Objective: To analyze how the focus given nowadays in our country to good practices in the care process as centrality of Nursing offers support to the discussion about the expansion of nurses' performance through advanced practices. Method: This is a theoretical-reflexive article, based on critical reading of studies on the subject, focused on the need to discuss the training of nurses in the perspective of their role expansion. Results: The arguments for both subjects, based on the discussion of the theoretical reference of the two themes: good practices or practice based on evidences, and advanced practice nursing. Final considerations and implications for practice: It is proposed that, in addition to good practices, undoubtedly necessary, the appropriation of advanced nursing practice and the debate about its adoption in the country are fundamental to the new professional challenges facing nursing and the training of human resources for the Unified Health System. The arguments presented lead to the knowledge of the nursing topic of recent dissemination in Brazil, the advanced nursing practice, which can substantially change the nurses' performance in our reality.

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One-third of hospital-acquired pressure injuries are related to medical devices. The purpose of this quality improvement project was to create an evidence-based guideline in one acute care hospital setting for the prevention of medical device-related pressure injuries (MDRPIs) and to implement the hospital-wide use of a new nasogastric tube securement device to offload pressure to the nares. The first phase of this project comprised development of a guideline along with multiple education opportunities. The second phase of this project consisted of evaluation and subsequent conversion to a new nasogastric tube securement device. This project led to reduced MDRPI incidence rates over the past 12 months.

Background Health care personnel (HCP) worldwide are at-risk for contracting the novel Coronavirus disease (COVID-19). Among health care personnel, nurses are at a particularly high risk due to the physical proximity and duration of time spent providing direct care. Documenting accurate rates of COVID-19 infection and deaths among nurses worldwide has been problematic, and many countries such as the USA have no systematic mechanism for collecting this information. Brazil is unique in that it prioritized the implementation of a dedicated database, the Nursing Observatory to collect accurate and timely data regarding COVID-19 and Brazilian nursing personnel. Objectives The aim of this study was to analyze COVID-19 infections and deaths among nurses registered in the centralized and dedicated Brazilian database called the Nursing Observatory . Design A cross-sectional study using secondary data from the Brazilian Nursing Observatory was conducted. Participants : Data are reported for two occupational categories: professional Nurse and technical nurse by country regions. All cases or deaths of professional Nurse and technical nurse registered between the 12th and 31st epidemiological weeks of 2020 were included. Methods From a unique numerical identification, the appropriate records of nursing personnel affected by COVID-19 were entered by the Technical Responsible Nurse for each service, according to the condition regarding COVID-19. All suspected, confirmed or unconfirmed infections were considered “cases”, and all confirmed or unconfirmed deceased as “deaths”. Cases and deaths were analyzed according to the variables: 1. region of the country where the case occurred, 2. nursing category and 3. epidemiological week. Universal protocols for collecting and cleaning data were used throughout the country. Infection and mortality rates (per 100,000) were obtained from the relationship between deaths registered and the population of nursing personnel by category and region. Results Nursing personnel in the Northern, Northeast and Southeast Regions of Brazil had the highest number of COVID-19 infections and deaths overall with an ascending curve occurring mainly after Epidemiological Week 19. COVID-19 infections and deaths spread later to the Midwest and Southern regions also showing an ascending curve, although the total numbers were less. Conclusions All occupational categories of nursing personnel showed higher than expected rates of infection and death. Inequalities and a lack of adequate healthcare resources, hospital beds and Personal Protective Equipment varied by region in Brazil. The politicization of COVID-19 and the lack of a coherent national pandemic...

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Falls are associated with enormous costs in morbidity and early mortality, as well as loss of safe, independent lifestyles for community-dwelling older adults. The purpose of this quality improvement project was to implement an author-designed, easy-to-remember guide to fall prevention for community-dwelling older adults and enhance their awareness and knowledge of fall risks in the home. A Four Smart Steps Fall Prevention program (exercise, eye exams, home safety, and primary care visits) presented fall prevention education for community-dwelling older adults. The project was implemented at a senior center by registered nurses and evaluated through an anonymous questionnaire. The desired outcome was an increase in safety awareness and knowledge of fall prevention for community-dwelling older adults. Community-dwelling older adults with enhanced education on fall prevention will be more likely to be able to live independently within a safe environment.