Mestrado Profissional em Enfermagem
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- ItemPrática deliberada em ciclos rápidos como estratégia de ensino no atendimento inicial ao paciente com dor torácica(Universidade Federal do Espírito Santo, 2025-03-31) Chiesa, Raquel Alves da Costa; Campos, Juliana Faria; https://orcid.org/0000-0001-7254-5251; http://lattes.cnpq.br/3598433823574228; Sipolatti, Walckiria Garcia Romero; https://orcid.org/0000-0002-1365-4797; http://lattes.cnpq.br/8069042373689306; https://orcid.org/0009-0001-5210-6291; http://lattes.cnpq.br/1269755412234540; Fioresi, Mirian; https://orcid.org/0000-0002-8560-4385; http://lattes.cnpq.br/2275021494677338; Coutinho, Verônica Rita Dias; https://orcid.org/0000-0001-8073-4562; Furieri, Lorena Barros; https://orcid.org/0000-0003-3859-2227; http://lattes.cnpq.br/0526203649991750Initial care for patients presenting with chest pain must be precise, assertive, and performed as quickly as possible in order to enable early detection of acute coronary syndromes, promote myocardial reperfusion, and increase patient survival. In this context, the qualification of nursing actions is essential, particularly in high-complexity care settings. To enhance professional practice, this continuing education project proposes the use of Rapid Cycle Deliberate Practice (RCDP) simulation, directed at nurses working in the Critical Care Unit, where the researcher is professionally embedded. RCDP applied to initial patient assessment promotes technical accuracy, reduces errors, and optimizes time management, which is a critical factor in the care of patients with time-dependent conditions. This study is aligned with the nursing care research line focused on the human development process.The aim of this dissertation was to develop a training program for nurses in the initial care of patients with chest pain, based on Rapid Cycle Deliberate Practice simulation.This research consisted of two interdependent studies. The first was a retrospective exploratory study designed to conduct a situational diagnosis regarding compliance with recommended practices and to identify potential areas for improvement in nursing care for patients presenting with chest pain. Data collection was performed through the analysis of physical and electronic medical records of patients who were spontaneously admitted with chest pain to a university hospital between January and June 2024.The second study was methodological in nature and was conducted between June 2024 and March 2025, aiming to develop, validate, and pilot test a Rapid Cycle Deliberate Practice–based simulation training instrument for nurses involved in the initial management of chest pain. This study was carried out in two phases: the first phase focused on the development of the methodological instruments, while the second phase involved the application and evaluation of the developed instruments and the simulated scenario by a pilot team composed of five nurses from the Critical Care Unit, through training using RCDP simulation. The study was approved by the Research Ethics Committee under opinion number 7,315,332 and Certificate of Presentation for Ethical Consideration (CAAE) number 84726724.8.0000.5071. Analysis of the retrospective data revealed a lack of standardization in the initial care of patients with chest pain, despite the existence of an institutional chest pain protocol. Additionally, the mean times for risk classification and electrocardiogram performance (door-to-electrocardiogram time) exceeded the values recommended by current clinical guidelines. In parallel, the training instruments developed—namely the RCDP Application Guide, pre- and post training checklists, and the simulated scenario script—underwent preliminary validation and were tested and refined based on feedback from the pilot nursing team. It is concluded that the developed instruments have the potential to be implemented according to institutional demands and to be adapted for use in other healthcare institutions with similar chest pain care workflows. The proposed product is expected to contribute to the standardization of nursing care, early intervention in chest pain management, and improvement of quality indicators such as door-to electrocardiogram time, risk classification time, and door-to-balloon time, thereby reducing complications and increasing survival among patients with chest pain associated with acute coronary syndromes and other time-dependent conditions.
- ItemAvaliação de competências profissionais de estudantes de enfermagem: desenvolvimento de um objeto virtual de aprendizagem(Universidade Federal do Espírito Santo, 2025-09-26) Esmidre, Millena Alves Batista; Bringuente, Maria Edla de Oliveira; https://orcid.org/0000-0002-5151-5368; http://lattes.cnpq.br/5786594324498349; https://orcid.org/0009-0001-3391-1797; http://lattes.cnpq.br/8040153983361966; Fiorese, Mirian; https://orcid.org/0000-0002-8560-4385; https://lattes.cnpq.br; Machado, Paulo Alexandre Pulga; https://orcid.org/000-0003-4363-2801; https://lattes.cnpq.brIntroduction: The Brazilian National Curriculum Guidelines for Undergraduate Nursing Education advocate for the training of critical, reflective, and generalist nurses, capable of working in different health contexts. Assessing the competencies acquired at the end of the program, associated with the development of technological resources to support teaching and learning, emerges as a relevant strategy to strengthen the quality of the training process. Objective: To develop an educational technology that supports the training and assessment of professional competencies of graduating nursing students. Method: Cross-sectional, descriptive and analytical study, developed in three stages: first, documentary analysis of five Political-Pedagogical Projects for Nursing Courses, representing the five regions of Brazil through a narrative literature review; second, application of the Nurse Competence Scale, adapted and validated in Brazil, to assess the competencies of graduating students in seven domains. Data were treated using descriptive statistics, Spearman correlation analysis and logistic regression; finally, the third stage: development of a digital and interactive virtual learning object, based on the National Curricular Guidelines for Nursing and built from the gaps identified in the previous stages. Results: The analysis of the PPCs revealed convergence regarding the critical-reflective profile of graduates, but also regional disparities in curricular emphases. In the assessment of competencies, students reported a predominantly positive self-perception, with the highest percentage of high competence in Diagnostic Functions and Managerial Functions, and the lowest in Quality Assurance and Therapeutic Interventions. A positive, albeit weak, correlation was observed between perceived competence and frequency of use in some domains. Based on these findings, a was developed, structured into interactive modules focused particularly on strengthening competencies in Quality Assurance and Patient Safety, as a complementary pedagogical resource for undergraduate Nursing education. Product: A digital and interactive Virtual Learning Object was developed, aimed at strengthening the competencies of Nursing students. Conclusion: The study evidenced that, although students perceive high levels of competence in different domains, weaknesses remain, particularly in Quality Assurance and Therapeutic Interventions. The development and implementation of technological resources, such as the Virtual Learning Object, represent innovative and relevant strategies for strengthening professional competencies, contributing to the training of critical, reflective nurses aligned with professional practice demands and national health education guidelines.
- ItemAvaliação do uso do almanaque da gestante nos cuidados pré-natais(Universidade Federal do Espírito Santo, 2025-12-10) Amorim, Lidiane Dias Freire; Primo, Cândida Caniçali ; https://orcid.org/0000-0001-5141-2898; http://lattes.cnpq.br/4739920753105018; https://orcid.org/0009-0003-2748-3081; http://lattes.cnpq.br/0892977156491668; Barbosa, Nayara Gonçalves; https://orcid.org/0000-0003-3646-4133; http://lattes.cnpq.br/7416771190196328; Lima, Eliane de Fátima Almeida; https://orcid.org/0000-0001-5128-3715; http://lattes.cnpq.br/4640538188376728; Zanchetta, Margareth Santos; https://orcid.org/0000-0003-2321-9438; http://lattes.cnpq.br/6672301984249502; Almeida, Márcia Valéria de Souza; https://orcid.org/0000-0002-1318-7084; http://lattes.cnpq.br/9372951429429767Pregnancy, a period of intense change, requires continuous monitoring and qualified guidance. Prenatal care, a right guaranteed to all pregnant women, aims to monitor maternal and fetal health, prevent complications, and provide essential care during pregnancy, childbirth, and the postpartum period. However, challenges related to maternal and neonatal mortality persist, as well as difficulties in understanding the guidance received during consultations. In this context, the use of educational technologies is an effective strategy for improving health literacy, facilitating access to information, and promoting greater autonomy. The Pregnancy Almanac stands out as a promising technology for offering accessible and interactive content, promoting learning and self-care. Objectives: Assess the effects of using the Pregnancy Almanac on health literacy among pregnant women during prenatal care. Develop a tool to assess health literacy among pregnant women regarding prenatal care based on the content of the Pregnancy Almanac. Materials and Methods: Quasi-experimental study with a single group and pre- and post-test application, conducted at a maternal and child health clinic at a public hospital in Vitéria, Espirito Santo. Ninety-eight pregnant women aged 18 years or older and up to 30 weeks of gestation participated in the study, selected for convenience. Data collection took place in two stages, before and after the pregnant women had contact with the Pregnancy Almanac, with an interval of 30 to 60 days. The knowledge assessment tool contained 40 true or false statements based on the content of the almanac. The data were entered into a Microsoft Excel® spreadsheet and analyzed using statistical tests, using Jamovi® and Jasp® software. Results: The results indicated a significant increase in the number of correct answers in the post-test compared to the pre-test, demonstrating the effectiveness of using the Pregnancy Almanac in promoting health knowledge among pregnant women during prenatal care. The average number of correct answers increased from 34.6 (SD=3.25) in the pre-test to 37.5 (SD=2.41) in the post-test, a statistically significant difference (p<0.001), with a large effect (Rank-Biserial Correlation=0.983). Most pregnant women (85.7%) showed improvement in performance, while 11.2% had the same results and only 3.1% showed a decline. Learning gains were collected on broader topics related to toxoplasmosis, syphilis, vaccination, and mucus discharge, while topics on signs of labor, the appropriate time to go to the maternity ward, labor management, and heartburn were identified as points of greater difficulty. The evaluation of the material declared it highly accessible, with 95.9% of pregnant women reporting being satisfied or very satisfied with the Pregnancy Almanac. Product: An instrument was developed to assess pregnant women's health literacy regarding prenatal care before and after contact with the Pregnant Woman's Almanac. Conclusion: The Pregnant Women's Almanac proved to be effective as an educational technology for promoting health literacy in prenatal care, expanding the knowledge of pregnant women. The results confirm its potential as a complementary resource to consultations and reinforce the strategic role of nursing in mediating the educational process. This research has the potential to be applied at the regional and national levels, as it systematically describes the actions and instruments for applying the Almanac in nursing consultations. The study contributes to scientific advancement and healthcare practice by strengthening women's autonomy and improving prenatal care
- ItemVídeo 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/7561708512534413Introduction: 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.
- ItemElaboração 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/4739920753105018Introduction: 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.