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Efeitos de uma intervenção educativa para a prevenção do câncer do colo uterino em mulheres privadas de liberdade: ensaio clínico randomizado

2026-10-14T12:33:32Z

Título: Efeitos de uma intervenção educativa para a prevenção do câncer do colo uterino em mulheres privadas de liberdade: ensaio clínico randomizado Autor(es): Menezes, Purdenciana Ribeiro de Abstract: Cervical cancer (CC) is one of the leading causes of mortality among women worldwide. Vulnerable populations, such as those who are incarcerated, are particularly affected by CC due to limited access to healthcare resources, prevention strategies, and treatment, as well as inadequate sanitation. The aim of this study was to evaluate the impact of an educational health intervention on the knowledge, attitudes, and practices regarding cervical cancer prevention, specifically focusing on the Pap smear test, among incarcerated women. This was an experimental, randomized controlled trial conducted in female penitentiary units in the state of Ceará, Brazil, from September to November 2022, involving 396 incarcerated women. The research was carried out in five phases: 1) Campaign and recruitment phase; 2) Randomized assignment of participants to either the control or intervention group, followed by the completion of the General Social and Health Status Evaluation Questionnaire and the Knowledge, Attitude, and Practice (KAP) Survey on CC prevention; 3) Educational intervention with the women in the intervention group; 4) Post-intervention application of the KAP survey; and 5) Data analysis. The sample was homogeneous, primarily consisting of young women with a monthly income below the minimum wage, eight years of education from public schools, who were single, cisgender, heterosexual, religious, and homeowners. Most participants had inadequate knowledge, appropriate attitudes, and inadequate practices in both groups, both at baseline and at the follow-up. However, intragroup analysis revealed that the intervention group showed significant improvements in both knowledge and preventive practices, whereas the control group demonstrated an increase in inadequate practices over time. In conclusion, the results suggest that the educational intervention was effective in enhancing both knowledge and preventive practices related to cervical cancer among incarcerated women. Tipo: Tese

Consulta de enfermagem no acompanhamento do desenvolvimento infantil: construção e avaliação de tecnologia móvel na atenção primária à saúde.

2026-10-02T19:42:13Z

Título: Consulta de enfermagem no acompanhamento do desenvolvimento infantil: construção e avaliação de tecnologia móvel na atenção primária à saúde. Autor(es): Fontenele, Maria Gabriela Miranda Abstract: Child development begins before birth and involves physical growth, neurological maturation, and the acquisition of skills. In Primary Health Care (PHC), it is essential to monitor children from zero to two years through nursing consultations based on the Nursing Process, which can be enhanced by the use of mobile technologies to improve this follow-up. The objective of this study was to develop and evaluate a mobile application to support nursing consultations in monitoring the development of children aged zero to two years in PHC. This was a methodological study conducted in five stages: (1) definition of the application content, based on a comparative analysis of child development milestones included in the Brazilian Child Health Handbook (editions 2002, 2010, and 2022), the Denver II, and the ASQ-3, complemented by warning signs from the Manual for Monitoring Child Development in the IMCI context; (2) development of the mobile application, entitled Nursing Process in Child Growth and Development (PECDI), encompassing conceptual modeling, navigation design, and abstract interface; (3) evaluation of technical and functional quality, carried out by 18 experts (nine in Nursing and nine in Information Technology), according to ISO/IEC 25010 and 25040 standards; (4) interobserver reliability analysis, conducted by two nurses working in two Family Health Centers in Sobral-CE, involving 66 children aged 0 to 2 years; and (5) clinical validation, using the PECDI application as a support tool in childcare consultations. Statistical analysis included absolute and relative frequencies, association tests (likelihood ratio and Fisher’s Exact Test), and the Kappa coefficient for interobserver agreement, with values ≥ 0.80 considered indicative of excellent concordance. Data were analyzed using SPSS software, version 20.0. The study was approved by the Research Ethics Committee. The PECDI application was organized into five modules: developmental assessment, warning signs, nursing diagnoses (NANDA-I), interventions (NIC), and outcomes (NOC), in addition to supplementary features such as history, reports, and graphs. Among Nursing specialists, the evaluation of technical quality and functional performance ranged from 73.9% to 96.3%; among IT specialists, from 64.8% to 93.4%. Interobserver agreement was excellent for developmental milestones (Kappa = 0.881; 88.1%) and diagnoses (Kappa = 0.882; 88.2%), reaching 100% for nursing outcomes. In clinical practice, 93.9% of children presented age-appropriate milestones, while 6.1% showed developmental delays. The most frequent interventions included sensory stimulation, encouragement of motor skills, communication, socialization, and strengthening of bonding, while the nursing outcomes comprised motor skills, language, and fine motor coordination. In conclusion, PECDI proved to be valid, reliable, and well-accepted, with potential for clinical practice and continuing education in PHC. By integrating international taxonomies, it promotes care standardization, early detection of delays, and comprehensive childcare. Its expansion is envisaged for multicenter trials, adaptation to other care settings, and translation into different languages, strengthening the quality and safety of child health care. Tipo: Tese

Adaptação e avaliação de cenário de simulação para a consulta de enfermagem à criança com disfunção respiratória

2026-07-30T11:07:10Z

Título: Adaptação e avaliação de cenário de simulação para a consulta de enfermagem à criança com disfunção respiratória Autor(es): Araújo, Moziane Mendonça de Abstract: Respiratory dysfunctions are common in pediatric patients and, when managed inadequately, may lead to unnecessary procedures and worsen respiratory infections. In this context, the nursing consultation plays a fundamental role in providing safe and high-quality care, requiring the training of well-prepared professionals. Clinical simulation has emerged as an important teaching-learning strategy to support this process. Therefore, this study aimed to adapt and evaluate a clinical simulation scenario focused on teaching nursing consultation for children with respiratory dysfunction to undergraduate nursing students. This methodological study involved the adaptation of a simulation scenario based on David Kolb’s Experiential Learning Theory and the methodological standards of the International Nursing Association for Clinical Simulation and Learning (INACSL). The evaluation was conducted by 17 experts and 27 undergraduate nursing students. The scenario adaptation phase took place during the first semester of 2025. The expert and student evaluations, as well as the pilot test, were carried out between September and December 2025. Data collection included the sociodemographic characterization of all participants. In addition, experts assessed the content and appearance of the scenario, while students evaluated its appearance, design, and debriefing process. Data analysis was performed using R software (version 4.x), applying the Content Validity Index (CVI), Cronbach’s alpha, and the Intraclass Correlation Coefficient (ICC). The study was approved by the Research Ethics Committee of the Federal University of Ceará. The experts’ evaluation of content and appearance yielded an overall CVI of 0.977. Of the total items analyzed, 24 achieved 100% agreement, with an observed proportion of 1.00. For these items, the binomial test indicated statistical significance (p < 0.05), with p-values ranging from 0.033 to 0.055. Only two items did not reach absolute agreement, presenting an agreement index of 94.1%. The results indicated adequacy regarding content, structure, language, and relevance. Concerning appearance assessment by the target audience, 11 of the 21 analyzed items achieved 100% agreement. Analyses using the Simulation Design Scale and the Debriefing Experience Scale demonstrated excellent internal consistency (α ≥ 0.91) and high agreement among respondents (ICC ≥ 0.89), in addition to Cronbach’s alpha and ICC values of 0.968, indicating a meaningful experience for learning consolidation and critical reflection. It is noteworthy that the suggestions provided by experts and students were incorporated into the final version of the scenario. The findings demonstrated that the clinical simulation scenario is valid according to both experts and the target audience for teaching nursing consultation to children with respiratory dysfunction and has the potential to be used as a teaching and learning tool in pediatric nursing education. Tipo: Tese

Determinantes sociais de saúde e a qualidade de vida na intenção de amamentar

2026-06-18T11:35:52Z

Título: Determinantes sociais de saúde e a qualidade de vida na intenção de amamentar Autor(es): Rodrigues, Icleia Parente Abstract: Social Determinants of Health (SDH) indicate the living and health conditions of a community, promoting comprehensiveness, equity, and highlighting pathways to reduce social inequities. Related to SDH, Quality of Life (QoL) is considered a predictor of health and well-being. The relationship between SDH and QoL regarding breastfeeding intention has been explored separately in the literature, making it difficult to understand the interrelationship between these constructs. Furthermore, the originality of this study lies in its focus on investigating breastfeeding intention rather than breastfeeding management. This study aimed to investigate the relationship between SDH and QoL in the breastfeeding intention of adolescent and young puerperal women. This was a cross-sectional, analytical, and correlational study conducted at a high-complexity maternity hospital within the Brazilian Unified Health System in Fortaleza, Ceará, Brazil. A total of 323 adolescents and young women aged 10 to 24 years admitted to a rooming-in care unit were included. The following instruments were applied: 1) sociodemographic, clinical, and obstetric questionnaire; 2) Social Determinants of Health in Schoolchildren Questionnaire (Q-DSSE); 3) Health-Related Quality of Life Scale for Children and Adolescents (KIDSCREEN-52); and 4) Infant Feeding Intentions Scale (IFI). The Chisquare test was used to analyze associations between variables, and the strength of association was calculated using prevalence ratios (PR). Variables with p<0.20 in bivariate analyses were included in logistic regression. Simple linear regression was performed with transformed scale scores. A significance level of 5% was adopted for all analyses. The research project was approved by the Research Ethics Committee under opinion no. 6,800,591. The results showed a statistically significant reduction in the intention to exclusively breastfeed over time, with a progressive decline in mean scores between the 1st, 3rd, and 6th postpartum months (p<0.001). Correlation analysis revealed statistically significant positive associations, although of weak magnitude, between breastfeeding intention and maternal age (p=0.020), as well as neonatal clinical indicators. Higher Apgar scores at the 1st minute (p=0.002) and 5th minute of life (p<0.001) were associated with higher levels of maternal intention to exclusively breastfeed. Regarding QoL, puerperal women with more than one childbirth showed a higher proportion of low or regular QoL (39.3%) and (27.7%) (PR=1.69; p=0.031; 95%CI:1.05–2.74). Similarly, those with a previous childbirth presented worse scores (40.4%) (PR=0.55; p=0.017; 95%CI:0.34–0.90). Equivalent findings were observed among women with previous breastfeeding experience, who also showed a higher frequency of low or regular QoL (40.5%) (PR=0.55; p=0.017; 95%CI:0.34–0.90). It is concluded that, for adolescent and young puerperal women, breastfeeding intention appears to be less determined by structural social conditions and more sensitive to clinical and obstetric experiences, highlighting the importance of early interventions focused on perinatal care and individualized support in the immediate postpartum period. This study contributes to broadening the understanding of factors influencing breastfeeding and points to the need for comprehensive, longitudinal, and socially sensitive care strategies. Tipo: Tese