Résumé Objectif Décrire et analyser le processus de mise en œuvre des soins infirmiers avancés au Chili. Méthodes Étude descriptive, type rapport d›expérience. Elle utilise le cadre du processus participatif pour les soins infirmiers avancés centrés sur le patient et fondés sur des preuves (PEPPA, selon l›acronyme anglais) comme cadre théorique, en se concentrant sur la septième étape, qui vise à développer et à mettre en œuvre cette fonction. Résultats L’expérience du Chili a consisté en un processus systématique, basé sur le modèle PEPPA. Il convient de souligner certains aspects tels que la mise en œuvre de programmes d’éducation, initialement avec le soutien d’une action internationale et de précepteurs médicaux ; la collaboration entre divers acteurs et l’élaboration de politiques, de normes et de protocoles spécifiques, qui garantissent une formation adaptée aux besoins sanitaires, l’insertion professionnelle des professionnels et une pratique autonome soutenue par des protocoles. Conclusions Bien que des progrès significatifs aient été réalisés, il est essentiel de reconnaître que la mise en œuvre de l’IPA dans les soins de santé primaires peut apporter de grands avantages au pays. Des actions et des stratégies sont nécessaires pour évaluer le processus de mise en œuvre de cette fonction dans le pays. Cet article offre des ressources et des réflexions aux pays qui se trouvent à différents stades de discussion et de mise en œuvre de l’IPA.

Resumo Objetivo Analisar as características da violência física contra mulheres pardas e pretas durante os dois anos iniciais da pandemia de COVID-19 em São Paulo, SP. Métodos Estudo epidemiológico com delineamento transversal, realizado com dados das notificações compulsórias de violência ocorridas entre março de 2020 e fevereiro de 2022. Foram incluídos os casos de violência física contra mulheres pardas e pretas atendidas em serviços de saúde da cidade de São Paulo. A análise foi realizada por meio do teste qui-quadrado de Pearson, com significância de 5% (α = 0,05). Resultados Ocorreram 13.329 casos de violência física, sendo 77,25% contra mulheres que se autodeclararam pardas e 22,75% contra mulheres que se autodeclararam pretas. Houve similaridade da distribuição das variáveis entre ambas. A maioria tinha entre 20 e 34 anos, ensino médio, era solteira, cisgênero e heterossexual. As agressões ocorreram nas residências, mais de uma vez, cometidas pelo parceiro íntimo, do gênero masculino, motivadas por sexismo e com uso de espancamento. Os encaminhamentos para serviços de segurança pública (13,6% e 13,7%) e de direitos humanos (5% e 25%) foram baixos. Conclusão Mulheres heterossexuais jovens e com menor escolaridade foram as principais vítimas, espancadas por parceiro íntimo. Houve pouca intersetorialidade nas ações, prevalecendo encaminhamentos para serviços de saúde. A interseccionalidade entre gênero e raça deve ser considerada para a criação e implementação de políticas de prevenção do agravo em condições atípicas, como uma pandemia.

Resumo Objetivo Analisar quais atitudes éticas presentes na prática do Enfermeiro na Atenção Primária à Saúde (APS) que poderiam ser consideradas Práticas Avançadas em Enfermagem (PAE). Métodos Estudo qualitativo, com análise de dados secundários do banco de dados da pesquisa “Práticas de Enfermagem no contexto da Atenção Primária à Saúde (APS): estudo nacional de métodos mistos”. As cinco regiões brasileiras foram contempladas, com 26 Estados e no Distrito Federal, em 108 municípios. Foram entrevistados 831 enfermeiros da APS de todos os Estados do Brasil. O tratamento dos dados foi realizado por meio do software MAXQDA®, versão, 2024, durante os meses de julho a dezembro de 2024. O delineamento metodológico adotado na análise quantitativa foi o descritivo, para compreender atitudes éticas na prática do Enfermeiro na Atenção Primária à Saúde que se aproximem das competências da Prática Avançada de Enfermagem. Resultados Evidenciado que na prática, apesar do reconhecimento teórico nas competências éticas da PAE, há pouca frequência na sua aplicação em todo o território nacional. Conclusão Os dados desta pesquisa confirmam que o domínio ético, embora amplamente reconhecido na literatura como central à Prática Avançada de Enfermagem (PAE), ainda encontra obstáculos significativos em sua efetivação na prática cotidiana dos Enfermeiros da APS.

Résumé Objectif Cartographier les preuves internationales relatives à la mise en œuvre du modèle Buurtzorg de pratique infirmière communautaire pour les soins aux personnes âgées dans le contexte mondial. Méthodes Revue exploratoire basée sur le protocole publié dans le JBI en octobre 2022, en s’appuyant sur la question suivante : comment le processus de mise en œuvre du modèle Buurtzorg s’est-il déroulé dans les pays qui l’ont adopté ? Les études primaires, thèses, mémoires, articles d’opinion et rapports ont été inclus, tandis que les protocoles d’étude ont été exclus. La collecte d’informations a été effectuée dans les bases de données suivantes : MEDLINE, LILACS, COCHRANE, CINAHL, Web of Science, Google Scholar, Embase et Scopus, ProQuest et le site web officiel de Buurtzorg. Les résultats quantitatifs ont été présentés sous forme de tableaux et/ou de graphiques, avec une analyse statistique descriptive, et les résultats qualitatifs ont été classés et analysés en fonction de leur contenu, à travers une analyse descriptive du contenu. Résultats Dix-huit (18) articles ont été inclus, 90 % des études ont été menées en Europe, principalement aux Pays-Bas, pays d’origine du modèle, et toutes les publications ont été rédigées en anglais. Il était courant que la mise en œuvre commence par un projet pilote dans de petites régions et les principales difficultés présentées par les études étaient liées à : l’autogestion des équipes, les questions sur l’applicabilité du modèle dans différents scénarios, la construction de réseaux de soutien formels et informels, la caractérisation du rôle des infirmières dans le modèle, la démonstration de l’efficacité par rapport aux coûts des soins et la fidélisation du personnel. Conclusion La mise en œuvre de Buurtzorg nécessite des changements et des adaptations dans l’autogestion des équipes, la construction de réseaux formels et informels et le soutien technologique.

Abstract Objective This study was aimed to determine the internet addiction levels of nursing students in the adolescent group studying at a university, and to determine the effect of the mindfulness-based psycho education program applied to students with high levels of addiction on internet addiction and awareness. Methods This research was conducted with adolescent nursing students from a nursing faculty in the fall semester of 2023-2024 in Northern Cyprus. This research was conducted in two stages. The first stage was descriptive and the second stage was quasi-experimental with a one-group pretest and posttest design. In the first stage, the students whose ‘Internet Addiction (IA) Scale’ mean scores were in the ‘dependent’ and ‘risk’ group were included in the quasi-experimental study by forming the study group (n=26). Then, 8 sessions of the mindfulness-based psycho education program were applied to the students once a week in a classroom. The data were analyzed with SPSS 25.0 program after the post-test. Results There was a statistical difference between the mean pre-test score and the mean post-test score of the ‘internet addiction scale’ (IA Scale p=0.001; Cohen’s d=0.39; MAAS p=0,001; Cohen’s d=0,52). It was concluded that mindfulness education given by students was effective in reducing internet addiction. Conclusion It was concluded that mindfulness education given by nurses was effective in reducing internet addiction.

Abstract Objective To analyze the structure and dynamics of primary and secondary social networks and classify the types of support received by postpartum women with HIV. Methods This qualitative study was based on the theoretical framework of Social Networks, and was carried out with six women in a city in the South of Brazil. Data were collected in a semi-structured interview to characterize the participants and prepare the social network map. Social maps were prepared, and the statements were grouped for analysis. Results The partner, father, mother, children, brothers, aunts, grandparents, cousins, mothers-in-law, sisters-in-law, and friends of the participants were the members of the primary network. Relationships with work and religion were considered in the secondary network, and with health professionals, the community agent, and the secretary in the health services. The support received from network members was of an affective, emotional, material, and informative nature. The participants’ social network presented a mean number of 13-23 people due to confidentiality of diagnosis and fear of stigma. Furthermore, the members practically did not establish relationships with each other (disjointed network), characterizing its low density (fragile network). Conclusion Fragility in the primary social network of postpartum women indicates the need for the health sector to promote the strengthening of links and exchanges among its members. The disarticulation in the secondary network indicates the need for continuous lines of care where the social operator can articulate the networks.

Résumé Objectif Recenser, dans la littérature internationale, les modèles de formation des infirmiers en pratiques avancées dans différents pays du monde. Méthodes Il s’agit d’une revue de la portée menée selon la méthodologie de l’Institut Joanna Briggs (JBI) et rapportée selon la directive PRISMA-ScR. La question de recherche a été structurée selon la stratégie PCC (Population : infirmiers ; Concept : formation aux pratiques avancées ; Contexte : différents pays). Les études publiées entre 2019 et 2025, en anglais, portugais et espagnol, ont été incluses, avec des recherches dans quatre bases de données PubMed, Web of Science, LILACS, SciELO et la littérature grise. Résultats 19 études ont été incluses, provenant principalement de pays anglophones. Une grande diversité a été observée dans les niveaux d’éducation requis, les contenus curriculaires et les stratégies pédagogiques. Des pays comme les États-Unis, le Royaume-Uni et le Canada ont présenté des formations consolidées avec un haut degré d’autonomie professionnelle, tandis que les pays d’Amérique latine et d’Afrique sont encore confrontés à des défis réglementaires, structurels et pédagogiques. Conclusion La formation des infirmiers en pratiques avancées présente des modèles hétérogènes dans le monde, ce qui nécessite la formulation de directives mondiales flexibles qui garantissent la qualité de la formation, respectent les contextes locaux et favorisent la mobilité et la reconnaissance professionnelle. Enregistrement https://doi.org/10.17605/OSF.IO/DJHGE

Abstract Objective To explore the opportunities and challenges of shared care in primary healthcare from the perspectives of physicians, nurses, and key stakeholders, with the aim of reflecting on the implementation of Advanced Nursing Practice. Methods This is an exploratory study with a qualitative approach carried out with primary care physicians and nurses (working in the states of Paraná and Rio de Janeiro) and representatives of associative entities of both professional categories (at regional and national levels). Three online focus groups and one in-person focus group were held in 2022, with a total of 29 participants. Content analysis was performed according to Bardin. Results Professionals report that they already provide shared care, alternating consultations between physicians and nurses in the areas of childcare and prenatal care and chronic conditions and elderly care, thereby enhancing the overall quality of care. They identified that shared care is more harmonious in units with multiprofessional medical or nursing residences. They reflected that restrictions on shared care are promoted by power asymmetries between physicians and nurses, which can be deconstructed over time. They also emphasized the importance of better understanding each professional’s role, naming work overload as a particular challenge. Conclusion The activities currently shared between nurses and physicians in primary healthcare lay the groundwork for the implementation of Advanced Nursing Practice. However, it is essential to deepen the understanding of this practice among these professionals and optimize the conditions for its effective execution.

Resumo Objetivo Determinar os níveis de vício em internet em estudantes de enfermagem adolescentes em uma universidade e determinar o efeito do programa de psicoeducação baseado em atenção plena sobre àqueles com altos níveis de vício em internet e na sua consciência do momento presente. Métodos Estudo conduzido com estudantes de enfermagem adolescentes de uma faculdade de enfermagem no semestre de outono de 2023-2024 no Chipre do Norte e realizado em duas etapas. A primeira foi descritiva e a segunda foi quase-experimental, com um delineamento de pré-teste e pós-teste de grupo único. Na primeira etapa, os estudantes com pontuação média da Escala de Vício Em Internet classificadas nos grupos ‘dependente’ e ‘risco’ foram incluídos no estudo quase-experimental, formando o grupo de estudo (n = 26). Em seguida, oito sessões do programa de psicoeducação baseado em atenção plena foram aplicadas aos estudantes uma vez por semana em sala de aula. Os dados foram analisados com uso do programa SPSS 25.0 no pós-teste. Resultados Houve diferença estatística entre a pontuação média no pré-teste e pós-teste da Escala de Vício em Internet (Escala AI p=0,001; d de Cohen=0,39; MAAS p=0,001; d de Cohen=0,52). Conclusão Concluiu-se que a educação em atenção plena ministrada por estudantes foi eficaz na redução do vício em internet.

Abstract Objective To evaluate the behavior of vancomycin solutions in different concentrations (5 mg/mL and 10 mg/mL) and under various temperature conditions (22ºC and 37ºC) at infusion times of zero (T0), two(T2) and four(T4) hours. Methods The experiment simulated clinical practice of vancomycin infusion. Antimicrobials were diluted at 5 and 10mg/mL, studied according to temperature variations (22°C and 37°C), and submitted to analyses immediately after preparation (T0), T2 and T4 hours of environmental exposure. The high-performance liquid chromatography method determined concentration and stability. A total of 108 concentrations and 36 pH measurements were analyzed for mean, standard deviation, ANOVA, and p≤0.05. Results The pH values did not show statistically significant variations during the four hours maintaining the acidic characteristic. There were no significant variations of vancomycin 5mg/mL at 22°C at T0 and T2, but there was a statistically significant concentration reduction at T4(<0.001). For vancomycin at 10mg/mL and 22°C, the active compound had an increase in concentration from T0 to T2, with a further decrease at T4(p=0.006); in 37°C there was a significant in concentration in T2 and T4(p<0.001). Conclusion Vancomycin at 5mg/mL showed significant concentration reduction in the fourth infusion hour. For vancomycin at 10mg/ml, there was an increase in concentration in the first two hours of analysis. There were statistically significant variations in vancomycin concentrations over time and in the experimental situations studied. Despite these variations, all changes remained within the 7% threshold accepted by the European Pharmacopeia, indicating that vancomycin stability is adequate for clinical use under the tested conditions.