenido de la encuesta CAP, tanto para la versión pre-test como para la post-test, fue de 0,94. Una pregunta de la versión pre-test y dos preguntas de la versión post-test no alcanzaron > 90% de comprensión. Se excluyó una pregunta de la encuesta y se reformularon 21, con lo que se obtuvieron 45 ítems distribuidos en tres ámbitos: conocimientos (23 ítems), actitudes (8 ítems) y prácticas (14 ítems). Conclusión: las versiones finales pre y post de la encuesta sobre conocimientos, actitudes y prácticas de las abuelas en materia de lactancia materna alcanzaron validez de contenido y semántica compatible con su uso.

Pedagogical practices developed with children through hospital classes: An integrative literature review.

OBJECTIVE: To analyze the evidence available in the literature on the pedagogical practices developed with children through hospital classes. METHOD: An integrative review was conducted on July 20, 2022, in Scopus, MEDLINE/PubMed, CINAHL, LILACS, Web of Science, ERIC, Educ@, and Scielo using the following descriptors in English, Portuguese, and Spanish, extracted from DECS/MeSH, CINAHL, Brased/INEP, and ERIC Thesaurus: "Child, Hospitalized", "Education, Special", "Education Department, Hospital", "Hospital Classroom", "Hospital Class", "Child Rearing", "Educational Practices", "Early Childhood Education", "Education", "Hospital Pedagogy", and "Hospital Special Class". No time restriction was applied. The EndNot Web reference manager and the Rayyan software were used to select studies, and later, the methodological rigor and level of evidence were assessed. RESULTS: The 22 articles described pedagogical practices, including ludic activities, individualized work, working with regular school content, stimulation activities, pedagogical and dialogic listening, learning based on the exchange of knowledge, video games, computational robotics, and theatrical performance. CONCLUSION: Although difficulties were identified in implementing pedagogical practices in the hospital, they were shown to allow educational continuity and clinical improvement of hospitalized children. IMPLICATIONS FOR PRACTICE: Studies on the educational process within the hospital setting can contribute to the development of public policies and the guarantee of the right to education for hospitalized children. DESCRIPTORS: Special education; Hospital education department; Hospitalized child; Child rearing; Teaching.

Pregnant women's compliance with vaccination in the context of pandemics: an integrative review / Adherencia a la vacunación de mujeres embarazadas en contexto de pandemia: revisión integrativa / Adesão de gestantes à vacinação no contexto de pandemias: revisão integrativa

ABSTRACT Objective: to analyze national and international publications regarding pregnant women's compliance with vaccination in the context of pandemics. Method: this is an integrative literature review, carried out in August 2021 in the LILACS, MEDLINE, Web of Science and Scopus databases, without language and publication time restriction. The descriptors indexed in DeCS and MeSH, Immunization, Vaccination, Pregnancy and Pandemics, combined using the Boolean operator, were used. The results obtained were exported to the EndNote reference manager software and, later, to the Rayyan - Intelligent Systematic Review application. The sample consisted of 27 studies. Analysis considered frequency and similarities between the studies. Results: the factors that interfere with compliance with vaccination by pregnant women in pandemic times were highlighted: distrust of vaccines; concerns about vaccination safety in pregnancy or for the fetus' health; lack of information and lack of knowledge about the benefits of vaccine. Moreover, the reasons for compliance were desire to protect the baby, knowledge about the pandemic, concern about the risk of infection, and recommendation and guidance on vaccination during prenatal care. Conclusion: the factors that may interfere with compliance with vaccination were verified, mainly in relation to new vaccines in the context of pandemics. It is considered that investments in strategies related to immunization during pregnancy can provide health benefits, preventing preventable diseases in pregnant women and their babies.

RESUMEN Objetivo: analizar publicaciones nacionales e internacionales sobre la adherencia de las gestantes a la vacunación en el contexto de pandemias. Método: revisión de literatura, tipo integradora, realizada en agosto de 2021 en las bases de datos LILACS, MEDLINE, Web of Science y SCOPUS, sin restricción de idioma y tiempo de publicación. Se utilizaron los descriptores indexados en DeCS y MeSH, Immunization, Vaccination, Pregnancy y Pandemics, combinados mediante el operador booleano. Los resultados obtenidos se exportaron al software gestor de referencias EndNote y, posteriormente, a la aplicación Rayyan - Intelligent Systematic Review. La muestra estuvo compuesta por 27 estudios. El análisis consideró la frecuencia y similitudes entre los estudios. Resultados: se destacaron los factores que interfieren en la adherencia a la vacunación de las gestantes en tiempos de pandemia: desconfianza en las vacunas; preocupaciones sobre la seguridad de la vacunación en el embarazo o para la salud del feto; falta de información; y falta de conocimiento sobre los beneficios de la vacuna. Además, los motivos de adherencia fueron el deseo de proteger al bebé, el conocimiento sobre la pandemia, la preocupación por el riesgo de infección y la recomendación y orientación sobre la vacunación durante el prenatal. Conclusión: se verificaron los factores que pueden interferir en la adherencia a la vacunación, principalmente en relación a las nuevas vacunas en el contexto de pandemias. Se considera que las inversiones en estrategias relacionadas con la inmunización durante el embarazo pueden brindar beneficios para la salud, previniendo enfermedades prevenibles en las gestantes y sus bebés.

RESUMO Objetivo: analisar as publicações nacionais e internacionais com relação à adesão de gestantes à vacinação no contexto de pandemias. Método: revisão de literatura, tipo integrativa, realizada em agosto de 2021 nas bases de dados LILACS, MEDLINE, Web of Science e SCOPUS, sem restrição de idioma e de tempo de publicação. Utilizaram-se os descritores indexados no DeCS e MeSH: Immunization, Vaccination, Pregnancy e Pandemics, combinados por meio do operador booleano. Os resultados obtidos foram exportados para o software gerenciador de referências EndNote e, posteriormente, para o aplicativo Rayyan - Intelligent Systematic Review. A amostra foi constituída por 27 estudos. A análise considerou a frequência e as similaridades entre os estudos. Resultados: foram evidenciados os fatores que interferem na adesão à vacinação pelas gestantes em tempos pandêmicos: desconfiança com as vacinas; preocupações sobre a segurança da vacinação na gravidez ou para a saúde do feto; falta de informações e desconhecimento de benefícios sobre a vacina. Além disso, as razões para a adesão foram o desejo de proteger o bebê, o conhecimento sobre a pandemia, a preocupação com o risco de infecção e a recomendação e orientação sobre a vacinação durante o pré-natal. Conclusão: foram verificados os fatores que podem interferir na adesão à vacinação, principalmente, com relação às novas vacinas no contexto de pandemias. Considera-se que investimentos em estratégias com relação à imunização na gravidez podem proporcionar benefícios para a saúde, prevenindo agravos evitáveis em gestantes e em seus bebês.

Adaptação e validação do Kidney Transplant Understanding Tool para o contexto brasileiro / Adaptación y validación del Kidney Transplant Understanding Tool para el contexto brasileño / Adaptation and validation of the Kidney Transplant Understanding Tool for the Brazilian context

Resumo Objetivo Realizar a adaptação transcultural e validar o conteúdo do instrumento Kidney Transplant Understanding Tool para o cenário brasileiro. Métodos Estudo metodológico realizado na capital pernambucana, que executou cinco etapas de um protocolo canadense de adaptação transcultural. A versão pré-final do instrumento foi avaliada por 36 participantes em terapia renal substitutiva e sete especialistas em Nefrologia. Resultados Para cada item, atingiu-se o I-IVC ≥ 0,85; e 0,99 para a escala S-IVC/Ave em equivalência conceitual e de conteúdo. O teste binomial apresentou o p-valor ≥ 0,05 para todos os itens; e o Coeficiente de Concordância de Kappa foi de 0,90. Conclusão O instrumento adaptado foi considerado claro pelos participantes e o conteúdo foi validado pelos especialistas. O Kidney Transplant Understanding Tool (K-TUT-Br) foi validado para utilização no contexto do transplante renal no Brasil. A sua aplicação poderá instrumentalizar a enfermagem na implementação de mudanças estratégicas nas estruturas técnico-assistenciais em uso de práticas baseadas em evidências ressaltando o conhecimento e o Letramento em Saúde.

Resumen Objetivo Realizar la adaptación transcultural y validar el contenido del instrumento Kidney Transplant Understanding Tool para el escenario brasileño. Métodos Estudio metodológico realizado en la capital del estado de Pernambuco, donde se ejecutaron cinco etapas de un protocolo canadiense de adaptación transcultural. La versión preliminar del instrumento fue evaluada por 36 participantes en terapia de reemplazo renal y siete especialistas en Nefrología. Resultados En cada ítem se alcanzó el I-IVC ≥ 0,85; y 0,99 en la escala S-IVC/Ave en equivalencia conceptual y de contenido. La prueba binominal presentó el p-valor ≥ 0,05 en todos los ítems; y el coeficiente de concordancia de Kappa fue de 0,90. Conclusión El instrumento adaptado fue considerado claro por los participantes y el contenido fue validado por los especialistas. El Kidney Transplant Understanding Tool (K-TUT-Br) fue validado para su utilización en el contexto del trasplante renal en Brasil. Su aplicación podrá servir de instrumento para enfermeros en la implementación de cambios estratégicos en las estructuras técnico-asistenciales en uso de prácticas basadas en evidencia, destacando el conocimiento y la alfabetización en salud.

Abstract Objective To perform a cross-cultural adaptation and content validation of the Kidney Transplant Understanding Tool for the Brazilian context. Methods A methodological study conducted in the city of Pernambuco, Brazil, which performed the five steps of a Canadian cross-cultural adaptation protocol. The pre-final version of the instrument was evaluated by 36 participants in renal replacement therapy and seven specialists in nephrology Results For each item, the Item Content Validity Index - I-CVI ≥ 0.85 was achieved; and 0.99 for the mean Scale Content Validity Index - S-CVI/Ave in conceptual and content equivalence. The binomial test showed a p-value ≥ 0.05 for all items; and the Kappa Coefficient of Agreement was 0.9. Conclusion The adapted instrument was found to be clear by the participants, and the content was validated by the experts. The Kidney Transplant Understanding Tool (K-TUT-Br) was validated for use in the context of kidney transplantation in Brazil. Its application may enable nurses to implement of strategic changes in technical and care structures using evidence-based practices focusing on knowledge and health literacy.

Effect of a board game about sexually transmitted infections on imprisoned women's knowledge: protocol for a quasi-experimental study.

INTRODUCTION: The prevalence of sexually transmitted infections in imprisoned women is high. In the prison school context, education in health is one of the best strategies to achieve positive indicators in terms of health promotion and disease prevention. The use of educational technologies, such as board games, can aid in the process of knowledge acquisition on a given subject matter. This article describes the protocol of a health educational intervention that addresses content about sexually transmitted infections directed to imprisoned women in a prison school. METHODS AND ANALYSIS: A quasi-experimental study to test the effect of a board game on 64 imprisoned women's level of knowledge about sexually transmitted infections. The Previna board game was specifically created and validated for these women. The primary outcome will be the level of knowledge on sexually transmitted infections, measured using a score obtained after the assessment conducted during the initial interview, immediately after the intervention and after 15 days. ETHICS AND DISCLOSURE: This study was approved by the Research Ethics Committee of the Federal University of Pernambuco (Opinion No. 3 986 050 and CAAE: 30035520.7.0000.5208). The results will be presented to the school and to the Federal University of Pernambuco, as part of the activities of a PhD Thesis in Nursing, and will be disclosed in peer-reviewed journals and scientific events. TRIAL REGISTRATION NUMBER: RBR-2JWS7DV.

Effects of transcranial direct current stimulation on visuospatial attention in air traffic controllers.

Visuospatial attention is a cognitive skill essential to the performance of air traffic control activities. We evaluated the effect of an anodic session of transcranial low-intensity direct current stimulation (tDCS) right parietal associated with cognitive training of visuospatial attention of 21 air traffic controllers. Within-subject designs were used, with all volunteers undergoing two tDCS sessions; an experimental (2 mA anodic) and control (sham) performed concomitantly with the cognitive training (2-Back). Visuospatial performance was measured using the Attention Network Test for Interactions and Vigilance pre- and post-intervention. The results indicate that after an active parietal tDCS session, the ATCOs showed faster responses, but not more accurate, for visuospatial attention in its aspects of orientation and reorientation. This result was significant when comparing baseline and post-tests in the active tDCS group. Comparing the post-tests between the tDCS active and sham groups, it is possible to infer a trend of improvement in the results based on faster and more accurate responses, which suggests a possible refinement of the ATCO's attentional orientation. However, this population may eventually have reached a plateau in the performance of this skill. From the analysis of the results we arrive at the following hypotheses: (I) the increase in cortical excitability mediated by anodic tDCS frequently recorded may not be accompanied by improvements in behavioural measures; (II) the interaction between anodic tDCS with another event of increased excitability-execution of a cognitive task, may have hindered the occurrence of neuroplasticity; (III) the air traffic control activity may be associated with a high level of attention, which may have contributed to a ceiling effect for the development of this skill; (IV) online assessments may be more relevant to identify acute effects; (V) repeated sessions may be more efficient to find cumulative effects; (VI) the analysis of interactions between attentional networks can contribute to the study of visuospatial attention; (VII) tDCS protocols aimed at ATCO need to consider the specifics of this audience, such as circadian rhythm and sleep and fatigue conditions.

Breastfeeding and diseases prevalent in the first two years of a child's life: a cross-sectional study.

OBJECTIVES: to assess the association between breastfeeding and diseases prevalent in the first two years of a child's life. METHODS: a retrospective cross-sectional study that analyzed electronic medical records of 401 children. Data on birth, growth, breastfeeding and medical care in the first two years of life were collected. In the analysis, Poisson regression with robust variance was used. RESULTS: 27.9% of children were exclusively breastfed until six months, and, at 24 months, 93.3% had already had some prevalent childhood disease. In the crude analysis, 5-minute Apgar association, length, weight at 12 months, exclusive and non-exclusive breastfeeding time had association. In the adjusted analysis, only the variable breastfeeding at six months maintained the association with prevalent childhood diseases. CONCLUSIONS: children who were not breastfed, exclusively or not, up to six months of age, had a higher prevalence of diseases compared to breastfed children.

Effects of demographic and clinical character on differences in self-care behavior levels with arteriovenous fistula by hemodialysis patients: An ordinal logistic regression approach.

INTRODUCTION: Hemodialysis (HD) patients should be trained to develop self-care behaviors in order to prevent and preserve their arteriovenous fistula (AVF). The aim of this study was identifying the factors that affect the levels of self-care behavior with AVF by HD patients. METHODS: A cross-sectional study was conducted involving 89 patients. RESULTS: Self-care levels were negatively affected by patients' location (Azores) and positively affected by marital status, education, employment, AVF duration, and absence of complications with the AVF. Concerning the management of signs and symptoms, self-care levels were negatively affected by patients' location. Regarding prevention of complications, self-care levels were negatively affected by age and marital status and positively affected by marital status, employment, chronic kidney disease etiology, AVF duration, and previous AVF. CONCLUSION: Further studies are required in order to confirm whether the considered factors affect levels of self-care behaviors with AVF, or whether other factors are needed as well.

Social network support practices for people with visual impairment: integrative review / Prácticas de apoyo de redes sociales para personas con discapacidad visual: revisión integradora / Práticas apoiadoras da rede social das pessoas com deficiência visual: revisão integrativa

Objective: to analyze practices that support the social network in the daily lives of people with visual impairments. Method: integrative review. The searches were performed in the databases BDENF, CINAHL, CUIDEN, Medline/PubMed, Scopus, LILACS, Web of Science, SciELO and Cochrane virtual libraries. Data were collected in May 2018. Results: the search resulted in 2,879 studies. Ten articles were selected, published between 2004 and 2016, with a predominance of the family and rehabilitation services as main supporters. Instrumental support was identified in nine articles and the prominent supporting practices were the availability for listening, dialogue and social company. Conclusion: the supportive practices offered by the dynamics of the social network constitute a driving strategy in the quality of life of people with visual impairment, and the family is the institution that most supports and is present throughout the web of relationships and social construction.

Objetivo: analizar las prácticas que apoyan la red social en la vida cotidiana de las personas con discapacidad visual. Método: revisión integradora. Las búsquedas se realizaron en las bases de datos BDENF, CINAHL, CUIDEN, Medline/PubMed, Scopus, LILACS, Web of Science, SciELO y bibliotecas virtuales Cochrane. Los datos fueron recolectados en mayo de 2018. Resultados: la búsqueda resultó en 2.879 estudios. Se seleccionaron diez artículos, publicados entre 2004 y 2016, con predominio de los servicios de familia y rehabilitación como principales sustentadores. El apoyo instrumental se identificó en nueve artículos y las prácticas de apoyo destacadas fueron la disponibilidad para la escucha, el diálogo y la compañía social. Conclusión: las prácticas de apoyo que ofrece la dinámica de la red social constituyen una estrategia impulsora en la calidad de vida de las personas con discapacidad visual, y la familia es la institución que más apoya y está presente en toda la red de relaciones y construcción social.

Objetivo: analisar práticas apoiadoras da rede social no cotidiano de pessoas com deficiência visual. Método: revisão integrativa. As buscas foram realizadas nas bases de dados BDENF, CINAHL, CUIDEN, Medline/PubMed, Scopus, LILACS, Web of Science, bibliotecas virtuais SciELO e Cochrane. Os dados foram coletados em maio de 2018. Resultados: a busca resultou em 2.879 estudos. Foram selecionados 11 artigos, publicados entre 2004 e 2016, com predomínio da família e dos serviços de reabilitação como principais apoiadores. O apoio instrumental foi identificado em nove artigos e as práticas apoiadoras em destaque foram a disponibilidade para a escuta, o diálogo e a companhia social. Conclusão: as práticas apoiadoras ofertadas pela dinâmica da rede social constituem uma estratégia propulsora na qualidade de vida da pessoa com deficiência visual, sendo a família a instituição que mais apoia e está presente em toda a trama de relações e construção social.

Breastfeeding and diseases prevalent in the first two years of a child's life: a cross-sectional study / Lactancia materna y enfermedades prevalentes en los dos primeros años de vida del niño: un estudio transversal / Amamentação e as doenças prevalentes nos primeiros dois anos de vida da criança: estudo transversal

ABSTRACT Objectives: to assess the association between breastfeeding and diseases prevalent in the first two years of a child's life. Methods: a retrospective cross-sectional study that analyzed electronic medical records of 401 children. Data on birth, growth, breastfeeding and medical care in the first two years of life were collected. In the analysis, Poisson regression with robust variance was used. Results: 27.9% of children were exclusively breastfed until six months, and, at 24 months, 93.3% had already had some prevalent childhood disease. In the crude analysis, 5-minute Apgar association, length, weight at 12 months, exclusive and non-exclusive breastfeeding time had association. In the adjusted analysis, only the variable breastfeeding at six months maintained the association with prevalent childhood diseases. Conclusions: children who were not breastfed, exclusively or not, up to six months of age, had a higher prevalence of diseases compared to breastfed children.

RESUMEN Objetivos: evaluar la asociación entre lactancia materna y enfermedades prevalentes en los dos primeros años de vida del niño. Métodos: estudio transversal retrospectivo que analizó las historias clínicas electrónicas de 401 niños. Se recogieron datos sobre nacimiento, crecimiento, lactancia y atención médica en los dos primeros años de vida. En el análisis se utilizó la regresión de Poisson con varianza robusta. Resultados: el 27,9% de los niños fueron amamantados exclusivamente hasta los seis meses de edad y, a los 24 meses, el 93,3% ya había tenido alguna enfermedad infantil prevalente. En el análisis crudo presentaron asociación de Apgar al minuto 5, longitud, peso a los 12 meses, tiempo de lactancia materna exclusiva y no exclusiva. En el análisis ajustado, sólo la variable lactancia materna a los seis meses mantuvo la asociación con las enfermedades prevalentes de la infancia. Conclusiones: los niños que no fueron amamantados, exclusivamente o no, hasta los seis meses de edad, presentaron mayor prevalencia de enfermedades en comparación con los niños amamantados.

RESUMO Objetivos: avaliar a associação do aleitamento materno e as doenças prevalentes nos primeiros dois anos de vida da criança. Métodos: estudo transversal retrospectivo, que analisou prontuários eletrônicos de 401 crianças. Foram coletados dados sobre nascimento, crescimento, aleitamento materno e atendimentos médicos nos dois primeiros anos de vida. Na análise, utilizou-se Regressão de Poisson com variância robusta. Resultados: receberam aleitamento exclusivo até os seis meses 27,9% das crianças, e, aos 24 meses de vida, 93,3% já haviam tido alguma doença prevalente da infância. Na análise bruta, apresentaram associação Apgar no 5º minuto, comprimento, peso aos 12 meses, tempo de aleitamento exclusivo e não exclusivo. Na análise ajustada, apenas a variável aleitamento materno aos seis meses manteve a associação com as doenças prevalentes da infância. Conclusões: as crianças que não foram amamentadas, exclusivamente ou não, até os seis meses, apresentaram maior prevalência de doenças em relação às amamentadas.

Determinants of neonatal mortality in a municipality of the Zona da Mata in Pernambuco.

OBJECTIVE: To analyze the determinants associated with neonatal mortality in a municipality in the Zona da Mata of Pernambuco state. METHOD: Cross-sectional and analytical study, carried out in the city of Vitória de Santo Antão, Pernambuco. All child deaths reported by the municipality to the Brazilian Mortality Information System between 2011 and 2018 were analyzed. Data were categorized and organized in three dimensions to be subjected to descriptive, bivariate statistics and hierarchical Poisson regression with robust variance. Prevalence ratios were estimated, considering variables with p <0.05 as significant. RESULTS: The determinants associated with neonatal death were: caesarean delivery (PR 0.83; 95% CI 0.75-0.92), birth in the city itself (PR 1.12; 95% CI 1.01-1.25), newborn brown and black race/skin color (PR 1.13; 95% CI 1.001.29), prematurity (PR 1.88; 95% CI 1.79-1.97), and Apgar score <7 in the fifth minute (PR 1.74; 95% CI 1.67-1.82). CONCLUSION: Biological characteristics such as brown and black race/skin color, prematurity, and Apgar score <7 in the 5th minute after birth, as well as access to health services, such as being born in the municipality itself and not being born by caesarean delivery, were determinants associated with neonatal mortality.

Effect of interventions based on educational technologies on the prevention of sexually transmitted infections in incarcerated women: protocol of a systematic review and meta-analysis.

INTRODUCTION: Prisons are places with high vulnerability and high risk for the development of sexually transmitted infections. World Health Agencies recommend establishing intervention measures, such as information and education, on the prevention of diseases. Thus, technologies as tools for health education have been used to reduce sexually transmitted infections. However, no systematic review has investigated the effectiveness of these interventions. Therefore, this review's objective is to examine the effect of educational technologies used for preventing sexually transmitted infections in incarcerated women. METHODS AND ANALYSIS: Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines will be strictly followed. The following electronic databases will be searched: Scopus; Cumulative Index of Nursing and Allied Health, Education Resources Information Center, Embase, PsycINFO, PubMed/Medline, Web of Science and Google Scholar. Randomised clinical trials of interventions that used educational technologies to prevent sexually transmitted infections in incarcerated women will be searched in the databases from the beginning of 2020 until December by two researchers independently. A narrative synthesis will be constructed for all included studies, and if there are sufficient data, a meta-analysis will be performed using the Review Manager software (V.5.3). Continuous results will be presented as the weighted mean difference or the standardised mean difference with 95% CIs. Under the heterogeneity of the included studies, a random-effects or fixed-effects model will be used. The studies' heterogeneity will be assessed by the I2 method. The sensitivity analysis will be carried out to examine the magnitude of each study's influence on the general results. A significance level of p≤0.05 will be adopted. ETHICS AND DISCLOSURE: Ethical approval is not required because no primary data will be collected. The results will be published in journals reviewed by peers. PROSPERO REGISTRATION NUMBER: CRD42020163820.

A Middle-Range Theory for Nurses to Diagnose Ineffective Infant Feeding Patterns.

PURPOSE: To construct a middle-range theory, based on the Roy adaptation model, for nurses can diagnose an ineffective infant feeding pattern. DATA SOURCE: Scientific findings were used through a literature review and the concepts of the Roy model. DATA SYNTHESIS: The theory indicated new elements for the diagnosis: 12 etiological factors and 13 clinical indicators. Most of those are not contained in the NANDA taxonomy. CONCLUSION: The middle-range theory for these diagnoses highlights the need for a review of the components present in the taxonomy. IMPLICATIONS FOR NURSING PRACTICE: This approach guides research on nursing diagnoses to revise the content of the theory and to expand its concepts and elements for the diagnosis of an ineffective infant feeding pattern.

Tendência de pesquisas sobre coronavírus no Google pela população brasileira / Search trends for coronavirus, on Google, by the Brazilian population

Objetivou-se identificar tendência das pesquisas sobre coronavírus no Brasil por meio da ferramenta Google Trends e verificar a correlação entre o volume de pesquisa relativo e o número de casos confirmados. Estudo transversal, quantitativo, desenvolvido com base em consulta ao Google Trends sobre as buscas realizadas pela população brasileira relacionada à pandemia do coronavírus. As buscas pelo termo "coronavírus" iniciaram-se no final de janeiro de 2020, com volume de pesquisa relativo variando de um a seis. O volume máximo (VPR = 100) foi obtido nos dias 21 e 22 de março. O aumento no número de casos confirmados coincidiu com a elevação do volume de pesquisa relativo para "coronavírus". A correlação entre o volume de pesquisa relativo e o número de casos confirmados foi de r = 0,753 (p<0,01). Houve correlação positiva e forte entre o aumento de buscas pelo termo "coronavírus" e o número de casos confirmados da COVID-19.

The aim of this study was to identify the search trends for coronavirus in Brazil using Google Trends and verify the correlation between the relative volume of searches and the number of confirmed cases. This is a cross-sectional, quantitative study based on Google Trends on the searches performed by the Brazilian population related to the coronavirus pandemic. Searches for the term "coronavirus" began at the end of January 2020, with relative search volume (RSV) ranging from one to six. The maximum volume (RSV = 100) was obtained on March 21 and 22. The increase in the number of confirmed cases coincided with the rise in the relative search volume for "coronavirus". The correlation between the relative search volume and the number of confirmed cases was r = 0.753 (p<0.01). There was a positive and strong correlation between the increase in searches for the term "coronavirus" and the number of confirmed cases of COVID-19

Determinants of neonatal mortality in a municipality of the Zona da Mata in Pernambuco / Determinantes de la mortalidad neonatal en el municipio de la Zona da Mata Pernambucana / Determinantes da mortalidade neonatal em município da Mata Pernambucana

ABSTRACT Objective: To analyze the determinants associated with neonatal mortality in a municipality in the Zona da Mata of Pernambuco state. Method: Cross-sectional and analytical study, carried out in the city of Vitória de Santo Antão, Pernambuco. All child deaths reported by the municipality to the Brazilian Mortality Information System between 2011 and 2018 were analyzed. Data were categorized and organized in three dimensions to be subjected to descriptive, bivariate statistics and hierarchical Poisson regression with robust variance. Prevalence ratios were estimated, considering variables with p <0.05 as significant. Results: The determinants associated with neonatal death were: caesarean delivery (PR 0.83; 95% CI 0.75-0.92), birth in the city itself (PR 1.12; 95% CI 1.01-1.25), newborn brown and black race/skin color (PR 1.13; 95% CI 1.001.29), prematurity (PR 1.88; 95% CI 1.79-1.97), and Apgar score <7 in the fifth minute (PR 1.74; 95% CI 1.67-1.82). Conclusion: Biological characteristics such as brown and black race/skin color, prematurity, and Apgar score <7 in the 5th minute after birth, as well as access to health services, such as being born in the municipality itself and not being born by caesarean delivery, were determinants associated with neonatal mortality.

RESUMEN Objetivo: Analizar los determinantes asociados a la mortalidad neonatal en un municipio de la Zona da Mata de Pernambuco. Método: Estudio transversal y analitico, realizado en Vitoria de Santo Antao, Pernambuco. Todas las muertes infantiles reportadas por el municipio en el Sistema de Informacion de Mortalidad entre 2011 y 2018 fueron analizadas. Los datos fueron categorizados y organizados en tres dimensiones para ser sometidos a estadistica descriptiva, bivariada y regresion de Poisson con varianza robusta. Razones de prevalencia fueron estimadas, considerando como significativas las variables con p <0.05. Resultados: Los determinantes asociados a la muerte neonatal fueron: parto por cesarea (RP 0,83; IC 95% 0,75-0,92), nacimiento en la propia ciudad (RP 1,12; IC 95% 1,01-1,25), raza/color del recien nacido parda y negra. (RP 1,13; IC del 95% 1,00-1,29), prematuridad (RP 1,88; IC del 95% 1,79-1,97) y puntuacion de Apgar <7 en el quinto minuto (RP 1,74; IC del 95% 1,67-1,82). Conclusión: Caracteristicas biologicas como raza/color parda y negra, prematuridad y puntaje de Apgar <7 en el 5o minuto posparto, asi como el acceso a servicios de salud, como nacer en el propio municipio y no nacer por cesarea fueron determinantes asociados con la mortalidad neonatal.

RESUMO Objetivo: Analisar os determinantes associados a mortalidade neonatal em um município da Zona da Mata pernambucana. Método: Estudo transversal e analítico, realizado em Vitoria de Santo Antão, Pernambuco. Foram analisados todos os óbitos infantis notificados pelo município no Sistema de Informação sobre Mortalidade entre os anos de 2011 a 2018. Os dados foram categorizados e organizados em três dimensões para serem submetidos a estatística descritiva, bivariada e regressão de Poisson hierarquizada com variância robusta. Foram estimadas as razoes de prevalência, considerando-se como significantes variáveis com p<0,05. Resultados: Os determinantes associados ao óbito neonatal foram: parto cesáreo (RP 0,83; IC95% 0,75-0,92), nascimento no próprio município (RP 1,12; IC95%1,01-1,25), raça/cor do recém-nascido parda e preta (RP 1,13; IC95%1,00-1,29), prematuridade (RP 1,88; IC95% 1,79-1,97) e Escore de Apgar < 7 no quinto minuto (RP 1,74; IC95%1,67-1,82). Conclusão: Características biológicas como raça/cor parda e preta, prematuridade e Escore de Apgar < 7 no 5º minuto após o nascimento, bem como o acesso aos serviços de saúde, como nascer no próprio município e não nascer de parto cesáreo, foram determinantes associados a mortalidade neonatal.