Objective: To evaluate the impact of breast cancer and the quality of life of women survivors and to identify associations between sociodemographic and clinical variables. Method: This was a cross-sectional, analytical, quantitative study conducted with women receiving outpatient post-treatment care at a public institution of the city of São Paulo, state of São Paulo, Brazil. Instruments: sociodemographic and clinical questionnaires; Impact of Cancer scale; Functional Assessment of Cancer Therapy-Breast Cancer scale. Descriptive and analytical statistical analysis were performed. Results: One hundred women were included in the study with a mean age of 60 years (SD = 11.3); most with less than 5 years of follow-up, low purchasing power, and low education levels. Negative Impact of Cancer: Health Worry, Body Changes, Feelings, and Meaning of Cancer. Quality of life: 81.9 (18.3), specific: 105.6 (24.6). The following subscales of the impact of cancer scale predicted lower quality of life scores: Body Changes, Negative Self-Evaluation, and Concerns about Cancer (p <0.05). Conclusion: Although they presented high scores for quality of life, patients reported negative impacts of cancer, enhanced by vulnerabilities.

Patients diagnosed with rare cancer reported poorer psychosocial outcomes and impaired quality of life when compared to the general population of cancer patients. Certain demographic groups (eg, women and younger patients) may benefit from targeted psychosocial interventions.

Objective: to construct an instrument for the assessment of graduates of undergraduate nursing courses and to validate this instrument through the consensus of specialists. Method: methodological study. In order to elaborate the instrument, documental analysis and a literature review were undertaken. Validation took place through use of the Delphi Conference, between September 2012 and September 2013, in which 36 specialists from Brazilian Nursing participated. In order to analyze reliability, the Cronbach alpha coefficient, the item/total correlation, and the Pearson correlation coefficient were calculated. Results: the instrument was constructed with the participation of specialist nurses representing all regions of Brazil, with experience in lecturing and research. The first Delphi round led to changes in the first instrument, which was restructured and submitted to another round, with a response rate of 94.44%. In the second round, the instrument was validated with a Cronbach alpha of 0.75. Conclusion: the final instrument possessed three dimensions related to the characterization of the graduate, insertion in the job market, and evaluation of the professional training process. This instrument may be used across the territory of Brazil as it is based on the curricular guidelines and contributes to the process of regulation of the quality of the undergraduate courses in Nursing.

Objective: to describe the process of construction and validation of clinical contents for health learning objects, aimed at patients in the treatment of head and neck cancer. Method: descriptive, methodological study. The development of the script and the storyboard were based on scientifi c evidence and submitted to the appreciation of specialists for validation of content. The agreement index was checked quantitatively and the suggestions were qualitatively evaluated. Results: The items described in the roadmap were approved by 99% of expert experts. The suggestions for adjustments were inserted in their entirety in the fi nal version. The free-marginal kappa statistical test, for multiple evaluators, presented value equal to 0.68%, granting a substantial agreement. Conclusion: The steps taken in the construction and validation of the content for the production of educational material for patients with head and neck cancer were adequate, relevant and suitable for use in other subjects. Descriptors: Nursing; Nursing Care; Validation Studies; Health Education; Head and Neck Neoplasms. RESUMO Objetivo: descrever o processo de construção e validação de conteúdos clínicos para objetos de aprendizagem em saúde, direcionados aos pacientes em tratamento do câncer de cabeça e pescoço. Método: estudo descritivo, metodológico. O desenvolvimento do roteiro e o storyboard foram fundamentados em evidências científi cas e submetidos à apreciação de especialistas para validação de conteúdo. Verifi cou-se o índice de concordância, quantitativamente, e avaliaram-se qualitativamente as sugestões. Resultados: os itens descritos no roteiro foram aprovados por 99% dos especialistas peritos. As sugestões de ajustes foram inseridas, em sua totalidade, na versão fi nal. O teste estatístico kappa free-marginal, para múltiplos avaliadores, apresentou valor igual a 0,68%, conferindo uma concordância substancial. Conclusão: os passos adotados no percurso de construção e validação do conteúdo para produção de material educativo destinado aos pacientes com câncer de cabeça e pescoço mostraram-se adequados, relevantes e passíveis de serem utilizados em outras temáticas. Descritores: Enfermagem; Cuidados de Enfermagem; Estudos de Validação; Educação em Saúde; Neoplasia de Cabeça e Pescoço. RESUMENObjetivo: describir el proceso de construcción y validación de contenidos clínicos para objetos de aprendizaje en salud, direccionado a los pacientes en tratamiento de cáncer de cabeza y cuello. Método: estudio descriptivo, metodológico. El desarrollo del guion y storyboard fueron fundamentados en evidencias científi cas, y sometidos a la apreciación de especialistas para validación de contenido. Se verifi có el índice de concordancia, cuantitativamente, y se evaluaron cualitativamente las sugerencias. Resultados: los ítems descriptos en el guion fueron aprobados por 99% de los especialistas peritos. Las sugerencias de ajustes fueron inseridas en su totalidad en la versión fi nal. El test estadístico kappa free-marginal para múltiplos evalu...

At present the word competence takes part of the repertoire of subjects that is very published in the world of training and work demanding a deeper analysis in their meanings and in the characterization of the competencies construction movement for each level of professional qualification. Therefore, the aim of this study was: to identify the referential of competencies to the student, expert, Master and Doctor in Nursing area; b) to analyse the resonance at the work level, in the exercise of these competencies; c) to identify the teachingeducational investment used to the development of these competencies with students of different levels of higher education; d) to propose references to the teaching by competencies. The analytical basis were elaborated from the Theoretical Presuppositions that orientate the Construction of the Competencies while it supported the presentation and data analysis liable to be interpreted by the light of educational and labour movement. The investigation was qualitative and the individuals were ex-students from Graduation curses, Specialization, Master's or Doctoral Degree (Group I) and teachers (Group II) from these different education level in a public institution of higher teaching in São Paulo City, in the total of 34 participants. As much the teaching institution as individuals accepted to participate of this study according to the legal disposition. Initially the groups were characterized individually and socially. The content analysis permitted the listing of competencies families with their respective competencies specific for each education level in both groups, applied to the obtained data through the semi-structured interview. As synthesis, the data showed the theoretical comprehension comprising about the subject competence and listing that are capable for reflect the competencies that are relevant to the different levels even it cause a intentional action nonconquered in the scope of professional practice. Among the strategies pointed VII out by teachers to the development of the competencies with students, some constructive presuppositions were emphasized. Strong and fragile points were listed in each education level aiming to prove the convergence dimension of the constructions of competencies' meaning with the training ideas and with the market device. As proposition, the work brings references to the teaching by competencies.

No abstract

Associar sintomas de pacientes em tratamento oncológico com o tipo de tratamento, faixa etária e sexo. Materiais e Métodos: Estudo observacional, transversal e analítico; realizado com 480 pacientes em tratamento atendidos em um Centro de Alta Complexidade de Tratamento para Câncer no Sul do Brasil no período de abril a dezembro de 2011. Resultados: A média de idade dos entrevistados foi de 58,23 (DP=13,11) anos. Os sintomas mais freqüentes nos pacientes em tratamento quimioterápico antineoplásico foram a fadiga e a dor com 78,5%, o que corresponde a 238 pacientes, seguido de constipação e insônia com 51,8% e 47,5%, respectivamente, e principalmente no sexo feminino. Na comparação das médias dos sintomas conforme o tratamento, náuseas e vômitos apresentaram associação com p=0,013, enquanto na comparação dos sintomas com os ciclos de vida náuseas e vômitos apresentaram p=0,05 e 0,24, respectivamente. Conclusão: O estudo evidencia associação estatística dos sintomas náuseas e vômitos com o ciclo de vida e tratamento, e revela maiores queixas entre as mulheres. Estes dados podem ser utilizados na prática assistencial, auxiliando na individualização da assistência.

The present literature review introduces pedagogical references for the implantation of a teaching by competences project to the nursing education, emphasizing the support of this project and the formative model of evaluation.