Online Brazilian Journal of Nursing https://www.objnursing.uff.br/index.php/nursing <p>The <strong>Online Brazilian Journal of Nursing</strong> (ISSN: 1676-4285), created in 2002, is affiliated with the Aurora de Afonso Costa School of Nursing at the Fluminense Federal University, whose objective is to disseminate scientific production and strengthen graduate programs in nursing and health.</p> <p>Its abbreviated title is <strong>Online Braz J Nurs</strong>, which should be used in footnotes, legends, and bibliographic references.</p> <p><strong>Thematic area of the journal:</strong> Nursing.</p> <p><strong>Journal's audience:</strong> Professors, Researchers, Health professionals, Undergraduate and graduate students, and related areas.</p> <p>Indexed in <strong>Scopus</strong>.</p> <p><strong>Periodicity:</strong> Rolling pass.</p> <p><strong>Responsible editors:</strong> Rosimere Ferreira Santana and Geilsa Soraia Cavalcanti Valente.</p> <p><strong>Instagram:</strong> @objnursing</p> en-US <p>Authorizations granted for the storage and access of OBJN articles can be consulted in the <a href="https://diadorim.ibict.br/vufind/Record/2-3bbcf9ac-20f0-4621-9106-2533b6ba554a?sid=757037">Diadorim</a> or <a href="https://miguilim.ibict.br/handle/miguilim/8648">Miguilim</a> information services.</p> objn.cme@id.uff.br (Rosimere Ferreira Santana) objn.cme@id.uff.br (Produção Editorial) Wed, 01 Jan 2025 00:00:00 +0000 OJS 3.2.1.1 http://blogs.law.harvard.edu/tech/rss 60 Technological products and processes for innovation in health education: report of technological innovation https://www.objnursing.uff.br/index.php/nursing/article/view/6776 <p><strong>Objective: </strong><span style="font-weight: 400;">To report on technological products and processes developed for innovation in health education. </span><strong>Method: </strong><span style="font-weight: 400;">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. </span><strong>Results: </strong><span style="font-weight: 400;">Most of the research</span> <span style="font-weight: 400;">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 </span><em><span style="font-weight: 400;">the National Early Warning </span></em><span style="font-weight: 400;">Score 2 to Brazilian Portuguese and municipal patient safety program in Porto Alegre; and an event.</span><strong> Conclusion: </strong><span style="font-weight: 400;">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.</span></p> Rita Catalina Aquino Caregnato, Sophia Costa Almeida, Patricia Conzatti, Michel Doebber, Francine Ullrich Carrazzoni dos Reis Copyright (c) 2025 Online Brazilian Journal of Nursing https://creativecommons.org/licenses/by/4.0 https://www.objnursing.uff.br/index.php/nursing/article/view/6776 Wed, 01 Jan 2025 00:00:00 +0000 Clinical protocol of intra-hospital transport of critical care patients: action research https://www.objnursing.uff.br/index.php/nursing/article/view/6810 <p><strong>Objective:</strong> To describe the process of developing and validating an intra-hospital transport protocol for critically ill patients. <strong>Method:</strong> 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. <strong>Results:</strong> An intra-hospital transport protocol for critically ill patients was developed, along with five flowcharts and a transport checklist. <strong>Conclusion:</strong> The process was carried out with active and collaborative participation. The protocol will standardize tasks and procedures, ensuring safer and higher-quality care.</p> Ana Paula Gomes da Cruz, Eliane de Fátima Almeida Lima, Verónica Rita Dias Coutinho, Greyce Pollyne Santos Silva Minarini, Karla Crozeta Figueiredo, Cândida Caniçali Primo Copyright (c) 2025 Online Brazilian Journal of Nursing https://creativecommons.org/licenses/by/4.0 https://www.objnursing.uff.br/index.php/nursing/article/view/6810 Thu, 31 Jul 2025 00:00:00 +0000 Mobile application for nursing on drug therapy in adults and elderly: Methodological study https://www.objnursing.uff.br/index.php/nursing/article/view/6805 <p><strong>Objective:</strong><span style="font-weight: 400;"> To build and validate a mobile application for nursing aimed at preventing errors in drug therapy in clinical practice with adults and elderly.&nbsp;</span><strong>Method:</strong><span style="font-weight: 400;"> 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 </span><em><span style="font-weight: 400;">experts.</span></em><span style="font-weight: 400;"> 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 </span><em><span style="font-weight: 400;">System Usability Scale.</span></em> <strong>Results:</strong><span style="font-weight: 400;"> 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.</span> <span style="font-weight: 400;">In the </span><em><span style="font-weight: 400;">System Usability Scale,</span></em><span style="font-weight: 400;"> the final score of 91.2 points was obtained, a value considered best imaginable in the usability validity </span><span style="font-weight: 400;">parameter.</span><strong> Conclusion</strong><span style="font-weight: 400;">: the mobile application was considered valid through the methodology applied</span></p> Emellen Frez Muniz, Ana Caroliny Eugenio, Maithê de Carvalho e Lemos Goulart, Ariane Capistrano de Oliveira, Yasmin Faturine Ribeiro Costa de Almeida, Fernanda Garcia Bezerra Góes Copyright (c) 2025 Online Brazilian Journal of Nursing https://creativecommons.org/licenses/by/4.0 https://www.objnursing.uff.br/index.php/nursing/article/view/6805 Fri, 01 Aug 2025 00:00:00 +0000 Description of cases of necrotizing enterocolitis in newborns of a university hospital in southern Brazil: a retrospective study https://www.objnursing.uff.br/index.php/nursing/article/view/6767 <p><strong>Objective:</strong> 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. <strong>Method:</strong> 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. <strong>Results: </strong>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. <strong>Conclusion:</strong> 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.</p> Giordana Morosini Presser, Laura Leismann de Oliveira, Loriane Rita Konkewicz, Virgínia Leismann Moretto Copyright (c) 2025 Online Brazilian Journal of Nursing https://creativecommons.org/licenses/by/4.0 https://www.objnursing.uff.br/index.php/nursing/article/view/6767 Wed, 01 Jan 2025 00:00:00 +0000 Educational booklet for the promotion of immunization against COVID-19: construction and validation https://www.objnursing.uff.br/index.php/nursing/article/view/6809 <p><strong>Objective:</strong> To describe the process of building and validating an educational booklet, aimed at the general population, about COVID-19 vaccines available in Brazil. <strong>Method:</strong> 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. <strong>Results:</strong> 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. <strong>Conclusion:</strong> 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.</p> Isabele Silva dos Santos, Richardson Augusto Rosendo da Silva, Alessandra Conceição Leite Funchal Camacho, Jose Rebberty Rodrigo Holanda, Thais Targino Ferreira, Sérgio Danillo Santana de Lima Juraci, Janmilli da Costa Dantas, Harlon França de Menezes Copyright (c) 2025 Online Brazilian Journal of Nursing https://creativecommons.org/licenses/by/4.0 https://www.objnursing.uff.br/index.php/nursing/article/view/6809 Fri, 29 Aug 2025 00:00:00 +0000 Redesign of a Role-Playing Game for adherence of adolescents on hemodialysis: Experience report https://www.objnursing.uff.br/index.php/nursing/article/view/6815 <p><strong>Objective</strong><span style="font-weight: 400;">: 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. </span><strong>Method</strong><span style="font-weight: 400;">: 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. </span><strong>Results</strong><span style="font-weight: 400;">: 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. </span><strong>Conclusion</strong><span style="font-weight: 400;">: 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.</span></p> Pedro Lucas Carrera da Silva, Fernanda de Nazaré Almeida Costa, Amanda Gomes Diniz Pimenta, Elizabeth Teixeira, Silvia Teresa Carvalho de Araújo, Paulo Elias Gotardelo Audebert Delage Copyright (c) 2025 Online Brazilian Journal of Nursing https://creativecommons.org/licenses/by/4.0 https://www.objnursing.uff.br/index.php/nursing/article/view/6815 Fri, 29 Aug 2025 00:00:00 +0000