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Concordância entre as medidas da versão brasileira da Palliative Care Outcome scale (POS) nas versões paciente e cuidador

2026-05-25T16:43:59Z

Título: Concordância entre as medidas da versão brasileira da Palliative Care Outcome scale (POS) nas versões paciente e cuidador Autor(es): Carmo, Rafael de Lima Primeiro Orientador: Conceição, Vander Monteiro da Abstract/Resumen: Introduction: According to the World Health Organization, palliative care is recommended for people diagnosed with a life-threatening illness. Therefore, as the number of people with chronic noncommunicable diseases, such as cancer, increases, so does the need for healthcare professionals to provide palliative care. Understanding the palliative care needs of these individuals is essential for providing quality healthcare. Assessing these needs using valid and accurate tools is fundamental for both diagnosis and evaluation of the care provided. The use of these measurement tools to assess the perceptions of these individuals and their caregivers is necessary for both clinical care and research. As the health condition of cancer patients worsens, it is not always possible to obtain an assessment of palliative care needs directly from the patients themselves. An assessment obtained through their caregiver may be the only viable alternative. Aim: Analyze the agreement between the scores obtained from the Brazilian versions of the Palliative Care Outcome Scale (self-report and caregiver versions), administered respectively to people diagnosed with cancer and their caregivers. Method: A cross-sectional methodological study. Data collection took place in the inpatient units of the Oncology Department at a regional referral hospital specializing in cancer treatment. The study population consisted of individuals with any cancer diagnosis and their informal caregivers who were undergoing treatment at the study site, regardless of disease stage. The sample consisted of 206 participants, including 103 people with cancer and 103 of their respective informal caregivers. Sociodemographic and clinical data were collected through individual interviews and review of patients’ electronic medical records. Patients and caregivers were interviewed and individually completed the POS-self and POS-carer versions, respectively. For the analysis of the collected data, descriptive statistics were used, including measures of central tendency, frequency, and percentage, along with inferential statistics via the paired t-test to compare measures between the two groups. The level of significance adopted was less than 0.05. The research project was approved by the Human Research Ethics Committee, see opinion number 7.401.113 and CAAE: 85736325.4.0000.5564. Results: There was an equivalent average score on the variables presented by the POS among participants with cancer and their respective informal caregivers, with statistical evidence (p = 0.003) of a difference in the assessment of anxiety related to treatment or the disease. In this regard, agreement in the assessment of palliative care needs between the pair is predominant, with a divergence regarding anxiety, a psychological variable of the instrument. Conclusion: People with cancer and their respective informal caregivers show agreement in the POS measures, with the exception of the assessment of psychological aspects, where there may be an overestimation in the informal caregiver’s assessment. Instituição: Universidade Federal da Fronteira Sul Tipo: Dissertação

Simulação de alta fidelidade no ensino da ressuscitação cardiopulmonar: comparação entre realidade virtual e manequim simulador - revisão sistemática com meta-análise

2026-05-13T19:30:17Z

Título: Simulação de alta fidelidade no ensino da ressuscitação cardiopulmonar: comparação entre realidade virtual e manequim simulador - revisão sistemática com meta-análise Autor(es): Biffi, Priscila Primeiro Orientador: Bitencourt, Julia Valeria de Oliveira Vargas Abstract/Resumen: Cardiopulmonary arrest remains the greatest challenge in the field of urgency and emergency care, in which the quality of cardiopulmonary resuscitation maneuvers is the primary determinant for survival and neurological prognosis. The training of healthcare professionals requires methodologies that ensure technical proficiency and skill retention. In this context, high-fidelity simulation stands out as the standard of excellence, constituting the pedagogical basis for different teaching modalities, such as virtual reality and high-fidelity manikins. While the high-fidelity manikin is traditionally considered the main reference in teaching, virtual reality presents itself as an emerging and potentially scalable technological alternative. In this sense, this study aimed to evaluate the efficacy of high-fidelity virtual reality simulation training, compared to high-fidelity manikin simulation training, in the acquisition and retention of knowledge and practical performance of healthcare professionals and students, aiming for proficiency in cardiopulmonary resuscitation. To this end, a systematic review with meta- analysis was conducted, based on the Healthcare Simulation Standards of Best Practice of the International Nursing Association for Clinical Simulation and Learning. The search was conducted in May 2025 in the Cochrane Library, PubMed, Web of Science, ScienceDirect, Scopus, LILACS, and Embase databases. The “Population, Intervention, Control, Outcome” (PICO) strategy was adopted for the elaboration of the research question. Only randomized controlled trials that compared virtual reality to the high-fidelity manikin in the context of cardiopulmonary resuscitation were included. The selection of studies followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol, performed by two independent reviewers, in a blinded manner, on the Rayyan platform, and the study was registered on the International Prospective Register of Systematic Reviews (PROSPERO) platform. The risk of bias was assessed by the Risk of Bias Tool (RoB 2.0) and the certainty of evidence by the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. Quantitative synthesis was performed by random-effects meta-analysis, using the standardized mean difference for continuous outcomes. To obtain the results, seven randomized clinical trials were included, totaling 470 participants, with a mean age between 20 and 23 years and a higher concentration of publications in Turkey. The meta-analysis demonstrated statistical equivalence between virtual reality and the high-fidelity manikin both in the acquisition of theoretical knowledge and in the performance of practical cardiopulmonary resuscitation skills. Virtual reality stood out for its high immersion and user satisfaction, while the high-fidelity manikin offered the advantage of tactile feedback. The certainty of the evidence was classified as very low by GRADE, due to the heterogeneity of the studies and the nature of the interventions. It was identified that the long-term sustainability of skills remains a theoretical gap, requiring future longitudinal studies. Thus, it is evident that virtual reality simulation proves to be a viable, effective, and highly immersive modality for cardiopulmonary resuscitation training, presenting learning outcomes equivalent to the high-fidelity manikin. However, the physical and haptic response of the manikin remains a relevant differentiator for the refinement of specific psychomotor skills. It is concluded that such modalities are not mutually exclusive, but complementary, and their integration should be guided by the International Nursing Association for Clinical Simulation and Learning standards to strengthen permanent health education. Finally, the need for future longitudinal research focusing on learning retention and the long-term impact of training is emphasized, in order to establish clear skill recycling intervals and consolidate the role of simulation technologies as strategic tools in healthcare education. Instituição: Universidade Federal da Fronteira Sul Tipo: Dissertação

“Muito custa o que muito vale”: o tornar-se mãe das profissionais da saúde

2026-05-08T18:34:29Z

Título: “Muito custa o que muito vale”: o tornar-se mãe das profissionais da saúde Autor(es): Scramim, Emanuely Primeiro Orientador: Rossetto, Maíra Abstract/Resumen: Introduction: the postpartum period is a complex and multifaceted time, marked by intense physical, emotional, social, and identity transformations. For female healthcare professionals, these experiences can be influenced by social expectations, technical knowledge, and professional demands, which affect the process of becoming a mother. Ramona Mercer's Theory of Maternal Role Achievement offers a powerful theoretical framework for understanding the construction of maternal identity in this context. Objective: to understand the postpartum experiences of female healthcare professionals who became mothers, based on Ramona Mercer's theory. Methodology: this is a qualitative, descriptive, and exploratory study involving 16 female healthcare professionals residing in western Santa Catarina. Data were collected through semi-structured individual interviews conducted on online platforms. The data were subjected to thematic content analysis. The project was approved by a Research Ethics Committee with Human Beings under opinion number 7.900.671 and CAAE: 84284424.8.0000.5564. Results: sixteen women participated in the study, aged between 24 and 40 years (mean 32 years), predominantly nurses, with a high level of education, working in the health field and residing mainly in western Santa Catarina, and in different stages of the postpartum period. The first theme addressed the main challenges of the postpartum period, where participants reported experiences related to difficulties with breastfeeding, sleep deprivation, physical and emotional exhaustion, feelings of guilt, fear, and frustration. The second theme presented the main impacts of the health profession on the postpartum period and how this process of returning to work, changing identities, and reconciling technical knowledge with practical reality occurred. The third theme highlighted the role of the support network and the process of identity reconstruction, marked by adaptation, strengthening, and re-signification of the maternal role, in line with Mercer. Finally, the fourth theme highlighted the repercussions of the postpartum period on health training processes, pointing out gaps in training for the maternal experience and the valorization of experiential knowledge, which contributes to more empathetic, critical, and humanized practices. Final considerations: the study highlighted the complexity of the postpartum period experienced by women health professionals, reinforcing the need for sensitive, comprehensive, and contextualized care practices that recognize these women as subjects of care and consider their specificities in the process of becoming a mother. Instituição: Universidade Federal da Fronteira Sul Tipo: Dissertação

Risco de infecção em adultos hospitalizados com câncer gastrointestinal em quimioterapia de infusão contínua: um estudo longitudinal

2026-05-08T18:33:08Z

Título: Risco de infecção em adultos hospitalizados com câncer gastrointestinal em quimioterapia de infusão contínua: um estudo longitudinal Autor(es): Lorentz, Willian Primeiro Orientador: Conceição, Vander Monteiro da Abstract/Resumen: Cancer is a multifactorial disease that culminates in genetic mutations, which alter cellular functions and activities. This condition can affect all organ systems in humans, including the gastrointestinal tract, which will be the focus of this study. A therapeutic approach commonly used in patients with gastrointestinal neoplasms is continuous infusion chemotherapy. This therapeutic choice often results in the need for hospital admission, increasing the risk of healthcare-associated infection. In this context, the nurse plays an essential role in the quality of care provided to oncology patients, since health promotion and prevention actions are crucial throughout the therapeutic pathway. The aim of the study is to compare the risk of infection in hospitalized adults with gastrointestinal cancer from the first (T0) to the sixth (T5) cycle of continuous-infusion chemotherapy. This is a prospective longitudinal study assessing possible changes in infection risk from the first (T0) to the sixth (T5) cycle of continuous infusion chemotherapy in adults with gastrointestinal cancer. The study will take place in the inpatient units of the oncology department of a referral hospital for cancer treatment in southern Brazil. The sampling method chosen is non-probabilistic by convenience, in which participants are all adults with a first diagnosis of gastrointestinal cancer who were hospitalized for continuous infusion chemotherapy at the data collection site during the study period, with participants included between January and October 2025, and follow-up extending until January 2026. Two instruments were used for data collection: one for sociodemographic and clinical characterization of the participants, and the RAC Adult Infection Risk Scale, which assesses the risk of infection in hospitalized adults. The collected data were tabulated, evaluated, and analyzed using the Statistical Package for the Social Sciences (SPSS) software, version 26.0. Regarding the results, there was a predominance of males (61%) among study participants, over 60 years of age, with a predominant diagnosis of colon neoplasms (36.60%), and more frequent use of the FOLFOX protocol (46.30%) as the selected therapy. There was a progressive reduction in the number of participants over the cycles, from 41 individuals in the first to 23 in the sixth. The statistical analysis showed a significant increase in infection risk between the first and second chemotherapy cycles (t(35) = 5.07; p < 0.001; means 16.28 to 17.67; d = 0.85) and between the first and sixth cycles (t(22) = 4.97; p < 0.001; means 16.39 to 18.09; d = 1.04), indicating a robust cumulative effect over the course of treatment. Based on the results, an increase in infection risk was observed among participants when comparing the first and sixth treatment cycles. This research reinforces the importance of equipping nurses with the skills for their care practice, especially regarding the nursing diagnosis of risk for infection. Instituição: Universidade Federal da Fronteira Sul Tipo: Dissertação