Ana Paula Prata

Introduction: Every year, millions of children and adolescents undergo surgery, 50%-75% of them experience fear and anxiety. Children are particularly susceptible to stress and anxiety surrounding surgery as a result of their cognitive development, previous experiences, and knowledge about healthcare; this leads to additional interventions to prevent and reduce these symptoms. Objective: To evaluate the effectiveness of family-centered educational interventions in the children’s and adolescents’ anxiety, pain, and behaviors and their parents’ anxiety during the perioperative period. Methods: This review will follow the Joanna Briggs Institute guidelines for systematic reviews of effectiveness and will consider those studies (experimental and quasi-experimental) in which perioperative educational interventions have been applied to children and adolescents and their parents; these studies measured children and adolescents’ pain, anxiety, and behaviors, as well as their parent’s anxiety. An initial search of MEDLINE and CINAHL will be followed by a second search for published and unpublished studies from January 2007 on, available in English, Spanish and Portuguese. After all full texts are retrieved, the methodological quality assessment and data extraction will be independently and critically evaluated by two reviewers, and the data will then be presented in a tabular format. An explanatory synthesis will accompany the results. Whenever possible, a meta-analysis will be performed, and a Grading of Recommendations, Assessment, Development, and Evaluation Summary of Findings will be presented. Expected Results: This review will provide guidance on how family-centred educational interventions can be used as a resource to manage anxiety, pain, and behavior in children, adolescents and their relatives during the perioperative processes.

Background The parent-infant relationship plays a central role in early emotional, cognitive, and social development. Difficulties in bonding, interaction, attachment, or parental sensitivity during the first two years of life may have lasting consequences for children and families, making early identification essential for timely support and intervention. Although a range of instruments has been developed to assess parent-infant relational processes, the evidence remains dispersed, and no comprehensive mapping of instruments specifically applicable from birth to 24 months has been identified. This scoping review aims to map the instruments used to assess parent-infant relationships during the first 24 months of life and to describe their main characteristics. Methods This scoping review protocol follows the Joanna Briggs Institute methodology for scoping reviews. Studies describing instruments used to assess the parent-infant relationship among parents of typically developing infants aged 0–24 months will be considered across any clinical, community, research, or cultural context. Eligible instruments may assess bonding, interaction, attachment, parental sensitivity, or related relational dimensions. Studies involving preterm infants, infants with medical conditions or developmental disorders, or instruments focused exclusively on parental stress or mental health without explicit assessment of relational dynamics will be excluded. A three-step search strategy will be used to identify published and unpublished studies and grey literature. Two reviewers will independently screen records, extract data using a piloted charting form, and summarise findings in tables and descriptive narrative form. The final scoping review will be reported in accordance with the PRISMA extension for Scoping Reviews (PRISMA-ScR). This review will provide an overview of available instruments, their characteristics, contexts of use, psychometric properties, adaptations, and short-form versions. This protocol is registered in the Open Science Framework (DOI: 10.17605/OSF.IO/HRVX9).

Introduction: Breastfeeding is a dynamic process that may require professional support for successful initiation and continuation. Nurses and nurse-midwives play a key role in breastfeeding care, as it constitutes a specific focus of nursing clinical judgement. The nursing process involves the systematic collection and interpretation of assessment data, which informs the identification of nursing diagnoses, goals, interventions, and outcomes related to breastfeeding. However, knowledge underpinning the nursing process in breastfeeding care remains dispersed across the literature. Objectives: To map the available evidence on assessment data, diagnoses, goals, interventions, and outcomes addressing breastfeeding within the context of nursing practice. Methodology: This scoping review will consider studies involving nurses and nurse-midwives (Participants) examining breastfeeding-related assessment data, diagnoses, goals, interventions, and outcomes associated with the nursing focus “Breastfeeding” (Concept), across all healthcare settings where breastfeeding care is provided (Context). The review will follow Joanna Briggs Institute (JBI) methodology and be reported according to PRISMA-ScR guidelines. A three-step search strategy was applied to databases accessed via EBSCOhost, Scopus, and Web of Science. Results: Data will be extracted independently by two reviewers using a predefined tool. Extracted information will include study characteristics, participant details, breastfeeding-related assessment data, nursing diagnoses, goals, interventions, and outcomes. Findings will be synthesised using descriptive statistics and inductive analysis and presented narratively. Conclusion: This scoping review will map evidence on assessment data, diagnoses, goals, interventions, and outcomes related to the nursing focus “Breastfeeding” to clarify conceptual boundaries, identify knowledge gaps, and inform clinical reasoning and future research.

Early relational health during the first 24 months of life is a key determinant of child development and wellbeing. During this postnatal period, the parent–infant relationship plays a central role in emotional regulation, bonding, and developmental trajectories. Although the broader early relational health framework encompasses the first 1,000 days of life, this scoping review focuses specifically on the postnatal phase, where parent–infant interactions are directly observable and measurable. However, existing assessment instruments vary widely in their conceptual focus, scope, and characteristics, and no comprehensive review has systematically mapped tools used to assess the parent–infant relationship during early infancy. In response to this gap, a transdisciplinary working group within the COST Action CA22114 – TREASURE collaboratively developed a scoping review protocol to systematically map instruments assessing the parent–infant relationship from birth to 24 months of age. This Brief Report describes the collaborative methodological process underpinning the protocol’s development. The process followed an iterative, consensus-driven approach involving multidisciplinary experts from multiple COST member countries. Through structured online meetings, the group clarified core constructs and established the age range using the Population–Concept–Context (PCC) framework. The JBI methodology for scoping reviews was adopted and aligned with PRISMA-ScR standards to ensure transparency and reproducibility. Progressive drafting, internal peer review, and iterative refinement led to the final protocol, which was registered on the Open Science Framework (DOI: 10.17605/OSF.IO/HRVX9).The resulting protocol provides a replicable methodological framework for mapping instruments that assess the parent–infant relationship in the first two years of life. This Brief Report presents a framework for collaborative protocol development in international research networks, promoting shared knowledge generation in early relational health research and offering potential applicability to other COST initiatives.

Background: The professional practice of nurses in prisons has specific characteristics that, from an improvement perspective, are important to understand. Therefore, this study aimed to analyze the perceptions of general care nurses and nurse managers or those in management positions regarding their professional practice in Portuguese prison services. Methods: This is a descriptive, qualitative study conducted in 11 prison establishments in Portugal, involving general care nurses and nurse managers or those in management positions. Semistructured interviews were used. The findings underwent thematic analysis, using ATLAS.ti software. Results: The analysis of the discourses revealed three thematic areas: professional singularities within prison services, factors influencing professional practice, and negative repercussions along with proposals for improvement. The singularities of the participants’ practices focused on professional, ethical, and legal responsibility. However, general care nurses focused on the planning and implementation of interventions, while managers focused on the quality and safety management and the management of human and material resources. Knowledge and advanced training are facilitators of professional practice in prisons; general care nurses add experience and reflection on care, and managers add autonomy and management strategies. The characteristics of the prison environment, the profile of the incarcerated individuals, and the lack of human and material resources are hindering factors, to which, from the perspective of general care nurses, the absence of opportunities for decision‐making participation is added, and from the managers’ perspective, the absence of strategic nursing planning. Consensual improvement proposals were the adequacy of human and material resources, the definition of strategic planning, and the recognition of nurses working in prison services. Conclusion: The findings underscore the importance of leadership, strategic planning, specialized training, safe staffing, adequate material resources, and improved communication. As improvement proposals emerged, the implementation of management policies and the valorization of nurses working in prison services were included.

Early relational health during the first 24 months of life is a key determinant of child development and wellbeing. The parent–infant relationship plays a central role in emotional regulation, bonding, and developmental trajectories. However, existing assessment tools differ widely in their scope and characteristics, and no comprehensive review has yet mapped the instruments available to assess this relationship in early infancy. In response to this gap, a transdisciplinary working group within the COST Action CA22114 – TREASURE collaboratively developed a scoping review protocol to systematically map instruments assessing the parent–infant relationship from birth to 24 months of age. This Brief Report outlines the collaborative methodological process used to construct the protocol. Development followed an iterative, consensus-driven approach involving multidisciplinary experts from multiple COST member countries. Through structured online meetings, the group clarified core constructs and established the age range using the Population–Concept–Context (PCC) framework. The JBI methodology for scoping reviews was adopted and aligned with PRISMA-ScR standards to ensure transparency and reproducibility. Progressive drafting, internal peer review, and iterative refinement led to the final protocol, which was registered on the Open Science Framework (DOI: 10.17605/OSF.IO/HRVX9). The resulting protocol provides a replicable methodological framework for mapping instruments that assess the parent–infant relationship. This Brief Report presents a framework for collaborative protocol development in international research networks, promoting shared knowledge generation in early relational health research and offering potential applicability to other COST initiatives.

This study targets women who had a self-defined traumatic childbirth experience to (a) explore the differences between sociodemographic-, obstetric-, and trauma-related variables in relation to the rumination style; (b) determine differences between intrusive and deliberate rumination in relation to posttraumatic growth (PTG) dimensions, and (c) test whether intrusive rumination is associated with deliberate rumination, which in turn is associated with PTG dimensions. A cross-sectional study design was employed using a web-based survey method for data collection. In total, 202 women who identified their childbirth experience as traumatic participated in this study. Intrusive rumination and deliberate rumination were positively associated with all dimensions of PTG in women following the traumatic childbirth event. Deliberate rumination fully explained the relationship between intrusive rumination and PTG aspects of relating to others, new opportunities, and personal strength, and partially explained the relationship between intrusive rumination and PTG aspects of spiritual changes and appreciation of life. The results suggest that deliberate rumination can contribute to explain the occurrence of PTG. These findings could help develop psychosocial interventions to maximize opportunities for deliberate rumination for women with traumatic childbirth experiences. (PsycInfo Database Record (c) 2024 APA, all rights reserved).