Applicability of the Self-Evaluation Scale of nursing practices for improving sleep quality among patients with dementia taking sleeping pills to general nurses.

Objective: Many patients with dementia experience sleep-related problems. However, there is a lack of clarity regarding nursing practices that can address these issues. Thus, we developed a self-assessment scale for nursing practices to improve sleep quality among patients with dementia taking sleep medication and confirmed its validity and reliability. This study aimed to test the validity and reliability of this scale for adaptability to general nurses and test its applicability. Participants and Methods: The survey included basic attributes and questionnaire items related to nursing practices to improve sleep quality in patients with dementia taking sleeping pills. Data from 477 participants with no missing values in the survey items were used in the analysis. The self-evaluation scale of nursing practices for improving sleep quality among patients with dementia taking sleeping pills was based on a three-factor model, and confirmatory factor analysis was performed using structural equation modeling. Results: Goodness-of-fit indices were satisfactory, supporting the construct validity of the scale. Cronbach's α coefficients for the total score and the three factors of the self-evaluation scale of nursing practices for improving sleep quality among patients with dementia taking sleeping pills exceeded 0.7. Conclusion: The development of this scale can improve the quality of nursing practice for patients with dementia who take sleeping pills. Moreover, it can serve as evidence for general nurses to participate in drug treatment and can be considered as basic research for appropriate drug treatment in nursing practice.

Detección de violencia machista entre las mujeres atendidas por tentativa autolítica en un servicio de urgencias / Detection of interpersonal partner violence among women treated for attempted suicide in an emergency department

Introducción: Existe evidencia sobre una asociación directa entre la Violencia Machista/Violencia de Género (VdG) y el suicidio, e incluso se señala que la VdG es el principal factor precipitante para que una mujer realice una tentativa suicida. Además, se ha demostrado que las mujeres con enfermedades mentales crónicas sufren especialmente más violencia que la población en general. Sin embargo, existen relativamente pocos datos sobre la capacidad de detección de VdG de los servicios de urgencias. En Catalunya, el Programa Código Riesgo de Suicidio (CRS) atendió a 12.596 persones con episodios de conducta suicida y ha demostrado su eficacia en nuestro hospital. Objetivo principal: Cuantificar el grado de detección de la VdG de nuestros registros sanitarios en mujeres visitadas en el servicio urgencias de nuestro hospital por ideación y/o tentativa suicida y que han sido incluidas en el Programa CRS. Hipótesis principal: La detección actual de VdG en las mujeres es <10%. Metodología: Estudio descriptivo retrospectivo basado en registros electrónicos sanitarios. Se identificaron todas las mujeres que habían estado en seguimiento telefónico en los últimos 12 meses por haber acudido al servicio de urgencias de nuestro Hospital por ideación y/o intento suicida. El período de análisis incluyó del 1 de enero al 31 de diciembre de 2020. Se realizó una revisión completa de todos los informes de alta de estas mujeres visitadas en urgencias y de los registros clínicos de todos los profesionales (médicos, psiquiatrías, enfermeras...) disponibles en la historia clínica informatizada. Se realizó un análisis descriptivo simple de los datos. Resultados: Durante el período de estudio, se detectaron cuatro casos de violencia machista/VdG (1,92%) y dos casos de violencia familiar entre las 208 mujeres que se visitaron por ideación y/o intento autolítico...(AU)

Introduction: There is evidence of a direct association between interpersonal partner/sexist/gender violence (IPV) and suicide, and it is even pointed out that IPV is the main precipitating factor for a woman to make a suicide attempt. In addition, it has been shown that women with chronic mental illness suffer especially more violence than the general population. However, there is relatively little data on the IPV detection capacity of emergency departments. In Catalonia, the Suicide Risk Code Program (CRS) treated 12,596 people with episodes of suicidal behaviour and has demonstrated its effectiveness in our hospital. Main objective: To quantify the degree of detection of IPV in our health records in women visited in the emergency department of our hospital for suicidal ideation and/or attempt and who have been included in the CRS Program.Main hypothesis: Current detection of IPV in women is <10%. Methodology: Retrospective descriptive study based on electronic health records. All the women who had been in telephone follow-up in the last 12 months for having gone to the emergency department of our hospital for suicidal ideation and/or attempt were identified. The analysis period included from January 1 to December 31, 2020. A complete review of all the discharge reports of the women visited in the emergency room and of all the clinical records of all the professionals (doctors, psychiatrists, nurses...) available in the computerized medical record was carried out. A simple descriptive analysis of the data was performed. Results: During the study period, four cases of IPV (1.92%) and two cases of family violence were detected among the 208 women who were visited for suicidal ideation and/or attempt. All the women who were detected with IPV were recommended to visit the Women’s Care Center, but it is unknown if they were actually referred to other professionals or if they actually attended...(AU)

"The effect of spaced learning method on the evaluation score and education quality in nursing students".

INTRODUCTION: Spaced learning is a teaching method aiming to stabilize long-term memory. The present study aims to evaluate the effect of the spaced learning method on the evaluation scores and education quality in the practical course of principles and techniques of nursing. MATERIALS AND METHODS: In this quasi-experimental study, 51 nursing students in four semesters were selected by convenience sampling and randomly divided into experimental and control groups. We used the demographic characteristics form, student scores, and students' evaluations of the educational quality questionnaire (SEEQ) for data gathering. In the next step, the classes of the experimental groups were held with the spaced learning method, and the traditional methods were used for the control groups. After the end of each semester, the SEEQ questionnaire was given to the students of both groups, and their evaluation scores were extracted. The collected data were analyzed using SPSS version 26 using descriptive and inferential statistics. RESULTS: After ensuring the independence of the data, the results showed that the difference in the mean evaluation score of the students in the two groups is not statistically significant (p > 0.05). However, the mean score of total SSEQ in the experimental group was significantly higher than the control group. Furthermore, except for the dimension of examination assignments and group interaction, the mean score of other SSEQ dimensions in the experimental group was statistically higher than the control group (p < 0.05). CONCLUSION: Spaced learning is an easy, low-cost, and fun learning method that affects the teaching method compared to evaluation results and effortlessly has the potential to become an appropriate alternative to traditional teaching methods.

Validation of the Simplified Chinese Palliative Care Nursing Self-Competence Scale: Two Cross-sectional Studies.

BACKGROUND: Due to the increasing burden of life-limiting illnesses, the need for palliative care has increased. Nurses' palliative care competence is a vital factor in improving its accessibility. A reliable instrument is needed to measure nurses' competence in providing palliative care. OBJECTIVE: Our aim was to translate and culturally adapt the Palliative Care Nursing Self-Competence Scale (PCNSC) into the Palliative Care Nursing Self-Competence Scale-Simplified Chinese (PCNSC-SC). METHODS: Two cross-sectional studies were conducted after content validity had been confirmed during the instrument's translation and adaption. The convergent validity, construct validity, internal consistency, and homogeneity were evaluated in both the first and second studies. Test-retest reliability was assessed only in the first study. Clinical nurses who had a registered nurse qualification certificate and at least 12 months of work experience from a tertiary hospital in Hubei, China participated in the 2 studies. RESULTS: The PCNSC-SC contains 8 dimensions and 34 items, based on goodness-of-fit indices and confirmatory factor analysis. The Cronbach's alpha of the PCNSC-SC was .984 and .990 in the 2 studies, respectively. The test-retest reliability of the PCNSC-SC after 2 weeks was .717. CONCLUSION: The PCNSC-SC can be used to evaluate perceived self-competence in palliative care of Chinese nurses with good reliability and validity.

Diagnóstico de calidad de los resúmenes de tesis de maestría en enfermería / Quality diagnosis in abstracts of master's thesis in nursing

Resumen Objetivo: Analizar las dimensiones de estructura del resumen y referencias bibliográficas en la calidad de las tesis de los graduados de 2015 a 2020 de la maestría en Enfermería de la Universidad Nacional Autónoma de México. Materiales y Métodos: Investigación cuantitativa, descriptiva y analítica. La muestra no probabilística estuvo integrada por 96 tesis de nivel maestría de cinco generaciones de graduados 2015-2020. El instrumento se conforma por 30 ítems, se adaptó al contexto del posgrado y fue validado por expertos en cuanto a claridad en la redacción, congruencia con la dimensión a valorar y pertinencia. Se llevó a cabo un estudio piloto en una población similar a la del estudio (14 tesis de posgrado). en las cinco dimensiones consideradas en la escala. Se utilizó la Correlación de Spearman para establecer una relación de las dimensiones y la calidad del resumen de la tesis. Se utilizó el paquete estadístico SPSS versión 21. Resultados: Las correlaciones obtenidas son positivas en todos los casos. La dimensión contenido y organización presenta una mayor correlación con las de resultados y metodología y la más fuerte con las referencias bibliográficas respecto a las otras dimensiones. La dimensión metodología obtuvo mayor significancia con resultados y discusión. La dimensión de resultados con la de metodología y la de contenido y organización. La dimensión de discusión con las dimensiones de resultados y metodología. Conclusiones: El diagnóstico permitió identificar que el resumen es fundamental para visibilizar la producción de tesis de la Maestría en Enfermería en bases de datos científicas. La estructura clara y homologada de los resúmenes y de las referencias bibliográficas es un criterio importante en la autoevaluación del programa.

Abstract Objective: Analyze the structure dimensions of the summary and bibliographic references in the quality of the theses of graduates from 2015 to 2020 of the master's degree in Nursing from the National Autonomous University of Mexico. Materials and methods: Quantitative, descriptive and analytical research. The non-probabilistic sample consisted of 96 master's level theses from five generations of graduates 2015-2020. The instrument is made up of 30 items, it was adapted to the postgraduate context and was validated by experts in terms of clarity in the wording, congruence with the dimension to be assessed and relevance. A pilot study was carried out in a population similar to that of the study (14 postgraduate theses). in the five dimensions considered in the scale. Spearman's Correlation was used to establish a relationship between the dimensions and the quality of the thesis summary. The statistical package SPSS version 21 was used. Results: The correlations obtained are positive in all cases. The content and organization dimension presents a greater correlation with those of results and methodology and the strongest with the bibliographical references with respect to the other dimensions. The methodology dimension obtained greater significance with results and discussion. The dimension of results with that of methodology and that of content and organization. The discussion dimension with the dimensions of results and methodology. Conclusions: The diagnosis made it possible to identify that the summary is essential to make visible the production of the Master's theses in Nursing in scientific databases. The clear and approved structure of the abstracts and bibliographical references is an important criterion in the self-evaluation of the program.

[Correlation of patient satisfaction with nurses' time spent at the bedside: A prospective observational study]. / Zusammenhang der Patientenzufriedenheit mit der Anwesenheitszeit Pflegender am Patientenbett.

Correlation of patient satisfaction with nurses' time spent at the bedside: A prospective observational study Abstract. Background: Patient satisfaction is of high importance in quality assurance in many hospitals. The existing shortage of nursing staff and the resulting additional workload for individual nurses reduce the time available for patient care. Aim: The aim of this study is to explore a possible relationship of patient satisfaction with the time spent by nurses at the bedside and the influence of other influencing predictors. Methods: In this observational study, nursing attendance time was collected using attendance records which were verified by digital call light logs, and then evaluated using a linear regression model including patient satisfaction. Results: The nursing attendance time showed no significant influence on "patient satisfaction" (p = 0.155). The most important variables influencing "patient satisfaction" were: "no previous hospital experience" (p = 0.001), "importance of care" (p < 0.001) and "Gender" (form male) (p = 0.001). Conclusions: The time spent by nurses at the patient's bedside is not considered decisive enough to have a clear positive influence on patient satisfaction. Adaptations in nursing care are recommended, which enable a holistic relationship building and goal-oriented nursing care that favours patient satisfaction.

The patient involvement in nursing education: A mixed-methods systematic review.

OBJECTIVE: To evaluate the effects patient involvement in nursing education has on students, patients and academic staff using a specific theoretical framework. DESIGN: Mixed-methods systematic review based on Joanna Briggs Institute methodology (Prospero no. CRD42022327158). DATA SOURCES: Seven databases (PubMed, Cochrane Library, Cinahl, PsychINFO, Scopus, ERIC, Embase), Google Scholar and reference lists were searched. REVIEW METHODS: Qualitative, quantitative and mixed-method studies published from 2012 to 2022 were included. Two reviewers independently assessed the studies for eligibility and quality; any disagreement was discussed with a third reviewer. Data were extracted and analysed according to the Joanna Briggs Institute converged integrated approach. RESULTS: Twenty-one qualitative, one quantitative and five mixed-methods studies met the inclusion criteria. Data were provided from three points of view: students, patients and academic staff. Student integrated findings included: (i) students' reactions towards patient involvement in education; (ii) students' views on the learning process and (iii) on ethical issue. From the patient point of view, the integrated findings addressed (i) patients' goals and effects on students' learning; (ii) how patients teach and get involved with students; (iii) how patients perceived their role; the patients' views on facilitators (iv) and barriers (v) in education; (vi) the perceived effects of being involved in education. Four integrated findings were derived from the academic staff's point of view: (i) academics' perceptions on patient vulnerability; (ii) perceived barriers to the efficacy of patient involvement in education; (iii) effects of patient involvement in nursing education; and (iv) methodological aspects of patient involvement in university curriculum. CONCLUSIONS: This systematic review provides useful information from all stakeholders' perspectives on the effects of patient involvement in nursing education. It offers a broader view of the implications for implementation and for developing theoretical frameworks and hypotheses for future research.

Avalia TIS SPF: protótipo de software para avaliação clínica de enfermeiros em penitenciária federal de segurança máxima / Evaluates TIS SPF: software prototype for clinical assessment of nurses in maximum security federal penitentiary

Resumo: Objetivou-se desenvolver o protótipo de um software para avaliação clínica de enfermeiros, no serviço de saúde da penitenciária federal de segurança máxima de Porto Velho, Brasil. Como método, seguiram-se os moldes da pesquisa metodológica de produção tecnológica, que teve como cenário uma penitenciária federal, e foi desenvolvida em duas fases: fase 1, denominada fase exploratória, que incluiu três etapas: a) revisão de literatura; b) informações obtidas dos participantes sobre o conhecimento da avaliação clínica; c) análise dos dados; fase 2, denominada de fase de desenvolvimento do modelo de prototipação, o qual seguiu o ciclo de vida de desenvolvimento de sistema, dividido em três etapas: análise e especificação; desenvolvimento; e manutenção, propostas por Pressman (2011). Como produto, obteve-se o protótipo do software intitulado AVALIA TIS - SPF, com características dinâmicas que inclui módulos de cadastro e login do usuário; identificação do paciente; histórico/anamnese e avaliação clínica. Conclui-se que esta ferramenta tem potencial para instrumentalizar o enfermeiro na execução e documentação da primeira etapa do processo de enfermagem, contribuindo na valorização e sustentação da prática profissional, colaborando para a assistência integral da população carcerária. É viável a replicabilidade para outras unidades prisionais, temas e outras áreas do conhecimento. Tem potencial para impacto social, mantendo a população de pessoas privadas de liberdade, com melhor qualidade de vida durante o período do cumprimento de pena; impacto econômico, com possibilidade de identificação precoce de problemas de saúde e, consequentemente, menor número de complicações que exigem utilização de serviços de saúde de atenção secundária ou terciária. O teor inovador encontra-se no fato de implementar um sistema de informação segura dos dados dos custodiados, com possibilidade de ampliação de todas as penitenciárias de segurança máxima brasileiras.

Abstract: This study aimed to develop a software prototype to clinically evaluate nurses in the health service of the maximum-security federal penitentiary in Porto Velho. We followed the methodological research of technological production using a federal penitentiary as a scenario. The study consisted of two phases: Phase 1, the exploratory phase, which included three stages: a) literature review; b) the information obtained from participants regarding their knowledge of clinical evaluation; and c) data analysis; Phase 2, the prototyping model development phase, which followed the system development life cycle, divided into three stages: a) analysis and specification; b) development; and maintenance, proposed by Pressman (2011). The final product is a software prototype entitled AVALIA TIS - SPF, with dynamic characteristics that include user registration and login modules, patient identification, history/anamnesis, and clinical evaluation. In conclusion, this tool has the potential to equip nurses in the execution and documentation of the first stage of the nursing process, contributing to the appreciation and support of professional practice and collaborating for the integral assistance of the prison population. Replicability for other prison units, themes, and other areas of knowledge is feasible. It has the potential for social impact, giving a better quality of life to the freedom-deprived population while serving their sentence, and economic impact, with the possibility of early identification of health problems and, consequently, fewer complications that require secondary or tertiary health care services. The innovative content is because it implements a secure information system for the data of those in custody, with the possibility of expanding all Brazilian maximum security penitentiaries.

Quality assurance of Nursing Education in the Philippines

@#The Philippines continues to produce globally competitive nursing graduates. However, it performs poorly in international standards for quality education in nursing. This paper investigates the objective parameters of quality assurance: Commission on Higher Education (CHED) accreditation, Philippine Regulation Commission (PRC) licensure examinations, and other international and local standards to measure the quality of nursing education inputs and outputs. Results showed an accreditation rate of 3% for nursing programs, less than the national average of 10% for all programs across all professions (CHED 2018; CHED n.d. -a; CHED n.d. -b). Some highly regarded programs have advanced to Level IV (seven baccalaureate programs and two master's programs). Although there is a link between graduates' performance and effective instruction and sound evaluation in university procedures (Amanonce & Maramag, 2020), written board exams cannot assess some performance indicators to determine if a student has met program objectives. Although the country has produced globally competitive nursing graduates, steps must be taken to improve the program's compatibility with the concept of globalization. Strategies should be aimed at performance indicators in a global nursing education and profession landscape.

Influence of social determinants of health in family-effectiveness / Influencia de los determinantes sociales de la salud en la eficacia familiar / Influência dos determinantes sociais da saúde na eficácia familiar / Influence of social determinants of health in family-effectiveness

Introduction: The Social Determinants of Health are defined by the living conditions of the population, how they are born, grow, live, work and age, and are considered as the main responsible for the health of populations. Objective: To evaluate the influence of social determinants of health on effectiveness of family functioning. Materials and Methods: A quantitative study was carried out with 200 participants between 2017 and 2018. To assess the correlation between proximal, intermediate and distal social determinants of health and the level of effectiveness of family functioning, home visits were made to 100 families who responded the Assessment of strategies in Family Effectiveness instrument and a sociodemographic questionnaire. Data were analyzed by simple frequency, Spearman's correlation coefficient (ρ) (p <0.05), and subjected to descriptive analysis from the perspective of systemic organization. Results: The social determinants that showed a positive correlation coefficient with the level of effectiveness of family functioning were the years of study and the fixed family income. There was a negative correlation with the main source of income (number of occupations) or source of income and the presence of other members or relatives in the family. Discussion: Investments in education can improve the family's ability to organize, solve or prevent adverse events, increase income and provide more time for family relationships and the achievement of congruence, as evidenced by other authors. Conclusions: The proximal and intermediate social determinants of health influenced the level of effectiveness of family functioning.

Introducción: Los Determinantes Sociales de la Salud están definidos por las condiciones de vida de la población, cómo nacen, crecen, viven, trabajan y envejecen, y son considerados como los principales responsables de la salud de las poblaciones. Objetivo: Evaluar la influencia de los determinantes sociales de la salud en la efectividad del funcionamiento familiar. Materiales y Métodos: Se realizó un estudio cuantitativo con 200 participantes entre 2017 y 2018. Para evaluar la correlación entre los determinantes sociales de salud proximales, intermedios y distales y el nivel de efectividad del funcionamiento familiar, se realizaron visitas domiciliarias a 100 familias que respondieron el instrumento Evaluación de estrategias en Efectividad Familiar y un cuestionario sociodemográfico. Los datos fueron analizados por frecuencia simple, coeficiente de correlación de Spearman ( ρ ) (p <0,05 ), y sometidos a análisis descriptivo desde la perspectiva de la organización sistémica. Resultados: Los determinantes sociales que mostraron un coeficiente de correlación positivo con el nivel de efectividad del funcionamiento familiar fueron los años de estudio y el ingreso familiar fijo. Hubo una correlación negativa con la principal fuente de ingresos (número de ocupaciones) o fuente de ingresos y la presencia de otros miembros o familiares en la familia. Discusión: Las inversiones en educación pueden mejorar la capacidad de la familia para organizarse, solucionar o prevenir eventos adversos, aumentar los ingresos y brindar más tiempo para las relaciones familiares y el logro de la congruencia, como lo evidencian otros autores. Conclusiones: Los determinantes sociales proximales e intermedios de la salud influyeron en el nivel de efectividad del funcionamiento familiar.

Introdução: Os Determinantes Sociais da Saúde são definidos pelas condições de vida da população, como nascem, crescem, vivem, trabalham e envelhecem, sendo considerados como os principais responsáveis pela saúde das populações. Objetivo: Avaliar a influência dos determinantes sociais da saúde na eficácia do funcionamento familiar. Materiais e Métodos: Foi realizado um estudo quantitativo com 200 participantes entre 2017 e 2018. Para avaliar a correlação entre os determinantes sociais proximais, intermediários e distais da saúde e o nível de eficácia do funcionamento familiar, foram realizadas visitas domiciliares a 100 famílias que responderam o instrumento Avaliação de estratégias em eficácia familiar e um questionário sociodemográfico. Os dados foram analisados por frequência simples, coeficiente de correlação de Spearman ( ρ ) (p < 0,05 ), e submetidos à análise descritiva sob a ótica da organização sistêmica. Resultados: Os determinantes sociais que apresentaram um coeficiente de correlação positiva com o nível de efetividade do funcionamento familiar foram os anos de estudo e a renda familiar fixa. Houve correlação negativa com a principal fonte de renda (número de ocupações) ou fonte de renda e a presença de outros membros ou parentes na família. Discussão: Investimentos em educação podem melhorar a capacidade da família de se organizar, resolver ou prevenir eventos adversos, aumentar a renda e proporcionar mais tempo para as relações familiares e para o alcance da congruência, conforme evidenciado por outros autores. Conclusões: Os determinantes sociais proximais e intermediários da saúde influenciaram o nível de efetividade do funcionamento familiar.

Qualidade da formação em enfermagem: análise a partir de dados do sistema nacional de avaliação / Quality of nursing graduation: analysis from data from a national assessment system / Calidad de la educación en enfermería: análisis basado en datos de un sistema nacional de evaluación

Objetivo: Analisar a qualidade da formação em Enfermagem no Ceará, Brasil. Métodos: Estudo descritivo, retrospectivo, de abordagem quantitativa, a partir dos resultados do Exame Nacional de Desempenho dos Estudantes e do Conceito Preliminar de Cursos. Foram incluídas todas as Instituições de Ensino Superior que dispunham de cursos de Enfermagem e que obtiveram nota no Exame Nacional de Desempenho até 2017. Resultados: No Ceará, existem 65 cursos de Enfermagem, sendo seis públicos (9,2%) e 59 privados (90,8%). As instituições públicas apresentam melhores resultados no Exame Nacional de Desempenho, no entanto, as privadas apresentam melhores notas nos quesitos estrutura e oportunidades de ampliação da formação. Entre os 21 cursos, apenas 10 possuem conceito 4 e 5 no Exame Nacional de Desempenho e, também, no Conceito Preliminar de Cursos. Apenas 3 obtiveram conceito menor que 3 no Exame Nacional de Desempenho e todos obtiveram conceito igual ou maior que 3 no Conceito Preliminar de Cursos. Conclusão: A partir dos critérios estabelecidos pelo Ministério da Educação, os cursos de Enfermagem do Ceará podem ser considerados de qualidade, no entanto há que se refletir até que ponto os profissionais oriundos de instituições com notas 3 estão preparados para atender as demandas de saúde da população. (AU)

Objective: To analyze the quality of nursing education in Ceara, Brazil. Methods: Descriptive, retrospective study with a quantitative approach, based on the results of the National Student Performance Examination and the Preliminary Concept of Courses. All Higher Education Institutions that had Nursing courses and that obtained a grade in the National Performance Examination until 2017 were included. Results: In Ceará, there are 65 Nursing courses, six of which are public (9.2%) and 59 private (90.8%). Public institutions present better results in the National Performance Examination, however, private ones' present better marks in terms of structure and opportunities for training expansion. Among the 21 courses, only 10 have grade 4 and 5 in the National Performance Exam and also in the Preliminary Concept of Courses. Only 3 obtained a grade lower than 3 in the National Performance Examination and all obtained grade equal to or higher than 3 in the Preliminary Concept of Courses. Conclusion: Based on the criteria established by the Ministry of Education, nursing courses in the State of Ceará can be considered of quality, however, it is necessary to reflect to what extent professionals from institutions with grades 3 are prepared to meet the health demands of population. (AU)

Objetivo: Analizar la calidad de la educación en enfermería en Ceará, Brasil. Métodos: Estudio descriptivo, retrospectivo con enfoque cuantitativo, basado en los resultados del Examen Nacional de Desempeño del Estudiante y el Concepto Preliminar de Cursos. Se incluyeron todas las Instituciones de Educación Superior que contaban con cursos de Enfermería y que obtuvieron calificación en el Examen Nacional de Desempeño hasta 2017. Resultados: En Ceará, hay 65 cursos de Enfermería, seis de los cuales son públicos (9,2%) y 59 privados (90,8%). Las instituciones públicas presentan mejores resultados en el Examen Nacional de Desempeño, sin embargo, las instituciones privadas presentan mejores calificaciones en términos de estructura y oportunidades para ampliar la formación. De los 21 cursos, solo 10 tienen 4º y 5º grado en el Examen Nacional de Desempeño y también en el Concepto Preliminar de Cursos. Solo 3 obtuvieron una calificación inferior a 3 en el Examen Nacional de Desempeño y todos obtuvieron una calificación igual o superior a 3 en el Concepto Preliminar de Cursos. Conclusión: Con base en los criterios establecidos por el Ministerio de Educación, los cursos de enfermería en el Estado de Ceará pueden ser considerados de calidad, sin embargo es necesario reflexionar en qué medida los profesionales de instituciones con grado 3 están preparados para atender las demandas de salud de la población. (AU)

Consulta de enfermagem na perceção da pessoa com doença cardiovascular / Nursing consultation from the perspective of the person with cardiovascular disease / Consulta de enfermería en la percepción de la persona con enfermedad cardiovascular

Resumo Enquadramento: A consulta de enfermagem é uma ação que potencializa a mudança de comportamentos nas pessoas com doença cardiovascular a serem seguidas em ambulatório. Objetivo: Conhecer a perceção das pessoas com doença cardiovascular sobre a consulta de enfermagem em ambulatório. Metodologia: Estudo transversal, qualitativo, com aplicação de entrevista semiestruturada a pessoas com doença cardiovascular seguidas em ambulatório. As entrevistas foram gravadas e transcritas e aplicou-se a análise de conteúdo temático categorial. Resultados: Foram incluídas 20 pessoas no estudo. Três categorias emergiram de 160 unidades de registo: 1) Expectativas para a consulta de enfermagem; 2) Compreensão sobre a consulta de enfermagem; e 3) Experiência - consulta de enfermagem. Conclusão: Os usuários que não passaram pela consulta de enfermagem não conhecem o que é a consulta nem a reconhecem como parte do cuidado longitudinal. Entretanto, aqueles que já vivenciaram a experiência da consulta, reconhecem-na como um espaço de vínculo, de possibilidade de realizar mudanças efetivas de comportamentos relacionados com a saúde e de esclarecimento de dúvidas.

Abstract Background: The nursing consultation promotes behavioral changes in the outpatient follow-up of people with cardiovascular diseases. Objective: To know the perceptions of people with cardiovascular diseases about the outpatient nursing consultation. Methodology: A cross-sectional, qualitative study was carried out using semi-structured interviews with people with cardiovascular diseases in outpatient follow-up. The interviews were recorded and transcribed, and the thematic-categorical content analysis method was applied. Results: Twenty people were included in the study. Three categories emerged from 160 registration units: 1) Expectations about the nursing consultation; 2) Understanding of the nursing consultation; and 3) Nursing consultation experience. Conclusion: Patients who have not experienced a nursing consultation are not familiar with what the consultation is nor recognize it as part of longitudinal care. However, those who have already experienced the consultation recognize it as a space for bonding, making effective changes in health-related behaviors, and clearing doubts.

Resumen Marco contextual: La consulta de enfermería es una acción que potencia el cambio de conducta en las personas con enfermedades cardiovasculares a las que se hará un seguimiento en las consultas externas. Objetivo: Conocer la percepción de las personas con enfermedades cardiovasculares sobre la consulta externa de enfermería. Metodología: Estudio transversal, cualitativo, en el que se aplicó la entrevista semiestructurada a personas con enfermedad cardiovascular a las que se hizo un seguimiento en una consulta externa. Las entrevistas se grabaron y transcribieron, y se aplicó el análisis de contenido categórico temático. Resultados: Se incluyeron 20 personas en el estudio. De las 160 unidades de registro surgieron tres categorías: 1) Expectativas de la consulta de enfermería; 2) Comprensión sobre la consulta de enfermería, y 3) Experiencia - consulta de enfermería. Conclusión: Los usuarios que no han pasado por una consulta de enfermería no saben lo que es la consulta ni la reconocen como parte de la atención longitudinal. Sin embargo, quienes ya han pasado por la consulta la reconocen como un espacio de vinculación, de posibilidad de realizar cambios efectivos en las conductas relacionadas con la salud y de aclaración de dudas.

Assessment of Health Indicators in Individuals with Intestinal Stoma using the Nursing Outcomes Classification: A Cross-Sectional Study.

Aim: To determine nursing outcomes in individuals with intestinal stoma and the relationships between them and sociodemographic and clinical variables. Design: Cross-sectional study performed with 102 subjects at the General Surgery Unit of a first-level hospital. Methods: Data on the presence of nursing outcomes were collected using the Nursing Outcomes Classification. Data on sociodemographic and clinical variables were also collected. Univariate and bivariate data analyses were performed. Results: Outcomes related to participation in making health decisions and knowledge of ostomy care were assessed across the study sample. Period of care (post-operative and follow-up) was the most common significant variable (p < 0.05) among the outcomes. The outcome scores ranged from 2 to 3, indicating a moderate level of impairment in the physical, psychological, and social spheres of these patients. The scores in the indicators on Participation in making health decisions and Knowledge of stoma care improved in the period of continuity of care compared to the postoperative period, being this difference statistically significant (p < 0.001). Conclusions: The care plan for individuals with intestinal stoma needs to include indicators measuring patient participation in making decisions related to their condition, as well as indicators related to their knowledge and self-care of their stoma. Relevance to clinical practice: This study aims to determine the nursing outcomes in individuals with intestinal stoma and the relationships between them and sociodemographic and clinical variables. It provides the opportunity to plan achievable objectives with patients using a system of indicators that facilitate their assessment and monitoring.

Nurses' Views on How to Best Design a Program to Prevent Adolescents' Anxiety in the Perioperative Period. A Qualitative Study.

PURPOSE: To describe the nurses' views for consideration when designing a program to prevent adolescents' anxiety in the perioperative period. DESIGN: A qualitative descriptive case study using focus group and thematic analysis was conducted. METHODS: Three face-to-face focus group interviews were conducted in October and November 2019 in the pediatric department of a university hospital. A purposive criterion method was applied to achieve a sample of 19 pediatric nurse specialists. Data were organized and systematized in the professional software for qualitative and mixed methods data analysis software (MAXQDA) and treated through the thematic analysis method. The COREQ checklist was used to report data collection, analysis, and results. FINDINGS: Four major themes and 14 subthemes regarding the perioperative period were generated. The first, adolescent evaluation, included the knowledge evaluation about procedures, signs and symptoms, and desire to be engaged in care. The second, caring adolescents and parents, means that nurses must be ready to care for both, use the opportunities to implement the nursing interventions, and manage physical teen space to accommodate adolescents in the ward. The third, nurses' challenges in the perioperative period, comprise the lack of time and trained nurses to work with adolescents, and the absence of prior adolescents' preparation and postoperative feedback. The fourth, nursing consultation, consists in promoting interdisciplinarity, developing the nursing interventions, and the main content to be included in the program's design. CONCLUSIONS: Given the challenges experienced by nurses when caring for adolescents in the perioperative period, nurses suggested a systematized assessment of the adolescent at an early stage of the perioperative caring process. Added to this is the nurse's readiness for the adolescent and parents, as well as the existence of trained nurses to evaluate adolescents and to implement non-pharmacological interventions in the perioperative period. A nursing consultation emerges as the most suitable solution to include in a program to prepare adolescents for the surgical procedure and help them to manage anxiety. This kind of intervention should begin in the preoperative period, preferably after the decision on the need for the procedure.

Correlation of self-efficacy and symptom control in cancer patients.

OBJECTIVE: This cross-sectional study was planned to evaluate the self-efficacy and symptom control of cancer patients and to determine the factors affecting them. METHODS: The sample of the study consisted of 329 cancer patients who were treated in the Medical Oncology Clinic of a university hospital between April and June 2019 and accepted to participate in the study. Data were collected using the Patient Characteristics Information Form, Cancer Behavior Inventory-Short Version (CBI-SV), and Edmonton Symptom Assessment Scale (ESAS). Percentage, mean, Mann-Whitney U test, and Kruskal-Wallis analysis of variance were used in the analysis of the data. RESULTS: The mean CBI-SV score of the patients was 79.10 ± 17.55. It was determined that the highest mean score of ESAS of the patients was in the symptom of fatigue (3.53 ± 2.81). Some symptoms were statistically lower in patients with good income, who are working, and who are non-smokers. Also it was determined that the self-efficacy levels of the patients with good income and quitting smoking were higher (p < 0.05). At the same time, as the patients' self-efficacy scores increased, the severity of the symptoms they experienced decreased statistically (p < 0.05). CONCLUSION: It was found that the patients' self-efficacy score was above the moderate level, the most intense symptom experienced by the patients was fatigue, and the severity of the symptoms decreased as the patients' self-efficacy level increased. In line with these results; the symptoms, self-efficacy perceptions, and affecting factors of cancer patients should be evaluated by nurses at regular intervals, and care and consultancy services should be provided.

A qualitative study on a novel peer collaboration care programme during the first COVID-19 outbreak: A SWOT analysis.

The pandemic has forced nursing teams to incorporate new programmes that modify the organization of care and the use of material resources. AIMS: The purpose of this study was to describe the perspectives of the nursing team about the strengths/opportunities and weaknesses/threats of a novel peer collaboration care programme during the first outbreak of the pandemic. DESIGN: A qualitative case study with focus groups was conducted in June 2020. METHODS: We included 23 participants (seven nurses, seven assistant nursing care technicians and nine charge nurses). Thematic and strengths/opportunities and weaknesses/threats analysis were performed. RESULTS: The strengths of the peer collaboration care programme are the optimization of care and protective equipment. Its weaknesses are that veteran nurses carry the entire burden, and the lack of personal protective equipment makes it difficult to implement the peer collaboration care programme. Finally, misinformation, lack of facilities and time to teach the peer collaboration care programme are considered threats. CONCLUSION: This strengths/opportunities and weaknesses/threats analysis has led to a comprehensive new project to improve the nursing care. IMPACT: The incorporation of the peer collaboration care programme contributed to the development of new organizational and management programmes for the COVID-19 pandemic. This study has gave empirical evidence to nurses and care managers to optimize and organize care, work, human and material resources during the pandemic.

Living with an ever-present breathlessness: Women's experiences of living with chronic obstructive pulmonary disease stage III or IV.

BACKGROUND: Living with chronic obstructive pulmonary disease stage III or IV has a major impact on a person's everyday life. This qualitative study focuses on women with chronic obstructive pulmonary disease stage III or IV. AIM: The aim of this study was to describe women's experiences of living with chronic obstructive pulmonary disease stage III or IV. METHOD: A purposive sample of fifteen women with chronic obstructive pulmonary disease stage III or IV participated in the study. Data were collected through individual semi-structured interviews that were subjected to qualitative content analysis. FINDINGS: One theme was identified, stabilizing an ever-present breathlessness by restoring strength, and three categories are as follows: managing a restricted everyday life as an expert of their illness, being afraid of contracting infections leading to suffocation and suffering and importance of continuous help and support from significant others and digital media. Breathlessness restricted women with chronic obstructive pulmonary disease, living with a body they have to wait for. Managing everyday life was adapted to their limited abilities and energy. This required detailed planning, good knowledge of their breathing and body. Women were afraid of contracting life-threatening infections that caused suffering, especially COVID-19. The fear leads to isolation and digital media was described as an important means of communication. Significant others gave support and help that was practical and emotional. Women with chronic obstructive pulmonary disease experienced lack of continuous help and support from healthcare professionals. CONCLUSION: Stabilizing an ever-present breathlessness by restoring strength required women with chronic obstructive pulmonary disease stage III or IV to conduct detailed planning to manage everyday life. Being afraid of contracting infections and the consequences of suffocation had increased since the pandemic COVID-19 outbreak, which led to self-isolation and an inactive everyday life. To get help, support and socialize, women used digital media.

Construct validity and reliability of the leg ulcer measurement tool scale adapted for brazil / Validez de constructo y confiabilidad de la escala leg ulcer measurement tool adaptada a brasil / Validade de construto e confiabilidade da escala leg ulcer measurement tool adaptada para o brasil

ABSTRACT Objective: to validate the Portuguese version of the Leg Ulcer Measurement Tool regarding construct and reliability. Method: this is a methodological research study. Data collection was conducted between January and July 2019. A total of 105 participants were included for construct validation and internal consistency and, of these, 50 were selected for intra-observer stability. For the analysis of construct validity, factor analysis was performed; for internal consistency, Cronbach's alpha coefficient was calculated, and for stability, the intraclass correlation coefficient. Results: A total of 12items were confirmed for the Brazilian reality, meeting all the theoretical requirements of the factor analysis model. As for the internal consistency (reliability) analysis, the Cronbach's alpha coefficient values (α=0.711) showed that the set of items that make up the scale measures the same characteristics and presents internal consistency. In the global stability analysis (ICC=0.823), the Leg Ulcer Measurement Tool test and retest scores presented good agreement, showing that the adapted scale is stable. Conclusion: the Leg Ulcer Measurement Tool scale adapted to the Portuguese language contains 12 items, with scores varying from 0 to 4 and, thus, produces a score from 0 to 48 points. It presents construct validity analyzed by means of factor analysis and reliability in terms of internal consistency and stability.

RESUMEN Objetivo: validar el constructo y la confiabilidad de la versión en portugués de la escala Leg Ulcer Measurement Tool. Método: investigación metodológica. La recolección de datos tuvo lugar entre enero y julio de 2019. Se incluyó a 105 participantes para la validación del constructo y la consistencia interna y, de ellos, 50 para la estabilidad intraobservador. Para el análisis de validez de constructo, se realizó un análisis factorial; para la consistencia interna, se calculó el coeficiente alfa de Cronbach y, para la estabilidad, el coeficiente de correlación intraclase. Resultados: se confirmaron 12 ítems para la realidad brasileña, cumpliendo con todos los requisitos teóricos del modelo de análisis factorial. En relación con el análisis de la consistencia interna (confiabilidad), los valores del coeficiente alfa de Cronbach (α=0,711) demostraron que el conjunto de ítems que componen la escala mide las mismas características y presenta consistencia interna. En el análisis de la estabilidad global (ICC=0,823), las puntuaciones test-retest de la escala Leg Ulcer Measurement Tool presentaron buena concordancia, demostrando así que la escalaadaptada es estable. Conclusión: la escala Leg Ulcer Measurement Tool adaptada para el idioma portuguéscontiene 12 ítems, con valores de 0 a 4 y, por lo tanto, genera una puntuación que varía entre 0 y 48 puntos. Presenta validez de constructo, la cual se analizó por medio del análisis factorial y confiabilidad en términos de consistencia interna y estabilidad.

RESUMO Objetivo: validar o construto e a confiabilidade da versão em português da escala Leg Ulcer Measurement Tool. Método: trata-se de uma pesquisa metodológica. A coleta de dados foi realizada entre janeiro e julho de 2019. Foram incluídos 105 participantes para a validação de construto e consistência interna e, desses, 50 participantes para a estabilidade intraobservador. Para a análise de validade de construto, foi realizada a análise fatorial; para a consistência interna, foi calculado o coeficiente alfa de Cronbach e para a estabilidade, o coeficiente de correlação intraclasse. Resultados: foram confirmados 12 itens para a realidade brasileira, cumprindo todas as exigências teóricas do modelo da análise fatorial. Quanto à análise da consistência interna (confiabilidade), os valores do coeficiente de alfa de Cronbach (α=0,711) demonstraram que o conjunto de itens que compõem a escala mede as mesmas características e apresenta consistência interna. Na análise da estabilidade global (ICC=0,823), os escores da Leg Ulcer Measurement Tool no teste e reteste apresentaram boa concordância, demonstrando que a escalaadaptada é estável. Conclusão: A escala Leg Ulcer Measurement Tool adaptada para a língua portuguesa contém 12 itens, com pontuação de 0 a 4, e produz, assim, um escore que varia de 0 a 48 pontos. Apresenta validade de construto analisada pela análise fatorial e confiabilidade em termos de consistência interna e estabilidade.

Influence of integrated care model on relocation stress and sense of coherence in caregivers of severe multiple injuries patients after ICU transfer / 中国实用护理杂志

Objective:To analyze the effect of integrated care model on relocation stress and sense of coherence in caregivers of severe multiple injuries patients after ICU transfer.Methods:From January 2017 to October 2019, 102 caregivers of severe multiple injuries patients in ICU of Liuzhou Worker′s Hospital were selected and divided into control group and observation group by random digits table method,with 51 cases in each group. In the process of ICU transfer the control group received routine nursing, while the observation group carried out integrated care model based on the control group scheme. Before and after ICU transfer, the degree of relocation stress and sense of coherence of caregivers in two groups were evaluated by Family Relocation Stress Scale (FRSS) and Sense of Coherence Scale (SOCS) respectively.Results:The scores of migration preparation dimension, migration satisfaction dimension,caregiver stress dimension and the total scores of FRSS were 17.51 ± 3.46, 4.81 ± 0.48, 11.69 ± 1.82 and 49.91 ± 4.51 in the observation group, which were significantly higher than those in the control group after transfer (13.61 ± 2.83, 3.32 ± 0.53, 9.42 ± 2.17, 39.25 ± 4.01)( t values were 5.12-7.64, all P<0.05). The scores of manage ability dimension, comprehensibility dimension, meaningfulness dimension and the total scores of SOCS were 29.58 ± 4.96, 24.07 ± 2.72, 22.04 ± 3.64 and 75.52 ± 6.80 in the observation group, which were significantly higher than those in the control group (24.34 ± 4.13, 20.50 ± 2.99, 17.19 ± 3.96, 64.80 ± 6.12) after transfer ( t values were 4.51-7.01, all P<0.05). Conclusions:The integrated care model can significantly alleviate relocation stress and promote sense of coherence in caregivers of severemultiple injuriespatients after ICU transfer.