Vanessa Ribeiro Neves

RESUMO Objetivo: Analisar a consolidação do Programa de Pós-Graduação em Enfermagem da Escola Paulista de Enfermagem da UNIFESP entre 1978 e 2023, destacando avanços, desafios e estratégias institucionais que influenciaram sua trajetória. Métodos: Trata-se de História Oral Temática. A coleta de dados foi realizada por meio de entrevistas com sete docentes que atuaram no programa em diferentes períodos. Utilizou-se a análise de conteúdo de Minayo, organizando os dados em unidades de contexto e de registro e posterior categorização temática. Resultados: Os relatos evidenciaram complexo panorama do desenvolvimento do programa, destacando momentos de reestruturação curricular, consolidação institucional, ampliação da produção científica e fortalecimento da pósgraduação. Os principais desafios foram entraves políticos e institucionais, desigualdades na avaliação da CAPES e dificuldades de expansão. Considerações Finais: A trajetória do programa reflete um processo de consolidação pautado na reflexão crítica e no fortalecimento coletivo, afirmando-se como espaço relevante de produção científica e formação em enfermagem.

Objective: To analyze the consolidation of the Graduate Program in Nursing at the Paulista School of Nursing of UNIFESP between 1978 and 2023, highlighting the advances, challenges, and institutional strategies that influenced its trajectory. Methods: This is a Thematic Oral History study. Data collection was carried out through interviews with seven faculty members who worked in the program during different periods. Minayo’s content analysis was used, organizing the data into context and recording units, followed by thematic categorization. Results: The accounts revealed a complex panorama of the program’s development, highlighting moments of curricular restructuring, institutional consolidation, expansion of scientific production, and strengthening of graduate education. The main challenges included political and institutional barriers, inequalities in CAPES evaluation, and difficulties in program expansion. Final Considerations: The program’s trajectory reflects a consolidation process grounded in critical reflection and collective strengthening, establishing itself as a relevant space for scientific production and nursing education.

Objective: To analyze the career path of nursing officers from 1992 to 2020 within the military ranks of the Complementary Officer Corps and the Temporary Technical Officer Corps, based on the Army Reserve Nursing Corps. Method: This is a qualitative, historical-social study using a thematic oral history approach. We interviewed fifteen nursing officers belonging to the active or reserve Temporary Technical Officer Corps or to the active or reserve Complementary Officer Corps, who served from 1992 to 2020 as coordinators/managers of healthcare services or Brazilian Army Health Fund management. Thematic analysis was performed, and data were interpreted in light of Pierre Bourdieu’s Theory of Social Fields. Results: Three subcategories were identified as characteristics of nursing’s professional experience in the Brazilian Army: battlefields, lack of knowledge of military nursing, and conflict in self-perception of identity. Conclusion: Nursing undertook struggles for belonging within the Brazilian Army, as it was the first group of women in the military healthcare service, which until then was predominantly male. Currently, nursing is enabling another battleground: for institutional recognition of its professional identity and for social recognition of military nursing, given that it is still a predominantly female healthcare profession in a health scenario characterized by male-dominated medical systems, leading to institutional invisibility for nursing competencies and barriers to its consolidation as a healthcare profession.

RESUMO Objetivo: Analisar a trajetória do oficial de Enfermagem no período de 1992 a 2020, a partir do Quadro de Enfermeiras da Reserva do Exército, nos quadros militares do Quadro Complementar de Oficiais e Quadro de Oficial Técnico-Temporário. Método: Estudo de natureza qualitativa, histórico-social, com abordagem da História Oral Temática. Foram entrevistados 15 oficiais de Enfermagem pertencentes ao Quadro de Oficial Técnico-Temporário, da ativa ou da reserva, ou ao Quadro Complementar de Oficiais, da ativa ou da reserva, que atuaram de 1992 a 2020 como coordenadores/gestores dos serviços de saúde ou do serviço de gestão do Fundo de Saúde do Exército Brasileiro. Realizada análise temática, cujos dados foram interpretados à luz da Teoria do Mundo Social de Pierre Bourdieu. Resultados: Foram identificadas três subcategorias que se configuraram como características da vivência profissional da Enfermagem no Exército Brasileiro: campos de luta, desconhecimento da Enfermagem Militar e conflito na autopercepção identitária. Conclusão: A Enfermagem empreendeu campos de luta para pertencimento ao Exército Brasileiro pois foi o primeiro grupo militar de mulheres no Serviço de Saúde que era até então, predominantemente masculino. Na atualidade, a Enfermagem viabiliza outro campo de luta, para reconhecimento institucional de sua identidade profissional e para o reconhecimento social de Enfermagem Militar, haja vista ainda ser profissão da saúde de maioria feminina em um cenário de saúde caracterizado por centralismo médico-masculino, ensejando invisibilidade institucional para as competências da Enfermagem e barreiras para consolidação como profissão de saúde.

Background: Informal caregivers play a crucial role in home care and many lack formal training, potentially compromising patient safety. Immersive virtual reality (VR) offers an innovative approach to training by simulating real-life caregiving scenarios in a risk-free environment. Prior to implementation, the environments and the technique’s feasibility and acceptability must be assessed by the professionals who will use it to train caregivers, establishing a performance benchmark based on experienced health care professionals. Objective: This study aims to test feasibility and develop exploratory benchmarks and acceptability of immersive VR training for home caregiving tasks, using experienced professionals to establish a reference standard for execution quality. Methods: This observational study was conducted in health care centers in Andalusia, the Valencian Community, and Madrid (Spain). A structured process was followed, including the identification of key home care tasks, the development of best practice guidelines, creation of immersive VR training materials, and the design of a performance evaluation rubric. Health care professionals (n=75) were recruited using a convenience sampling approach. They performed caregiving tasks in VR, and their performance was recorded and assessed using a standardized rubric, which included 205 predefined errors. Participants also completed a posttraining survey evaluating usability, comprehension, and perceived applicability to real-world caregiving. Results: A total of 75 professionals participated, completing 257 caregiving simulations in a fully immersive VR environment. A total of 417 errors were identified (417/3142, 13.3% of the maximum number of predefined errors), with a mean average of 5.6 (SD 6.8) errors per participant. The most frequent errors occurred in medication management, insulin administration, diaper changing, broncho aspiration prevention, blood pressure monitoring, and hand hygiene. The perceived usefulness of VR training was rated 8.1 out of 10 points (SD 1.9), with 98.7% (74/75) of the participants stating that the time spent in the simulation was worthwhile and 85.3% (64/75) agreeing that the tasks were appropriately represented. Conclusions: Immersive VR training for informal caregivers is a feasible and well-accepted approach, demonstrating high perceived usefulness among health care professionals. The study establishes a preliminary benchmark for home caregiving task execution, providing a basis for future research evaluating informal caregivers’ performance and targeted training interventions to enhance patient safety. Further studies are needed to explore the long-term impact of VR training on caregiver competence and home care quality.

Introduction: It is important to identify the current scenario of transpersonal nursing care and how the training scenarios of the Theory of Human Care are constructed according to the precepts of Jean Watson. Objective: To integrate and analyze the application of Jean Watson’s Theory of Human Caring in nursing studies, particularly in terms of care provision and educational practices within the nursing field. Method: Integrative Review based on Whittemore and Knafl. The search strategy encompassed the following databases: Web of Science, PubMed/Medline, Embase, Scielo, Lilacs, Scopus, and Cinahl, with no time restrictions. A thematic analysis was performed to synthesize the findings of the review and relevant information from the selected articles was extracted. The PRISMA checklist and quality appraisal were used to ensure the robustness of the identified publications. Results: Thirty-two articles met the eligibility criteria and were included in this review. Three themes emerged: 1. Unveiling the dimensions of care in the light of Jean Watson’s ideas; 2. Beyond the concept of care; 3. Care management and organizational culture. The significance of adopting transpersonal care approaches in caring for individuals with illness is highlighted, facilitating moments of spiritual and safe care. Nurses are required to possess both knowledge and skills to enable the provision of more meaningful care, alongside integrating material, educational, and human resources to enhance this caregiving process. Conclusion: The findings emphasize the importance of cultivating specialized skills within nursing practice, highlighting the necessity of specialized training and education focused on transpersonal care principles.

Introdução: Em 2020, a humanidade vivenciou o confinamento social em virtude da pandemia de COVID-19, afetando diretamente a economia, o trabalho e a aprendizagem, impactando a comunidade acadêmica. Objetivo: Analisar os motivos dos afastamentos por transtornos mentais e comportamentais dos servidores de uma universidade federal durante a pandemia de COVID-19, à luz da psicodinâmica do trabalho. Metodologia: Estudo qualitativo com servidores de uma universidade do Estado de São Paulo afastados do trabalho durante a pandemia, selecionados por meio da técnica bola de neve. A coleta de dados deu-se por meio de entrevistas individuais semiestruturadas. As narrativas foram transcritas e analisadas pela análise de conteúdo temática, à luz do referencial teórico da psicodinâmica do trabalho. Resultados: Cinco servidores participaram do estudo. Os resultados mostraram que a percepção da necessidade de ajuda partiu dos próprios servidores; houve dificuldade na aceitação do afastamento do trabalho; a pandemia não foi o fator determinante dos sintomas, mas contribuinte; outros episódios de afastamentos já tinham acontecido; as condições de trabalho não implicaram diretamente na qualidade da saúde mental; o apoio familiar foi importante durante o afastamento; a falta de apoio institucional foi percebida; o uso de medicamentos foi prescrito a todos no enfrentamento das crises. Conclusão: Os achados encontrados reforçam a complexidade dos fatores que contribuíram para os afastamentos do trabalho. O contexto da pandemia levou a relações que desequilibraram prazer e sofrimento, repercussões negativas no sono e repouso, abuso de álcool, exigências familiares pelo contato próximo promovido pelo isolamento social, a preocupação com a morte, as notícias veiculadas na mídia, a perda de familiares e amigos e a adaptação ao ensino remoto. O número restrito de entrevistados pode refletir um estigma que ainda existe em torno da temática, mesmo no ambiente universitário.

Este artigo busca analisar a congruência das teses e dissertações defendidas no Programa de Pós-Graduação em Enfermagem da Escola Paulista de Enfermagem com as políticas de saúde brasileiras. Trata-se de análise documental, segundo André Cellard. Recorte temporal entre 1987 e 2023 para análise de estudos disponíveis na Plataforma CAPES. Os dados coletados foram organizados em períodos e agrupados em categorias, segundo as linhas de pesquisas do programa e correlacionado às políticas de saúde. Foram encontradas 344 teses e 705 dissertações. A linha de pesquisa “Cuidado Clínico de Enfermagem e Saúde” concentrou o maior número de produções, seguidas das linhas “Cuidado em Enfermagem e Saúde na Dimensão Coletiva”, “Gestão, Gerenciamento e Educação em Enfermagem e Saúde e “Fundamentos, Métodos, Processos e Tecnologias em Enfermagem e Saúde”. Desses trabalhos, destacam-se aqueles que se aproximaram às políticas de saúde, notando-se o aumento significativo nos anos 2003 e 2014 a 2016. As características históricas concentraram-se em investigações sobre cuidados e ações de enfermagem no ciclo vital, além de desenvolvimento do ensino, explorando a percepção da equipe de enfermagem sobre cuidado com o paciente e como novas práticas assistenciais e de gestão aprimoram ações diárias no cuidado. Revelam-se a produção do conhecimento característica do Programa de Pós-graduação da Escola Paulista de Enfermagem, destacando a importância do atendimento às demandas das políticas de saúde para contribuir com o desenvolvimento da Ciência em Enfermagem.

BACKGROUND Informal caregivers play a crucial role in home care and many lack formal training, potentially compromising patient safety. Immersive virtual reality (VR) offers an innovative approach to training by simulating real-life caregiving scenarios in a risk-free environment. Prior to implementation, the environments and the technique’s feasibility and acceptability must be assessed by the professionals who will use it to train caregivers, establishing a performance benchmark based on experienced health care professionals. OBJECTIVE This study aims to test feasibility and develop exploratory benchmarks and acceptability of immersive VR training for home caregiving tasks, using experienced professionals to establish a reference standard for execution quality. METHODS This observational study was conducted in health care centers in Andalusia, the Valencian Community, and Madrid (Spain). A structured process was followed, including the identification of key home care tasks, the development of best practice guidelines, creation of immersive VR training materials, and the design of a performance evaluation rubric. Health care professionals (n=75) were recruited using a convenience sampling approach. They performed caregiving tasks in VR, and their performance was recorded and assessed using a standardized rubric, which included 205 predefined errors. Participants also completed a posttraining survey evaluating usability, comprehension, and perceived applicability to real-world caregiving. RESULTS A total of 75 professionals participated, completing 257 caregiving simulations in a fully immersive VR environment. A total of 417 errors were identified (417/3142, 13.3% of the maximum number of predefined errors), with a mean average of 5.6 (SD 6.8) errors per participant. The most frequent errors occurred in medication management, insulin administration, diaper changing, broncho aspiration prevention, blood pressure monitoring, and hand hygiene. The perceived usefulness of VR training was rated 8.1 out of 10 points (SD 1.9), with 98.7% (74/75) of the participants stating that the time spent in the simulation was worthwhile and 85.3% (64/75) agreeing that the tasks were appropriately represented. CONCLUSIONS Immersive VR training for informal caregivers is a feasible and well-accepted approach, demonstrating high perceived usefulness among health care professionals. The study establishes a preliminary benchmark for home caregiving task execution, providing a basis for future research evaluating informal caregivers’ performance and targeted training interventions to enhance patient safety. Further studies are needed to explore the long-term impact of VR training on caregiver competence and home care quality.

Background: The second-victim phenomenon occurs when a healthcare provider experiences trauma after being profoundly affected by a negative medical event. As a work-related phenomenon, it may be influenced by sex and gender-related factors, particularly since women constitute 70% of the health and social sector workforce. This study aims to describe the impact of the second-victim phenomenon on male and female healthcare professionals, identifying differences in their experiences. It also identifies differences in the reactions and behavior of supervisors, colleagues, patients, and their relatives to errors made by male and female healthcare workers. Methods: A scoping review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension guidelines. Comprehensive searches were performed in the electronic databases BDENF, ProQuest, PsycInfo, PubMed, Scopus, and Web of Science, without filters or time limits. Original articles in Portuguese, English, Spanish, or German that mentioned any aspects concerning differences between male and female healthcare workers in relation to the second-victim phenomenon were selected. Results: Twenty-seven articles were included, most of which were cross-sectional studies from the USA, China, Germany, and Spain, conducted among physicians and nurses. The findings highlighted that women experienced more intense anxiety responses in the aftermath of severe adverse events than men. Male healthcare workers were more resistant to seeking support compared to their female counterparts. Gender-based discrimination against women was identified in both education and practice, further exacerbating the second victim syndrome experienced by female healthcare professionals. Conclusion: Understanding male/female differences is essential for comprehending the second-victim phenomenon and designing effective measures to mitigate its impact. Women may be more psychologically affected by adverse events than men. They are judged more negatively than men after making an error and are more likely to seek help.