Validity of an instrument on Nursing care for people with chronic wounds

Objective: to build and validate the content of an instrument to investigate changes in the Nursing care provided to people with chronic wounds. Methods: methodological study, consisting of the stages of development and content validity, according to the criteria of clarity and relevance, by six judges, using the Delphi technique in two rounds. A Coefficient of Content Validity ≥ 0.8 was considered adequate. Results: the first version of the instrument contained 15 questions and after the judges’ evaluation it was reduced to 11, addressing the periods before and during the pandemic. In the second round of evaluation, it was verified that the instrument showed a total content validity coefficient equal to 0.96. Conclusion: the instrument showed evidence of content validity and can be used to investigate possible changes resulting from the pandemic of COVID-19 in the Nursing care of people with chronic wounds in Primary Care.

Therapeutic itinerary of patients with chronic low-back pain attending outpatient physiotherapy clinic

Objective: to assess therapeutic itinerary of patients with chronic low-back pain. Methods: qualitative study involving the use of an in-depth semi structured interviews were used to collect data on therapeutic itinerary among ten patients with chronic low-back pain who from physiotherapy clinic of a tertiary hospital. Data was analysed using thematic content analysis. Results: emerging themes were as follows: onset of low-back pain, symptoms that initiated the journey for care, steps taken to find pain relief, respondent’s perception on care received, interference of chronic low-back pain with normal life, family and relations, multiple practices in which chronic low-back pain patients are involved, perception of effectiveness of the multiple practices, and hurdles to seeking care. Conclusion: patients with chronic low-back pain take different routes in search of care. Chronic low-back pain markedly altered patients’ life and made them prone to practicing medical pluralism.

The role of researchers after the COVID-19 pandemic

In late 2019, the first cases of a disease, which would come to be known as COVID-19, emerged in a Chinese city, known for being the home to a market where wild animals were relatively common and to a virology laboratory of the highest security level. Coincidence or not, the debate about the origin of the disease involves these two places, and a lot of political interest. On the other hand, the tragedy that became one of the deadliest pandemics ever recorded has several other elements that are more or less important, depending on the moment and context.

Spatiotemporal pattern and indicators associated with suicide

Objective: to analyze the spatiotemporal pattern and indicators associated with the occurrence of suicide. Methods: ecological study that analyzed the deaths by suicide repor- ted in the Mortality Information System. For temporal and spatial analysis, the Joinpoint and Scan methods were employed, respectively. Multivariate analysis was performed by the Ordinary Least Squares Estimation model, considering p<0.05. Results: significant growth in suicide mortality of 4.2% per year was observed. The highest Bayesian mortality rates ranged from 8.90 to 13.49 deaths per 100,000 population. Five statistically significant spatial clusters were identified (p<0.050). The primary cluster encompassed 64 municipalities, with a suicide risk 1.38 times higher (p<0.001). The indicators associated with suicide were Urbanization rate (β=0.07; p=0.020) and Employment & income (β=-9.40; p=0.030). Conclusion: there was a significant increase in suicide, and five spatial clusters were identified. The indicators Urbanization rate and Employment & income were associated with the grievance.

Construction of a nursing care instrument for patients with central venous catheters

Objective: to build a nursing care instrument for patients with short-term central venous catheters in an Intensive Care Unit. Methods: a multi-method study in three stages: structuring of the instrument; pre-testing of the instrument; agreement analyses among nurses and final composition of the instrument. Results: the instrument, in its first version, presented three domains related to the moment of insertion (five items), maintenance (15 items) and catheter removal (ten items). Most of the 30 items were assessed as relevant (23/77%) and presented a satisfactory Content Validity Index (28/93%). Ten items were reformulated, 32 new items were included, and three items were deleted. Conclusion: the instrument was constructed, which presented response validity for the care of nurses to patients with central venous catheters in Intensive Care Units, consisting of three domains and 59 items evaluated by nurses and considered appropriate for the moments of insertion, maintenance and removal of the catheter.

Evaluation of the quality of life of cancer patients undergoing chemotherapy

Objective: to assess the quality of life of cancer patients undergoing chemotherapy. Methods: a cross-sectional study carried out in the chemotherapy sector with 51 patients able to answer the data collection instruments. For the analyses, we adopted the variance analysis and Student’s t. Results: the health score indicated moderate quality of life and the symptoms nausea and vomiting, diarrhea, and dyspnea were the most present. The scores of the global health scale showed differences between age groups and presence of metastasis; diarrhea and financial difficulties showed differences with respect to gender; pain was more cited by those who did not undergo surgery; insomnia and nausea and vomiting were related to the time of treatment. Conclusion: participants had moderate overall health scores and the main functional levels affected by the treatment were social and emotional.

Access to the care network by children and adolescents with special health needs

Objective: to understand the access to the care network for children and adolescents with special needs from the perspective of professionals. Methods: qualitative study carried out in an Association of Parents and Friends of Exceptional Children. The semi-structured interview was used,with representation through the cloud of words. Participated in the research 11 professionals who work in health care and special education. Results: from the professionals’ perspective, the access to the network of care for children and adolescents comes from the special care and education offered by the Association. The participants highlighted the difficulties of access of children and adolescents to health services and the diversity of activities used so that they can socialize, interact, and form bonds. Conclusion: the access of children and adolescents to the attention network occurs through the services of the Association, represented by the clinic for health care and the school for development and social inclusion.

Experiencing pregnancy at an advanced maternal age in a private hospital

Objective: to describe the experiences of pregnant women at advanced maternal age assisted in a private hospital. Methods: a qualitative study, carried out with 17 women, by means of semi-structured interviews via telephone. The data was submitted to Thematic Content Analysis. Results: the participants were between 35 and 40 years old. Two categories emerged: Experiencing pregnancy as a couple and family: the preparation of the couple for pregnancy and childbirth (Pregnancy after 35 years old as an element of potentiality; Change in the family routine for the baby’s arrival) and Experiencing pregnancy and its changes: perceiving pregnancy as a healthy and calm experience (Change in emotional patterns related to the pregnancy process). Conclusion: experiencing pregnancy late in life was not a concern for women. Maturity and favorable socioeconomic conditions may have a protective influence on the course of healthy pregnancies in women attending the private health service.

Comparison of physical activity and sedentary behavior levels in secondary and university students

Objective: to compare physical activity and sedentary behavior in university students and secondary students. Methods: the cross-sectional study involved 202 selected secondary students and 171 university students. The Global Physical Activity Questionnaire was administered to the respondents. Percentages, chi-square test, Mann Whitney U test and linear regression were used for data analysis. Results: about 63% and 32% of secondary and university students, respectively, reported high levels of physical activity, while 84.7% and 71.9% of secondary and undergraduate students, respectively, met guidelines for sedentary behavior. The secondary students had significantly higher scores than the university students in vigorous (p=0.004), moderate (p<0.001), and total physical activity (p<0.001). The observed difference was more prominent among females. Conclusion: secondary students had higher scores of physical activity and spent less time in sedentary behavior.

Nurses’ perceptions of counseling and rapid testing for sexually transmitted infections

Objective: to understand Family Health Strategy nurses’ perceptions on counseling and rapid testing for sexually transmitted infections. Methods: this is a qualitative study, with data triangulation. Data collection was conducted through a semi-structured interview with seven nurses from Family Health Strategy. For systematization and data processing, content analysis was adopted in the thematic modality. Results: after analysis, four categories emerged: Rapid test training; Counseling conduction; Ease in rapid testing offer; and Challenges offering rapid testing. Conclusion: nurses’ perceptions were related to difficulties in the face of pre and posttest counseling, requiring improvement, permanent education and training for professional preparation, and the logistics of inputs and materials, in addition to changes in the physical structure of the units.