RESUMO:A prática baseada em evidências é uma abordagem que encoraja o desenvolvimento e/ ou utilização de resultados de pesquisas na prática clínica. Devido à quantidade e complexidade de informações na área da saúde, há necessidade de produção de métodos de revisão de literatura, dentre estes, destacamos a revisão integrativa. Assim, o objetivo do estudo foi apresentar os conceitos gerais e as etapas para a elaboração da revisão integrativa, bem como aspectos relevantes sobre a aplicabilidade deste método para a pesquisa na saúde e enfermagem. A revisão integrativa é um método de pesquisa que permite a busca, a avaliação crítica e a síntese das evidências disponíveis do tema investigado, sendo o seu produto final o estado atual do conhecimento do tema investigado, a implementação de intervenções efetivas na assistência à saúde e a redução de custos, bem como a identificação de lacunas que direcionam para o desenvolvimento de futuras pesquisas.ABSTRACT: Evidence based practice is an approach that encourages the development and/or use of research results in clinical practice. Due to the quantity and complexity of information in health care, literature review methods need to be produced. Among such methods, we highlight the integrative review. Hence, this study aimed to present the general concepts and steps for the elaboration of an integrative review, as well as relevant aspects about the applicability of this method for health and nursing research. The integrative review is a research method that allows for the search, critical assessment, and synthesis of available evidence about the research theme. Its end product is the current stage of knowledge about the investigated theme, the implementation of effective interventions in health care and cost reduction, as well as the identification of gaps that indicate developments for future research. RESUMEN:La práctica basada en evidencias es una aproximación que encoraja el desarrollo y/o utilización de resultados de investigaciones en la práctica clínica. Debido a la cuantidad y la complejidad de informaciones en el área de la salud, es necesario producir métodos de revisión de la literatura, entre los cuales destacamos la revisión integradora. Así, la finalidad del estudio fue presentar los conceptos generales y las etapas para la elaboración de la revisión integradora, y también, aspectos relevantes sobre la aplicabilidad de ese método para la investigación en la salud y la enfermería. La revisión integradora es un método de investigación que permite la búsqueda, la evaluación crítica y la síntesis de las evidencias disponibles sobre el tema investigado, siendo su producto final el estado actual del conocimiento del tema investigado, la implementación de intervenciones efectivas en la atención a la salud y la reducción de costos, y también, la identificación de vacíos que dirigen hacia el desarrollo de futuras investigaciones. PALAVRAS-CHAVE:Pesquisa. Enfermagem. Saúde.

Systematic review is an important resource in evidence-based practice, which consists in a form of synthesizing the research results related to a specific problem. This article aimed to offer subsidies for reflections with a view to the construction and/or application of systematic reviews in the nursing environment. Based on the literature, authors presented the phases comprising a systematic review and the relevant aspects that must be considered for using this resource.

Making nursing diagnoses is the second step of the nursing process. It is a source of nursing knowledge and essential for the planning and implementing of effective nursing interventions that promote quality nursing care. Integrative literature review is a research method that allows for gathering and synthesizing available evidence about a topic. Thus, the purpose of this review was to argue that integrative literature review is the initial step in the nursing diagnoses validation process. Important aspects in conducting integrative literature reviews are presented through an example, including their contributions to refine and validate nursing diagnoses proposed by the North American Nursing Diagnosis Association International's (NANDA-I) Taxonomy II, which can guide the planning and implementation of quality nursing. Keywords: Nursing diagnosis; Nursing research; Nursing RESUMO O diagnóstico de enfermagem é a segunda etapa do processo de enfermagem e pode ser considerada uma fonte de conhecimento científico para a enfermagem, tornando-se fundamental para o planejamento e implementação de intervenções eficazes que proporcionem a melhoria da assistência prestada ao paciente. A revisão integrativa é um método de pesquisa que permite reunir e sintetizar as evidências disponíveis sobre o tema investigado. Assim, o presente artigo teve como objetivo apresentar a revisão integrativa da literatura como etapa inicial do processo de validação de diagnóstico de enfermagem. Por meio de um exemplo, apresentam-se aspectos importantes na construção da revisão integrativa e as contribuições deste método para aperfeiçoar e legitimar os diagnósticos de enfermagem descritos pela Taxonomia II da North American Nursing Diagnosis Association (NANDA), contribuindo para sua capacidade de generalização e de predição, visando à proposição de diretrizes para o cuidado. Descritores: Diagnóstico de enfermagem; Pesquisa em enfermagem; Enfermagem RESUMENEl diagnóstico de enfermería es la segunda etapa del proceso de enfermería y puede ser considerada como una fuente de conocimiento científico para la enfermería, haciéndose fundamental para la planificación e implementación de intervenciones eficaces que proporcionen la mejoría de la atención prestada al paciente. La revisión integradora es un método de investigación que permite reunir y sintetizar las evidencias disponibles sobre el tema investigado. Así, en el presente artículo se tuvo como objetivo presentar la revisión integradora de la literatura como etapa inicial del proceso de validación del diagnóstico de enfermería. Mediante un ejemplo, se presentan aspectos importantes en la construcción de la revisión integradora y las contribuciones de este método para perfeccionar y legitimar los diagnósticos de enfermería descritos por la Taxonomía II de la North American Nursing Diagnosis Association (NANDA), contribuyendo a su capacidad de generalización y de predicción, visando a la proposición de directivas para el cuidado.

Objective: present the use of the bibliographic reference manager EndNote( as a support tool in the construction of a database and the selection of primary studies to develop integrative reviews. Method: a reflection study was undertaken, based on the international and the Brazilian literature. Results: the elaboration of an integrative review permits summarizing the knowledge about the theme of interest delimited in the health area, which can contribute by providing recommendations based on research results for clinical practice, as well as by identifying knowledge gaps, driving future research development. The use of bibliographic reference management tools is important for the selection of primary studies, permitting the location of repeated references, identification of languages, selection of publication periods and the creation of citations in the elaboration of the scientific text, among other resources. Conclusion: the advance in technologies, particularly the software EndNote(, has provided resources for the practicability of knowledge synthesis methods, in a transparent and replicable manner, consequently entailing a better quality of this type of study.

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Objective: to build and validate a scale to assess the risk of surgical positioning injuries in adult patients. Method: methodological research, conducted in two phases: construction and face and content validation of the scale and field research, involving 115 patients. Results: the Risk Assessment Scale for the Development of Injuries due to Surgical Positioning contains seven items, each of which presents five subitems. The scale score ranges between seven and 35 points in which, the higher the score, the higher the patient's risk. The Content Validity Index of the scale corresponded to 0.88. The application of Student's t-test for equality of means revealed the concurrent criterion validity between the scores on the Braden scale and the constructed scale. To assess the predictive criterion validity, the association was tested between the presence of pain deriving from surgical positioning and the development of pressure ulcer, using the score on the Risk Assessment Scale for the Development of Injuries due to Surgical Positioning (p<0.001). The interrater reliability was verified using the intraclass correlation coefficient, equal to 0.99 (p<0.001). Conclusion: the scale is a valid and reliable tool, but further research is needed to assess its use in clinical practice.

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Objective:to analyze evidences of psychological aspects of patients with intestinal stoma. Method:integrative review with search of primary studies in the PsycINFO, PubMed, CINAHL and WOS databases and in the SciELO periodicals portal. Inclusion criteria were: primary studies published in a ten-year period, in Portuguese, Spanish or English, available in full length and addressing the theme of the review. Results:after analytical reading, 27 primary studies were selected and results pointed out the need to approach patients before surgery to prevent the complications, anxieties and fears generated by the stoma. The national and international scientific production on the experience of stomized patients in the perioperative moments is scarce. Conclusion:it is recomendable that health professionals invest in research on interventions aimed at the main psychological demands of stomized patients in the perioperative period, respecting their autonomy on the decisions to be made regarding their health/illness state and treatments.