This retrospective, descriptive-exploratory study aimed to formulate the most frequent nursing diagnoses (ND) among inpatients with ischemic heart disease and its association with sociodemographic and clinical data. Data collection was carried out by an instrument based on defining characteristics and risk factors (Taxonomy II, North American Nursing Diagnosis Association International) and submitted to descriptive and inferential analyses to test the association between ND and demographic and clinical data. Seventy-seven ND were formulated, and 18 ND were above 75 percentile. From those ND, 15 were associated to at least one sociodemographic or clinical variable as gender, age, marital status, professional activity and associated clinical condition.

Objective: to reflect on the challenges and power of the nursing care process in Primary Health Care in the face of the New Coronavirus, COVID-19, in the Brazilian scenario. Method: reflective study, based on the discursive formulation in the context of COVID-19 in Primary Health Care, based on theoretical foundations and practical effects of neoliberal policy, the care process, and Nursing. Results: in Brazil, COVID-19, has caused the need for challenges for strengthening primary care in the face of neoliberal policy, but it presents the potential of dialogue with communities and the (re)creation of the nursing care process through solidary collaborative networks. Final considerations: reflecting on the nursing care process in primary care restores the strength present in the cooperation between health teams and community solidarity networks to change social and health circumstances, despite the challenge imposed by underfunding aggravated by neoliberalism.

Background Interventions to change health professionals’ behaviour are often difficult to replicate. Incomplete reporting is a key reason and a source of waste in health research. We aimed to assess the reporting of shared decision making (SDM) interventions. Methods We extracted data from a 2017 Cochrane systematic review whose aim was to determine the effectiveness of interventions to increase the use of SDM by healthcare professionals. In a secondary analysis, we used the 12 items of the Template for Intervention Description and Replication (TIDieR) checklist to analyze quantitative data. We used a conceptual framework for implementation fidelity to analyze qualitative data, which added details to various TIDieR items (e.g. under “what materials?” we also reported on ease of access to materials). We used SAS 9.4 for all analyses. Results Of the 87 studies included in the 2017 Cochrane review, 83 were randomized trials, three were non-randomized trials, and one was a controlled before-and-after study. Items most completely reported were: “brief name” (87/87, 100%), “why” (rationale) (86/87, 99%), and “what” (procedures) (81/87, 93%). The least completely reported items (under 50%) were “materials” (29/87, 33%), “who” (23/87, 26%), and “when and how much” (18/87, 21%), as well as the conditional items: “tailoring” (8/87, 9%), “modifications” (3/87, 4%), and “how well (actual)” (i.e. delivered as planned?) (3/87, 3%). Interventions targeting patients were better reported than those targeting health professionals or both patients and health professionals, e.g. 84% of patient-targeted intervention studies reported “How”, (delivery modes), vs. 67% for those targeting health professionals and 32% for those targeting both. We also reported qualitative analyses for most items. Overall reporting of items for all interventions was 41.5%. Conclusions Reporting on all groups or components of SDM interventions was incomplete in most SDM studies published up to 2017. Our results provide guidance for authors on what elements need better reporting to improve the replicability of their SDM interventions.

Esta Nota Técnica foi produzida no âmbito da Rede de Pesquisa em Atenção Primária à Saúde da Associação Brasileira de Saúde Coletiva (Abrasco) com o propósito de colaborar para o desenvolvimento da agenda estratégica da Rede. Participaram de sua elaboração representantes da Associação Brasileira de Enfermagem de Família e Comunidade (Abefaco) e Associação Brasileira de Enfermagem (ABEn). O documento com a temática Enfermagem na Atenção Primária à Saúde (APS) faz parte de um conjunto de outras notas da Rede e tem por objetivos: apresentar um retrato sobre a atuação da Enfermagem e suas contribuições para o fortalecimento da Estratégia Saúde da Família (ESF) no Brasil; e tecer recomendações que permitam o seu desenvolvimento, a partir dos elementos críticos do contexto atual do país que interferem nas atividades profissionais. Ao longo do tempo, a Enfermagem apresenta uma participação sociopolítica importante na construção da APS, em conjunto com as demais profissões da área da saúde. Sua atuação exibe elementos significativos que colaboram com o desenvolvimento dos atributos da APS, sobretudo se tomar a ESF como modelo prioritário para o Sistema Único de Saúde (SUS). Contudo, destaca-se que a profissão, apesar de seus esforços, devido à estrutura sociopolítica e econômica, ainda não obteve o reconhecimento e a visibilidade merecidos. A partir dessa produção, alguns pontos-chave podem ser destacados: A centralidade da ESF como modelo prioritário para uma Política Nacional de Atenção Básica (PNAB) que fortaleça a APS e a universalidade do SUS. A Enfermagem na contribuição e consolidação da ESF pela amplitude de áreas de atuação e escopo de práticas. A estrutura social, política e econômica, que traz implicações diretas à Enfermagem, com prejuízo para o seu desenvolvimento, relacionado à gestão do trabalho, formação, atuação e reconhecimento social. A PNAB de 2017, que trouxe repercussões críticas para o processo de trabalho das equipes de saúde da família (eSFs), assim como para a Enfermagem. A compreensão de que o campo da gestão do trabalho e educação na saúde, a participação sociopolítica da Enfermagem e o fortalecimento de sua especialidade na APS podem impulsionar a agenda estratégica da Rede de Pesquisa em APS da Abrasco, assim como outras iniciativas. A relevância em alcançar os Objetivos de Desenvolvimento Sustentável (ODS) na atuação profissional pelas eSFs.

O Esporte Sem Parar é um projeto de extensão da Secretaria Nacional de Esporte, Lazer e Inclusão Social, em parceria com a ONG Contato e a Universidade Federal do Estado do Rio de Janeiro. Este artigo objetiva relatar a experiência do encontro de capacitação presencial da equipe do projeto durante a pandemia de COVID-19, na perspectiva da Teoria da Expectativa de Vroom. Estudo qualitativo, do tipo relato de experiência. Os resultados mostram que a biossegurança, diante de estabilidade epidemiológica, viabiliza treinamentos presenciais. A expectativa encontrada foi que o esforço empregado pela equipe conduzirá à realização pessoal, criação de vínculo, inclusão social, melhora da saúde, relacionamento interpessoal, espaço de convivência e apoio às pessoas socialmente vulneráveis. Conclui-se que a melhora na qualidade de vida possui valência para estes participantes, segundo a Teoria da Expectativa de Vroom, e pode ser a motivação para profissionais e participantes continuarem as atividades

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Introduction: An Implementation Intention strategy might be effective in transforming a positive intention to reduce salt intake into effective action among heart-failure patients. Objective: To assess the potential efficacy of an Implementation Intention intervention to reduce salt intake among heart-failure patients. Methods: Randomized controlled trial. The 60 heart-failure patients recruited were first randomized into 2 groups: an experimental group (EG) and a control group (CG). The study population was further broken down into 4 groups depending on whether the individuals prepared their own meals: 2 individual groups (EG-Individual and CG-Individual); and 2 collaborative groups, involving the patient and a social referent (EG-Collaborative and CG- Collaborative). The experimental groups developed action and coping plans based on the Implementation Intention. Total salt intake was calculated through discretionary salt, sodium-food frequency questionnaires, and 24-hour recall, obtained at the baseline (T0) and at the 2-month follow-up (T3). Results: 56 patients ended the follow-up. A reduction in the total salt intake was observed in the EGs (Individual and Collaborative) compared to baseline (5.04g/day vs. 12.21g/day for the EG-Individual (p≤0.001); 4.79g/day vs. 11.43g/day for the EG-Collaborative; p≤0.001). The multivariate analysis showed that the 2 EGs had lower salt intake at T3 than the 2 CGs (95% CI 4.19-9.29 for individual groups vs. 95% CI 4.84-10.22 for collaborative groups). There were no differences between the 2 EGs (95% CI –2.77 to 2.41). The total variance explained (R2) by these comparisons was 0.70. Discussion and conclusion: This study suggests that Implementation Intention might be effective in reducing salt intake among heart-failure patients, either individually or collaboratively. Further research testing mediator and moderator effects of the psychosocial variables are recommended.

Introduction: Because it is a chronic disease of progressive evolution, heart failure requires nursing attitudes and practices that are articulated with palliative care, implemented in an interdisciplinary team along with patients and their families. Objective: Identifying nurses’ attitudes and practices in palliative care in cardiology. Method: Integrative literature review. The searches were carried out in the following bases: Google Scholar, Virtual Health Library, LILACS, SciELO, Embase, MEDLINE, CINAHL, and Scopus; through the terms Palliative Care AND Cardiology AND Nursing. Results: We identified 1298 studies published in the last five years, 14 of which have been selected for the scope of this review. Nurse attitudes and practices were characterized as: approach to symptom control; promotion of comfort and well-being; integrality of care and family orientation; effective communication among patients, family members and nursing team; timely evaluation for palliative care. Most of the studies included in this review have evidence level 2C (n = 7) and 2B (n = 4). Therefore, the results can be interpreted as reliable. Conclusions: This study makes important contributions to the practice of nurses in palliative care for heart failure. Based on the evidence collected, nurses can develop actions with the nursing team and with the interdisciplinary team related to direct patient and family care, as well as professional training. However, the field lacks studies showing the practices and actions implemented by the nursing team.