Marina de Góes Salvetti

RESUMO Objetivos: refletir sobre a trajetória e a produção técnica e tecnológica do Mestrado Profissional em Enfermagem. Métodos: estudo teórico-reflexivo, desenvolvido a partir de levantamento bibliográfico e documental identificado no período de setembro a novembro de 2024, por meio de buscas nas bases Medical Literature Analysis and Retrievel System Online, Literatura Latino-americana e do Caribe em Ciências da Saúde, Scientific Electronic Library Online, Web of Science, Excerpta Medica Database, e documental, a partir de levantamento de documentos oficiais do Ministério da Educação relacionados às avaliações dos Programas de Pós-graduação, de informações do website da CAPES e da Plataforma Sucupira. Resultados: após a leitura reflexiva e organização do material selecionado, originou-se a categoria Trajetória histórica, produção técnica e tecnológica do Mestrado Profissional em Enfermagem. Considerações Finais: os Mestrados Profissionais em Enfermagem ainda enfrentam desafios para seu fortalecimento quanto à sua identidade/objetivo, processo metodológico de construção de produtos, implantação e impacto aos serviços de saúde.

Objectives: to reflect on the trajectory and on the technical and technological production of the Professional Master’s Degree in Nursing. Methods: a theoretical reflective study developed from a bibliographic and documentary survey conducted between September and November 2024, through searches in the Medical Literature Analysis and Retrieval System Online, Latin American and Caribbean Health Sciences Literature, Scientific Electronic Library Online, Web of Science, Excerpta Medica Database, and through the collection of official documents from the Brazilian Ministry of Education related to the evaluation of Graduate Programs, as well as information from the CAPES website and the Sucupira Platform. Results: after reflective reading and organization of the selected material, the category Historical trajectory, technical and technological production of the Professional Master’s Degree in Nursing emerged. Final Considerations: Professional Master’s Degrees in Nursing still face challenges in strengthening their identity/objective, the methodological process of product development, implementation, and impact on health services.

RESUMO Objetivos: compreender a experiência de crianças/adolescentes em tratamento oncológico, familiares e profissionais de saúde com o livro educativo “Guia Beaba do Câncer”. Métodos: estudo exploratório, qualitativo, sob a óptica do Interacionismo Simbólico. A coleta de dados foi conduzida online com nove crianças/adolescentes com câncer, nove familiares e nove profissionais de saúde. Foram conduzidas entrevistas semiestruturadas, gravadas e transcritas, analisadas pela técnica de análise temática indutiva. Resultados: emergiram duas categorias: 1) Reinterpretando palavras: potencializando a compreensão das crianças/adolescentes sobre o câncer com o livro educativo; e 2) “Um divisor de águas”: o livro educativo como uma forma de conexão dos familiares ao mundo do câncer e dos profissionais com crianças/adolescentes. Considerações Finais: o livro educativo foi reconhecido por sua linguagem lúdica e acessível, promovendo a ressignificação de experiências e símbolos relacionados à vivência do câncer, além de desmistificar informações, reduzir reações negativas e difundir conhecimentos.

Objectives: to understand the experience of children/adolescents undergoing cancer treatment, their families and healthcare professionals with the educational book “Guia Beaba do Câncer”. Methods: this is an exploratory, qualitative study, based on Symbolic Interactionism. Data collection was conducted online with nine children/adolescents with cancer, nine family members, and nine healthcare professionals. Semi-structured interviews were conducted, recorded, and transcribed, and analyzed using inductive thematic analysis. Results: two categories emerged: 1) Reinterpreting words: enhancing children/adolescents’ understanding of cancer with the educational book; and 2) “A watershed moment”: the educational book as a way of connecting family members to the world of cancer and professionals with children. Final Considerations: the educational book was recognized for its playful and accessible language, promoting the redefinition of experiences and symbols related to the experience of cancer, in addition to demystifying information, reducing negative reactions, and disseminating knowledge.

People undergoing cardiac catheterization experience anxiety. Musical and educational interventions have been tested separately and have been shown to reduce anxiety in this patient profile. This pilot study aimed to assess the feasibility and potential effectiveness of a complex intervention called Education and Music Intervention to Reduce Anxiety (EMIRA), in addition to participant credibility, expectations and satisfaction. This is a randomized, blind, pilot clinical trial, carried out in an emergency department specializing in cardiology. Feasibility was assessed according to recruitment, retention, attrition and recruitment time rates. The potential for efficacy was assessed through the effect of EMIRA on state anxiety, blood pressure, heart rate, respiratory rate and chest pain intensity, comparing the intervention group (IG) and control group (CG) before (T1), immediately after (T2) and two to four hours after (T3) the intervention. To estimate participant satisfaction with the intervention, a visual numerical scale was used. Participant credibility and expectations regarding EMIRA were determined using a previously validated instrument. No hypothesis testing was conducted. A total of 47 potential participants were approached over a period of 54 days. Recruitment, retention, and attrition rates were, respectively, 93.6%, 90.9%, and 10%. No participants dropped out after enrollment. Descriptive analysis showed reductions in anxiety scores and physiological parameters over time in both groups, but no consistent trends favoring the intervention were observed. Participants reported high satisfaction, credibility, and expectations. One descriptive finding suggested a potential association between satisfaction and systolic blood pressure reduction, warranting further investigation. EMIRA is a complex intervention with an educational and musical component. The results suggest that a larger-scale clinical trial is feasible, participants were satisfied and had positive attitudes towards the intervention. Although no conclusions about its effectiveness can be drawn from this pilot study, the findings provide valuable information to guide the design of a larger randomized trial. RBR-857nczs.

Background/Objectives: End-of-life (EoL) experiences are critically important for everyone involved, giving rise to a set of needs that extend far beyond bio-physiological aspects, to encompass the spiritual dimension as the core of human beings. Understanding the processes of spiritual awakening (SA) assists palliative care professionals in enhancing the quality of care provided to individuals with life-threatening illnesses, as well as to their families. SA is a fundamental occurrence linked to the fulfilment of our spiritual needs when facing an existential crisis, such as the proximity of death. However, its conceptual boundaries need to be clarified to provide qualified and humanized palliative care. Therefore, this study aims to identify the key attributes, antecedents, consequents, and empirical referents of SA at EoL, as well as to clarify the concept’s existing ambiguities. Methods: Walker and Avant’s eight-step concept analysis was used. A literature search was conducted in May 2025 across three databases (PubMed, CINAHL and Scopus). Results: Following the review, 21 articles were included for analysis. The concept analysis revealed four main attribute domains: (1) sensory–perceptual domain; (2) affective/cognitive domain; (3) relational domain; and (4) transcendental domain. Moreover, spiritual consciousness and the existential matrix were antecedents to this concept; revaluation of beliefs, finding spiritual serenity and inner freedom, fostering spiritual growth, and the desire to leave a legacy were its consequences. Conclusions: The concept of SA at the EoL reveals itself to be a complex and multifactorial phenomenon, with a profound impact on a person’s confrontation with finitude. Recognizing and integrating SA into palliative care allows for a more comprehensive understanding of human consciousness. To deal with SA experiences in healthcare settings, a multifaceted approach is needed. This encompasses acknowledging spirituality as a determinant of health, including spiritual care in standard practice, and offering education and training on spiritual care competence for healthcare practitioners. Further transdisciplinary research should be undertaken to explore SA phenomenological variations, guide clinical interventions, and evaluate SA impacts on spiritual well-being and spiritual growth.

Purpose The concept of spiritual suffering in palliative care lacks clarity, which hinders appropriate therapeutic response. This study aims to clarify and define the concept of spiritual suffering within the context of palliative care. The research questions guiding this study are: What are the attributes, antecedents, and consequences of spiritual suffering in palliative care? How is it defined within that setting? Methods A concept analysis was conducted using Walker and Avant’s eight-step approach: (1) selecting the concept; (2) determining the aim; (3) identifying all uses of the concept; (4) defining attributes; (5) constructing a model case; (6) identifying borderline, related, and contrary cases; (7) specifying antecedents and consequences; and (8) identifying empirical referents. Results Spiritual suffering in palliative care is a personal and transcendental phenomenon, marked by a profound disruption in existential meaning, personal identity, and deterioration of relational connection. This experience may include internal conflict within belief systems, hopelessness, existential questioning, multiple concerns, and significant difficulty accepting circumstances that threaten one’s sense of integrity. Emotional responses are also present and may intensify distress, hindering the pursuit of inner peace. Conclusion This analysis offers a clear and operational definition of spiritual suffering in the context of palliative care and identifies its core components. It can assist professionals in recognising and addressing this form of suffering, fostering more compassionate, person-centred care. These findings offer valuable insights for ongoing efforts to integrate spiritual care into holistic palliative care practice and for future research on development of effective spiritual care interventions.

Anxiety related to cardiac catheterization (ARCC) is highly prevalent and most severe in the immediate preoperative period. ARCC is associated with increased myocardial oxygen consumption, blood pressure variability, and increased risk of arrhythmias, leading to higher rates of intraoperative complications and worse physical, emotional, and cognitive functioning. To describe a nurse-led complex intervention (CI) designed to reduce ARCC in adults before a cardiac catheterization (CC). To design the intervention, a concept analysis yielded the identification of ARCC antecedents and attributes, based on which CI components and objectives were determined. For each component, CI procedures, mode of delivery, and dose were established based on empirical evidence. The CI was reported according to the Template for Intervention Description and Replication checklist. The Education and Music Intervention to Reduce Anxiety (EMIRA) consists of two components. The educational component provides the essential information regarding CC purpose, catheterization laboratory features, and what to expect before, during, and after the procedure. The musical component provides individuals with a feeling of comfort and relaxation. EMIRA is delivered in one 30-min session using an audiovisual format. EMIRA’s expected primary outcome is a decreased state anxiety level. Additionally, EMIRA might reduce blood pressure, heart and respiratory rates, and chest pain. EMIRA is a CI developed with methodological rigor. Future studies should evaluate the acceptability, feasibility, and efficacy of EMIRA.

Background/Objectives: Quantitative sensory testing (QST) is one of the most reliable methods for assessing Fibromyalgia Syndrome (FMS). Despite its importance, there are still controversies regarding the correct interpretation of evoked responses, as they may vary depending on the protocol, individual characteristics, disease severity, and other factors. This study aims to examine how QST has been applied as an outcome measure in FMS. Methods: We considered three databases (Medline, Embase, and Web of Science) until June 2024. From a total of 2512 studies, 126 (39 RCTs and 87 non-RCTs) were selected for full reading after assessment for risk of bias and eligibility criteria. These criteria included at least one type of QST and a clear diagnosis of fibromyalgia (FMS). Results: The results highlighted a lack of standardization in QST, as no reported protocols were followed and there was no specific number of tender points tested for FMS. Additionally, there was inconsistency in the selection of sites and types of tests conducted. Conclusions: This heterogeneity in methodology may affect the comparability and interpretation of results, underscoring the urgent need for standardized guidelines for conducting QST in fibromyalgia studies. A clear understanding of how QST has been measured could prompt a reevaluation of current approaches to FMS assessment, leading to more accurate interpretations and, ultimately, improved management of this complex condition.

Background/Objectives: Quantitative Sensory Testing (QST) is one of the most reliable methods for assessing Fibromyalgia Syndrome (FMS). Despite its importance, there are still controversies regarding the correct interpretation of evoked responses, as they may vary depending on the protocol, individual characteristics, disease severity, and other factors. This study aims to examine how QST has been applied as an outcome measure in FMS. Methods: We considered three databases (Medline, Embase, and Web of Science) until June 2024. From a total of 2,512 studies, 126 (39 RCTs and 87 non-RCTs) were selected for full reading after assessment for risk of bias and eligibility criteria. These criteria included at least one type of QST and a clear diagnosis of fibromyalgia (FMS). Results: Results highlighted a lack of standardization in QST, as no reported protocols were followed and there was no specific number of tender points tested for FMS. Additionally, there was inconsistency in the selection of sites and types of tests conducted. Conclusions: This heterogeneity in methodology may affect the comparability and interpretation of results, underscoring the urgent need for standardized guidelines for conducting QST in fibromyalgia studies. A clear understanding of how QST has been measured could prompt a reevaluation of current approaches to FMS assessment, leading to more accurate interpretations and, ultimately, improved management of this complex condition. Keywords: quantitative sensory testing; fibromyalgia; pain measurement; CPM; temporal summation; sensory function.