Objective. To identify the profile of nursing diagnoses in people with hypertension and diabetes in primary health care. Methods. A cross-sectional study involving 175 individuals followed up in eight primary health units of Minas Gerais, Brazil. Data collection was made through interview and physical examination, and diagnostic inference was made according with NANDA-I Taxonomy II. Results. The average age of the users was 62.1 years and the female gender predominated (66.9%). A total of 26 diagnoses were identified, an average of 16 per client (standard deviation=3.9). The most frequent problem-focused diagnosis were: Ineffective Health Management (98.9%), Ineffective Peripheral Tissue Perfusion (78.3%), Sedentary lifestyle (74.3%), Obesity (54.3%) and Insomnia (51.4%). With respect to the defining characteristics and related factors, the average per person was 24 and 28, respectively. Conclusion. In this group of clients, the most frequent diagnoses were in the domain activity/rest. These diagnoses are the basis for planning nursing interventions and provide improved quality of life for these clients.

ABSTRACT Objectives: to identify and synthesize scientific evidence on prevention and management of extravasation of antineoplastic agents in adult patients by nurses. Methods: scoping review, according to Joanna Briggs Institute and PRISMA-ScR. Research was conducted in five electronic databases, Cochrane Library and eight catalogs of theses and dissertations. Data collection occurred from April to July 2018, with no time limit. The extracted data were analyzed and synthesized in a narrative way. Results: a total of 3,110 records were retrieved and 18 studies were kept for review. Most publications (66.6%) had a qualitative approach and addressed both aspects, i.e., prevention and management of extravasation of chemotherapy in adult patients. Conclusions: the implementation of protocols based on scientific evidence on prevention and management of extravasation of antineoplastic agents is paramount in order to provide patient safety and support to the nursing staff.

Construção e avaliação de bundle frente ao extravasamento de antineoplásicos: estudo metodológico Bundle construction and assessment before antineoplastic extravasation: a methodological study Construcción y evaluación de bundle ante la extravasación de antineoplásicos: estudio metodológico

Objectives: to elaborate and validate a data collection tool for nursing consultation with men in the context of Primary Health Care. Method: a methodological study developed in four stages. The first one consisted in tool elaboration, using databases and the Dorothea Orem’s theoretical model. In the second and third stages, content validation and tool appearance by 23 nurse judges took place. The Concordance Index was used for assessment. In the fourth stage, a pilot test was carried out with 20 men using Primary Health Care. Results: of the 145 indicators prepared, organized and submitted to validation process, items with the Concordance Index <0.80 were excluded. The final tool consisted of 156 items. An overall 0.88 Concordance Index calculation was obtained. Conclusions: the final tool presented content validity for data collection with men in Primary Health Care.

Objective: to collectively construct a fully implanted central venous catheter care protocol with nurses from a highly complex oncology center. Method: a convergent care research, conducted at a hospital qualified as a highly complex oncology care unit in Minas Gerais, Brazil, from September 2017 to January 2018. The construction of the protocol was guided by Evidence Based Practice. Initially, data was collected from client records. After that, five workshops were held with the nurses, aiming to verify the material and human resources available, besides the viable care to compose the protocol. The analysis involved processes of apprehension, synthesis, theorization and transference. Results: most of the 219 medical records evaluated from clients with fully implanted venous catheters were female (77.1%), with a mean age 49.6 years old, breast cancer, and average catheter stay of 502 days. The nurses participating in the research were female, with a mean age 30.2 years old, time since graduation of 5.2 years and experience in oncology of 4.8 years on average. During the workshops, the participants reflected on the daily routine of the service, with a theoretical and scientific basis, which allowed, considering the professionals' opinion, to verify the care evidences and the practicability of the practices in the study scenario for the construction of a protocol. Care emerged related to puncture, manipulation, salinization and catheter clearance. Conclusion: the protocol construction process involved the participation of all oncology nurses, and all the mentioned care has scientific evidence for its use.

Validação de um instrumento para consulta de enfermagem à pessoa com diabetes mellitus e/ou hipertensão arterial Validation of a tool for nursing appointment to the person with diabetes mellitus and/ or systemic hypertension Validación de un instrumento para la consulta de enfermería a la persona con diabetes mellitus y/o hipertensión arterial

RESUMOObjetivo: investigar a existência de Síndrome do Esgotamento Profissional e Transtornos Mentais Comuns em enfermeiros oncologistas. Método: estudo quantitativo, correlacional, com enfermeiros oncologistas. A coleta de dados utilizou um roteiro semiestruturado e o inventário de Burnout de Maslach e Jackson (Maslach Burnout Inventory-MBI). Resultados: participaram 29 enfermeiros oncologistas, sendo a maioria do sexo feminino, com média de idade 32,6 anos, e a prevalência de Transtornos Mentais Comuns foi de 27,6%. Houve a presença das três dimensões sugestivas de Burnout em 6,9% dos enfermeiros; outros 6,9% em duas dimensões, e 41,4% em, pelo menos, uma dimensão. As variáveis estresse e autoestima apresentaram correlação significativa. Dentre essas dimensões, houve a correlação estatisticamente significativa de uma delas e Transtornos Mentais Comuns. Conclusão: os enfermeiros oncologistas apresentaram alto nível em algumas das dimensões do Burnout. A contribuição deste estudo foi apontar que estes profissionais precisam de medidas de prevenção e resolução da Síndrome do Esgotamento Profissional para auxiliar no enfrentamento dos problemas cotidianos. Descritores: Esgotamento profissional; Transtornos Mentais; Enfermagem; Saúde do trabalhador; Enfermagem oncológica; Oncologia.ABSTRACT Objective: to investigate the existence of Professional Exhaustion Syndrome and Common Mental Disorders in oncologist nurses. Method: a quantitative, correlational study with oncologist nurses. Data collection used a semi-structured script and the Maslach Burnout Inventory (MBI). Results: 29 female oncologists participated, the majority being female, with a mean age of 32.6 years, and the prevalence of Common Mental Disorders was 27.6%. There were the three dimensions suggestive of Burnout in 6.9% of the nurses; another 6.9% in two dimensions, and 41.4% in at least one dimension. The variables stress and self-esteem showed a significant correlation. Among these dimensions, there was a statistically significant correlation between one of them and Common Mental Disorders. Conclusion: nurses oncologists presented high level in some of the dimensions of Burnout. The contribution of this study was to point out that these professionals need measures of prevention and resolution of the Professional Exhaustion Syndrome to assist in coping with daily problems.  Descriptors: Occupational Burnout; Mental Disorders; Nursing; Occupational Health; Oncology Nursing; Medical Oncology.RESUMEN Objetivo: investigar la existencia de Síndrome del Agotamiento Profesional y Trastornos Mentales Comunes en enfermeros oncólogos. Método: estudio cuantitativo, correlacional, con enfermeros oncólogos. La recolección de datos utilizó un itinerario semiestructurado y el inventario de Burnout de Maslach y Jackson (Maslach Burnout Inventory-MBI). Resultados: participaron 29 enfermeros oncólogos, siendo la mayoría del sexo femenino, con promedio de edad 32,6 años, y la prevalencia de Trastornos Mentales Comunes fue del 27,6%. Hubo la presencia de las tres dimensiones sugestivas de Burnout en el 6,9% de los enfermeros; otro 6,9% en dos dimensiones, y un 41,4% en al menos una dimensión. Las variables de estrés y autoestima presentaron una correlación significativa. De entre esas dimensiones, hubo la correlación estadísticamente significativa de una de ellas y trastornos mentales comunes. Conclusión: los enfermeros oncólogos presentaron alto nivel en algunas de las dimensiones del Burnout. La contribución de este estudio fue señalar que estos profesionales necesitan medidas de prevención y resolución del Síndrome del Agotamiento Profesional para auxiliar en el enfrentamiento de los problemas cotidianos. Descriptores: Agotamiento Profesional; Trastornos Mentales; Enfermería; Salud Laboral; Enfermería Oncológica; Oncología Médica.

Objective: To unveil the resilience process in family caregivers of people with malignant neoplasia. Method: Descriptive and qualitative research performed between September and November of 2017 in a Brazilian Unit of High Complexity Care in Oncology. Individual interviews and four focus groups were conducted with 29 family caregivers. Socio-constructivist methodology was used under Vygotsky's perspective, the theoretical framework of the construction of the resilience processes, besides the hybrid model of thematic analysis. Results: Three thematic categories emerged: "feelings revealed through colors"; "practice of care and communication in the process of resilience" and "faith and hope in the process of resilience". The family caregivers organized themselves to provide support to their family member with malignant neoplasia and they faced, in a more consolidated way, the overwhelming transformations imposed by the disease. Conclusion and implications for practice: The guidelines made by health professionals were paramount in the process of family caregivers' resilience, in addition to emotional support and spirituality. The communication with health professionals is essential in the coping of family caregivers when dealing with problems or conflicts, since there is better conduction in the process of illness of the loved one, when there is greater knowledge and understanding of the disease.