Health. Foram selecionados 21 artigos, todos publicados em periódicos nacionais, no período de 2003 a 2014. Os resultados apontam para um maior número de revisões, com nível de evidência 5, em detrimento dos demais tipos de estudo encontrados. Com destaque, têm-se as revisões integrativas e sistemáticas direcionadas para a prática assistencial e de ensino, desenvolvidas na região sudeste, por enfermeiros com atuação no ensino com titulação máxima de doutor. Ressalta-se a necessidade de capacitação do enfermeiro assistencial na busca, desenvolvimento e utilização de pesquisas na prática, a fim de transpor a dicotomia entre a pesquisa e o cuidar. DESCRITORES: Prática clínica baseada em evidências; Enfermagem baseada em evidências; Pesquisa em enfermagem; Enfermagem.ABSTRACT: The purpose of this integrative review was to characterize Brazilian studies on the practice of evidencebased nursing practice. The literature search was carried out between June and September 2014 in the Latin American and Caribbean Health Science Literature Database, the Scientific Electronic Library Online, and the National Library of Medicine National Institutes of Health. Twenty-one articles were selected, all published in Brazilian journals between 2003 and 2004. The results indicate a greater number of level 5 reviews in comparison to other types of studies. Of these, most were integrative and systematic reviews directed at healthcare and teaching practices, developed in the Southeast of Brazil, by nursing professors who have a doctoral degree as their highest qualification. In conclusion, nurses in the healthcare context must be trained to search for, develop and use research in practical contexts in order to overcome the dichotomy between research and healthcare provision.

Objective: To describe the validation process of the content of a nursing care protocol for patients undergoing palliative care and hospitalized in intensive care units. Methods: This was a cross-sectional, descriptive, methodological study, resulting from the judgment by 11 experts involved in teaching and/or care. The operationalization occurred through the consistency among the answers of the experts obtained by the Content Validity Index in a round. Results: Fifteen items were assessed: nine corresponding to the nursing history and six related to nursing interventions, presenting a content validity index of 0.9 to 1.0. Of the 165 answers, 67.27% were considered appropriate, 30.91% were appropriate with alterations, and only 1.82% were deemed inappropriate. Such results confirm the validity of content according to the assessment by the experts. Conclusion: The nursing care protocol for patients undergoing palliative care, hospitalized in intensive care units, proved to be valid and applicable in the clinical practice. ResumoObjetivo: Descrever o processo de validação de conteúdo de protocolo assistencial de enfermagem para pacientes em cuidados paliativos internados em Unidades de Terapia Intensiva. Métodos: Trata-se de um estudo transversal, descritivo, do tipo metodológico. Resultado do julgamento de 11 experts envolvidos na assistência e/ou docência. A operacionalização ocorreu por meio da concordância entre as respostas dos juízes obtidas pelo Índice de Validade de Conteúdo em uma rodada. Resultados: Foram avaliados 15 itens, nove correspondentes ao histórico de enfermagem e seis referentes às intervenções de enfermagem, os quais apresentaram índice de validade de conteúdo de 0,9 a 1,0. Das 165 respostas, 67,27% mostraram-se adequados; 30,91% adequados com alterações e somente 1,82% foram considerados inadequados, resultados que atestam a validade de conteúdo segundo a avaliação dos juízes. Conclusão: O protocolo assistencial de enfermagem para pacientes em cuidados paliativos internados em Unidades de Terapia Intensiva se mostrou válido e aplicável na prática clínica. Keywords

RESUMO: Objetivo: identificar o perfil dos pacientes em lista de espera para transplante renal. Método: estudo descritivo, quantitativo, realizado de maio de 2010 a maio de 2012, com 55 pacientes acompanhados num ambulatório de nefrologia em Natal/RN, Brasil. Resultados: dos pesquisados, 63,6% eram do sexo masculino, com média de 39,9 (± 12,2) anos de idade, procedentes do interior do Estado (56,4%), casados (60,0%), 50,9% tinham filhos. O grau de escolaridade predominante foi ensino fundamental (41,8%), 89,1% não exercia atividade laboral e tinha renda familiar mensal de até dois salários mínimos (67,3%). A maioria dos pacientes em lista única de espera fazia hemodiálise (98,2%), eram hipertensos (81,8%) e com tempo médio de inscrição de 1,9 (± 1,9) anos. Conclusão: conhecer o perfil dos pacientes é fundamental para planejar ações de saúde, visando minimizar as taxas de morbidade e mortalidade em lista de espera. Descritores: Enfermagem; Perfil de Saúde; Transplante de Rim; Listas de Espera.ABSTRACT: Aim: to identify the profile of patients on the waiting list for kidney transplantation. Method: descriptive and quantitative study performed from May 2010 to May 2012, with 55 patients followed at the outpatient unit of nephrology in Natal/RN, Brazil. Results: of those surveyed, 63,6% were males, 39,9 (±12,2) years median age, coming from the country (56,4%), married (60,0%), with children (50,9%). Elementary School was the predominant level of schooling (41,8%) and the majority of patients (89,1%) did not exercise any working activity. Most had monthly income up to two minimum wages (67,3%). The majority of patients in the unique waiting list were submitted to hemodialysis (98,2%), were hypertensive (81,8%) and with an average registration time of 1,9 (±1,9) years. Conclusion: to know the profile of patients is essential to plan health actions, in order to minimize the morbidity and mortality on the waiting list.

RESUMENObjetivo: Evaluar las influencias de los aspectos sociales y clínicos en la adhesión medicamentosa de los portadores de coinfección HIV/Tuberculosis. Método: Estudio descriptivo, transversal, con abordaje cuantitativo, realizado en una institución pública del estado de Rio Grande del Norte, en el período de agosto de 2014 a enero de 2015, con 34 usuarios portadores da coinfección HIV/TB. Los instrumentos utilizados fueron: La evaluación sociodemográfica y clínica, el test de Morisky y Green y la evaluación del grado de dificultad para adherir al tratamiento. Resultados: La adhesión al tratamiento se asoció significativamente al tiempo de diagnóstico para HIV superior a cinco años, presentando moderada dificultad a la adhesión medicamentosa (p= 0,019). Conclusión: Los profesionales no consideran las dificultades de adhesión al tratamiento en el contexto general en que están inseridos los usuarios, incluyendo los factores asociados y las acciones planeadas por el servicio, influenciando significativamente en el desenlace del tratamiento.Descriptores: Cumplimiento de la Medicación; VIH; Tuberculosis.

Introduction: In the last few years, there has been a growth in the number of cases of people with HIV/AIDS aged 50 years and older. This is explained by the inclusion of antiretroviral therapy, increased survival of patients as well as by the growth in the number of infected people in this age group. Objective: To analyze the association between sociodemographic and clinical characteristics with the QOL of people aged 50 years or older living with HIV/AIDS. Methods: Quantitative, cross-sectional study conducted in the outpatient clinic of a reference hospital in Natal, Brazil. The sample consisted of 50 subjects, aged over 50, seropositive for HIV and with cognitive conditions to answer the interview. Authors used sociodemographic and clinical evaluation tools and the WHOQOL-HIV BREF scale. Results: Sociodemographic: respondents' average age was 57.32 years, 58% male, 38% brown, 26% incomplete primary education, 46% single, 56% retired, 70% with a monthly income of 1 to 2 minimum wages and 70% Catholic. Clinical: 60% have a partner without the diagnosis of HIV/AIDS; 62% had not been hospitalized previously; 66% did not have opportunistic infections; 40% indicated that there was a change in the physiological sexual function after the onset of the disease. Quality of life: people living with HIV/AIDS had low scores in QOL domains. When associating sociodemographic and clinical aspects, it was observed that they had associations with QOL, especially in regard to education, income, religion, change in sexual function and feelings. Conclusion: The spiritual domain was highlighted with the best performance, collaborating to facing, hope and resilience of HIV/AIDS.