Articles - Revista Brasileira de Enfermagem

  • ORIGINAL ARTICLE10-11-2024

    Indigenous women’s experiences about the pregnancy-puerperal cycle

    Revista Brasileira de Enfermagem. 2024;77:e20230410

    Abstract

    ORIGINAL ARTICLE

    Indigenous women’s experiences about the pregnancy-puerperal cycle

    Revista Brasileira de Enfermagem. 2024;77:e20230410

    DOI 10.1590/0034-7167-2023-0410

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    ABSTRACT

    Objectives:

    to understand the experiences of indigenous women regarding the pregnancy-puerperal cycle.

    Methods:

    qualitative, exploratory and descriptive research, carried out between May and August 2023 with 27 pregnant women from Indigenous Villages in Mato Grosso, Brazil, through open individual interviews. The data was analyzed using Reflexive thematic analysis.

    Results:

    data analysis resulted in the following themes: Cultivation of labor and birth in its natural and sacred path; Unique practices and beliefs associated with breastfeeding; Evolved or reductive thinking? The participants suggest inviolable practices and beliefs, which must be welcomed, respected and enhanced by indigenous health teams.

    Final Considerations:

    the experiences of indigenous women regarding the pregnancy-puerperal cycle are unique and motivated by inviolable cultural and religious beliefs, which transcend scientific knowledge, certainties and the linearity of contemporary approaches, normally established as order.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Indigenous women’s experiences about the pregnancy-puerperal cycle
  • ORIGINAL ARTICLE10-07-2024

    Consequences of the legislation issued for nursing education in times of COVID-19 (2020-2022)

    Revista Brasileira de Enfermagem. 2024;77(5):e20230375

    Abstract

    ORIGINAL ARTICLE

    Consequences of the legislation issued for nursing education in times of COVID-19 (2020-2022)

    Revista Brasileira de Enfermagem. 2024;77(5):e20230375

    DOI 10.1590/0034-7167-2023-0375

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    ABSTRACT

    Objectives:

    to analyze the legislation issued during the COVID-19 pandemic for nursing education and immediate consequences.

    Methods:

    documentary research, whose source was the legislation issued for nursing education during the COVID-19 pandemic. Thirty-two documents were analyzed and submitted to a collection instrument.

    Results:

    contradictions and consequences for nursing education following the guidelines and law of guidelines and bases were revealed. The consequences of the law affected the quality of teaching, equal access, exemption from minimum school days and course abbreviation. Regarding the guidelines, there was a lack of conditions for developing skills, in addition to the attempt to update them. Concerning internships, acting during the pandemic put students at risk, and their abbreviation prevented them from consolidating knowledge and skills.

    Final Considerations:

    remote teaching did not guarantee the quality and equality of teaching, weakened the development of skills, not taking into account nursing’s educational needs.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Consequences of the legislation issued for nursing education in times of COVID-19 (2020-2022)
  • ORIGINAL ARTICLE10-07-2024

    Development and validation of a mobile application prototype for postoperative cardiac surgery

    Revista Brasileira de Enfermagem. 2024;77(5):e20230491

    Abstract

    ORIGINAL ARTICLE

    Development and validation of a mobile application prototype for postoperative cardiac surgery

    Revista Brasileira de Enfermagem. 2024;77(5):e20230491

    DOI 10.1590/0034-7167-2023-0491

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    ABSTRACT

    Objectives:

    to develop and validate the content, appearance, and semantics of a prototype application for monitoring patients in the postoperative period of cardiac surgery.

    Methods:

    this is a technological development study based on Contextualized Instructional Design. The content and appearance evaluation was conducted by a committee of specialists, and semantic validation was carried out by patients from a cardiac surgery outpatient clinic.

    Results:

    the application prototype consisted of 43 screens, validated by 17 health specialists, with content validity ratio and appearance validity index results of 0.86 and 0.99, respectively. For semantic validation, 10 patients participated in data collection, with a total content validity index of 0.978.

    Conclusions:

    the prototype of the “VivaCor PósOp” application demonstrated evidence of content, appearance, and semantic validity, with the potential to stimulate self-care in patients in the postoperative period of cardiac surgery.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Development and validation of a mobile application prototype for postoperative cardiac surgery
  • ORIGINAL ARTICLE10-07-2024

    Indicators of emotional distress and mindfulness in undergraduate students: a cross-sectional study

    Revista Brasileira de Enfermagem. 2024;77(5):e20230499

    Abstract

    ORIGINAL ARTICLE

    Indicators of emotional distress and mindfulness in undergraduate students: a cross-sectional study

    Revista Brasileira de Enfermagem. 2024;77(5):e20230499

    DOI 10.1590/0034-7167-2023-0499

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    ABSTRACT

    Objectives:

    to assess the association between indicators of emotional distress and dispositional mindfulness in health students at a Brazilian federal public university.

    Methods:

    a cross-sectional study, developed with university students in the health area of a public institution from May to June 2022. In the analysis, multiple linear regression was used using SPSS software.

    Results:

    the sample was mostly female, ≤ 22 years old, non-white, studying the first semesters, with a higher prevalence for the medicine course. Students presented moderate dispositional mindfulness scores. It was observed that the variables of stress, depression and current suicide risk were associated with the capacity for mindfulness.

    Conclusions:

    knowing the indicators of emotional distress that are related to the potential of mindfulness can contribute as a situational diagnosis to better design strategies that promote the improvement of emotional indicators of health students.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • REVIEW10-07-2024

    Risk factors associated with the occurrence of the adverse event phlebitis in hospitalized adult patients

    Revista Brasileira de Enfermagem. 2024;77(5):e20240162

    Abstract

    REVIEW

    Risk factors associated with the occurrence of the adverse event phlebitis in hospitalized adult patients

    Revista Brasileira de Enfermagem. 2024;77(5):e20240162

    DOI 10.1590/0034-7167-2024-0162

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    ABSTRACT

    Objectives:

    to synthesize knowledge regarding risk factors associated with occurrence of adverse event phlebitis in hospitalized adult patients.

    Methods:

    an integrative literature review, carried out in the CINAHL, PubMed, Virtual Health Library, Embase, Web of Science and Scopus databases. The stages were carried out independently by two reviewers, and the data were analyzed descriptively.

    Results:

    from the analysis of 31 quantitative primary studies, the following risk factors were summarized: length of stay; use of antibiotics; peripheral intravenous catheter dwell time; receive less nursing care; catheter inserted multiple times; patients with infection and comorbidities; presence of pain at catheter insertion site; Teflon® catheter use; reduced patient mobility; quality of patient’s vein; skin elasticity; unsuccessful insertion.

    Conclusions:

    it is necessary to standardize the format for measuring occurrence of this adverse event and develop new studies with a higher level of evidence.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Risk factors associated with the occurrence of the adverse event phlebitis in hospitalized adult patients
  • EXPERIENCE REPORT09-30-2024

    Health promotion of long-haul truck drivers and their families

    Revista Brasileira de Enfermagem. 2024;77:e20230511

    Abstract

    EXPERIENCE REPORT

    Health promotion of long-haul truck drivers and their families

    Revista Brasileira de Enfermagem. 2024;77:e20230511

    DOI 10.1590/0034-7167-2023-0511

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    ABSTRACT

    Objectives:

    to describe the development of a Health Information and Communication Technology for the health care of long-haul truck drivers and their families.

    Methods:

    this is a description of the development of an Information and Communication Technology, developed from March to September 2023, following the systematization of the experience in five steps: 1) starting point, 2) initial questions, 3) recovery of the lived process, 4) background reflection, and 5) arrival points.

    Results:

    the technology called “Work-Family Balance,” electronically available, presents resources for the health care of long-haul truck drivers. It is anchored in studies on the health of long-haul truck drivers, notes from the International Labor Organization, the Strategic Action Plan for Confronting Chronic Diseases and Non-Communicable Diseases in Brazil, 2021-2030, and the Declaration by the International Association of Family Nursing.

    Final Considerations:

    the theoretical improvement of nursing can potentially improve the health care of long-haul truck drivers, prevent Chronic Non-Communicable Diseases, and promote work-life balance to achieve the goals of Agenda 2030.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Health promotion of long-haul truck drivers and their families
  • ORIGINAL ARTICLE09-30-2024

    Educational video for adherence to vaginal pessary in pelvic organ prolapse treatment

    Revista Brasileira de Enfermagem. 2024;77:e20230515

    Abstract

    ORIGINAL ARTICLE

    Educational video for adherence to vaginal pessary in pelvic organ prolapse treatment

    Revista Brasileira de Enfermagem. 2024;77:e20230515

    DOI 10.1590/0034-7167-2023-0515

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    ABSTRACT

    Objectives:

    to construct and assess an educational video to promote the adherence of women with pelvic organ prolapse to vaginal pessary use.

    Methods:

    this is a methodological study, with a longitudinal design and quantitative analysis. The pre-production (synopsis, argument, script, storyboard), production and post-production stages were covered. Content and technical assessments were carried out by judges from the health and communication areas, respectively, and appearance assessment by the target audience.

    Results:

    the video was the first to be developed on the topic on the national scene, considered assessed from the point of view of appearance and content, presenting an overall Content Validity Index of 0.99 and a level of agreement among judges of 91.1% to 100%. Assessment by the target audience reached a percentage of 96% to 100%.

    Conclusions:

    the educational video is an instrument capable of promoting adherence to pessary in women indicated for this therapeutic approach.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Educational video for adherence to vaginal pessary in pelvic organ prolapse treatment
  • ORIGINAL ARTICLE09-30-2024

    Giving new meaning to the impact of touch in Shantala massage: mothers’ perceptions of maternal and child well-being

    Revista Brasileira de Enfermagem. 2024;77:e20240012

    Abstract

    ORIGINAL ARTICLE

    Giving new meaning to the impact of touch in Shantala massage: mothers’ perceptions of maternal and child well-being

    Revista Brasileira de Enfermagem. 2024;77:e20240012

    DOI 10.1590/0034-7167-2024-0012

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    ABSTRACT

    Objectives:

    to understand maternal perceptions of maternal and child well-being based on Shantala massage and discuss its association with the third Sustainable Development Goal.

    Methods:

    a descriptive-exploratory study in the light of Symbolic Interactionism. Eight women, mothers of infants, participated in five online meetings to teach Shantala massage, collected in focus groups, between November and December 2021. The data was subjected to thematic content analysis and lexical analysis with IRAMUTEQ®.

    Results:

    two categories emerged, 1) Maternal perceptions of Shantala massage and its promotion of child well-being and 2) Maternal perceptions of Shantala massage and its impact on their well-being, interconnected with subcategories.

    Final Considerations:

    Shantala massage promoted mutual impacts on maternal and child well-being, working together to achieve the third Sustainable Development Goal.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Giving new meaning to the impact of touch in Shantala massage: mothers’ perceptions of maternal and child well-being
  • ORIGINAL ARTICLE03-15-2024

    Is there scientific relevance to the plot of films and documentaries about eating disorders?

    Revista Brasileira de Enfermagem. 2024;77(1):e20220547

    Abstract

    ORIGINAL ARTICLE

    Is there scientific relevance to the plot of films and documentaries about eating disorders?

    Revista Brasileira de Enfermagem. 2024;77(1):e20220547

    DOI 10.1590/0034-7167-2022-0547

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    ABSTRACT

    Objectives:

    to analyze films and documentaries about eating disorders from the last twenty years, identifying the way they approach the topic as well as their relevance for didactic use in teaching the health field.

    Methods:

    a descriptive study, whose data collection was carried out on the main streaming and video platforms, resulting in the survey of 60 media. Of these, only 25 had audio/subtitles in Portuguese (inclusion criteria). scientific relevance was analyzed considering psychopathological and epidemiological aspects of these disorders. A questionnaire about the plot, characters and descriptive data analysis were used.

    Results:

    most media were dramas about female teenagers who tried to conform to beauty stereotypes, whose symptoms portrayed converged with current medical diagnostic manuals.

    Conclusions:

    in practical terms, a classificatory list of 11 media was prepared that could be used as a teaching resource for teaching this topic in the health field.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Is there scientific relevance to the plot of films and documentaries about eating disorders?
  • ORIGINAL ARTICLE02-26-2024

    Technological prospecting of patents related to monitoring accidents due to falls in hospitals

    Revista Brasileira de Enfermagem. 2024;77(1):e20230084

    Abstract

    ORIGINAL ARTICLE

    Technological prospecting of patents related to monitoring accidents due to falls in hospitals

    Revista Brasileira de Enfermagem. 2024;77(1):e20230084

    DOI 10.1590/0034-7167-2023-0084

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    ABSTRACT

    Objectives:

    to map the production of technologies aimed at monitoring falls in a hospital environment protected by registered patents.

    Methods:

    a technological prospecting of international patents, with a quantitative approach, with search carried out between February and March 2022 in the Derwent Innovations Index database with descriptors fall, hospital, monitoring.

    Results:

    212 patents were found, with the majority filed and published since 2010, by Tran B (9) and Cerner Innovation Inc (9), focused on health technology. Universities were responsible for 13% of deposits. There was a predominance of records from the United States (43.4%), China (21.7%) and Japan (12.3%), in addition to technological strategies classified as devices for the environment (80.7%) and for preventing falls (66.5%) as well as trend towards resources with multiple functionalities in the same technology.

    Conclusions:

    the plurality of functions in the same device reflects the search for optimizing resources and the concern with comprehensive care.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Technological prospecting of patents related to monitoring accidents due to falls in hospitals
  • REVIEW03-15-2024

    Use of podcasts for health education: a scoping review

    Revista Brasileira de Enfermagem. 2024;77(1):e20230096

    Abstract

    REVIEW

    Use of podcasts for health education: a scoping review

    Revista Brasileira de Enfermagem. 2024;77(1):e20230096

    DOI 10.1590/0034-7167-2023-0096

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    ABSTRACT

    Objectives:

    to map the scientific evidence related to the characteristics, themes, and outcomes of using health education podcasts aimed at individuals over 18 years of age in intra or extrahospital environments.

    Methods:

    a scoping review, based on the Joanna Briggs Institute method, conducted in 11 databases, including studies from 2004 to 2022.

    Results:

    11 studies were selected, categorized, highlighting the characteristics, evaluated outcomes, areas, and conditions of podcast application, indicating it as an effective tool for promoting behavioral change, health promotion, and social interaction, demonstrating its potential to improve well-being, quality of life, and user/client autonomy.

    Conclusions:

    the use of podcasts proves to be an effective, innovative, and low-cost tool, with a significant social impact, being effective for behavioral change, satisfaction, and social interaction. However, the lack of comprehensive studies on podcast development methodologies represents challenges to be overcome.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Use of podcasts for health education: a scoping review
  • ORIGINAL ARTICLE03-15-2024

    Health Management of an HIV Testing and Counseling Center: Nursing Contributions

    Revista Brasileira de Enfermagem. 2024;77(1):e20230217

    Abstract

    ORIGINAL ARTICLE

    Health Management of an HIV Testing and Counseling Center: Nursing Contributions

    Revista Brasileira de Enfermagem. 2024;77(1):e20230217

    DOI 10.1590/0034-7167-2023-0217

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    ABSTRACT

    Objectives:

    to analyze the role of nursing in the establishment of an HIV/AIDS Testing and Counseling Center in a Brazilian municipality.

    Methods:

    a historical study utilizing primary sources, including documents and oral accounts, involving a total of ten participants. The study encompasses the years 1997 and 1998. The research took place at the Testing and Counseling Center in São João de Meriti. Data was collected from March to May 2022.

    Results:

    nursing made significant contributions through the development of training initiatives led by nurses, who were also responsible for individual and group counseling, as well as HIV testing requests.

    Final Considerations:

    nursing played a crucial role in the center and in the management of Sexually Transmitted Infections, being involved in all stages of treatment in accordance with current public health policy.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • REVIEW02-26-2024

    Practice of immersion in hot water to relieve pain in neonatology: an integrative review

    Revista Brasileira de Enfermagem. 2024;77(1):e20230260

    Abstract

    REVIEW

    Practice of immersion in hot water to relieve pain in neonatology: an integrative review

    Revista Brasileira de Enfermagem. 2024;77(1):e20230260

    DOI 10.1590/0034-7167-2023-0260

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    ABSTRACT

    Objectives:

    to identify immersion use in hot water to relieve pain in newborns.

    Methods:

    an integrative literature review, carried out in the PubMed, VHL, EMBASE, Scopus, CINAHL, Cochrane and SciELO databases, with investigations in English, Spanish, French or Portuguese, published between 2002 and 2022. The Health Sciences Descriptors (DeCS) and Medical Subject Headings (MeSH) were used to answer the following question: what are the uses of hot water immersion in relieving pain in newborns?

    Results:

    nine studies were included, mainly Brazilian, experimental, with a predominance of strong and moderate levels of evidence. Hydrotherapy and bath use (immersion and bandaging) was observed, promising interventions in reducing pain scores, assessed using scales, physiological and endocrine parameters.

    Conclusions:

    hot water proved to be a promising non-pharmacological intervention in relieving pain in infants in different contexts.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Practice of immersion in hot water to relieve pain in neonatology: an integrative review
  • ORIGINAL ARTICLE05-13-2024

    The influence of the internet on choices about older adults’ health and well-being

    Revista Brasileira de Enfermagem. 2024;77(1):e20230321

    Abstract

    ORIGINAL ARTICLE

    The influence of the internet on choices about older adults’ health and well-being

    Revista Brasileira de Enfermagem. 2024;77(1):e20230321

    DOI 10.1590/0034-7167-2023-0321

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    ABSTRACT

    Objectives:

    to describe the profile of older adults who access the internet to search for health information and identify the factors that can influence older adults’ decisions about their health based on information collected online.

    Methods:

    391 older adults answered an online questionnaire regarding habits and satisfaction with information about health collected on the internet. Data processing involved Logistic Regression.

    Results:

    higher education reduces by 44% the likelihood of an older adult following the health recommendations on internet sites. However, social activities and self-perceived health increase the possibility of following the recommendations by 83% and 71%, respectively. The belief that the internet promotes healthy habits increases by 29.2 times the probability of an older adult following the advice.

    Final Considerations:

    knowing the profile of older adults who use the Internet can help professionals formulate public policies and build good information platforms on health and well-being.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE03-15-2024

    Cultural adaptation and validity evidence of the Student Nurse Stressor-15 (SNS-15) Scale for Brazil

    Revista Brasileira de Enfermagem. 2024;77(1):e20230356

    Abstract

    ORIGINAL ARTICLE

    Cultural adaptation and validity evidence of the Student Nurse Stressor-15 (SNS-15) Scale for Brazil

    Revista Brasileira de Enfermagem. 2024;77(1):e20230356

    DOI 10.1590/0034-7167-2023-0356

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    ABSTRACT

    Objectives:

    to carry out the cultural adaptation and evaluation of validity evidence of the Student Nurse Stressor-15 (SNS-15) Scale for use in Brazil.

    Methods:

    psychometric study, conducted from the stages of translation, synthesis, back-translation, review by a committee of seven experts, pre-test and evaluation of measurement properties with 32 and 238 nursing students, respectively. Descriptive statistics, Exploratory Factor Analysis (EFA), and Confirmatory Factor Analysis (CFA) were performed. The reliability of the instrument was estimated using McDonald’s Omega (ω).

    Results:

    EFA subsidized the distribution of the fifteen SNS-15 items into four factors. Using AFC, satisfactory fit indices were achieved (Comparative Fit Index = 0.94; Tucker-Lewis Index = 0.93; Root Mean Square Error of Approximation = 0.06; Standardized Root Mean Square Residual = 0.16) and ω = 0.86.

    Conclusions:

    the Brazilian version of the SNS-15 presents evidence that confirms its validity and reliability.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE05-03-2024

    Cancer patient satisfaction regarding the quality of information received: psychometric validity of EORTC QLQ-INFO25

    Revista Brasileira de Enfermagem. 2024;77(1):e20230358

    Abstract

    ORIGINAL ARTICLE

    Cancer patient satisfaction regarding the quality of information received: psychometric validity of EORTC QLQ-INFO25

    Revista Brasileira de Enfermagem. 2024;77(1):e20230358

    DOI 10.1590/0034-7167-2023-0358

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    ABSTRACT

    Objectives:

    to psychometrically validate the European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire EORTC QLQ-INFO25 instrument and identify the domains that influence patients’ perception of the information received.

    Methods:

    a cross-sectional methodology with cancer patients in a Brazilian philanthropic hospital institution. Sociodemographic and clinical instruments, EORTC QLQ-C30, EORTC QLQ-INFO25 and Supportive Care Needs Survey – Short Form 34 were used. Analysis occurred using Cronbach’s alpha coefficients, intraclass correlation, test-retest and exploratory factor analysis.

    Results:

    128 respondents participated. Cronbach’s alpha coefficient was 0.85. The test-retest obtained p-value=0.21. In the factor analysis, one item was excluded. Satisfaction with the information received was 74%, with three areas with averages below 70%. In open-ended questions, there was a greater desire for information.

    Conclusions:

    validity evidence was obtained with instrument reliability, consistency and stability. Respondents expressed satisfaction with the information received.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Cancer patient satisfaction regarding the quality of information received: psychometric validity of EORTC QLQ-INFO25

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