RESUMO Objetivo Analisar o papel dos trabalhadores de Enfermagem em Centros de Material e Esterilização. Método Realizou-se uma revisão integrativa. Buscas compreensivas foram realizadas nas seguintes bases de dados: CINAHL via EBSCOhost, IBECS, LILACS, MEDLINE via PubMed, e Scopus. O método de comparação constante foi aplicado para analisar os achados dos estudos. A classificação inicial de subgrupos baseou-se no conceito de papel do Sistema Conceitual de King. Resultados Vinte e nove artigos de pesquisa foram selecionados, e três categorias identificadas: Percepções dos trabalhadores de Enfermagem do Centro de Material e Esterilização (CME) sobre seu papel; Percepções dos trabalhadores de unidades consumidoras sobre o papel de trabalhadores de Enfermagem no CME; e Funções dos trabalhadores de Enfermagem no CME. Conclusão e implicações para a prática As funções dos trabalhadores de Enfermagem do CME foram conceitualizadas como atividades de cuidado indireto. A visibilidade limitada da atribuição do CME conduz à percepção de status inferior na organização hospitalar e nos conflitos de papel.

Background Hip osteoarthritis (OA) is a leading cause of musculoskeletal pain. Exercise is a core recommended treatment. Most evidence is based on muscle-strengthening exercise, but aerobic physical activity has potential to enhance clinical benefits. The primary aim of this study is to test the hypothesis that adding aerobic physical activity to a muscle strengthening exercise leads to significantly greater reduction in hip pain and improvements in physical function, compared to a lower-limb muscle strengthening exercise program alone at 3 months. Methods This is a superiority, 2-group, parallel randomised controlled trial including 196 people with symptomatic hip OA from the community. Following baseline assessment, participants are randomly allocated to receive either i) aerobic physical activity and muscle strengthening exercise or; ii) muscle strengthening exercise only. Participants in both groups receive 9 consultations with a physiotherapist over 3 months. Both groups receive a progressive muscle strengthening exercise program in addition to advice about OA management. The aerobic physical activity plan includes a prescription of moderate intensity aerobic physical activity with a goal of attaining 150 min per week. Primary outcomes are self-reported hip pain assessed on an 11-point numeric rating scale (0 = ‘no pain’ and 10 = ‘worst pain possible’) and self-reported physical function (Western Ontario and McMaster Universities Osteoarthritis Index physical function subscale) at 3 months. Secondary outcomes include other measures of self-reported pain (assessed at 0, 3, 9 months), self-reported physical function (assessed at 0, 3, 9 months), performance-based physical function (assessed at 0, 3 months), joint stiffness (assessed at 0, 3, 9 months), quality of life (assessed at 0, 3, 9 months), muscle strength (assessed at 0, 3 months), and cardiorespiratory fitness (assessed at 0, 3 months). Other measures include adverse events, co-interventions, and adherence. Measures of body composition, serum inflammatory biomarkers, quantitative sensory measures, anxiety, depression, fear of movement and self-efficacy are included to explore causal mechanisms. Discussion Findings will assist to provide an evidence-based recommendation regarding the additional effect of aerobic physical activity to lower-limb muscle strengthening on hip OA pain and physical function. Trial registration Australian New Zealand Clinical Trials Registry reference: ACTRN 12619001297112. Registered 20th September 2019.

Objective: to analyze the strategies implemented by nurses to reconfigure palliative oncological care due to the hospital accreditation process in Hospital do Câncer IV (Hospital of Cancer IV). Method: qualitative research of historical-social approach, whose direct sources in use were written documents and four spoken accounts. Results: implemented strategies were: creation of the Nursing Division; nursing staff management; consolidation of Continuing Education sector; creation of Internal Nursing Bylaws through development of norms and routines; meetings; discussion of clinical cases; training and classes; creation of Núcleo de Assistência de Enfermagem (Nursing Assistance Core); creation of a tumoral and ostomy wound-dressing ambulatory; and organization of the 5th Vital Sign Forum. Final considerations: nurses, supported by an alliance with the institution directors, implemented effective strategies and reached significant advancement. As they took part in this endeavor, they became legitimate spokespeople of an authorized discourse in the field of oncological nursing care in Brazil.

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Objective: to analyze the strategies used by nurses for organization and planning in the centralization process of the Central Supply Sterile Department at a General Hospital. Method: this is a qualitative study of the history of the present time, carried out through an interview with 8 nursing professionals, such as nurses and nursing technicians at a hospital in the city of Petrópolis, state of Rio de Janeiro, Brazil. Data collection took place between September 2017 and August 2018. For analysis and interpretation of the documentary corpus, pertinence, sufficiency, completeness, representativeness, homogeneity and organization of documents in chronological order of the events during the investigated period were considered. The historical context was triangulated, with social structures and the symbolic universe resulting from interviews and documentary analysis. Thus, the categories of analysis emerged. Results: the strategies used by nurses occurred through organization and new work practices, enhancement of the Central Supply Sterile Department, hiring new nursing technicians, staff training and insertion of new technologies before, during and after centralization from the Central Supply Sterile Department. Conclusion: material sterilization at Hospital Santa Teresa continued with fractional nursing care among surgical patients and material processing. The strategies to centralize the sterilization unit contributed to a correct sterilization of hospital materials, resulting in expressive gains for nursing, Hospital Santa Teresa, society and control of Infections Related to Health Care.