Mestrado Profissional em Enfermagem

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    Guia digital interativo sobre documentação de enfermagem
    (Universidade Federal do Espírito Santo, 2025-07-03) Mattiuzzi, Thaís Duarte Araújo; Fioresi, Mirian; https://orcid.org/0000-0002-8560-4385; http://lattes.cnpq.br/2275021494677338; https://orcid.org/0009-0009-8455-7909; http://lattes.cnpq.br/2379031754520132; Nunes, Karolini Zuqui; https://orcid.org/0000-0003-3433-4925; http://lattes.cnpq.br/6888896554912256; Almeida, Miriam de Abreu; https://orcid.org/0000-0002-4942-9882; http://lattes.cnpq.br/5814144892283070; Furieri, Lorena Barros; https://orcid.org/0000-0003-3859-2227; http://lattes.cnpq.br/0526203649991750
    Introduction: Nursing documentation is an essential practice to ensure the continuity, quality, and safety of patient care. Despite its importance, challenges related to fragmented records, inconsistencies in the language used, and lack of standardization are still frequent, which compromises the quality of information and, consequently, patient safety. The digital guide is configured as an educational technology that significantly contributes to promoting health education in different care settings. In this context, the following question arises: how to develop an interactive digital guide for nurses and nursing technicians on nursing documentation? Objective: To develop an interactive digital guide on nursing documentation. Methodology: This is a participatory action research study structured in four phases: problem identification, planning, action, and evaluation. The study was conducted between March and June 2025 with a sample of 61 nursing professionals. The inclusion criteria comprised professionals working in direct patient care in all hospital sectors (inpatient units, adult ICU, and neonatal ICU) with at least one year of experience in the role and who agreed to participate after being informed about the study's objectives. For the document and process validation phase, nurses with at least two years of experience in nursing processes and documentation were invited to act as expert judges. In accordance with institutional protocol, the judges were required to hold the position of nursing supervisors. Professionals who were on leave or on vacation during data collection were excluded from the study. Data analysis was conducted using a qualitative approach. The project was approved by the Research Ethics Committee under CAAE nº 76275323.1.0000.5060 and opinion nº 6.712.504, issued on March 20, 2024. Results: The results showed that the majority of participants were female (88.5%), aged between 20 and 30 years. Of these, 68.8% were nursing technicians and 31.2% were nurses, of whom 58% held a specialization. Regarding documentation, 93.4% recognized the potential of the interactive digital guide to facilitate and standardize records. While 72% reported performing continuous documentation, 12.5% did so only occasionally or rarely. The quality of the records was rated as adequate by 62.3%, whereas 36.1% reported inconsistencies, with the main difficulties related to lack of time, lack of knowledge about the standards, errors, and missing information. The professionals highlighted the importance of standardized models, guidelines, practical examples, and interactive educational resources to improve documentation practices. The validation of the digital guide indicated high acceptance, with Content Validity Indexes ranging from 0.85 to 1.00, demonstrating its applicability and relevance to professional practice. Conclusion: The development of the interactive digital guide on nursing documentation proved to be an effective strategy to qualify and standardize nursing records. Its dynamic and accessible structure promoted professional engagement, highlighting its potential to minimize technical-operational weaknesses and contribute to improving care practice
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    Desenvolvimento de um agente conversacional para orientação e incentivo ao exame preventivo do câncer do colo do útero
    (Universidade Federal do Espírito Santo, 2025-05-23) Fernandes, Renata Esteves Palacio; Lima, Eliane de Fátima Almeida; https://orcid.org/0000-0001-5128-3715; http://lattes.cnpq.br/4640538188376728; Freitas, Paula de Souza Silva; https://orcid.org/0000-0001-9066-3286; http://lattes.cnpq.br/6676352092840927; https://orcid.org/0009-0000-5707-9950; http://lattes.cnpq.br/0546774908623667; Almeida, Márcia Valéria de Souza; https://orcid.org/0000-0002-1318-7084; http://lattes.cnpq.br/9372951429429767; Carmona, Ana Paula; https://orcid.org/ 0000-0002-6750-0187; ; Primo, Cândida Caniçali ; https://orcid.org/0000-0001-5141-2898 ; http://lattes.cnpq.br/4739920753105018; Nunes, Elisabete Maria Garcia Teles; https://orcid.org/0000-0001-7598-0670;
    Introdução: No Brasil, um dos mais graves problemas relacionados à saúde da mulher ainda é o câncer do colo do útero, e quanto mais precoce a sua detecção, maiores são as chances de cura e reabilitação. Portanto, o acesso ao exame citopatológico do câncer de colo de útero é decisivo para o enfrentamento dessa problemática de saúde pública. Apesar dos avanços para aumentar a cobertura do exame no país, ainda há baixa procura, muitas vezes relacionada à falta de conhecimento das mulheres sobre o exame, dificuldade de acesso à Estratégia Saúde da Família, de agendamentos dos exames, quantidade insuficiente de materiais para coleta, de profissionais capacitados e, ainda, pelos sentimentos que esse exame causa nas usuárias. Desse modo, emergiu a ideia de criar um “chatbot” como agente educacional sobre câncer do colo do útero e facilitador na procura do exame citopatológico. Objetivos: Desenvolver e avaliar um chatbot orientativo sobre a prevenção do câncer do colo do útero. Metodologia: pesquisa aplicada de desenvolvimento tecnológico, realizada na Estratégia Saúde da Família do Município de Muqui, Espírito Santo. O estudo consiste no desenvolvimento de um chatbot orientativo sobre o exame citopatológico do câncer do colo do útero, dividido em quatro etapas para sua implementação. Na primeira etapa, foi elaborado o conteúdo sobre o câncer do colo do útero por meio de pesquisa bibliográfica, a partir das recomendações estabelecidas nas Diretrizes Brasileiras para o Rastreamento do câncer do colo do útero (2018). Na segunda etapa, foi organizado o roteiro do chatbot e realizada a contratação de empresa de tecnologia para o seu desenvolvimento. Na terceira etapa, a avaliação da usabilidade do chatbot foi realizada com usuárias cadastradas na Estratégia Saúde da Família Camará, que não haviam realizado o exame citopatológico nos últimos 3 anos. As participantes foram captadas pelo prontuário eletrônico, uma plataforma de tecnologia em software que atende todas as estruturas de saúde pública do município. A seleção das participantes foi feita de forma aleatória, garantindo que fossem escolhidas de maneira imparcial, com base em um número amostral para assegurar a representatividade dos resultados. O convite foi feito pela autora por meio de solicitação na residência das mulheres, em conjunto com a Agente Comunitária de Saúde responsável. Após aceitarem participar, foi disponibilizado um link para acesso à tecnologia, permitindo que as usuárias interagissem com o agente conversacional. Em seguida, foi aplicado um questionário que avaliou a usabilidade da tecnologia por meio da Escala de Usabilidade do Sistema. Na quarta etapa, foi iniciado o processo de implementação do chatbot com base nos resultados da análise dos requisitos. Resultados: Foram elaborados os diálogos e a estruturação do fluxograma e das telas. Para o desenvolvimento da tecnologia, foram considerados cinco momentos: conteúdo, agente, roteirização, conversação e revisão do diálogo. A elaboração do chatbot envolveu a construção cuidadosa de diálogos sobre o câncer do colo do útero por meio de pesquisa bibliográfica, a estruturação dos fluxogramas, a construção do chatbot e a avaliação da tecnologia, O produto resultante consiste em uma ferramenta digital acessível e interativa, disponibilizada diretamente nos dispositivos móveis das usuárias. Trata do chatbot Flora, desenvolvido com o objetivo de oferecer orientações sobre a prevenção do câncer do colo do útero, além de disponibilizar a funcionalidade de agendamento de consultas. Conclusão: O estudo viabilizou o desenvolvimento e a avaliação de um chatbot orientativo, projetado para fornecer informações sobre o câncer do colo do útero e facilitar o agendamento de exames citopatológicos. Esse recurso inovador representa um marco na aplicação de tecnologia à saúde pública, com potencial para ampliar a eficiência e a acessibilidade dos serviços. Além de facilitar o acesso a informações e procedimentos, a ferramenta contribuiu para a educação e conscientização sobre a relevância do exame citopatológico. Ao promover uma abordagem mais organizada e centrada no paciente, o chatbot também tem o potencial de otimizar o processo de trabalho dos profissionais de saúde, fortalecendo a integração entre tecnologia e cuidado
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    Desenvolvimento de protocolo para atendimento e registro da parada cardiorrespiratória intra-hospitalar
    (Universidade Federal do Espírito Santo, 2025-03-08) Nunes, Anna Luiza Zandonadi Falchetto; Bringuente, Maria Edla de Oliveira; https://orcid.org/0000-0002-5151-5368; http://lattes.cnpq.br/5786594324498349; Batista, Karla de Melo; https://orcid.org/0000-0001-9560-6627; http://lattes.cnpq.br/7477446640175505; https://orcid.org/0009-0002-2587-089X; http://lattes.cnpq.br/5861067769600702; Mattos, Tânia Mara Cappi; Smiderle, Fabiana Rosa Neves; Fiorin, Bruno Henrique; Simonetti, Sérgio Henrique
    Introduction: Cardiorespiratory arrest remains one of the most prevalent emergencies with high morbidity and mortality rates in Brazil. The quality of cardiopulmonary resuscitation and the standardization of care are essential for the success of treatment. Additionally, the standardization of records enhances the quality of care and generates data for defining institutional strategies and cost analysis related to this care. The Utstein Style is recommended for the standardization of these records and the improvement of epidemiological analyses. Objective: To develop an assistive technology for the standardization of in-hospital cardiorespiratory arrest management and documentation. Method: This is a methodological study involving the development of a technological product, conducted in a university hospital and structured in three stages: Stage 1: Analysis of documented records of in-hospital cardiorespiratory arrest within the institution. Stage 2: Literature review to identify content for protocol development. Stage 3: Development of an assistive technology in the form of a protocol. Results: In stage 1, 1,181 medical records were analyzed between October 2023 and February 2024, identifying 87 occurrences of in-hospital cardiorespiratory arrest. The document analysis provided insight into the institutional reality regarding the recording of cardiorespiratory arrest and highlighted weaknesses in the systematization of records. Additionally, it enabled the identification of the profile of cases attended and the procedures performed. In stage 2, the literature review revealed the following categories: Development and improvement of the response system to cardiorespiratory arrest. Education and the science of cardiopulmonary resuscitation. Evidence and recommendations for the management of cardiorespiratory arrest. In stage 3, the protocol includes interventions for the multidisciplinary management of cardiorespiratory arrest, standardized documentation based on the Utstein Style, and performance indicators. Products: The in-hospital cardiorespiratory arrest management and documentation protocol consists of 21 topics, including team responsibilities, competencies, and duties by professional category, medical history and physical examination, indicated treatment and therapeutic plan, basic life support, advanced life support, medication administration, and post-cardiac arrest care. Additionally, it includes standardized documentation forms based on the Utstein Style. Final Considerations: The establishment of a protocol for in-hospital cardiorespiratory arrest management and documentation can provide greater safety for the healthcare team, improve the quality of care provided, enhance patient outcomes and quality of life, reduce costs, and minimize legal concerns. Furthermore, it generates data that allow for a better understanding of the reality and impact of this care, supporting in-service education and research activities.
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    Implementação de um programa de navegação na especialidade de cirurgia cardiovascular
    (Universidade Federal do Espírito Santo, 2025-04-15) Fonseca, Marcio Vilaça da; Fioresi, Mirian; https://orcid.org/0000-0002-8560-4385; https://orcid.org/0000-0003-4955-6715; Filetti, Filipe Martinuzo; Fiorin, Bruno Henrique; Pautasso, Fernanda Felipe; Furieri, Lorena Barros
    Introduction: Patient navigation, introduced in 1990 by Harold Freeman, aims to facilitate access to healthcare, with a focus on chronic diseases. When conducted by a nurse, it is described as an intervention to reduce delays in accessing healthcare services and to provide personalized care throughout the treatment journey. It is an expanding model, contributing to the patient journey. Although little studied in cardiology, some studies have shown benefits in care, as evidenced by a 2017 study in the USA, which reported a reduction in 30-day readmission rates after discharge of patients with heart failure through a patient-centered approach. This raises the question: what are the main components for building a patient navigation program for individuals undergoing cardiovascular surgery? Objectives: To implement a navigation program in the cardiovascular surgery specialty, targeting patients undergoing myocardial revascularization and valve replacement. Methodology: This is a participatory action research study, structured into four main phases: problem identification, planning, action, and evaluation. Results: Of the 46 patients who participated in the study, 71% had comorbidities, 67% had a family history of heart disease, and 87% had not undergone previous surgical interventions. All patients (100%) were assessed and classified as needing navigation through the implemented program. As part of the proposed interventions, four Standard Operating Procedures were developed and validated, in addition to three informational flyers, which aimed to support the standardization and qualification of the care provided. Patient satisfaction with the program was 94.5%, and a significant reduction in preoperative waiting time was observed, decreasing from 10 to 2 days. Conclusion: The patient navigation program in the cardiovascular surgery specialty was able to reduce preoperative time and showed a high satisfaction rate among patients.
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    Exercício da responsabilidade técnica em enfermagem : uma proposta de tecnologia educacional
    (Universidade Federal do Espírito Santo, 2025-03-24) Oliveira, Andressa Barcellos de; Massaroni, Leila ; https://orcid.org/0000-0001-7327-887X; http://lattes.cnpq.br/1280356644652701; Bringuente, Maria Edla de Oliveira; https://orcid.org/0000-0002-5151-5368; http://lattes.cnpq.br/5786594324498349; https://orcid.org/0000-0002-3720-6198; http://lattes.cnpq.br/5742762785651498; Silva, Rita Inês Casagrande da ; https://orcid.org/0000-0001-8289-9117; http://lattes.cnpq.br/8602876967833382; Pontes, Mônica Barros de ; https://orcid.org/0000-0003-3629-236X; http://lattes.cnpq.br/2027806297684753; Fiorin, Bruno Henrique; https://orcid.org/0000-0002-1629-9233; http://lattes.cnpq.br/9684030018018529; Vilela, António Carlos Lopes; https://orcid.org/0000-0002-7072-0359; http://lattes.cnpq.br/7521723809237664
    Introduction: Care management requires the improvement of professional practices, and the organization of the work process. However, technically responsible nurses need professional development to manage nursing services, since their academic training is insufficient for this function, which involves exclusive technical and ethical duties. However, the managerial skills of technically responsible nurses are not yet adequately addressed in undergraduate courses. Objective: To propose an educational technology to train nurses in the exercise of technical responsibility. Method: This is a methodological study, with a quantitative-qualitative approach, divided into three stages: (1) scoping review mapped publications on the managerial skills necessary for the exercise of technical responsibility by nurses; (2) empirical study, which used an online questionnaire with closed and open questions as a data production instrument, whose quantitative data were analyzed in SPSS and the qualitative data followed Bardin's content analysis, with support from IRaMuTeQ; (3), Proposal of an educational technology for technical responsible nurses, based on the first and second stages. Results: The scoping review revealed gaps in the literature on the subject. The empirical study highlighted limitations in the organization of nursing services, related to the lack of management training in undergraduate courses and the need for institutional support. The proposal consists of a self-instructional Massive Open Online Course, addressing legal foundations, planning, organization, service evaluation, continuing education and document management. Discussion: The research highlighted a mismatch between academic training and the demands of professional practice, especially regarding care management. In response to this gap, the proposal for an educational technology emerges as a product based on the scope review and empirical study, configuring itself as a training strategy capable of offering targeted, practical learning aligned with current regulations, strengthening the qualified exercise of Technical Responsibility in nursing. Final Considerations: The implementation of educational technology contributes to the managerial training of nurses, strengthening care management, promoting patient safety and qualifying services. The initiative represents a viable way to address training deficiencies and empower nurses in professional practice