DSpace Coleção:

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

Thu, 20 Feb 2025 00:00:00 GMT

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

Thu, 22 May 2025 00:00:00 GMT

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

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

Fri, 10 Oct 2025 00:00:00 GMT

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

Validação da escala de autoeficácia para a autogestão na saúde em uma amostra de idosos brasileiros

Wed, 12 Apr 2023 00:00:00 GMT

Título: Validação da escala de autoeficácia para a autogestão na saúde em uma amostra de idosos brasileiros Abstract: The concept of self-efficacy (SE) was introduced in 1977 and refers to the individual's convictions in relation to their cognitive, motivational and behavioral skills necessary to perform a specific task at a given time and context. With population aging, there is a need to identify the factors that correlate with the health conditions of older adults, including SE. The Self-Efficacy Scale for Self-Direction in Health (SSSH) is an instrument developed in Portugal, in Portuguese, consisting of 16 items divided into four dimensions, with five response options that assess the belief of older adults to self-manage their health. This study aimed to crossculturally adapt the SSSH for use in Brazil and evaluate its psychometric properties in a sample of Brazilian older adults. This study, approved by the Research Ethics Committee of the Federal University of Triângulo Mineiro, approved number 5.243.997, is methodological, conducted in two stages: cross-cultural adaptation of the EAAS and validation of the internal structure of the adapted version. The cross-cultural adaptation followed national and international recommendations, namely: translation, evaluation by a committee of judges, back-translation, semantic evaluation and pre-test. Psychometric properties were assessed through validity and reliability. Face and content validities and construct validities were evaluated: dimensional, convergent and by known groups. Reliability was analyzed using internal consistency and testretest. In the cross-cultural adaptation stage of the SSSH into Brazilian Portuguese, the adapted version showed semantic, idiomatic, conceptual and cultural equivalence, face and content validity. The evaluation phase of the psychometric properties of the adapted version involved the participation of 201 community-dwelling older adults, registered in the Family Health Strategy-Abadia 1 in the city of Uberaba-MG. Regarding dimensionality, the model showed adequate adjustment to the proposed dimensional structure in all parameters χ2 (161.507; p≤0.001), Root Mean Square Error of Approximation (0.057; p≤0.05), Goodness of Fit Index (0.912) , Tucker-Lewis Index (0.945), Comparative Fit Index (0.955). The convergent construct validity was evidenced through the correlations between the total SSSH scores and the variables instrumental activities of daily living, self-esteem, positive affectivity, negative affectivity, satisfaction with life and age. Construct validity by known groups was confirmed by comparing the means of the SSSH dimensions with the variables gender, age and marital status. The testretest reproducibility confirmed the temporal stability of the instrument and the internal consistency was adequate (α= 0.83), indicating the reliability of the SSSH. It was concluded that the cross-cultural adaptation process of the version was successfully completed and that the psychometric analysis of the adapted version of the SSSH gathered good evidence of validity and reliability, and can be used with the Brazilian older adults population.; El concepto de autoeficacia (AE) se introdujo en 1977 y se refiere a las convicciones del individuo en relación con sus habilidades cognitivas, motivacionales y conductuales necesarias para realizar una tarea específica en un momento y contexto determinados. Con el envejecimiento de la población, surge la necesidad de identificar los factores que se correlacionan con las condiciones de salud de los ancianos, incluida la AE. La Escala de Autoeficacia para la Autodirección en Salud (EAAS) es un instrumento desarrollado en Portugal, en portugués, que consta de 16 ítems divididos en cuatro dimensiones, con cinco opciones de respuesta que evalúan la creencia de los ancianos para autogestionar su salud. Este estudio tuvo como objetivo adaptar transculturalmente la Escala de Autoeficacia para la Autodirección en Salud (EAAS) para uso en Brasil y evaluar sus propiedades psicométricas en una muestra de ancianos brasileños. Este estudio, aprobado por el Comité de Ética en Investigación de la Universidad Federal del Triângulo Mineiro, aprobado por dictamen número 5.243.997, es metodológico, realizado en dos etapas: adaptación transcultural de la EAAS y validación de la estructura interna de la versión adaptada.. La adaptación transcultural siguió las recomendaciones nacionales e internacionales, a saber: traducción, evaluación por un comité de jueces, retrotraducción, evaluación semántica y pre-test. Las propiedades psicométricas se evaluaron a través de la validez y la confiabilidad. Se evaluaron validez de cara, de contenido y de constructo: dimensional, convergente y por grupos conocidos. La confiabilidad se analizó mediante consistencia interna y test-retest. En la etapa de adaptación transcultural de la EAAS para el portugués brasileño, la versión adaptada mostró equivalencia semántica, idiomática, conceptual y cultural, validez aparente y de contenido. La fase de evaluación de las propiedades psicométricas de la versión adaptada contó con la participación de 201 ancianos residentes en la comunidad, registrados en la Estrategia Salud de la Familia-Abadia 1 en el municipio de Uberaba-MG. En cuanto a la dimensionalidad, el modelo mostró un adecuado ajuste a la estructura dimensional propuesta en todos los parámetros χ2 (161.507; p≤0.001), Root Mean Square Error of Aproximation (0.057; p≤0.05), Goodness of Fit Index (0.912), Tucker-Lewis Índice (0,945), Índice de ajuste comparativo (0,955). La validez de constructo convergente se evidenció a través de las correlaciones entre los puntajes totales de la EAAS y las variables actividades instrumentales de la vida diaria, autoestima, afectividad positiva, afectividad negativa, satisfacción con la vida y edad. La validez de constructo por grupos conocidos se confirmó comparando las medias de las dimensiones de la EAAS con las variables sexo, edad y estado civil. La reproducibilidad test-retest confirmó la estabilidad temporal del instrumento y la consistencia interna fue adecuada (α= 0,83), indicando la confiabilidad de la EAAS. Se concluyó que el proceso de adaptación transcultural de la versión se completó con éxito y que el análisis psicométrico de la versión adaptada de la EAAS reunió buenas evidencias de validez y confiabilidad, y puede ser utilizado con la población anciana brasileña. Tipo: Tese