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Objective: Identifying in Brazilian and international scientific literature, the mental health repercussions caused by the new coronavirus (COVID 19) in nurses working on the front line of healthcare systems since the pandemic outbreak in Wuhan. Methods: An integrative literature revision was made in April 2020 into the following databases: Virtual Health Library, Brazil (BVS); Medical Subject Headings (MeSH), USA; Scopus, and CINAHL. Results: Nine papers were included in the final sample; they highlighted the scarcity of material resources in the hospitals and the prevalence of higher levels of mental health suffering in the nurses compared to the other professional workers on the frontline. Conclusion: It is evident that the mental health of nurses handling the Covid-19 pandemic is a topic that needs more attention not only from researchers but also from health managers and other authorities in charge of health policies. [ABSTRACT FROM AUTHOR]

Objective: to characterize and qualify fall risk evaluation scales validated for application in hospitalized adult patients. Method: an integrative literature review that included investigations developed with hospitalized patients 18 years old or older after consulting the LILACS, PubMed, CINAHL, and Embase databases. Results: 319 papers were found, among which nine were included in the present review. Most scales were developed between 1989 and 1999 and oriented to assess fall risk in adults and elderly people. The domains mobility (88.8%), fall history (88.8%), mental state (66.6%), incontinence (77.7%), use of medications (66.6%), and sensory deficit (55.5%) were used most often. Four scales (44.4%) showed test results for the evaluation of psychometric properties. Conclusion: the scales found in the scientific literature did not present a consensus on the domains for fall prediction and most were not submitted to evaluation of the recommended psychometric properties. [ABSTRACT FROM AUTHOR]

Background: Nursing care in critical situations has had significant advances when it comes to the quality of patient assistance due to a large technological investment in this area during the last few years. The critically ill patient family faces significant challenges. Nurses are the health care professionals with constant presence and with the skills to assess and intervene in response to the patient's and family's needs due to the relation they establish with both. Caring for the family of the critically ill patient demands that nurses posess specialized skills mainly due to the emergency context. Aim: To integrate and summarize nurse's experience of caring for the family of the critically ill person in a critical situation. Design: Comprehensive systematic review. Methods: This paper included 9 studies from electronic databases and digital scientific national repository whose participants were nurses, working in critical care units, emergency departments and pre-hospital care, with experience in caring for families of the critically ill adults. Results: The experiences of participants in the studies show that nurses experienced difficulties in caring for the family of the critically ill person. The difficulties are associated with lack of time, lack of resources, fear of emotional connection, constant focus on the care of the critically ill person, poor education, intrapersonal conflicts and lack of awareness of the family's needs. The main strategies used by nurses in order to care for the family of the critically ill person are: promoting the presence of family members near the patient, supporting bereaved families, communicating proper information about the patient's condition and giving relatives the opportunity to be involved in the patient's care. Conclusions: The studies reviewed indicate that promoting family presence is essential in order to achieve high standards of nursing care to the critically ill person. However, there are not enough studies in this area to allow us to take general conclusions and there are even fewer studies using a phenomenological approach, so it is important to produce research about the lived experience of nurses caring for the family of the critically ill person. [ABSTRACT FROM AUTHOR]

Nursing is facing a new reality with the inclusion of new strategies in the teaching/learning process. With high-fidelity simulation, the student acquires skills in a controlled and risk-free environment. A systematic literature review was conducted from December 2010 to February 2011 to identify the best scientific evidence on the gains perceived by the Nursing students in relation to high-fidelity simulation practice using specific inclusion criteria, descriptors and databases. Nine papers of high methodological quality were selected, which had been published between 2005 and 2011. The following themes emerged: satisfaction, learning and motivation, realism, self-confidence, technical skills, reflection on action, and transfer of skills. High-fidelity simulation is valued by students for increasing their cognitive and psychomotor perception of the clinical reality that awaits them and raises a lot of apprehension. [ABSTRACT FROM AUTHOR]

The complexities of therapeutic nursing require the adoption of clinical practice based on scientific evidence. In the context of optimization of the use of central venous catheters, there is much controversy regarding the use or not of heparin as a way to reduce the risk of obstruction. Therefore nurses should know about the best available scientific evidence in order to promote patient safety. In this context, the idea was to find out which solution (heparin or saline) is more effective in preventing obstruction of central venous catheters. We conducted a systematic literature review between 14 October 2012 and 15 January 2013, and analyzed scientific papers included in the databases MEDline with full text, Cochrane Central Register of Controlled Trials and CINAHL Plus with Full Text presented in PubMed and EBSCOhost Web. Normal saline solution seems to be as effective as a heparinized solution with regard to catheter patency in adult patients. The scientific evidence on the subject is limited, and there is need to conduct more randomized clinical trials comparing the use of these solutions. [ABSTRACT FROM AUTHOR]

For residents of nursing homes, the possibility of death occuring within the facility is high, and most if not all end of life care are provided there, so it is vital to apply the philosophy of palliative care. Objective: To understand the nature of the end-of-life care in nursing homes and factors that hinder or facilitate the implementation of palliative care in these settings. Methods: A systematic literature review on end of life care in nursing homes between 2002 and 2012 of the databases consulted. The research protocol that was built allowed us to select 19 papers that constituted the corpus of analysis. Results: Through a process of meta-aggregation, the results were aggregated based on similarity of meaning, in a total of 12 categories related to the nature of end of life care in nursing homes: identification of approach to death; holistic care, individualized and continuous care; advance planning; appropriate use of treatments; symptom control; teamwork; proper communication; no hasty transfers; good relationship with family; respect for personality and life story; including the experience of death; not dying alone. It also describes the factors that facilitate (continuous relationship with the resident, continuing relationship, a safe and “homely” environment in which death is experienced naturally) or hinder the end-of-life care, related to residents, professionals, with the care provided and the nursing home itself as an institution. Conclusions: Through the analysis and interpretation of results we understand that the nature of end-of-life care in nursing homes is complex and multifactorial related to residents, care team, family and the context in which care is provided. [ABSTRACT FROM AUTHOR]

There is strong scientific evidence supporting the close relationship between the educational style, and practices associated with it, as key predictors and determinants of psychosocial development of children and adolescents. The objective of this paper is to understand the influence that parenting has, especially the emotional component and control in the acquisition of emotional and social skills of the young. The methodology consisted in a critical reflection on the literature review carried out. It is concluded that the authoritative style, a parental praxis that maximizes emotional intelligence, with emphasis on proper supervision and moderate disciplinary methods is fundamental to the development of emotionally competent adults preventing, this way, behavioral problems such as internalizing or externalizing. [ABSTRACT FROM AUTHOR]