Strategies Used by Nurses to Maintain Person-Family Communication during the COVID-19 Pandemic: A Scoping Review.

Background: The COVID-19 pandemic made nurse-patient-family communication more difficult, reducing the understanding of the patient's wishes and current care history. COVID-19 challenged healthcare teams to develop strategies to address these changes and provide more integrated care using the technology at their disposal. So, this study aims to map the strategies used by nurses to maintain communication between the person hospitalized with COVID-19 and the family to understand which communication technologies were most used to maintain communication between the person and the family. Methods: A Scoping Review, according to the recommendations of the Joanna Briggs Institute [JBI] with the Preferred Reporting Items for Scoping Review extension (PRISMA-ScR), research conducted between September 2022 and January 2023. The search was conducted in the databases: Latin American and Caribbean Literature in Health Sciences (LILACS); Cumulative Index of Nursing and Allied Health Literature (CINAHL); Scientific Electronic Library Online (SciELO); Medical Literature Analysis and Retrieval System Online (Medline), using the descriptors: family, communication, nurses, hospitals and COVID-19, and the Boolean operators "AND". The inclusion criteria were: original articles, in Portuguese, English, and Spanish, published from 2020 onwards, with access to full and free text. Results: It was found that most of the communication was unstructured with the family. The technologies most used by nurses were the telephone with video calls from the patients themselves and even from health professionals to maintain communication between the patient and the family. Conclusions: Communication between patients and families became essential during the pandemic, as it became a vital lifeline of human connection that supported the mental health of patients and their families. This study was not registered.

Abordagem à pessoa nos Serviço de Urgência e Unidade de Cuidados Intensivos após a pandemia COVID-19: scoping review / Approach to the person in emergency and intensive care after the pandemic covid-19: scoping review

Objetivo: Perceber quais as alterações que ocorreram na abordagem à pessoa em situação crítica no Serviço de Urgência e Unidade de Cuidados Intensivos após início da pandemia COVID-19. Método: A estratégia de pesquisa para a scopingreview foi realizada nas bases de dados Medline via PubMed, EBSCO Host, BioMed Central, ScienceDirect, BVS e Scielo através da utilização de descritores MeSH e DeCS, artigos com fulltext gratuito, publicados em língua portuguesa, inglesa e espanhola, com datas de publicação entre 2019 e 2021, implementados critérios de inclusão e exclusão.Resultados: Foram identificados 4 estudos elegíveis para análise, publicados em 2020, nenhum dos estudos em Português. Conclusão: As principais alterações estão relacionadas com a utilização de equipamento de proteção individual, colocando o enfoque na segurança dos profissionais de saúde.(AU)

Aim: To understand the changes that occurred in the approach to critically ill patients in the Emergency Department and Intensive Care Unit after the beginning of the COVID-19 pandemic. Method: The search strategy for the scoping review was conducted in Medline databases via PubMed, EBSCO Host, BioMed Central, ScienceDirect, BVS and Scielo by using MeSH and DeCS descriptors, articles with free full text, published in Portuguese, English and Spanish language, with publication dates between 2019 and 2021, implemented inclusion and exclusion criteria.Results: Four eligible studies were identified for analysis, published in 2020, and none of the studies was in Portuguese. Conclusion: The main changes are related to the use of personal protective equipment, focusing on the safety of health professionals.(AU)

Objetivo: Conocer qué cambios se han producido en el abordaje a los pacientes críticos en el Servicio de Urgencia y enUnidades de Cuidados Intensivos tras el inicio de la pandemia COVID-19.Método: La estrategia de búsqueda para la revisión se realizó en las bases de datos Medline e PubMed, EBSCO Host, BioMed Central, ScienceDirect, BVS y Scielo con el uso de descriptores MeSH y DeCS, artículos con libre acceso a texto completo, publicados en portugués, inglés y español, entre el 2019 y 2021, usando criterios de inclusión y exclusión.Resultados: Identificamos 4 estudios elegibles para el análisis, todos publicados en 2020, e ninguno en portugués.Conclusión: Los principales cambios están relacionados con el uso de equipamientos de protección personal, conel enfoque en la seguridad de los profesionales de salud.(AU)

Promoção da literacia e saúde mental positiva: Estudo quase-experimental com adolescentes em contexto esco / Promotion of literacy and positive mental health: A quasi-experimental study with adolescents in a school context

Introdução: As intervenções de enfermagem de promoção da saúde mental positiva (SMP)em adolescentes aumentam a autoestima, as habilidades socio emocionais e a capacidade de resolução de problemas dos jovens, diminuem o estigma, e permitem incrementar a esperança. Objetivos: Analisar uma intervenção de promoção de saúde mental positiva em adolescentes em contexto escolar. Metodologia: Estudo quase-experimental com pré e pós-teste, numa amostra não probabilística de 72 adolescentes. Foi aplicado um programa de SMP por enfermeiros especialistas de saúde mental no grupo experimental. Para a recolha de dados foi usado questionário de autopreenchimento online que continha todos os instrumentos de medida, aplicados ao grupo experimental antes e depois da intervenção de promoção de saúde mental positiva. Resultados: Verificou-se melhoria da SMP, diminuição do estigma, diminuição da vulnerabilidade psicológica e aumento dos níveis de esperança. Conclusão: A intervenção de enfermagem de promoção da saúde mental positiva teve uma forte adesão dos adolescentes e uma melhoria nos indicadores de saúde mental estudados (AU)

Introduction: Nursing interventions to promote positive mental health (PMH) in adolescents increase self-esteem socio-emotional and problem-solving skills of young people, reduce stigma and increase hope. Objective: To analyse the programme’s effectiveness in promoting adolescents’ positive mental health in a school context. Methodology: A Quasi-experimental study using pre and post-test in a non-probabilistic sample of 72 adolescents. A PMH programme was applied by specialist mental health nurses in the experimental group. An online self-completion questionnaire was used for data collection, which contained the measurement instruments applied to the experimental group before and after the PMH intervention. Results: There was an improvement in PMH, a decrease in stigma, a decrease in psychological vulnerability and an increase in levels of hope. Conclusion: The positive mental health promotion nursing intervention had a strong adherence by adolescents and improved the mental health indicators under study. (AU)

Predictors of positive mental health in higher education students. A cross-sectional predictive study.

PURPOSE: To describe positive mental health (PMH) psychological vulnerability (PV) and identify predictors of PMH in higher education students (HES). DESIGN AND METHODS: A cross-sectional, predictive study was performed with a convenience sample of 3322 students, using an online questionnaire with sociodemographic information, the PMH Questionnaire, and the PV Scale. FINDINGS: The majority scored a flourishing level, and 67.7% of the participants scored high levels of PV. The Regression Model found a significant predictive variable for PMH. PRACTICE IMPLICATIONS: Gender, age, regular exercise, healthy diet, number of meals per day, and leisure activities are significant positive predictors of PMH. PV is the sole significant negative predictor. Therefore, improving mental health literacy can be a strategy to support HES.