Online Brazilian Journal of Nursing

Description of cases of necrotizing enterocolitis in newborns of a university hospital in southern Brazil: a retrospective study

Giordana Morosini Presser — 2025-01-01

Objective: To describe the frequency of clinical and sociodemographic variables before necrotizing enterocolitis, as well as the frequency of cases, complications, and deaths in a university hospital. Method: A retrospective descriptive study was carried out by requesting an anonymized query that included newborns diagnosed with Necrotizing Enterocolitis of hospital acquisition and the variables before developing the disease in the five-year period. Results: In the study period, 59 cases of Necrotizing Enterocolitis occurred, with an incidence of 0.9 infections by patients/day in the Neonatology Unit. The surgical outcome occurred in 42.3% of the cases, and 18.6% died, variables were also obtained regarding pregnancy, birth, and hospitalization, which could be related to the studied cases. Conclusion: The low supply of breast milk exclusively, in only 5.1% of the cases, is one of the results that may have had a more significant influence on the rate of Necrotizing Enterocolitis of this Unit, being this a variable cited in many studies as the main form of prevention of infection. Neonatology teams must reevaluate their care processes, mainly by promoting human milk supply exclusively to babies.

Educational booklet for the promotion of immunization against COVID-19: construction and validation

Isabele Silva dos Santos — 2025-08-29

Objective: To describe the process of building and validating an educational booklet, aimed at the general population, about COVID-19 vaccines available in Brazil. Method: Methodological study, conducted between August 2022 and July 2023, operationalized in three stages, namely: (1) literature review, (2) construction of educational booklet and (3) content validation by expert judges through the online Delphi technique in two rounds. The participants were 56 health professionals, recruited through the Lattes Platform and the snowball technique. Items with Content Validity Index ≥ 0.80 and Kappa Index ≥ 0.70 were considered validated. Mann-Whitney and Cronbach Alpha tests were applied. Results: Verification of the validation of the primer in the Delphi 1 round had a global average of 0.88 and Kappa of 0.91. There were suggestions for improvements in the first version that were accepted and, the booklet was resubmitted to Delphi 2, having indexes in the value of 1. The Mann-Whitney test revealed significant difference and Cronbach's Alpha showed high reliability. Conclusion: The booklet “Vaccination against COVID-19: What do you need to know?” It has adequate content validity for the promotion of immunization against COVID-19.

Clinical protocol of intra-hospital transport of critical care patients: action research

Ana Paula Gomes da Cruz — 2025-07-31

Objective: To describe the process of developing and validating an intra-hospital transport protocol for critically ill patients. Method: Action research with a qualitative approach, conducted in a public university hospital in Southeast Brazil, with thirty-nine members of the multidisciplinary healthcare team who formed the Planning Group. Data collection occurred over nine seminars, using a flexible and non-linear script. Data were analyzed through categorical content analysis and descriptive statistics. Results: An intra-hospital transport protocol for critically ill patients was developed, along with five flowcharts and a transport checklist. Conclusion: The process was carried out with active and collaborative participation. The protocol will standardize tasks and procedures, ensuring safer and higher-quality care.

Mobile application for nursing on drug therapy in adults and elderly: Methodological study

Emellen Frez Muniz — 2025-08-01

Objective: To build and validate a mobile application for nursing aimed at preventing errors in drug therapy in clinical practice with adults and elderly. Method: methodological study of quantitative approach conducted between May and November 2023, in five stages: Literature review, content organization, application construction (designer and development), application validation by experts and adequacy of educational technology. The evaluation of content, appearance and usability was carried out through an online form with 13 experts. In the data collection, the instrument of Validation of Educational Content in Health was used, the instrument to validate the appearance of Educational Technology in Health and the System Usability Scale. Results: among the experts, the overall average score of the Content Validation Instrument was 0.98 (98%) and the Appearance Validation Instrument was 0.87 (87%), values considered excellent in the parameters of content validity and appearance. In the System Usability Scale, the final score of 91.2 points was obtained, a value considered best imaginable in the usability validity parameter. Conclusion: the mobile application was considered valid through the methodology applied

Health care organization as a technology for responding to dengue epidemics: an experience report

Lucia Teresa Côrtes da Silveira — 2025-06-25

Objective: To describe health care organization as a care technology to be considered when developing contingency plans in response to dengue epidemics. Method: This experience report outlines the care organization implemented by the state of Rio de Janeiro during the 2008 dengue epidemic. Results: The care organization adopted as a response technology during the 2008 dengue epidemic was built on an already overwhelmed health system. This exposed weaknesses in service delivery and health inequities. Conclusion: The breakdown of health care networks and existing social vulnerabilities highlighted the need for continuous, interdisciplinary, intersectoral, and adaptive planning processes when designing public health emergency response plans. Such an approach is essential to minimize the impact on affected populations.

Technological products and processes for innovation in health education: report of technological innovation

Rita Catalina Aquino Caregnato — 2025-01-01

Objective: To report on technological products and processes developed for innovation in health education. Method: Report on the production of 12 graduates guided by a permanent professor of a professional master’s program at a federal university, located in southern Brazil. Data collection in the own collection. Results: Most of the research was directed to the subject of patient safety in different health contexts. The typologies that led the technological processes were varied, and the methodological study was the most frequent. The products developed were: nine instructional materials, most educational videos available on the free online platform; four social technologies, multi-professional residency in onco-hematology, navigation program in a center of high complexity in oncology, translation and transcultural adaptation of the National Early Warning Score 2 to Brazilian Portuguese and municipal patient safety program in Porto Alegre; and an event. Conclusion: The technological processes allowed to develop 14 products contributing to health education and allowing the integration of the university with the health service and the community.

Redesign of a Role-Playing Game for adherence of adolescents on hemodialysis: Experience report

Pedro Lucas Carrera da Silva — 2025-08-29

Objective: To describe the process of redesigning the first version of a role-playing game designed to promote therapeutic adherence in children and adolescents on hemodialysis. The redesign was prompted by the results of an alpha test conducted with the initial version of the game. Method: This report outlines a technological innovation developed through the following stages: an initial brainstorming session among researchers, a literature review, reorganization of the game’s mechanics and dynamics, a second brainstorming session, creation of new maps using Inkarnate® and Dungeon Painter Studio®, addition and removal of characters, and the layout design of the instruction manual and narrative book. Results: The process led to a second version of the role-playing game that is more engaging, visually appealing, and functionally improved in terms of mechanics and gameplay dynamics. Conclusion: The redesign of the first version of the game followed essential steps to enhance the original version, resulting in a product better suited to its target audience. The two brainstorming sessions facilitated the exchange of ideas and helped clarify feedback obtained during the initial testing phase.