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Integrative and complementary practices and the impact of circle dancing on promoting health in older adults: a literature review
Introduction: Aging requires strategies that promote health and quality of life. Integrative and Complementary Practices (ICPs) recognize the individual as a whole, considering physical, emotional, and social dimensions. In this context, Circular Dance, recognized as a therapeutic resource by the Brazilian Unified Health System (SUS), promotes balance, mobility, and the strengthening of emotional bonds among older adults. Objective: To understand the impact of Circular Dance, within the context of Integrative and Complementary Practices, on the well-being and functionality of the elderly population. Method: Simple literature review, with searches in the Virtual Health Library (BVS), Latin American and Caribbean Health Sciences Literature (LILACS), and Scientific Electronic Library Online (SciELO) databases. Studies published between 2015 and 2025 in Portuguese were included. Of the 49 studies initially identified, only 8 met the inclusion criteria. Results: The consistent benefits identified were improved motor skills, improved functional mobility, and reduced falls through circular dance, in addition to several other gains. The findings indicate that circle dancing, by integrating movement, emotion, and group interaction, is an effective practice for promoting active and humanized aging. Its implementation in health services contributes to expanding person-centered care and strengthening welcoming practices. Conclusion: Circular dancing is an accessible strategy with a broad impact on promoting the health of older adults. Its practice should be encouraged in public policies and incorporated into the routine of health services, strengthening actions aimed at active aging and comprehensive care.
Dance Therapy; Health of the Elderly; Complementary Therapies; Health Promotion.
Copyright (c) 2025 Amanda Barros Vieira , Érika Keize de Aguiar Celestino , Josefa Cristina Soares Gama Coelho , Reginaldo Oliveira (Autor) https://creativecommons.org/licenses/by/4.0
Capacity of nursing students for the humanized care of people with physical disabilities
Introduction: Humanized care for people with disabilities remains a significant challenge within the healthcare system, requiring professionals who are sensitive to the physical, communicational, and social barriers that impact the quality of care. In Brazil, approximately 17.3 million people live with some form of disability, highlighting the urgency of inclusive and compassionate practices. In this context, Nursing education plays a central role in building ethical and equitable care. Objective: This study evaluated the ability of Nursing students to provide humanized and inclusive care to people with physical, visual, and hearing disabilities, promoting empathy and equity in healthcare. Methods: This is a cross-sectional study, predominantly quantitative with qualitative elements, grounded in action research methodology. The intervention was carried out through a one-day educational event, consisting of three simultaneous workshops focused on the care of wheelchair users, blind individuals, and deaf individuals, including practical experiences, discussion circles, and participatory dynamics. Data were collected through pre- and post-intervention questionnaires, allowing measurement of the activity’s impact on participants’ perception and preparedness. Thus, the realization of the three simultaneous workshops with qualified professionals and students strengthened the experience and academic training, contributing to a more inclusive and humanized Nursing practice. Results: Students showed significant improvement in knowledge, sensitivity, and confidence when caring for people with disabilities after the workshops. There was greater understanding of the barriers faced by these patients, improved communication skills, and enhanced practical management, demonstrating the positive impact of the intervention on training for inclusive and humanized care. Conclusion: The intervention proved effective in raising awareness and training students, fostering greater empathy, expanding knowledge, and developing practical skills aimed at inclusive care. The permanent adoption of similar educational strategies in Nursing education is recommended.
Humanization of Assistance; Persons with Disabilities; Education; Social Inclusion; Educational Intervention.
Copyright (c) 2025 José Augusto Arantes Maciel, Daiana Silva Reis Santos, Guilherme Luís Nascimento Quintiliano, João Paulo Soares Fonseca (Autor) https://creativecommons.org/licenses/by/4.0
Phytotherapy as a therapeutic option in menopause: an integrative review
Introduction: Menopause is the period of the last menstruation, after 12 consecutive months, marked by the end of the fertile phase. Thus, the climacteric is characterized by the transition between the fertile and infertile cycles, presenting physical, hormonal, and psychological symptoms. Objective: The objective of this study is to analyze, through a literature review, the role of nursing in the management of menopause and the effectiveness of phytotherapy in minimizing symptoms. Methods: An integrative bibliographic study was conducted, obtaining 78 articles from the Latin American Literature in Health Sciences (LILACS), Scientific Eletronic Library Online (SCIELO), Specific Nursing Database (BDENF), Virtual Health Library (BVS), and Medical Literature Analysys and Retrieval System Online (MEDLINE) databases. After an exploratory reading, 12 articles were included: 6 from SCIELO, 2 from LILACS, 3 from BDENF, and 1 from BVS. Results: Phytotherapeutic products are effective in reducing symptoms in menopause and climacteric, with few adverse effects and low cost. However, this treatment is still largely unknown, linked to a lack of training among professionals and inappropriate use by women due to a lack of guidance. Conclusion: It is noted that there is a need to train professionals and promote health education so that menopausal women use herbal remedies correctly, alleviating symptoms and providing a better quality of life.
Women's Health; Menopause; Climacteric; Phytotherapy.
Copyright (c) 2025 Maria Clara do Rego, Jefferson da Silva Rocha, Mariana Tenório Macêdo, Nataly da Silva Gonçalves (Autor) https://creativecommons.org/licenses/by/4.0
Ethical environment and nursing care in primary health care: A qualitative analysis
Introduction: In nursing, the ethical environment directly impacts the quality of care and the well-being of professionals. A favorable environment promotes patient independence and protection, while an adverse environment intensifies stress and Burnout Syndrome. Leadership contribution is crucial to consolidate workplace ethics. Objective: To analyze the influence of a positive ethical environment in nursing workplaces and its impacts on the quality of patient care. Methods: This is a qualitative, exploratory-descriptive study conducted with Nursing professionals in Primary Health Care. Data collection was carried out through semi-structured interviews, recorded and transcribed, and subsequently analyzed using the Discursive Textual Analysis method. Sampling occurred through the snowball technique, respecting the ethical principles established by Resolution No. 466/12. Results: Professionals reported that ethical environments based on respect and collaboration increase motivation, trust, and patient safety. Conversely, situations involving disrespect, lack of dialogue, and institutional support weaken the team, generate stress, and may compromise care. The presence of ethical leadership was highlighted as a central factor in maintaining a healthy and productive climate. Conclusion: A positive ethical work environment strengthens team engagement and promotes humanized and safe care. Investing in respect, effective communication, and committed leadership contributes to the appreciation of nursing and the improvement of primary health care, while adverse environments can compromise both the quality of care and professionals’ well-being.
Ethics; Nursing; Primary Health Care; Ethics.
Copyright (c) 2025 Emanuela Ferreira Naves Faria, Vanessa Cervi da Silva, Luiz Alexandre Pereira de Toledo, Emilly Bianca Brasil, Camila Antunez Villagran (Autor) https://creativecommons.org/licenses/by/4.0
The role of nursing in the 35 years of the Unified Health System - SUS
This article analyzes the role of Nursing over the 35 years of Brazil’s Unified Health System (SUS), highlighting its historical, political, and technical contributions to the consolidation of health as a citizenship right in the country. Based on a theoretical and reflective approach grounded in authors such as Paim, Merhy, Ceccim, Egry, and Freire, the discussion addresses the participation of the profession in the struggles of the Sanitary Reform, its role in Primary Health Care (PHC) and in care management, as well as the contemporary challenges related to professional recognition, working conditions, and critical training. The analysis demonstrates that Nursing, as the largest workforce within the SUS, plays a central role in implementing the principles of universality, comprehensiveness, and equity, while also serving as a guardian of the ethical-political project of collective health. It concludes that strengthening Nursing means strengthening the SUS itself, demanding public policies that recognize its leadership and ensure dignified conditions for the exercise of humanized and emancipatory care.
Copyright (c) 2025 Luís Paulo Souza e Souza, Túlio Almeida Dias, Carla Silvana de Oliveira e Silva (Autor) https://creativecommons.org/licenses/by/4.0
Humanization of nursing care in primary health care: contributions, challenges, and possibilities for professional practice
Introduction: Primary Health Care (PHC) is the main entry point to the health system and plays a crucial role in promoting comprehensive and humanized care. In this context, nursing stands out for its direct involvement in family follow-up, care coordination, and strengthening of bonds between the team and the community. Objective: To analyze the contributions, challenges, and possibilities of humanization in nursing care within PHC, considering its relevance to clinical practice, management, and professional training. Methods: This is a narrative literature review conducted between February and October 2025, using the following databases using the Scientific Electronic Library Online (SciELO), Latin American and Caribbean Literature in Health Sciences (LILACS), and the Medical Literature Analysis and Retrieval System Online via PubMed databases, covering the period 1997 to 2024 SciELO, LILACS, PubMed and Virtual Health Library (VHL), using controlled descriptors and free terms in Portuguese and English related to humanization and nursing in PHC. Results: foram identificados 73 estudos e 38 artigos e quatro documentos institucionais atenderam aos critérios estabelecidos, totalizando 16 fontes de dados. The studies highlight reception, qualified listening, and bonding as central devices for improving care quality, promoting adherence, satisfaction, and continuity of care. However, challenges such as work overload, training gaps, and lack of resources still hinder full implementation of humanized practices. Conclusion: The humanization of nursing care in PHC requires institutional support, continuing education, and reinforcement of shared responsibility, standing out as an essential strategy for comprehensive care and professional appreciation.
User Embracement; Primary Health Care; Nursing; Humanization of Hospital Care.
Copyright (c) 2025 Ana Paula Petroni, Adriana Cinelli (Autor) https://creativecommons.org/licenses/by/4.0
Incidence of vertical maternal-fetal transmission of Hepatitis B in the municipality of Cacoal, RO
Introduction: Hepatitis B is a viral infection of great public health relevance, which can evolve into chronic forms and cause serious complications such as cirrhosis and hepatocellular carcinoma. Among its transmission routes, the vertical route (mother-to-child) presents a high risk, as exposed newborns have up to a 90% chance of developing the chronic form. Prevention is directly related to adequate prenatal care, early diagnosis, vaccination, and administration of immunoglobulin in the first hours of life. Objective: This study described the incidence of vertical transmission of hepatitis B in the municipality of Cacoal-RO and evaluated the effectiveness of prevention strategies adopted during prenatal care and the neonatal period. Methods: This was a descriptive, documentary, and quantitative study, developed through the analysis of medical records of pregnant women with positive serology for HBsAg and their exposed children, followed at the Specialized Care Service (SAE) in Cacoal-RO, between 2021 and 2025. The sample consisted of seven pregnant women with the disease, and the data were collected using checklists and analyzed using descriptive statistics. Results: Pregnant women aged 36 to 38 years predominated (57.14%), all with up-to-date prenatal care and vaccinations. Thirteen medical records of exposed children were analyzed, with the highest concentration among those aged 9 to 14 years (46.16%), indicating prolonged follow-up. There were no cases of vertical transmission, confirming the effectiveness of preventive measures such as maternal immunization, use of immunoglobulin, and outpatient follow-up. Conclusion: The findings reinforce the quality of prenatal and neonatal care, contributing to the strengthening of preventive actions and the formulation of public policies focused on maternal and child health.
Hepatitis B; Infectious Disease Transmission; Maternal and Child Health.
Copyright (c) 2025 Taynara Vieira de Morais, Marciele dos Reis Santos, Jessíca Reco Cruz (Autor) https://creativecommons.org/licenses/by/4.0
Knowledge, attitudes and practices of nursing professionals on breastfeeding: An integrative review
Introduction: Breastfeeding is one of the most effective strategies for reducing infant morbidity and mortality, promoting healthy growth and development in children. Despite recommendations from the Ministry of Health and the WHO, rates of exclusive breastfeeding up to six months remain low. Early weaning is associated with physiological, emotional, and sociocultural factors. In this context, nurses play an essential role in promoting, protecting, and supporting EBF through educational and care actions aimed at mothers and children. Objective: This study described, through a review of scientific literature, the knowledge, attitudes, and practices of nursing professionals regarding breastfeeding. Methods: This is an integrative literature review, in which the Virtual Health Library (VHL) was used as a research vehicle, selecting health evidence from the following databases: Latin American and Caribbean Health Sciences Literature (LILACS), Nursing Database (BDENF), and Medical Literature and Retrieval System Online (MEDLINE). The searches to obtain the studies were performed using the Health Sciences Descriptors (DeCs) combined as follows: (Breastfeeding) AND (Knowledge, attitudes, and health practices) AND (nursing professionals). Publications from the last ten years, in Portuguese and available in full, were included. Information was extracted about authorship, year of publication, main title, objectives, research modality, and main results. Results: A final sample of nine articles was obtained. The studies highlighted nurses as key agents in promoting and maintaining EBF, acting from the prenatal period to the postpartum period. The main actions involved guidance, emotional support, and management of breastfeeding difficulties. The need for continuous training and updating of professionals to strengthen their educational and care practices was evident. Conclusion: The role of nurses is indispensable in promoting exclusive breastfeeding, since their educational, preventive, and care actions directly influence the adherence to and maintenance of breastfeeding. Appropriate management and technical and emotional support for nursing mothers contribute to reducing complications, increasing maternal confidence, and improving the quality of life of the mother-child dyad. Further research should be conducted to explore innovative health education methodologies and interdisciplinary strategies that reinforce the role of nursing in promoting EBF. Few studies have demonstrated the integration between different levels of care and continuity of care after hospital discharge, demonstrating the need to broaden the scope of future investigations.
Breastfeeding; Knowledge; Attitudes; Nurse Practitioners.
Copyright (c) 2025 João Paulo Assunção Borges, Gabriela Garcia Sousa, Letícia da Silva Camargo , Daniel de Macêdo Rocha, Ana Patrícia Araújo Torquato Lopes (Autor) https://creativecommons.org/licenses/by/4.0
Gestational hypertension: Prevalence and associated factors among pregnant women attended at a specialized regional maternal and child health center
Introduction: Pregnancy is a physiological process that, in some cases, can be classified as high risk due to conditions such as gestational hypertension, which affect maternal-fetal health and require specialized surveillance. Objective: to analyze the prevalence and factors associated with gestational hypertension in pregnant women treated at a regional maternal and child center in the interior of Rondônia. Methods: quantitative, descriptive and cross-sectional study, carried out through documentary analysis with a sample of 278 medical records of high-risk pregnant women treated between 2023 and 2024. Data collection was performed using a structured form, and the analysis was conducted in Microsoft Excel, using calculations of absolute and relative frequencies. Results: a prevalence of 5.4% (15) of gestational hypertension was observed, with a predominance among obese pregnant women 73.3% (11), primiparous 40.0% (6) and with a positive family history of hypertension 53.3% (8). Among the associated comorbidities, gestational diabetes stood out 29.2% (7). Conclusion: gestational hypertension is a multifactorial condition that requires early identification, systematic follow-up, and a multidisciplinary approach during prenatal care, in order to reduce complications and promote better maternal and fetal outcomes. The findings reinforce the role of nursing in the surveillance and implementation of preventive and educational actions aimed at maternal and child health.
Pregnancy; Pregnancy-Induced; Prenatal Care.
Copyright (c) 2025 Andressa Ubiali Andrade, Denise Carlos Coelho, Samilly Quirino Fonseca, Marcélio Viana da Silva, Jessíca Reco Cruz (Autor) https://creativecommons.org/licenses/by/4.0
Nursing care in the control of oral infections in patients admitted to the Intensive Care Unit (ICU): A literature review
Introduction: Oral hygiene is an essential factor in the prevention and maintenance of health, acting to reduce the proliferation of microorganisms and prevent diseases resulting from insufficient care in Intensive Care Units (ICUs). Objective: The main oral care measures provided in ICUs were described and comorbidities resulting from this lack of care were highlighted. Methods: This integrative literature review, with a qualitative approach, selected 12 articles published between 2013 and 2023 in the Scientific Electronic Library Online (SciELO) and Virtual Health Library (VHL) databases, of which five were chosen for fully meeting the inclusion criteria. Results: In some services, oral hygiene is performed only once every 24 hours per patient, with toothbrushing recommended as the primary means of controlling plaque and biofilm formation. The use of chlorhexidine gluconate and propolis ethanol extract was also found to be effective in reducing salivary flow and preventing dry lips. This highlights the need for qualified and trained professionals committed to constant training and the application of institutional protocols that ensure safe and high-quality care. Conclusion: Poor oral hygiene can worsen patients' clinical condition, prolong hospital stays, and favor the emergence of complications, reinforcing the importance of systematic practices and a nursing team prepared to ensure effective care in an intensive care setting.
Hygiene; Chlorhexidine; Toothbrushing; Dental Plaque.
Copyright (c) 2025 Taynara Vieira de Morais, Andressa Ubiali Andrade, Marciele dos Reis Santos, Pamela de Castro Friedrich, Heveraldo Junior Santana Buffon (Autor) https://creativecommons.org/licenses/by/4.0
Knowledge and practices of primary health care professionals on the national policy of integrative and complementary practices
Introduction: The National Policy on Integrative and Complementary Practices of the Unified Health System is a strategy to ensure comprehensive health care. Integrative and Complementary Health Practices play an important role in primary care, but they still require expanded provision and greater knowledge among healthcare professionals working within the network. Objective: Identified and described the healthcare professionals' knowledge and perceptions of Complementary Therapies. Methods: This cross-sectional, exploratory field study was conducted through interviews for data collection, configuring a quantitative study. The interviews were conducted using a semi-structured questionnaire, made available electronically or in hard copy, containing questions related to the sociodemographic and professional profile of the participants, as well as their knowledge and use of Complementary Therapies in practice. The study was conducted in Primary Care units in the interior of Minas Gerais, with 76 health professionals who make up the PHC teams. Results: Most professionals reported having knowledge of PICs (n=59) but had little or insufficient basic experience on the subject. Among the practices experienced by the interviewees, traditional Chinese medicine/acupuncture (n=25), herbal medicine (n=24), homeopathy (n=19), and aromatherapy (n=19) stand out. Conclusion: It is noteworthy that some health professionals report knowing and using Complementary Therapies in their Primary Care practices. However, the proportion of professionals who report insufficient knowledge about complementary therapies is still considerable, which limits their use in professional practice.
Knowledge; Health Personnel; Complementary Therapies.
Copyright (c) 2025 João Paulo Assunção Borges, Hugo Ribeiro Zanetti, João Carlos Garcia da Silva, Leandra Messias Correia (Autor) https://creativecommons.org/licenses/by/4.0
Self-care perspectives: oncology patients' views of intestinal stoma
Introduction: Intestinal stoma is a surgical opening created in the intestine and exteriorized on the patient’s abdominal wall with the purpose of eliminating fecal waste, performed as a consequence of inflammatory bowel diseases, traumatic conditions, or neoplasms. This type of procedure directly affects the patient’s social and daily habits, making their routine more challenging and leading to complications in daily maintenance. Objective: This study analyzed the perception of ostomized patients regarding the meaning of intestinal stoma and self-care practices. Methods: This is a qualitative, descriptive, and exploratory study based on Bardin’s framework, aimed at understanding internal perspectives on self-care among 11 ostomized patients, valuing their individual interpretation. Data collection took place at the stomatherapy outpatient clinic of a large philanthropic hospital in Recife-PE, between March and October 2022. Results: It was found that patients demonstrated satisfactory knowledge regarding the concept of stoma and related self-care practices. Furthermore, the nursing team’s care during the postoperative period was fundamental for the assimilation of the provided guidelines. Conclusion: Health education is configured as a fundamental element for strengthening self-care and autonomy among ostomized individuals, in addition to serving as an important psychological support in coping with and adapting to the new life condition.
Copyright (c) 2025 José Ray da Silva, Rafaelly de Melo Araujo Concerva, Emanuelly Guimarães Gomes, Nataly da Silva Gonçalves (Autor) https://creativecommons.org/licenses/by/4.0
Emotional and cardiovascular risk factors in female emergency nursing professionals: an observational study
Introduction: Nursing is predominantly female, and professionals working in emergency services constitute a population at risk for stress, anxiety, depression, and cardiovascular disease. Objective: The relationship between emotional and cardiovascular risk factors in female emergency nurses professional was analyzed. Methods: This was a cross-sectional study conducted in a hospital emergency room and a 24-hour Emergency Care Unit in Brazil. Female nursing professionals participated. A socio-occupational questionnaire, the Anxiety, Depression, and Stress Scale, anthropometric measurements, laboratory tests, and the Framingham Global Risk Score were used. Descriptive and inferential statistics were applied to the findings. Results: The presence of symptoms of stress, anxiety, and depression was identified; mean body mass index and waist circumference were elevated, regardless of whether or not they were symptomatic for stress, depression, and anxiety; total cholesterol concentrations above the desirable or borderline range; and low risk for cardiovascular events. Conclusion: Nursing professionals present psychological illness and risk factors for cardiovascular events. Although no association was found between emotional and cardiovascular risk factors, the development of actions that promote the physical and mental health of these professionals is recommended.
Emotions; Heart Disease Risk Factors; Women; Emergency Nursing; Occupational Health.
Copyright (c) 2025 Juliana Tamiozzo, Rosângela Marion da Silva, Carolina Renz Pretto, Etiane de Oliveira Freitas, Flávia Camef Dorneles Lenz, Lilian Medianeira Coelho Stekel (Autor) https://creativecommons.org/licenses/by/4.0
Patient safety strategies in care transitions: Integrative review
Introduction: Patient safety is essential for healthcare quality, especially during care transitions, which are a critical point in healthcare. During these times, responsibilities and information are transferred between different levels of care, with the goal of ensuring continuity of care and patient safety. Objective: Analyze the scientific production on patient safety strategies applied to care transitions. Methods: This is an integrative literature review, with searches in several databases, covering articles published between 2014 and 2024. Only full-text articles in Portuguese, English, and Spanish were included. The analysis involved the selection of articles based on relevance criteria, followed by detailed reading and synthesis of the results. Results: Eight articles were analyzed after applying the inclusion and exclusion criteria, showing that patient safety strategies in care transitions focus on two main approaches. Structured communication, through specific methodologies, promotes the standardization of information and safe decision-making. Risk management is carried out through checklists and protocols, which assist in discharge planning, medication reconciliation, and the engagement of the patient and their support network. Conclusion: It was found that the use of structured tools strengthens safety, reduces risks and readmissions, in addition to optimizing resources and ensuring continuity of care. However, the lack of studies on the transition between levels of care compromises the applicability of the results and the formulation of more comprehensive public policies.
Transitional Care; Patient Safety; Health Strategies; Nursing.
Copyright (c) 2025 Sabrina Martins Vilas Boas , Rejane Santos Barreto , Endric Passos Matos, Simone Santos Souza , Sônia Maria Isabel Lopes Ferreira , Nayara Mary Andrade Teles Monteiro , Nathalie Campana de Souza , Rafaely de Cassia Nogueira Sanches (Autor) https://creativecommons.org/licenses/by/4.0
Negative pressure wound therapy in the treatment of complex wounds: contributions and challenges for nursing practice
Introduction: Complex wound care represents a growing challenge for healthcare systems globally. Several technological innovations have proven effective in treating complex wounds, including negative pressure wound therapy (NPWT). Objective: To describe the contributions and challenges of negative pressure wound therapy (NPWT) in treating complex wounds, with an emphasis on the role of nurses. Methods: A narrative literature review was conducted between February and June 2025, using the Scientific Electronic Library Online (SciELO), Latin American and Caribbean Literature in Health Sciences (LILACS), and the Medical Literature Analysis and Retrieval System Online via PubMed databases, covering the period 1997 to 2024. Results: Thirty-eight studies and 12 articles were identified, and four institutional documents met the established criteria, totaling 16 data sources. The findings demonstrated that NPWT provides significant benefits, such as reducing exudate, stimulating granulation tissue formation, preventing infections, and accelerating healing. Conclusion: NPT has a positive impact on the evolution of complex wounds, strengthening the role of nursing as a central agent in the application and monitoring of the technique.
Negative-Pressure Wound Therapy; Wounds and Injuries; Nursing.
Copyright (c) 2025 Vanessa Schiavo, Reginaldo Oliveira (Autor) https://creativecommons.org/licenses/by/4.0
Measurement and verification of gastric tube positioning in newborns: comparison between nurses practice and evidence
Introduction: Accurate measurement and verification of gastric tube placement in newborns is essential to ensure patient safety and prevent complications such as aspiration, perforation, and nutritional failures. Despite its importance, studies reveal discrepancies between clinical practice and evidence-based recommendations, highlighting the need to assess the role of nursing professionals in this context. Objective: To describe the practice of neonatal nurses regarding methods of measuring and verifying gastric tube placement in newborns, comparing them with the literature. Methods: Exploratory, cross-sectional, and quantitative study, using a questionnaire applied to neonatal unit nurses. Results: Forty-seven nurses participated, 95.7% women (n=45), with a mean age of 40.3 years; 100% (n=47) were specialized in neonatology. The most used technique for nasogastric tubes (NGT) was NEX (nose–ear–xiphoid appendix), used by 59.6% (n=28), also predominant for orogastric tubes (40.4%, n=19). Although all participants considered their knowledge good or excellent, only 4.3% (n=2) simultaneously employed the recommended strategies. Epigastric auscultation was the most cited verification method (85.1%, n=40), followed by chest-abdominal X-ray (66.0%, n=31) and gastric residuals (40.4%, n=19). None used the pH test. No significant association was found between adequate practices and professional experience or training. Conclusion: A misalignment with evidence was identified, mainly due to the predominant use of the NEX technique. Methods such as NEMU (nose–ear–midpoint between xiphoid appendix and umbilicus) and pH measurement were scarcely adopted, reinforcing the need for training, protocols, and adherence to safe practices.
Enteral nutrition; Newborn; Neonatal Nursing; Intensive Care Units.
Copyright (c) 2025 Victória Braga Quaglia, Keila Kiyomi Seki de Melo (Autor) https://creativecommons.org/licenses/by/4.0
Determinants of Sleep Quality in Final-Year Nursing Students
Introduction: Sleep is a physiological process essential to the body's homeostasis, with a direct impact on physical and mental health, as well as functional performance. Among nursing students, especially those in the final stages of their undergraduate studies, various factors may negatively affect sleep quality, compromising academic performance and clinical practice capabilities. Objective: This study analyzed the association between sociodemographic, economic, and work-related variables and the sleep patterns of final-year undergraduate nursing students. Methods: A cross-sectional study with a quantitative approach was conducted. Data were collected in September 2024 from 250 students enrolled at a higher education institution. Results: The evaluation revealed a predominance of poor sleep classification in 98.8% (247) of participants, with 62.8% (157) scoring within the range indicating the presence of sleep disorders. Students without leisure time were 3.58 times more likely to have habitual sleep efficiency below 65% (p = 0.038). Exhausted participants were 2.55 times more likely to experience significant daytime dysfunction (p = 0.016) and 3.96 times more likely to present sleep disorders (p = 0.016). Conclusion: Regression analysis revealed that fatigue level and leisure time are the main factors impacting sleep quality among students.
Sleep quality; Sleep Deprivation; Students; Nursing; Universities.
Deborah Elaine Caristo Santiago de Farias
Copyright (c) 2025 Italo Everton Bezerra Barbosa, Breno de Souza Mota , Raquel Josefina de Oliveira Lima , Nathalia Rugeri Chinelatto , Glauteice Freitas Guedes , Eliane Caixeta de Lima Lucas , Claudia Dos Santos Oliveira , Deborah Elaine Caristo Santiago de Farias (Autor) https://creativecommons.org/licenses/by/4.0
Nursing care women's health in the face of cervical cancer
Introduction: cervical cancer represents the third most common neoplasm among women in Brazil, and one of the main forms of detection is the cytopathological test, popularly known as Pap smear. Objective: to describe nursing care in women's health in the face of cervical cancer. Methods: a qualitative study was carried out during the year 2025 in the basic health units of the municipality of São Miguel do Iguaçu. An intentional sample, with collection, was carried out with nurses, using a questionnaire with open questions. The data were evaluated through content analysis. Results: the sample was composed of four nurses, who perform prevention, education and active search activities. Conclusion: the present research allowed us to describe the nursing care provided in basic health units with regard to the prevention of cervical cancer.
Nursing Care; Uterine Cervical Neoplasms; Primary Health Care.
Copyright (c) 2025 Graciele Ferneda, Talita dos Santos Machado , Jacqueline Aparecida Ramos da Silva, Daniela Munarini Almeida, Silviane Galvan Pereira (Autor) https://creativecommons.org/licenses/by/4.0
The use of cartilha as educational technology: trends in national scientific production
Introduction: The card is considered a mild educational technology, capable of dialogue with different audiences and sociocultural realities, favoring the empowerment of subjects and the incentive to autonomy rather than health care. Objective: Identify the trends in Brazilian production of theses and dissertations, in the area of Health Sciences, regarding the construction of books as educational technology. Methods: Narrative review developed from the quest: “What are the national tendencies of Teses e Dissertações sobre da construção de cartilhas como Tecnologias Educacionais?” The queue is based on data Catalog of Theses and Dissertações da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior. The end result is due no later than June 2024. The criteria include studies on construction and/or validation of educational technologies in chart format in the hospital context. Studies that do not address the review question and criteria presented are excluded. To analyze two results in a descriptive manner and using absolute (n) and relative frequencies (%). Foram included 22 studies, of these 21 were dissertações and one these. Results: Within the educational cards, forums built for more, countries and/or caregivers of children with some chronic condition (31.8%, n=7) and for adult patients with some chronic disease (22.7%, n=5). Other three studies for patient safety promotion actions, including stay prevention and safe surgery. Conclusion: Construction of cards is a current product, developed, predominantly, in public universities in the area of Child and Adolescent Health and for more, country and/or caregivers of children with some chronic conditions, being developed, predominantly, in Post-Graduation Program in Enfermagem.
Educational Technology; Nursing; Health Sciences.
Copyright (c) 2025 Ana Graciele de Freitas Gomes, Taís Carpes Lanes, Graziele de Lima Dalmolin , Katiane Sefrin Speroni, Mariângela Herzog (Autor) https://creativecommons.org/licenses/by/4.0
Sociodemographic and health profile of people with chronic kidney disease undergoing hemodialysis treatment
Introduction: chronic kidney disease is a noncommunicable chronic condition with increasing prevalence over time. Objective: To identify and describe the socioeconomic profile, lifestyle habits, disease status, and treatment of individuals with chronic kidney disease undergoing hemodialysis. Methods: this was a cross-sectional study involving 142 individuals undergoing hemodialysis at a center in southern Minas Gerais. An adapted participant characterization questionnaire was used, and data were collected during hemodialysis. Data were presented using descriptive statistics, with absolute and relative frequencies for categorical variables and measures of central tendency for numerical variables. Results: most individuals undergoing treatment were male, aged 60 to 69, Catholic, with a monthly family income of up to R$1,500.00, receiving financial benefits, not working, married/in a stable relationship, with incomplete elementary education, owning their own home, not consuming alcohol or smoking, having at least one chronic disease, taking up to five continuous medications, diabetes mellitus as the etiology of chronic kidney disease, having an arteriovenous fistula, and having been undergoing treatment for at least one year. Conclusion: by providing knowledge about sociodemographic and health aspects, such as gender, age, marital status, lifestyle habits, chronic diseases, medications taken, and duration and duration of therapy, there is collaboration in improving knowledge and practices, strengthening the interaction between professionals working in the health care of people undergoing treatment for chronic kidney disease.
Health Profile; Renal Dialysis; Renal Insufficiency; Nursing Care.
Copyright (c) 2025 Ingrid Fernanda de Oliveira Vieira, Denismar Alves Nogueira, Patrícia Scotini Freitas, Fábio de Souza Terra (Autor) https://creativecommons.org/licenses/by/4.0
Prognosis of cardiorespiratory capacity in heart failure by exercise testing: Narrative review
Introduction: Heart disease, such as heart failure, is a global problem with high morbidity and mortality. The six-minute walk test is a useful and low-cost tool for assessing the functional capacity of these patients. This review explores the use of the six-minute walk test, including indications, contraindications, and methodological criteria, to aid in the prognosis of the condition. Objective: To demonstrate the importance of the Six-Minute Walk Test as a tool for assessing cardiorespiratory capacity and predicting outcomes in patients with heart failure. Methods: This is a narrative literature review based on a search of databases Scientific Electronic Library Online (SciELO), Latin American and Caribbean Literature in Health Sciences (Lilacs) and PubMed, using descriptors in both Portuguese and English related to heart disease, heart failure, cardiopulmonary testing, and the six-minute walk test. Studies published between 1999 and 2024 were selected. Results: Predictors in the elderly were observed, protocols were compared in patients with heart disease, and predictive equations were developed for the Brazilian population and the impact of BMI on lung function in children with asthma was analyzed. The findings highlight the importance of the 6MWT in functional assessment, prediction of peak VO2, and identification of performance-related factors in diverse populations. The study categories include heart failure, COPD/asthma, and normative studies. Conclusion: The Six-Minute Walk Test is a practical, accessible, and valuable prognostic tool in clinical practice, particularly for patients with heart failure. Despite its proven effectiveness, it has limitations related to the influence of anthropometric characteristics and the lack of more precise hemodynamic data. Therefore, standardizing the test and encouraging further research to improve its applicability, considering the specificities of cardiac patients, is essential.
Walk Test; Heart Failure; Functional Status; Exercise Test; Prognosis.
Adalgiza Mafra Moreno Adalgiza Mafra Moreno
Copyright (c) 2025 André Custódio da Silva, Adalgiza Mafra Moreno, Luiz Felipe Pereira de Souza, Andrey Rocha Lopes, José Alexandre Odir Golim, Wilson Gomes Costa, Sérgio Chermont, Manoel Gonçalves Neto, Vanney da Silveira Rocha, Marco Orsini (Autor) https://creativecommons.org/licenses/by/4.0
Tuberculosis: what's new in treatment and clinical Monitoring
Introduction: Tuberculosis remains a major global public health problem due to its high incidence and mortality, especially in developing countries. Objective: To analyze new approaches to the treatment and clinical monitoring of tuberculosis in Brazil. Methods: The articles were searched in the Scientific Electronic Library Online (SciELO), US National Library of Medicine (PubMed), and Latin American and Caribbean Literature in Health Sciences (LILACS). Studies published between 2017 and 2025, in Portuguese or English, that directly addressed the topic were included. The search was conducted using the keywords “tuberculosis,” “Mycobacterium tuberculosis,” “innovative treatments,” and “clinical management.” Duplicate articles, publications prior to 2017, and those that did not directly address the pathology were excluded. In the end, 15 studies were analyzed. Results: The studies analyzed highlighted the main innovative approaches to the treatment of tuberculosis, including new pharmacological therapies, clinical monitoring strategies, and advanced diagnostic methods. The development of new therapeutic regimens for multidrug-resistant cases and the improvement of patient monitoring techniques were identified as relevant advances in the area. Conclusion: Innovations in the treatment and clinical monitoring of tuberculosis are essential for disease control, especially in vulnerable populations. The integration of new therapies, early diagnosis and improved clinical monitoring contributes to better outcomes in tuberculosis management.
Disease Management; Mycobacterium Tuberculosis; Treatment; Tuberculosis.
Copyright (c) 2025 Danielle Camara de Vasconcelos Rios, Vladimir Cavalcanti Rios, Caio Moraes Lins, Fábio Salles Azevedo, Ingrid Pinheiro da Silva, Lívia Fernandes Sardinha, Antonio Carlos de Freitas da Silva, Luciana Armada, Marco Orsini (Autor) https://creativecommons.org/licenses/by/4.0
Nurses' role in prevention and treatment of syphilis during prenatal care: integrative review
Introduction: Syphilis is a sexually transmitted infection (STI) unique to humans, curable with appropriate treatment. It increases the risk of miscarriage and perinatal death and is the disease with the highest rate of transmission during pregnancy. Objective: The role of nurses in the prevention and treatment of syphilis during prenatal care was described. Methods: This integrative literature review was conducted between February and May 2025. The bibliographic search was conducted in the databases that make up the Virtual Health Library and the Scientific Electronic Library Online (SciELO), using the Health Sciences Descriptors (DECS) "Syphilis”," "Prenatal consultation," and "Nurse," and the alternative term "Pregnancy". Articles from the period 2019 to 2024 were included. Microsoft Excel was used for publication selection. Results: The search identified 25 articles, 5 in SciELO and 20 in the VHL databases. After reading, the sample consisted of 10 articles. Studies showed that nurses can perform a series of activities during prenatal care, aiming at the prevention and treatment of syphilis, always guided by health education, humane treatment, and building a bond with the patient and partner. Conclusion: This study identified actions related to the work of nurses in syphilis prevention. gestational and in the treatment of the disease during pregnancy, acting comprehensively from the moment the pregnant woman and her partner are welcomed.
Copyright (c) 2025 Jean Wohnrath, Carolina Elizabete Alves de Sousa (Autor) https://creativecommons.org/licenses/by/4.0
Assessment of child health services in primary care: Literature review
Introduction: The evaluation of child health services in Primary Health Care (PHC) is essential to ensure quality care. Objective: To describe Brazilian postgraduate scientific productions related to the evaluation of child health services in Primary Health Care. Methods: This is a bibliographic research, using a narrative literature review approach, based on a search for information in the CAPES Theses and Dissertations Catalog (Coordination for the Improvement of Higher Education Personnel). The search strategy employed the Portuguese descriptors “saúde da criança” (child health), “atenção primária à saúde” (primary health care), and “avaliação dos serviços de saúde” (health services evaluation), combined using the Boolean operator AND. The search was conducted in June 2024, with no time restriction. The inclusion criteria were: national theses and dissertations, with no restriction on the field of knowledge and without a time limit, that addressed the review question, which allowed the identification of trends in scientific production on the topic. Exclusion criteria included: studies not available in the CAPES Theses and Dissertations Catalog and scientific works not conducted within the scope of PHC. Results: Twelve studies were selected, including eight master's dissertations and four doctoral theses, most of which originated from Nursing postgraduate programs. The Midwest region was the only one that did not present any studies, while the South region concentrated the majority of them. The predominant methodological approach was quantitative, and the main evaluation tool used was the Primary Care Assessment Tool (PCAT). Conclusion: The quality of child health care in Primary Health Care remains below ideal standards, indicating the need to improve the services offered in PHC, including the strengthening of the child care network and the qualification of health professionals.
Child Health; Primary Health Care; Health Services Research.
Copyright (c) 2025 Vanessa Gross, Leonardo Bigolin Jantsch, Nathália Huffell Boézzio (Autor) https://creativecommons.org/licenses/by/4.0
Inequalities in sexual and reproductive health access for migrant and refugee women in humanitarian contexts
Introduction: Migrant and refugee women face multiscale barriers political, organizational and sociocultural that undermine access to sexual and reproductive health (SRH) in humanitarian crises. Objective: This study analyzed the SRH conditions of refugee women in humanitarian crisis settings. Methods: A scoping review was conducted following Joanna Briggs Institute (JBI) guidance and the PRISMA-ScR protocol for scoping reviews. The PCC mnemonic (Population/Concept/Context) guided searches in Latin American and Caribbean Health Sciences Literature (LILACS), International Literature in Health Sciences (Medline/PubMed), CINAHL and Scopus (Elsevier), carried out in February–April 2025 without temporal limits. Studies conducted in Africa, the Americas, Europe, the Middle East and Asia were included. Twenty-four articles met eligibility criteria: 10 observational quantitative studies, 6 controlled trials, 5 qualitative studies and 3 mixed-methods studies. Results: Macro-level barriers (underfunding, restricted security coverage), meso-level barriers (service overload, lack of interpreters, pandemic interruptions) and micro-level barriers (stigma, trauma, partner surveillance) were identified. Low-cost strategies Human Immunodeficiency Virus (HIV) self-testing via mHealth apps, obstetric vouchers, guided self-help showed point efficacy, contingent on confidentiality and cultural mediation. Critical gaps persist in menstrual hygiene, climate-related gender-based violence and cost-effectiveness analyses. Conclusion: Equity in SRH demands multiscale ecosystems that integrate countercyclical funding, culturally mediating services and secure technologies, with active participation of refugees themselves.
Refugees; Sexually Transmitted Diseases; Reproductive Health; Women; Sexual Health.
Copyright (c) 2025 Luciene Rodrigues Barbosa (Autor) https://creativecommons.org/licenses/by/4.0
The first human impression is the one that lasts: a point of view on Artificial Intelligence in Medicine
In the wake of critical and deep thinking, we fear that the use of Artificial Intelligence (AI) tools in medical practice may negatively impact critical thinking skills. Human traits including empathy, social and emotional intelligence, the capacity and willingness to think deeply and apply moral judgment, and mental well-being may reach their nadir in the next decade. This opinion article warns of the risks of a distancing of knowledge and thought in the analysis of care, in addition to the increase in professional autonomy in clinical medicine. Will we be just digital assistants or doctors capable of performing tasks and diagnoses independently?
Artificial Intelligence; Thought; Clinical Medicine; Professional Autonomy; Knowledge.
Copyright (c) 2025 Marco Antônio Orsini, Micheli Verginia Ghiggi, Marcos RG de Freitas, Carlos Henrique Melo Reis, Marco Antônio Araújo-Leite, Acary Souza Bulle Oliveira, Luciana Armada (Autor) https://creativecommons.org/licenses/by/4.0
The role of primary care nurses in the care of agricultural workers exposed to pesticide use: integrative review
Introduction: Nurses working in Primary Care are essential for the management of care for rural workers exposed to the use of pesticides. Objective: The scientific evidence on the performance of Primary Health Care nurses in the care of rural workers exposed to the use of pesticides was described. Methods: this is an integrative review, registered in Figshare, using the question: what is the scientific evidence on the performance of Primary Health Care Nurses in the care of rural workers exposed to the use of pesticides? The inclusion criteria were: primary studies that answered the guiding question, in Portuguese, English and Spanish, and covered the cut-off period from 2012 to 2024. The searches were carried out in the following information sources: LILACS, PubMed, SCOPUS, Web of Science and Cinahl with descriptors and alternative terms/synonyms, such as nursing, rural workers, agrochemicals, among others, both selected in the Science and Health Descriptors, Medical Subject Headings and Cinahl Subject Headings, in addition to keywords, such as rural work and insecticides. The Endnote and Rayyan software were used, maintaining blinding between two reviewers, with the assistance of a third reviewer in cases of conflicts. In addition, the Classification of Levels of Evidence and assessment of methodological quality were carried out. Results: A total of 800 studies were found, 21 were fully evaluated, and finally, seven were included. They were published from 2012 onwards and in English and/or Portuguese, with levels of evidence IV and VI, and four thematic categories were developed. Conclusion: It is concluded that the role of nurses in Primary Health Care is essential in the care of rural workers. However, there is a lack of scientific evidence, requiring further research.
Nursing; Rural Health; Agrochemicals; Primary Health Care.
Copyright (c) 2025 Ana Lyvia da Silva Santos, Bruna Paiva da Silva, Roberta Seron Sanches, Vânia Regina Bressan, Melissa Lúcia Melo, Fábio de Souza Terra (Autor) https://creativecommons.org/licenses/by/4.0
Aquela ciência que aprendemos na escola e, obviamente, na época da adolescência não se insere nesse contexto. Médicos voltados exclusivamente para pesquisa de ponta no Brasil são escassos. A falta de investimentos significativos, associada à instabilidade político-governamental, representa grandes entraves. É impossível que um aluno de mestrado, doutorado e mesmo pós-doutorado produza com o capital ofertado pelas “grandes” fundações, conselhos e instituições brasileiras. Pesquisas que se revelam promissoras são exportadas junto ao pesquisador. Além disso, quando possuímos algum artigo de relevância média, não buscamos nossas revistas entregamos de bandeja ou mesmo pagamos por nossa propriedade intelectual. Posteriormente, compramos com preços mais altos. Podemos nos comparar ao café e à cana-de-açúcar. Faltam laboratórios, equipamentos, insumos e financiamento. Não há um ambiente onde a ciência possa ser feita e, sem isso, não há como formar ou manter médicos-cientistas. Atualmente, a qualidade técnica dos novos alunos de mestrado e doutorado está extremamente fraca com trabalhos que, antes, nem eram considerados para notas mínimas de término de graduação. Existe uma forte tendência de que os programas de mestrado acabem… sabemos disso. A ausência de pensamento científico gera um custo humano e financeiro muito alto para o Brasil. Para que pensar se existem os guidelines e consensos? Infelizmente, alguns partem dessa premissa. Hoje, conselhos brigam por provas de títulos, avaliações de futuros colegas médicos e outras trivialidades. Mas esquecem de um ponto nevrálgico! Deparamo-nos com um volume excessivo de exames e medicamentos prescritos sem critério; pois, por anos, foi criado uma espécie de algoritmo de prática médica, que é baseado apenas em diretrizes, mas sem reflexão crítica, e isso leva à perda de eficácia e, consequentemente, ao empobrecimento do pensamento fora das quatro linhas. O médico precisa entender o contexto e fazer as perguntas certas é assim que se inicia uma pesquisa. Algumas semanas atrás, conversei com um amigo italiano sobre nossas realidades especialmente em relação à fuga de cérebros e à dificuldade de manter talentos no país. Ninguém quer deixar o seu “fruto” científico no Brasil só por amor.
Copyright (c) 2025 Marco Antônio Orsini, Marcos RG de Freitas, Carlos Henrique Melo Reis, Acary Bulle Oliveira, Luciana Armada (Autor) https://creativecommons.org/licenses/by/4.0
Impact of continuing education on medication administration: improvements in nursing practice
Introduction: Continuing education is essential for improving nursing team performance, promoting patient safety and the quality of care. It supports professional development, evidence-based practice, and the reduction of adverse events. Objective: This study evaluated how continuing education influences medication administration by the nursing team, identifying improvements in care practices and patient safety. Methods: This is an interventional study with a structured approach aimed at identifying and solving problems in the context of nursing care. Data were collected through the analysis of adverse events reported by nurses at a philanthropic hospital in southern Minas Gerais, Brazil, between January and December 2023. The study included 8 nurses and 48 nursing technicians, selected for their direct involvement in medication administration processes, ensuring adequate representation of their experiences and perspectives. Results: Of the 74 professionals, 81.08% (n = 60) were nursing technicians and 18.92% (n = 14) were nurses. After the educational intervention, there was a significant increase in knowledge regarding the “nine rights” of medication administration. Issues such as prescription, patient identification, and documentation were widely recognized. The educational intervention proved effective in promoting patient safety. Conclusion: The educational intervention contributed to increasing the nursing professionals’ knowledge of safe medication administration. The results show improvement in responses after the intervention, reinforcing the importance of continuing education in promoting patient safety.
Education; Drug Administration Routes; Patient Safety; Medication Errors; Professional Practice.
Copyright (c) 2025 Rodrigo Pereira Castilho, João Paulo Soares Fonseca (Autor) https://creativecommons.org/licenses/by/4.0
The pain that the street silences: inequality, health and vulnerability in a case report
Introduction: Social inequality, resulting from historical structures and power relations, directly influences access to rights and resources, affecting the health conditions of vulnerable populations. Objective: To analyze the impacts of social inequality on health through a qualitative case study. Methods: Case report of a 32-year-old man, homeless and HIV-positive, who developed severe cranial myiasis following a physical assault. Results: The patient went several weeks without medical care and was admitted with advanced infection, bone exposure, and larval infestation (Lucilia sericata), requiring antibiotic therapy and reconstructive plastic surgery. Conclusion: The case highlights how social vulnerability exacerbates clinical conditions and hinders timely access to care, reinforcing the need for a critical and equity-oriented professional approach in health.
Socioeconomic Factors; HIV; Public Health; Health Vulnerability; Social Responsibility.
Copyright (c) 2025 Micheli Verginia Ghiggi, Cesar Vieira Marques Filho, Marco Antônio Orsini, Eduardo Paranhos Jr., Adalgiza Mafra Moreno , Vanney da Silveira Rocha, Marcos RG de Freitas, Marco Antônio Araújo Leite, Carlos Henrique Melo Reis, Luciana Armada (Autor) https://creativecommons.org/licenses/by/4.0