Eliana Borges Silva Pereira

The integration of different areas of knowledge promotes a broader perspective on individuals and promotes humanized mental health care. In this context, interdisciplinary therapeutic workshops become a form of care that highlights the uniqueness and diversity of those involved, usually through artistic activities. Thus, engaging students from different fields of knowledge and the community together need to be done from the undergraduate level onwards. Thus, the aim of this study was to report on the experience of therapeutic workshops conducted at a university hospital. The activities were organized by students and conducted weekly, with the voluntary participation of patients and their companions. The students could learn through contact with academics from other fields, develop a dialogical, spontaneous, and artistic approach to care, and become more familiar with the theme of mental health and expanded care. Therefore, the importance of university outreach and the development of mental health initiatives based on interdisciplinarity and art is emphasized.

Objetivos: Mensurar e comparar os sintomas de ansiedade e depressão de indivíduos com DRC em hemodiálise ambulatorial e indivíduos autorreferidos saudáveis. Método: Estudo transversal, analítico e descritivo, com abordagem quantitativa. Realizado em instituição pública e clínica privada de hemodiálise, em duas categorias: um grupo de estudo (DRC hemodiálitico) e grupo normativo. Utilizou-se um questionário sociodemográfico e a versão brasileira do “Hospital Anxiety and Depression Scale” – HADS. Na estatística, aplicados testes: Qui-Quadrado, Mann-Whitney, regressão linear e regressão logística para comparação. Resultados: Escores para os sintomas de ansiedade equivalentes em ambos os grupos (mediana = 6, p = 0.709). Maior escore de sintomas depressivos nos pacientes em hemodiálise (mediana 6 versus 4.5, p = 0.007). Nos pacientes com DRC, os preditores para a ocorrência de sintomas de ansiedade foram: sexo feminino (Bi = 1,595; p = 0,003; OR = 4,93), fumar (Bi = 1,917; p = 0,006; OR = 6,8) e hemodiálise no setor público (Bi = 1,233; p = 0,028; OR = 3,43). Em relação aos sintomas depressivos, os preditores foram: sexo feminino (Bi = 0,797; p = 0,086; OR = 2,22) e número de moradores na residência (Bi = -0,296; p = 0,066; OR = 0,74). Conclusão: Pacientes DCR apresentaram maiores níveis de sintomas de depressão, quando comparados. As variáveis que mais se relacionaram aos sintomas mensurados pelo HADS, independemente da subescala e do grupo, foram: ser paciente de DRC, sexo, tabagismo, procedência, atendimento em instituição pública e escolaridade.

In social cognitive theory, self-efficacy refers to the belief of a person in their own capacity to successfully perform certain tasks or behaviors. This study measured the self-efficacy of health professionals in hand hygiene (HH) and glove usage (GU) during the COVID-19 pandemic. It was an observational Brazilian multicenter study with a cross-sectional design with an online application of an instrument measuring the self-efficacy of health professionals in HH and GU. Health professionals (n = 193) participated in this study: 96 (49.7%) were nursing professionals, 38 (20.2%) were dental professionals, 21 (10.9%) were physicians, 10 (5.2%) were pharmacists, and 27 (14.0%) were other health professionals. Regarding the instrument applied, the maximum score (100 points) was achieved by 167 (86.5%) participants on Question 2 (confidence in regular routine behaviors), and the lowest scores achieved were 0, 10, 30, 40, and 50 points, referring to 18 (9.3%) participants, on Question 14 (the influence of management’s conduct related to practices). A total of 64.1% dental professionals, 57.1% of physicians, 39.6% of nurses, 20.0% of pharmacists, and 55.6% of other health professionals were classified as having self-efficacy. There was only a significant association between being a dental professional and having self-efficacy regarding HH and GU during the COVID-19 pandemic in relation to other health professional categories.

Adherence to hand hygiene procedures and the use of gloves is a problem that deserves to be analyzed from an individual and organizational point of view. For this, we aim to develop and validate an instrument for measuring the self-efficacy of health professionals for practicing hand hygiene and using gloves. We evaluated the metric properties of validity and reliability for measuring the self-efficacy of health professionals for practicing hand hygiene and using gloves. Fifteen health and education professionals formed the judges committee to construct the instrument for measuring the self-efficacy of health professionals for practicing hand hygiene and using gloves. Moreover, 362 nursing professionals participated in this study that was carried out from 2017 to 2020. The construct validity by known groups was confirmed by comparing the means of self-efficacy of the self-efficacy of health professionals for practicing hand hygiene and using gloves with the variables sex and unit of activity. The convergent construct validity showed a weak correlation between the scores of the self-efficacy of health professionals for practicing hand hygiene and using gloves instrument, and the perceived general self-efficacy scale. This instrument is easy to apply and can be used in the assessment of behavioral determinants, regarding hand hygiene and the use of gloves, in other health professionals, considering the generalization and scope of the items.

Objective: To identify in the literature the tools used to measure self-efficacy of health professionals in hand hygiene. Methods: Integrative literature review carried out by consulting the databases PubMed, Scopus, Web of Science, Cumulative Index to Nursing and Allied Health Literature, Europe PubMed Central, and Science Direct using the descriptors Self Efficacy, Hand Hygiene, and Health Personnel. Results: Six articles, all of which with observational design, were selected. It was possible to infer that four studies used validated instruments to measure self-efficacy of health professionals in the conformity with the recommendations for hand hygiene. The other studies used questionnaires that were not validated. Final considerations: Despite the extensive literature on hand hygiene, there is a lack of scientific evidence regarding the use of validated instruments to measure self-efficacy of health professionals in the procedure. The use of properly validated psychometric instruments is useful to guarantee the quality of results in studies.

Objective: This study aimed to measure the scores of psychoemotional and self-management constructs in patients with rheumatic diseases (RD), to compare these scores according to the RD type and to verify the influence of these measures on self-management in health.Methods: Cross-sectional study, carried out in an ambulatory of a public hospital of Brazil. Adult patients, with diagnosis of RD, responded to self-esteem, anxiety and depression, health and activation scales. Spearman’s correlation tests, independence tests, mean or median tests, multiple linear regressions evaluated the variables of interest at a significance level of .05.Results: Eighty-six patients (mean age = 45.23, SD = 14.30) were evaluated. High activation (mean = 65.83, SD = 14.20) and self-esteem scores (mean = 30.67, SD = 5.65) were observed, while moderate anxiety scores (mean = 8.21, SD = 4.37) and low scores for depression (mean = 6.37, SD = 3.98). Significant correlations were observed, from low to moderate magnitude, among other measures with activation (p < .05). There were weak correlations between activation and formal study time, self-esteem with age and family income, depression and number of comorbidities diagnosed or self-reported (p < .05). The RD type no affects any of the constructs evaluated.Conclusions: It was concluded that patients with rheumatic diseases presented high self-esteem, moderate anxiety levels and low levels of depression and a high level of activation. Lower number of diagnosed comorbities, higher formal study time was related to better self-management in health.

Although satisfaction is a key point in the evaluation of continuing education, few studies have conducted its assessment, particularly in relation to long-term programmes. The objective of this study was to evaluate the evolution of satisfaction indicators applied to a continuing education program in a university hospital of high complexity. For this, a satisfaction form was filled out after each of the 11 Cycles of Training, and the findings were related to the rates of attendance. It was observed that the nursing professionals gave a positive evaluation of the cycles when each course was evaluated individually, with a tendency to change over time. However, dissatisfaction was observed in relation to the organization criteria for the event, which tended to get worse over time. In addition, different nursing professional categories apparently presented different satisfaction levels, although this association cannot be proven. The results proved that the evaluation of satisfaction with the course or program over time can offer quality indicators for the better management of continuing education programs, and future works should take into account the profile of professionals involved with the program.

Studies with nursing continuing education are common in the literature with a predominance of qualitative approaches. Quantitative assessments are punctual and focused on a single quality indicator, and few studies relate these indicators to the profile of nursing staff. The objective of the study was to describe the Training Cycles of the Clinical Hospital of Uberlândia as a strategy of a Nursing Continuing Education Program and evaluate the attendance indicators and their association with the nursing staff profile. The Training Cycles of the Clinical Hospital of Uberlândia are cyclic courses that are offered continually, in a mandatory participation regime, during work hours, outside of the hospital, focused on Nursing staff. The study was conducted in 2013/2014 and has a documentary character. It was held in a public high complexity university hospital in Brazil. The Relative Frequency Attendance was calculated in relation to the nursing professional category and shift. Attendance indicators were affected by professional category. Participation increased over time for the technical level (assistants and nursing technicians) and decreased for nurses. We found an attendance rate of 54.49% in nursing hospital staff. The attendance indicators were also different for the period/shift of the course (gradual decrease of attendance from morning to afternoon to night). We also observed a decrease in attendance indicators over time. Attendance indicators were effective in describing the results of the Continuing Education Program and allowed the service administrators to associate the indicator results to the nursing profile. These results served as a basis for adjustments in the continuing education program of the institution.