DSpace Coleção: PPGENF

Construção e validação de um protocolo de intervenções de enfermagem para promoção do conforto de pessoas idosas hospitalizadas

2026-05-18T06:07:50Z

Título: Construção e validação de um protocolo de intervenções de enfermagem para promoção do conforto de pessoas idosas hospitalizadas Autor(es): Oliveira, Sanni Moraes de Orientador: Fernandes, Maria das Graças Melo Abstract: Introduction: Longevity leads to multidimensional changes in the aging population and brings with it greater susceptibility to the occurrence of chronic health conditions, with risks of frailty and organic dysfunction and consequently a greater occurrence of prolonged and recurrent hospitalizations. Hospitalization, although necessary to restore health, can generate anxiety, fear and discomfort and constitute an unpleasant experience for elderly people. Although Nursing plays a preponderant role in caring for people in the context of hospitalization, through actions to promote well-being and comfort, it appears that these actions, in general, do not follow standardization, which implies the implementation of fragmented and inefficient care. Thus, in order to support nursing practice with a view to promoting the comfort of hospitalized elderly people, we propose an intervention protocol supported by Kolcaba's Comfort Theory, scientific evidence, as well as nursing interventions and activities proposed by the NIC. Objective: Build a protocol of nursing interventions to promote the comfort of hospitalized elderly people in light of Kolcaba's Theory. Method: This is a methodological study, initially starting from an integrative review of the literature to search for scientific evidence in the Database regarding interventions, activities and nursing care aimed at promoting comfort in people in the hospital environment. At the same time, the NIC Standardized Language System was used to identify the proposed Interventions for the “Impaired Comfort” Nursing Diagnosis of NANDA-I version 2021- 2023. Next, Cross Mapping of interventions and activities validated by experts in the area of knowledge was carried out. Finally, the construction and final validation was guided by the Appraisal of Guidelines for Research & Evaluation II instrument. To meet the requirements of the Guidelines and Standards for Research on Human Beings, all regulatory procedures and standards recommended by Resolution 466/2012 and 580/2018 of the CNS/MS/BRAZIL were respected, with approval from the Research Ethics Committee under CAAE no: 56816022.7.0000.5183. Results: 21 NIC interventions and information extracted from 15 studies were analyzed and validated by experts in light of theory in the physical, environmental, sociocultural and psychospiritual dimensions. A total of 604 nursing activities proposed in the NIC 7th edition were obtained, of which 176 were mapped with 137 interventions, activities and care evidenced in the literature, 13 activities did not show similarity with the proposed interventions, among which the majority were related to the psychospiritual context, with inclusion in other NANDA-I NDs, confirmed by the absence of this class of comfort in the aforementioned taxonomy. In validating the guideline, the domains 'scope and purpose', 'involvement of the parties' and 'clarity of presentation' were evaluated with maximum points, resulting in 100% suitability in the experts' assessment. In the domains ‘rigor of development’ and ‘editorial independence’, a percentage of 94% agreement was reached. In the ‘applicability’ domain, the maximum score corresponded to 93%, this being the domain that required small adjustments requested by the judges and for subsequent clinical validation. Final considerations: The relevance of the Comfort Theory supported the successful development of the nursing intervention protocol aimed at the comfort of hospitalized elderly people, demonstrating the predominance of the psycho-spiritual context as the main focus of intervention for this population. The study made it possible to identify the main evidence-based interventions in nursing and correlate them in the Standardized Nursing Language System. Continuing this study is essential to validate its practical applicability, ensuring its improvement and meeting the real needs of hospitalized elderly people. Editor: Universidade Federal da Paraíba Tipo: Tese

Cuidado de enfermagem às pessoas com feridas crônicas na atenção básica no contexto da Covid-19

2026-05-17T06:10:32Z

Título: Cuidado de enfermagem às pessoas com feridas crônicas na atenção básica no contexto da Covid-19 Autor(es): Gonzaga, Maria Helloysa Herculano Pereira de Oliveira Araújo Orientador: Soares, Maria Julia Guimarães Oliveira Abstract: Introduction: Primary Care needs to ensure continuity of care for people with chronic wounds, even with the COVID-19 pandemic, because without monitoring, this population can develop complications. Objective: To analyze nursing care for people with chronic wounds followed up in Primary Care, in the context of COVID-19. Methodology: This research was conducted in two stages: (1) methodological study with a quantitative approach for the construction and validation of a data collection instrument to assess Nursing care for people with chronic wounds, before and during the pandemic. Content validation was conducted by six judges, using the Delphi technique in two rounds. It was considered adequate Content Validity Coefficient (CVC) ≥ 0.8; (2) descriptive and cross-sectional study with a quantitative approach, with 63 Primary Care nurses from two municipalities of Paraíba. Data collection was online, containing socio-professional information, a validated questionnaire, and the Compliance with Standard Precautions Scale. For analysis, the percentage comparison tests of Fisher, Mann-Whitney, Shapiro-Wilks and Kolmogorov-Smirno were applied. The study was approved by the Research Ethics Committee, opinion no. 4,432,653/2020. Results: (1) After the judges’ assessment, the instrument had 11 questions, being considered valid in the second round (CVC=0.96). (2) It was identified a reduction (p<0.05) in nursing consultations, home visits, educational activities, and dressings in the Basic Health Unit. There was an increase (p<0.05) in scheduling, teleservice, hygiene of environment, supply for hand hygiene, use of mask and assistance in external areas. After the start of the pandemic, some actions were associated (p<0.05) with the use of personal protective equipment (PPE) and hand hygiene solutions. As for standard precautions, it was verified adherence of 65.07% before and 76.19% during the pandemic. Conclusions: The pandemic caused a reduction in face-to-face care actions for people with chronic wounds, increased the use of PPE and hand hygiene solutions, scheduling, teleservice and assistance in external areas. Furthermore, it was found greater compliance with standard precautions during the pandemic.; RESUMEN Introducción: La Atención Primaria necesita asegurar la continuidad de la atención a las personas con heridas crónicas, incluso con la pandemia del COVID-19, ya que sin seguimiento esta población puede desarrollar complicaciones. Objetivo: Analizar la atención de enfermería a personas con heridas crónicas seguidas en Atención Primaria, en el contexto del COVID-19. Metodología: Esta investigación se desarrolló en dos etapas: (1) estudio metodológico con enfoque cuantitativo para la construcción y validación de un instrumento de recolección de datos para evaluar la atención de enfermería a personas con heridas crónicas, antes y durante la pandemia. La validación de contenido fue realizada por seis jueces, utilizando la técnica Delphi en dos rondas. Se consideró adecuado Coeficiente de Validez de Contenido (CVC) ≥ 0,8; (2) estudio descriptivo y transversal con enfoque cuantitativo, con 63 enfermeros de la Atención Primaria de dos municipios de Paraíba. La recolección de datos fue en línea, con información socio profesional, un cuestionario validado y la escala Compliance with Standard Precautions Scale. Para el análisis se aplicaron las pruebas de comparación porcentual de Fisher, Mann- Whitney, Shapiro-Wilks y Kolmogorov-Smirno. El estudio fue aprobado por el Comité de Ética en Investigación, opinión n. 4.432.653/2020. Resultados: (1) Después de la evaluación de los jueces, el instrumento contó con 11 preguntas, considerándose válido en la segunda ronda (CVC=0,96). (2) Se identificó reducción (p<0,05) en consultas de enfermería, visitas domiciliarias, actividades educativas y apósitos en la Unidad Básica de Salud. Hubo un incremento (p<0,05) en programación, teleservicio, higiene del ambiente, material para higiene de manos, uso de mascarilla y asistencia en áreas externas. Después del inicio de la pandemia, algunas acciones se asociaron (p <0.05) con el uso de equipos de protección personal (EPP) y soluciones de higiene de manos. En cuanto a las precauciones estándar, se verificó una adherencia del 65,07% antes y del 76,19% durante la pandemia. Conclusiones: La pandemia provocó una reducción de las acciones de atención presencial a las personas con heridas crónicas, aumentó el uso de EPP y soluciones de higiene de manos, programación, teleservicio y atención en áreas externas. Además, se encontró un mayor cumplimiento de las precauciones estándar durante la pandemia. Editor: Universidade Federal da Paraíba Tipo: Dissertação

Conhecimento, atitude e prática de enfermeiros sobre autocuidado em hanseníase: tecnologia para educação na saúde

2026-03-03T06:12:17Z

Título: Conhecimento, atitude e prática de enfermeiros sobre autocuidado em hanseníase: tecnologia para educação na saúde Autor(es): Antas, Ester Missias Villaverde Orientador: Oliveira, Simone Helena dos Santos Abstract: Introduction: Leprosy is a communicable, disabling disease characterized by a slow and progressive course of illness. In Primary Health Care (PHC), it is essential to utilize technologies that support health education and enhance self-care guidelines for nurses, aiming to prevent disabilities and deformities in individuals with leprosy. Objective: To develop a technology for the elaboration of a Situational Strategic Plan for Health Education for PHC nurses, with an emphasis on self-care guidelines for the face, hands, and feet of people with leprosy. Method: Research conducted in João Pessoa from September 2022 to March 2025, developed in three stages: a methodological study to construct and validate the instrument Knowledge, Attitude, and Practice regarding self-care in leprosy; an evaluative study to characterize the knowledge, attitude, and practice of 69 PHC nurses regarding self-care guidelines for the face, hands, and feet of people with leprosy; and situational strategic planning for the PHC context. Descriptive statistical techniques were applied, along with analysis of the Content Validity Index (CVI) and consistency, as measured by Cronbach's alpha (α), with a 95% confidence interval. The research was approved by the Research Ethics Committee, with opinion no. 5,655,957. Results: The instrument presented a satisfactory Overall CVI for the criteria of Clarity (CVI 0.96) and Relevance (CVI 0.98), and substantial internal consistency (α = 0.67). The evaluative study showed inadequate knowledge (except for the feet), attitude, and practice regarding self-care guidelines for the face and limbs of people with leprosy. In the Situational Strategic Plan, an Action Plan was developed for the future implementation of Health Education for PHC nurses. Conclusion: The validated instrument presented satisfactory content and demonstrated potential for use in future studies; the characterization of nurses' knowledge, attitude, and practice regarding self-care guidelines for the face, hands, and feet of people with leprosy was fundamental for the elaboration of an Action Plan directed at the real learning needs of the group, anchored in a theoretical framework that considers prior knowledge.; RESUMEN. Introducción: La lepra es una enfermedad transmisible, discapacitante y asociada a una enfermedad lenta y progresiva. En Atención Primaria de Salud (APS) es fundamental el uso de tecnologías que apoyen la educación sanitaria y la mejora de las pautas de autocuidado por parte del personal de enfermería para prevenir discapacidades y deformidades en las personas con lepra. Objetivo: Desarrollar una tecnología para la elaboración de un Plan Estratégico Situacional de Educación Sanitaria para enfermeras de APS, haciendo hincapié en las pautas de autocuidado para la cara, las manos y los pies de las personas con lepra. Método: Investigación realizada en João Pessoa de septiembre de 2022 a marzo de 2025, desarrollada en tres etapas: Estudio metodológico para la construcción y validación del instrumento Conocimiento, actitud y práctica sobre autocuidado en la lepra; Estudio de evaluación para caracterizar el conocimiento, actitud y práctica de 69 enfermeros de APS en relación a las orientaciones de autocuidado de la cara, manos y pies de las personas con lepra; Planificación Estratégica Situacional para el contexto de APS. Se aplicaron técnicas de estadística descriptiva, análisis del Índice de Validez de Contenido (IVC) y consistencia mediante el cálculo del Alfa de Cronbach (α), con un Intervalo de Confianza del 95%. La investigación fue aprobada por el Comité de Ética en Investigación, con el dictamen nº 5.655.957. Resultados: El instrumento mostró un IVC Global satisfactorio para los criterios de Claridad (IVC 0,96) y Relevancia (IVC 0,98), y una consistencia interna sustancial (α = 0,67). El estudio de evaluación mostró conocimientos (excepto para los pies), actitudes y prácticas inadecuados en relación con las pautas de autocuidado de la cara y las extremidades de las personas con lepra. En la Planificación Estratégica Situacional se elaboró un Plan de Acción para la futura implementación de la Educación Sanitaria para enfermeras de APS. Conclusión: El instrumento validado presentó contenido satisfactorio y mostró potencial para uso en futuros estudios; la caracterización del conocimiento, actitud y práctica de las enfermeras con relación a las orientaciones de autocuidado de la cara, manos y pies de las personas con lepra fue fundamental para la elaboración del Plan de Acción dirigido a las reales necesidades de aprendizaje del grupo, anclado en un marco teórico que considere los conocimientos previos. Editor: Universidade Federal da Paraíba Tipo: Tese

Construção de protocolo de educação para o autocuidado de pessoas com Diabetes Mellitus

2026-02-24T06:07:53Z

Título: Construção de protocolo de educação para o autocuidado de pessoas com Diabetes Mellitus Autor(es): Oliveira, Patricia Simplicio de Orientador: Costa, Marta Miriam Lopes Abstract: Introduction: Diabetes Mellitus is considered one of the major health problems today, with a substantial increase in new cases every year around the world. Objective: To build an education protocol for the self-care of people with type 2 Diabetes Mellitus in the light of the Support- Education System theory, proposed by Dorothea Orem. Method: This is a methodological study with a quantitative-qualitative approach. The study was developed in four stages: field research, literature review, mapping of NIC interventions and protocol construction. Data analysis was performed using the SPSS software and through the Thematic Analysis proposed by Bardin. The project was approved by the Research Ethics Committee of the Health Sciences Center of the Federal University of Paraíba, CAAE 03459112.1.0000.5188. Results: 22 interventions and 65 Nursing activities were mapped, grouped according to the similarity of the activities, for better understanding. Thus, three main groups of interventions emerged, with their respective activities: Strategies for monitoring/evaluation; self-care activities; Psychosocial aspects/behavior/learning. A flowchart for the operationalization of the Education Protocol for the self-care of people with type 2 Diabetes Mellitus was elaborated. Conclusion: It is expected that the developed protocol can serve as a guide for the development of educational interventions and strategies and, mainly, provide an improvement in the quality of life of people with DM2 through training for autonomy in their care. The development of this protocol highlighted the importance of evidence-based practice and nursing theories. The use of these resources showed the production of results that positively impact the lives of people who receive care from Nursing professionals.; RESUMEN Introducción: La Diabetes Mellitus es considerada uno de los principales problemas de salud en la actualidad, con un aumento sustancial de nuevos casos cada año en todo el mundo. Objetivo: Construir un protocolo de educación para el autocuidado de personas con Diabetes Mellitus tipo 2 a la luz de la teoría del Sistema de Apoyo-Educación, propuesta por Dorothea Orem. Método: Se trata de un estudio metodológico con enfoque cuantitativo-cualitativo. El estudio se desarrolló en cuatro etapas: investigación de campo, revisión de la literatura, mapeo de las intervenciones de la NIC y construcción del protocolo. El análisis de los datos fue realizado con el software SPSS y por medio del Análisis Temático propuesto por Bardin, proyecto aprobado por el Comité de Ética en Investigación del Centro de Ciencias de la Salud de la Universidad Federal de Paraíba, CAAE 03459112.1.0000.5188. Resultados: Fueron mapeadas 22 intervenciones y 65 actividades de Enfermería, agrupadas según la similitud de las actividades, para una mejor comprensión. Surgieron así tres grandes grupos de intervenciones, con sus respectivas actividades: Estrategias de seguimiento/evaluación; actividades de autocuidado; Aspectos psicosociales/conducta/aprendizaje. Se elaboró un flujograma para la operacionalización del Protocolo Educativo para el autocuidado de las personas con Diabetes Mellitus Tipo 2. Conclusión: Se espera que el protocolo desarrollado pueda servir de guía para el desarrollo de intervenciones y estrategias educativas y, principalmente, proporcionar una mejora en la calidad de vida de las personas con DM2 a través de la formación para la autonomía en su cuidado. El desarrollo de este protocolo destacó la importancia de la práctica basada en la evidencia y las teorías de enfermería. El uso de estos recursos mostró la producción de resultados que impactan positivamente en la vida de las personas que reciben cuidados de los profesionales de Enfermería. Editor: Universidade Federal da Paraíba Tipo: Tese