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Design educacional on-line de empatia para estudantes de Enfermagem e Fisioterapia: estudo quase-experimental

2026-10-13T18:32:27Z

Título: Design educacional on-line de empatia para estudantes de Enfermagem e Fisioterapia: estudo quase-experimental Abstract: Empathy is the ability to feel what another person feels, taking into account their life story and the context in which they are immersed. This cognitive, affective, and attitudinal connection aims to assist others with their needs and is validated through verbal and nonverbal communication. The objective of the study was to develop and validate an on-line educational design for Empathy aimed at Nursing and Physical Therapy students at the Federal University of Triângulo Mineiro and to evaluate its effectiveness in increasing total Empathy scores. This research was submitted to the Research Ethics Committee of the Federal University of Triângulo Mineiro and approved under opinion number 5.846.064. It was conducted in two phases: a methodological study and a quasi-experimental before-and-after study. The first phase enabled the construction of the on-line educational design for Empathy and its validation by experts. The design was developed based on Lev Vygotsky’s socio-interactionist educational model and Knowles’ andragogical theory. It consisted of mindfulness exercises, listening to music, watching interviews, watching a film, and carrying out activities evaluating health communications, interspersed with moments of dialogued exposition. All activities were conducted synchronously. The educational design was validated by seven experts and subjected to a pilot test that allowed for validation by the target population, using a sample characterization questionnaire, the Interpersonal Reactivity Index (IRI), and the Empathy Inventory (EI). The second stage was a quasi-experimental study with Nursing and Physical Therapy students. The validation of the educational design was carried out by seven experts, using the Content Validity Index (CVI) and a consensus meeting. At the end of the validation process, an educational design was achieved with a CVI= 0.959. As for the quasi-experimental study, the results were analyzed using descriptive statistics, with absolute and relative frequency distributions, measures of central tendency, variability, and inferential analyses. For all analyses, p≤ 0.05 was considered. Thirty-nine Nursing and Physical Therapy students, with an average age of 22, completed the educational design. After the intervention, there was an increase in the total Empathy score in both the IRI (p= 0.12) and IE (p= 0.02) questionnaires. The on-line educational design for Empathy, developed based on Lev Vygotsky’s socio-interactionist educational model and Knowles’ andragogical theory, was effective in increasing total Empathy scores when comparing results before and after the educational design was applied.; La empatía es la capacidad de sentir lo que otra persona siente, considerando su historia de vida y el contexto en el que está inserta. Esta conexión cognitiva, afectiva y actitudinal busca ayudar al otro en sus necesidades, y se valida por medio de la comunicación verbal y no verbal. El objetivo del estudio fue construir y validar un diseño educativo de empatía en línea para estudiantes de Enfermería y Fisioterapia de la Universidad Federal del Triángulo Minero y evaluar su eficacia para aumentar los puntajes de empatía total. Esta investigación fue sometida al Comité de Ética en Investigación de la Universidad Federal del Triángulo Minero y aprobada bajo el dictamen número 5.846.064. Se desarrolló en dos etapas: una investigación metodológica y un estudio cuasi experimental de tipo antes y después. La primera etapa permitió la construcción del diseño educativo en línea de empatía y su validación por jueces expertos. El diseño fue elaborado tomando como base el modelo educativo sociointeraccionista de Lev Vygotsky y la teoría andragógica de Knowles. Consistió en ejercicios de mindfulness, escuchar música, ver entrevistas, ver una película, realizar actividades de evaluación de comunicaciones en salud intercaladas con momentos de exposición dialogada. Todas las actividades se llevaron a cabo de manera sincrónica. El diseño educativo fue validado por siete jueces y sometido a una prueba piloto que permitió su validación por la población objetivo, mediante un cuestionario de caracterización de la muestra, el Índice de Reactividad Interpersonal (IRI) y el Inventario de Empatía (IE). La segunda etapa fue un estudio cuasi experimental con estudiantes de Enfermería y Fisioterapia. La validación del diseño educativo fue realizada por siete jueces, a través del índice de validez de contenido (IVC) y una reunión de consenso. Al final del proceso de validación, se llegó a un diseño educativo con un IVC= 0,959. En cuanto al estudio cuasi experimental, los resultados fueron analizados utilizando estadística descriptiva, con distribución de frecuencia absoluta y relativa, medidas de tendencia central, de variabilidad y análisis inferenciales. Para todos los análisis se consideró p≤ 0,05. Completaron el diseño educativo 39 estudiantes de Enfermería y Fisioterapia con una edad media de 22 años. Tras el diseño educativo, hubo un aumento en el puntaje de empatía total en ambos cuestionarios IRI (p= 0,12) y IE (p= 0,02). El diseño educativo en línea de empatía, construido tomando como base el modelo educativo sociointeraccionista de Lev Vygotsky y la teoría andragógica de Knowles, fue eficaz para aumentar los puntajes de empatía total al comparar los resultados antes y después de la aplicación del diseño educativo. Tipo: Tese

Conhecimento e atitudes de profissionais de enfermagem frente aos cuidados paliativos e à terminalidade

2026-10-13T18:14:35Z

Título: Conhecimento e atitudes de profissionais de enfermagem frente aos cuidados paliativos e à terminalidade Abstract: Introduction: Palliative care aims to alleviate the suffering of patients and families facing life-threatening illnesses. Nursing professionals are the team capable of determining the greatest impact on the quality of this care. Since palliative care is not always included in professional nursing training, access to continuing education is essential to improve knowledge and attitudes toward patients and their families/caregivers. The objectives of this study were to assess nursing professionals' knowledge of palliative care and attitudes toward end-of-life patients and their families/caregivers before and after an In-Service Education Program. Materials and methods: A quasi-experimental, before-and-after intervention study was conducted, analytically and quantitatively, according to the TREND checklist standardization. All nursing professionals from the internal medicine and neurology units at HC-UFTM were invited to participate in a two-stage in-service education program, consisting of two theoretical classes spaced six weeks apart and a conversation circle with case discussions, between June and October 2024. Knowledge assessment questionnaires (Palliative Care Quiz for Nurses) and attitudes (Frommelt Attitude Toward and Care of the Dying Scale Form B) were administered before the first class and ten weeks later, in addition to a sociodemographic questionnaire. Results: Sixty- one professionals participated, most of them nursing technicians, women, with a mean age of 41, White, married or in a stable relationship, with higher education and more than 10 years of professional experience. Most had not received palliative care education during their training, had not participated in events on the topic, considered their knowledge in the area insufficient, and had personal experience with terminal illness. Participants initially scored insufficient on the PCQN (9.0 points), rising to 10.6 in the post-test. From the outset, they demonstrated adequate attitudes according to the FATCOD-B (112.2), improving further to 115.2 in the post-test. The improvement in knowledge and attitudes was statistically significant (p 0.000 and p 0.003, respectively) and had a small effect size. Higher knowledge was demonstrated by women, individuals of Christian faith, nursing technicians, professionals with higher education and postgraduate degrees, those who considered themselves unprepared in palliative care but who had taken specific palliative care courses in their training, and those who had participated in courses or events on the topic. More positive attitudes were observed among professionals who had not taken courses addressing palliative care in their training. Conclusions: Nursing professionals presented insufficient knowledge in PC and adequate attitudes towards terminality, which increased significantly after the in-service education program, reaching sufficient knowledge and even more positive attitudes. Tipo: Tese

Qualidade em acessos vasculares periféricos: Avaliação das propriedades métricas do miniquestionário sobre cateter intravenoso periférico – Versão Português do Brasil.

2026-09-03T02:03:19Z

Título: Qualidade em acessos vasculares periféricos: Avaliação das propriedades métricas do miniquestionário sobre cateter intravenoso periférico – Versão Português do Brasil. Abstract: Introduction – Vascular access is a widely used procedure in healthcare, and evaluating its quality is essential to prevent complications such as early failures and issues related to the peripheral intravenous catheter (PIVC). Healthcare professionals need to have mastery of infusion therapy based on evidence-based recommendations, as well as integrate quality management strategies into their practice. Regarding PIVC care, there are several ways to establish improvements that will impact clinical practice, one of which is the application of tools to assess the quality of care related to PIVC. Objective – To evaluate the measurement properties of validity and reliability of the Mini-questionnaire on Peripheral Venous Catheter – Brazilian Portuguese version (PIVC-miniQ-PB). Material and Methods – A methodological study with a quantitative, observational, and prospective approach was conducted in a public teaching hospital in Minas Gerais. Conducted in two stages, validation of the instrument’s metric properties. Concurrent and predictive validity, through a longitudinal study; and discriminative construct validity were evaluated by comparing the overall scores of PIVC-miniQ-PB across different inpatient sectors, using the Student’s t-test. Additionally, interobserver reliability was assessed using the Kappa coefficient and the Intraclass Correlation Index. The study population consisted of hospitalized patients with PIVC. Data were collected using three instruments: PIVC evaluation and monitoring tool, PIVC-miniQ-PB, and the Portuguese Phlebitis Scale. Data were analyzed using IBM® SPSS® software version 25. The study adhered to all necessary ethical considerations. Results – The study evaluated 315 patients, mostly men (60.6%) and white (49.8%), aged between 18 and 96 years (M=58.5, SD=17.56), mainly hospitalized in the Medical Clinic (69.8%). The quality of PIVC care was monitored until catheter loss, with significant drops in the number of participants observed: 23% on the second day, 68% on the third day, and nearly 90% from the fourth day onwards. Construct validity revealed higher scores on the PIVC-miniQ-PB for patients hospitalized in the ICU compared to wards, with significant differences (p<0.05) in the first two evaluations. The instrument demonstrated high reliability (ICC=0.96; p<0.001) and good correlation with the Portuguese Phlebitis Scale, confirming its robustness and utility in assessing the quality of PIVC care. Discussion: In the original study, independent evaluators in two Norwegian hospitals found that the intraclass correlation coefficient between raters was significant, similar to the findings of this study. Other studies using the PIVC-miniQ have enabled healthcare professionals to identify, monitor, and intervene in a standardized way, minimizing risks and improving the clinical decision-making process. Conclusion – The PIVC- miniQ-PB demonstrated satisfactory metric properties, has proven to be valid and reliable for assessing the quality of care for peripheral venous catheters implantation in the Brazilian context. Tipo: Tese

Implementação da graduação de Enfermagem na Universidade Federal do Triângulo Mineiro: o protagonismo de Maria Lúcia Cardoso dos Santos

2026-08-22T02:03:43Z

Título: Implementação da graduação de Enfermagem na Universidade Federal do Triângulo Mineiro: o protagonismo de Maria Lúcia Cardoso dos Santos Abstract: Nursing has historically been linked to the inclusion of women in the labor market. Thus, studying the history of this profession is to recognize the female protagonism in the consolidation of scientific foundations, norms, and symbols associated with its practice. Through thematic oral history, the study aimed to describe the leadership of Prof. Dr. Maria Lúcia Cardoso dos Santos in the implementation of bachelor nursing program at Universidade Federal do Triângulo Mineiro, contextualize the socio-historical scenario of this event, and analyze the legacy of her work for the community and the profession. Pierre Bourdieu’s framework supported the discussion of the identified thematic categories. The results indicate that Maria Lúcia’s entrepreneurial profile and visionary leadership were decisive for the advancement of the program’s implementation in the face of symbolic struggles encountered. It is concluded that her legacy can be measured by the national prominence of this program, as well as by the significant presence of nurses in healthcare, education and team management. Tipo: Tese