Assessment of preparedness and proficiency in basic and advanced life support among nursing professionals: a cross-sectional study.

Background: Cardiac diseases are among the leading causes of death worldwide, including sudden cardiac arrest in particular. Nursing professionals are often the first to encounter these scenarios in various settings. Adequate preparation and competent knowledge among nurses significantly impact survival rates positively. Aim: To describe the state of knowledge about Basic and Advanced Life Support guidelines among Ecuadorian nursing professionals. Methodology: A nationwide, descriptive, cross-sectional study was conducted from February to April 2023 among Ecuadorian nursing professionals. Participants were invited through official social media groups such as WhatsApp and Facebook. The study utilized a self-administered online questionnaire to evaluate theoretical knowledge of Basic Life Support (BLS) and Advanced Life Support (ALS). Knowledge scores were assigned based on the number of correct answers on the tests. T-tests and one-way ANOVA were used to examine relationships between knowledge scores and demographic and academic training variables. Results: A total of 217 nursing professionals participated in the study. The majority of the participants were female (77.4%) and held a university degree (79.9%). Among them, only 44.7% claimed to have obtained a BLS training certificate at least once, and 19.4% had ALS certification. The overall BLS knowledge score (4.8/10 ± 1.8 points) was higher than the ALS score (4.3/10 ± 1.8 points). Participants who had obtained BLS certification and those who used evidence-based summaries as a source of extracurricular training achieved higher BLS and ALS knowledge scores. Conclusion: Ecuadorian nursing professionals in this study exhibited a significant deficiency in theoretical knowledge of BLS and ALS. Formal training and preparation positively impact life support knowledge. Support and inclusion of Ecuadorian nurses in training and academic preparation programs beginning at the undergraduate level are essential for promoting life support knowledge and improving outcomes.

Artificial intelligence in future nursing care: Exploring perspectives of nursing professionals - A descriptive qualitative study.

Background: The healthcare landscape is rapidly evolving, with artificial intelligence (AI) emerging as a transformative force. In this context, understanding the viewpoints of nursing professionals regarding the integration of AI in future nursing care is crucial. Aims: This study aimed to provide insights into the perceptions of nursing professionals regarding the role of AI in shaping the future of healthcare. Methods: A cohort of 23 nursing professionals was recruited between April 7, 2023, and May 4, 2023, for this study. Employing a thematic analysis approach, qualitative data from interviews with nursing professionals were analyzed. Verbatim transcripts underwent rigorous coding, and these codes were organized into themes through constant comparative analysis. The themes were refined and developed through the grouping of related codes, ensuring an authentic representation of participants' viewpoints. Results: After careful data analysis, ten key themes emerged including: (I) Perceptions of AI readiness; (II) Benefits and concerns; (III) Enhanced patient outcomes; (IV) Collaboration and workflow; (V) Human-tech balance: (VI) Training and skill development; (VII) Ethical and legal considerations; (VIII) AI implementation barriers; (IX) Patient-nurse relationships; (X) Future vision and adaptation. Conclusion: This study provides valuable insights into nursing professionals' perspectives on the integration of AI in future nursing care. It highlights their enthusiasm for AI's potential benefits while emphasizing the importance of ethical and compassionate nursing practice. The findings underscore the need for comprehensive training programs to equip nursing professionals with the skills necessary for successful AI integration. Ultimately, this research contributes to the ongoing discourse on the role of AI in nursing, paving the way for a future where innovative technologies complement and enhance the delivery of patient-centered care.

Nursing Roles in the Quality of Information in Informed Consent Forms of a Spanish County Hospital.

(1) Background: Because of their direct and continuous contact with the patient, nurses play a relevant role in ensuring that informed consent forms are complete and easy to read and comprehend. The objective of this study was to analyze the legibility and formal quality of informed consent forms for non-surgical procedures in a county hospital. (2) Methods: The readability of these forms was analyzed using the INFLESZ scale and the information they provided according to the formal quality criteria established for these forms. (3) Results: Readability was difficult in 78.08% of the forms analyzed. No form fulfilled all the criteria, the most non-compliant being the non-appearance of the verification of delivery of a copy to the patient (100%), the contraindications (94.59%), and the alternatives (83.78%) of the procedure. Statistically significant differences were observed between disciplines with respect to the INFLESZ readability score and the formal quality score, but no statistically significant correlation was found between the two scores. (4) Conclusions: The informed consent forms for non-surgical procedures analyzed presented mostly difficult readability and poor formal quality, making it difficult for patients to have understandable and complete information. Nursing professionals should be actively involved in their improvement to facilitate patient decision making.

Workload and psychosocial risks among nurses in mental health and psychiatry in Chile.

The present study aims to explore and compare psychosocial risks and work overload among nursing professionals in the field mental health and psychiatry in Chile. Quantitative, observational and cross-sectional research was designed for this purpose. Nurses from community, ambulatory, hospital and emergency units in mental health and psychiatry in Chile were recruited between January and May 2022. Instruments of psychosocial variables and an occupational psychosocial risk scale based on the Copenhagen Psychosocial Questionnaire were used. Descriptive and correlational statistics were used, as well as independent samples t-tests, Factorial Anova and post-hoc analysis with Bonferroni correction. As a result, 174 nursing professionals were recruited, 79.3% female, average age 33.9 years. One-third belonged to the Metropolitan Region of Chile. The highest psychosocial risk was obtained by nurses over 30 years of age, from the Metropolitan Region, with more than 16 patients under their care, at the hospital or psychiatric emergency level. Significant differences were observed in work overload and psychosocial risks according to personal and work characteristics of the professionals, as well as of the users and health services. The levels of psychosocial risk and work overload of mental health and psychiatric nurses were reported, as well as the comparison of these according to personal, sociodemographic, and work characteristics. In order to improve the quality of work life of these professionals and the quality of these services, it is essential to develop interventions focused on the dimensions addressed, as well as to define norms and policies that ensure a workload in accordance with international standards.

Prevalence of psychological and mental health symptoms among nursing professionals during the COVID-19 pandemic in the Americas: Systematic review and meta-analysis.

To assess the prevalence of mental health symptoms in nursing professionals during the COVID-19 pandemic on the American continent. A systematic review and meta-analysis of observational studies that estimated the prevalence of mental health symptoms in nursing professionals during the COVID-19 pandemic was performed through bibliographic database searches. A three-level meta-analysis model was used with the inverse variance method, tau was estimated via restricted maximum likelihood and logistic transformation, and heterogeneity was presented as tau2 and I2 . Of the 7467 studies obtained, 62 were included in the meta-analysis, which involved 52 270 nursing professionals. The overall prevalence for at least one mental health symptom was 56.3% (50.4%, 62.1%; I2 = 98.6%, p < 0.001). Eight mental health symptoms were found; among them, the most prevalent were burnout (52.1%, 37.1%, 88.8%; I2 = 98.5%, p < 0.001) and fear (52.1%, 30.1%, 73.3%; I2 = 98.1%, p < 0.001). The prevalence of mental health symptoms in nursing professionals during the COVID-19 pandemic on the American continent was high, and strategies should be developed and implemented by managers and government agencies to promote the well-being, physical and mental health of nursing professionals. Studies like this one are necessary to highlight the need for efforts in the implementation of promotion and prevention actions to be developed by health organisations, managers and leaders with a view to improving the quality of life of nursing workers.

Resiliência, depressão e autoeficácia entre profissionais de enfermagem brasileiros na pandemia de COVID-19 / Resilience, depression and self-efficacy among Brazilian nursing professionals during the COVID-19 pandemic

Resumo O objetivo deste artigo é analisar os níveis de resiliência, depressão e autoeficácia entre profissionais de enfermagem brasileiros na pandemia de COVID-19. Estudo transversal analítico realizado entre os meses de outubro e dezembro de 2020. Foram empregados o teste T de Student, a análise de variância e a regressão linear múltipla com o objetivo de investigar em que medida os dois grandes fatores (resiliência e autoeficácia) impactavam nos níveis de depressão. Participaram do estudo 8.792 profissionais de enfermagem, 5.124 (58,8%) tiveram baixos níveis de resiliência. A média da pontuação geral para "depressão" foi de 0,74 e variou de 0,59 a 0,80. A média da pontuação geral para "autoeficácia" foi de 0,68 e variou de 0,56 a 0,80. Quanto aos preditores de depressão, a variável que mais fortemente impactou os níveis de depressão foi resiliência, explicando 6,6% do desfecho (p < 0,001, R2 Ajustado = 0,066). Os participantes deste estudo tiveram, em geral, baixos níveis de resiliência e autoeficácia e maiores pontuações médias para depressão. Os níveis de resiliência impactaram a variável depressão. Urge a necessidade de ações voltadas para a promoção da saúde psicológica de profissionais de enfermagem inseridos em contextos pandêmicos.

Abstract This aim of this study was to analyze levels of resilience, depression and self-efficacy among Brazilian nursing professionals during the COVID-19 pandemic. We conducted an analytical cross-sectional study between October and December 2020. Student's t test, analysis of variance and multiple linear regression were used to investigate the impact of two main factors (Resilience and Self-efficacy) on depression. A total of 8,792 nursing professionals participated in the study; 5,124 (58.8%) had low levels of resilience. The mean overall score for Depression was 0.74, ranging from 0.59 to 0.80, while the mean overall score for Self-efficacy was 0.68, ranging from 0.56 to 0.80. The variable that had the strongest impact on depression levels was Resilience, explaining 6.6% of the outcome (p < 0.001, AdjustedR2 = 0.066). In general, respondents had low levels of resilience and self-efficacy and showed high mean depression scores. Level of resilience had an impact on depression. The findings reveal an urgent need for actions to promote the psychological health of nursing professionals working in crisis situations such as pandemics.

Violence in the Nursing Workplace in the Context of Primary Health Care: A Qualitative Study.

Violence demands considerable attention due to its complexity and social consequences. The objective of this study was to analyze violence in the nursing professional workplace in the context of primary health care in Brazil. It is a qualitative study with theoretical and methodological reference to institutional analysis. It was carried out in basic health units in Brazil. Nursing professionals (N = 11) participated in semi-structured interviews and discussion groups, in addition to a research diary and participant observation. Data collection took place from October to December 2021. The results are presented in five categories: types of violence and aggressors from the perspective of nursing professionals; the causes of violence reported by professionals; strategies for the management of violence; professionals' proposals for preventing violence in health contexts; the consequences of violence in the workplace. Nursing professionals make up a large part of the workforce and have reported verbal, physical, moral, and psychological violence. The main causes are associated with user access to services. For the prevention of violence, professionals do not see themselves as protagonists of change. The consequences are the loss of quality of work and the health of professionals who requested sick leave and transfers. The study's findings can help in the development of public policies and educational and management actions.

A national level survey on knowledge, attitude and practices among Indian nurses on viral hepatitis.

BACKGROUND: Despite being preventable and treatable, viral hepatitis remains a major public health problem in India. In the line of their duties, nursing professionals are constantly at risk of infection. To combat viral hepatitis, it is essential to ascertain the level of knowledge, attitude, and practices among nursing professionals. MATERIALS AND METHODS: A descriptive cross-section study was conducted at a tertiary public hospital, as a nation-wide online survey after ethical clearance and participants' consent. A convenience sampling, from November 2021 to September 2022, yielded a total of 4532 nurses, nursing students and educators. A self-administered 62-item questionnaire on viral hepatitis with four sections: demographic details, knowledge (33-items), attitude (5-items), and practice (24-itmes) was prepared by expert panel and had a content validity and reliability >0.8. The scale was compiled onto the SurveyMonkey app, field tested before administration and widely circulated on email. RESULT: The response rate of the survey was 77%. Frequency, percentage, and the odds ratio (at 95% confidence interval) were analyzed on SPSS v22.0. Majority were females (87.1%) aged <30 years (60%) with <5 years' experience (57.8%). Almost equal number worked in public or private sector and was holders of diploma (44.5%) or degree (43.8%). Overall poor knowledge (85.3%), unfavorable attitude (86.2%), and unsafe practices (55.6%) were exhibited by nurses; 42.2% encountered needle stick injury last year and 49.8% had never checked Anti-HBs titer. In the event of needle stick injury, 74.78% cleansed with soap and water; used antiseptics or washes (33.5%), placed finger in mouth (5.10%), forced wound bleed (17.3%), scrub wound (17.54%), or apply bandage (12.58%). Multivariate analysis of factors influencing knowledge of viral hepatitis was educational qualification, designation, and type of health facility. CONCLUSION: As nursing professionals are constantly at risk, there is an urgent need to raise awareness about hepatitis, the post-exposure prophylaxis and vaccination status. Every healthcare facility should include training and capacity building for nurses about risk, prevention, transmission, and management of viral hepatitis, as an integral part of orientation and continuing education on-the-job; follow stringent policies; and set-up mechanisms for monitoring and follow up. Further, policymakers and statutory bodies need to ensure the standards of nursing practice and improve the health of nurses and their patients.

Impact of structured training program about Hospital Infection Control practices on Knowledge and Perception of nursing students at public and private nursing teaching institute of Northern India- An interventional study.

BACKGROUND: Hospital-acquired infections (HAIs) are a primary cause of illness and death and increased expenditure due to prolonged hospitalization and poor prognosis. HAI is a global safety concern, according to World Health Organization (WHO). This study assesses the current level of knowledge and perception regarding hospital infection control practices among nursing students and evaluates the impact of structured training interventions on their baseline knowledge and perception level. METHODS AND MATERIALS: It was a single group, a pre-post interventional study done on nursing students of one government and one private nursing college in the year 2021. A pretested questionnaire consisting of was used as a study tool. Various statistical tests like one repeated-measure ANOVA, Mauchly's Test of Sphericity, and Greenhouse-Geisser correction were used. RESULTS: The mean knowledge was minimum in the pretest group (Mean = 79.4430, SD = 17.49746) and maximum immediately after the training group (Mean = 96.5443, SD = 25.42322). But after one month, knowledge decreased; however, it was more than pre-training Knowledge (Mean = 84.4937, SD = 22.40313). CONCLUSIONS: Annual educational/training modules help retain knowledge in hospital infection control practices and HAI prevention. All healthcare workers need regular training.

Descrição da situação epidemiológica dos profissionais de enfermagem no Brasil acometidos pela covid-19 / Description of the epidemiological situation of nursing professionals in Brazil affected by covid-19

Introdução: O novo coronavírus (severe acute respiratory syndrome coronavirus - SARS-CoV-2) disseminou-se rapidamente em todo o mundo causando a Coronavirus Disease 2019 - COVID-19, uma doença respiratória potencialmente grave, que se configura como uma ameaça à vida de milhares de pessoas, sobretudo profissionais de saúde que frente à exposição ocupacional aumentam suas vulnerabilidades e integrando as estatísticas de casos, óbitos e letalidade. Objetivo: descrever a situação epidemiológica dos profissionais de enfermagem no Brasil acometidos pela COVID-19. Método: Estudo epidemiológico, observacional e descritivo, por meio de dados secundários. Foram incluídas todas as notificações de COVID-19 entre profissionais no Observatório da Enfermagem de 03 abril de 2020 até o dia 26 de maio de 2021. Os dados foram submetidos à análise descritiva. Resultados: 56.114 (100%) casos foram notificados. Dentre as variáveis analisadas, a faixa etária entre 31 a 40 anos foi a mais acometida com 19.761 registros (35,21%), 784 (1,39%) profissionais evoluíram a óbito, com maior predomínio no sexo feminino com 531 (67,72%) notificações. Com relação a letalidade, o sexo masculino somou o maior índice (5,16%). A região Sudeste notificou o maior índice de casos, com destaque para o estado de São Paulo. A faixa etária de 31 a 40 anos, reuniu os maiores índice de afastamento por suspeita de COVID-19 e, em quarentena com 6.074 (36,46%). Conclusão: Os achados permitiram conhecer casos de adoecimento, óbito e letalidade por COVID-19 entre os profissionais de enfermagem, apontando a necessidade urgente de estratégias que minimizem esses riscos em seus ambientes de trabalho.

Introducción: El nuevo coronavirus (síndrome respiratorio agudo severo coronavirus-sars-cov-2) se ha propagado rápidamente en todo el mundo causando enfermedad conocida como COVID-19. Esta es una enfermedad respiratoria potencialmente grave, que puede ser una amenaza para la vida de miles de personas, sobre todo profesionales de salud que, debido su exposición ocupacional, son más vulnerables, por lo que integran las estadísticas de caso, la muerte y la letalidad. Objetivo: Describir la situación epidemiológica de las personas profesionales de enfermería en Brasil afectadas por COVID-19. Método: Estudio epidemiológico, observacional y descriptivo, a través de datos secundarios. Se incluyeron todas las notificaciones de COVID-19 de profesionales de salud dentro del Observatorio de Enfermería entre el 3 de abril de 2020 hasta el 26 de mayo de 2021. Los datos se enviaron al análisis descriptivo. Resultados: Se han informado 56 114 (100 %) casos. Entre las variables analizadas, el grupo de edad entre 31 y 40 años fue el más afectado, con 19 761 registros (35.21 %). Además, 784 (1.39 %) profesionales fallecieron, con mayor predominio en mujeres, de quienes hay 531 (67.72 %) notificaciones. Con respecto a la letalidad, los hombres obtuvieron el índice más alto (5.16 %). La región del sudeste notificó los casos más altos, especialmente el estado de São Paulo. El grupo de edad de 31 a 40 años tuvo la tasa de suspensión más alta bajo sospecha de COVID-19, durante la cuarentena fueron 6.074 (36.46%). Conclusión: Los resultados permitieron conocer casos de enfermedad, muerte y letalidad por Covid-19 entre profesionales de enfermería, señalando la necesidad urgente de estrategias que minimicen estos riesgos en sus entornos de trabajo.

Introduction: The new coronavirus (Severe Acute Respiratory Syndrome Coronavirus-Sars-COV-2) has quickly spread around the world causing Coronavirus Disease 2019- COVID-19, a potentially severe respiratory disease that is a threat to life. Thousands of people, especially health professionals, increase their vulnerabilities and integrate the statistics of cases, death, and lethality due to occupational exposure. Objective: To describe the epidemiological situation of nursing professionals in Brazil affected by COVID-19. Method: Epidemiological, observational, and descriptive study using secondary data. All COVID-19 notifications were included between professionals at the Nursing Observatory from April 3, 2020, to May 26, 2021. The data were submitted to the descriptive analysis. Results: 56 114 (100 %) cases have been reported. Among the variables analyzed, the age group between 31 and 40 years old was the most affected with a total of 19 761 records (35.21 %), 784 (1.39 %) professionals died, with a greater predominance in female patients: a total of 531 (67.72 %) notifications. Regarding lethality, males added the highest index (5.16 %). The Southeast Region notified the highest cases, especially the state of São Paulo. This age group gathered the highest rate of sick leaves under Covid-19 suspicion and, during the quarantine, they constituted 36.46% (6 074 cases). Conclusion: The findings allowed us to know cases of illness, death, and lethality of COVID-19 among nursing professionals, revealing the urgent need for strategies that minimize these risks in their work environments.

Assertive communication training for nurses to speak up in cases of medical errors: A systematic review and meta-analysis.

BACKGROUND: Several authors have previously assessed the effects of assertive communication training for nurses to speak up in cases of medical errors. Inconsistent results regarding the nurses' attitudes, behaviors, and confidence levels were noticed. OBJECTIVE: To identify the effectiveness of assertive communication training on nurses' behaviors, attitudes, and confidence levels for speaking up in cases of medical errors and to identify vital components for success. DESIGN: Systematic review and meta-analysis. DATA SOURCES: PubMed, ERIC, Embase, Scopus, and CINAHL were searched up for studies published from the inception of the database to December 16, 2022. METHODS: Two researchers independently performed a primary screening of titles and abstracts for relevant studies, followed by a review of full texts if the references met inclusion criteria and quality assessment. Data were retrieved for nurses and nursing students who received medical error-related assertive communication training for speaking up, and learning outcomes for attitudes, behaviors, and confidence levels were reported based on pooled data. Pooled estimates were calculated using a random-effects model. RESULTS: A total of eleven studies with 1299 participants were included in systematic review, and among them nine studies with 804 participants were analyzed in meta-analysis. From the pooled results, the intervention group, which received assertive communication training, exhibited substantially improved speaking-up behaviors compared with the control group (SMD = 0.58; 95 % CI, 0.14-1.03). Considerable differences were noted in the nurses' times of speaking up in cases of medical errors between pretest (38 %; 95 % CI, 0.14-0.68) and posttest (78 %; 95 %CI, 0.70-0.85) based on the pooled data. The nurses' attitudes and confidence levels for speaking up varied markedly between pretest and posttest. CONCLUSION: Structured assertive communication training may improve nurses' speaking-up behaviors in cases of medical errors. To conduct effective assertive communication training, nursing educators should incorporate multiple teaching approaches into structured training and ensure an adequate training duration.

The Mediating Role of Sense of Coherence and Striving for Work-Life Balance on Intention to Leave From Nurses' Burnout.

High turnover and understaffing are significant issues plaguing the healthcare system. Some of the leading reasons of turnover include child-bearing and -rearing, stress related to working, and health concerns. With the onset of the coronavirus (COVID-19) pandemic, this problem of turnover worsened due to increased risk of infection and escalating workload. This study aimed to clarify and validate the effect of burnout on intention to leave among full-time nursing professionals and the structural relationship with sense of coherence (SOC) and striving for work-life balance (S-WLB). Secondary analyses of data obtained from a previous study was carried out; a hypothesized model was tested for goodness of fit and a final model was developed. Burnout directly affected intention to leave (P < .001). It also affected intention to leave through SOC and S-WLB (P < .01); SOC lessened the effect of burnout on S-WLB, therefore reducing its impact on intention to leave. Effective strategies need to be developed to improve the SOC and WLB of nurses to alleviate the effects of burnout and thus reduce the likelihood of turnover. Improving their ability to grasp and deal with emergencies and ambiguous situations, as well as providing emotional and tangible support can be other ways to retain nursing professionals.

Implementation strategy for men's health actions: action-research potentialities and challenges / Estrategia de implementación de acciones en materia de salud masculina: potencialidades y desafíos de la investigación-acción / Estratégia de implementação de ações em saúde dos homens: potencialidades e desafios da pesquisa-ação

ABSTRACT Objective: to analyze the implementation strategies for adult men's health actions in Primary Care. Methods: action-research conducted with 12 adult men and 14 health professionals from a Family Health Unit in the municipality of Salvador, Bahia, Brazil. Multiple data production techniques were employed, namely: systematic observation, semi-structured interviews, field diaries and contextualized photography, across the action-research stages. Thematic Content Analysis and interpretation based on the axes of the National Policy for Comprehensive Men's Health Care were used. Results: three categories emerged from the conceptions of men and health professionals: health care for men, differentiated strategies, and lessons learned. Discussion: the culture of the strong, unyielding provider man who does not get sick and considers illness as a sign of weakness exacerbates toxic masculinity, requiring a transformation through acknowledging that men are not inherently averse to care but, rather, they are socially shaped. Conclusion: recognizing the institutional barriers became important for the discussion regarding access to health services. The action-research challenges and potentialities enabled the elaboration of an action agenda to enhance access and welcoming at the study health unit.

RESUMEN Objetivo: analizar las estrategias de implementación de acciones en materia de salud masculina para hombres adultos en Atención Primaria. Métodos: investigación-acción realizada con 12 hombres adultos y 14 profesionales de salud de una Unidad de Salud de la Familia en el municipio de Salvador, Bahía, Brasil. Se emplearon múltiples técnicas de producción de datos, a saber: observación sistemática; entrevista semiestructurada; diario de campo y fotografía, contextualizados entre las etapas de la investigación-acción. Se utilizó Análisis Temático de Contenido e interpretación basada en los ejes da Política Nacional de Atención Integral a la Salud Masculina. Resultados: surgieron tres categorías a partir de las concepciones de los hombres y los profesionales de salud: cuidados de salud para hombres; estrategias diferenciadas; lecciones aprendidas. Discusión: la cultura del hombre fuerte y proveedor que no se enferma y que categoriza a las enfermedades como una condición de debilidad potencia la masculinidad tóxica, con la debida necesidad de transformarla admitiendo que los hombres no son naturalmente reacios a cuidarse sino moldeados socialmente. Conclusión: haber reconocido las barreras institucionales revisitó importancia para debatir el acceso a los servicios de salud. Los desafíos y las potencialidades de la investigación-acción permitieron elaborar una agenda de acciones para expandir el acceso y la recepción en la unidad de salud del estudio.

RESUMO Objetivo: analisar as estratégias de implementação de ações em saúde para homens adultos na Atenção Primária. Métodos pesquisa-ação realizada com 12 homens adultos e 14 profissionais de saúde de uma Unidade de Saúde da Família no Município de Salvador, Bahia, Brasil. Empregou-se multitécnicas de produção de dados: observação sistemática; entrevista semiestruturada; diário de campo e fotografia, contextualizados, entre as etapas da pesquisa-ação. Utilizou-se a Análise de Conteúdo Temático e a interpretação baseada nos eixos da Política Nacional de Atenção Integral à Saúde do Homem. Resultados: das concepções dos homens e dos profissionais de saúde emergiu-se três categorias: cuidados em saúde para homens, estratégias diferenciadas e lições apreendidas. Discussão: a cultura do homem forte, provedor que não adoece e que coloca a doença na condição de fraqueza, potencializa a masculinidade tóxica, necessitando transformá-la pelo reconhecimento de que o homem não é naturalmente avesso ao cuidar e sim moldado socialmente. Conclusão: reconhecer as barreiras institucionais tornou-se importante para a discussão do acesso aos serviços de saúde. Os desafios e as potencialidades da pesquisa-ação possibilitaram a elaboração de uma agenda de ações para ampliação do acesso e acolhimento na unidade de saúde do estudo.

Impact of an educational intervention on standard precautions during the COVID-19 pandemic / Impacto de una intervención educativa sobre las precauciones estándar durante la pandemia de COVID-19 / Intervenção educativa para maior conhecimento às precauções padrão na pandemia de COVID-19: estudo quase-experimental

ABSTRACT Objective: To evaluate the impact of an educational intervention on the knowledge of nursing professionals regarding standard precautions. Methods: This is an almost experimental study conducted with 100 nursing professionals. Data collection was performed using a sociodemographic characterization instrument and the Standard Precautions Knowledge Questionnaire. The educational intervention was based on five moments, where the approach to questions with less than 70% accuracy was intensified. Results: There was a significant difference between the scores of healthcare professionals before (16.20 ± 1.51) and after (16.90 ± 1.31) the educational intervention (W=3.336; p < 0.05). Regarding knowledge about hand hygiene after glove use, an increase in knowledge from 83% to 93% was obtained. Conclusions: A positive effect on the professionals' knowledge was recorded, demonstrating advances regarding the strengthening of already acquired knowledge and the understanding of new knowledge.

RESUMEN Objetivo: Evaluar el impacto de una intervención educativa en el conocimiento de los profesionales de enfermería sobre las precauciones estándar. Métodos: Este es un estudio cuasiexperimental realizado con 100 profesionales de enfermería. Para la recopilación de datos, se utilizaron un instrumento de caracterización sociodemográfica y el cuestionario de Conocimiento de las Precauciones Estándar. La intervención educativa se basó en cinco momentos, en los cuales se intensificó el abordaje de cuestiones con menos del 70% de aciertos. Resultados: Hubo una diferencia significativa entre las puntuaciones de los profesionales de salud antes (16,20 ± 1,51) y después (16,90 ± 1,31) de la intervención educativa (W = 3,336; p <0,05). En relación con el conocimiento sobre la higiene de las manos después del uso de guantes, se obtuvo un aumento en el conocimiento del 83% al 93%. Conclusiones: Se registró un efecto positivo en el conocimiento de los profesionales, demostrando avances en cuanto al fortalecimiento de los conocimientos ya adquiridos y la comprensión de nuevos saberes.

RESUMO Objetivo: avaliar o impacto de uma intervenção educativa no conhecimento dos profissionais de enfermagem em relação às precauções padrão. Métodos: trata-se de um estudo quase-experimental, realizada com 100 profissionais de enfermagem. Para a coleta de dados, foram utilizados o instrumento de caracterização sociodemográfica e o questionário de Conhecimento das Precauções-Padrão. A intervenção educativa foi baseada em 05 momentos, onde se intensificou a abordagem em questões com menos de 70% de acerto. Resultados: Houve diferença significativa entre os escores dos profissionais de saúde antes (16,20 ± 1,51) e após (16,90 ± 1,31) a intervenção educativa (W=3,336; p < 0,05). Em relação ao conhecimento sobre a higiene das mãos após uso de luvas, obteve-se um aumento no conhecimento de 83% para 93%. Conclusões: registrou-se efeito positivo no conhecimento dos profissionais, demonstrando avanços no que diz respeito ao fortalecimento dos conhecimentos já adquiridos e à compreensão de novos saberes.

Problemas éticos na experiência clínica hospitalar de estudantes e profissionais de enfermagem / Ethical problems in hospital clinical experiences of nursing students and professionals / Problemas éticos en la experiencia clínica hospitalaria de estudiantes y profesionales de enfermeira

Resumo Enquadramento: Os problemas éticos são frequentes na prática da enfermagem. Saber identificá-los, buscando soluções prudentes, é fundamental para promover um cuidado ético e seguro. Objetivo: Conhecer experiências e compreensão de estudantes e profissionais de enfermagem sobre problemas éticos e tomada de decisão nos contextos da prática da enfermagem hospitalar. Metodologia: Pesquisa qualitativa, exploratório-descritiva realizada com 30 estudantes de graduação em enfermagem e 20 profissionais de enfermagem de um hospital universitário do sul do Brasil. Os dados foram recolhidos através de dois questionários contendo questões abertas e submetidos a análise textual discursiva. Resultados: Os estudantes compreendem o problema ético a partir de vivências concretas de desrespeito e afronta a princípios e regras, enquanto os profissionais o conceptualizam como um desafio ao julgamento nas complexas fronteiras entre certo e errado. Há similaridades e especificidades das vivências e tomada de decisão. Conclusão: Estudantes e profissionais demonstram sensibilidade moral para compreender os problemas éticos da prática; senso crítico e reflexivo é decisivo na identificação e nas condutas face aos conflitos éticos no ambiente laboral.

Abstract Background: Ethical problems often emerge in nursing practice. Knowing how to identify them and seeking prudent solutions is essential to promoting ethical and safe care. Objective: To know the experiences and understanding of nursing students and professionals regarding ethical issues and decision-making in hospital nursing practice. Methodology: Qualitative, exploratory-descriptive research was carried out with thirty undergraduate nursing students and twenty nursing professionals from a University Hospital in Southern Brazil. Data were collected through two questionnaires containing open questions and submitted to Discursive Textual Analysis. Results: Students perceive the ethical problem based on concrete experiences of disrespect and insult to principles and rules. Professionals conceptualize it as a challenge to judgment in the complex boundaries between right and wrong. The experiences and decision-making share similarities and have their specificities. Conclusion: Students and professionals display moral sensitivity to understand the ethical problems of practice; critical awareness and reflection are crucial to identifying and responding to workplace ethical conflicts.

Resumen Marco contextual: Los problemas éticos son frecuentes en la práctica de la enfermería. Saber identificarlos, buscando soluciones prudentes, es esencial para promover una atención ética y segura. Objetivo: Conocer las experiencias y la comprensión de los estudiantes y profesionales de enfermería sobre los problemas éticos y la toma de decisiones en los contextos de la práctica enfermera hospitalaria. Metodología: Investigación cualitativa, exploratoria-descriptiva, realizada con 30 estudiantes del grado de Enfermería y 20 profesionales de enfermería de un hospital universitario del sur de Brasil. Los datos se recogieron mediante dos cuestionarios con preguntas abiertas y se sometieron a un análisis textual discursivo. Resultados: Los estudiantes entienden el problema ético a partir de experiencias concretas de falta de respeto y afrenta a los principios y normas, mientras que los profesionales lo conceptualizan como un desafío al juicio en los complejos límites entre lo correcto y lo incorrecto. Hay similitudes y especificidades en las experiencias y la toma de decisiones. Conclusión: Los estudiantes y profesionales demuestran sensibilidad moral para comprender los problemas éticos de la práctica; el sentido crítico y reflexivo es decisivo en la identificación y las conductas ante los conflictos éticos en el entorno laboral.

Medicine in older age-perception and assessment of ageing processes by older people and medical and nursing professionals: study protocol for a qualitative focus group design (FOR TiMed_Life).

BACKGROUND: This study is conducted by a subproject of the DFG research group "Medicine, Time and the Good Life" FOR 5022 (FOR TiMed_Life) and investigates the care preferences of individuals of advanced age and the care priorities of medical and nursing professionals in times of increasing medical options and more complex decision-making processes, especially for elderly patients. We assume that the preference for or rejection of medical treatment is shaped by individual and social age patterns and by the awareness of the finiteness of life. Just like older people themselves, professionals are also influenced by societal images of age(ing) and associated notions of age-appropriate health. These concepts are subject to constant change, which means that what was considered to be a 'normal' symptom of older age 100 years ago is now treated medically as a disease. The aim of the study is to identify the underlying perceptions of ageing and their influence on medical decisions. METHODS: By means of semi-structured focus group discussions and supplementary individual interviews with older people and medical and nursing professionals, the subproject investigates the perception of ageing processes and the resulting care preferences and priorities of these three groups. The evaluation of the interview material is carried out in two stages: First, the recorded group discussions are pre-structured using knowledge mapping. Based on the mapping results, the interview passages are selected, transcribed, and analysed in detail based on qualitative content analysis. DISCUSSION: Because the nature of the research question is exploratory, qualitative methods provide a suitable approach. The mapping technique provides early initial results that are used by the other subprojects. Within the research group, the results of the interviews provide an empirical basis for ethical discourses on the influence of medicine on ideas of a good life, and in particular, on successful ageing. TRIAL REGISTRATION: German Clinical Trials Register: DRKS00027076, 05/11/2021.

Cross-cultural adaptation of a tool for measuring nurses' opinions and beliefs with regard to continuing professional development: French-Canadian version of Q-PDN / Adaptation transculturelle d'un outil de mesure des opinions et croyances des infirmières en regard du développement professionnel continu : version canadienne-française du Q-PDN

Introduction: The continuing professional development of nurses remains a key issue within the health context. Context: The Questionnaire - Professional Development Nurses (Q-PDN) was developed to understand the opinions and beliefs of nurses regarding continuing professional development is essential to improving the quality of care and optimizing job satisfaction. With this in mind, researchers from the Netherlands developed the Questionnaire ­ Professional Development Nurses (Q-PDN). Objectives: Adapt the Q-PDN to a French-Canadian context according to recognized guidelines. Method: The six stages of the Beaton et al. (2000) cross-cultural adaptation process were followed to produce a tool adapted to the French-Canadian context. Results and discussion: This study describes the different steps necessary for the cross-cultural adaptation of the Q-PDN tool to the French-Canadian context. Following the adaptation, minor content adjustments were made to the original version. General comments have highlighted the clarity and simplicity of the questionnaire. Conclusion: This first step in the cross-cultural French-Canadian adaptation of Q-PDN has enabled the development of a tool to identify gaps and priorities for action to promote the continuing professional development (CPD) of nurses.

Introduction: Le développement professionnel continu du personnel infirmier est un enjeu d'actualité. Contexte: Le Questionnaire-Professional Development Nurses (Q-PDN) a été conçu dans l'optique de comprendre les opinions et les croyances du personnel infirmier face au développement professionnel continu, afin d'améliorer la qualité des soins et d'optimiser la satisfaction en emploi. Objectifs: Adapter le Q-PDN au contexte canadien-français selon les lignes directrices reconnues. Méthode: Les étapes du processus d'adaptation transculturelle de Beaton et al. (2000) ont été suivies afin de produire un outil adapté au contexte canadien-français. Résultats et discussion: Cette étude fait état des différentes étapes nécessaires pour l'adaptation transculturelle de l'outil Q-PDN au contexte canadien-français. À la suite de l'adaptation, des ajustements mineurs ont été apportés. Quelques commentaires généraux ont souligné la clarté et la simplicité du questionnaire. Conclusion: Cette première étape de l'adaptation transculturelle canadienne-française du Q-PDN a permis le développement d'un outil permettant d'identifier les lacunes et les priorités d'action pour favoriser le Développement professionnel continu des infirmières.

Percepción del método Baby Led Weaning por parte de las familias y de los profesionales de Enfermería / Perception of the Baby-Led Weaning method by families and nursing professionals

Objetivo: describir el conocimiento acerca del método Baby Led Weaning (BLW), así como las ventajas y los inconvenientes entre los profesionales de Enfermería y su aplicación en la práctica clínica; e identificar el perfil de las familias que utilizan el método, así como la forma de llevarlo a cabo y la satisfacción con el mismo. Método: estudio descriptivo transversal en profesionales de Enfermería de Atención Primaria y Especializada de Aragón, y en progenitores que habían realizado el taller “Aprender a comer solito” en el Centro de Salud del Arrabal de Zaragoza. Para la recogida de los datos se utilizaron cuestionarios ad hoc autoadministrados a través de Google Forms®. Resultados: el 92,6% de los profesionales conocía el BLW; el punto fuerte que obtuvo mayor porcentaje (83,4%) fue que el BLW permitía al bebé experimentar y conocer los alimentos, siendo el punto débil más prevalente el riesgo de atragantamiento (67,6%). Las familias que habían realizado el BLW recomendarían efectuar el método en un 94,4%; destacaron, con un 88,9% como punto fuerte: “Método más natural que facilita el paso de la lactancia materna exclusiva a una alimentación complementaria”, y como punto débil, con un 77,8%: “Falta de tiempo”. Conclusiones: el BLW es un método ampliamente conocido por los profesionales de Enfermería, aunque se han encontrado barreras en su recomendación en la práctica diaria, especialmente ligadas al riesgo de atragantamiento. Las familias destacaron la autonomía y diversión que el método proporcionaba al bebé, así como la naturalidad en la transición a alimentos, manifestando un alto grado de satisfacción del método BLW y considerándolo recomendable.(AU)

Objective: to describe the awareness among Nursing professionals regarding the Baby-Led Weaning (BLW) method, as well as its advantages and drawbacks and its application in clinical practice; and to identify the profile of families using this method, as well as the way to conduct it and the level of satisfaction with it. Method: a descriptive cross-sectional study among Primary and Specialized Care Nursing professionals in Aragon, and among parents who participated in the “Aprender a comer solito” (“Learning to eat on your own”) workshop in the Arrabal Primary Care Centre in Zaragoza. Self-administered ad hoc questionnaires were used for data collection, through Google forms®. Results: there was awareness of BLW in 92% of professionals; the strength with the highest rate (83.4%) was that BLW allowed babies to experiment and get to know foods, while the most prevalent weakness was the risk of choking (67.6%). Families who had conducted BLW would recommend the method on a 94.4%; they highlighted as a strength, with 88.9%, “A more natural method which allows moving from exclusive breastfeeding to complementary diet”, and as a weakness, with 77.8%, “Lack of time”. Conclusions: BLW is a method widely known by Nursing professionals, though barriers have been found for its recommendation in daily practice, particularly linked to the risk of choking. Families highlighted the autonomy and enjoyment that the method provided to babies, as well as a natural transition to foods, stating a high level of satisfaction with the BLW method and considering it recommendable.(AU)

To study the awareness about solid waste management rules among nursing professionals in a tertiary care hospital in India.

Background: In India, on an average, 0.5-0.99 kg/person/day general solid waste is produced which is higher (i.e. 0.1-0.49 kg per person per day) than solid waste generated in low-income nations and lower than in developed countries (1.5 kg per day). The Government of India has issued guidelines for the management of a different kind of hospital waste from time to time including Solid Waste Management (SWM) Rules in the year 2016 and is mandatorily applicable to all organizations including the hospitals. Objective: We conducted this study to assess the knowledge and awareness among nursing professionals regarding various provisions of solid waste management rules, 2016. Methods: It was a cross-sectional study done on nursing professionals across all seniority and from various specialties and super specialty departments. A pretested questionnaire comprising 20 questions was used as a study tool. Results: There were a total of 550 participants. The mean knowledge count of the respondents was 9.487273 (1.00-14.00). The mean score was 59.3% of the overall achievable score. In the subgroup analysis, respondents above 60 years of age, married, females, urban residents, nursing sisters scored better than the middle-aged professionals, unmarried, males, rural residents, and staff nurses. Conclusions: This study has given insight into various domains of SWM rules, 2016 where nurses performed well and those where considerable gaps exist. The health care workers are more aware of biomedical waste (M&H) rules, and the solid waste management rules are new to them. It is recommended that the biomedical waste management training program must include training on general solid waste management rules.

Felicidad en enfermeras durante su actividad profesional / Happiness in nurses during their professional activity

Objetivo: conocer la visión de enfermeras de la Comunidad de Madrid sobre la vivencia de la profesión y el impacto que esta tiene en su felicidad. Método: estudio cualitativo fenomenológico realizado en enfermeras de la Comunidad de Madrid, las cuales fueron seleccionadas de manera intencional, buscando profesionales en activo de las principales áreas de ejercicio profesional. La recogida de la información se efectuó a través de entrevista semiestructurada. Tras la transcripción literal se procedió al análisis (codificación y generación de categorías y subcategorías). Fueron utilizados los criterios de credibilidad, transferencia, consistencia y confirmabilidad de Lincoln para garantizar la calidad del estudio. Resultados: los y las enfermeras participantes manifestaron que iniciaron sus estudios por vocación, siendo el acto de cuidar a los demás el motor de su felicidad laboral. Por otra parte, uno de los factores que impactan de manera directa en desarrollar sentimientos de frustración, insatisfacción e infelicidad en el trabajo es la falta de tiempo suficiente para brindar unos cuidados de calidad a sus pacientes, ya sea por falta de personal o por exceso de carga de trabajo. Conclusión: si bien en el ámbito individual, los y las profesionales de Enfermería son felices en el cuidado íntimo y cercano a los pacientes y sus familiares, en el ámbito colectivo, la profesión parece estar viviendo un momento de desafección e infelicidad, principalmente motivadas por aspectos externos a la propia prestación de estos cuidados, como son la gestión que se efectúa de su ejercicio diario y la imagen que existe sobre la profesión.(AU)

Objective: to understand the point of view of nurses in the Community of Madrid about their professional experience and its impact on their happiness. Method: a qualitative phenomenological study conducted in nurses from the Community of Madrid, who were purposively selected, looking for professionals currently working in the main areas of professional activity. Data collection was conducted through semistructured interviews. After verbatim transcription, there was subsequent analysis (coding and generation of categories and subcategories). Lincoln’s credibility, transferability, dependability, and confirmability criteria were used to guarantee the quality of the study. Results: the participating nurses claimed that they started studying by vocation, and the act of caring for others was the driver for their happiness at work. On the other hand, one of the factors with direct impact on the development of feelings of frustration, dissatisfaction and unhappiness at work was the lack of enough time to offer quality care to their patients, either due to lack of staff or excessive workload. Conclusion: although nursing professionals in their individual setting are happy in terms of personal and close care for patients and relatives, the profession seems to be going through a moment of disaffection and unhappiness in the collective setting, and this is mainly caused by aspects external to this provision of care, such as the management of their daily practice and the existing image of the profession.(AU)