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Objetivo: Verificar o efeito da prática de um programa de exercício aquático resistido na resistividade carotídea, na qualidade de vida e na autonomia funcional de idosas. Método: A amostra foi de 35 mulheres com idade de 68,67 ± 4,52, alocadas em grupo de intervenção (GH = 22) e grupo controle (GC = 13). Foi avaliada a resistência das artérias carótidas pelo método de ultrassom Doppler, a qualidade de vida pelo questionário WHOQOL-100 e a autonomia funcional por meio de quatro testes que simulam atividades da vida diária. O programa de exercício proposto durou 12 semanas com intensidade moderada controlada pela escala de percepção de esforço de OMNI-RES. Resultados: A resistividade carotídea e a qualidade de vida não sofreram modificações significativas. Obteve-se significância na autonomia funcional no teste de C10m com redução no tempo de execução, p = 0,002 após intervenção. Correlação entre o índice geral de autonomia funcional e índice de resistividade carotídeo, p = 0,000 em pré-teste e correlação positiva entre o teste levantar da posição de decúbito ventral e os domínios 2 e 6 da qualidade de vida em pós-teste. Conclusão: O programa de exercício aquático resistido proposto não foi capaz de reduzir a resistência da artéria carótida e causar melhorias significativas na qualidade de vida de idosas quando avaliadas isoladamente. Contudo, houve correlação entre autonomia funcional e qualidade de vida de idosas após a prática regular de exercício resistido aquático.

Estudos indicam a maior propensão de idosos às quedas, sendo o conhecimento das variáveis relacionadas à capacidade funcional importante na detecção e na prevenção desses eventos. Objetivo: Comparar e associar as variáveis capacidade cardiorrespiratória e nível de atividade física entre idosos caidores e não caidores da comunidade. Métodos: Pesquisa descritiva transversal. Amostra com 56 idosos da comunidade, com média de idade de 74,34 ± 6,87 anos. Foram utilizados: Inquérito de Quedas para discriminação dos idosos em caidores ou não caidores, Perfil de Atividade Humana para identificar o nível de atividade física e Teste de Esforço Máximo para avaliar condicionamento cardiorrespiratório. Análise estatística realizada por teste não paramétrico, adotando-se um nível de significância de 5%. Resultados: Foi identificada uma frequência de quedas elevada em idosos comunitários e, entre os que relataram queda, a maioria caiu duas vezes ou mais, critério utilizado para discriminar os idosos em caidores ou não. Não houve diferença no Perfil de Atividade Humana e no desempenho cardiorrespiratório entre os grupos de idosos caidores e não caidores. Observou-se uma relação entre idade, nível de atividade física e desempenho cardiorrespiratório. Conclusão: Entre os idosos caidores, há uma porcentagem menor de idosos ativos do que nos idosos não caidores. Apesar disso, não foi identificada diferença significativa no nível de atividade física e no desempenho cardiorrespiratório entre esses grupos, o que indica que outros componentes da capacidade funcional do idoso possam estar relacionados com a frequência de quedas.

Objetivo: O alto número de idosos que sofrem quedas engloba, entre outras questões, a importância do uso adequado dos dispositivos auxiliares de marcha (DAM): bengalas, muletas e andadores. Apesar dos DAM visarem à melhoria da independência funcional, o equilíbrio e a redução dos efeitos de deficiências, a maioria dos portadores não é instruída sobre seu uso correto e muitas vezes utilizam modelos inadequados, danificados ou com altura inapropriada. Poucos estudos comprovam a eficácia da prescrição isolada dos DAM em reduzir o risco de quedas, e poucos apontam a forma adequada de indicar e ajustar de maneira individual. Assim, com o objetivo de descrever, informar e orientar sobre o uso adequado dos DAM, foi realizada uma revisão de literatura nas bases de dados Medline, Lilacs, Scielo e PubMed, e uma consulta a referências literárias e capítulos de livros que abordavam o tema. Foram selecionados nove artigos e três capítulos de livro. Os resultados encontrados apontam, para cada tipo de DAM, indicação, utilização, variações e características, orientações quanto à marcha e transferências e ajustes relacionados à altura. Além disso, foram descritos outros assuntos relevantes, como características e limitações do paciente, ambiente no qual está inserido, condições econômicas e sociais e principalmente a funcionalidade deste indivíduo. A prescrição, a orientação e o acompanhamento adequado dos DAM com um fisioterapeuta proporcionam ao paciente maior confiança, habilidade e aderência aos dispositivos. Possivelmente, tal ganho interferirá no desempenho das atividades diárias do paciente e atuará na prevenção de quedas.

Objetivo: Este estudo buscou identifi car por meio do Defense Style Questionnaire (DSQ-40) o estilo defensivo e a defesa de maior intensidade presentes em 15 cuidadores de pacientes oncológicos em cuidados paliativos que estiveram internados em um Programa de Internação Domiciliar Interdisciplinar (Pidi) no período de agosto a outubro de 2011. Métodos: Trata-se de um estudo transversal descritivo de abordagem quantitativa. Resultados: Essa pesquisa evidenciou nos cuidadores uma maior intensidade das defesas pertencentes ao estilo defensivo maduro, como a antecipação. Conclusão: Isso indica um bom enfrentamento da situação vivida, demonstrando resiliência e sugerindo o amadurecimento dos cuidadores no processo adaptativo enquanto indivíduo que oferece cuidados a seu familiar em processo de fi m de vida.

Objetivo: Plano de Cuidados (PC) é uma estratégia organizadora do cuidado integral e integrado do idoso em rede. O objetivo deste estudo foi avaliar os desfechos das sugestões de ações reabilitadoras com assistência profissional presentes no PC elaborados por um Centro de Referência de Idosos da cidade de Belo Horizonte. Métodos: Análise de Planos de Cuidados e entrevista semiestruturada por inquérito telefônico. Resultados: Das 97 sugestões de ações reabilitadoras com apoio profissional registradas nos 51 Planos de Cuidados, apenas 25 (25,8%) dessas sugestões foram implementadas, segundo relato dos usuários e/ou familiares, principalmente na rede pública de saúde (92%) e através da atenção primária (68%), com tempo de espera de 16,60 ± 27,37 semanas. Na opinião de 69,4% dos usuários e/ou familiares, o principal dificultador para receber a assistência sugerida foi o fato de não saberem sobre essas sugestões reabilitadoras no Plano de Cuidado. Conclusão: Estar cientes dessas sugestões e procurar por esses atendimentos parecem ser fatores importantes para que as sugestões de ações reabilitadoras sejam efetivamente prestadas; por isso, a relevância de envolver e corresponsabilizar todos os atores da rede, principalmente os usuários e seus familiares no planejamento e implementação das ações reabilitadoras. Outros estudos são necessários para o profundo entendimento das reais limitações para implementação do cuidado longitudinal do idoso.

O objetivo do presente trabalho foi realizar uma revisão da construção dos RUG (Resource Utilization Groups) e um levantamento e análise das publicações sobre a sua validação e utilização em diferentes países. Verificou-se que, desde a sua criação nos Estados Unidos, vários países testaram esse sistema de classificação no seu contexto de cuidados institucionais para pessoas idosas, sendo que ele se mostrou válido e fiável para classificação de usuários de instituições de longa duração que prestam apoio social e cuidados de saúde a idosos, tendo bons resultados na explicação da variância da utilização de recursos. Conclui-se que esse sistema de classificação apresenta boas potencialidades para a sua implementação no contexto português e em países de língua portuguesa, podendo ajudar a perceber as características e necessidades dos usuários, providenciando informação baseada na evidência para os gestores das instituições e decisores políticos, ajudando a justificar a afetação de recursos, melhorando o planeamento estratégico das instituições, assim como a qualidade dos cuidados.

Objetivo: Analisar a percepção de violência pelo idoso morador de Juazeiro (BA) e como ele reage diante da situação. Métodos: O estudo, do tipo qualitativo, contou com a participação de 10 idosos na faixa etária entre 64 e 84 anos, com indícios de violência e que frequentavam uma Unidade de Saúde da Família. A teoria bioecológica do desenvolvimento humano, de Bronfenbrenner (1998), foi a fundamentação teórica utilizada e permitiu o estudo do idoso dentro do microssistema familiar e a sua integração dentro desse ambiente ecológico. As informações foram coletadas por meio de entrevistas com roteiro semiestruturado contendo questões abertas. Depois de transcritas, foi efetuada a análise de conteúdo. Resultados: As formas de violência encontradas foram: psicológica (90%), negligência (100%), financeira (50%), física (30%) e abandono (30%). A violência foi percebida nas ações e circunstâncias vivenciadas no cotidiano como confusão, bebida, brigas, desentendimento, brutalidade, desobediência e agressão física. A reação dos idosos diante das situações de violência apresentou-se como inexistente, de forma tímida, temerosa e fragilizada. Alguns idosos reagiram por manifestação patológica. O apoio de familiares, amigos e religião foram as estratégias de enfrentamento utilizadas. Conclusão: A violência é percebida pelo idoso morador de Juazeiro, porém sem reação diante da situação. Existe a necessidade de articulação de uma rede de apoio, a fim de formar parcerias para o combate à violência.

Objetivo: Abordar as peculiaridades etiológicas e fisiopatológicas das diversas patologias que acometem os pés dos idosos, com ênfase nos aspectos diagnósticos e terapêuticos. Método: Revisão da literatura de 1987 a 2012 sobre o tema em questão. Resultado: Os metatarsos constituem o local mais frequente de dor, com predominância no sexo feminino. Entre as causas mais frequentes, destacamos: fasciite plantar, hálux valgo, dedos em garra, martelo ou malho, pé cavo, pé plano, síndrome do esporão do calcâneo, tendinites, onicomicose, osteoartrose, artrite reumatoide, crise gotosa, diabetes, entre outras. Para o diagnóstico deve-se realizar a avaliação geriátrica ampla, mas também avaliação vascular, exame neurológico, biomecânica e avaliação dermatológica. O tratamento envolve mudança de hábitos, fisioterapia e abordagens específicas de acordo com a causa do pé doloroso. Conclusão: Essa afecção é frequente e passível de prevenção quando aliada a diagnóstico e tratamento adequados objetivando redução de incapacidade e preservação de autonomia e independência.

BACKGROUND: This article is part of a special series designed to help health professionals in the process of developing a research project and writing a manuscript. The research question is the keystone in this process, and represents the first step of every research project. However, its importance is frequently neglected. OBJECTIVE: To highlight important considerations in the development and formulation of a research idea, with the purpose of identifying main guiding elements, in order to prevent errors in one of the most important stages of an experiment. METHODS: The authors performed a non-systematic literature review (PubMed.gov - U.S. National Library of Medicine/National Institute of Health) to retrieve papers that addressed the main steps to build a research question. RESULTS: The construction process includes the conception of the research idea, seeking an appropriate environment and resources, performing a literature review, then crafting and refining the research question, while being aware of potential challenges and pitfalls that may be encountered. The FINER and PICOT criteria can be useful tools in this process. CONCLUSION: It is essential to invest time, energy, and resources in the construction of the research question prior to detailing the study design, thus supporting the further development of the research project on a solid initial foundation.

BACKGROUND: This article is part of a special series designed to help authors in the process of scientific writing. OBJECTIVE: To address the steps that should precede the writing and submission of a research paper in order to optimize the process. METHOD: The authors discussed among them some strategies that should be adopted before properly starting the manuscript writing. RESULTS: Key strategies were organized into five thematic groups, namely: 1) How to prepare yourself for writing, 2) How to organize and prepare the writing tools, 3) How to elaborate a draft, 4) How to choose a journal, and 5) Who should be an author. CONCLUSION: Key strategies should be adopted before writing and submitting a research paper. Such strategies might improve the author’s performance, optimize the time spent, and promote a high-quality communication writing, more pleasantly.

INTRODUCTION: This article is part of a special series designed to help authors in the process of scientific writing. OBJECTIVE: To address common mistakes that researchers commit while writing a manuscript, in order to understand and optimize the process of writing a new research paper. METHODS: The authors made a nonsystematic search in the current literature (PubMed) to retrieve papers that address the most frequent mistakes found by editors, peer reviewers, journals and authors. RESULTS: According to the search results, key findings about the most common mistakes for each section of a manuscript were described (introduction section, methods section, results section, discussion section, conclusion section, references, title and abstract). CONCLUSION: There is a great amount of avoidable mistakes in each section of a scientific manuscript. Overall, among the most common mistakes are missing data, incomplete sections, excessive report of current literature or reporting data in an inadequate section.

OBJETIVO: Investigar as classes de fármacos utilizados e propensos a produzir alterações do paladar em idosos e identificar o tipo de alteração gustativa mais prevalente. MÉTODOS: Amostra composta de 203 idosos da Associação dos Metalúrgicos Aposentados e Pensionistas de Ipatinga, Minas Gerais, com idade igual ou superior a 60 anos, de ambos os gêneros, em uso crônico de algum fármaco. Para investigar a função gustativa, foi utilizado o teste das três gotas que avalia os quatro gostos primários. RESULTADOS: As classes de fármacos mais utilizadas pelos idosos foram os anti‑hipertensivos (70,9%), hipolipemiantes (36,0%), antiácidos (19,2%), hipoglicemiante orais (17,7%), antiplaquetários (15,3%), hormônio tireoidiano (13,3%), antidepressivos (11,3%) e benzodiazepínicos (9,4%). Observou‑se que os idosos em uso de anti‑hipertensivos apresentaram mais chance de alteração gustativa ao sabor salgado (OR = 2,4; IC95% 1,2 - 4,6) e ao sabor doce (OR = 2,3; IC95% 1,2 - 4,4). Entre os anti‑hipertensivos, os fármacos das categorias betabloqueadores (OR = 1,8; IC95% 1,3 - 4,2) e diuréticos (OR = 2,0; IC95% 1,0 - 3,8) podem aumentar a chance dos pacientes desenvolverem alterações gustativas ao sabor doce. As demais classes de anti‑hipertensivos, bem como os antidepressivos e antiplaquetários não apresentaram associação significativa com as alterações gustativas. Observou‑se que 41,4% da amostra apresentou alguma alteração gustativa ao sabor salgado, 40,4% para o doce, 14,3% para o ácido e 13,8% para o sabor amargo. CONCLUSÃO: Este estudo observou que o uso crônico de medicamentos esteve associado a alterações gustativas, notadamente ao sabor doce. Dentre as classes de medicamentos avaliados, destacaram‑se os anti‑hipertensivos, especificamente os betabloqueadores e diuréticos.

This article is part of a special series developed to assist authors in the process of scientific writing and communication. The purpose of the study was to underscore the importance of publishing case reports and case series in the medical and health sciences and to provide insights to guide the authors who wish to submit these types of study. A non-systematic review was conducted to present a brief historical overview on reports published in the literature and to provide data on the main difficulties faced by authors trying to publish in the current scenario and on the contributions of case reports and case series to scientific progress. Finally, we address the current paradox of the simultaneous depreciation of this type of publication and reinforcement of the importance of publishing emblematic cases with major impact on the progress of medical science.

OBJECTIVE: The present study aimed to identify the needs of the family caregiver of dependent elderly in a different cultural dimension, integrating the social, political and economic reality of each community. METHODOLOGY: This phenomenological study was carried out with two groups of caregivers of dependent family members from Portugal and Brazil, using focus group as a data collection instrument. RESULTS: From the analysis of the narratives of the 12 caregivers who participated in the study, a set of categories emerge: the need to learn alone, the need for time to maintain the roles, the need for a support network, resilience in imbalances family, and the resources to care for them. CONCLUSION: In this work it was possible to highlight similarities in the needs of the caregivers of the two countries.

This cross-sectional study aimed to investigate the association of variables representative of the sociodemographic profile, working hours, and general health status of long-haul truck drivers with their reported sleep regimen. Questionnaires provided by the Transportation Social Service and the National Transportation Learning Service, in which data were collected from professional truckers aged ≥ 45 years, were analyzed. The results found allow us to infer that the sleep profile of these ground freight transportation workers seems to correlate negatively with general health (prevalence of arterial hypertension and drug use) and the number of working hours per day.

INTRODUCTION: The increase in the world’s elderly population in recent decades calls for research on quality of life during the aging process. Heart rate variability (HRV) evaluates the modulation of the autonomic nervous system (ANS) and indicates the heart’s ability to respond to multiple physiological and environmental stimuli, as well as to disease. OBJECTIVE: To investigate the perceived quality of life of older people and its association with HRV. METHOD: Twenty-nine subjects (69 ± 7.76 years) were selected at a preventive medicine center and completed a questionnaire (World Health Organization quality of life assessment — old module: WHOQOL-OLD). The HRV data were collected for 20 minutes in the supine position using a Polar RS800CX frequency meter. RESULTS: Using the median value as a cut-off point, the sample was divided into two groups: WHOQOL-OLD ≥ 92 (n = 15: better quality of life) and WHOQOL-OLD ≤ 91 (n = 13; lower quality of life). For the HRV timedomain variables RMSSD and pNN50, there were higher values in the WHOQOL-OLD ≥ 92 group (p = 0.0413 and p = 0.0222, respectively). For the frequency-domain variables, low-frequency (LF), high-frequency (HF) and Total Power, there were also higher values in the WHOQOL-OLD group ≥ 92 (p = 0.0195, p = 0.0170 and p = 0.0287, respectively). The non-linear variable SD1 was significantly higher in the WHOQOL-OLD ≥ 92 group (p = 0.0413), while DET% was significantly higher in the WHOQOLOLD ≤ 91 group (p = 0.0253). CONCLUSIONS: Better quality of life in older adults is associated with normal ANS function, represented by higher values found through three HRV analysis methods. This indicates the importance of a healthy lifestyle for healthy aging, which includes improvement in autonomic function and, consequently, quality of life.

OBJECTIVE: To identify nursing students’ attitudes toward older people. METHOD: Second-year undergraduate nursing students were invited to complete a questionnaire at the beginning of the geriatric nursing curricular unit. A quantitative study was conducted by administering the validated Portuguese version of Kogan’s attitudes toward old people scale (KOAP). RESULTS: The sample included 39 students who answered the data collection instrument. The mean KOAP score was 135.56, which was slightly above the median value (119). No statistically significant relationships were found between any of the variables: gender, age, experience with older people, and living with older people. CONCLUSIONS: The nursing students’ mean score for attitude toward older people was slightly positive, which could serve as a starting point for the development of an intervention to modify their attitudes with respect to aging.

INTRODUCTION: This paper is part of a special series designed to help health professionals to develop a research project. It reviews the importance, methodology, and applicability of qualitative research. OBJECTIVE: To discuss the methodology of qualitative research presenting validity criteria and emphasizing the scientifi c rigor, with focus in healthcare area, especially in geriatrics/gerontology. METHODS: The authors performed a non-systematic literature review (PubMed.gov – U.S. National Library of Medicine/National Institute of Health) and included articles that clarifi ed the main themes. RESULTS: Qualitative research has grown considerably in the area of healthcare due to its ability to broaden the knowledge and interpretation of phenomena, experiences, behaviors, and their meaning in the lives of the people studied – elements not explored in quantitative methods. CONCLUSION: Qualitative approach has scientifi c rigor similar to quantitative research and manages to broaden understanding of participant behavior in a more holistic approach – which is extremely relevant in the area of geriatrics/gerontology.

OBJECTIVES: To identify the prevalence of accidental falls among elderly persons in their homes, and to evaluate determining factors to that, including intrinsic and extrinsic risk factors, as well as the awareness about falls, assessed by the Falls Risk Awareness Questionnaire (FRAQ-Brazil). METHOD: It consisted of a quantitative, transversal, and descriptive study, performed with 472 elderly persons through interview. Data were analyzed by the chi-squared test with a confidence interval of 95%. RESULTS: The average age of the sample was 70.6 years and most of them were female. Among the sample, 55.2% referred previous episodes of fall. The majority of them self-reported having diseases associated with gait disturbance and used medicines that could cause falls. It was observed less falls among elderly with higher level of awareness about risk factors. CONCLUSION: A high prevalence of accidental falls and exposure of the elderly persons to several independent and concomitant risk factors were observed. Greater awareness level about falls seems to be a preventive factor, presenting a higher association with falls than level of education and income.

OBJECTIVE: To evaluate adherence to medication treatment and possible associated factors in elderly patients interviewed during medical appointments in primary care units. METHOD: This was a cross-sectional, population-based study of 57 older patients aged 60 to 99 years living in the municipality of Ponto dos Volantes, state of Minas Gerais, including rural and urban areas. Data were collected during medical appointments, using a structured electronic script. The association between the parameters and the level of adherence to treatment was assessed using the χ2 test, with a 95% confidence interval. RESULTS: Among the elderly patients interviewed, 45 (78.9%) responded about adherence to treatment. Of these, 11 (24.4%) were included in the low adherence group. None of the parameters evaluated showed a statistically significant association with the classification of drug adherence. CONCLUSION: The present study identified that 1 in every 4 patients had low adherence to drug treatment. Among the variables studied, notably sex, age, schooling, number of comorbidities, number of medications, and income, no statistically significant relationship was observed. KEYWORDS: aged; treatment adherence and compliance; disease; volunteers.

ABSTRACT Objective: To construct a middle-range theory for the nursing diagnosis of Sedentary Lifestyle in young adults. Methods: A methodological study for the validation of a nursing diagnosis based on a Middle-Range Theory, carried out in six stages: definition of the approach; definition of theoretical-conceptual models; definition of main concepts; development of a pictorial scheme; construction of propositions; establishment of causal relationships and evidence for practice. The theory construction was operationalized through an integrative review and supported by Roy’s adaptation model. Results: Three essential attributes were identified; 10 antecedents; 7 clinical consequences; a pictogram, 9 propositions, and 11 causal relationships and evidence for practice. Conclusion: The middle-range theory for the nursing diagnosis of Sedentary Lifestyle in young adults was constructed, expanding the understanding of this phenomenon, to be applied in clinical practice by nurses.

Introduction: The World Health Organization (WHO) has proposed to monitor intrinsic capacity (IC) in the older population as a public health strategy through the Integrated Care for Older People (ICOPE) program. Although the program has been developed based on solid concepts, scientific evidence on its practical applicability is still scarce. Objectives: To evaluate IC in Brazilian older adults, its progress over time, and its association with sociodemographic and health factors and outcomes. To evaluate the psychometric properties of the WHO/ICOPE screening tool. Methods: This is a prospective multicenter cohort study with a 36-month follow-up. We will recruit 3838 people aged ≥ 60 years, registered in the health care units included in the study by the participating centers. We will collect sociodemographic and health data and will administer tools to assess IC domains, both those provided for in the ICOPE screening tool and the sequence of confirmatory assessments provided for in the program. Participants will be reassessed every 6 months for 36 months. Expected results: To establish the profile of IC in the study population and to understand its progress and the variables associated with the clinical outcomes of interest. To reveal the diagnostic and psychometric properties of the WHO/ICOPE screening tool. The project is funded by the Brazilian National Council for Scientific and Technological Development (CNPq). Relevance: Understanding the potential use of the ICOPE public health strategy proposed by the WHO within the scope of the Brazilian Unified Health System (SUS) by integrating several research centers in the field of Geriatrics and Gerontology throughout Brazil.

Enquadramento: O género está relacionado com o sofrimento psíquico. A pressão social sobre a mulher para cumprir o papel de mãe, cuidadora e esposa, e do homem para ser chefe de família, é um determinante no processo saúde/doença. Objetivos: Analisar as narrativas dos usuários de um Centro de Atenção Psicossocial sob a ótica da categoria género. Metodologia: Trata-se de um estudo qualitativo, realizado com 17 usuários de um centro de atenção psicossocial do interior do nordeste brasileiro. Foram realizadas entrevistas, e os dados transcritos foram interpretados através da análise de conteúdo. Resultados: Emergiram duas categorias - Perceção sobre os papéis de gênero; Relações familiares, Trabalho e Sofrimento psíquico. Estes apontam para uma visão enraizada sobre os papéis masculinos e femininos, a mulher como cuidadora da família, e o trabalho, visto como algo que potencializa a saúde mental ou o sofrimento. Conclusão: Os papéis sociais de género apresentam relação com o sofrimento mental, uma vez que, são reforçados pelos indivíduos, família e instituições sociais.

Objetivo: identificar los cambios cognitivos y funcionales más frecuentes en personas mayores después de la fase aguda de COVID-19. Método: revisión integrativa de la literatura con búsqueda de artículos en las bases de datos LILACS, MEDLINE, PubMed y Scopus, entre junio y julio de 2024. La selección fue realizada independientemente por dos revisores y validada por un tercer revisor. Se incluyeron los estudios originales primarios que involucraron participantes con mayoría o mediana de edad superior a 60 años, con alteraciones cognitivas y funcionales post-COVID-19. Resultados: se observó la heterogeneidad en las muestras, con un amplio espectro de características clínicas, siendo las más prevalentes: disnea, fatiga, alteraciones en el patrón de sueño y déficit cognitivo. Conclusión: los resultados contribuyen a una mejor evaluación y conducta. Señalan la necesidad de crear protocolos específicos de atención para las personas mayores con síndrome post-COVID-19 y desarrollar intervenciones más adecuadas y dirigidas a la prevención, reducción o minimización de los síntomas persistentes.

Objetivo: identificar as alterações cognitivas e funcionais mais frequentes em pessoas idosas após a fase aguda da COVID-19. Método: revisão integrativa da literatura com busca de artigos nas bases de dados LILACS, MEDLINE, PubMed e Scopus, entre junho e julho de 2024. A seleção foi realizada independentemente por dois revisores e validada por um terceiro revisor. Foram incluídos os estudos originais primários que envolveram participantes com maioria ou mediana de idade superior a 60 anos, com alterações cognitivas e funcionais pós-COVID-19. Resultados: observou-se a heterogeneidade nas amostras, com vasto espectro de características clínicas, sendo as mais prevalentes: dispneia, fadiga, alterações no padrão de sono e déficit cognitivo. Conclusão: os resultados contribuem para uma melhor avaliação e conduta. Apontam a necessidade de criação de protocolos específicos de atendimento às pessoas idosas com síndrome pós-COVID-19 e desenvolvimento de intervenções mais adequadas e direcionadas à prevenção, redução ou minimização dos sintomas persistentes.

Objective: To identify the most frequent cognitive and functional changes in elderly people after the acute phase of COVID-19. Method: Integrative literature review with a search for articles in the LILACS, MEDLINE, PubMed, and Scopus databases, between June and July 2024. The selection was conducted independently by two reviewers and validated by a third reviewer. Original primary studies were included that involved participants with a majority or median age over 60 years, with post-COVID-19 cognitive and functional changes. Results: Heterogeneity was observed in the samples, with a wide range of clinical characteristics, the most prevalent being: dyspnea, fatigue, changes in sleep patterns, and cognitive deficit. Conclusion: The results contribute to a better assessment and conduct. They point to the need to create specific care protocols for elderly people with post-COVID-19 syndrome and to develop more appropriate and targeted interventions for the prevention, reduction, or minimization of persistent symptoms.

Objective: to analyze the actions of primary care professionals when faced with situations of psychological distress and/or psychosocial vulnerability among pregnant women and postpartum women. Methods: a descriptive and exploratory study was carried out with 78 health professionals working in the family health strategy, who were asked to complete a questionnaire on professional characterization and situational analysis. Results: most health professionals see pregnant /postpartum women daily (55.1%). For 66.7% of these professionals, they identify signs /symptoms of emotional, psychological, or mental distress in a minority of their visits to this public. Regarding the training of professionals to act and help pregnant /postpartum women concerning mental health, 76.9% have doubts, 89.7% have not participated in training on the subject, and all agreed with its relevance. The textual analysis of the discursive responses resulted in two categories: Qualified listening as a welcoming tool and shared care and referral to specialized professionals. Conclusion: family Health Strategy professionals reported doubts and weaknesses regarding managing the mental health of pregnant and postpartum women. Contributions to practice: these professionals experience situations that require them to deal with issues related to perinatal mental health and perceive training to meet this demand as relevant.

Objective: to validate the content of the Knowledge, Attitude, and Practice of self-care in the leprosy survey. Methods: a methodological study is developed in two stages: the development of the instrument and content validation by expert judges. The content of each item was validated for clarity. The Content Validity Index was used to assess agreement between the judges. Descriptive statistics were used to analyze the data. Results: five experts participated; the survey's content validity index was 0.87. 21 items were reformulated, 11 were included, and three were added to another domain. This resulted in 40 items distributed in three categories: face care (15 items), hands (12 items) and feet (13 items). Conclusion: the final version of the Knowledge, Attitude, and Practice survey covers the face, hands, and feet categories and has achieved adequate content validity for its use. Contributions to practice: this constitutes an essential tool that will help health professionals make decisions regarding practices to promote self-care for people with leprosy.

ABSTRACT Objective: To analyze the prevalence and associated factors with chronic diseases among women of reproductive age in primary health care. Method: Cross-sectional study conducted with 397 women of reproductive age living in northern Paraná, Brazil. Data were collected from July 2019 to September 2020. The Women’s Clinical Record was used to collect sociodemographic data, risk behaviors, diagnosis of chronic diseases and medication use. Chi-Square test was performed for association analysis, and Logistic Regression estimating Odds Ratio and 95% confidence intervals. Results: The prevalence of chronic diseases among women of reproductive age was 38.53% and the associated factors were: age group from 31 to 40 years old (OR=3.67; p=0.001) and from 41 to 49 years (OR =9.7; p=0.001), incomplete high school education (OR= 2.7; p=0.001), obesity (OR= 2.25; p=0.001) and smoking (OR=2.23; p=0.001). Conclusion: Age at the end of the reproductive phase, obesity and smoking were associated with the presence of chronic diseases. Knowledge of these factors can assist in screening, monitoring and health education actions provided to women of childbearing age.

ABSTRACT Objective: To apprehend the family's perception of the care provided by home care services to children and adolescents with special health needs. Method: Qualitative, exploratory-descriptive study, carried out with 15 family members of children and adolescents with special health needs served by Home Care Services in seven municipalities in Paraíba, in 2021, selected from nine municipalities identified by previous studies. Data were collected using semi-structured interviews carried out remotely through telephone calls. The empirical material was subjected to Inductive Thematic Analysis and interpreted in light of the concept of health vulnerability. Results: The Home Care Services facilitate minimize the health vulnerabilities of these children and adolescents and their families as they facilitate access to the actions and services of the Health Care Network, provide humanized care focused on promoting health and strengthening bonds, as well as how, they facilitate family decision-making at home regarding users' health needs. Final considerations: The actions of these services permeate family daily life, enabling the expansion of care practices for family members/caregivers considering their limitations and improving the coordination of Health Care Networks to guarantee comprehensive care.

Objetivo: mapear as evidências disponíveis na literatura sobre o desenvolvimento e as características das lesões por pressão em adultos e idosos em contexto de cuidados primários e terciários. Método: revisão de escopo retrospectiva analítica, realizada em 2023, nas bases, Biblioteca Virtual em Saúde, PUBMED, EMBASE, Web of Science e SCOPUS. Registro (DOI 10.17605/OSF.IO/C63YM). Resultados: selecionaram-se 29 estudos. As lesões foram predominantemente de estágio 2, localizadas na região sacral, glútea e calcânea, que se desenvolveram durante o internamento e alguns apresentavam lesões de repetição. No leito da ferida, foram encontrados tecido de granulação, necrose de liquefação e/ou coagulação, com bordas epitelizadas, maceradas ou friáveis. A presença de exsudato foi pouco relatada. Conclusão: a partir destes resultados, pode-se qualificar a assistência, ao compreender as características das lesões por pressão, investindo-se em terapêuticas que otimizam o processo de cicatrização, melhoram a qualidade de vida dos pacientes e reduzem os gastos com as feridas.

Objective: to analyze sociodemographic variables, quality of life, self-perceived health, learning motivation and behavior of adolescents in 2018 and 2021. Method: observational cross-sectional study with 124 adolescents in 2018, and 68 in 2021. A Form for sociodemographic variables, Pediatric Quality of Life Inventory, Self-Perceived Health instrument, Learning Motivation Scale and Strengths and Difficulties Questionnaire were used to collect data. Data collection was carried out using forms on Google Forms. For the analysis, descriptive statistics and logistic regression were used. Results: the majority of participants belonged to class A. In the comparison between 2018 and 2021, there was a worsening in the assessment of self-perceived health. In the assessment of QoL by parents, there was a statistically significant difference between the scores of the social and psychosocial dimensions. Among adolescents, there were differences between QoL scores in the physical and psychosocial dimensions. Conclusion: the adolescent with a better mental health assessment had a greater chance of having a better quality of life in the periods investigated (OR=5.35 and OR=5.51). Younger students showed greater motivation to learn, increasing the chance of improving their quality of life by up to 9.75 and 5.02 times in the two periods, respectively.

Objetivo: Mapear la evidencia disponible en la literatura sobre el desarrollo y características de las lesiones por presión en adultos y ancianos en el ámbito de la atención primaria y terciaria. Método: revisión analítica retrospectiva, realizada en 2023, en las bases de datos Virtual Health Library, PUBMED, EMBASE, Web of Sciense y SCOPUS. Registro (DOI 10.17605/OSF.IO/C63YM). Resultados: Se seleccionaron 29 estudios. Las lesiones eran predominantemente de estadio 2, localizadas en las regiones sacra, glútea y calcánea, que se desarrollaron durante la hospitalización y algunas presentaban lesiones recurrentes. En el lecho de la herida se observó tejido de granulación, necrosis por licuefacción y/o coagulación, con bordes epitelizados, macerados o friables. Raramente se notificó la presencia de exudado. Conclusión: A partir de estos resultados, se puede mejorar la asistencia comprendiendo las características de las lesiones por presión, invirtiendo en terapias que optimicen el proceso de cicatrización, mejoren la calidad de vida de los pacientes y reduzcan el gasto en heridas.

Objective: to map the evidence available in the literature on the development and characteristics of pressure injuries in adults and the elderly in primary and tertiary care settings. Method: retrospective analytical scoping review, carried out in 2023, in the Virtual Health Library, PUBMED, EMBASE, Web of Science, and SCOPUS databases. Registration (DOI 10.17605/OSF.IO/C63YM). Results: 29 studies were selected. The lesions were predominantly stage 2, located in the sacral, gluteal, and calcaneal regions, which developed during hospitalization, and some had recurrent lesions. Granulation tissue, liquefaction necrosis, and/or coagulation were found in the wound bed, with epithelialized, macerated, or a flaky edge. The presence of exudate was rarely reported. Conclusion: Based on these results, care can be improved by understanding the characteristics of pressure injuries, investing in therapies that optimize the healing process, improving patients' quality of life, and reducing the cost of wound care.

Objective: to evaluate the measurement properties of the Female Sexual Function Index – Brazilian version in women with breast cancer. Methods: this methodological study involved 246 patients treated at two specialized breast cancer outpatient clinics. Data were collected using two instruments: a sociodemographic and clinical characterization questionnaire and the Brazilian version of the FSFI. Construct validity was assessed through confirmatory factor analysis, and reliability was evaluated using composite reliability. Results: in the factor analysis, the model achieved satisfactory results with acceptable fit indices (p=0.270; χ²/df=1.070; Comparative Fit Index=0.999; Tucker-Lewis Index=0.999; Standardized Root Mean Residual=0.061; Root Mean Square Error of Approximation=0.019). Evidence of reliability was also confirmed (composite reliability: 0.980). Conclusion: the instrument demonstrated satisfactory validity and reliability for assessing sexual function in women with breast cancer. Contributions to practice: this study provides methodological support for using this tool to assist in the nursing diagnosis of "Sexual dysfunction" in women with breast cancer.

Introdução: O tratamento de quimioterapia pode provocar um conjunto de sintomas adversos, com implicações no bem-estar e qualidade de vida dos doentes oncológicos, pelo que se justificam intervenções de enfermagem destinadas a promover a sua autogestão. Objetivo: Avaliar a perceção de autoeficácia e qualidade de vida em doentes oncológicos a realizar quimioterapia, acompanhados presencialmente e via telefone na autogestão dos sintomas da quimioterapia. Método: Estudo descritivo-correlacional e longitudinal, com 51 doentes oncológicos, acompanhados ao longo do primeiro mês de tratamento de quimioterapia e avaliados em três momentos. Apresentação dos resultados e discussão: Os resultados indicam uma boa perceção de autoeficácia e de qualidade de vida ao longo do primeiro mês de quimioterapia. As náuseas e vómitos foram os sintomas mais lesivos, em especial na primeira fase. Os resultados sugerem ainda que as orientações para monitorização e autogestão dos sintomas ministradas pelos enfermeiros possam ter sido positivas para a adaptação à quimioterapia.

Objective: to understand the perception of Primary Health Care health professionals regarding the risks associated with the use of cosmetics containing endocrine disruptors during pregnancy. Methods: this was a qualitative study. The participants were 17 health professionals who visited pregnant women in Primary Health Care. Data was collected through semi-structured interviews. The interviews were analyzed using Content Analysis and theoretical references from researchers in the field. Results: the majority of participants had little knowledge of the concept of endocrine disruptors, reported little confidence in recommending or not recommending the use of cosmetics and personal hygiene products, and also showed little knowledge of the risks they may pose to health. Conclusion: Health professionals have shown that their knowledge of the risks of endocrine disruptors present in cosmetics is fragile and, consequently, they find it difficult to guide pregnant women to reduce harmful exposure. Contributions to practice: raising awareness among professionals of the need for constant updating to provide safe advice to pregnant women.

ABSTRACT Objective: To analyze social representations from the perspective of the silent zone of health professionals regarding HIV serodifference. Method: This is a qualitative study, based on the theoretical-methodological framework of Social Representations, with the Theory of the Central Nucleus and Mute Zone by Jean Claude Abric. 51 professionals from specialized services from the metropolitan region of a capital in the northeast of Brazil participated, from October to December 2020. Interviews were applied using the free word association replacement technique, with prototypical and similarity analyzes processed in the Iramuteq software. Results: The results showed that the central nucleus demonstrated the veiled presence of stigmas and lack of knowledge when dealing with HIV serodifference, represented by the expressions prejudice, lack of knowledge, fear, insanity, and love. Final considerations: The social representations attributed to the central core are anchored in prejudice, ignorance, fear, and insanity. Such meanings signal the need for improvements in the knowledge of health professionals involved in the health care network, in order to enable the praxis of care, and to confront the stigmas that permeate serodifference and cause distance between partners and health services.

ABSTRACT Objectives: to synthesize knowledge regarding risk factors associated with occurrence of adverse event phlebitis in hospitalized adult patients. Methods: an integrative literature review, carried out in the CINAHL, PubMed, Virtual Health Library, Embase, Web of Science and Scopus databases. The stages were carried out independently by two reviewers, and the data were analyzed descriptively. Results: from the analysis of 31 quantitative primary studies, the following risk factors were summarized: length of stay; use of antibiotics; peripheral intravenous catheter dwell time; receive less nursing care; catheter inserted multiple times; patients with infection and comorbidities; presence of pain at catheter insertion site; Teflon® catheter use; reduced patient mobility; quality of patient’s vein; skin elasticity; unsuccessful insertion. Conclusions: it is necessary to standardize the format for measuring occurrence of this adverse event and develop new studies with a higher level of evidence.

Objective: To assess sociodemographic and economic aspects and motivations for living on the streets. Methods: A cross-sectional study of 127 homeless people in the city of Teresina, Piauí, Brazil. Data were collected in person between October 2019 and March 2020. A descriptive analysis of the results obtained was performed. Results: The sociodemographic profile observed was that of male, single, brown, with children, with a low level of education and income. The main reasons for homelessness were family conflicts, use of psychoactive substances and unemployment. Conclusion: The phenomenon of homelessness is perceived as a broad and complex process influenced by biopsychosocial events that occur throughout the life cycle, which requires a holistic approach by health professionals towards people in this situation.

Background & Aim: This scoping review aims to identify and summarize how Technology can help in the prevention of work-related Musculoskeletal Injuries of healthcare professionals. Methods & Materials: We conducted a scoping review following the steps provided by the Joanna Briggs Institute. The PRISMA® - Preferred Reporting Items for Systematic Reviews and Meta-Analyses model was used to organize the information, following the recommendations described in PRISMA-ScR (PRISMA Extension for Scoping Reviews) for the article presentation. A search of PubMed, Scopus, and CINAHL databases was conducted for all articles in December 2023. Results: Of the 964 initial articles identified, 7 met the inclusion criteria. The reviewed studies highlight the effectiveness of various technological interventions in reducing musculoskeletal injuries among healthcare professionals. Wearable technologies, such as inertial measurement units, have been effective in promoting correct posture and reducing the risk of musculoskeletal disorders. However, the studies also identified significant challenges, including the generalizability of findings, the need for more robust empirical evidence, and issues related to the long-term sustainability and cost-effectiveness of these technologies. Conclusion: The conclusion of this analysis highlights the need for scalable, effective, and customized therapies and calls for more study and development in gamification, wearable technologies, and tailored mobile applications.

Objetivo: analisar os afastamentos laborais por transtornos de humor entre 2018 e 2020 no Piauí. Método: estudo censitário, descritivo-analítico, realizado no Piauí, Brasil, entre maio e julho de 2021. Dados coletados no banco de dados do Instituto Nacional do Seguro Social. Analisados com estatística descritiva e inferencial. Resultados: foram identificados 1.717 afastamentos, 65,3% trabalhadoras do sexo feminino, média de idade de 39,78 anos, 91% apresentavam renda de um a dois salários-mínimos, 42,7% procedentes de outros municípios, 82,2% atuavam na zona urbana. Entre os afastamentos, 52% ocorreram por episódios depressivos, o auxílio-doença previdenciário foi concedido a 84,2% dos trabalhadores. Houve associação estatística entre o município de procedência e a zona das atividades laborais e o tempo médio de duração do afastamento laboral. Conclusão: o estudo contribuiu na identificação dos afastamentos e no fornecimento de dados que colaboram na formulação de estratégias de intervenção e as melhores condições de trabalho e saúde mental do trabalhador.

Objective: To analyze work absences due to mood disorders between 2018 and 2020 in Piauí. Method: Census study, descriptive-analytical, carried out in Piauí, Brazil, between May and July 2021. Data was collected from the National Social Security Institute's database. Analyzed with descriptive and inferential statistics. Results: 1,717 leaves were identified, 65.3% were female workers with an average age of 39.78 years, 91% had an income of one to two minimum wages, 42.7% came from other municipalities, and 82.2% worked in the urban area. Among the absences, 52% were due to depressive episodes, and 84.2% of the workers were granted social security sickness benefits. There was a statistical association between the municipality of origin, the zone of labor activities, and the average duration of work leave. Conclusion: The study contributed to the identification of absences and the provision of data that collaborate in the formulation of intervention strategies and the worker's best working conditions and mental health.

Objetivo: analizar las licencias laborales por trastornos del estado de ánimo entre 2018 y 2020 en Piauí. Método: estudio censal, descriptivo-analítico, realizado en Piauí, Brasil, entre mayo y julio de 2021. Datos recolectados en la base de datos del Instituto Nacional del Seguro Social. Analizados con estadística descriptiva e inferencial. Resultados: se identificaron 1.717 licencias, 65,3% trabajadoras del sexo femenino, promedio de edad de 39,78 años, 91% presentaban ingresos de uno a dos salarios mínimos, 42,7% procedentes de otros municipios, 82,2% trabajaban en la zona urbana. Entre las licencias, el 52% ocurrieron por episodios depresivos, el subsidio por enfermedad se concedió al 84,2% de los trabajadores. Hubo asociación estadística entre el municipio de procedencia y la zona de las actividades laborales y el tiempo promedio de duración de la licencia laboral. Conclusión: el estudio contribuyó en la identificación de las licencias y en el suministro de datos que colaboran en la formulación de estrategias de intervención y las mejores condiciones de trabajo y salud mental del trabajador.

Introduction Baby-led weaning (BLW) is a growing method for parents to introduce food to their kids. As advisers who affect the decisions of parents, health practitioners have significant obligations in this regard. Objective We aim to identify existing literature on the knowledge, perceptions, and attitudes of health professionals toward BLW. Methods We carried out a scoping review in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. After registering with Open Science Framework, published articles were retrieved from EBSCOhost, PubMed, SciELO, ScienceDirect, Open Grey, and the Portuguese Scientific Open Access Repository. Primary studies with full-text availability in English, Spanish, or Portuguese, and no data publication limitations were included. Results The final sample included seven publications conducted in five countries published between 2012 and 2022. Only one study employed a hybrid methodology showing incongruent practices in parents/health professionals on BLW, whereas most studies employed a quantitative approach. Regarding BLW, it is recognized that there is a dearth of evidence, consensus, and advice. Conclusion Despite benefits, health professionals hesitate to recommend BLW due to insufficient study and safety concerns, warranting more research. Hence, our scoping review demonstrated that BLW is a scientifically under-researched subject, indicating a significant research gap that must be filled in the future.

ABSTRACT Objectives: to assess the socio-cognitive factors determining adherence to standard precautions by nursing professionals in care practice during the COVID-19 pandemic in Brazil. Methods: an analytical cross-sectional study, carried out with 9,039 nursing professionals in Brazil, using an electronic form containing participant sociodemographic, training and work variables, and the Brazilian version of the Standard Precautions Questionnaire. Descriptive and inferential statistics were used using the statistical software R. Results: participants recognize standard precautions as effective measures to reduce infections and report intention to perform them. Training regarding standard precautions was evidenced as a facilitator of adherence (4.72; SD: 0.73), and problems related to materials (3.78; SD: 1.45) were a hindrance. Conclusions: among the determining factors, facilitating organization presented the highest score, followed by intention to perform. Facilitating and hindering factor identification makes it possible to develop intervention strategies to strengthen patient safety and reduce occupational risks among professionals.

ABSTRACT Objectives: to validate the content of a guidance guide on self-care in the postoperative period of breast surgery for breast cancer. Methods: a methodological study with content validity, carried out with 15 expert nurses and physiotherapists, between May and July 2022. Recruitment took place from the Lattes Platform, using snowball sampling. The level of relevance and representativeness for each item was verified using the Content Validity Index (CVI). It was considered valid when CVI was equal to or greater than 78% (0.78). Results: from the initial total of 37 items, two were excluded, as they had insufficient practical relevance and theoretical relevance, and another five items which, although presenting a CVI lower than the established cut-off, were suggested to be rewritten and grouped with other similar items. Conclusions: thirty items were considered valid and demonstrated important and significant characteristics, constituting suitable material for application in clinical practice.

Resumo Objetivo Verificar convergências e divergências entre a autoavaliação de enfermeiros assistenciais e as avaliações de gerentes imediatos na perspectiva de rol de competências profissionais de enfermagem. Métodos Estudo descritivo de abordagem quantitativa. Participaram 58 enfermeiros de um hospital universitário federal da região Norte do Brasil. Os dados foram obtidos utilizando-se dois questionários, um de autoavaliação do profissional e um de avaliação desses profissionais por seus gerentes de enfermagem imediatos. A análise dos dados foi realizada por meio de estatística descritiva, com centralização dos dados no programa Microsoft Excel 2016. Resultados Os enfermeiros adotavam competências profissionais Gerenciais, Assistenciais, Atitudinais e de Ensino. Os grupos Gerenciais e Assistenciais obtiveram maior destaque. Trabalho em Equipe e Supervisão da Equipe foram as competências Gerenciais mais evidenciadas. A maioria das competências identificadas apresentou convergência entre a autoavaliação e a avaliação de desempenho pelos gerentes dos serviços. Educação Permanente e Dimensionamento da Equipe surgiram de forma assimétrica entre as duas modalidades de avaliação. Entre as competências Assistenciais, Sistematização da Assistência de Enfermagem e Raciocínio Clínico foram as mais evidenciadas. As competências Atitudinais foram o grupo com maior divergência entre as avaliações, seguidas da competência Ensino/Preceptoria. Conclusão Evidenciou-se subjetividade nos processos de avaliação e autoavaliação de competências profissionais de enfermagem na instituição estudada, comumente gerando dissonâncias quando realizadas. A maioria das competências identificadas estava nos grupos Gerenciais e Assistenciais, apresentando convergência entre a avaliação de desempenho dos profissionais pelos gerentes dos serviços e sua autoavaliação.

Enquadramento: No serviço de urgência (SU) o stresse em enfermeiros pode ser incrementado por distintos fatores, com repercussão na sua esfera profissional e pessoal. Objetivos: Avaliar o stresse percecionado numa amostra de enfermeiros do SU de um centro hospitalar do norte de Portugal; identificar os principais fatores indutores de stresse percecionados na amostra; analisar a relação entre o stresse percecionado e as características sociodemográficas/profissionais Metodologia: Estudo transversal. Recorreu-se à Escala de Stresse Profissional dos Enfermeiros (ESPE), composta por 34 itens que abarcam sete fatores/três domínios. Resultados: Participaram no estudo 54 enfermeiros. Obteve-se uma pontuação média de 80,94 ± 11,95 no global da ESPE, bem acima do mínimo possível (= 34). A carga de trabalho e a morte constituíram os principais fatores indutores de stresse percecionados. Constataram-se dissemelhanças significativa em maior número com as habilitações académicas. Os mestres apresentaram pontuações mais elevadas de stresse percecionado nos fatores VI, III, V e no global. Conclusão: Os resultados permitem delinear estratégias ao nível individual e organizacional, a direcionar para as áreas geradoras de maior stresse.

ABSTRACT Objective: Develop and validate the content of an instrument for patient risk classification in emergency services of Primary Health Care. Method: The study included two stages: item generation and content validity. A literature review and retrospective analysis of medical records were conducted to create the instrument items. The Content Validity Ratio (CVR) was used to assess agreement among judges during content validation. Results: In the first and second rounds, 75 and 71 judges validated the risk classification instrument, respectively. The minimum adherence score for the latent variable item based on the final number of judges was 0.22 and 0.18; thus, 52 items, divided into three classification categories (red, orange, and yellow), were retained. Conclusion: The instrument was considered valid regarding clarity, relevance, pertinence, and agreement regarding the severity indicated in the item.