Health literacy, a more complex concept than knowledge, is a required capacity to obtain, understand, integrate and act on health information [1], in order to enhance individual and community health, which is defined by different levels, according to the autonomy and personal capacitation in decision making [2]. Medium levels of Health literacy in an adolescent population were found in a study conducted in 2013/2014, being higher in sexual and reproductive health and lower in substance use. It was also noticed that the higher levels of health literacy were in the area adolescents refer to have receipt more health information. The health literacy competence with higher scores was communication skills, and the lower scores were in the capacity to analyze factors that influence health. Higher levels were also found in younger teenagers, but in a higher school level, confirming the importance of health education in these age and development stage. Adolescents seek more information in health professionals and parents, being friends more valued as a source information in older adolescents, which enhance the importance of peer education mainly in older adolescents [3]. As a set of competences based on knowledge, health literacy should be developed through education interventions, encompassing the cultural and social context of individuals, since the society, culture and education system where the individual is inserted can define the way the development and enforcement of the health literacy competences [4]. The valued sources of information should be taken into account, as well as needs of information in some topics referred by adolescents in an efficient health education. Schizophrenia is a serious and chronic mental illness which has a profound effect on the health and well-being related with the well-known nature of psychotic symptoms. The exercise has the potential to improve the life of people with schizophrenia improving physical health and alleviating psychiatric symptoms. However, most people with schizophrenia remains sedentary and lack of access to exercise programs are barriers to achieve health benefits. The aim of this study is to evaluate the effect of exercise on I) the type of intervention in mental health, II) in salivary levels of alpha-amylase and cortisol and serum levels of S100B and BDNF, and on III) the quality of life and selfperception of the physical domain of people with schizophrenia. The sample consisted of 31 females in long-term institutions in the Casa de Saúde Rainha Santa Isabel, with age between 25 and 63, and with diagnosis of schizophrenia according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR). Physical fitness was assessed by the six-minute walk distance test (6MWD). Biological variables were determined by ELISA (Enzyme-Linked Immunosorbent Assay). Psychological variables were assessed using SF-36, PSPP-SCV, RSES and SWLS tests. Walking exercise has a positive impact on physical fitness (6MWD -p = 0.001) and physical components of the psychological test...

Conclusões: Os resultados salientam a necessidade de mais compromisso da liderança com a segurança, melhoria das dotações de recursos humanos e materiais, articulação e comunicação entre os diferentes profissionais e serviços, formação dos profissionais sobre gestão do risco e segurança dos doentes, assim como maior desenvolvimento da cultura de segurança.Palavras-chave: Segurança do doente; enfermagem; risco; liderança. RESUMENObjetivos: Este estudio tiene como objetivo caracterizar los principales eventos adversos asociados con la práctica de enfermería en pacientes hospitalizados y entender cómo los diferentes factores ambientales interactúan en su ocurrencia. Métodos: Estudio cualitativo dentro de la entrevistas semiestructuradas. Se entrevistó a 18 enfermeras que trabajan en los servicios hospitalarios. Los informes se analizaron siguiendo el modelo de análisis de eventos adversos (1) . Resultados: Los informes muestran una gran variabilidad de los incidentes de seguridad, poniendo de relieve los errores de medicación, caídas, errores de omisión y comisión en la realización de las prácticas de enfermería, tales como fallos en la supervisión, ensayo clínico, la privacidad y la defensa del paciente. Identificamos la cadena de factores humanos y sistémicos que intervinieron en la ruta del evento. Los resultados ponen de manifiesto la posible asociación entre la ocurrencia de eventos adversos, las prácti-cas de enfermería menos adecuados y ambientes de trabajo desfavorables. Conclusiones:Los resultados ponen de manifiesto la necesidad de un mayor compromiso de liderazgo a la seguridad, la mejora de los créditos de los recursos humanos y materiales, la coordinación y la comunicación entre los diferentes profesionales y servicios, la capacitación de los profesionales en la gestión de riesgos y seguridad del paciente, así como mayores desarrollo de la cultura de la seguridad.Palabras clave: Seguridad del paciente; enfermería; riesgo; liderazgo. ABSTRAcTPurpose: Aims to characterize the main adverse events associated with the practice of nursing, in hospitalized patients and understand how different circumstantial facts interact in its occurrence. Methods: This is a qualitative study using semi-structured interviews. Were IntroduçãoA segurança do doente, particularmente a ocorrência de eventos adversos (EAs) nos cuidados de saúde, é uma preocupação crescente das organizações de saúde e de todos os stakeholders deste setor, reconhecida como área prioritária e incontornável da qualidade em saúde.Os enfermeiros têm uma posição privilegiada na prestação de cuidados de saúde seguros, mas esta posição coloca-os frequentemente na trajetória de ocorrência de eventos adversos (2) .

Papéis de liderança de Quinn...

Background: Improving surgical safety is one of the objectives of the National Patient Safety Plan. Assessing the perception of nurses will contribute to a greater commitment to its application. Objectives: To construct and validate a questionnaire to evaluate patient safety in the operating room (OR). Methodology: Methodological research study. Development of a questionnaire, submitted to a Delphi panel, and study of its psychometric characteristics in a sample of 1,001 nurses. Construct validity study carried out by exploratory factorial analysis with Varimax rotation and convergent and discriminating validity. Its reliability was assessed using Cronbach's alpha coefficient (α). Results: The validation by the Delphi panel resulted in a version composed of 79 items, which assess nine areas of patient safety (APS). Correlation matrices (p > 0.00) and Kaiser-Meyer-Olkin measures > 0.8 in the APS 9 ensure good adequacy of the factorial model, which groups the items into 19 dimensions with α values between 0.66 and 0.98. Conclusion: The questionnaire meets the validity requirements, revealing the high capacity for research use.

Background: Most healthcare incidents occur in the operating room. Thus, it is essential to implement patient safety policies. Objective: Characterize perioperative nurses' perceptions of patient safety in the operating room. Methodology: Descriptive study using sampling by clusters of hospitals. The sample consisted of 1,001 nurses from 46 operating rooms. The Patient Safety in the Operating Room Questionnaire was applied and IBM SPSS Statistics software, version 25.0, was used for data processing. Results: The analysis of the percentages of positive answers revealed that most patient safety dimensions have a low level of implementation (<50%), particularly those regarding audits. Only the dimensions concerning good practices in unambiguous patient identification and antimicrobial resistance and infection control and prevention had high levels of implementation (≥75%). Conclusion:The results point to opportunities for improvement in the generality of dimensions of patient safety in the operating room.