Rev Enferm UFPI https://periodicos.ufpi.br/index.php/reufpi <p>A Revista de Enfermagem da UFPI (REUFPI) é um periódico on-line, editado pelo Programa de Pós-Graduação em Enfermagem/Departamento de Enfermagem da Universidade Federal do Piauí (UFPI) e sua primeira edição foi publicada em 2012. Atualmente, <strong>possui Qualis B1 (2017/2020).</strong> Está entre as 50 revistas mais citadas na Iberoamerica de acordo com o <em>Ranking Citacion Cuiden</em> e utiliza o <em>Digital Object Identifier</em> (DOI®).</p> <p>O periódico tem como missão promover disseminação do conhecimento científico e da prática profissional da enfermagem e de outras áreas da saúde, por meio da publicação de manuscritos empíricos ou teóricos, com foco na interlocução internacional. </p> <p>A partir de 2020, a REUFPI, passou a adotar o sistema de fluxo contínuo (<em>rolling pass</em>). Aceita manuscritos nas línguas portuguesa, inglesa e espanhola. Destina-se a publicação de manuscritos originais de pesquisa, revisão, relato de experiência, reflexão, protocolos de ensaio clínico e de revisão e cartas ao editor, desde que atendam às suas normas de publicação. Destaca-se que serão aceitos para submissão manuscritos publicados em repositórios preprints.</p> <p><strong>ISSN eletrônico:</strong> 2238-7234</p> EDUFPI pt-BR Rev Enferm UFPI 2238-7234 <p>Autores mantém os direitos autorais e concedem à REUFPI o direito de primeira publicação, com o trabalho licenciado sob a <strong><a href="https://creativecommons.org/licenses/by/4.0/" target="_blank" rel="noopener"><em>Licença Creative Commons Attibution BY</em> 4.0</a> </strong>que permite o compartilhamento do trabalho com reconhecimento da autoria e publicação inicial nesta revista.</p> Primary health care professionals' knowledge about compulsory notification diseases and health problems https://periodicos.ufpi.br/index.php/reufpi/article/view/3180 <p><strong>Objective:</strong> To evaluate Primary Health Care professionals' knowledge about compulsory notification diseases and health problems. <strong>Methods:</strong> A cross-sectional study conducted between August and December 2021 with 30 Primary Health Care professionals from Tauá - Ceará. A questionnaire was used for the sociodemographic and professional characterization and for the knowledge assessment of compulsory notification diseases and health problems. The data were analyzed with descriptive and inferential statistics. <strong>Results:</strong> Of the 30 participants, six (20.0%) correctly identified all items with compulsory notification diseases and health problems. The following was properly identified by almost all participants: dengue (27; 90.0%); leprosy (26; 86.7%); and tuberculosis (26; 86.7%). Severe work-related accidents (17; 56.7%), domestic violence (17; 56.7%) and schistosomiasis (17; 56.7%) obtained the lowest proportions of correct identification. The professionals that had greater knowledge about compulsory notification concepts and guidelines were also those who were able to properly identify more diseases and health problems (rs=0.475; p=0.008). <strong>Conclusion:</strong> The professionals have difficulty identifying compulsory notification diseases and health problems, especially those with little prevalence in the municipality where they work and problems such as domestic violence and severe work-related accidents. Investing in the permanent education of professionals can contribute to reducing underreporting.</p> Raiane Melo de Oliveira Andressa Suelly Saturnino de Oliveira Natasha Marques Frota Gilvan Ferreira Felipe Copyright (c) 2024 Rev Enferm UFPI https://creativecommons.org/licenses/by/4.0/ 2024-05-08 2024-05-08 13 1 10.26694/reufpi.v13i1.3180 Knowledge and practice of primary care nurses about autism spectrum disorder https://periodicos.ufpi.br/index.php/reufpi/article/view/3953 <p><strong>Objective:</strong> To evaluate the knowledge and practice of nurses from primary health care units about autism spectrum disorder. <strong>Method:</strong> Cross-sectional, quantitative study with 42 primary care nurses from Teresina, Piauí. A questionnaire on professional characteristics and knowledge was used. Simple frequency analyses and associations between variables were performed, adopting a maximum likelihood test with p‹0.05. <strong>Results:</strong> There was a predominance of nurses aged 23 to 72 years, female (95.2%) and with more than ten years of experience (78.6%). Most (95.2%) reported insufficient knowledge during the graduation, 88.1% assisted or suspected of children with characteristics of autism spectrum disorder in childcare consultations, 85.7% did not know screening instruments and none received training from the service. Medium level of knowledge (66.7%) prevailed, but with deficits in content on characteristics and etiology. There was a statistically significant association between level of knowledge and age group (p=0.033). <strong>Conclusion:</strong> There is a need for appropriate undergraduate training and continuing education for professionals.</p> Daniela dos Santos Mangueira de Almeida Adriana Sousa Carvalho de Aguiar Lorena Uchôa Portela Veloso Arethuza de Melo Brito Carvalho Paulo César de Almeida Copyright (c) 2024 Rev Enferm UFPI https://creativecommons.org/licenses/by/4.0/ 2024-02-17 2024-02-17 13 1 10.26694/reufpi.v13i1.3953 Breastfeeding in primary health care: weaknesses and potentialities of nursing care https://periodicos.ufpi.br/index.php/reufpi/article/view/4092 <p><strong>Objective: </strong>To identify the weaknesses and potentialities of nursing care for breastfeeding in Primary Health Care (PHC).<strong> Methods: </strong>A qualitative study developed through workshops held in September 2021 with 43 nursing professionals.<strong> Results: </strong>Two categories emerged: “Weaknesses of breastfeeding nursing care in PHC” and “Potentialities of breastfeeding nursing care in PHC”. Weaknesses permeate the discourse, which is often not in line with the reality of the postpartum period, lack of theoretical and practical knowledge, cultural influences, short maternity and paternity leave, shortage of professionals, absence of meetings, inappropriate physical space, limited time for care, failure to address the issue and lack of training. Presented as potentialities are the availability of professionals for guidance in different environments, the work of community health agents, the existence of the Women’s, Children’s and Adolescents’ Health Center, the Municipal Breastfeeding Support Network, the use of technology and encouraging the participation of partners from prenatal to postpartum. <strong>Conclusion: </strong>It is necessary to consider the weaknesses identified in order to develop improvement actions focused on increasing breastfeeding indices. As for the strengths, they reflect successful practices that can support and guide other nursing services.</p> Gisele Basso Zanlorenzi Marilene Wall Marcus Vinicius da Rocha Santos da Silva Bruna Piahui dos Santos Jaqueline Alves Soares Varjão Evelin Mayara de Oliveira Silva Azevedo Karin Rosa Persegona Ogradowski Copyright (c) 2024 Rev Enferm UFPI https://creativecommons.org/licenses/by/4.0/ 2024-04-05 2024-04-05 13 1 10.26694/reufpi.v13i1.4092 Predictive validity of the EVARUCI scale for intensive care patients https://periodicos.ufpi.br/index.php/reufpi/article/view/4238 <p><strong>Objective:</strong> To evaluate the predictive validity of the EVARUCI scale for intensive care patients. <strong>Methods:</strong> This is a retrospective longitudinal study with secondary data carried out in a reference ICU in neurology and trauma-orthopedics. The study population consisted of all users who were admitted to the ICU between January and December 2020, excluding those with a length of stay of less than 48 hours, and those who died as an outcome. Data were collected regarding admission, the first 48 hours of hospitalization and discharge. <strong>Results:</strong> The profile found was of young men, victims of external causes. The incidence of PI was 18.9%, higher EVARUCI scores were recorded on admission. The sensitivity of the test was 90.9% and 72.73%, the specificity was 16.9% and 48.9%, the positive predictive validity was 20.27% and 24.74%, and the negative validity was 88.89% and 88.46% at admission and first 48 hours, respectively. <strong>Conclusion:</strong> The scale was unable to satisfactorily predict high risk. However, it was satisfactory to predict the low risk for PI, patients who scored less than 10 on the scale were less likely to develop the lesions.</p> Larissa Milena Carvalho Gomes Vitória de Barros Siqueira Copyright (c) 2024 Rev Enferm UFPI https://creativecommons.org/licenses/by/4.0/ 2024-02-17 2024-02-17 13 1 10.26694/reufpi.v13i1.4238 Mortality due to cervical cancer in a capital of the brazilian Amazon https://periodicos.ufpi.br/index.php/reufpi/article/view/4528 <p><strong>Objective: </strong>To analyze mortality from cervical cancer in the city of Belém-Pará-Brazil. <strong>Methods: </strong>Epidemiological, cross-sectional, descriptive study with data on mortality from cervical cancer for the period 2013-2020, obtained from the Mortality Information System and made available by the Pará State Department of Public Health. All reported deaths of women living in the municipality of Belém were included. Data were obtained in June 2022. A descriptive analysis of the socio-epidemiological profile was carried out; mortality rates were calculated according to the year of occurrence; and trend analysis was performed using simple linear regression<strong>. Results: </strong>A total of 695 deaths were analyzed, with the highest proportion identified in women aged between 50 and 69 years old (43%; n=149), housewives (59%; n=410), single women (39.9%; n=277) and low education, proportionally. The rates were high and tended to increase in the series studied. The period 2015-2017 stands out as the most significant indices. <strong>Conclusion: </strong>The evidence obtained points to a higher proportion of deaths from CC among women with low education, housewives, single women, aged between 50 and 69 years old. The findings suggest improving actions to promote women's health and prevent cervical cancer, with improvements in screening actions for the disease.</p> Raquel Gomes da Silva Laura Maria Vidal Nogueira Fernanda Gomes Gatinho Kalene Ramos Silva Marllon Rodrigo Sousa Santos Lidiane de Nazaré Mota Trindade Copyright (c) 2024 Rev Enferm UFPI https://creativecommons.org/licenses/by/4.0/ 2024-02-17 2024-02-17 13 1 10.26694/reufpi.v13i1.4528 Social representations of pregnant women about pregnancy during prenatal care https://periodicos.ufpi.br/index.php/reufpi/article/view/3602 <p><strong>Objective:</strong> To understand the social representations of pregnant women about pregnancy during the prenatal period. <strong>Methods:</strong> A qualitative study, guided by the theoretical assumptions of the Social and Methodological Representations of the Convergent Care Research, carried out with 11 pregnant women accompanied by the family health strategy, after approval by the Ethics Committee. For data collection, an in-depth individual interview and the convergence group method were carried out during September to November 2016. The data obtained was subjected to content analysis. <strong>Results:</strong> Data analysis resulted in two categories: discovery of pregnancy and; pregnancy as a state of change. It was evident that representations of pregnancy are anchored in the realization of the dream and in the religious belief that involves motherhood, as well as in the family constitution and increased sense of responsibility. <strong>Final considerations:</strong> It is understood from the study that pregnancy, even causing physical, psychological and social changes, is something expected by women and that generates multiple feelings and causes changes.</p> Maria Adelaide Moura da Silveira Antonia Regynara Moreira Rodrigues Sibele Lima da Costa Dantas Laura Pinto Torres de Melo Ana Virgínia de Melo Fialho Dafne Paiva Rodrigues Copyright (c) 2024 Rev Enferm UFPI https://creativecommons.org/licenses/by/4.0/ 2024-01-25 2024-01-25 13 1 10.26694/reufpi.v13i1.3602 Educational technology for pregnant women on rapid HIV testing: validation study https://periodicos.ufpi.br/index.php/reufpi/article/view/4206 <p><strong>Objective: </strong>To describe the process of validating a booklet for pregnant women on the rapid test for the Human Immunodeficiency Virus.<strong> Method: </strong>Methodological research with a quantitative approach, with an emphasis on content and appearance validation. Data collection took place between January and August 2020, with the application of two online questionnaires, one for 14 health judges and the other for four judges from other areas. Descriptive statistics were used to obtain the Content Validity Index (minimum 0.7) and the Suitability Assessment of Materials score (minimum ten points).<strong> Results: </strong>The Content Validity Index was 0.8 and the SAM score was 25.25.<strong> Conclusion: </strong>The booklet was considered adequate in terms of content and appearance, and can mediate educational actions with pregnant women on rapid HIV testing.</p> Mariana Matias de Sousa Ana Cláudia Paiva Cardoso Paiva Cardoso Bruno Raphael da Silva Feitosa Marlucilena Pinheiro da Silva Elizabeth Teixeira Francineide Pereira da Silva Pena Camila Rodrigues Barbosa Nemer Copyright (c) 2024 Rev Enferm UFPI https://creativecommons.org/licenses/by/4.0/ 2024-04-05 2024-04-05 13 1 10.26694/reufpi.v13i1.4206 Health education for people living with HIV in partial virologic suppression: convergent care research https://periodicos.ufpi.br/index.php/reufpi/article/view/4249 <p><strong>Objective:</strong> To analyze the process of implementing health education for people living with HIV in partial viral suppression with a view to rescuing adherence to antiretroviral therapy. <strong>Methods:</strong> Convergent Care Research carried out with 13 HIV-infected people, with partial viral suppression. Through the stages of conception, instrumentation, scrutiny and analysis, the reasons for treatment failures were identified, health education was implemented and the process was analyzed with interviews and content analysis. The educational process took place with the support of educational technology: Educational Material on HIV (INPI: BR 10 2020 003765 0). <strong>Results:</strong> Treatment failures were due to the following reasons: side effects, prejudice, family problems, difficulty in accessing the health service and forgetfulness. Three categories emerged from the speeches after the intervention: 1- Awakening to the importance of the correct use of antiretroviral therapy; 2- Feelings arising from the educational process; 3- Knowledge and overcoming social stigmas. <strong>Conclusion:</strong> Educational technology, added to the choice of participatory research as a method, provided learning for all involved, making it possible to perceive the importance of strengthening the teaching-service bond, the use of dialogue in the context of collectivity and investigative convergence for care practice.</p> Lilian Caroline Souza Andressa Midori Sakai Ieda Harumi Higarashi Flavia Meneguetti Pieri Juliana Helena Montezeli Gilselena Kerbauy Copyright (c) 2024 Rev Enferm UFPI https://creativecommons.org/licenses/by/4.0/ 2024-02-17 2024-02-17 13 1 10.26694/reufpi.v13i1.4249 Academic-professional trajectory of black nurses in a teaching hospital https://periodicos.ufpi.br/index.php/reufpi/article/view/4570 <p><strong>Objective:</strong> To know the academic-professional trajectory of black nurses in a teaching hospital. <strong>Methods:</strong> Qualitative, exploratory and descriptive study carried out at the Teaching Hospital of the Federal University of Pelotas, Rio Grande do Sul, Brazil. The participants were five self-declared black nurses, aged between 35 and 47 years, graduated nine to twenty years ago, working in the aforementioned teaching hospital for five to six years. The interviews were conducted virtually from May to June 2022. The content produced was transcribed in full and treated through content analysis. The research followed all ethical principles. <strong>Results:</strong> Black nurses reported difficulties, mainly financial, which impacted the access and the possibility to continue in university education during training. In addition, they revealed situations of racism experienced in daily life, whether in structural, institutional forms or in the form of microaggressions. Despite this, they understand the importance of their protagonism in the anti-racist struggle. <strong>Conclusion:</strong> There is a need for more studies involving black women and nursing, the impact of racism on the mental health of black professionals, in addition to greater efforts to combat racism.</p> Renata Vieira Avila Íria Ramos Oliveira Taís Alves Farias Marina Soares Mota Adrize Rutz Porto Juliane Portela Ribeiro Copyright (c) 2024 Rev Enferm UFPI https://creativecommons.org/licenses/by/4.0/ 2024-04-05 2024-04-05 13 1 10.26694/reufpi.v13i1.4570 Obstetric violence as perceived by nursing students https://periodicos.ufpi.br/index.php/reufpi/article/view/3819 <p><strong>Objective:</strong> To identify the perception of Nursing students about the understanding, causes, and prevention actions of obstetric violence. <strong>Method:</strong> A descriptive, exploratory, and qualitative study carried out at a private university center in Paraná. The data was collected from June to July 2022, using a semi-structured questionnaire for 10 Nursing students and submitted to thematic content analysis. <strong>Results:</strong> The following category emerged: knowledge of Nursing students about obstetric violence, made up of two subcategories: obstetric violence: concept, types, and understanding of the causes in the perception of Nursing students; and empowerment of women, active listening and training of health professionals to prevent practices that constitute obstetric violence. According to the interviewees, obstetric violence is characterized by abuse and mistreatment by health professionals, in its physical, verbal, moral, psychological, and sexual forms. Professional and structural issues were identified as the main causes, while professional training and women's empowerment were identified as factors for preventing the problem. <strong>Final considerations:</strong> The students understood the practices characterized as obstetric violence, were familiar with their main causes, and pointed to professional training and the need to provide women with preventive actions against this type of violence in obstetric services.</p> Kamila Machado Correa Josemar Batista Suellen da Rocha Lage Moraes Copyright (c) 2024 Rev Enferm UFPI https://creativecommons.org/licenses/by/4.0/ 2024-04-05 2024-04-05 13 1 10.26694/reufpi.v13i1.3819 The performance of nurses: practices, potential and weaknesses in high-risk prenatal care https://periodicos.ufpi.br/index.php/reufpi/article/view/4080 <p><strong>Objective</strong>: To analyze the potential and weaknesses of nurses in the provision of high-risk prenatal care. <strong>Methods</strong>: Qualitative research, carried out with six nurses from the high-risk outpatient clinic of a reference maternity hospital in the municipality of Teresina, Piauí. Data were collected from February to March 2020 through semi-structured interviews and examined according to content analysis. <strong>Results</strong>: Nurses can provide high-risk prenatal care with emotional support, embracement and educational practices that directly impact maternal morbidity and mortality. The potentialities were the adequate physical space and the length of service in the institution and the fragility was the lack of nursing consultation. <strong>Conclusion</strong>: It was evidenced that nurses do not fully develop all the practices recommended by the Ministry of Health. Despite this, there is potential in the performance, namely, their acquired knowledge, and physical space, and the materials. These aspects facilitate the development of care practices that can promote a healthy birth and reduce maternal mortality. In addition, nurses aim for recognition and greater protagonism in specialized prenatal care.</p> Ellen Eduarda Santos Ribeiro Lívia Carvalho Pereira Girzia Sammya Tajra Rocha Antonio Rodrigues Ferreira Júnior Rosilane de Lima Brito Magalhães Herla Maria Furtado Jorge Copyright (c) 2024 Rev Enferm UFPI https://creativecommons.org/licenses/by/4.0/ 2024-02-17 2024-02-17 13 1 10.26694/reufpi.v13i1.4080 Reduction in life activities after hospitalization for COVID-19 in intensive care units https://periodicos.ufpi.br/index.php/reufpi/article/view/4151 <p><strong>Objective:</strong> To verify the factors associated with reduction in life activities in patients 12 months after discharge from the COVID-19 ICU. <strong>Methods:</strong> This is a cross-sectional, analytical study with a quantitative approach, based on primary data from patients at the Hospital Universitário Regional dos Campos Gerais, Paraná, Brazil. The final sample consisted of 32 patients discharged from the ICU between March 2020 and March 2021. <strong>Results:</strong> There was statistical evidence of a difference between the means of the groups in the domains Life Activities (p= 0.0001) and Disability (p&lt; 0.0001), confirming that the disabled group has a worse indicator of disability in this domain; as also occurs between the geometric means of the groups. <strong>Conclusion:</strong> The most prevalent factors associated with reduction in life activities were those involving the physical and psychological domains, directly influencing their recovery. In addition, future research could focus on specific intervention strategies to minimize the impact of these sequelae and improve rehabilitation in COVID-19 patients.</p> Hevelyn Mayara Traleski Martins Ianka do Amaral Thayná Kimberly Pereira de Souza Carolina Ribeiro Duarte Gabriela Fernanda Schiochet Cristina Berger Fadel Celso Bilynkievycz dos Santos Copyright (c) 2024 Rev Enferm UFPI https://creativecommons.org/licenses/by/4.0/ 2024-02-17 2024-02-17 13 1 10.26694/reufpi.v13i1.4151 Sexual education in health: ways to empower women who have sex with women https://periodicos.ufpi.br/index.php/reufpi/article/view/4585 <p><strong>Objective: </strong>To understand how health education on sexual health can contribute to the empowerment of women who have sex with women.<strong> Methods: </strong>This is a descriptive study with a qualitative approach, mediated by action research. It corresponds to the intervention stage, which was based on the situational diagnosis, the focus of another article. <strong>Results: </strong>Three educational actions were carried out with the study participants, with the aim of transforming the reality experienced by these women in terms of the obstacles encountered in promoting sexual health. Each intervention focused on problems found in the situational diagnosis, based on semi-structured interviews with seven university students.<strong> Conclusion: </strong>The promotion of sexual health education expands the role of women who have sex with women through the construction of knowledge, enabling them to be less susceptible to Sexually Transmitted Infections (STIs).</p> Alisson Rener Araújo Dantas Anna Kalyne César Grangeiro Adriano Jonathan Pereira de Sousa Isabela Lunara Alves Barbalho Petra Kelly Rabelo de Sousa Fernandes Marcelo Costa Fernandes Copyright (c) 2024 Rev Enferm UFPI https://creativecommons.org/licenses/by/4.0/ 2024-01-25 2024-01-25 13 1 10.26694/reufpi.v13i1.4585 Psychoactive substances: consumption among workers from the mobile urgency care system https://periodicos.ufpi.br/index.php/reufpi/article/view/3929 <p><strong>Objective:</strong> To evaluate the consumption of psychoactive substances by health workers from the Mobile Urgency Care Service. <strong>Methods:</strong> A cross-sectional study conducted at a Public Health service located in a city in Piauí. Data collection took place from January to March 2019 by applying the following instruments in personal interviews: one with occupational, sociodemographic and economic characteristics; and the <em>Alcohol, Smoking and Substance Involvement Screening Test</em> (ASSIST). The data were organized and processed in the <em>Statistical Package for the Social Sciences</em> (SPSS) software (version 19.0). <strong>Results:</strong> Of the 68 health professionals, 42 were male, with a mean age of 49.8 years old. Among them, 44 were married and 48 were Catholics. The most prevalent professional category was Nursing Technician, accounting for 46.2%. Among these workers, alcohol was the most used psychoactive substance (54 professionals), followed by tobacco consumption (25) and hypnotics (8). It is noted that tobacco was the substance most commonly used on a daily basis. <strong>Conclusion:</strong> Consumption of psychoactive substances among health professionals was evident and can be related to the pressure resulting from these positions. Attention is drawn to the importance of expanding this debate and addressing health workers' mental health.</p> Márcia Astrês Fernandes Mayrla Karen Rodrigues Mesquita Danielle Machado Oliveira de Moura Janaina dos Santos Francisco de Paula Angela dos Santos Silva Rosa Jordana Carvalho Sandra Cristina Pillon Copyright (c) 2024 Rev Enferm UFPI https://creativecommons.org/licenses/by/4.0/ 2024-02-17 2024-02-17 13 1 10.26694/reufpi.v13i1.3929 (Survivig) living on the streets in times of the Covid-19 pandemic https://periodicos.ufpi.br/index.php/reufpi/article/view/4081 <p><strong>Objective:</strong> To understand the repercussions and ways of coping with Covid-19 in the daily lives of the homeless population.<strong> Method:</strong> Qualitative study, carried out in a capital of the Northeast of Brazil, from May to July 2021. Thirty-one people who are part of the homeless population participated through an interview. Data processing took place using the IRaMuTeQ 0.7 alpha 2 software, resulting in analyses: similarity, word cloud and dendrogram. Thematic analysis was used, according to Bardin. <strong>Results:</strong> From the discourse of the homeless population with Covid-19, it was observed in relation to health care: provision of aid in the pandemic period; fear of becoming ill by Covid-19 and acquisition of barrier measures; needs faced during the pandemic and implementation of hygiene measures. Living on the streets increased its vulnerability during the pandemic period, although in our study it was observed that health care gained potential through the availability of the office on the street, with its humanization of assistance and welcoming care. <strong>Conclusion:</strong> The impacts of Covid-19 on the ways of coping with HLP occurred in socio-emotional aspects, in the provision of prevention measures and social support.</p> Bárbara Letícia de Queiroz Xavier Vinícius Rodrigues de Oliveira Brenda dos Santos Teixeira Amanda Soares Jeferson Falcão do Amaral Harlon França de Menezes Richardson Augusto Rosendo da Silva Copyright (c) 2024 Rev Enferm UFPI https://creativecommons.org/licenses/by/4.0/ 2024-02-17 2024-02-17 13 1 10.26694/reufpi.v13i1.4081 Physicians' knowledge, attitude and practice about reporting work-related accidents in primary care https://periodicos.ufpi.br/index.php/reufpi/article/view/4160 <p><strong>Objective: </strong>To evaluate physicians' knowledge, attitude and practice (KAP) on Work-related Accident Reports (<em>Comunicações de Acidentes de Trabalho</em>, CATs) in Primary Care. <strong>Methods: </strong>A cross-sectional study carried out from November 2020 to January 2021, with application of the Survey to 229 physicians from Fortaleza, Ceará. The instrument was sent electronically with questions about knowledge, attitude and practice in relation to the CAT. The project was approved by a Research Ethics Committee under opinion No. 4.263.48. <strong>Results: </strong>The highest inadequacy rate was related to practice (85.59%). Inadequate knowledge was associated with the existence of different forms of medical employment (<em>p=</em>0.04), inadequate practice (<em>p&lt;</em>0.001) and inadequate attitude (<em>p=</em>0.009). Inadequate attitude was associated with inadequate practice (<em>p=</em>0.026) and inadequate knowledge (<em>p=</em>0.009). Furthermore, 88.21% of the participants (n=202) stated that they had never filled in the CAT. Inadequate practices were associated with inadequate knowledge (<em>p&lt;</em>0.001) and inadequate attitude (<em>p=</em>0.026).<strong> Conclusion: </strong>The physicians' knowledge, attitude and practice in relation to the CAT need to be improved.</p> Otenberg Nogueira de Souza Júnior Bruno Souza Benevides Márcio Flávio Moura de Araújo Sharmênia de Araújo Soares Nuto Lívia Moreira Barros Samuel Carvalho Guimarães Roberto Wagner Júnior Freire de Freitas Copyright (c) 2024 Rev Enferm UFPI https://creativecommons.org/licenses/by/4.0/ 2024-05-08 2024-05-08 13 1 10.26694/reufpi.v13i1.4160 Permanent health education in the work process of primary health care nurses https://periodicos.ufpi.br/index.php/reufpi/article/view/4235 <p><strong>Objective: </strong>To analyze the insertion of the dimensions of the quadrilateral of Permanent Health Education in the work process under the perception of Primary Health Care nurses. <strong>Methods: </strong>This is an exploratory-descriptive qualitative study carried out in a municipality belonging to the Macroregion of Fortaleza-Ceará. The study sample consisted of 30 nurses working in Primary Care. Data collection took place between November 2019 and February 2020, in which the semi-structured interview script was used and, soon after, the thematic Content Analysis, proposed by Bardin, was carried out.<strong> Results: </strong>After compiling and analyzing the narratives, they were divided into thematic units, consistent with the dimensions of Permanent Health Education (teaching, sectoral management, health care and social control) in the nurses' work process. <strong>Conclusion: </strong>Nurses understand the training policy with emphasis on specific, fragmented and decontextualized actions in the context of the service occurring through nurses from several higher education institutions, with no fixed periodicity to happen and no plan for this process.</p> Naiara Martins e Silva Oliveira Cícero Damon Carvalho de Alencar José Benedito dos Santos Batista Neto Ana Cristina Henrique de Souza José Adelmo da Silva Filho Heraldo Simões Ferreira Luisa Helena de Oliveira Lima Antonio Germane Alves Pinto Copyright (c) 2024 Rev Enferm UFPI https://creativecommons.org/licenses/by/4.0/ 2024-05-08 2024-05-08 13 1 10.26694/reufpi.v13i1.4235 Palliative care for people with neoplastic wounds: perceptions and practices of the nursing team https://periodicos.ufpi.br/index.php/reufpi/article/view/4420 <p><strong>Objective: </strong>To understand the perceptions and practices of the nursing team in assisting people in palliative care with neoplastic wounds. <strong>Method: </strong>A descriptive study with a qualitative approach, carried out with 12 nursing professionals working in a Level II High Complexity Oncology Hospital, located in the interior of Minas Gerais, Brazil, in 2022. Data was collected through semi-structured interviews and analyzed according to the method proposed by Bardin.<strong> Results: </strong>Three thematic categories emerged: Nursing care that transcends the management of neoplastic wounds; The role of the nursing team in the assessment and care of neoplastic wounds; and Feelings that involve nursing professionals in the context of palliative care. <strong>Conclusion: </strong>It is essential to approach the person holistically. The management of neoplastic wounds has its own particularities, since pain is a symptom that usually accompanies the lesion, in addition to the odor and discomfort that the person and their family may feel. Palliative care is relevant to help manage the symptoms of these lesions. Workers often experience feelings such as anguish, fear, sadness and frustration.</p> Michelle Souza Nascimento Nayara Costa Farah Adélia Dayane Guimarães Fonseca Thaís Vasconselos Amorim Elaine Miguel Delvivo Farão Andyara do Carmo Pinto Coelho Paiva Copyright (c) 2024 Rev Enferm UFPI https://creativecommons.org/licenses/by/4.0/ 2024-02-17 2024-02-17 13 1 10.26694/reufpi.v13i1.4420 Effective communication in nursing shift handover: scoping review https://periodicos.ufpi.br/index.php/reufpi/article/view/4175 <p><strong>Objective: </strong>To map available scientific evidence regarding effective communication during the shift handover in nursing.<strong> Methods: </strong>Scoping review based on the research question "What scientific evidence is available about effective communication in the safe shift handover in nursing?" The selection of studies took place in November 2023, with searches in the MEDLINE, Embase, Web of Science and LILACS databases, Google Scholar screening and manual search in the references of the documents that were part of the sample, with time lapse from 2004, without language restriction. The evaluation was conducted using the data reduction method.<strong> Results: </strong>The study identified several barriers in communication during the shift handover of the nursing team, including diversification in documentation and lack of privacy. Errors such as omission of information and lack of time were highlighted. Effective strategies involve early preparation, face-to-face communication, an enabling environment, and the inclusion of the patients in the process.<strong> Conclusion: </strong>The available scientific evidence on effective communication during safe shift handover in nursing was mapped. The study revealed challenges in nursing communication during the shift handover, emphasizing the need for standardization, early preparation and patients’ involvement for better continuity in care.</p> Pedro Camilo Calado da Silva Thallyta Juliana Pereira da Silva Cynthia Roberta Dias Torres Silva Josicleide Montenegro da Silva Guedes Alcoforado Ana Carla Silva Alexandre Guilherme Guarino de Moura Sá Khelyane Mesquita de Carvalho Copyright (c) 2024 Rev Enferm UFPI https://creativecommons.org/licenses/by/4.0/ 2024-04-05 2024-04-05 13 1 10.26694/reufpi.v13i1.4175 Characteristics of children and adolescents with gender dysphoria for their health care: scoping review https://periodicos.ufpi.br/index.php/reufpi/article/view/4281 <p><strong>Objective: </strong>To identify the demographic and psychosocial characteristics of children and adolescents with gender dysphoria and of the health professionals involved in their care.<strong> Methods: </strong>Scoping review according to PRISMA-ScR with the databases Web of Science, Science Direct, Scopus, Virtual Health Library and Pubmed, using the descriptors: children, adolescents, gender dysphoria, pediatrics and health professionals. Inclusion criteria: primary and secondary research on gender dysphoria and sexual diversity in health care, with students or health professionals. Exclusion criteria: adult population, other context of health care, treatments, comorbidities and gray publication. Fifteen articles were included.<strong> Results: </strong>Children present with dysphoria around 6 years of age, with late diagnosis and treatment. They have a greater tendency toward mental health problems such as anxiety, depression and eating disorders, and family support is crucial. Health professionals have low undergraduate training, scarce continuous training and multidisciplinary work.<strong> Conclusion: </strong>It is necessary to incorporate subjects on diversity, gender identity and dysphoria into the training of health professionals, as well as continuous training with tools that allow a comprehensive approach, increasing confidence and security in the provider-patient relationship, in order to improve the well-being of children.</p> Beatriz Peña Melanie Catalina Pérez Orellana Andrea Carolina Valenzuela Mena Javiera Paz Aros Molina Paula Ignacia González Núñez Sofia Alejandra Castro Urra Copyright (c) 2024 Rev Enferm UFPI https://creativecommons.org/licenses/by/4.0/ 2024-01-25 2024-01-25 13 1 10.26694/reufpi.v13i1.4281 Nursing diagnoses of patients with heart failure: a scoping review https://periodicos.ufpi.br/index.php/reufpi/article/view/4006 <p><strong>Objective: </strong>To map the nursing diagnoses of patients with heart failure.<strong> Methods: </strong>A scoping review, using the Joanna Briggs Institute approach. Studies describing nursing diagnoses of patients with heart failure in health services were included. Twelve databases/directories were used to search for publications.<strong> Results: </strong>Forty-two nursing diagnoses were mapped in 40 studies included in the qualitative synthesis.<strong> Conclusion: </strong>The most researched nursing diagnoses were: decreased cardiac output; excessive fluid volume; activity intolerance; and fatigue.</p> Alyne Santos Borges Paola Pugian Jardim Ana Carla Dantas Cavalcanti Copyright (c) 2024 Rev Enferm UFPI https://creativecommons.org/licenses/by/4.0/ 2024-04-05 2024-04-05 13 1 10.26694/reufpi.v13i1.4006 Characteristics of self-medication assessment instruments in Brazil: an integrative review https://periodicos.ufpi.br/index.php/reufpi/article/view/4095 <p><strong>Objective: </strong>To describe the characteristics of self-medication assessment instruments with evidence of validity in Brazil. <strong>Methods: </strong>An integrative review, without temporal delimitation, with collection in the LILACS, Scopus, PubMed, MEDLINE and Web of Science databases. Ten studies related to five instruments were included.<strong> Results: </strong>The most convergent domains were sociodemographic aspects, self-medication practice, reasons, medications used and recommendation/sources. Self-medication was assessed by only one instrument with evidence of validity, but it was multidimensional, making its application difficult. The instruments showed good reliability indices, however, of the five, one did not measure reliability. The good psychometric properties of the self-medication and temporomandibular pain instrument stand out (Kappa: 0.810, Cronbach’s alpha: 0.844).<strong> Conclusion: </strong>The different instruments analyzed present limitations in evidence of validity, showing the need to develop an instrument focused on self-medication that is reliable and valid.</p> Márcio Adriano Fernandes Barreto Francisca Diana da Silva Negreiros Virna Ribeiro Feitosa Cestari Clécio André Alves da Silva Maia Helena Alves de Carvalho Sampaio Thereza Maria Magalhães Moreira Copyright (c) 2024 Rev Enferm UFPI https://creativecommons.org/licenses/by/4.0/ 2024-04-05 2024-04-05 13 1 10.26694/reufpi.v13i1.4095 Software programs developed to operationalize the nursing process in health services: scoping review https://periodicos.ufpi.br/index.php/reufpi/article/view/4301 <p><strong>Objective:</strong> To map the software programs developed to operationalize the nursing process in patient care in health services. <strong>Methods:</strong> This is a scoping review developed within the recommendations of the Joanna Briggs Institute and PRISMA Extension for Scoping Reviews. A search was carried out in seven databases, a library, eight databases and an academic search engine with no time limit. <strong>Results:</strong> 19,645 studies were found, of them were included 35. 51% addressed Nursing Theory and 20% of the studies covered the entire nursing process. In addition, 82% used the Nursing Process in a fragmented way. The highlighted target audience for which the software programs were developed: adults (26; 74.2%), and the hospital service (33; 94%). <strong>Conclusion:</strong> It was understood through this study that Brazilian nursing seeks systems that can provide subsidies regarding the application of knowledge in nursing care and process.</p> Rafaela Cavalcanti de Albuquerque Nascimento Bárbara Coeli Oliveira Silva Aquino Dayvison Nascimento de Oliveira Alexsandra Rodrigues Feijão Copyright (c) 2024 Rev Enferm UFPI https://creativecommons.org/licenses/by/4.0/ 2024-05-08 2024-05-08 13 1 10.26694/reufpi.v13i1.4301 Factors associated with suicidal ideation among puerperal women in the context of public health: integrative review https://periodicos.ufpi.br/index.php/reufpi/article/view/4223 <p><strong>Objective:</strong> To synthesize scientific evidence about the factors associated with suicidal ideation in the puerperal period in the context of public health. <strong>Methods:</strong> Integrative review conducted by the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocol, carried out in July 2022, in the Medical Literature Analysis and Retrieval System Online, Web of Science, Latin American and Caribbean Literature in Health Sciences, Nursing Database, Spanish Bibliographic Index of Health Sciences, PsycINFO and Cumulative Index to Nursing and Allied Health Literature. <strong>Results:</strong> Seven studies were selected to compose this review. Factors associated with suicidal ideation in the puerperal period were younger, single, unemployed women, having an unemployed partner, having experienced intimate partner violence, having faced stressful events during pregnancy, previous experiences of abortion and marital dissatisfaction, depressive symptoms and other mental disorders (mood disorders, hypomanic symptoms, neuroticism and psychoticism). High self-esteem aimed to reduce ideas of suicide during the postpartum period. Being primigravid, having a harmonious relationship with the mother-in-law, and marital satisfaction were presented as protective factors. <strong>Conclusion:</strong> The synthesis of the studies showed the association of psychosocial, physiological and sociodemographic factors with suicidal ideation among puerperal women, as well as protective factors.</p> Giovanna Vitória Aragão de Almeida Santos Fernando José Guedes da Silva Junior Ana Paula Cardoso Costa Jaqueline Carvalho e Silva Sales Copyright (c) 2024 Rev Enferm UFPI https://creativecommons.org/licenses/by/4.0/ 2024-05-08 2024-05-08 13 1 10.26694/reufpi.v13i1.4223 School as a space for nursing: a review of health literacy https://periodicos.ufpi.br/index.php/reufpi/article/view/4314 <p><strong>Objective: </strong>To understand the role of school nursing in the context of child and adolescent health literacy.<strong> Methods: </strong>An integrative review using the Web of Science, MEDLINE/Pubmed, Scopus, Cinahl, Virtual Health Library databases, and search terms related to child and adolescent health, health literacy, and school nursing. No time or language limits were considered.<strong> Results: </strong>419 articles were identified and, after excluding duplicates and applying the eligibility criteria, seven articles made up the final sample, none of them developed in Brazil. Despite being a field of research that is still little studied, the results revealed the positive impact of nursing in the school context in promoting physical and mental health literacy, preventing preventable illnesses, and managing chronic non-communicable diseases. This evidence leads to reflections on the recognition of school nursing in Brazil.<strong> Conclusion: </strong>Nurses are references in the implementation of health literacy programs and in the construction of health literate organizations. In the Brazilian context, there is an urgent need to expand the training of nurses trained to work in schools.</p> Paulo Henrique Leal de Sousa Nadyelle Elias Santos Alencar Marcia Teles de Oliveira Gouveia Copyright (c) 2024 Rev Enferm UFPI https://creativecommons.org/licenses/by/4.0/ 2024-04-05 2024-04-05 13 1 10.26694/reufpi.v13i1.4314 A glance at the use of IRaMuTeQ® software in scientific research: a bibliometric study https://periodicos.ufpi.br/index.php/reufpi/article/view/4280 <p><strong>Objective:</strong> To analyze and map the national and international scientific production on IRAMuTeQ<sup>® </sup>use software in scientific research in health in the historical series from 2012 to August 2022. <strong>Methods</strong>: This is a descriptive bibliometric and scientometric research and exploratory. Collection was carried out in August 2022 through institutional online access to the CAPES Journals Portal, in the Scopus database (Elsevier). To guide the research, the keyword “IRaMuTeQ” was used. After the selection process of included studies, data set was saved in a single file in CSV Excel format and later exported to the VOSviewer<sup>®</sup> software. <strong>Results:</strong> It was observed a greater number of articles on the topic in 2021 (127; 34.70%). In Brazil, there is the largest number of authors who publish using IRaMuTeQ<sup>®</sup> (271; 74.04%). Social sciences and nursing are the two professional areas that most use the software in their articles. Of the 15 authors who most publish with IRaMuTeQ<sup>®</sup>, 12 are Brazilian. <strong>Conclusion:</strong> IRaMuTeQ<sup>®</sup> use assessment in scientific research allows us to point out the expressive role of Brazil in using this tool in scientific research.</p> Dayara de Nazaré Rosa de Carvalho Viviane Ferraz Ferreira de Aguiar Daiane Baldo Apolinário Dandara de Fátima Ribeiro Bendelaque Luana Cunha Galvão Pereira Simone Aguiar da Silva Figueira Fabiana de Souza Orlandi Copyright (c) 2024 Rev Enferm UFPI https://creativecommons.org/licenses/by/4.0/ 2024-01-25 2024-01-25 13 1 10.26694/reufpi.v13i1.4280 Relevance of intersubjectivity for understanding the low self-esteem of nursing students https://periodicos.ufpi.br/index.php/reufpi/article/view/4257 <p><strong>Objective:</strong> To reflect on the low self-esteem of nursing students in the light of the theoretical framework of the philosopher Alfred Schütz. <strong>Methods:</strong> This is a theoretical-reflective study, based on scientific literature and authorial experience as a research resource, developed from September to December 2020. <strong>Results:</strong> The self-esteem phenomenon can be seen through an intersubjective dimension, making it possible to understand the influence of life contexts (personal, social, professional) and academic experiences on the psychic illness of nursing students. Low self-esteem can impair academic performance, interpersonal relationships, and quality of life. And also cause self-destructive behavior, lower self-efficacy and abandonment of the course. <strong>Conclusion:</strong> Recognizing the intersubjectivity in this phenomenon enables the awakening and encouragement for discussions about the factors that affect psychological well-being and helps in the process of identifying the human responses of students with low self-esteem and planning comprehensive and holistic care.</p> Laís Vasconcelos Santos Juliane Rangel Dantas Viviane Euzébia Pereira Santos Ana Luisa Brandão de Carvalho Lira Copyright (c) 2024 Rev Enferm UFPI https://creativecommons.org/licenses/by/4.0/ 2024-01-25 2024-01-25 13 1 10.26694/reufpi.v13i1.4257 Mental health in postgraduate programs: thoughts and perspectives on mental illness among the students https://periodicos.ufpi.br/index.php/reufpi/article/view/5307 <p>Postgraduate education represents a path of important value in professional training and in the development of remarkable research and studies for the scientific community. For this purpose, postgraduate programs are permanently aiming to provide proper teaching qualification achieved through a joint collective effort made by coordinators, teachers and students, as well as partnerships with other national and international higher education institutions.</p> <p>However, although the paths are generally prosperous, postgraduate programs also bring challenges and difficulties that may turn into obstacles in this experience. Recent research on mental health has highlighted the presence of symptoms related to depression, anxiety, or stress among postgraduate students. Although mental illness among master's and doctoral students is a complex and multifaceted phenomenon, some guiding questions can be highlighted to understand this scenario.</p> <p>The numerous requirements demanded by the course and the intense dedication necessary to construct a research project combined with a multidimensional set of social, individual, economic and/or interpersonal factors have the potential to significantly impact the psycho-emotional balance of postgraduate students and can also be predictive factors for mental distress.</p> <p>Furthermore, the continuous pressure to maintain a significant production of high-quality original research papers in journals of great scientific impact</p> <p>[...]</p> Márcia Astrês Fernandes Amanda Alves de Alencar Ribeiro Copyright (c) 2024 Rev Enferm UFPI https://creativecommons.org/licenses/by/4.0/ 2024-01-25 2024-01-25 13 1 10.26694/reufpi.v13i1.5307