Problematization methodology's impact on nursing and medical students' knowledge about hypodermoclysis: quasi-experimental study

OBJECTIVE

to analyze the problematization methodology impact on the knowledge of nursing and medical students about hypodermoclysis.

METHOD

quasi-experimental study conducted with 22 undergraduate nursing and medical students from a public Brazilian higher education institution. The students participated in the educational intervention using the problematization methodology based on the Arch of Maguerez. A previously validated questionnaire was used to determin' the students' knowledge level about hypodermoclysis. This instrument was applied before and after the educational intervention. The results were compared by McNemar's test and Student's t test for paired samples.

RESULTS

when comparing the correct answers before and after the intervention, there was a significant increase in 75% of the questions (p<0.05), including theoretical and practical aspects of hypodermoclysis. The mean score on students' self-assessment of the ability to explain (0.9 versus 5.9 points) and perform hypodermoclysis (1.9 versus 5.0) was significantly higher after applying the problematization methodology (p<0.001).

CONCLUSION

the problematization methodology had a positive impact on the students' knowledge about hypodermoclysis. The number of correct answers after the educational intervention was higher than the initial assessment. The problematization methodology can be incorporated into the teaching-learning process of nursing and medical students for teaching procedures such as hypodermoclysis.

BACKGROUND

(1) The problematization methodology had a positive impact on students' knowledge.

BACKGROUND

(2) The number of correct answers after the educational intervention increased.

BACKGROUND

(3) Problematization can be incorporated into the teaching of nursing and medicine.

BACKGROUND

(4) The teaching-learning process through active methodologies should be encouraged.

BACKGROUND

(5) Problematization has the potential to develop cognitive and attitudinal skills.

The relationship between level of knowledge and vaginal discharge prevention behavior for nursing student

OBJECTIVE

Reproductive health in adolescent girls is very important. To determine the relationship between the level of knowledge and the behavior of preventing vaginal discharge among nursing students.

METHODS

a quantitative, cross-sectional study, with 155 first-year female students at a private faculty of nursing. Data were collected from February to March 2022, using an electronic questionnaire.

RESULTS

98.1% of participants have a good level of knowledge and 92.3% of participants practice good vaginal discharge prevention behavior.

CONCLUSION

good knowledge produces appropriate prevention behavior. The result of this study can be used as a contribution of thoughts and references as a more in-depth study of the factors that influence the level of knowledge and behavior about the disease of the genitalia and the dangers of pathological vaginal discharge.

Nurses' knowledge and therapeutic communication in hospital

OBJECTIVES

to identify the correlation of nurses' knowledge with the application of nurses' therapeutic communication in hospitals.

METHODS

a descriptive quantitative, correlational design with a total sampling method was used in the study. Respondents were 68 nurses working in an inpatient room in one of the general hospitals in western Indonesia. Modified questionnaires were used in data collection. Analysis of the Pearson chi-square test was used in data analysis.

RESULTS

nurses with sufficient and poor knowledge have a good application of therapeutic communication. There was no correlation between knowledge and the application of nurses' therapeutic communication.

CONCLUSIONS

therapeutic communication is influenced by many factors, but nurses' knowledge should be maintained and improved to provide holistic care and increase patient satisfaction.

Factors associated with older adults' knowledge, attitude and practice on skin cancer prevention

OBJECTIVES

to identify factors associated with older adults' knowledge, attitude and practice regarding skin cancer prevention.

METHODS

this is a cross-sectional study, carried out with 120 older adults from a Basic Health Unit in Quixadá, Ceará, from September to November 2018.

RESULTS

individuals aged 60 to 69 years and working were statistically associated with adequate knowledge (p=0.038). Having light skin, eyes and hair was associated with adequate attitude (p=0.030). Having skin problems, such as bleeding wounds, was associated with adequate practice (p=0.016). With regard to inappropriate behavior for skin cancer prevention, there was a statistically significant association between working or having worked under direct exposure to the sun, inadequate knowledge (p=0.036), inadequate attitude (p=0.010) and having incomplete primary education and inadequate practice (p<0.001).

CONCLUSIONS

sociodemographic and clinical factors influence older adults' knowledge, attitude and practice regarding skin cancer prevention.

Impact of an educational intervention on standard precautions during the COVID-19 pandemic

OBJECTIVE

To evaluate the impact of an educational intervention on the knowledge of nursing professionals regarding standard precautions.

METHODS

This is an almost experimental study conducted with 100 nursing professionals. Data collection was performed using a sociodemographic characterization instrument and the Standard Precautions Knowledge Questionnaire. The educational intervention was based on five moments, where the approach to questions with less than 70% accuracy was intensified.

RESULTS

There was a significant difference between the scores of healthcare professionals before (16.20 ± 1.51) and after (16.90 ± 1.31) the educational intervention (W=3.336; p < 0.05). Regarding knowledge about hand hygiene after glove use, an increase in knowledge from 83% to 93% was obtained.

CONCLUSIONS

A positive effect on the professionals' knowledge was recorded, demonstrating advances regarding the strengthening of already acquired knowledge and the understanding of new knowledge.

Undergraduate nursing students' knowledge and experience in infusion therapy and peripheral vascular acces

OBJECTIVES

to analyze the knowledge and experience of undergraduate nursing students regarding infusion therapy and peripheral vascular access.

METHODS

descriptive, cross-sectional, analytical study with 123 undergraduate nursing students who answered a semi-structured instrument.

RESULTS

the majority were women, with a median age of 51 years old; 87% considered the teaching received insufficient to perform in clinical practice. The mean overall knowledge score was 78.1 (SD± 8.97). The themes catheter flushing and lock (38.1%), catheter selection (34.2%), infusion equipment (30.9%) and insertion site (30.9%) presented a significant number of errors.

CONCLUSIONS

practical classes and execution of procedures in health services were predictors for a better knowledge about infusion therapy and vascular access by undergraduate nursing students.

Nursing students' knowledge and attitude in relation to COVID-19 prevention behavior

OBJECTIVES

to determine the correlation between nursing students' level of knowledge and attitudes toward COVID-19 prevention behavior.

METHODS

a cross-sectional study was carried out at the Private University in Indonesia. Accidental sampling was used to select 188 third-year bachelor's nursing students as respondents. Data collection was conducted through an online questionnaire (Cronbach's Alpha 0.799-0.959) consisting of 27 questions. The data were analyzed descriptively and inferentially.

RESULTS

as many as 49.5 % of respondents had high knowledge, 98.4 % had a positive attitude, and 89.9 % had positive behavior in preventing COVID-19 transmission. The Chi-square test revealed that knowledge has no correlation with COVID-19 prevention behavior (p-value 0.864), but attitude did (p-value 0.027).

CONCLUSIONS

nursing students' attitudes are related to behavior in preventing COVID-19. Nursing students are expected to maintain positive attitudes and behaviors toward COVID-19 prevention as future health workers at the forefront of health services.

Systematization of Nursing Care: how did the concept mature?

OBJECTIVES

to analyze the Systematization of Nursing Care conceptual maturation from the perspective of pragmatic utility.

METHODS

a concept analysis study. The stages were: select the concept; elaborate analytical questions; comprehensively review the literature; and determine concept structural components. Sixty-one documents were analyzed after a search carried out until October 2019.

RESULTS

four temporal periods of contextual changes have occurred since the emergence of ideas of a systematization in the 1960s. This first lasted until 1990. It was followed by those from 1990 to 2002, from 2002 to 2009 and from 2009 onwards. Partial conceptual maturity was identified, operationalization over the years, based on multiple definitions, and, currently, a concept of Systematization of Nursing Care with managerial and organizational attributes.

CONCLUSIONS

the concept of Systematization of Nursing Care is partially mature, presents multiple definitions, being operationalized in uncertain connections with other concepts.

Albumin-to-protein ratio in spot urine samples for analysis of proteinuria selectivity in chronic kidney disease

INTRODUCTION

The albumin-to-creatinine ratio and total protein-to-creatinine ratio in spot urine samples have already been validated as surrogates for 24-hour albuminuria and proteinuria measurements. Thus, we hypothesized that the type of proteinuria, detected by the electrophoretic pattern of 24-hour urine, could be predicted by the simple proportion of albumin in the total urine protein content, using the albumin-to-protein ratio (APR). Our study sought to validate the use of APR as a cheaper substitute for urinary protein electrophoresis (UPE).

METHODS

Using different mathematical models, we compared, the albumin fraction in 24-hour urine samples by electrophoresis and the APR ratio in spot samples from 42 outpatients with chronic kidney disease (CKD).

RESULTS

A strong log-order correlation r = 0.84 (0.75-0.92; 95% CI, p = 0.001) was observed between APR and the albumin fraction in the UPE.

CONCLUSION

The APR can substitute electrophoresis in CKD outpatients.

Population knowledge on chronic kidney disease, its risk factors and means of prevention: a population-based study in Fortaleza, Ceará, Brazil

INTRODUCTION

Chronic kidney disease (CKD) has been increasing significantly. There is evidence that a large part of the population does not have enough knowledge on the subject.

OBJECTIVE

To investigate the level of knowledge about CKD in the general population, its risk factors and means of prevention.

METHODS

We ran a cross-sectional study in the population of Fortaleza, Ceará - Brazil, between 2017 and 2020, with the application of a questionnaire on CKD, risk factors and prevention.

RESULTS

we interviewed 735 volunteers, with a mean age of 38 years, of which 55% were female. Only 17.2% correctly responded to the concept of CKD, and 5.8% knew the concept of creatinine. Low water intake was the most cited risk factor by respondents (79.3%). The main risk factors and direct causes of CKD (diabetes and hypertension) were mentioned less frequently (13.2% and 15.1%, respectively). Men were more correct regarding risk factors and ways to prevent CKD. Older respondents answered more correctly the questions about the definition of CKD (n = 22; 28.6%) and creatinine (n = 7; 9.0%). With regards to education there was a statistically significant correlation in all the questions (p < 0.05).

CONCLUSION

There is little knowledge about CKD in the general population. Higher level of education is associated with better knowledge. More health education actions are needed so that the population becomes better acquainted with CKD and, consequently, can adopt more adequate prevention and control measures.

Internal validity evidence of a knowledge questionnaire on alcohol use, abuse and dependence and associated questions

OBJECTIVES

to perform content validity and verify the psychometric properties of the adapted version of an alcohol knowledge questionnaire and associated questions.

METHODS

a methodological study, in which a committee of judges analyzed the questionnaire item representativeness, clarity and relevance. Item response theory was used to assess the instrument psychometric properties applied to a sample of 240 health professionals.

RESULTS

the questions were adjusted according to judges' assessment, obtaining a satisfactory Content Validity Index (0.98). High discrimination ability and adequate difficulty levels were observed in 75% of multiple-choice questions and in 25% of statements.

CONCLUSIONS

the instrument presented content validity with satisfactory indices. However, it is recommended that the questionnaire adapted in this study be used in different samples of health professionals from other parts of Brazil, in order to provide greater robustness to its reliability.

Validation of tool to assess pediatric residents' knowledge of development and behavior

OBJECTIVE

This study aimed to create and validate an instrument to measure pediatric residents' knowledge about development and behavior.

METHODS

This was a longitudinal study with the consecutive application of questionnaires to validate an instrument of analysis. The modified Delphi technique was used for validation, which involved judges who were selected based on their expertise. Judges, who were renowned for their knowledge of the subject and willing to participate, were chosen from different states of Brazil. A convenience sample was obtained. The original questionnaire included 45 open questions divided into 13 relevant thematic axes on development and behavior.

RESULTS

After the third round using the Delphi technique, the whole questionnaire had a validity index of more than 80% on scope and relevance as well as all thematic axes, and the 44 final questions.

CONCLUSIONS

The whole questionnaire was considered validated by the 14 expert judges who participated in the study.

Matching between maternal knowledge about infant development and care for children under one year old

OBJECTIVE

to analyze maternal knowledge about infant development and its matching to the care offered to children during their first year of life.

METHOD

a longitudinal and prospective study, in the stages of pregnancy and of the child's 12th/13th month of life. Interviews were applied to 121 women in a Brazilian city, based on 21 items selected from the Knowledge of Infant Development Inventory, related to the first year of life. Calculation of rates of correct answers was used, as well as regression by Ordinary Least Squares and White's standard error.

RESULTS

the participants who answered correctly more aspects have more years of study, are older and present high family incomes. When the "having a partner or not" variable was considered, the correct answers presented a discrete fluctuation. Regarding the themes, there were more correct answers to aspects about health, safety and infant development milestones. Primiparous mothers were more likely to wean, overprotect and have children using electronic devices, and less likely to seek information about child care.

CONCLUSION

there was matching between some maternal knowledge and execution of child care. The connection between them is relevant to indicate in detail the unknowns and uncertainties and to improve positive knowledge, contributing to promoting early childhood development.

Knowledge scale of Nursing students about sexuality of people with spinal cord injury

OBJECTIVES

to build, validate and verify the reliability of the Scale of knowledge about sexuality of people with spinal cord injury for nursing students.

METHODS

a methodological study, following the steps: 1) Construction based on literature review; 2) Validation of the content with calculation of the Content Validity Index and the Modified Kappa Coefficient; 3) Pre-test with Nursing students; and 4) Measurement of reliability by internal consistency (Cronbach's alpha).

RESULTS

the first version of the instrument presented 13 items. After validation, the items received values above 0.80 and 0.76 for the Content Validity Index and Modified Kappa Coefficient, and it was suggested to separate three items to contemplate gender-specific aspects. After pre-testing, it was recommended that the writing of two items be revised. The final scale, with 16 items, showed Cronbach's alpha equal to 0.93.

CONCLUSIONS

the constructed scale presented valid content and proved to be reliable for application with nursing students.

Nursing training and retraining on cardiopulmonary resuscitation: a theoretical-practical intervention

OBJECTIVE

To analyze the retention of knowledge and skills of nursing professionals following training and retraining on cardiopulmonary resuscitation.

METHOD

This is an intervention, prospective, and analytical study in which 56 nursing professionals received theoretical and practical training in in-service cardiopulmonary resuscitation. Nine months after the first training (T1), these professionals participated in a retraining (T2). They were followed up for 18 months. The linear trend of knowledge and skills in the period following training was calculated and the Wilcoxon test was applied.

RESULTS

Interventions increased the knowledge and skills of professionals significantly; however, in the subsequent period, skills decreased. Despite this, after a period of nine months, they were still higher than those identified before the study. There was a reduction of 18.2% in knowledge in the theoretical test after T1 vs 13.0% after T2 (p < 0.01) and a reduction of 7.6% in skills on the practical test after T1 vs 5.3% after T2 (p < 0.01).

CONCLUSION

Nurses were able to retain more knowledge and skills on cardiopulmonary resuscitation after retraining, which stresses the importance of regular training and continuing education in health.

Translation to Brazilian Portuguese, cultural adaptation and reproducibility of the questionnaire "Ankylosing Spondylitis: What do you know?"

CONTEXT AND OBJECTIVE:

Ankylosing spondylitis (AS) generates inflammation and pain in entheses, peripheral joints and the spine. Education regarding AS can improve patients' disability. Thus, it is important to assess patients' knowledge. There is no instrument in the literature for assessing knowledge of AS in Portuguese. The aim here was to translate to the Brazilian Portuguese language, culturally adapt and test the reliability of the questionnaire "Ankylosing Spondylitis: What do you know?" and to correlate the findings with other factors.

DESIGN AND SETTING:

Original article regarding validation of questionnaire, produced at the Federal University of Sao Paulo (Unifesp).

METHODS:

For translation and cultural adaptation, Guilleman methodology was used. After the first phase, the reliability was tested on 30 patients. Correlations between these scores and other factors were examined.

RESULTS:

In the interobserver assessment, the Pearson correlation coefficient and Cronbach's alpha were 0.831 and 0.895, respectively. In the intraobserver evaluation, the intraclass correlation coefficient and Cronbach's alpha were 0.79 and 0.883, respectively. At this stage, the score for area of knowledge A showed correlations with ethnicity and education; the score for area D, with age; the total score and scores for areas A and B with "social aspects" of SF-36; and the score for area D with "pain", "vitality" and "emotional aspects" of SF-36.

CONCLUSION:

The Brazilian version of the questionnaire "Ankylosing Spondylitis: What do you know?" was created. It is reproducible and correlates with education level, ethnicity and the SF-36 domains "social aspects" and "emotional aspects".