Objective: To validate the evaluation questionnaire on adherence of chronic kidney disease (CKD) patients under hemodialysis. Method: We verifi ed the following psychometric properties of the instrument: reliability (stability and internal consistency) and validity (face, content, and construct). Results: The intraclass correlation coeffi cient reached a value of 0.98 for the adherence questions and 0.91 for the perception questions. Regarding the kappa of the 14 questions examined, 12 had a value > 0.8, whereas the Cronbach's alpha had a value of 0.57. Experts ensured the face and content validity of the instrument, giving it an overall content validity index of 0.96. Construct validity, analyzed by Mann-Whitney test, was achieved as all domains showed a signifi cant association with p<0.01. Conclusion: We verifi ed, by the presented results, that the instrument has been validated for use in Brazil. Descriptors: Patient Cooperation; Medication Adherence; Chronic Kidney Disease; Kidney Dialysis; Nursing in Nephrology. RESUMEN Objetivo: Comprobar la validez del cuestionario de adhesión del paciente con enfermedad renal crónica en hemodiálisis para Brasil. Método: Se evaluaron las siguientes propiedades psicométricas del instrumento: confi abilidad (estabilidad y consistencia interna) y validez (predictiva, de contenido y de constructo). Resultados: Los valores de la correlación intraclase fueron de 0,98 para las cuestiones de adhesión y de 0,91 para las de percepción. En relación a la kappa de las 14 cuestiones evaluadas, 12 resultaron un valor mayor que 0,8. Mientras que el Alfa de Cronbach fue de 0,57. Los expertos pudieron garantizar la validez predictiva y de contenido del instrumento, en la que el puntaje de validez de contenido global fue de 0,96. Se obtuvo la validez de constructo, evaluada a Rev Bras Enferm [Internet]. 2017 mai-jun;70(3):558-65.

Objective: Identify the adherence behavior of chronic kidney patients to the four dimensions of the therapeutic regimen: hemodialysis, medication use, diet and fl uid restriction. Methods: Descriptive and cross-sectional study with a quantitative approach, developed at two hemodialysis centers in the State of Rio de Janeiro. To collect the data, an evaluation questionnaire was used on the adherence of the chronic kidney patient on hemodialysis. The data were analyzed through simple descriptive statistics. Results: The domain with the highest percentage of non-adherent patients was hemodialysis with 32%. Medication was the domain with the highest percentage of adherent patients, 93.6%. Conclusion: Treatment adherence is a dynamics behavior and, therefore, needs constant monitoring. ResumoObjetivo: Identifi car o comportamento de adesão do paciente renal crônico ao regime terapêutico nas suas quatro dimensões: hemodiálise uso de medicamentos, dieta e restrição hídrica. Métodos: Estudo descritivo, transversal com abordagem quantitativa, desenvolvido em dois centros de hemodiálise no Estado do Rio de Janeiro. Para coleta de dados, foi utilizado um questionário de avaliação sobre a adesão do portador de doença renal crônica em hemodiálise. Os dados foram analisados por meio de estatística descritiva simples. Resultados: O domínio que apresentou maior percentual de pacientes não aderentes foi a hemodiálise, com 32%. Já a medicação foi o domínio com maior percentual de pacientes aderentes, 93,6%. Conclusão: A adesão à terapêutica é um comportamento dinâmico e, como tal, merece monitorização constante. ResumenObjetivo: Identifi car el comportamiento de adhesión del paciente renal crónico al régimen terapéutico en sus cuatro dimensiones: hemodiálisis, uso de medicamentos, dieta y restricción hídrica. Métodos: Estudio descriptivo, transversal, con abordaje cualitativo, desarrollado en dos centros de hemodiálisis del Estado de Río de Janeiro. Datos recolectados mediante cuestionario de evaluación sobre la adhesión del enfermo de insufi ciencia renal crónica en hemodiálisis. Estos datos fueron analizados por estadística descriptiva simple. Resultados: El dominio que presentó mayor porcentaje de pacientes no adherentes fue la hemodiálisis, con 32%. La medicación fue el dominio con mayor porcentaje de pacientes adherentes, con 93,6%. Conclusión: La adhesión a la terapéutica es un comportamiento dinámico. Siendo esa su condición, merece recibir monitoreo constante. DescritoresCooperação do paciente; Adesão à medicação;

This is a descriptive study, which aimed to propose a subset of nursing diagnoses for chronic renal failure patients in stage five of the disease, developing them according to the guidelines of the ICNP® and arranging them according to the concepts of Wanda de Aguiar Horta's Theory of Basic Human Needs; and validate the subset of nursing diagnoses proposed, subjecting them to experts for judging its relevance to chronic renal failure patients in stage five of the disease. It was drawn up, in total, a subset of 77 nursing diagnoses, among which 70 (90%) had a Concordance Index ≥ 0.80 among judges, being validated. The subset of nursing diagnoses resulting from the study is quite comprehensive, and one believe in its potential to subsidize a more comprehensive nursing care to the chronic renal patient.

Objective: To understand the connections established between the teaching of research in undergraduate school and reflections on the context of nursing care based on the meanings assigned by nurses and undergraduate nursing students. Method:Qualitative research, the theoretical and methodological frameworks of which were Complexity Theory and Grounded Theory.Sixteen nurses and nine undergraduate nursing students participated. Data were collected through semi-structured interviews. Results:The study revealed that aspects that structure and maintain the scientific practice of nurses are connected with the teaching of nursing in undergraduate school. The transversality of teaching of research and strategies adopted by professors influence this process. Conclusion: In the nursing field, learning through research requires strategies that contextualize research within the context of care delivery, so that students perceive science as an element that structures their profession. For that, research should be a non-linear, transversal procedure that takes place over the course of the undergraduate program.Keywords: Nursing; Science; Knowledge Management. resumen Objetivo: Comprender las conexiones entre la enseñanza de la investigación en la graduación y sus impactos en el contexto asistencial de enfermería a partir de los significados atribuidos por enfermeras y estudiantes universitarios de enfermería. Método:Investigación cualitativa cuyos referenciales teórico y metodológico fueron, respectivamente, la Teoría de la Complejidad y la Teoría Fundamentada en Datos. Participaron 16 enfermeras y nueve estudiantes, con recolección de datos por entrevista semiestructurada. Resultados: Los puntos estructurales y mantenedores de la práctica científica del enfermero presentan conexiones con la enseñanza de la investigación a nivel universitario. Impactan la transversalidad de la enseñanza y las estrategias adoptadas por los profesores. Conclusión: En la enfermería, el aprendizaje mediante la investigación necesita estrategias que contextualicen investigación con realidad asistencial, para que los estudiantes perciban la ciencia como elemento estructurante de su profesión. Así, la investigación debe ser procesual, no linear, transversal en el curso de graduación.

Background Several guidelines recommend that patients with chronic kidney disease treated by haemodialysis (HD) take care of their own arteriovenous fistula (AVF). The dialysis nurse plays an important role in the development of such self‐care behaviours. A very small number of instruments are available to assess self‐care behaviours with AVF in Turkey. Objective Cultural adaptation and psychometric testing of the Turkish version of the scale of assessment of self‐care behaviours with arteriovenous fistula in haemodialysis (ASBHD‐AVF) patients. Design Cross‐sectional validation study. Participants and Measurements This study was conducted involving 160 patients in the Bolu region in Turkey. The guidelines provided by Sousa and Rojjanasrirat were taken into account in the scale translation, adaptation and validation process. Validity was analysed through content validity and construct validity. The latter was measured through principal component analysis with varimax rotation, considering only factor loadings of 0.30 or larger. Reliability analysis was based on internal consistency measured by Cronbach's α. Results A two‐factor structure was extracted explaining 59.01% of the total variance. Cronbach's α was 0.91, 0.85 and 0.84 for the overall scale, the self‐care in prevention of complications subscale and the self‐care in management of signs and symptoms subscale, respectively. Conclusions The Turkish version of the scale of ASBHD‐AVF patients is a reliable and valid instrument and can therefore be used.

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RESUMO O presente estudo consiste em uma revisão integrativa que objetivou levantar as publicações brasileiras usuárias da Classificação Internacional para a Prática de Enfermagem (CIPE), identificar os tipos de pesquisas desenvolvidas acerca da temática, destacar os catálogos CIPE brasileiros e mapear a produção científica de acordo com os estados federativos. Foram utilizados os descritores processos de enfermagem e diagnóstico de enfermagem e a palavra-chave CIPE, buscados nas bases de dados LILACS e MEDLINE no recorte temporal de 2005 a 2010. Foram incluídos na pesquisa 21 estudos, categorizados em três áreas temáticas: Pesquisas desenvolvidas para levantar diagnósticos e/ou intervenções de acordo com patologias/clínicas específicas; Transcrição da linguagem utilizada pela enfermagem para mapeamento cruzado com os termos constantes na CIPE; e Implantação/Avaliação do processo de enfermagem, tendo a CIPE como linguagem de escolha. Não se identificou nenhum catálogo CIPE propriamente dito, mas sim, pesquisas desenvolvidas na perspectiva de sua criação. Concluímos que se faz necessário o estudo continuado desta temática para que se possa difundir o uso desta linguagem no país e alcançar a criação dos catálogos CIPE, os quais são úteis ao processo de enfermagem.

The purpose of this study was to evaluate the psychometric properties of the Brazilian Scale for the Assessment of Self-Care Behaviors with Arteriovenous Fistula in Hemodialysis. Cross-sectional validation study, followed the recommendation provided by Sousa and Rojjanasrirat. Content validity, explanatory and confirmatory factor analyses used to check validity and Cronbach’s alpha was the reliability measure. Three hundred hemodialysis patients with arteriovenous fistula were included in the study. The expert committee assessed the content validity. Exploratory factor analysis confirmed the same two-factor structure found for the original scale, explaining 60.10% of the variance. Such solution was checked by confirmatory factor analysis with Cronbach’s alpha equal to 0.920, 0.810, and 0.884 for the overall scale, the self-care in management of signs and symptoms and the self-care in prevention of complications subscales respectively. The scale has good psychometric properties to assess self-care behaviors and can be used with Brazilian patients on hemodialysis with arteriovenous fistula.