Articles - Revista Brasileira de Enfermagem

  • ORIGINAL ARTICLE12-16-2024

    Editorial discourses in the history of Acta Paulista de Enfermagem (1988-2017)

    Revista Brasileira de Enfermagem. 2024;77(6):e20230362

    Abstract

    ORIGINAL ARTICLE

    Editorial discourses in the history of Acta Paulista de Enfermagem (1988-2017)

    Revista Brasileira de Enfermagem. 2024;77(6):e20230362

    DOI 10.1590/0034-7167-2023-0362

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    ABSTRACT

    Objectives:

    to analyze the editorial discourses of Acta Paulista de Enfermagem from 1988 to 2017.

    Methods:

    qualitative, historical, oral research, with interviews with the journal’s editors. Statements were categorized and presented in three decades, discussed from Foucault’s archaeological perspective.

    Results:

    seven statements presented three discourses. In the first decade, the discourse of knowledge registration and circulation presented statements of graduate studies and professional recognition. In the second decade, knowledge internationalization was added, with statements of business and editorial panopticism, selection criteria, indexing and digitalization. Finally, the discourse of shifting scientific assessment centrality was added with statements of preprint, open science, exclusive digitalization and mediatization of science.

    Final Considerations:

    the journal needed to adapt to form its official discourse, which made it possible, over the years, to change its initial peripheral position to a central one within scientific communication, supporting its panoptic role.

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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.
  • REVIEW12-16-2024

    Strategies for expanding vaccination coverage in children in Brazil: systematic literature review

    Revista Brasileira de Enfermagem. 2024;77(6):e20230343

    Abstract

    REVIEW

    Strategies for expanding vaccination coverage in children in Brazil: systematic literature review

    Revista Brasileira de Enfermagem. 2024;77(6):e20230343

    DOI 10.1590/0034-7167-2023-0343

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    ABSTRACT

    Objectives:

    to identify the strategies found in the literature for increasing vaccination coverage among children in Brazil. It is justified mainly by the current scenario of falling vaccination coverage.

    Methods:

    systematic literature review. The search was carried out in the Pubmed (MEDLINE), Embase and Scopus databases, following the PRISMA guidelines.

    Results:

    initially, 4,824 results were returned. In the end, 6 studies were included for narrative synthesis using the SWiM methodology. Of these, 50% dealt with studies related to the Bolsa Família Program (PBF). The others explored strategies for approaching parents directly, Rapid Vaccination Monitoring (MRV) and the Community Health Agents Program (PACS). The PBF did not guarantee compliance with the conditionality of keeping vaccinations up to date. The MRV and PACS are effective strategies, especially because they allow active search for absentees.

    Conclusions:

    we conclude that more publications are needed on strategies to increase vaccination coverage among children in Brazil.

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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.
    Strategies for expanding vaccination coverage in children in Brazil: systematic literature review
  • ORIGINAL ARTICLE12-16-2024

    Educational technology to empower patients as participants in their care

    Revista Brasileira de Enfermagem. 2024;77(6):e20230359

    Abstract

    ORIGINAL ARTICLE

    Educational technology to empower patients as participants in their care

    Revista Brasileira de Enfermagem. 2024;77(6):e20230359

    DOI 10.1590/0034-7167-2023-0359

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    ABSTRACT

    Objectives:

    to build and validate an educational technology to empower patients as participants in their own care.

    Methods:

    methodological study to develop an educational technology based on the elaboration, validation, and evaluation that were carried out in five stages at a teaching hospital in Amazonas. The study was carried out from 2019 to 2022, with the participation of 19 judges specialized in patient safety and 72 patients admitted to the hospital’s medical and surgical clinics, the study setting.

    Results:

    the agreement between the judges obtained an overall index of 0.85, being considered validated. The overall analysis of the booklet obtained an assessment of the level of agreement above 85%.

    Final Considerations:

    the educational technology presented here was validated and suitable for promoting patient/professional rapprochement and consolidating health care in a way that increases the patient’s ability to contribute to their treatment and prevent the occurrence of adverse events.

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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 technology to empower patients as participants in their care
  • ORIGINAL ARTICLE12-13-2024

    Educational booklet on labor and delivery: validity study

    Revista Brasileira de Enfermagem. 2024;77(5):e20240138

    Abstract

    ORIGINAL ARTICLE

    Educational booklet on labor and delivery: validity study

    Revista Brasileira de Enfermagem. 2024;77(5):e20240138

    DOI 10.1590/0034-7167-2024-0138

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    ABSTRACT

    Objectives:

    to develop and validate an educational booklet on labor and delivery for pregnant women.

    Methods:

    this methodological study involved constructing and validating a booklet based on Echer’s framework. We used the Content Validity Index and Cronbach’s alpha for content and face validation, selecting judges according to Fering’s criteria. We then conducted a clinical validation with the target population.

    Results:

    the booklet, developed based on evidence from an integrative review and validated by judges and the target audience, achieved global Content Validity Index of 0.919 and 0.913, respectively. After clinical validation with 22 pregnant women, it included 28 topics and 48 pages, with illustrations by a graphic designer.

    Conclusions:

    expert judges and the target audience considered this educational technology valid, deeming it a relevant tool for promoting the health of pregnant women.

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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 booklet on labor and delivery: validity study
  • ORIGINAL ARTICLE12-13-2024

    Interobserver agreement in Reception and Risk Stratification in Obstetrics implementation

    Revista Brasileira de Enfermagem. 2024;77(5):e20230361

    Abstract

    ORIGINAL ARTICLE

    Interobserver agreement in Reception and Risk Stratification in Obstetrics implementation

    Revista Brasileira de Enfermagem. 2024;77(5):e20230361

    DOI 10.1590/0034-7167-2023-0361

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    ABSTRACT

    Objectives:

    to analyze interobserver agreement in the Reception and Risk Stratification in Obstetrics protocol implementation.

    Methods:

    a cross-sectional study carried out during Reception and Risk Stratification in Obstetrics implementation, conducted in a tertiary hospital in southern Brazil with 891 participants in January 2020. Descriptive and interobserver agreement analysis was carried out using the Kappa coefficient in the risk stratification assigned by the triage nurse and reviewed by the researcher.

    Results:

    around half of the calls (55.6%) were stratified as not very urgent (green), followed by urgent (yellow) (31.8%), very urgent (orange) (9.3%), not urgent (blue) (3.4%) and no emerging stratification (red). Agreement analysis of revised stratification found Kappa values of 0.20 (blue), 0.54 (green), 0.77 (yellow) and 0.80 (orange).

    Conclusions:

    most appointments were non-urgent. The agreement analysis between the revised and assigned risk stratification revealed greater interobserver agreement as the priority level increased.

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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.
  • 12-13-2024

    Training of Brazilian indigenous nurses: between human rights, valuing diversity and inclusion

    Revista Brasileira de Enfermagem. 2024;77(5):e20230430

    Abstract

    Training of Brazilian indigenous nurses: between human rights, valuing diversity and inclusion

    Revista Brasileira de Enfermagem. 2024;77(5):e20230430

    DOI 10.1590/0034-7167-2023-0430

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    ABSTRACT

    Objectives:

    to analyze the possibilities and potential of training indigenous nurses, given the Brazilian Health System (SUS), understanding the relationships between education and health.

    Methods:

    theoretical-reflective study, based on scientific literature, aligned with the experience, critical thinking of its authors and the Sustainable Development Goals in Brazil.

    Results:

    this text articulates three axes: Potential for including indigenous students in nursing training; Paths to achieving equity through inclusion and retention policies for indigenous students at different levels; and Implications of this for the SUS and global health.

    Final Considerations:

    indigenous students, beneficiaries of affirmative actions, face challenges of inclusion and retention in public universities that directly impact their academic training. Added to this are the difficulties identified in basic education, professor training and implementation of permanence policies, with consequences for services and training at other levels.

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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 ARTICLE12-13-2024

    Stress in nursing workers caring for people with COVID-19

    Revista Brasileira de Enfermagem. 2024;77(5):e20230542

    Abstract

    ORIGINAL ARTICLE

    Stress in nursing workers caring for people with COVID-19

    Revista Brasileira de Enfermagem. 2024;77(5):e20230542

    DOI 10.1590/0034-7167-2023-0542

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    ABSTRACT

    Objectives:

    to analyze stress from the perspective of nursing workers caring for people with COVID-19 in a public hospital in the Recôncavo region of Bahia.

    Methods:

    this is an exploratory qualitative study, conducted through semi-structured interviews. The data were analyzed using word clouds, similarity trees, and content analysis.

    Results:

    nursing workers were exposed to stress while attending to patients with COVID-19. The reported stressors in the workplace included: work overload, lack of planning, speed in performing tasks, fatigue, lack of participation in decision-making, lack of support from management, technological changes, excessive responsibility without preparation, interpersonal conflicts, and professional undervaluation.

    Conclusions:

    exposure to these stressors leads to emotional exhaustion and demotivation, which were intensified during the COVID-19 pandemic.

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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.
    Stress in nursing workers caring for people with COVID-19
  • ORIGINAL ARTICLE12-13-2024

    Adaptation and implementation of a Nursing care protocol for children in the Amazon Region

    Revista Brasileira de Enfermagem. 2024;77(5):e20230245

    Abstract

    ORIGINAL ARTICLE

    Adaptation and implementation of a Nursing care protocol for children in the Amazon Region

    Revista Brasileira de Enfermagem. 2024;77(5):e20230245

    DOI 10.1590/0034-7167-2023-0245

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    ABSTRACT

    Objectives:

    to describe the process of implementing an adapted protocol for pediatric nursing care in a health unit located in a municipality in the Amazon Region.

    Methods:

    methodological research conducted in a basic health unit with four family health teams in the state of Rondônia, involving seven nursing professionals. Data collection occurred between October 2020 and April 2022, following the research phases: situational diagnosis, exploratory phase, protocol definition, implementation, and evaluation.

    Results:

    the outcome was the adaptation and implementation of a nursing care protocol for children.

    Final Considerations:

    the adaptation and implementation process can be an effective approach to improving care, strengthening nursing as a profession with a solid foundation in scientific and clinical evidence. This facilitates early problem identification and appropriate guidance, leading to better health outcomes for children.

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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 ARTICLE08-19-2019

    Functional capacity and social support to people affected by cerebrovascular accident

    Revista Brasileira de Enfermagem. 2019;72(4):868-873

    Abstract

    ORIGINAL ARTICLE

    Functional capacity and social support to people affected by cerebrovascular accident

    Revista Brasileira de Enfermagem. 2019;72(4):868-873

    DOI 10.1590/0034-7167-2017-0854

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    ABSTRACT

    Objective:

    To investigate the functional capacity and its relationship with the level of social support to people affected by cerebrovascular accident.

    Methods:

    Cross-sectional and quantitative research, conducted with 108 individuals with sequelae of cerebrovascular accident in João Pessoa/PB. Data were collected through interviews, using a sociodemographic instrument – the Barthel Index and the Social Support Scale.

    Results:

    We observed the prevalence of functional dependency in 93.5%, and the mild dependency stood out in 40.7%. Medium social support was the most found, with 48.2%. The predominant dimensions of social support were the material dimension, followed by the emotional. There was a significant association (p ≤ 0.05) between very serious dependency and high social support.

    Conclusion:

    The results found allow us to reflect on the need for involvement of health professionals in strengthening the social support of patients with disabling diseases, such as the cerebrovascular accident.

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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.
    Functional capacity and social support to people affected by cerebrovascular accident
  • ORIGINAL ARTICLE11-26-2022

    Vulnerability and quality of life of older persons in the community in different situations of family care

    Revista Brasileira de Enfermagem. 2022;75:e20210034

    Abstract

    ORIGINAL ARTICLE

    Vulnerability and quality of life of older persons in the community in different situations of family care

    Revista Brasileira de Enfermagem. 2022;75:e20210034

    DOI 10.1590/0034-7167-2021-0034

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    ABSTRACT

    Objective:

    to correlate socio-contextual aspects, physical vulnerability and quality of life of older persons in the community in different situations of family care.

    Methods:

    epidemiological, a cross-sectional and analytical study, with elderly people in the community (n=769), with application of the instruments: Vulnerable Elders Survey-13 (VES-13), World Health Organization Quality of Life for Older Persons (WHOQOL-OLD) and the World Health Organization Quality of Life (WHOQOL-BREF); and socio-contextual data questionnaire.

    Results:

    the population assessed presented an average of regular quality of life in both the WHOQOL-BREF and the WHOQOL-OLD. Older non-vulnerable persons (62.2%) and those with close family contact (82.6%) have a better quality of life than the vulnerable (p<0.0001).

    Conclusion:

    lower quality of life scores and more distant families are related to vulnerable elderly people; thus, the assessment of family proximity and physical vulnerability of older persons is shown to be an important factor in improving quality of life.

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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 ARTICLE03-30-2020

    Risk and protective factors for sudden infant death syndrome

    Revista Brasileira de Enfermagem. 2020;73(2):e20190458

    Abstract

    ORIGINAL ARTICLE

    Risk and protective factors for sudden infant death syndrome

    Revista Brasileira de Enfermagem. 2020;73(2):e20190458

    DOI 10.1590/0034-7167-2019-0458

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    ABSTRACT

    Objectives:

    To verify the occurrence of the risk and protective factors for sudden infant death syndrome during nursing consultation.

    Methods:

    Retrospective cohort study conducted based on medical records from a primary care unit in the municipality of São Paulo. The sample consisted of 63 infants assisted from January to December 2016.

    Results:

    The average age of infants was 3.2 months. The main risk factors identified were the presence of soft objects in the crib (93.6%) and bed sharing (58.7%). Predominant protective factors were breastfeeding (95.2%) followed by updated immunization (90.5%).

    Conclusions:

    Risk and protective factors for sudden infant death syndrome were identified in the study sample, indicating the importance of addressing the issue with families of children under 1 year of age to prevent the occurrence of such events.

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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 ARTICLE03-30-2020

    Professional skills for health promotion in caring for tuberculosis patients

    Revista Brasileira de Enfermagem. 2020;73(2):e20180943

    Abstract

    ORIGINAL ARTICLE

    Professional skills for health promotion in caring for tuberculosis patients

    Revista Brasileira de Enfermagem. 2020;73(2):e20180943

    DOI 10.1590/0034-7167-2018-0943

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    ABSTRACT

    Objectives:

    to understand the health promotion skills found in the speeches of health practitioners in care for TB patients.

    Methods:

    qualitative study, developed with seven practitioners involved in care for TB patients, identified from a sociocentric approach, whose speeches were submitted to analysis based on the health promotion skills model in the Galway Consensus.

    Results:

    there were four domains: Catalyzing change; Leadership; Planning; and Partnerships. These domains resulted from health education actions, contribution of management nursing practitioners, seeking to meet patients’ needs and articulation of professional sectors.

    Final considerations:

    there were some skill domains in the speeches of health practitioners, with the nurse being quoted in the development of essential skills for health promotion activities, such as catalyzing change and leading care for TB patients.

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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 ARTICLE04-22-2020

    (Dis)continuation of care of the pre-term newborn at the border

    Revista Brasileira de Enfermagem. 2020;73(3):e20180827

    Abstract

    ORIGINAL ARTICLE

    (Dis)continuation of care of the pre-term newborn at the border

    Revista Brasileira de Enfermagem. 2020;73(3):e20180827

    DOI 10.1590/0034-7167-2018-0827

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    ABSTRACT

    Objectives:

    to understand how continuation of care for the preterm newborn in the health care network at the border.

    Methods:

    the Grounded Theory was the methodological framework. Data were collected through 17 semi-structured interviews between July 2016 and March 2017.

    Results:

    “Describing the structure and functioning of the Child Nutrition Center” represents the context; “Experiencing and signifying premature birth” are the causal conditions; “Identifying conditions that intervene in the process of continuation of care for the preterm newborn” are the intervening conditions; “Ensuring continuation of care for the preterm newborn” are strategies; “Identifying (dis)continuation of care flows for the preterm newborn at the border” are the study’s consequences and phenomenon.

    Final Considerations:

    there is a need to plan referral and counter-referral flows of the preterm newborn and the commitment of public health managers to ensure continuation of 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.
  • ORIGINAL ARTICLE12-05-2019

    Quality of life, burden, family emotional support: a model for older adults who are caregivers

    Revista Brasileira de Enfermagem. 2019;72:169-176

    Abstract

    ORIGINAL ARTICLE

    Quality of life, burden, family emotional support: a model for older adults who are caregivers

    Revista Brasileira de Enfermagem. 2019;72:169-176

    DOI 10.1590/0034-7167-2018-0439

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    ABSTRACT

    Objective:

    To investigate associations between quality of life, sex, age, burden, and nature of emotional support available in the family in older adults who are caregivers of older relatives.

    Method:

    Cross-sectional and correlational study on 148 caregivers gathered in public and private healthcare services, who were subjected to psychological measures of quality of life, burden, exchange of emotional support, sex, and age. Data were analyzed using Chi-square, Fisher’s exact test and path analyses (p < 0.05).

    Results:

    A total of 77% women, average age of 69.7 years. There were significant associations between exchange of support and burden due to the provided assistance, being a woman and satisfaction with the received support, satisfaction with the received support and burden, burden and quality of life, and satisfaction with the received support and feeling of burden due to the provided support.

    Conclusion:

    Satisfaction with the received emotional support moderate the association between sex and burden, and such moderate the association between satisfaction with emotional support and perceived quality of life.

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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.
    Quality of life, burden, family emotional support: a model for older adults who are caregivers
  • ORIGINAL ARTICLE09-16-2019

    Social representations of the elderly about HIV/AIDS

    Revista Brasileira de Enfermagem. 2019;72(5):1349-1355

    Abstract

    ORIGINAL ARTICLE

    Social representations of the elderly about HIV/AIDS

    Revista Brasileira de Enfermagem. 2019;72(5):1349-1355

    DOI 10.1590/0034-7167-2018-0296

    Views0

    ABSTRACT

    Objective:

    to understand the representational content about HIV/AIDS among seropositive elderly people.

    Method:

    a qualitative study carried out from April to May 2017, in the city of Recife/PE, with 48 seropositive elderly people, through a semi-structured interview. The Social Representations Theory was used as theoretical framework and the method of lexical analysis through IRAMUTEQ software.

    Results:

    it was observed that the social representation of HIV is structured around the proximity of death and that it is a disease of restricted groups, leading to feelings of sadness. On the other hand, it is evident a transformation of the representation linked to the reified knowledge, leading to the process of naturalization of the disease.

    Final considerations:

    it is concluded that the elderly living with HIV, when they undergo a process of reframing about the disease, become more flexible to deal with their condition of seropositivity.

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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 ARTICLE04-22-2020

    Indicators of effectiveness of nursing care in the dimension of patient safety

    Revista Brasileira de Enfermagem. 2020;73(3):e20180833

    Abstract

    ORIGINAL ARTICLE

    Indicators of effectiveness of nursing care in the dimension of patient safety

    Revista Brasileira de Enfermagem. 2020;73(3):e20180833

    DOI 10.1590/0034-7167-2018-0833

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    ABSTRACT

    Objectives:

    to validate nursing care effectiveness indicators of patient safety dimension.

    Methods:

    quantitative survey, using the electronic Delphi sampli, with 52 participants selected by the Snowball sampling. Eight indicators were evaluated regarding the attributes: availability, reliability, simplicity, representativeness, sensitivity, comprehensiveness, objectivity, cost, utility, stability and timeliness. For validation, the minimum agreement criterion was 70%.

    Results:

    Cronbach’s alpha (0.942) evidenced the high internal consistency among the attributes. The indicators fall with damage, hip fracture, and postoperative hip fracture, incidents related to equipment, incidents due to failures in patient identification, and pressure injury were validated in all attributes, and those of medication error and hand Hygiene were not validated.

    Conclusions:

    the validated indicators allow assessment of the effectiveness of hospital nursing care. Unavailability of data is an obstacle to monitoring patient safety.

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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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