Monitoring and Molecular Characterization of Staphylococcus aureus Isolated from Chronic Wounds.

OBJECTIVE: Researchers analyzed chronic wounds treated with 2% hydrogel to determine whether the presence of methicillin-resistant Staphylococcus aureus (MRSA) is related to the presence of clinical signs of infection. METHODS: Thirty-five patients were recruited for this descriptive study using a quantitative approach. Staphylococcus aureus was identified by matrix-assisted laser desorption ionization time-of-flight mass spectrometry. Antibiotic susceptibility was determined using a disk diffusion test according to Clinical and Laboratory Standards Institute standards. Polymerase chain reaction, pulsed-field gel electrophoresis, and multilocus sequence typing were performed. Statistical analyses were performed using Spearman correlation coefficients for the variables MRSA and clinical signs of infection. MAIN OUTCOME MEASURES: The identification of MRSA or methicillin-sensitive S aureus (MSSA), presence or absence of an infection in the wound, and molecular characterization of bacteria were measured. MAIN RESULTS: Of the 35 patients analyzed, 8 (22.9%) were classified as having an infection in their wounds. Spearman ρ indicated a strong positive correlation between the increase in the number of clinical signs of infection and MSSA (P =.84), but only a moderate positive correlation with MRSA (P =.60). The S aureus clonal pattern was unique for each of the major bacteria isolated. Global MRSA sequence-type clones (ST-1 and ST-72) were detected in 2 patients. CONCLUSIONS: Compared with those colonized by MSSA, chronic wounds colonized by MRSA did not display a strong correlation with the presence of a greater number of clinical signs of infection.

Nursing workload for cancer patients under palliative care.

OBJECTIVE: To verify the nursing workload required by cancer patients undergoing palliative care and possible associations between the demographic and clinical characteristics of the patients and the nursing workload. METHOD: This is a quantitative, cross-sectional, prospective study developed in the Connective Bone Tissue (TOC) clinics of Unit II of the Brazilian National Cancer Institute José Alencar Gomes da Silva with patients undergoing palliative care. RESULTS: Analysis of 197 measures of the Nursing Activities Score (NAS) revealed a mean score of 43.09% and an association between the performance status of patients undergoing palliative care and the mean NAS scores. The results of the study point to the need to resize the team of the unit. CONCLUSION: The NAS has proven to be a useful tool in oncologic clinical units for patients undergoing palliative care. OBJETIVO: Verificar a carga de trabalho de enfermagem requerida por pacientes com câncer sob cuidados paliativos e possíveis associações entre as características demográficas e clínicas dos pacientes e a carga de trabalho de enfermagem. MÉTODO: Trata-se de um estudo de abordagem quantitativa, transversal, prospectivo, desenvolvido na clínica de Tecido Ósseo Conectivo (TOC) da Unidade II do Instituto Nacional de Câncer José Alencar Gomes da Silva, com pacientes em cuidados paliativos. RESULTADOS: A análise de 197 medidas do Nursing Activities Score (NAS) revelou um escore médio de 43,09% e uma associação entre a performance status de pacientes em cuidados paliativos com os valores médios do NAS. Os resultados do estudo apontam para a necessidade de redimensionamento da equipe da Unidade. CONCLUSÃO: O NAS mostrou-se um instrumento passível de utilização em unidades clínicas oncológicas, com pacientes em cuidados paliativos.

Thromboembolic events in people with cancer during the COVID-19 pandemic: case-control study.

OBJECTIVE: to analyze the association between coronavirus disease infection and thromboembolic events in people with cancer in the first year of the pandemic. METHOD: case-control study carried out by collecting medical records. The selected cases were adults with cancer, diagnosed with a thromboembolic event, treated in the selected service units during the first year of the pandemic. The control group included adults with cancer without a diagnosis of a thromboembolic event. Pearson's chi-square test was applied to verify the association between risk factors and the outcome and logistic regression techniques were applied to identify the odds ratio for the occurrence of a thromboembolic event. RESULTS: there were 388 cases and 440 control cases included in the study (ratio 1/1). Females predominated, who were white, with mean age of 58.2 (±14.8) years. Antineoplastic chemotherapy was the most used treatment and coronavirus disease was identified in 11.59% of participants. In the case group, deep vein thrombosis was more prevalent. CONCLUSION: the study confirmed the hypothesis that coronavirus disease infection did not increase the chance of thromboembolic events in people with cancer. For the population studied, the factors that were associated with these events were those related to cancer and its treatment. HIGHLIGHTS: (1) Deep vein thrombosis was what prevailed in the studied population. (2) Chemotherapy increased the chance of thromboembolic events by 65%. (3) Thromboembolic events showed a significant association with a higher death rate as the outcome. (4) COVID-19 did not increase the risk of thromboembolic events in people with cancer.

ICNP® terminological subset for people with diabetic foot ulcer in primary health care.

OBJECTIVES: to elaborate an ICNP® terminological subset for people with diabetic foot ulcers in Primary Health Care. METHODS: this is a methodological study that followed five steps: 1) Identification of relevant terms for the patients through an integrative literature review and official documents in the area; 2) Mapping of terms identified with ICNP® terms; 3) Construction of statements of nursing diagnoses, outcomes and interventions; 4) Structuring of a terminological subset with the Self-Care Deficit Theory; and 5) Content validity of statements constructed with nurses from a programmatic area in Rio de Janeiro. RESULTS: the subset developed is composed of 81 diagnoses/outcomes and 583 nursing interventions, organized into universal, change and development requirements. CONCLUSIONS: the subset on screen was predominantly composed of statements inserted in self-care requirements related to health changes, reinforcing the importance of quality of life and recovery.

Scientific Publications on Nursing for COVID-19 in Patients With Cancer: Scoping Review.

BACKGROUND: The needs of patients with cancer must be met, especially in times of crisis. The advent of the pandemic triggered a series of strategic actions by the nursing team to preserve the health of patients and professionals-hence the importance of studies on nursing care actions provided to patients with cancer during the COVID-19 pandemic. It is known that these patients are susceptible to severe COVID-19. However, no previous review has summarized the findings of scientific studies on nursing for COVID-19 in patients with cancer. OBJECTIVE: This study aims to map the topics addressed in scientific studies on nursing for COVID-19 in patients with cancer. METHODS: A scoping review was conducted using the methodology described in the Joanna Briggs Institute Reviewers' Manual 2015. The research question was elaborated using the population, concept, and context framework: What topics have been studied in nursing publications about COVID-19 in adult patients with cancer? The searches were carried out in 8 databases between April and November 2021 without time restrictions. RESULTS: In total, 973 publications were identified using the search strategies in the databases, and 12 papers were retrieved by consulting the references. A total of 31 (3.2%) publications were included in the final analysis, generating 4 thematic categories on the subject: "restructuring the services: how oncology nursing was adapted during the pandemic," "experiences of patients and performance of the nursing team during the COVID-19 pandemic," "protocols and recommendations for dealing with the COVID-19 pandemic," and "challenges and the role of oncology nurses facing the COVID-19 pandemic." CONCLUSIONS: Several strategies used by oncology nurses to face the COVID-19 pandemic in the international scenario were identified. Reports about the restructuring of services and the team's reactions to the pandemic predominated. However, there is a lack of reports regarding emotional support strategies for health care professionals. Another gap identified was the scarcity of clinical studies on the activities developed by oncology nurses. Therefore, there is a need for clinical research in the oncology area and emotional coping strategies to support oncology nurses.

Construction and validation of nursing diagnoses for people with diabetic foot ulcers.

OBJECTIVE: To construct and validate nursing diagnoses statements of the International Classification for Nursing Practice (ICNP®) for the person with diabetic foot ulcer being followed up in primary health care. METHOD: This is a methodological study structured in four stages: identification of terms; cross-mapping of identified terms with ICNP terms®, version 2019/2020; construction of nursing diagnoses statements and organization with Orem's Theory of Self-care; and content validation by expert nurses working in primary care, with those with Content Validity Index (CVI) ≥ 0.80 being considered valid. RESULTS: Eighty-one diagnostic statements were constructed, five of which were positive, 67 negative, and nine risky. Of these, 58 were included in ICNP® and 23 were not, 51% of which were categorized as self-care requirements related to health changes. CONCLUSION: ICNP® subsidized the construction of a technical product, which can be consulted and used by nurses and will allow the strengthening of the standardization of a specific language in the context of care for people with diabetic foot ulcers in primary health care.

Management of coping with the risks of COVID-19 in an onco-hematological outpatient clinic: an experience report.

OBJECTIVE: to describe the experience of a private outpatient network for hematology and oncology treatment in the adoption of management tools to face the risk of contamination by SARS-CoV-2. METHOD: an experience report on the use of a root cause analysis method to identify potential risks of contamination by COVID-19 among patients and employees. Through the risks identified through the Ishikawa Diagram, we built an action plan, linked to the 5W2H tool, for planning and decision-making implemented. RESULTS: the number of attendances in person and people circulating in the units was reduced, protective distance measures and new protection barriers were fundamental to control the risks of spreading COVID-19 in patients and employees. FINAL CONSIDERATIONS: the management tools served as a valuable tool in the construction of measures, making the measures in question more clearly and applicable.

Paths taken by Brazilian Nursing for the development of terminological subsets.

OBJECTIVE: to discuss the paths taken by Brazilian Nursing in the development of terminological subsets of the International Classification for Nursing Practice. METHOD: documentary research, carried out in master's dissertations and doctoral theses, which developed terminological subsets, available at the Bank of Doctoral Theses and Master's Dissertations of the Under-graduation Personnel Improvement Coordination. The variables were analyzed were institution, year; academic level, type of health service, methodological approach, clientele, theoretical reference, validation of terms, cross mapping, modeling of new concepts, validation of statements, method used for elaboration, term collection, finalization and dissemination. RESULTS: 124 doctoral theses and master's dissertations were found, 91 were excluded and 33 were included, 23 (69.70%) of which were master's dissertations, with the highest production in 2014 (n=10; 30.30%), with emphasis on the Northeast (36.36%); the 'Primary Care' scenario, with six studies (18.18%); and the predominant clientele was cancer patients. As for the methodological characteristics, in 96% of the studies, the quantitative approach was used; in 2%, a qualitative approach; and 2% associated the quantitative and qualitative approaches. As for the type of study, 60% were methodological and 24% descriptive-exploratory, with the Horta model being the most used (36%). CONCLUSION: the paths are successful, yet still permeated by weaknesses in the validations and potentialities to standardize the language.

Nursing care with surgical arteriovenous shunt in renal dialysis: a validation study.

OBJECTIVES: to validate a care protocol for the monitoring and prevention of arteriovenous fistula complications. METHODS: a validation methodological study with a quantitative approach, developed in a university hospital in the city of Rio de Janeiro. RESULTS: scientific evidence was gathered from 20 researches. A care protocol was developed, composed of 15 items and divided into 3 sessions. The protocol was validated by a group of 11 experts, obtaining a content validity index of 0.95. CONCLUSIONS: the protocol proposes nursing care capable of preventing and monitoring arteriovenous fistula complications, punctured with a traditional technique, taking into account the actions implemented from patients' entry into the machine until the end of therapy.

[Concepts associated to systematization of nursing care in Brazilian journals]. / Correntes de pensamento nacionais sobre sistematização da assistência de enfermagem.

This study is a research that has as objective analyze the bibliographical production about the Systematization of Nursing Care in order to discuss concepts associated to the subject. Were analyzed books and national articles published in the database of the Virtual Library in Health, Medline, Lilacs and Scielo, in the period of January of 2000 to January of 2008. Were analyzed 11 articles, having been identified three distinct kind of thought to define concepts associated to Systematization of Nursing Care. Such fact aims for the difficulty of theoretical and pratical articulation, evidenced by the conflicts existing in the literature.

[Quality of pre-natal care in Family Health Strategy in Sobral, CE, Brazil]. / Qualidade da atenção ao pré-natal na Estratégia Saúde da Família em Sobral, Ceará

Face to public policies involving the quality of care for prenatal, the study aims to: assess the quality of prenatal care to the territories in the Family Health Strategy of the city of Sobral in the light of theoretical reference of Avedis Donabedian. This is a descriptive- exploratory study, developed by Family Health Units of Sobral, CE, Brazil. Of the fourteen Centers Health investigated, four were with appropriate indicators for prenatal care. But that although there are inadequacies in the physical structure, there are no impediments in order to provide a quality of care there is a view that the process and results also interfere with the quality of care.

Construção e validação de um instrumento sobre manejo de ferida neoplásica para capacitação de enfermeiros / Creation and validation of an instrument on neoplastic wound management for nurses' training / Elaboración y validación de un instrumento sobre el manejo de heridas neoplásicas para capacitar a los enfermeros

RESUMO Objetivo: construir, validar o conteúdo e a aparência de instrumento para capacitação de enfermeiros no cuidado de ferida neoplásica. Método: pesquisa metodológica, com abordagem quantitativa, realizada em três etapas - revisão de escopo; construção do instrumento; validação do conteúdo; e aparência. Coleta de dados ocorreu no período entre outubro de 2021 a fevereiro de 2022, em Niterói - RJ - Brasil. Foram utilizados o Índice de Validação de Conteúdo; Fleiss Generalized Kappa. Resultados: o instrumento final é composto pelas fases: definição de ferida neoplásica; classificação da ferida; estadiamento; escalas de avaliação da dor e odor; cuidados de enfermagem; e manejo dos sinais e sintomas. O conteúdo foi validado, atingindo um índice de validação de conteúdo > 0.80 e um nível de concordância entre os juízes > 75%, conforme estabelecido. Conclusão: a validação do instrumento, contribuirá para a redução da lacuna expressa na literatura do cuidado de enfermagem em relação à ferida neoplásica, além da aplicação ao ensino e aos serviços de enfermagem.

ABSTRACT Objective: to create and validate the face and content of an instrument for training nurses in neoplastic wound care. Method: a methodological research study with a quantitative approach, carried out in three stages: scoping review; creation of the instrument; and face and content validation. Data collection took place between October 2021 and February 2022 in Niterói - RJ - Brazil. The Content Validation Index and Fleiss Generalized Kappa were used. Results: the final instrument consists of the following phases: definition of neoplastic wound; wound classification; staging; pain and odor rating scales; Nursing care; and management of signs and symptoms. The content was validated reaching a Content Validation Index > 0.80 and an agreement level between the judges > 75%, as established. Conclusion: validation of the instrument will contribute to reducing the gap indicated in the literature on Nursing care in relation to neoplastic wounds, in addition to its application to Nursing teaching and services.

RESUMEN Objetivo: elaborar, validar el contenido y la apariencia de un instrumento para capacitar a los enfermeros en el cuidado de heridas neoplásicas. Método: investigación metodológica, con enfoque cuantitativo, realizada en tres etapas: revisión de alcance; elaboración del instrumento; validación de contenido; y apariencia. La recolección de datos se realizó entre octubre de 2021 y febrero de 2022, en Niterói, RJ, Brasil. Se utilizó el Índice de Validación de Contenido; Fleiss Generalized Kappa. Resultados: el instrumento final consta de las fases: definición de herida neoplásica; clasificación de heridas; estadio; escalas de evaluación del dolor y olor; cuidados de enfermería; y manejo de signos y síntomas. Se validó el contenido, alcanzó un índice de validación de contenido > 0,80 y un nivel de concordancia entre los jueces > 75%, según lo establecido. Conclusión: la validación del instrumento contribuirá a reducir la brecha que hay en la literatura sobre el cuidado de enfermería de las heridas neoplásicas, además se aplicará en la enseñanza y los servicios de enfermería.

Repercussões psicossociais do tratamento radioterápico para o câncer do colo uterino: uma abordagem qualitativa / Psychosocial repercussions of radiotherapy treatment for cervical cancer: a qualitative approach / Repercusiones psicosociales del tratamiento de radioterapia para el cáncer de cuello uterino: un enfoque cualitativo

RESUMO Objetivo: compreender as repercussões psicossociais do pós-tratamento radioterápico para o câncer do colo uterino. Método: estudo qualitativo, com a participação de pacientes em pós-tratamento radioterápico para o câncer do colo uterino em um ambulatório de enfermagem oncoginecológica, localizado no Município do Rio de Janeiro - Brasil. Os dados foram coletados durante os meses de março e abril de 2019 por meio de entrevista aberta e submetidos à análise de conteúdo. Resultados: definiram-se quatro categorias: o constructo de papéis sociais: a perda da identidade feminina; a sexualidade da mulher pós-tratamento para o câncer do colo uterino: repercussões conjugais; dificuldades de adaptação à nova condição de vida: reconstruindo a imagem corporal; convivendo com o câncer do colo uterino: repensando a vida e reconstruindo valores através da rede de apoio. Considerações finais: os resultados contribuem para o direcionamento do cuidado, aumentando a qualidade de vida e auxiliando a reorganização da vida profissional, social e familiar dessas mulheres.

ABSTRACT Objective: to understand the psychosocial repercussions of post radiotherapy treatment for cervical cancer. Method: qualitative study, with the participation of patients in post radiotherapy treatment for cervical cancer in an onco-gynecologic nursing outpatient clinic, located in the Municipality of Rio de Janeiro - Brazil. Data were collected during the months of March and April 2019 by means of open interview and submitted to content analysis. Results: four categories were defined: the construct of social roles: the loss of female identity; the sexuality of post-treated women for cervical cancer: marital repercussions; difficulties in adapting to the new life condition: rebuilding the body image; living with cervical cancer: rethinking life and rebuilding values through the support network. Final considerations: the results contribute to the direction of care, increasing the quality of life and helping these women reorganize their professional, social, and family lives.

RESUMEN Objetivo: conocer las repercusiones psicosociales del tratamiento post-radioterapia del cáncer de cuello de útero. Método: estudio cualitativo, con la participación de pacientes en tratamiento post radioterapia para cáncer de cuello uterino en una consulta externa de enfermería oncoginecológica, ubicada en el Municipio de Río de Janeiro - Brasil. Los datos fueron recolectados durante los meses de marzo y abril de 2019 a través de una entrevista abierta y fueron sometidos a un análisis de contenido. Resultados: se definieron cuatro categorías: la construcción de los roles sociales: la pérdida de la identidad femenina; la sexualidad de las mujeres después del tratamiento del cáncer de cuello uterino: las repercusiones conyugales; las dificultades de adaptación a la nueva condición de vida: la reconstrucción de la imagen corporal; la convivencia con el cáncer de cuello uterino: el replanteamiento de la vida y la reconstrucción de los valores a través de la red de apoyo. Consideraciones finales: los resultados contribuyen a la orientación de los cuidados, aumentando la calidad de vida y ayudando a la reorganización de la vida profesional, social y familiar de estas mujeres.

ICNP® terminological subset for people with diabetic foot ulcer in primary health care / Subconjunto terminológico CIPE® para personas con úlcera de pie diabético en atención primaria de salud / Subconjunto terminológico CIPE® para pessoas com úlcera do pé diabético na atenção primária à saúde

ABSTRACT Objectives: to elaborate an ICNP® terminological subset for people with diabetic foot ulcers in Primary Health Care. Methods: this is a methodological study that followed five steps: 1) Identification of relevant terms for the patients through an integrative literature review and official documents in the area; 2) Mapping of terms identified with ICNP® terms; 3) Construction of statements of nursing diagnoses, outcomes and interventions; 4) Structuring of a terminological subset with the Self-Care Deficit Theory; and 5) Content validity of statements constructed with nurses from a programmatic area in Rio de Janeiro. Results: the subset developed is composed of 81 diagnoses/outcomes and 583 nursing interventions, organized into universal, change and development requirements. Conclusions: the subset on screen was predominantly composed of statements inserted in self-care requirements related to health changes, reinforcing the importance of quality of life and recovery.

RESUMEN Objetivos: desarrollar un subconjunto terminológico de la CIPE® para personas con úlceras del pie diabético en la Atención Primaria de Salud. Métodos: estudio metodológico, que siguió cinco etapas: 1) identificación de términos relevantes para la clientela a través de una revisión integradora de literatura y documentos oficiales en el área; 2) mapeo de términos identificados con los términos CIPE®; 3) construcción de diagnósticos, resultados e intervenciones de enfermería; 4) estructuración del subconjunto terminológico con la Teoría del Déficit de Autocuidado; y 5) validación de contenido de enunciados construidos con enfermeros de un área programática de Rio de Janeiro. Resultados: el subconjunto desarrollado está compuesto por 81 diagnósticos/resultados y 583 intervenciones de enfermería, organizados en requisitos universales, de cambio y de desarrollo. Conclusiones: el subconjunto en pantalla estuvo compuesto predominantemente por declaraciones insertadas en los requisitos de autocuidado relacionados con cambios en la salud, lo que refuerza la importancia de la calidad de vida y la recuperación.

RESUMO Objetivos: elaborar um subconjunto terminológico CIPE® para a pessoa com úlcera do pé diabético na Atenção Primária à Saúde. Métodos: estudo metodológico, que seguiu cinco etapas: 1) identificação de termos revelantes para a clientela por uma revisão integrativa de literatura e em documentos oficiais da área; 2) mapeamento dos termos identificados com os termos da CIPE®; 3) construção dos enunciados de diagnósticos, resultados e intervenções de enfermagem; 4) estruturação do subconjunto terminológico com a Teoria do Déficit do Autocuidado; e 5) validação de conteúdo dos enunciados construídos com enfermeiros de uma área programática do Rio de Janeiro. Resultados: o subconjunto desenvolvido é composto por 81 diagnósticos/resultados e 583 intervenções de enfermagem, organizados em requisitos universais, de alterações e desenvolvimento. Conclusões: o subconjunto em tela foi composto predominantemente por enunciados inseridos nos requisitos de autocuidado relativos às alterações de saúde, reforçando a importância da qualidade de vida e recuperação.

Validation of the adherence questionnaire for Brazilian chronic kidney disease patients under hemodialysis.

Objective: To validate the evaluation questionnaire on adherence of chronic kidney disease (CKD) patients under hemodialysis. Method: We verified the following psychometric properties of the instrument: reliability (stability and internal consistency) and validity (face, content, and construct). Results: The intraclass correlation coefficient reached a value of 0.98 for the adherence questions and 0.91 for the perception questions. Regarding the kappa of the 14 questions examined, 12 had a value > 0.8, whereas the Cronbach's alpha had a value of 0.57. Experts ensured the face and content validity of the instrument, giving it an overall content validity index of 0.96. Construct validity, analyzed by Mann-Whitney test, was achieved as all domains showed a significant association with p<0.01. Conclusion: We verified, by the presented results, that the instrument has been validated for use in Brazil.

Objetivo: Validar o questionário de avaliação sobre a adesão do portador de doença renal crônica em hemodiálise. Método: Foram verificadas as seguintes propriedades psicométricas do instrumento: confiabilidade (estabilidade e consistência interna) e validade (de face, de conteúdo e de construto). Resultados: O coeficiente de correlação intraclasse atingiu valor de 0,98 para as questões de adesão e 0,91 para as questões de percepção. Quanto ao kappa das 14 questões analisadas, 12 obtiveram um valor > 0,8. Já o alfa de Cronbach obteve valor de 0,57. Os especialistas asseguraram a validade de face e de conteúdo do instrumento, conferindo-lhe um índice de validade de conteúdo global de 0,96. A validade de construto, analisada por meio do teste de Mann-Whitney, foi alcançada na medida em que todos os domínios apresentaram uma associação significativa com p < 0,01. Conclusão: Verifica-se, pelos resultados apresentados, que o instrumento foi validado para uso no Brasil.

Cultural adaptation of The End-Stage Renal Disease Adherence Questionnaire for hemodialysis patients.

OBJECTIVE: To describe the stages in the cultural adaptation of "The End-Stage Renal Disease Adherence Questionnaire" for use in Brazil. METHOD: A descriptive, transversal study with a quantitative approach. The cultural adaptation followed the steps of translation, professional committee, back translation, panel of patients and pretest. RESULTS: the translation stage created a version in Portuguese that was analyzed by specialists, who suggested alterations in the title, seven sentences in the questions and three sets of answers. In the panel of patients phase, two questions were altered. The back translation considered the original characteristics of the instrument were maintained, likewise there were no modifications in the pretest phase. The third version written in Portuguese was considered to be the final version of the questionnaire. CONCLUSION: this instrument should facilitate nursing care management in hemodialysis, enabling the monitoring of adherence among these patients and also contribute to improving the indicators of morbidity and mortality.

Terminologia especializada de enfermagem para a pessoa com úlcera do pé diabético / Terminología especializada en enfermería para personas con úlcera de pie diabético / Specialized nursing terminology for people with diabetic foot ulcers

Resumo Objetivo Construir uma terminologia especializada de enfermagem para a pessoa com úlcera do pé diabético na Atenção Primária à Saúde. Métodos Pesquisa metodológica, abordagem quantitativa, orientada pelas diretrizes de elaboração de subconjuntos terminológicos da Classificação Internacional para a Prática de Enfermagem. A terminologia foi elaborada a partir dos termos coletados em 62 artigos científicos e cinco documentos oficiais, por meio de ferramenta computacional, normalizados e mapeados com a classificação internacional proposta. Resultados Após a coleta de 12.696 termos, 308 foram considerados relevantes para a pessoa com úlcera do pé diabético. Destes, 182 eram constantes e 126 não constantes na classificação utilizada. Os termos constantes apresentaram prevalência no eixo Foco (46%), seguido pelos eixos Ação (19%), Localização (12%), Meio (11%), Julgamento (5%), Tempo (5%) e Cliente (2%). Dentre os termos não constantes, 48% foram classificados como mais restritos, 46% considerados mais abrangentes e 6% não apresentaram concordância com nenhum termo primitivo da Classificação Internacional para a Prática de Enfermagem versão 2019/2020. Conclusão Os termos especializados de enfermagem constituídos neste estudo contribuirão na construção do subconjunto terminológico da Classificação Internacional para a Prática de Enfermagem para a pessoa com úlcera do pé diabético na atenção primária à saúde. O alcance do objetivo proporciona o avanço no conhecimento sobre a classificação, com potencial para fomentar sistemas de informação na Atenção Primária à Saúde com vistas à qualificação do cuidado a pessoas com a prioridade eleita.

Resumen Objetivo Construir una terminología especializada en enfermería para personas con úlcera de pie diabético. Métodos Investigación metodológica, enfoque cuantitativo, orientada por las directivas de elaboración de subconjuntos terminológicos de la Clasificación Internacional para la Práctica de Enfermería. La terminología se ha elaborado a partir de los términos recopilados en 62 artículos científicos y en cinco documentos oficiales, por medio de herramienta informática, normalizados y mapeados con la clasificación internacional propuesta. Resultados Después de la recopilación de 12.696 términos, 308 fueron considerados relevantes para personas con úlcera de pie diabético. De ellos, 182 eran constantes y 126 no constantes en la clasificación utilizada. Los términos constantes presentaron prevalencia en el eje Enfoque (46 %), seguido por los ejes Acción (19 %), Ubicación (12 %), Medio (11 %), Juicio (5 %), Tiempo (5 %) y Cliente (2 %). Entre los términos no constantes, el 48 % fue clasificado como más restringido, el 46 % considerado más abarcador y el 6 % no presentó concordancia con ningún término primitivo de la Clasificación Internacional para la Práctica de Enfermería versión 2019/2020. Conclusión Los términos especializados en enfermería constituidos en este estudio contribuirán para la construcción del subconjunto terminológico de la Clasificación Internacional para la Práctica de Enfermería para personas con úlcera de pie diabético en la atención primaria de salud. El alcance del objetivo proporciona el avance para el conocimiento sobre la clasificación, con potencial para fomentar sistemas de información en la Atención Primaria de la Salud con el objetivo de cualificar el cuidado de las personas con la prioridad seleccionada.

Abstract Objective To build a specialized nursing terminology for people with diabetic foot ulcers in Primary Health Care. Methods This is methodological research with quantitative approach, guided by guidelines for elaborating the International Classification for Nursing Practice terminology subsets. A terminology was elaborated from the terms collected in 62 scientific articles and five official documents, by means of a computational tool, normalized and mapped with the proposed international classification. Results After collecting 12,696 terms, 308 were considered relevant for people with diabetic foot ulcers. Of these, 182 were listed and 126 were unlisted in the classification used. The terms listed showed prevalence in axis Focus (46%), followed by Action (19%), Location (12%), Means (11%), Judgment (5%), Time (5%) and Client (2%). Among the unlisted terms, 48% were classified as more restricted, 46% were considered more comprehensive and 6% did not agree with any primitive term of the International Classification for Nursing Practice 2019/2020. Conclusion Specialized nursing terms constituted in this study will contribute to building the International Classification for Nursing Practice terminology subsets for people with diabetic foot ulcers in Primary Health Care. Achieving the objective provides an advance in knowledge about classification, with the potential to foster information systems in Primary Health Care with a view to qualifying care for people with the chosen priority.

Construction and validation of nursing diagnoses for people with diabetic foot ulcers / Construcción y validez de diagnósticos de enfermería para el paciente con úlcera del pie diabético / Construção e validação de diagnósticos de enfermagem para a pessoa com úlcera do pé diabético

ABSTRACT Objective: To construct and validate nursing diagnoses statements of the International Classification for Nursing Practice (ICNP®) for the person with diabetic foot ulcer being followed up in primary health care. Method: This is a methodological study structured in four stages: identification of terms; cross-mapping of identified terms with ICNP terms®, version 2019/2020; construction of nursing diagnoses statements and organization with Orem's Theory of Self-care; and content validation by expert nurses working in primary care, with those with Content Validity Index (CVI) ≥ 0.80 being considered valid. Results: Eighty-one diagnostic statements were constructed, five of which were positive, 67 negative, and nine risky. Of these, 58 were included in ICNP® and 23 were not, 51% of which were categorized as self-care requirements related to health changes. Conclusion: ICNP® subsidized the construction of a technical product, which can be consulted and used by nurses and will allow the strengthening of the standardization of a specific language in the context of care for people with diabetic foot ulcers in primary health care.

RESUMEN Objetivo: Construir y validar enunciados de diagnósticos de enfermería de la Clasificación Internacional para la Práctica de Enfermería (CIPE®) para el paciente con úlcera del pie diabético en acompañamiento en la atención primaria a la salud. Método: Estudio metodológico, estructurado en cuatro etapas: identificación de términos; mapeo cruzado de los términos identificados con los términos de la CIPE®, versión 2019/2020; construcción de los enunciados de diagnósticos de enfermería y organización con la Teoría del Autocuidado de Orem; y validez de contenido por enfermeros expertos actuantes en la atención primaria, siendo considerado validos aquellos con Índice de Validez de Contenido (IVC) ≥ 0.80. Resultados: Fueron construidos 81 enunciados de diagnósticos, siendo cinco positivos, 67 negativos y nueve de riesgo. De esos, 58 eran constantes en la CIPE® y 23 no constantes, siendo un 51% categorizados como requisitos de autocuidado relativos a las alteraciones de salud. Conclusión: La CIPE® subvencionó la construcción de un producto técnico, que se puede consultar y utilizar entre los profesionales de enfermería, el cual permitirá el fortalecimiento de la estandarización de un lenguaje propio en el contexto del cuidado al paciente con úlcera del pie diabético en la atención primaria a la salud.

RESUMO Objetivo: Construir e validar enunciados de diagnósticos de enfermagem da Classificação Internacional para a Prática de Enfermagem (CIPE®) para a pessoa com úlcera de pé diabético em acompanhamento na atenção primária à saúde. Método: Estudo metodológico, estruturado em quatro etapas: identificação de termos; mapeamento cruzado dos termos identificados com os termos da CIPE®, versão 2019/2020; construção dos enunciados de diagnósticos de enfermagem e organização com a Teoria do Autocuidado de Orem; e validação de conteúdo por enfermeiros peritos atuantes na atenção primária, sendo considerados válidos aqueles com Índice de Validade de Conteúdo (IVC) ≥ 0.80. Resultados: Foram construídos 81 enunciados de diagnósticos, sendo cinco positivos, 67 negativos e nove de risco. Desses, 58 eram constantes na CIPE® e 23 não constantes, sendo 51% categorizados como requisitos de autocuidado relativos às alterações de saúde. Conclusão: A CIPE® subsidiou a construção de um produto técnico, passível de consulta e utilização pelos enfermeiros, o qual permitirá o fortalecimento da padronização de uma linguagem própria no contexto do cuidado à pessoa com úlcera do pé diabético na atenção primária à saúde.

Management of coping with the risks of COVID-19 in an onco-hematological outpatient clinic: an experience report / Gestión del afrontamiento de los riesgos de COVID-19 en una red oncohematológica ambulatoria: relato de experiencia / Gestão do enfrentamento dos riscos da COVID-19 em uma rede ambulatorial onco-hematológica: relato de experiência

ABSTRACT Objective: to describe the experience of a private outpatient network for hematology and oncology treatment in the adoption of management tools to face the risk of contamination by SARS-CoV-2. Method: an experience report on the use of a root cause analysis method to identify potential risks of contamination by COVID-19 among patients and employees. Through the risks identified through the Ishikawa Diagram, we built an action plan, linked to the 5W2H tool, for planning and decision-making implemented. Results: the number of attendances in person and people circulating in the units was reduced, protective distance measures and new protection barriers were fundamental to control the risks of spreading COVID-19 in patients and employees. Final considerations: the management tools served as a valuable tool in the construction of measures, making the measures in question more clearly and applicable.

RESUMEN Objetivo: describir la experiencia de una red privada ambulatoria de tratamiento onco-hematológico en la adopción de herramientas de manejo para enfrentar el riesgo de contaminación por SARS-CoV-2. Método: informe de experiencia sobre el uso de un método de análisis de causa raíz para identificar riesgos potenciales de contaminación por COVID-19 entre pacientes y empleados. A través de los riesgos identificados a través del Diagrama de Ishikawa, construimos un plan de acción, vinculado a la herramienta 5W2H, para planificar y tomar decisiones implementadas. Resultados: se redujo el número de asistencia presencial y de personas circulantes en las unidades, las medidas de protección a distancia y nuevas barreras de protección fueron fundamentales para controlar los riesgos de diseminación del COVID-19 en pacientes y colaboradores. Consideraciones finales: las herramientas de gestión sirvieron como una valiosa herramienta en la construcción de las medidas, haciendo que las medidas en cuestión sean más claras y aplicables.

RESUMO Objetivo: descrever a experiência de uma rede ambulatorial privada de tratamento onco-hematológico na adoção de ferramentas de gestão para o enfrentamento do risco de contaminação por SARS-CoV-2. Método: relato de experiência acerca do uso de um método de análise de causa-raiz para a identificação de potenciais riscos de contaminação pela COVID-19 entre pacientes e colaboradores. Através dos riscos identificados por meio do Diagrama de Ishikawa, construímos um plano de ações, articulado à ferramenta 5W2H, para um planejamento e tomada de decisões implementadas. Resultados: foi reduzido o quantitativo de atendimentos presencias e de pessoas circulantes nas unidades, medidas protetivas de distanciamento e novas barreiras de proteção foram fundamentais ao controle dos riscos de disseminação da COVID-19 em pacientes e colaboradores. Considerações finais: as ferramentas de gestão serviram como instrumento de grande valia na construção das medidas, viabilizando com maior clareza e aplicabilidade as medidas colocadas em questão.

Total pain and comfort theory: implications in the care to patients in oncology palliative care / Dolor total y teoría del confort: implicaciones en la atención al paciente en el cuidado paliativo oncológico / Dor total e teoria do conforto: implicações no cuidado ao paciente em cuidados paliativos oncológicos

ABSTRACT Objective: To reflect on the possible connections between Katharine Kolcaba's Theory of Comfort and Cicely Saunders's concept of Total Pain and the implications to the care of the oncology palliative care patient. Method: Theoretical reflection based on a literature review carried out in May 2020, in the PubMed and LILACS databases, which sought to answer the question: "Are there any theoretical-conceptual connections between Kolcaba's Theory of Comfort and the concept of Total Pain by Saunders?" Results: The knowledge of the concepts presented allows redirecting the focus of care towards individualized actions to strengthen the patient and his participation in the choices of comfort interventions. Conclusion: Understanding the connections between the concept and theory presented provides the patient in oncology palliative care with individualized and qualified care, focused on the person and not on the disease and can contribute to a greater effectiveness of nursing interventions aimed at the relief of suffering.

RESUMEN Objetivo: Reflexionar acerca de las posibles conexiones entre la Teoría del Confort de Katharine Kolcaba, el concepto de Dolor Total de Cicely Saunders y sus implicaciones para la atención al paciente en cuidados paliativos oncológicos. Método: Estudio teórico-reflexivo basado en una revisión de la literatura realizada en mayo de 2020, en las bases de datos PubMed y LILACS, que buscaba dar respuesta a la pregunta: "Existen conexiones teórico-conceptuales entre la Teoría del Confort de Kolcaba y el concepto de Dolor Total de Saunders?" Resultados: El conocimiento de los conceptos presentados permite reorientar el foco de atención hacia acciones individualizadas para fortalecer al paciente y su participación en las elecciones de intervenciones de confort. Conclusiones: La comprensión de las conexiones entre el concepto y la teoría presentada proporciona al paciente en cuidados oncológicos paliativos un cuidado individualizado y calificado, enfocado en la persona y no en la enfermedad y puede contribuir a una mayor resolución de las intervenciones de enfermería orientadas al alivio del sufrimiento.

RESUMO Objetivo: Refletir sobre possíveis conexões entre a Teoria do Conforto de Katharine Kolcaba e o conceito de Dor Total de Cicely Saunders e suas implicações no cuidado ao paciente em cuidados paliativos oncológicos. Método: Estudo teórico-reflexivo baseado em revisão de literatura realizada em maio de 2020, nas bases de dados PubMed e LILACS que buscou responder à questão: "Existem conexões teórico-conceituais entre a Teoria do Conforto de Kolcaba e o conceito de Dor Total de Saunders?" Resultados: O conhecimento dos conceitos apresentados permite redirecionar o foco do cuidado para ações individualizadas com fortalecimento do paciente e sua participação nas escolhas das intervenções de conforto. Conclusões: Compreender as conexões entre o conceito e teoria apresentados proporciona ao paciente em cuidados paliativos oncológicos um cuidado individualizado e qualificado, focado na pessoa e não na doença podendo contribuir para uma maior resolutividade das intervenções de enfermagem direcionadas para o alívio do sofrimento.