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Objective:To develop a theoretical-practical script based on the opinion of experts to be used in simulated clinical activities. Method: Qualitative study through analysis of content of interviews with experts on the theme in order to develop the proposed script. Of the 24 invited experts, 12 specialists from educational institutions in Brazil and abroad participated in the study in compliance with the ethical precepts. The experts responded to questions on the characterization of their study attributes and described the items required for the development of a simulated scenario. In view of the responses obtained, data content was analyzed and classified into units and subunits of significance. Results: The items mentioned for the development of the script generated seven units of significance. The units and subunits of significance were gathered in three stages of the main components of the simulated scenario: prior, preparation, and finals. Conclusion: This study enables an innovative, stimulating teaching experience, making it easier for professors to use the simulation resource as a learning process in an effective and objective manner, as a guide to professors and researchers in the area of clinical simulation.

Objectives:measure and compare the quality of life of neurogenic bladder patients using intermittent urinary catheterization who were going through rehabilitation in Brazil and Portugal. Method:multicenter, quantitative, cross-sectional, observational-analytic and correlational study executed in Brazil and Portugal. Two data collection tools were used, being one questionnaire with sociodemographic and clinical data and the World Health Organization Quality of Life-bref. Patients were included who were over 18 years of age, suffering from neurogenic urinary bladder and using intermittent urinary catheterization. Results:in the sample of Brazilian (n = 170) and Portuguese (n = 52) patients, respectively, most patients were single (87-51.2%; 25-48.1%), had finished primary education (47-45.3%; 31-59.6%) and were retired (70-41.2%; 21-40.4%). Spinal cord injury was the main cause of using the urinary catheter in both countries. The Brazilian patients presented higher mean quality of life scores in the psychological domain (68.9) and lower scores in the physical domain (58.9). The Portuguese patients presented higher scores in the psychological domain (68.4) and lower scores in the environment domain (59.4). The execution of intermittent urinary self-catheterization was significant for both countries. Conclusions:in the two countries, these patients’ quality of life can be determined by the improvement in the urinary symptoms, independence, self-confidence, social relationships and access to work activities.

Low-fidelity simulation training enables patients and caregivers to increase their self-confidence when performing clean intermittent urinary catheterization and should be used as a training strategy by healthcare professionals.

Considering the lack of tools to assess the results associated with the use of simulation as a teaching strategy, this study aimed to translate and validate to the Portuguese language the Simulation Design Scale (Student Version). A methodological study of instrument translation and validation was undertaken. After accomplishing all steps of the translation process, the validation process took place in the context of an event on critical patient care. In total, 103 registered nurses participated in the study. The validity and reliability of the scale, the pattern of correlation between variables, the sampling adequacy test and the sphericity test showed satisfactory results. As there is no connection among the groupings established in the exploratory factor analysis, it was decided to follow the division established in the original version. The scale was named Escala do Design da Simulação [in Portuguese]. It is concluded that the scale has good psychometric properties and an appropriate potential, although further research is needed for their consolidation.

RESUMENObjetivo: Verificar cómo el procedimiento de inserción del catéter urinario permanente ha ocurrido en la práctica clínica de enfermería.Método: Estudio observacional, exploratorio y descriptivo, desarrollado en hospitales de un municipio del interior del estado de São Paulo, Brasil. Las premisas éticas fueron cumplidas (Parecer 233/2008/Comité de Ética en Investigación de la Escuela de Enfermería de la Universidad de São Paulo). Los datos fueron recolectados mediante entrevista, utilizándose un instrumento semiestructurado. De las trece instituciones del municipio, nueve participaron del estudio.Resultados: En las instituciones investigadas, el procedimiento es practicado de manera ritualista respecto al método y los materiales.Conclusión: Para practicar el cateterismo urinario permanente es necesario mayor compromiso de los profesionales y mayores inversiones en investigaciones para esclarecer los aspectos que todavía no pueden ser comprobados. Enfermería GlobalNº 38 Abril 2015 Página 51 RESUMO Objetivo: Verificar como o procedimento de inserção do cateter urinário de demora tem se dado na prática clínica da enfermagem. Método: Estudo observacional, exploratório e descritivo, realizado em hospitais de um município do interior paulista. Seguidos os preceitos éticos (Parecer 233/2008/ Comitê de Ética em Pesquisa da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo), os dados foram coletados por entrevista, utilizando-se um instrumento semi-estruturado. Dentre as treze instituições do município, nove participaram do estudo.Resultados: Nas instituições pesquisadas o procedimento é realizado de forma ritualista quanto ao método e materiais.Conclusão: Para realização do cateterismo urinário de demora é necessário maior comprometimento dos profissionais e maiores investimentos em pesquisas para esclarecimento dos pontos que ainda não podem ser comprovados. ABSTRACTObjective: Verify how the urinary catheterization delay procedure has taken place in clinical nursing practice. Method:Observational, exploratory and descriptive study, undertaken at hospitals in an interior city in the State of São Paulo, Brazil. The ethical premises were complied with (Opinion 233/2008 University of São Paulo at Ribeirão Preto College of Nursing Research Ethics Committee). The data were collected through an interview, using a semi structured script. Nine out of 13 institutions in the city participated in the study. Results:At the participating institutions, the procedure is performed ritualistically in terms of method and materials. Conclusion:To practice urinary catheterization delay, greater professional commitment and further investments in research are needed to clarify aspects that cannot be proven yet.

The QoL of patient's who use intermittent urinary catheterization can be determined by improvement of urinary symptoms and self-confidence. Research related to QoL of patients who use urinary catheter indicates the importance of adequate professional support and appropriate health public policies.

Objective: To examine and map scientifi c evidence on the role of public health managers in a border region. Methods: Scoping Review, based on the procedures recommended by the Joanna Briggs Institute. This method aims at mapping the main concepts, clarifying and identifying knowledge gaps, and achieving the signifi cance and adequacy of the health care practice. Based on these perspectives, the guiding question was: "What is the scientifi c evidence on the role of managers towards the management of public health in border regions?". Eight national and international databases were searched for papers published by August 2017. Of the 188 studies found, 13 were selected for their full reading, resulting in a fi nal sample of seven studies analyzed. Results: The seven publications analyzed were published from 2005 to 2017. Selected studies on the subject are national and international and of quantitative, qualitative or quali-quantitative approaches. The subjects of the studies were similar, considering most of them covered cross-border patient care and increased public health expenditures in these regions. Conclusion:The results of this review showed a shortage of national and international studies on the role of managers in health in border regions. The relevance of the theme and its complexity evidence the need for research on managers in these regions. ResumoObjetivo: Examinar e mapear as evidências científi cas sobre o papel do gestor de saúde pública em região de fronteira. Métodos: Scoping Review, baseado nos procedimentos recomendados pelo Instituto Joanna Briggs. Este método visa mapear os principais conceitos, clarifi car e identifi car lacunas do conhecimento, e obter a signifi cância e a adequação da prática dos cuidados de saúde. Com base nestas perspectivas, estabeleceu-se a pergunta norteadora: "Quais são as evidências científi cas sobre o papel do gestor na gestão em saúde pública nas regiões de fronteira ?". Foram realizadas buscas em oito bases de dados nacionais e internacionais, sobre trabalhos publicados até agosto de 2017. Dos 188 estudos encontrados, 13 foram selecionados para leitura na íntegra, resultando em uma amostra fi nal de sete estudos analisados. Resultados: As sete publicações analisadas foram publicadas de 2005 a 2017. Os estudos selecionados sobre a temática são de âmbito nacional e internacional e de abordagens quantitativa, qualitativa ou qualiquantitativa. Os objetos dos estudos foram semelhantes, uma vez que a maioria retratava sobre o atendimento ao paciente transfronteiriço e o aumento dos gastos públicos em saúde nestas regiões. Conclusão: Os resultados desta revisão mostraram uma escassez de estudos nacionais e internacionais sobre o papel do gestor em saúde na fronteira. A relevância do tema e sua complexidade evidenciam a necessidade de pesquisas sobre o gestor nestas regiões. ResumenObjetivo: Examinar y mapear las evidencias científi cas sobre el papel del gestor de salud pública en regiones de frontera. Métodos: Scoping Review, basado en los procedimientos recomendados...