Articles - Revista Brasileira de Enfermagem

  • ORIGINAL ARTICLE11-22-2024

    Bedside rounds in the hospital environment from the perspective of multiprofessional health teams

    Revista Brasileira de Enfermagem. 2024;77(5):e20230493

    Abstract

    ORIGINAL ARTICLE

    Bedside rounds in the hospital environment from the perspective of multiprofessional health teams

    Revista Brasileira de Enfermagem. 2024;77(5):e20230493

    DOI 10.1590/0034-7167-2023-0493

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    ABSTRACT

    Objective:

    To analyze the configuration of power relations among the multiprofessional team in the bedside round process in the hospital.

    Methods:

    Qualitative research with data analyzed through discourse analysis, based on Michel Foucault’s theoretical framework. From September to December 2022, we conducted interviews and field observations with the multiprofessional team at a hospital in Belo Horizonte, Minas Gerais, Brazil, as well as qualitative, semi-structured interviews with 37 professionals.

    Results:

    The participants pointed out that the experiences of the professionals involved in bedside rounds depend on how the physician conducts the process, and the physician-centered process makes it difficult for other professionals in the team to participate.

    Final considerations:

    The way hospitals organize bedside rounds does not promote knowledge articulation for their professionals. It hinders the circulation of power and harms interdisciplinary work in a process that maintains the physician as the main actor in clinical decisions.

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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.
  • REVIEW11-22-2024

    Transition to family parenting in the face of the first child: a scoping review

    Revista Brasileira de Enfermagem. 2024;77(5):e20230487

    Abstract

    REVIEW

    Transition to family parenting in the face of the first child: a scoping review

    Revista Brasileira de Enfermagem. 2024;77(5):e20230487

    DOI 10.1590/0034-7167-2023-0487

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    ABSTRACT

    Objectives:

    to identify and summarize the elements that characterize the family transition process in relation to the first child.

    Methods:

    a scoping review was carried out based on JBI methodology, in six databases, following the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews checklist.

    Results:

    ten articles were included with factors characterizing the transition, such as hindering/facilitating conditions that influence the process, important support structures in adaptation and strategies/responses used in the transition process.

    Final Considerations:

    elements characterizing the transition process in relation to the first child were identified. However, no theoretical explanation for this was identified. Further research should be carried out to obtain a deeper understanding of this process.

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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.
    Transition to family parenting in the face of the first child: a scoping review
  • ORIGINAL ARTICLE11-22-2024

    Prevalence of prescription and effectiveness of analgesia for treating vaginal delivery pain

    Revista Brasileira de Enfermagem. 2024;77(5):e20230327

    Abstract

    ORIGINAL ARTICLE

    Prevalence of prescription and effectiveness of analgesia for treating vaginal delivery pain

    Revista Brasileira de Enfermagem. 2024;77(5):e20230327

    DOI 10.1590/0034-7167-2023-0327

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    ABSTRACT

    Objectives:

    to assess pain management during labor.

    Methods:

    a cross-sectional study was carried out by reviewing medical records and conducting postpartum interviews. Prevalence and effectiveness of analgesia were assessed.

    Results:

    the prevalence of non-pharmacological analgesia was 61.86% of 215 women in labor in Obstetric Center and 82.51% of 62 in midwife-led unit. Prevalence of severe pain, on the Visual Analogue Scale, before and after non-pharmacological analgesia, was from 92.16% to 64.04% (p=0.00) in Obstetric Center and from 85.96% to 52.63% (p=0.01) in midwife-led unit. Prevalence of pharmacological analgesia in Obstetric Centers was 15.81%, with no variation in severe pain (p=0.57). Patients’ request for analgesia was associated with education (p=0.00) and pain intensity (p=0.02).

    Conclusions:

    non-pharmacological analgesia improved pain intensity. Prevalence of pharmacological analgesic prescription was lower than that identified in developed countries. Pain management needs to consider the preferences and needs of women in labor.

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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.
  • 11-22-2024

    Social Technology in the Prevention of Adolescent Violence: documentary production

    Revista Brasileira de Enfermagem. 2024;77(5):e20230298

    Abstract

    Social Technology in the Prevention of Adolescent Violence: documentary production

    Revista Brasileira de Enfermagem. 2024;77(5):e20230298

    DOI 10.1590/0034-7167-2023-0298

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    ABSTRACT

    Objective:

    To report the development of a technological innovation in the form of a documentary, aimed at disseminating actions for preventing violence against adolescents within the context of Primary Health Care.

    Methods:

    The documentary was developed through action research and interventions with adolescents in the territory of a Health Unit, conducted between 2020 and 2022, using Social Technology as both an action strategy and a conceptual reference.

    Results:

    The Social Technology proposal, created through workshops and seminars, resulted in a documentary focusing on violence prevention, involving 48 adolescents. The documentary’s script, collectively developed, portrays a soccer match between teams symbolizing peace and violence, with peace ultimately prevailing. The documentary is six minutes long.

    Final Considerations:

    The documentary has proven to be an effective Social Technology tool among adolescents, as it fosters critical thinking, is accessible, has potential for digital dissemination, and appeals to the target audience.

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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 ARTICLE11-22-2024

    Study for the validation of evaluation indicators of electronic health records in immunization: Delphi technique

    Revista Brasileira de Enfermagem. 2024;77(5):e20230112

    Abstract

    ORIGINAL ARTICLE

    Study for the validation of evaluation indicators of electronic health records in immunization: Delphi technique

    Revista Brasileira de Enfermagem. 2024;77(5):e20230112

    DOI 10.1590/0034-7167-2023-0112

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    ABSTRACT

    Objective:

    To develop and validate indicators for the evaluation of computerized systems in vaccination rooms.

    Methods:

    Methodological study. From the construction of a logical model for managing information produced in computerized systems in vaccination rooms, an evaluation indicator matrix was developed, and its contents were validated by specialists using the Delphi method. The degree of relevance and clarity were judged, using the following parameters: agreement percentage ≥ 90%; content validity index > 0.78. Internal consistency was tested using Cronbach’s alpha coefficient of 0.93.

    Results:

    Of the 55 proposed indicators, 48 were validated and composed the final matrix, with 13 in the structure dimension, 29 in the process dimension, and six in the outcome dimension.

    Conclusion:

    The set of indicators shows validity and high reliability, and can be used to evaluate computerized systems in vaccination rooms throughout the country, as it adhered to the recommendations of the National Immunization Program.

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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.
    Study for the validation of evaluation indicators of electronic health records in immunization: Delphi technique
  • 11-22-2024

    Rondas a beira leito no ambiente hospitalar na perspectiva de equipes multiprofissionais de saúde

    Revista Brasileira de Enfermagem. 2024;77(5):e20230493

    Abstract

    Rondas a beira leito no ambiente hospitalar na perspectiva de equipes multiprofissionais de saúde

    Revista Brasileira de Enfermagem. 2024;77(5):e20230493

    DOI 10.1590/0034-7167-2023-0493

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    RESUMEN

    Objetivo:

    Analizar la configuración de las relaciones de poder entre el equipo multiprofesional en el proceso de rondas de cabecera en el hospital.

    Método:

    Investigación cualitativa con datos analizados a través del análisis del discurso, basado en el marco teórico de Michel Foucault. De septiembre a diciembre de 2022, realizamos entrevistas y observaciones de campo con el equipo multiprofesional de un hospital de Belo Horizonte, Minas Gerais, Brasil, así como entrevistas cualitativas semiestructuradas con 37 profesionales.

    Resultados:

    Los participantes señalaron que las experiencias de los profesionales involucrados en las rondas de cabecera dependen de cómo el médico conduce el proceso, y el proceso centrado en el médico dificulta la participación de otros profesionales del equipo.

    Consideraciones finales:

    La forma en que los hospitales organizan las rondas de cabecera no promueve la articulación del conocimiento de sus profesionales. Además, dificulta la circulación del poder y perjudica el trabajo interdisciplinario en un proceso que mantiene al médico como actor principal de las decisiones clínicas.

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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 ARTICLE11-22-2024

    Knowledge sharing: nurse managers’ practices

    Revista Brasileira de Enfermagem. 2024;77(5):e20230287

    Abstract

    ORIGINAL ARTICLE

    Knowledge sharing: nurse managers’ practices

    Revista Brasileira de Enfermagem. 2024;77(5):e20230287

    DOI 10.1590/0034-7167-2023-0287

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    ABSTRACT

    Objective:

    To analyze how management practices for sharing knowledge are developed in public hospitals in the context of nursing.

    Methods:

    Qualitative research, carried out with 15 nurse managers from six public hospitals, from July to September 2022. Data were collected through semi-structured interviews and analyzed according to content analysis and in a model for sharing knowledge at work.

    Results:

    Knowledge sharing in nursing occurs through intraand extra-organizational training (training, courses and events), use of digital communication tools (media and social networks) and individual and collective contact between professionals during the service (experiences, exchange of experiences and assessment feedback).

    Final considerations:

    Sharing knowledge is relevant to nursing work. To improve it, it must be understood that effective sharing occurs from person to person, in their daily practices, and must be conducted as a strategically planned process by nurse managers.

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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 ARTICLE11-22-2024

    Interpersonal violence in the state of Espírito Santo: analysis of mandatory notifications between 2011 and 2018

    Revista Brasileira de Enfermagem. 2024;77(5):e20230081

    Abstract

    ORIGINAL ARTICLE

    Interpersonal violence in the state of Espírito Santo: analysis of mandatory notifications between 2011 and 2018

    Revista Brasileira de Enfermagem. 2024;77(5):e20230081

    DOI 10.1590/0034-7167-2023-0081

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    ABSTRACT

    Objective:

    To identify the frequency of notifications of interpersonal violence in Espírito Santo from 2011 to 2018, and the factors associated with this issue.

    Methods:

    This is a cross-sectional study in which all cases of interpersonal violence from the Information System for Notifiable Diseases in the state of Espírito Santo during the period from 2011 to 2018 were analyzed. Absolute and relative frequencies and 95% confidence intervals were calculated, as well as Poisson regression.

    Results:

    During the analyzed period, 27,277 cases were reported in Espírito Santo (P: 75%; 95% CI: 74.5-75.4), being more prevalent among females, children, and the elderly, individuals of black/mixed race, people without disabilities, and residents of urban areas. Regarding the perpetrator, there was a higher prevalence of individuals aged 25 years and older, males, with a current or former intimate partner relationship with the victim, and suspected alcohol use at the time of the aggression. In terms of the characteristics of the aggression, there was a higher prevalence of repeat violence, involving a single aggressor, and occurring in the residence.

    Conclusions:

    The notification of interpersonal violence in Espírito Santo showed a high prevalence and was associated with characteristics of the victim, aggressor, and event. This scenario reinforces the need for interventions such as professional qualification, expansion of intersectoral actions, and reformulation of public policies.

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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 ARTICLE11-10-2023

    Construction and validity of educational technology in audiovisual media on premature newborn care

    Revista Brasileira de Enfermagem. 2023;76:e20220403

    Abstract

    ORIGINAL ARTICLE

    Construction and validity of educational technology in audiovisual media on premature newborn care

    Revista Brasileira de Enfermagem. 2023;76:e20220403

    DOI 10.1590/0034-7167-2022-0403

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    ABSTRACT

    Objectives:

    to construct and validate an educational video storyboard about care for premature newborns at home.

    Methods:

    a methodological study, with the construction of an educational video storyboard, validated with 14 judges. Content was selected from scoping review. For data collection, a validated instrument was used. The criterion for validity was agreement greater than 80%, analyzed using the Content Validity Index.

    Results:

    the storyboard construction was guided by the Cognitive Theory of Multimedia Learning theoretical framework. Construction and validity took place from May to December 2020. The storyboard’s final version lasted 10 minutes, and was validated in terms of objective, structure, presentation and relevance, with a Content Validity Index of 0.9.

    Conclusions:

    the storyboard of the educational video proved to be valid and adequate for health promotion in developing care for premature newborns at home.

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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.
    Construction and validity of educational technology in audiovisual media on premature newborn care
  • ORIGINAL ARTICLE12-08-2023

    Early ambulation and dhikr complementary therapies effect on intestinal peristaltic in post-open cholecystectomy patients

    Revista Brasileira de Enfermagem. 2023;76:e20220636

    Abstract

    ORIGINAL ARTICLE

    Early ambulation and dhikr complementary therapies effect on intestinal peristaltic in post-open cholecystectomy patients

    Revista Brasileira de Enfermagem. 2023;76:e20220636

    DOI 10.1590/0034-7167-2022-0636

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    ABSTRACT

    Objectives:

    to analyze and determine the effect of a combination intervention of early ambulation and dhikr therapy on intestinal peristaltic recovery in post-open cholecystectomy patients.

    Methods:

    a pre-experimental design with one group pre and post-test design was used. The samples were 15 post-open cholecystectomy patients which were selected using the purposive sampling technique. The data were collected using the instrument observation sheet and analyzed using the Wilcoxon test. Early ambulation used standard operational procedure in the hospital and dhikr therapy was carried out at 2 hours post-operation for 10-15 minutes.

    Results:

    there was an effect of early ambulation and dhikr therapy on intestinal peristaltic recovery in post-open cholecystectomy patients with general anesthesia (Z=-3.442; p=0.001).

    Conclusions:

    a combination of early ambulation and dhikr therapy can be recommended as interventions to improve intestinal peristaltic in a post-open cholecystectomy patient with general anesthesia.

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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 ARTICLE11-13-2023

    Educational technology on tuberculosis: construction shared with Primary Health Care nurses

    Revista Brasileira de Enfermagem. 2023;76:e20230025

    Abstract

    ORIGINAL ARTICLE

    Educational technology on tuberculosis: construction shared with Primary Health Care nurses

    Revista Brasileira de Enfermagem. 2023;76:e20230025

    DOI 10.1590/0034-7167-2023-0025

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    ABSTRACT

    Objective:

    to develop, in a participatory way, an educational technology to assist nurses in the management of tuberculosis cases in Primary Health Care.

    Methods:

    methodological research with a qualitative approach. Data were collected between June and October 2022, in 25 Basic Health Units, with 41 nurses interviewed individually. Thematic content analysis was carried out to guide technology elaboration.

    Results:

    three empirical categories were organized, demonstrating the facilities and difficulties in tuberculosis management, the conceptions about educational technology as a facilitator of the teaching-learning process in Primary Health Care and participatory development of technology. Nurses were in favor of constructing an instructional guide technology, and made suggestions to encourage its creation and use in daily service routine.

    Final considerations:

    the participatory process made it possible to create technology to assist nurses in the teaching-learning process in Primary Health Care about caring for people with tuberculosis.

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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.
  • 07-31-2023

    First graduate of the Master of Nursing in Advanced Practice in Oncology in Chile

    Revista Brasileira de Enfermagem. 2023;76:e76suppl401

    Abstract

    First graduate of the Master of Nursing in Advanced Practice in Oncology in Chile

    Revista Brasileira de Enfermagem. 2023;76:e76suppl401

    DOI 10.1590/0034-7167.202376suppl401

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    In 2020, the guidelines for Advanced Nursing Practice (APN) implementation() were published by the International Council of Nursing (ICN). On that occasion, I was invited to comment on the reality of specialist nurses in Chile, expressing the expectation of implementing an APN program, specifically Clinical Nurse Specialists (CNS). CNS are one of the most internationally […]
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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

    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.

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