Occupational cancer illness in Brazil: an integrative literature review.

The present study aimed to investigate data from the scientific literature on patterns of illness due to occupational cancer in Brazil. An integrative literature review was conducted in July 2020 and reviewed in June 2021, with no time restriction, using the Health Science Descriptors "Neoplasms," "Occupational Risks," "Occupational Cancer," and keywords related, which were searched on the following databases: Latin American Literature in Health Sciences, SciELO, PubMed, Scopus, Web of Science, and Cumulative Index to Nursing and Allied Health Literature. The search and selection flow followed that recommended by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement - 2020. Six manuscripts were selected, published from 1995 to 2019, which described occupational cancer affecting lung, oral cavity, pharynx and larynx, central nervous system, and skin. There was a time gap between the studies, and only the one involving lung cancer results on the most prevalent pattern of illness in the industrial sector, compared to the non-industrial. A shortage of scientific articles on patterns of illness was found. There was a predominance of scientific publications referring to occupational cancer illness related to the industrial sector compared to the number of publications directed to the primary and tertiary productive sectors. It is worth noting the constant need for research and epidemiological surveys to promote surveillance and protective actions aimed at occupational health.

O presente estudo teve como objetivo investigar os dados da literatura científica sobre os padrões de adoecimento por câncer ocupacional no Brasil. Realizou-se uma revisão integrativa de literatura, em julho de 2020 e revisada em junho de 2021, sem delimitação temporal, utilizando os Descritores em Ciências da Saúde "Neoplasias", "Riscos Ocupacionais" e "Câncer Ocupacional", e correlatos, com busca nas bases Literatura Latino-Americana em Ciências da Saúde, SciELO, PubMed, Scopus, Web of Science e Cumulative Index to Nursing and Allied Health Literature. O fluxo de busca e seleção obedeceu ao preconizado pelo Principais Itens para Relatar Revisões Sistemáticas e Meta-Análises ­ 2020. Foram selecionados seis manuscritos, publicados entre 1995 e 2019, que descrevem o câncer ocupacional relacionado a pulmão, cavidade oral, faringe e laringe, sistema nervoso central e pele. Há um hiato temporal entre os estudos e apenas aquele envolvendo câncer de pulmão considera resultados sobre o padrão de adoecimento mais prevalente no setor industrial, quando comparado ao não-industrial. Foi constatada a uma escassez de artigos científicos sobre padrões de adoecimento. Há predomínio de publicações científicas referentes ao adoecimento por câncer ocupacional relacionado ao ramo industrial quando comparado ao quantitativo de publicações direcionadas aos setores produtivos primário e terciário. Ressalta-se que pesquisas e inquéritos epidemiológicos são necessidades constantes para promoção de ações vigilância e proteção da saúde no trabalho.

Cross-cultural adaptation and content validity of the Adverse Events Associated with Nursing Practices instrument.

OBJECTIVE: To conduct the cross-cultural adaptation and evaluate the evidence of content validity of the Adverse Events Associated with Nursing Practices instrument in the Brazilian context. METHOD: Psychometric study, conducted between June 2021 and February 2023, following the stages of the Patient-Reported Outcomes Measurement Information System protocol. Semantic, idiomatic, experimental and conceptual equivalences were evaluated, along with content validity evidence, considering Content Validity Ratio (CVR) parameters, with the participation of 25 experts. RESULTS: A Brazilian version with 55 items was obtained, demonstrating good linguistic equivalence to the original version (agreement rate=99.2%), and adjustments in the items writing. CVR values remained above 0.60. Cognitive testing indicated good understanding, confirmed by the 31 participants in this stage, with a short application time (average = 17 minutes). CONCLUSION: The final version of the instrument showed good linguistic equivalence, strong evidence of content validity and a good response process in the Brazilian context.

Content validity evidence of the Brazilian version of the Cognitive Symptom Checklist-Work-21.

OBJECTIVE: to cross-culturally adapt and assess the content validity evidence of the Cognitive Symptom Checklist-Work-21 for the Brazilian context. METHOD: a psychometric study of cross-cultural adaptation, covering the stages of translation, reconciliation, back-translation, intercultural equivalence assessment and content validity evidence analysis, considering Content Validity Ratio parameters in breast cancer survivors. RESULTS: the translations were equivalent to the original version. Colloquial expressions were modified, tense, verbal adjusted, and two items containing multiple commands were separated. The final version now contains 22 items, presenting semantic, conceptual, idiomatic and experimental equivalences. The pre-test indicated good understanding and ease in the response process. CONCLUSION: the final version was defined as "Lista de verificação de sintomas cognitivos relacionados ao trabalho - 22 itens", showing good linguistic equivalence and strong evidence of content validity in the Brazilian context.

COVID-19 Pandemic: Analysis of Health Effects on Emergency Service Nursing Workers via a Qualitative Approach.

During the COVID-19 pandemic, longstanding issues involving nursing work, which has always involved significant risks of illness and infection, were intensified. It is necessary to acknowledge the risks and nurses' perceptions about the risks qualitatively during the period of the health crisis. The aim of this study was to examine the health repercussions perceived by nursing workers in emergency services during the outbreak of the COVID-19 pandemic in Brazil. This was a qualitative, descriptive, cross-sectional study. The settings of the study were emergency services with a national scope; the participants were nursing workers. Data were collected via face-to-face virtual calling interviews and analyzed via a content analysis technique, which was supported by IRAMUTEQ software. The formation of textual classes pointed in three thematic directions, from which three categories emerged: nursing workers' exposure, due to a lack of protective equipment, to the risk of being contaminated with, falling ill from, and transmitting the COVID-19 virus; changes in work environments, processes, and relations in response to the pandemic; and physical, mental, and psychosocial alterations perceived by emergency service nursing workers. The exposure to the virus, risk of contamination, and changes in the work environment and relations all resulted in health repercussions, which were perceived as physical, mental, and psychosocial alterations that were described as dietary disturbances, physical fatigue, burnout, increased smoking, anxiety, sleep alterations, fear, exhaustion, stress, social isolation, loneliness, distancing from relatives, and social stigma.

The second victim experience: cross-cultural adaptation of an instrument for the Brazilian context.

OBJECTIVE: To cross-culturally adapt and analyze the evidence of content validity of the Second Victim Experience and Support Tool for the Portuguese language spoken in Brazil. METHOD: Psychometric study of cross-cultural adaptation following the steps of the Patient-Reported Outcome Measurement Information System. Semantic, idiomatic, experimental, and conceptual equivalences were evaluated. The content validity was verified using the Content Validity Ratio. 31 health professionals from the city of São Paulo participated in the pre-test. RESULTS: The equivalence analysis showed an agreement rate was 88.7%. The content validity presented 86% of the items with Content Validity Ratio values ​​above the stipulated. In the pre-test, the participants reported that they understood the items of the instrument and only 10% of the participants reported difficulty in understanding any item. CONCLUSION: The Brazilian version of the Second Victim Experience and Support Tool presented a good translation quality and good evidence of content validity.

Distress and pleasure indicators in health care workers on the COVID-19 front line. / Indicadores de sofrimento e prazer em trabalhadores de saúde na linha de frente da COVID-19.

OBJECTIVE: to evaluate distress and pleasure indicators in health care workers on the front line of care for suspected or confirmed COVID-19 cases. METHOD: an exploratory, analytical and cross-sectional study with a quantitative approach. The studied sample consisted of 437 health professionals invited by electronic means, who answered the questionnaire on sociodemographic information, occupational aspects and clinical conditions. Distress and pleasure at work were considered as outcomes, which were analyzed with multinomial logistic regression regarding the associated independent variables. RESULTS: Most of the participants were female (71.0%), nurses (55.6%), with a weekly working shift of 40 hours or more (75.8%); 61.6% of the participants suffered from mental distress. The psychosocial characteristics of high-strain work and low social support were reported by 23.8% and 52.9% of the participants, respectively. In the multiple analysis, distress and lack of pleasure at work were associated with high job strain, low support from co-workers and mental distress. The profession is also associated with distress at work. CONCLUSION: distress and lack of pleasure at work are associated with occupational characteristics and mental strain among health care workers in the COVID-19 scenario.

Management of resources in a federal emergency hospital during the COVID-19 pandemic.

OBJECTIVE: To describe actions taken by the organizational management of an emergency service due to the COVID-19 pandemic, determined according to the prevalence of cases of infection by the coronavirus, severe acute respiratory syndrome, and flu-like illnesses. METHODS: Experience report based on a retrospective analysis of the attention for respiratory syndromes in the first semester of 2019 and 2020, in addition to an analysis of documents from the institutional protocols of a federal emergency service.Development: An increase in the number of attendances was observed, representing 7.25% and 19.4% of cases in 2019 and 2020, respectively. This was due to the creation of the Crisis Office, including a multidisciplinary team created to elaborate the plan of action, changes in the physical structure and in the work processes, and training sessions. FINAL CONSIDERATIONS: It became clear that the planning, coordination of actions based on the decisions of the Crisis Office, and the dissemination of reliable information, taking into consideration a focal point, were essential for the organization, management of the emergency service, and protection to the workers.

Contributions of the health-promoting universities' movement: An integrative literature review.

The objective was to identify the existing links between the conceptual proposal of the movement of health-promoting universities (HPU) and the activities carried out to increase the health of workers in higher education institutions. An integrative literature review was conducted in October 2020 in the following databases: LILACS, Scientific Electronic Library Online, Web of Science, and CINAHL and with the Boolean phrase citing, University AND "health promotion." In the initial review, 5351 studies were found, and after removing the repetitions, applying the inclusion criteria, and making the qualitative analysis, a sample of 9 articles was obtained. For the construction of the flowchart with the representation of the eligibility and inclusion of the articles, the PRISMA model was use. The findings were analyzed with the theoretical and conceptual support of the movement of HPU, which made it possible to establish the construction of three categories, to quote: full provision of social, medical, and health services; creating a favorable health environment on campus; and development of health education actions. The movement of HPU is relevant to the contemporary world; however, initiatives to incorporate these practices are still scarce, creating a gap between expectations and reality.

Musculoskeletal symptoms, psychosocial factors and work ability in Brazilian labor justice workers.

BACKGROUND: The implementation of the electronic judicial process (PJe) in recent years is associated with an increase in workload and stricter control through productivity targets in the Brazilian labor judiciary. OBJECTIVES: To evaluate the relations between musculoskeletal symptoms, psychosocial factors and work ability in civil servants of a labor justice body in the context of the PJe. METHODS: A cross-sectional exploratory study with a quantitative approach involving 449 workers. Sociodemographic, occupational and related data were collected through questionnaires validated in the Brazilian context. Data analysis was conducted by descriptive and inferential statistics: Mann-Whitney test, Spearman's correlation coefficient and multiple linear regression. RESULTS: There was a correlation between musculoskeletal symptoms and psychosocial factors (p < 0.05), as well as between both musculoskeletal symptoms and psychosocial factors with reduced work ability (p < 0.05). The multiple linear regression model pointed to the female gender and the dimensions "demands", "control" and "peer support" as related to the musculoskeletal symptoms. CONCLUSION: We highlight the importance of a broader approach, involving psychosocial factors in preventive actions related to musculoskeletal disorders considering the important relationship with work ability.

Occupational psychosocial stressors and mental distress among healthcare workers during COVID-19 pandemic.

OBJECTIVE: To analyze the factors associated with mental distress among health workers who cared for patients with a suspected or confirmed diagnosis of coronavirus disease 2019 (COVID-19). METHODS: A cross-sectional analytical study of national scope, carried out between in the second quarter of 2020. A total of 437 health professionals, who filled out an electronic form about sociodemographic data, occupational aspects, psychosocial characteristics of work and mental distress. Multiple logistic regression was performed to analyze the covariables associated with mental distress. RESULTS: There was a predominance of workers on the nursing team (65.0%), female (71.0%), from Southeastern region of the country (68.6%) and with no morbidities (36.2%). The prevalence of mental distress was 61.6%. Job strain was reported by 24% of participants, and the perception of low support from coworkers was described by 52.9%. The final multiple regression model showed that mental distress was associated with females (odds ratio - OR: 1.93; 95%CI: 1.22-3.07), age up to 40 years (OR: 1.64; 95%CI: 1.07-2.52), weekly working hours equal or over 60 hours (OR: 1.87; 95%CI: 1.15-3.11), job strain (OR: 2.45; 95%CI: 1.41-4.40) and low support from co-workers (OR: 3.47; 95%CI: 2.26-5.38). CONCLUSION: Six out of ten participants presented mental distress, which was associated to both individual characteristics and factors related to the work carried out during the pandemic. There is an urgent need to map services that have such characteristics, to outline actions to promote mental health and prevent emotional distress at different levels of health care.

Prevalence of COVID-19 testing among health workers providing care for suspected and confirmed cases.

OBJECTIVES: To describe the prevalence of testing among health workers providing care for suspected and confirmed cases of COVID-19. METHODS: This quantitative, cross-sectional study was conducted from April to June 2020, using a convenience sample. An online questionnaire was used for collecting sociodemographic, occupational, and clinical data, which were analyzed descriptively. RESULTS: In total, 437 health workers participated in the study, with a predominance of nursing workers (58.68%), women (70.3%), age between 30 and 49 years (54.2%), individuals living in the Southeast region of Brazil (60.54%), working in the public care system (69.11%), and focused on primary care (30.89%). Among the participants, 36% reported comorbidities, 21.1% had symptoms suggestive of COVID-19, and only 27% had undergone some type of COVID-19 testing. CONCLUSIONS: Despite the existence of risk comorbidities and symptoms suggestive of contamination, the frequency of testing was below one third among respondents. The lack of action compromises health surveillance and protection strategies for workers providing care for the population and may favor the contamination of new patients and the community.

Common mental disorders in nursing students of the professionalizing cycle.

OBJECTIVES: to verify the suspicion of common mental disorders in nursing students of the professionalizing cycle and the association with sociodemographic features. METHOD: cross-sectional study with a sample of 85 students from a public university in the state of Rio de Janeiro (RJ) who responded to the Self-Report Questionnaire-20 and sociodemographic questions. RESULTS: the suspicion prevalence of common mental disorders (CMD) in the sample was 55.3% and it was identified the association with the consumption of alcohol. Of the most frequent SRQ-20 complaints, 95.3% reported "feeling nervous, tense or worried", 72.9% "having difficulty making decisions", 60% "sleeping poorly" and 37.6% "having lost interest by things ". CONCLUSION: high prevalence of CMD in the sample and the association with the consumption of alcohol requires preventive and therapeutic actions among the students that minimize the possibility of severe mental disorders related to the consumption of alcohol and other drugs.

Perception of nursing leadership on the fight against the precariousness of working conditions. / Percepção das lideranças de enfermagem sobre a luta contra a precarização das condições de trabalho.

OBJECTIVE: To describe and analyze gender and socioeconomic issues of category workers which interfere in the fight against the precariousness of working conditions within the perception of nursing leaders. METHOD: A descriptive, exploratory study with a qualitative approach conducted at ABEn , Coren , Rio de Janeiro sessions and SindEnfRJ with leaders of work organizations, professionals in leadership positions, including directors or presidents. Individual interviews were conducted, and the data were treated using the content analysis technique. RESULTS: Seventeen (17) class entity leaders participated in the study. In the speeches, female predominance, double working hours, social and cultural origin, professional devaluation, reduced participation in spaces of struggle and bureaucratic labor issues were presented as justifications for the low involvement in labor disputes. CONCLUSION: There is a need for partnerships between the category and the work organizations to mobilize and combat this perverse process through changes in legislation, which is essential to enable maintaining employment, the worker's quality of life, and consequently excellence in the care provided to the population.

Uso da adaptação transcultural nos cursos de pós-graduação em Enfermagem / Use of cross-cultural adaptation in Postgraduate Nursing courses / Uso de la adaptación transcultural en las carreras de grado en Enfermería

Objetivo: analisar a produção científica brasileira, na Pós-Graduação em Enfermagem, que utilizou o método de adaptação transcultural. Método: estudo documental, com busca realizada na Biblioteca Digital de Teses e Dissertações, que resultou em 140 dissertações e 72 teses para análise, oriundas de Programas de Pós-Graduação da região Sudeste, seguida das regiões Nordeste, Sul e Centro-Oeste, sem representação da região Norte. Resultados: os instrumentos adaptados foram, em sua maioria, procedentes do idioma inglês. Prevaleceram as pesquisas na área/campo Assistencial, destacando-se a linha de pesquisa Processo de Cuidar em Saúde e Enfermagem. Identificou-se descompasso entre o que é produzido na área e o que é recomendado internacionalmente. Conclusão: verificou-se aumento na utilização da adaptação transcultural como método de pesquisa, com persistência das assimetrias acadêmicas regionais e sem consenso sobre o referencial metodológico.

Objective: to analyze the Brazilian scientific production in Postgraduate Nursing education using the cross-cultural adaptation method. Method: documentary study with searches carried out in the Digital Library of Theses and Dissertations resulting in 140 Master's theses and 72 Doctoral dissertations for analysis originated from Postgraduate Programs carried out in the Southeast region of Brazil, followed by the Northeast, South and Midwest regions ­ there was no representation of the North region. Results: the adapted instruments were, mostly, originally written in English. Research in the Care area/field prevailed, highlighting the line of research called Health and Nursing Care Process. A gap between what is produced in the area and what is recommended internationally was identified. Conclusion: an increase in the use of cross-cultural adaptation as a research method was noticed, with the persistence of regional academic asymmetries and lack of consensus on the methodological framework.

Objetivo: analizar la producción científica brasileña, en el Postgrado en Enfermería, que utilizó el método de adaptación transcultural. Método: estudio documental, la búsqueda se realizó en la Biblioteca Digital de Tesis y Disertaciones, se obtuvieron 140 tesis de maestría y 72 tesis de doctorado para análisis, provenientes de Programas de Posgrado de la región Sudeste, seguida de las regiones Nordeste, Sur y Centro-Oeste, no se encontraron documentos de la región Norte. Resultados: los instrumentos adaptados fueron, en su mayoría, del idioma inglés. Predominaron las investigaciones en el área/campo Asistencial, se destacó la línea de investigación Proceso de Atención en Salud y Enfermería. Se identificó que lo que se produce en el área no coincide con lo que se recomienda a nivel internacional. Conclusión: se comprobó que aumentó el uso de la adaptación transcultural como método de investigación, que persisten las disparidades académicas regionales y que no hay consenso sobre el marco metodológico.

Positive mental health of undergraduate nursing students: scoping review / Saúde mental positiva do estudante de graduação em enfermagem: revisão de escopo

Objective: Aimed to map the constructs used in articles to discuss the mental health of undergraduate nursing students in a positive perspective. Methods: A scoping review was carried out with a search in the electronic databases: Scopus, Latin American and Caribbean Health Sciences Literature and Cumulative Index to Nursing and Allied Health Literature, in April 2020, which allowed retrieval of 286 articles. Data selection and extraction was performed in a double check by the group investigators and were assessed using the continuous data comparison technique. Results: We selected 53 articles that allowed detecting a set of 13 constructs associated with positive mental health that are continuously investigated by this audience. Conclusion: It was found that the mental health of undergraduate nursing students is a supportive set of characteristics conditioned to the inter-retroactive circuit, in which each component retroacts on each part of a set of strengths, fostering a dynamic state of internal balance.

Objetivo: Mapear os constructos utilizados em artigos para discutir a saúde mental dos estudantes de graduação em Enfermagem numa perspectiva positiva. Método: Realizou-se uma revisão de escopo com busca nas bases de dados eletrônicas: Scopus, Latin American and Caribbean Health Sciences Literature e Cumulative Index to Nursing and Allied Health Literature, em abril de 2020, que retornou 286 artigos. A seleção e extração dos dados ocorreu em dupla checagem por pesquisadores do grupo e analisados segundo a técnica de comparação constante. Resultados: Selecionou-se 53 artigos que permitiram levantar um conjunto de 13 constructos relacionados à saúde mental positiva que são constantemente investigados entre esse público. Conclusão: Verificou-se que a saúde mental do estudante de graduação em enfermagem é um conjunto solidário de características condicionado ao circuito de inter-retroações, no qual cada componente retroage sobre cada parte de um conjunto de fortalezas, fomentando um estado dinâmico de equilíbrio interno.

Carga de trabalho de enfermagem e requisição das atividades no cuidado de pessoas idosas em terapia intensiva / Nursing Workload and care required by older adults in intensive care

Resumo Objetivo Analisar a carga de trabalho e requisição de cuidados de enfermagem de pessoas idosas admitidas na unidade de terapia intensiva (UTI) em comparação com adultos. Método estudo transversal realizado em duas UTI de dois hospitais (público e privado) na região metropolitana de São Paulo. Foram extraídas do prontuário eletrônico de pacientes admitidos nas unidades no ano de 2019 as seguintes variáveis: idade, sexo, tempo de internação em UTI, escore Simplified Acute Physiology Score (SAPS 3) e do Nursing Activities Score (NAS). Os dados foram analisados por meio de estatística descritiva. A comparação de médias foi feita pelo teste T de Student e a associação entre as frequências das intervenções requeridas pelos participantes através do teste exato de Fischer. Resultados Foram incluídos no estudo 495 pacientes, dos quais 56,6% eram pessoas idosas com idade média de 74,9± 9,5 anos. O tempo de permanência das pessoas idosas na UTI foi de 6,0±7,7 dias. Verificou-se que a pontuação média do SAPS3 admissional foi de 48,3±13,7 pontos e a pontuação do NAS, também admissional, foi de 71,0±10,4 pontos, sendo maior entre pessoas idosas do que entre os adultos, tanto para a gravidade (p<0,001) quanto para a carga de trabalho (p=0,007). Conclusão a idade avançada está associada com uma maior carga de trabalho da enfermagem em unidade de cuidados intensivos e maior chance de ocorrência de intervenções, associada à maior gravidade na admissão e maior tempo de internação na UTI por essa população em comparação aos adultos.

Abstract Objective To analyze the workload and nursing care requirements of elderly people admitted to the intensive care unit (ICU) compared to adults. Method Cross-sectional study carried out in two ICUs of two hospitals (public and private) in the metropolitan region of São Paulo. The following variables were extracted from the electronic medical records of patients admitted to the units in 2019: age, gender, length of ICU stay, Simplified Acute Physiology Score (SAPS 3) and Nursing Activities Score (NAS). The data was analyzed using descriptive statistics. Means were compared using Student's t-test and the association between the frequencies of interventions required by the participants using Fischer's exact test. Results The study included 495 patients, 56.6% of whom were elderly with a mean age of 74.9± 9.5 years. The length of stay of the elderly in the ICU was 6.0±7.7 days. It was found that the average SAPS3 score on admission was 48.3±13.7 points and the NAS score, also on admission, was 71.0±10.4 points, being higher among older people than adults, both for severity (p<0.001) and workload (p=0.007). Conclusion Older age is associated with a greater workload for intensive care unit nurses and a greater chance of interventions, associated with greater severity on admission and longer ICU stays for this population compared to adults.

Cross-cultural adaptation and content validity of the Adverse Events Associated with Nursing Practices instrument / Adaptación intercultural y validez del contenido del instrumento Eventos Adversos Asociados a las Prácticas de Enfermería / Adaptação transcultural e validade de conteúdo do instrumento Eventos Adversos Associados às Práticas de Enfermagem

ABSTRACT Objective: To conduct the cross-cultural adaptation and evaluate the evidence of content validity of the Adverse Events Associated with Nursing Practices instrument in the Brazilian context. Method: Psychometric study, conducted between June 2021 and February 2023, following the stages of the Patient-Reported Outcomes Measurement Information System protocol. Semantic, idiomatic, experimental and conceptual equivalences were evaluated, along with content validity evidence, considering Content Validity Ratio (CVR) parameters, with the participation of 25 experts. Results: A Brazilian version with 55 items was obtained, demonstrating good linguistic equivalence to the original version (agreement rate=99.2%), and adjustments in the items writing. CVR values remained above 0.60. Cognitive testing indicated good understanding, confirmed by the 31 participants in this stage, with a short application time (average = 17 minutes). Conclusion: The final version of the instrument showed good linguistic equivalence, strong evidence of content validity and a good response process in the Brazilian context.

RESUMEN Objetivo: Realizar la adaptación transcultural y evaluar las evidencias de validez de contenido del instrumento Eventos Adversos Asociados a las Prácticas de Enfermería en el contexto brasileño. Método: Estudio psicométrico, realizado entre junio de 2021 y febrero de 2023, según los pasos del protocolo del Patient-Reported Outcomes Measurement Information System. Se evaluaron equivalencias semánticas, idiomáticas, experimentales y conceptuales, además de evidencias de validez de contenido, considerando parámetros de Relación de Validez de Contenido (RCV), con 25 participaciones de especialistas. Resultados: Se obtuvo una versión brasileña con 55 ítems, buena equivalencia lingüística a la versión original (tasa de acuerdo=99,2%), y ajustes en la redacción de los ítems. Los valores de RCV se mantuvieron por encima de 0,60. Las pruebas cognitivas indicaron una buena comprensión, confirmada por los 31 participantes en este paso de la investigación, con un tiempo de aplicación corto (promedio = 17 minutos). Conclusión: La versión final del instrumento mostró buena equivalencia lingüística, fuerte evidencia de validez de contenido y buen proceso de respuesta en el contexto brasileño.

RESUMO Objetivo: Realizar a adaptação transcultural e avaliar as evidências de validade de conteúdo do instrumento Eventos Adversos Associados às Práticas de Enfermagem no contexto brasileiro. Método: Estudo psicométrico, realizado entre junho de 2021 e fevereiro de 2023, de acordo com as etapas do protocolo Patient-Reported Outcomes Measurement Information System. Avaliadas as equivalências semântica, idiomática, experimental e conceitual, além das evidências de validade de conteúdo, considerando parâmetros de Content Validity Ratio (CVR), com participação de 25 especialistas. Resultados: Obteve-se versão brasileira com 55 itens, boa equivalência linguística à versão original (taxa de concordância=99,2%), e ajustes na redação dos itens. Os valores de CVR mantiveram-se acima de 0,60. A testagem cognitiva indicou boa compreensão, confirmada pelos 31 participantes dessa etapa, com curto tempo de aplicação (média = 17 minutos). Conclusão: A versão final do instrumento apresentou boa equivalência linguística, fortes evidências de validade de conteúdo e bom processo de resposta no contexto brasileiro.

Facilidades e dificuldades autorreferidas por trabalhadores de enfermagem para retorno ao trabalho após o diagnóstico de câncer / Self-reported facilities and difficulties by nursing workers for return to work after cancer diagnosis / Facilidades y dificultades autodeclaradas por trabajadores de enfermería para el regreso al trabajo después del diagnóstico de cáncer

Objetivo: analisar fatores facilitadores e dificultadores autorreferidos por trabalhadores da saúde para o retorno ao trabalho após o diagnóstico de câncer. Método: estudo descritivo transversal realizado com trabalhadores de enfermagem submetidos a tratamento de câncer, de dois hospitais públicos entre março e dezembro de 2019. Coletara-se dados sociodemográficos, do Índice para Capacidade de Trabalho e do Functional Assessment of Cancer Illness Therapy ­ General, analisados por estatística descritiva. Protocolo aprovado pelo Comitê de Ética em Pesquisa. Resultados: entre os participantes, 81,9% eram do sexo feminino e 54,6% técnicos de enfermagem. A dor foi o principal dificultador (81,9%) e, para todos, o apoio de chefes e colegas de trabalho o principal facilitador. Identificou-se excelente capacidade para o trabalho em 45,5% e qualidade de vida média de 56. Conclusão: para o retorno ao trabalho ser possível, é necessário oferecer suporte ao trabalhador, tanto em função dos efeitos do tratamento do câncer quanto da necessidade de apoio(AU)

Objective: to analyze facilitating and hindering factors self-reported by health workers in returning to work after a cancer diagnosis. Method: cross-sectional descriptive study carried out with nursing workers undergoing cancer treatment in two public hospitals between March and December 2019. Sociodemographic data were collected, from the Work Capacity Index and the Functional Assessment of Cancer Illness Therapy ­ General, analyzed by descriptive statistics. Protocol approved by the Research Ethics Committee. Results: among the participants, 81.9% were female and 54.6% were nursing technicians. Pain was the main obstacle (81.9%) and, for everyone, support from bosses and co-workers was the main facilitator. Excellent work capacity was identified in 45.5% and an average quality of life of 56. Conclusion: for a return to work to be possible, it is necessary to offer support to the worker, both due to the effects of cancer treatment and the need of support(AU)

Objetivo: analizar los factores facilitadores y obstaculizadores autodeclarados por trabajadores de la salud en el regreso al trabajo después de un diagnóstico de cáncer. Método: estudio descriptivo transversal realizado con trabajadores de enfermería en tratamiento oncológico, en dos hospitales públicos, entre marzo y diciembre de 2019. Se recolectaron datos sociodemográficos, del Functional Assessment of Cancer Illness Therapy ­ General (Evaluación Funcional de la Terapia para Enfermedad Oncológica), analizados mediante estadística descriptiva. El Comité de Ética en Investigación aprobó el Protocolo. Resultados: entre los participantes, el 81,9% consistía en mujeres y el 54,6% en técnicos de enfermería. El dolor fue el principal obstáculo (81,9%) y, para todos, el apoyo de jefes y compañeros de trabajo fue el principal facilitador. Se identificó una excelente capacidad de trabajo en un 45,5% y una calidad de vida promedio de 56. Conclusión: para que el retorno al trabajo sea posible, es necesario ofrecer soporte al trabajador, tanto por los efectos del tratamiento del cáncer como por la necesidad de apoyo(AU)

Content validity evidence of the Brazilian version of the Cognitive Symptom Checklist-Work-21 / Evidencia de validez de contenido de la versión brasileña del Cognitive Symptom Checklist-Work-21 / Evidências de validade de conteúdo da versão brasileira do Cognitive Symptom Checklist-Work-21

ABSTRACT Objective: to cross-culturally adapt and assess the content validity evidence of the Cognitive Symptom Checklist-Work-21 for the Brazilian context. Method: a psychometric study of cross-cultural adaptation, covering the stages of translation, reconciliation, back-translation, intercultural equivalence assessment and content validity evidence analysis, considering Content Validity Ratio parameters in breast cancer survivors. Results: the translations were equivalent to the original version. Colloquial expressions were modified, tense, verbal adjusted, and two items containing multiple commands were separated. The final version now contains 22 items, presenting semantic, conceptual, idiomatic and experimental equivalences. The pre-test indicated good understanding and ease in the response process. Conclusion: the final version was defined as "Lista de verificação de sintomas cognitivos relacionados ao trabalho - 22 itens", showing good linguistic equivalence and strong evidence of content validity in the Brazilian context.

RESUMEN Objetivo: realizar la adaptación transcultural y evaluar las evidencias de validez de contenido del Cognitive Symptom Checklist-Work-21 para el contexto brasileño. Método: estudio psicométrico de adaptación transcultural, abarcando las etapas de traducción, reconciliación, retrotraducción, evaluación de equivalencia intercultural y análisis de evidencias de validez de contenido, considerando parámetros de Content Validity Ratio en sobrevivientes de cáncer de mama. Resultados: las traducciones fueron equivalentes a la versión original. Se modificaron las expresiones coloquiales, se tensaron, se ajustaron las verbales y se separaron dos ítems que contenían múltiples comandos. La versión final ahora contiene 22 ítems, presentando equivalencia semántica, conceptual, idiomática y experimental. El pre-test indicó buena comprensión y facilidad en el proceso de respuesta. Conclusión: la versión final fue definida como "Lista de verificação de sintomas cognitivos relacionados ao trabalho - 22 itens", mostrando buena equivalencia lingüística y fuerte evidencia de validez de contenido en el contexto brasileño.

RESUMO Objetivo: realizar a adaptação transcultural e avaliar as evidências de validade de conteúdo do Cognitive Symptom Checklist-Work-21 para o contexto brasileiro. Método: estudo psicométrico de adaptação transcultural, abrangendo as etapas de tradução, reconciliação, retrotradução, avaliação de equivalência intercultural e análise das evidências de validade de conteúdo, considerando parâmetros de Content Validy Ratio em sobreviventes de câncer de mama. Resultados: as traduções demonstraram equivalência à versão original. Expressões coloquiais foram modificadas, o tempo verbal ajustado, e dois itens contendo múltiplos comandos foram separados. A versão final passou a conter 22 itens, apresentando equivalências semântica, conceitual, idiomática e experimental. Os valores de CVR mantiveram-se acima de 0,87. O pré-teste indicou boa compreensão e facilidade no processo de resposta. Conclusão: a versão final foi definida como "Lista de verificação de sintomas cognitivos relacionados ao trabalho - 22 itens", apresentando boa equivalência linguística e fortes evidências de validade de conteúdo no contexto brasileiro.

The measurement of musculoskeletal pain intensity: a comparison of four methods.

The aim of this study was to evaluate the reliability of four scales of pain intensity measurement in patients with musculoskeletal disorders and low educational level. Verbal rating scale, face scale, visual analogy scale, and numeric scale were used. Reliability was evaluated by the stability (test-retest) using Intraclass Correlation Coefficient, and the participant's perception on understanding and completing the scale forms. Numerical scale presented the highest reliability value (r = 0.99), and verbal rating scale, had the lowest reliability value (r = 0.88). The numerical scale was considered the easiest to understand and to complete, while the most difficult was the visual analogy scale.