Luís Sá

Recognizing the complexity of decision‐making is essential in nursing practice, where Artificial Intelligence (AI) can serve as a valuable tool to support nurses in the process of decision‐making. This scoping review aims to map and systematize evidence regarding AI's contributions to nursing decision‐making, following the Joanna Briggs Institute (JBI) methodological approach. Databases consulted: CINAHL Complete; MEDLINE Complete; Nursing & Allied Health Collection: Comprehensive; Cochrane Databases; MedicLatina; SciELO; Scopus; LILACS; JBI Database of Systematic Reviews and RCAAP. Thirteen studies in English, Portuguese, and Spanish were included. AI can support the nursing decision‐making process by improving diagnostic accuracy and workflows. However, interpretability remains a limiting factor that affects the adoption of AI. Although critical healthcare units represent the primary areas of application, meeting the ethical, legal, and technical requirements necessary for effective integration into practice continues to be a challenge. AI offers meaningful contributions to nursing decision‐making, particularly through explainable and clinically aligned systems. However, successful integration demands transparency, ethics, and usability, with further studies to ensure safe adoption.

In recent decades, efforts have been made to define and understand hope in health care, particularly in the prevention and treatment of mental illness. Giv

Background: Women sustain falls throughout the maternity cycle, which can lead to maternal‐child injuries. To avoid fall‐related negative outcomes in the maternity cycle, it is necessary that nurses and midwives are aware of interventions focused on fall prevention. Objective: To identify and map nursing and midwifery interventions for fall prevention in women in the maternity cycle. Methods: The search was conducted in the following databases: CINAHL Ultimate, MEDLINE Ultimate, Cochrane Central Register of Controlled Trials, Cochrane Clinical Answers, Cochrane Database of Systematic Reviews, Cochrane Methodology Register, MedicLatina, RCAAP, SciELO, Scopus, and Web of Science. All types of reports related to nursing and midwifery interventions for fall prevention in women in the maternity cycle were included, in all contexts, published until May 5, 2025, in English, French, Portuguese, and Spanish. Results: Regarding interventions for fall prevention, a total of 22 reports were found: 11 for the postpartum period; 6 for pregnancy; 4 for the three stages of the maternity cycle; and 1 for both pregnancy and the postpartum period. There are specific interventions for fall prevention for each maternity stage. Some interventions are transversal to the three maternity stages. When developing care plans, nurses and midwives should consider the following: fall risk assessment, documentation of interventions and their results, managing a safe environment, organizing care, and monitoring safety indexes. The interventions should include educating women about this issue, the risk factors, and the preventive interventions. These interventions are applicable to inpatient settings and to the community. In the community, nurses and midwives can use public statements and social media to promote women’s awareness. Conclusions: Interventions for fall prevention in women in the maternity cycle vary, according to the stage. Nurses and midwives can use this knowledge during decision‐making, in their practice, whether at an individual level or in the community.

Ao longo da sua carreira, os profissionais desenvolvem uma perceção da realidade que os envolve. Cada fenómeno traz experiências que são vistas de maneira diferentes e única por cada profissional. Este trabalho tem como objetivo estudar a perceção sobre a violência no local de trabalho dos profissionais da emergência pré-hospitalar nos últimos 12 meses. A nível da metodologia, recorreu-se a um estudo quantitativo, descritivo de corte transversal a 12 meses, implementado a nível continental. A amostra foi constituída por 628 profissionais da emergência pré-hospitalar que preencheram um questionário. Os dados foram tratados a nível de estatística descritiva. Embora a discordância sobre a normalidade de violência no local de trabalho, ainda se observa que parte dos participantes sentem que a violência é normal no local de trabalho. A perceção dos profissionais sobre a violência tende a provocar uma mudança de opinião e a alterar a tolerância face ao fenómeno da violência.

Introduction: Research on aggressive behaviors (ABs) in adolescent mental healthcare settings remains limited and underexplored. Such behaviors significantly affect staff, patients, and the therapeutic environment, necessitating nursing interventions for effective risk management to reduce their adverse impact on safety and quality of care. Objective: This review aimed to map the existing evidence on nursing interventions for the risk management of AB in adolescent mental health units. Methods: A search strategy was used to identify relevant studies in databases, respecting the Participant/Concept/Context (PCC) question formulation structure. This review covers studies describing nursing risk management strategies for adolescents (10 to 19 years old) with aggression problems and admitted to mental healthcare units. Results: From the 499 records initially identified, 9 articles met the inclusion criteria and were selected for review, in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR) and its associated flow diagram. The nursing interventions identified for managing AB in adolescent healthcare settings included risk assessment tools, targeted risk management strategies, evidence-based interventions but also various forms of coercive measures. Conclusions: This review integrates current knowledge on nursing interventions for the risk management of AB in adolescent mental health units. The focus of these interventions is prevention, by early intervention strategies but also intervention programs with improved outcomes for the patient, staff and therapeutic milieu, promoting less coercive interventions and increased care quality and safety.

Enquadramento: Os estudantes de Enfermagem relatam fatores associados a elevados níveis de stress em ensino clínico (EC) e que são comumente experienciados neste processo de ensino aprendizagem. Objetivo: Mapear a evidência científica sobre os fatores indutores de stress nos estudantes de enfermagem em ensino clínico. Metodologia: Scoping review baseada no método de Joanna Briggs Institute (JBI). Utilizada a mnemónica PCC para dimensionar a população, conceito e contexto. No processo de seleção, extração e análise dos artigos, estiveram envolvidos dois revisores independentes. Resultados: Da pesquisa efetuada foram incluídos 17 estudos. Foram identificados fatores que integram aspetos pessoais e profissionais, fatores relacionados com o ambiente/estrutura do EC e a sua organização, bem como fatores associados aos sistemas de apoio, nomeadamente ao modelo de supervisão que acompanha este processo. Conclusão: Os fatores de stress influenciam o processo de ensino aprendizagem dos estudantes em EC, por isso, devem ser desenvolvidas estratégias de ensino que permitam assegurar a efetividade no desenvolvimento de competências dos estudantes em EC.