Insights from using an outcomes measurement properties search filter and conducting citation searches to locate psychometric articles of tools used to measure context attributes.

OBJECTIVES: To describe our experience with using a methodological outcomes measurement search filter (precise and sensitive versions of a filter designed to locate articles that report on psychometric properties of measurement tools) and citation searches to locate psychometric articles for tools that can be used to measure context attributes. To compare the precise filter when used alone and with reference list checking to citation searching according to number of records found, precision, and sensitivity. RESULTS: Using the precise filter, we located 130 of 150 (86.6%) psychometric articles related to 22 of 31 (71.0%) tools that potentially measured an attribute of context. In a subset of six tools, the precise filter alone was more precise than searching with the precise filter combined with reference list searching, or citation searching alone. The precise filter combined with reference list checking was the most sensitive search method examined. Overall, we found the precise filter helpful for our project as it decreased record screening time. For non-patient reported outcomes tools, we had less success with locating psychometric articles using the precise filter because some psychometric articles were not indexed in PubMed. More research that systematically evaluates database searching methods is needed to validate our findings.

Be Sweet to Babies: evaluation of an instructional video on neonatal pain management by nurses. / Seja Doce com os Bebês: avaliação de vídeo instrucional sobre manejo da dor neonatal por enfermeiros.

OBJECTIVE: To describe the profile of nurses who work in hospital units that care for newborns; to verify nurses' prior knowledge on breastfeeding, skin-to-skin care and sweet tasting solutions for neonatal procedural pain relief; and to evaluate nurses' perceptions on the feasibility, acceptability and usefulness of the Portuguese version of the "Be Sweet to Babies" video. METHOD: A cross-sectional study conducted in four units of a university affiliated hospital in São Paulo. Forty-five (45) nurses who answered the questionnaire and watched the video were included. Thirty-eight (38) nurses subsequently evaluated the video. Descriptive statistics were used to analyze the variables, in addition to content analysis of the open question. RESULTS: Forty-five (45) nurses participated in the study; 97.4% were aware of the analgesic strategies, and after watching the video nurses reported that they intend to use or encourage the use of these strategies during painful procedures. All participants would recommend the video to other professionals, and considered the resource as useful, easy to understand and easy to apply in real situations. CONCLUSION: Nurses are aware of the analgesic strategies and they considered the video as a feasible, acceptable and useful tool for knowledge translation to health care providers, which can also favor parental involvement in their children's pain management.

Seja Doce com os Bebês: avaliação de vídeo instrucional sobre manejo da dor neonatal por enfermeiros / Be Sweet to Babies: evaluation of an instructional video on neonatal pain management by nurses / Sé Dulce con los Bebés: evaluación de video instruccional acerca del manejo del dolor neonatal por enfermeros

RESUMO Objetivo: Descrever o perfil de enfermeiros atuantes em unidades que assistem o recém-nascido, verificar seu conhecimento prévio sobre amamentação, contato pele a pele e soluções adocicadas no alívio da dor procedural neonatal, e avaliar sua percepção sobre a viabilidade, a aceitabilidade e a utilidade do vídeo "Seja Doce com os Bebês". Método: Estudo transversal, realizado em quatro unidades de um hospital universitário de São Paulo. Foram incluídos 45 enfermeiros, que responderam ao questionário de caracterização e assistiram ao vídeo. Posteriormente, 38 avaliaram o vídeo. Estatística descritiva foi utilizada para análise das variáveis, além da análise de conteúdo na questão aberta. Resultados: Participaram do estudo 45 enfermeiros. 97,4% conheciam as estratégias analgésicas e, após assistirem ao vídeo, afirmaram pretender utilizá-las ou incentivar seu uso durante procedimentos dolorosos. Todos recomendariam o vídeo para outros profissionais, sendo o recurso avaliado como útil, fácil de entender e de aplicar em situações reais. Conclusão: Os enfermeiros conhecem as estratégias analgésicas, consideram o vídeo viável, aceitável e útil como ferramenta de tradução do conhecimento para profissionais da saúde, o que também pode favorecer o envolvimento dos pais no manejo da dor de seus filhos.

ABSTRACT Objective: To describe the profile of nurses who work in hospital units that care for newborns; to verify nurses' prior knowledge on breastfeeding, skin-to-skin care and sweet tasting solutions for neonatal procedural pain relief; and to evaluate nurses' perceptions on the feasibility, acceptability and usefulness of the Portuguese version of the "Be Sweet to Babies" video. Method: A cross-sectional study conducted in four units of a university affiliated hospital in São Paulo. Forty-five (45) nurses who answered the questionnaire and watched the video were included. Thirty-eight (38) nurses subsequently evaluated the video. Descriptive statistics were used to analyze the variables, in addition to content analysis of the open question. Results: Forty-five (45) nurses participated in the study; 97.4% were aware of the analgesic strategies, and after watching the video nurses reported that they intend to use or encourage the use of these strategies during painful procedures. All participants would recommend the video to other professionals, and considered the resource as useful, easy to understand and easy to apply in real situations. Conclusion: Nurses are aware of the analgesic strategies and they considered the video as a feasible, acceptable and useful tool for knowledge translation to health care providers, which can also favor parental involvement in their children's pain management.

RESUMEN Objetivo: Describir el perfil de enfermeros actuantes en unidades que asisten al recién nacido, verificar su conocimiento previo sobre la lactancia, contacto piel a piel y soluciones azucaradas en el alivio del dolor procedural neonatal, y evaluar su percepción sobre la factibilidad, la aceptabilidad y la utilidad del video "Sé Dulce con los Bebés". Método: Estudio transversal, llevado a cabo en cuatro unidades de un hospital universitario de São Paulo. Fueron incluidos 45 enfermeros, quienes respondieron al cuestionario de caracterización y vieron el video. Posteriormente, 38 evaluaron el video. Estadística descriptiva fue utilizada para análisis de las variables, además del análisis de contenido en la cuestión abierta. Resultados: Participaron en el estudio 45 enfermeros. El 97% conocían las estrategias analgésicas y, luego de ver el video, afirmaron pretender utilizarlas o incentivar su uso durante procedimientos dolorosos. Todos les recomendarían el video a otros profesionales, siendo el recurso valorado como útil, fácil de comprender y de aplicar en situaciones reales. Conclusión: Los enfermeros conocen las estrategias analgésicas, consideran el video viable, aceptable y útil como herramienta de traducción del conocimiento para profesionales sanitarios, lo que también puede favorecer la involucración de los padres en el manejo del dolor de sus hijos.

Efetividade de vídeo instrucional direcionado a pais no manejo da dor de recém-nascidos submetidos ao teste do pezinho: ensaio clínico pragmático, não randomizado / Effectiveness of an instructional video target to parents on neonatal pain management for newborn screening test: a non-randomized, pragmatic clinical trial

INTRODUÇÃO: O vídeo instrucional "Seja doce com os bebês" foi desenvolvido no Canadá como ferramenta de tradução do conhecimento direcionada a pais de recém-nascidos (RN) sobre o uso de medidas analgésicas durante procedimentos dolorosos. OBJETIVO: Avaliar o efeito do video instrucional "Seja doce com os bebês" no envolvimento das mães no manejo da dor de RNs durante procedimentos dolorosos. MÉTODO: Ensaio clínico pragmático, não randomizado, desenvolvido no Alojamento Conjunto (AC) do Hospital Universitário da Universidade de São Paulo em julho de 2017. Foram incluídas 73 mães, alocadas em grupos controle (GC) (n=38) e experimental (GE) (n=35). Todas as participantes receberam um panfleto sobre o manejo da dor neonatal no momento da admissão no AC. O GE foi composto pelas mães que, voluntariamente, assistiram ao video instrucional nas sessões educativas diárias realizadas pelos enfermeiros. Os dados foram coletados em entrevista. O desfecho primário foi a prevalência do uso de medidas analgésicas durante o teste do pezinho. Os desfechos secundários foram: viabilidade, aceitabilidade e utilidade do video instrucional; tipo de envolvimento das mães durante o procedimento; medidas analgésicas utilizadas (amamentação, contato pele a pele e oferta de solução adocicada); dor e comportamento do RN; sentimentos maternos; satisfação com o controle da dor e informações recebidas. A pesquisa foi conduzida conforme Resolução 466/2012, mediante aprovação dos Comitês de Ética em Pesquisa das instituições envolvidas e registrada na plataforma do Registro Brasileiro de Ensaios Clínicos. RESULTADOS: Os grupos foram homogêneos quanto às caracteristicas maternas e neonatais, com exceção da média do número de filhos, que foi maior no GC. O video "Seja doce com os bebês" foi considerado útil, fácil de entender e de aplicar em cenários reais, com duração ideal e recomendável para outros pais. As mães dos dois grupos se envolveram no manejo da dor do RN. Contudo as estratégias analgésicas foram utilizadas em 40,0% dos casos no GE e em 23,7% no GC. Houve diferença clinicamente significativa de 16,3 pontos percentuais entre os grupos, embora não tenha sido constatada diferença estatisticamente significativa. Prevaleceu o uso da amamentação, seguido do contato pele a pele e da sucção não nutritiva. Em análise ajustada por outras variáveis, o video ampliou a chance de uso das estratégias analgésicas em 2,1 vezes, enquanto a sugestão de uso por parte do enfermeiro aumentou a chance em 5,5 vezes. Não houve diferença entre os grupos quanto à intensidade da dor e comportamento do RN, percebidos pela mãe, e sentimentos maternos durante o procedimento. A maioria das mães ficou satisfeita com a assistência de enfermagem no controle da dor do RN, mas no GE houve maior satisfação com a quantidade de informações recebidas sobre o manejo da dor neonatal. Por fim, quase a totalidade das participantes afirmou que utilizaria as estratégias analgésicas em procedimentos dolorosos futuros. CONCLUSÃO: Confirmou-se que mães expostas ao video "Seja doce com os bebês" apresentam maior participação no uso de medidas para alívio da dor de RNs submetidos a procedimentos dolorosos e maior satisfação com as informações recebidas. Essa participação aumenta quando há incentivo do enfermeiro.

INTRODUCTION: The instructional video "Be sweet to babies" was developed in Canada as a knowledge translation tool directed to parents on the use of analgesic strategies during painful procedures performed in newborns. AIM: To assess the effect of the Portuguese version of the "Be sweet to babies" video on maternal involvement in neonatal pain management during painful procedures. METHODS: A non-randomized, pragmatic clinical trial conducted in the rooming-in unit of the University of São Paulo affiliated hospital in July 2017. The study included 73 mothers, allocated in the control group (CG) (n=38) and in the experimental group (EG) (n=35). All participants received a pamphlet regarding neonatal pain management at the time of admission in the rooming-in. The EG was composed by mothers who voluntarily watched the video during daily educational sessions taught by nurses. Data were collected by means of interviews. The primary outcome was the prevalence of analgesic strategies during newbom screening test. The secondary outcomes were: feasibility, acceptability and usefulness of the instructional video: type of mothers' involvement during this procedure, analgesic strategies used (breastfeeding, skin-to-skin care and sweet tasting solution); pain intensity and newborn behavior; maternal feelings; satisfaction with pain control and information received. The study was conducted according to the 466/2012 Resolution, under approval of the Research Ethics Committees of the involved institutions, and after registration in the Brazilian Registry of Clinical Trials platform. RESULTS: Groups were homogeneous regarding maternal and neonatal characteristics, except for the mean number of children, which was higher in the CG. The "Be sweet to babies" video was considered as useful, easy to understand and easy to apply in real scenarios, with ideal length, and recommendable to other parents. Mothers of both groups were involved in newborns pain management. However, analgesic strategies were used in 40.0% of cases in the EG and 23.7% in the CG. There was a clinically significant difference of 16.3 percentage points between groups, although no statistical significance was found. The use of breastfeeding prevailed, followed by skin-to-skin care and non-nutritive sucking. In an adjusted analysis by other variables, the video increased the chance of analgesic strategies use by 2.1 times, while the nurse suggestion increased the chance of analgesic strategies use by 5.5 times. There was no difference between the experimental and control groups regarding pain intensity and newborns' behavior perceived by mothers. There was also no difference between groups with respect to maternal feelings during the procedure. Most of the mothers were satisfied with the nursing care in controlling the newborns' pain, however there was greater satisfaction with the amount of information received on neonatal pain management in the EG. Finally, almost all participants stated that they intend to use analgesic strategies in future painful procedures. CONCLUSION: It was confirmed that mothers exposed to the Portuguese version of the "Be sweet to babies" video have greater participation in the use of analgesic strategies during painful procedures performed in newborns and greater satisfaction with the information received. Mothers' participation increases when there is incentive provided by nurses.

Avaliação e manejo da dor na criança: percepção da equipe de enfermagem / Assessment and management of pain in child: perception of the nursing team

Esta pesquisa objetivou analisar a percepção da equipe de enfermagem quanto à avaliação e manejo dador realizados em um setor de internação pediátrica. Trata-se de uma pesquisa qualitativa, observacional,prospectiva e transversal. Os dados foram coletados por meio de entrevista semi-estruturada com a equipe de enfermagem do setor de internação pediátrica de um hospital universitário da cidade de Londrina – Paraná, no período de junho a agosto de 2009, e analisados conforme Mayan. Participaram da pesquisa 31 profissionais, sendo 4 enfermeiros e 27 das demais categorias de enfermagem. Verificou-se que menos da metade dos profissionais participou de cursos de capacitação para avaliação da dor realizados frequentemente no hospital. Entretanto, a maioria afirma realizar a avaliação da dor como 5º sinal vital em todas as crianças. A escala de faces é a mais utilizada pela equipe, embora apenas 44% tenha descrito corretamente a sua técnica de utilização. Outros profissionais ainda referiram não utilizar nenhuma escala para avaliar a dor. A principal dificuldade apontada pela equipe foi em relação à avaliação da dor em crianças menores. Quanto à avaliação da dor no setor de forma geral, a maioria acha que precisa melhorar, relatando que alguns profissionais não avaliam a dor em todos os horários, ou o fazem de forma incorreta. Ainda assim, todos consideraram a avaliação da dor de grande importância no cuidado da criança. Conclui-se que ainda falta conhecimento e conscientização sobre a dor na criança na equipe de enfermagem.

This study aimed to analyze the perception of the nursing team regarding the assessment and management of pain performed in a pediatric unit. This is a qualitative, observational, prospective, and cross-sectional study. Data were collected through semi-structured interviews with the nursing team from a pediatric unit of an university hospital in the city of Londrina - Paraná, in the period from June to August 2009, and analyzed according to Mayan. In total, 31 professionals of the nursing team participated in this study, 4 nurses and 27 from other nursing categories. It was verified that less than half of the professionals attended training courses for pain assessment often carried out in this hospital. However, most stated to perform the assessment of pain as the 5th vital sign for all children. The facial scale is the most used by the team, although only 44% had correctly described the technique of use. Other professionals also reported that they did not use any scale to assess pain. The main difficulty pointed by the nursing team was regarding assessment of pain in infants. Regarding the unit's assessment of pain in general, most of the professionals think that they need to improve, reporting that other professionals do not assess pain all the times, or do it incorrectly. Nevertheless, everyone considered pain assessment of major importance in childcare. It is concluded that there is still a lack of knowledge and awareness about child's pain in the nursing team.

Avaliação e caracterização da dor na criança: utilização de indicadores de qualidade / Assessment and characterization of pain in children: the use of quality indicators / Evaluación y caracterización del dolor del niño: uso de indicadores de calidad

A dor, quando não tratada, pode causar danos e limitações à criança. Portanto, sua identificação e alívio devem ser uma prioridade nos serviços de saúde. Os objetivos deste estudo foram: utilizar indicadores de qualidade no gerenciamento da dor infantil para avaliar o perfil de uma unidade pediátrica quanto à prevalência, intensidade, tratamento e alívio da dor, e condição de alta hospitalar. Trata-se de um estudo avaliativo, retrospectivo, quantitativo, realizado por meio da análise de 385 prontuários de crianças internadas na unidade pediátrica do Hospital Universitário de Londrina-PR, em 2011. A prevalência da dor nos pacientes foi de 58,7%. Destes, 31,7% sentiram dor leve; 9,2% dor moderada; e 7,7% dor intensa; entretanto, 51,4% não tiveram a intensidade de sua dor quantificada. O tratamento mais utilizado foi o farmacológico (90,1%), ocorrendo alívio da dor em 62,0% dos casos. Conclui-se que a identificação, a avaliação e o manejo da dor na criança precisam ser mais eficazes.

Pain, if untreated, can cause harm and limitations in children. Therefore, health services must make a priority of identifying and relieving such pain. This study used quality indicators for children's pain management in order to profile a pediatric unit in terms of the prevalence, intensity, treatment and relief of pain, and assessed the children's condition on hospital discharge. It was an retrospective, quantitative evaluation study, conducted by analyzing medical records of 385 children hospitalized at the Pediatric Unit of the University Hospital of Londrina, Paraná, in 2011. The prevalence of pain in these patients was 58.7% (n = 226), of whom 31.7% felt mild pain, 9.2% moderate pain, and 7.7% severe pain. However, in 51.4%, pain intensity was not quantified. The most common treatment was pharmacological (90.1%), and produced pain relief in 62.0% of cases. In conclusion, the identification, assessment and management of pain in children needs to be more efficacious.

El dolor, si no se cuida, puede provocarle daños y limitaciones al niño. Por lo tanto, su identificación y alivio deben ser una prioridad en los servicios de salud. Los objetivos de este estudio fueron: uso de indicadores de calidad en el manejo del dolor del niño para evaluar el perfil de una unidad pediátrica en cuanto a la prevalencia, intensidad, tratamiento y alivio del dolor; y las condiciones del alta hospitalaria. Se trata de un estudio evaluativo, retrospectivo, cuantitativo, realizado a través del análisis de las historias clínicas de 385 niños ingresados en la Unidad de Pediatría del Hospital Universitario de Londrina, Paraná, en 2011. La prevalencia del dolor en estos pacientes fue de 58,7%. De éstos, un 31,7% consideró el dolor ligero, 9,2% moderado, y 7,7% dolor fuerte, no obstante, un 51,4% no cuantificó la intensidad de su dolor. El tratamiento más común fue farmacológico (90,1%) y en 62% de los casos se obtuvo el alivio del dolor. Se concluye que la identificación, la evaluación y la gestión del dolor en los niños tienen que ser más eficaces.

Herpes simplex virus: isolation, cytopathological characterization and antiviral sensitivity.

BACKGROUND: Herpes simplex virus (HSV) infection is an endemic disease and it is estimated that 6095% of the adult population are infected with symptoms that are usually self-limiting, though they can be serious, extensive and prolonged in immunocompromised individuals, highlighted by the emergence of drug-resistant strains. The study of the wild-type HSV strains based on the cytopathogenic features and its antiviral sensitivity are important in the establishment of an antivirogram for controlling the infection. OBJECTIVE: This study sought to isolate and examine the cytopathological characteristics of circulating strains of the Herpes simplex virus, from clinical specimens and their sensitivity to commercially available antiherpesvirus drugs, acyclovir, phosphonophormic acid and trifluridine. METHODS: Herpes simplex virus isolation, cytopathological features and antiviral sensitivity assays were performed in cell culture by tissue culture infectious dose or plaque forming unit assay. RESULTS: From twenty-two clinical specimens, we isolated and adapted nine strains. Overall, the cytopathic effect was detected 24 h post-infection (p.i.) and the presence of syncytia was remarkable 48 h p.i., observed after cell staining. Out of eight isolates, four developed plaques of varying sizes. All the isolates were sensitive to acyclovir, phosphonophormic and trifluridine, with the percentage of virus inhibition (%VI) ranging from 49.7-100%. CONCLUSIONS: The methodology for HSV isolation and characterization is a straightforward approach, but the drug sensitivity test, regarded as being of great practical importance, needs to be better understood.

Herpes simplex virus: isolation, cytopathological characterization and antiviral sensitivity

BACKGROUND: Herpes simplex virus (HSV) infection is an endemic disease and it is estimated that 6095% of the adult population are infected with symptoms that are usually self-limiting, though they can be serious, extensive and prolonged in immunocompromised individuals, highlighted by the emergence of drug-resistant strains. The study of the wild-type HSV strains based on the cytopathogenic features and its antiviral sensitivity are important in the establishment of an antivirogram for controlling the infection. OBJECTIVE: This study sought to isolate and examine the cytopathological characteristics of circulating strains of the Herpes simplex virus, from clinical specimens and their sensitivity to commercially available antiherpesvirus drugs, acyclovir, phosphonophormic acid and trifluridine. METHODS: Herpes simplex virus isolation, cytopathological features and antiviral sensitivity assays were performed in cell culture by tissue culture infectious dose or plaque forming unit assay. RESULTS: From twenty-two clinical specimens, we isolated and adapted nine strains. Overall, the cytopathic effect was detected 24 h post-infection (p.i.) and the presence of syncytia was remarkable 48 h p.i., observed after cell staining. Out of eight isolates, four developed plaques of varying sizes. All the isolates were sensitive to acyclovir, phosphonophormic and trifluridine, with the percentage of virus inhibition (%VI) ranging from 49.7-100%. CONCLUSIONS: The methodology for HSV isolation and characterization is a straightforward approach, but the drug sensitivity test, regarded as being of great practical importance, needs to be better understood. .