Mestrado Profissional em Enfermagem

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    Vídeo educativo para acompanhantes de criança e adolescente com câncer: elaboração e avaliação
    (Universidade Federal do Espírito Santo, 2025-09-29) Pereira, Nayara Christina Barbosa; Lima, Eliane de Fátima Almeida; https://orcid.org/0000-0001-5128-3715; http://lattes.cnpq.br/4640538188376728; https://orcid.org/0009-0002-7362-5039; http://lattes.cnpq.br/1775925899654179 ; Primo, Cândida Caniçali; https://orcid.org/0000-0001-5141-2898; http://lattes.cnpq.br/4739920753105018; Malheiro, Maria Isabel Dias da Costa; https://orcid.org/0000-0002-9093-4821; Cabral, Ivone Evangelista; https://orcid.org/0000-0002-1522-9516; http://lattes.cnpq.br/7561708512534413
    Introduction: Childhood cancer comprises a diverse group of diseases characterized by the exaggerated proliferative capacity of abnormal cells. It can occur in any developing organ and is the leading cause of death from the disease in children under 19 in Brazil. Treatment is long and complex, involving frequent hospitalizations and requiring parents to develop a set of skills and knowledge that allows them to safely care for their child. In this context, the need for educational resources that promote communication and guidance in pediatric oncology is evident. This project aims to meet an institutional demand for improved care for families with children and adolescents with cancer and is aligned with the research line on the organization and evaluation of healthcare systems.. Objectives: Develop and evaluate a video-based educational technology on childhood and adolescent cancer Method: Participatory research. Conducted in four phases: surveying the needs of caregivers of children and adolescents diagnosed with cancer; developing the educational technology; evaluating the technology's content by nurses; and evaluating the technology's appearance by the target audience. The first phase involved surveying the needs of caregivers of children and adolescents with cancer admitted to the oncology ward of Nossa Senhora da Glória State Children's Hospital between August and September 2024, using an online survey. In the second phase, based on the needs identified, a digital educational technology was developed, structured based on scientific evidence and national and international guidelines in pediatric oncology. The material was produced in three stages: pre-production, production, and post-production. In the third phase, the technology underwent content evaluation by oncology nurses using the Health Educational Content Validation Instrument (IVCES). In the fourth phase, patient caregivers evaluated its appearance using the Health Educational Technology Appearance Validation Instrument (IVATES). Data analysis was performed using the Content Validity Index (CVI) and the Appearance Validity Index (IVA). The study met all ethical aspects set out in Resolution No. 466/2012, being approved by the Research Ethics Committee under opinion number 80099024.1.0000.5060. Results: The audiovisual educational technology, titled "Learn about childhood cancer with Rafa," is 4 minutes and 30 seconds long and features 16 illustrated scenes. The video addresses the following topics: the definition of childhood cancer, the most common types of cancer in childhood and adolescence, chemotherapy, the most common side effects, and warning signs and symptoms. Specialist nurses evaluated the video for its content and found it appropriate for the target audience, stimulating learning, relevant for expanding knowledge in the field, and capable of clarifying doubts and promoting reflection on the topic. After approval by the specialist nurses, caregivers of children and adolescents diagnosed with cancer evaluated the video for its appearance. They found it engaging and informative, its length satisfactory for conveying the proposed knowledge, and the presentation of the scenes proved effective in understanding childhood cancer and chemotherapy treatment. The overall and item CVI values were above the established cutoff point, demonstrating the quality of the material produced.Products: Educational video “Learn about childhood cancer with Rafa”; scientific article entitled “Learn about childhood cancer with Rafa: development and evaluation of an audiovisual resource for family members.”Final Considerations: The development and evaluation of educational technology in video format proved to be an effective and accessible strategy, evaluated for content and appearance, with the overall CVI and total VAT reaching the maximum value (1.0). This research has potential for regional and national application by systematically describing the development process of an innovative educational video for family members of children and adolescents with cancer, using the Whiteboard animation technique. This methodology offers a replicable model that can be adapted to different care contexts and sociocultural realities.
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    Elaboração de tecnologia educacional para mulheres com câncer de mama: uma pesquisa convergente assistencial
    (Universidade Federal do Espírito Santo, 2024-09-13) Teófilo, Karolina Rosa; Almeida, Márcia Valéria de Souza; https://orcid.org/0000-0002-1318-7084; http://lattes.cnpq.br/9372951429429767; Lima, Eliane de Fátima Almeida; https://orcid.org/0000-0001-5128-3715; http://lattes.cnpq.br/4640538188376728; https://orcid.org/0009-0003-6404-8046; http://lattes.cnpq.br/9581081064645522 ; Fiorin, Bruno Henrique; https://orcid.org/0000-0002-1629-9233; http://lattes.cnpq.br/9684030018018529; Zocche, Denise Antunes de Azambuja; https://orcid.org/0000-0003-4754-8439; http://lattes.cnpq.br/0777467805281716; Primo, Cândida Caniçali; https://orcid.org/0000-0001-5141-2898; http://lattes.cnpq.br/4739920753105018
    Introduction: Breast cancer is the most common cancer among women worldwide, excluding non-melanoma skin cancers. Treatment exposes women to numerous undesirable effects that must be addressed by the multidisciplinary team for therapeutic planning. This project aims to meet an institutional demand for improvements in the health education process for women with breast cancer and is aligned with the research line Organization and evaluation of health care systems. Objectives: To develop an educational technology in health, in the form of an almanac, for women with breast cancer; and to evaluate the educational technology with the target audience. Method: This is a qualitative study developed using the Convergent Care Research (PCA) method. The research stages followed the PCA proposal, which consists of the design, instrumentation, investigation, and analysis phases. The almanac was constructed based on the needs identified during interviews with 16 participants diagnosed with breast cancer, undergoing treatment at an oncology service in the city of Vitória/ES. After preparing the almanac, these participants completed the adapted form for validating educational health content, evaluating the objectives, structure/organization and relevance of the content. An agreement rate of 80% was considered. Results: The printed educational technology, entitled “Almanac for women with breast cancer”, consists of 47 pages containing comics and word search games, seven errors, crosswords, among others. The almanac addresses the following topics: development of breast cancer, mastectomy, chemotherapy and radiotherapy, including possible side effects, and the social rights of people with cancer. The research participants evaluated the technology as relevant, enlightening and capable of encouraging new habits, in addition to adding knowledge. All items evaluated showed an agreement rate of over 80%. Products: “Almanac for women with breast cancer”, to be applied during the health education process with diagnosed women; scientific article entitled “Development of the educational technology Almanac for Women with Breast Cancer: Convergent Care Research”. Final Considerations: the almanac consists of an educational technology that addresses relevant topics about breast cancer in a playful, relaxed and informative way. The information included in the almanac allowed participants to access topics on which they had not yet been guided, in addition to allowing them to recall information applied at the beginning of treatment. Thus, this educational technology is relevant to scientific development and has the potential to generate impact at local, regional and national levels, given the considerable incidence of breast cancer and the almanac is a tool to be used in the health education process that, after reading, can aggregate knowledge on the subject.
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    Protocolo de cuidados com fístula e enxerto arteriovenosos para pacientes em hemodiálise
    (Universidade Federal do Espírito Santo, 2024-11-14) Coelho, Giselle dos Santos; Furieri, Lorena Barros; https://orcid.org/0000-0003-3859-2227; http://lattes.cnpq.br/0526203649991750; https://orcid.org/0009-0000-9332-3770; http://lattes.cnpq.br/6464454190129762; Fioresi, Mirian; https://orcid.org/0000-0002-8560-4385; http://lattes.cnpq.br/2275021494677338; Vicari, Alessandra Rosa; https://orcid.org/0000-0003-3325-152X; http://lattes.cnpq.br/2371230213777447; Nunes, Karolini Zuqui; https://orcid.org/0000-0003-3433-4925; http://lattes.cnpq.br/6888896554912256; Rozetti, Cindy Medici Toscano; https://orcid.org/0000-0001-9865-6208; http://lattes.cnpq.br/9543458093185280
    The durability of vascular access for hemodialysis depends on multiple factors, ranging from its creation to cannulation techniques and access maintenance. The adoption of preventive and corrective measures that promote vascular access patency is directly associated with reduced morbidity and mortality in hemodialysis patients. Objective: To develop a care protocol for patients undergoing hemodialysis focused on arteriovenous fistulas and grafts. Methodology: This is a methodological study conducted in three phases: (1) assessment of existing clinical guidelines for vascular access in hemodialysis; (2) a scoping review on care practices for arteriovenous fistulas and grafts; and (3) development of a specific care protocol. Results: Seven clinical guidelines published between 2014 and 2024 on hemodialysis vascular access were identified and analyzed. Most scored above 50% across all domains of the AGREE II (Appraisal of Guidelines for Research & Evaluation) tool. The scoping review included 104 publications, categorized into the following themes: preoperative vascular mapping, pharmacological interventions for access maturation, clinical monitoring, physical examination, exercise regimens, cannulation techniques (including ultrasound-guided methods), and self-care practices. The protocol was constructed using six of the evaluated guidelines and the evidence synthesized from the scoping review. Its structure followed the standard model established by HUCAM (Cassiano Antônio Moraes University Hospital), in accordance with the norms of the Unit for Quality and Patient Safety Management (UGQSP). Conclusion: This study resulted in a care protocol for arteriovenous fistulas and grafts tailored to hemodialysis patients. Additionally, a scoping review was conducted, identifying key practices and technologies essential for optimizing vascular access management.
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    Curso sobre cuidados parentais, utilizando metodologia OSCE, melhora a ansiedade e conhecimento de gestantes
    (Universidade Federal do Espírito Santo, 2025-04-22) Schereder, Lorrainy da Silva Rosa; Furieri, Lorena Barros; https://orcid.org/0000-0003-3859-2227; http://lattes.cnpq.br/0526203649991750; https://orcid.org/0009-0005-5273-1942; http://lattes.cnpq.br/1984122144498397; Fioresi, Mirian; https://orcid.org/0000-0002-8560-4385; http://lattes.cnpq.br/2275021494677338; Fonseca, Luciana Mara Monti; https://orcid.org/0000-0002-5831-8789; http://lattes.cnpq.br/2405356819478086; Almeida, Márcia Valéria de Souza; https://orcid.org/0000-0002-1318-7084; http://lattes.cnpq.br/9372951429429767; Filetti, Filipe Martinuzo; https://orcid.org/0000-0002-8141-4007; http://lattes.cnpq.br/4884418349921023
    Introduction: Maternal care is a priority in the public health policies of the Brazilian Unified Health System (SUS). However, during prenatal consultations, there may be limitations in the transmission of essential information, leading to insecurity among pregnant women. In this context, the present study aimed to evaluate pregnant women's knowledge of newborn care after attending a prenatal course designed to promote parental care. The course was based on Anne Casey’s Partnership Model of Nursing theory and used the Objective Structured Clinical Examination (OSCE) methodology for assessment. Methodology: This was a methodological study with a cross-sectional and quantitative design, aimed at developing and validating a prenatal course based on nursing theory and incorporating skill stations following the OSCE methodology. Additionally, a quasi-experimental study was conducted, in which 64 pregnant women were allocated into two groups (traditional and OSCE) and assessed regarding gestational anxiety, knowledge, and retention of theoretical information on neonatal care, immediately after the course and three weeks later. The methodological study supported the implementation of the prenatal course, using nursing theory as a foundation and the OSCE methodology to evaluate skills through structured checklists and feedback. The quasi-experimental study statistically compared knowledge acquisition between participants in the traditional course and those in the OSCE-based course.Results: The findings showed similar levels of understanding between the two methods on the course day for the Heimlich maneuver, baby bathing, and breastfeeding. However, after three weeks, the OSCE group showed a higher prevalence of sustained comprehension, particularly regarding baby bathing, whereas the traditional method demonstrated greater variation in responses over time. In terms of gestational anxiety, there was an overall reduction after the course. Product: This study developed technical-technological resources, including a prenatal course based on Anne Casey’s nursing theory, skill stations, structured checklists, and training for structured feedback. These elements proved to be an effective strategy for enhancing family involvement and neonatal care. Furthermore, a manuscript was produced detailing a nursing intervention using the OSCE methodology to promote parental care in pregnant women and reduce gestational anxiety. Conclusion: The OSCE methodology was found to be more effective in knowledge retention and reducing gestational anxiety compared to the more theoretical and less interactive traditional model. The skill stations and structured feedback played a crucial role in increasing participants’ autonomy, underscoring the importance of active learning strategies. The significant reduction in anxiety among women who participated in the OSCE course suggests that practical experiences enhance maternal confidence in their new role. Thus, this study highlights the importance of active pedagogical methodologies in training lay caregivers and promoting maternal mental health during pregnancy.
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    Transporte intra-hospitalar de pacientes adultos graves: elaboração de protocolo
    (Universidade Federal do Espírito Santo, 2022-12-12) Cruz, Ana Paula Gomes da; Lima, Eliane de Fátima Almeida; https://orcid.org/0000-0001-5128-3715; http://lattes.cnpq.br/4640538188376728; https://orcid.org/0000-0002-0913-8060; http://lattes.cnpq.br/7158413233791532; Primo, Cândida Caniçali; https://orcid.org/0000000151412898; http://lattes.cnpq.br/4739920753105018; Massaroni, Leila; https://orcid.org/0000-0001-7327-887X; http://lattes.cnpq.br/1280356644652701; Coutinho, Verônica Rita Dias; https://orcid.org/0000000151412898; http://lattes.cnpq.br/4739920753105018; Figueiredo, Karla Crozeta; https://orcid.org/0000-0003-3544-5643; http://lattes.cnpq.br/8027027232828519
    Introduction: Among the integral actions of care in health institutions directly interconnected with patient safety and with exposure to the risk of incidents and adverse events, there is intra-hospital transport. Aiming to meet an institutional demand for the standardization of intra-hospital transport of critically ill patients in the adult intensive care sector in which the researcher is inserted, this study was developed in partnership with the intensive care team, quality management and institution management. This project is aligned with the line of research on the organization and evaluation of health care systems. Objectives: To develop and validate an intra-hospital transport protocol for critically ill adult patients. Method: This is action research, carried out in a public university hospital in the Southeast region, from December/2021 to June/2022. The population consisted of members of the multidisciplinary team. To prepare the protocol, a scope review was carried out, a Planning Group was formed, and nine seminars were held for the development and validation of the protocol. The seminars were audio recorded and recorded in a field diary. Results: The review selected 22 studies, which formed the basis for the elaboration of the transport pilot protocol. 39 professionals participated in the elaboration of the protocol, through 9 seminars developed in face-to-face, online and mixed formats, with a moment of test application of the transport checklist by nurses of the adult intensive care unit. The protocol was approved by the hospital's quality sector for implementation and dissemination to the hospital community. Products: Institutional intra-hospital transport protocol with checklist and 5 flowcharts. The process took place with the active and collaborative participation of all study participants, with an important exchange of formal and informal knowledge. The protocol, with its flowcharts and checklist, will make it possible to standardize tasks and conducts, helping and directing professionals in decision-making and execution of work routines, ensuring safer and better-quality assistance in the intra-hospital transport of critically ill adult patients. Conclusion: This research has the potential to generate impact and be applied locally, regionally, nationally and internationally, as it systematically describes the steps and resources needed to develop an intra-hospital transport protocol for critically ill adult patients. The protocol, checklist and flowcharts are relevant for scientific and technological development, and will contribute to direct the actions of professionals, act as support in decisions and in the establishment of new work processes, with the aim of improving the quality of patient care during the transport. The hospital started the process of structuring intra-hospital transport and created a Technical Work Group on Safe Transport, which the master's student in this study was invited to join and has among its objectives to lead the implementation process of the protocol elaborated in this dissertation