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Objective. To assess burnout level during an outbreak ofCOVID-19 and to identify influencing factors between frontlinenurses and nurses from other wards. Methods. This crosssectional study makes comparison between two groups of nursesincluding frontline (exposure group) and other nurses working inusual wards (non-exposure group) in Torbat Heydariyeh city, Iran.Oldenburg Burnout Inventory (OLBI), Job stress questionnaire(JSQ), and questionnaires of hospital resources, family support,and measuring the fear of COVID-19 were used as researchinstruments. Results. The scores of job stress and burnout inthe exposure group with COVID-19 infection were significantlyhigher than in the non-exposure group (p=0.006 and p=0.002,respectively). Although, in univariate linear regression, employmentstatus (p=0.047), experience in taking care of patient confirmed  or suspected with COVID-19 infection (p=0.006), hospital resources (p=0.047), and job stress(p<0.001) were considered as significant risk factors for COVID-19-related burnout. In multivariateregression analysis, job stress (p=0.031, β=0.308) was considered as an only factor that hasa significant relationship with COVID-19-related burnout. Conclusion. The burnout level infrontline nurses was higher than other nurses, the most important influencing factor was the jobstress. Regarding to negative effects of burnout on both physical and mental health nurses, it issuggested that a strong strategy be considered to reduce nurses’ burnout to be able to controlongoing and future outbreaks successfully. 

O estudo visa investigar as demandas, a assistência e as dificuldades relacionadas à religiosidade/espiritualidade (R/E) no cuidado em enfermagem oncológica. Foram entrevistados, presencialmente, 12 enfermeiros do setor de oncologia clínica e cirúrgica de um hospital geral do interior do Estado de São Paulo, Brasil. As entrevistas foram transcritas na integra e o corpus foi submetido à análise de conteúdo e posteriormente interpretado pela literatura da área. Os enfermeiros reconhecem as demandas religiosas dos pacientes. A assistência prestada envolve palavras de conforto, oração e se colocar disponível ao paciente, além da oferta do grupo de apoio espiritual da própria instituição. Também, relatam dificuldades com pacientes que possuem restrições religiosas para determinados cuidados. Os participantes recomendam a abordagem da R/E na graduação. Não foram encontradas especificidades em relação ao manejo da R/E no contexto do cuidado oncológico, favorecendo a interpretação de que essa dimensão pode estar integrada institucionalmente, o que não exclui a necessidade de investimento constante em formação e aprimoramento para um cuidado que inclua esse vértice. 

Objective. To analyze the concept of autonomy of nurses in Intensive Care Units (ICU). Methods. The hybrid model approach proposed by Schwartz-Barcott and Kim, which includes theoretical, fieldwork and analytical phases, was used for this study. For the theoretical and fieldwork phases, the Graneheim and Lundman stages and the CORE-Q checklist were used, and the results were combined in the final analysis phase. For the theoretical phase, 46 related articles, two instruments and four books were identified after using a search strategy in 7 bibliographic databases in English and one in Persian with the terms MESH: \"nursing\", \"autonomy\"; and \"intensive care\";. The information extracted in the theoretical phase served as the basis for the design of the questions used in the semi-structured interviews in the fieldwork phase. Eight nurses with ICU experience working in hospitals affiliated to Isfahan University of Medical Sciences (Iran) participated in the fieldwork phase. Results. The antecedents of the concept of nurse autonomy in ICUs were: empowerment of the workforce, organizational platform, and social and individual views of the profession. Its attributes were professionalism and high personal capabilities. Finally, increased personal competencies, promotion of quality of care, improved attitudes towards the profession and professional outcomes were noted as consequences. Conclusion. The autonomy of nurses in the ICU can facilitate their empowerment, which translates into the promotion of their caring behaviours, followed by the improvement of patient outcomes and quality of care.

Objective. To describe the generational differences and similarities existing among nursing professionals of the 20th and 21st centuries and how these have influenced on the evolution of the profession. Methods. Integrative review according to the methodology by Whittemore and Knafl. The key words used for the search were: nurses, intergenerational relations, Veterans, Baby Boom, X generation, and Millennials. Results. The electronic search process yielded 10 documents (eight articles and two theses), all within the Anglo-Saxon environment (4 in Canada, 5 in the United States, and 1 in Australia). The documents recovered determined three principal themes: the intergenerational nursing workforce (n = 7), recruiting and retention within an intergenerational workforce (n = 2), and tutoring within an intergenerational nursing workforce (n = 1). The four generations of nursing professionals (X, Y, Baby Boomers, and Veterans) have different aptitudes, social and cultural setting, that coexist within the same work staff. Conclusion. This study establishes the legitimacy of the intergenerational differences as an important variable of social categorization. The findings have the potential to improve generational comprehension and promote a more cohesive culture in clinical practice settings, besides conserving the legacy of the four generations of nursing professionals contributing to outline the identity of the nurses through the conservation of social, cultural, and professional experiences.

Resumo Objetivo Verificar convergências e divergências entre a autoavaliação de enfermeiros assistenciais e as avaliações de gerentes imediatos na perspectiva de rol de competências profissionais de enfermagem. Métodos Estudo descritivo de abordagem quantitativa. Participaram 58 enfermeiros de um hospital universitário federal da região Norte do Brasil. Os dados foram obtidos utilizando-se dois questionários, um de autoavaliação do profissional e um de avaliação desses profissionais por seus gerentes de enfermagem imediatos. A análise dos dados foi realizada por meio de estatística descritiva, com centralização dos dados no programa Microsoft Excel 2016. Resultados Os enfermeiros adotavam competências profissionais Gerenciais, Assistenciais, Atitudinais e de Ensino. Os grupos Gerenciais e Assistenciais obtiveram maior destaque. Trabalho em Equipe e Supervisão da Equipe foram as competências Gerenciais mais evidenciadas. A maioria das competências identificadas apresentou convergência entre a autoavaliação e a avaliação de desempenho pelos gerentes dos serviços. Educação Permanente e Dimensionamento da Equipe surgiram de forma assimétrica entre as duas modalidades de avaliação. Entre as competências Assistenciais, Sistematização da Assistência de Enfermagem e Raciocínio Clínico foram as mais evidenciadas. As competências Atitudinais foram o grupo com maior divergência entre as avaliações, seguidas da competência Ensino/Preceptoria. Conclusão Evidenciou-se subjetividade nos processos de avaliação e autoavaliação de competências profissionais de enfermagem na instituição estudada, comumente gerando dissonâncias quando realizadas. A maioria das competências identificadas estava nos grupos Gerenciais e Assistenciais, apresentando convergência entre a avaliação de desempenho dos profissionais pelos gerentes dos serviços e sua autoavaliação. Resumen Objetivo Verificar las convergencias y divergencias entre la autoevaluación de enfermeros asistenciales y la evaluación de jefes inmediatos bajo la perspectiva del rol de competencias profesionales de enfermería. Métodos Estudio descriptivo de enfoque cuantitativo. Participaron 58 enfermeros de un hospital universitario federal de la región Norte de Brasil. Los datos se obtuvieron a través de dos cuestionarios: uno de autoevaluación profesional y uno de evaluación de estos profesionales por parte de sus jefes de enfermería inmediatos. El análisis de datos se realizó mediante estadística descriptiva, utilizando el programa Microsoft Excel 2016 para la centralización de los datos. Resultados Los enfermeros adoptaban competencias profesionales gerenciales, asistenciales, actitudinales y de enseñanza. Los grupos gerenciales y asistenciales fueron los más destacados. El trabajo en equipo y la supervisión del equipo fueron las competencias gerenciales con mayor evidencia. La mayoría de las competencias identificadas presentó convergencia entre la autoevaluación y la evaluación de desempeño de los jefes de los servicios. La educación permanente y el dimensionamiento del equipo se presentaron de forma asimétrica entre las dos modalidades de evaluación. Entre las competencias asistenciales, la sistematización de la atención de enfermería y el razonamiento clínico fueron las más destacadas. El grupo con más divergencia entre las evaluaciones fue el de las competencias actitudinales, seguido por la competencia enseñanza/mentoría. Conclusión Se evidenció subjetividad en los procesos de evaluación y autoevaluación de competencias profesionales de enfermería en la institución estudiada, que normalmente causan discrepancias cuando se realizan. La mayoría de las competencias identificadas se encontraba en los grupos gerenciales y asistenciales y se observó convergencia entre la evaluación de desempeño de los profesionales por parte de los jefes de los servicios y su autoevaluación. Abstract Objective To verify convergences and divergences between the self-assessment of nursing assistants and the assessments of immediate managers from the perspective of the list of professional nursing competencies. Methods A descriptive study with a quantitative approach. Fifty-eight nurses from a federal university hospital in northern Brazil took part. Data was obtained using two questionnaires, one for professional self-assessment and one for the assessment of these professionals by their immediate nursing managers. Data analysis was carried out using descriptive statistics, with data centralization in the Microsoft Excel 2016 software. Results Nurses adopted Managerial, Assistance, Attitudinal and Teaching professional competencies. The Managerial and Assistance groups stood out the most. Teamwork and Team Supervision were the most prominent Managerial competencies. Most of the competencies identified converged between self-assessment and performance evaluation by service managers. Continuing Education and Team Sizing appeared asymmetrically between the two types of evaluation. Among the care competencies, Systematization of Nursing Care and Clinical Reasoning were the most prominent. The Attitudinal competences were the group with the greatest divergence between the evaluations, followed by the Teaching/Preceptorship competence. Conclusion There was evidence of subjectivity in the processes of evaluation and self-assessment of professional nursing competencies in the institution studied, which commonly generate dissonance when they are carried out. Most of the competences identified were in the Management and Care groups, showing convergence between the evaluation of professionals’ performance by service managers and their self-assessment.

Objective. To measure, at the national scope, the satisfaction of Chilean nurses working in hospitals, and establish personal and institutional determinants associated with satisfaction. Methods. Cross-sectional multicenter study, carried out in 40 public and private high-complexity hospitals in Chile. A self-administered survey was conducted with 1,632 clinical nurses from medical-surgical units. The variables of interest studied were: job satisfaction, personal determinants (sex, age, and postgraduate training), institutional organizational determinants (assignments and work environment, measured through the Practice Environment Scale of the Nursing Work Index), and institutional structural determinants. Data analysis applied hierarchical logistic regression models, with three blocks of determinants, following nested models design. Results. The study showed that 21% of the nurses is very satisfied with their job. Training opportunities and professional growth are specific work aspects with which there is a lower percentage of nurses satisfied (10% and 11.2%, respectively). Among the personal factors, male sex and age are associated positively with satisfaction (p<0.05). Among the institutional organizational factors, a good work environment was associated with greater satisfaction (p<0.001); the number of patients per nurse was associated marginally with satisfaction (p<0.05). The structural factors of hospitals were not associated with satisfaction. Conclusion. A low proportion of nurses working in the high-complexity hospitals studied are satisfied with their job. Planning of strategies must be prioritized, leading to improving the retention of nurses, reducing the number of patients per nurse, and promoting good work environments in hospitals.

Resumo Objetivo Analisar quais atitudes éticas presentes na prática do Enfermeiro na Atenção Primária à Saúde (APS) que poderiam ser consideradas Práticas Avançadas em Enfermagem (PAE). Métodos Estudo qualitativo, com análise de dados secundários do banco de dados da pesquisa “Práticas de Enfermagem no contexto da Atenção Primária à Saúde (APS): estudo nacional de métodos mistos”. As cinco regiões brasileiras foram contempladas, com 26 Estados e no Distrito Federal, em 108 municípios. Foram entrevistados 831 enfermeiros da APS de todos os Estados do Brasil. O tratamento dos dados foi realizado por meio do software MAXQDA®, versão, 2024, durante os meses de julho a dezembro de 2024. O delineamento metodológico adotado na análise quantitativa foi o descritivo, para compreender atitudes éticas na prática do Enfermeiro na Atenção Primária à Saúde que se aproximem das competências da Prática Avançada de Enfermagem. Resultados Evidenciado que na prática, apesar do reconhecimento teórico nas competências éticas da PAE, há pouca frequência na sua aplicação em todo o território nacional. Conclusão Os dados desta pesquisa confirmam que o domínio ético, embora amplamente reconhecido na literatura como central à Prática Avançada de Enfermagem (PAE), ainda encontra obstáculos significativos em sua efetivação na prática cotidiana dos Enfermeiros da APS. Abstract Objective To analyze which ethical attitudes present in the practice of nurses in Primary Health Care (PHC) could be considered Advanced Nursing Practices (ANP). Methods Qualitative study with secondary data analysis from the database of the research project “Nursing Practices in the Context of Primary Health Care (PHC): a national study using mixed methods.” The five Brazilian regions were included, with 26 states and the Federal District, in 108 municipalities. A total of 831 PHC nurses from all Brazilian states were interviewed. Data were processed using MAXQDA® software, version 2024, from July to December 2024. The methodological design adopted in the quantitative analysis was descriptive, to understand ethical attitudes in the practice of nurses in Primary Health Care that are close to the competencies of Advanced Nursing Practice. Results It was evident that in practice, despite theoretical recognition of the ethical competencies of ANP, there is little frequency in its application throughout the national territory. Conclusion The data from this research confirm that the ethical domain, although widely recognized in the literature as central to Advanced Nursing Practice (ANP), still faces significant obstacles in its effective implementation in the daily practice of PHC nurses. Resumen Objetivo Analizar qué actitudes éticas presentes en la práctica del enfermero en la Atención Primaria de Salud (APS) podrían considerarse prácticas avanzadas de enfermería (PAE). Métodos Estudio cualitativo, con análisis de datos secundarios provenientes de la base de datos de la investigación «Prácticas de enfermería en el contexto de la Atención Primaria de Salud (APS): estudio nacional de métodos mixtos». Se contemplaron las cinco regiones brasileñas, con 26 estados y el Distrito Federal, en 108 municipios. Se entrevistó a 831 enfermeros de APS de todos los estados de Brasil. El tratamiento de los datos se realizó mediante el software MAXQDA®, versión 2024, durante los meses de julio a diciembre de 2024. El diseño metodológico adoptado en el análisis cuantitativo fue de tipo descriptivo, con el objetivo de comprender las actitudes éticas en la práctica del enfermero en la Atención Primaria de Salud que se aproximan a las competencias de la Práctica Avanzada de Enfermería. Resultados Se evidenció que, en la práctica, a pesar del reconocimiento teórico de las competencias éticas de la PAE, su aplicación es poco frecuente en todo el territorio nacional. Conclusión Los datos de esta investigación confirman que el ámbito ético, aunque ampliamente reconocido en la literatura como fundamental para la Práctica Avanzada de Enfermería (PAE), sigue encontrando obstáculos significativos para su aplicación en la práctica diaria de los enfermeros de APS. Résumé Objectif Analyser les attitudes éthiques présentes dans la pratique des infirmiers en soins de santé primaires (SSP) qui pourraient être considérées comme des Pratiques infirmières avancées (PIA). Méthodes Étude qualitative, avec analyse des données secondaires issues de la base de données de la recherche « Pratiques infirmières dans le contexte des soins de santé primaires (SSP) : étude nationale utilisant des méthodes mixtes ». Les cinq régions brésiliennes ont été prises en compte, avec 26 États et le District fédéral, dans 108 municipalités. 831 infirmiers des SSP de tous les États du Brésil ont été interrogés. Le traitement des données a été réalisé à l’aide du logiciel MAXQDA®, version 2024, entre juillet et décembre 2024. La méthodologie adoptée pour l’analyse quantitative était descriptive, afin de comprendre les attitudes éthiques dans la pratique des infirmiers en soins de santé primaires qui se rapprochent des compétences de la pratique infirmière avancée. Résultats Il est apparu que, dans la pratique, malgré la reconnaissance théorique des compétences éthiques de la PIA, leur application est peu fréquente sur l’ensemble du territoire national. Conclusion Les données de cette recherche confirment que le domaine éthique, bien que largement reconnu dans la littérature comme central à la pratique infirmière avancée (PIA), rencontre encore des obstacles importants dans sa mise en œuvre dans la pratique quotidienne des infirmiers de la SSP.

Resumo Objetivo Adaptar transculturalmente e avaliar as evidências de validade de conteúdo da “Career Anchors Self-Assessment” para o contexto dos enfermeiros brasileiros. Métodos Estudo psicométrico realizado em hospitais universitários entre janeiro de 2021 e abril de 2022, a partir das 11 etapas para adaptação transcultural propostas pelo Patient Report Outcomes Measurement Information System, e evidência de validade de conteúdo analisadas por meio do Content Validity Ratio (CVR). Resultados O procedimento de adaptação cultural garantiu que a versão brasileira apresentasse boa qualidade de equivalências conceitual, semântica, idiomática e experimental. Foram obtidos valores do Content Validity Ratio (CVR) acima de 0,778. O teste cognitivo demonstrou boa compreensão do instrumento. Conclusão A versão brasileira, denominada Autoavaliação das Âncoras de Carreira, apresenta boa qualidade de tradução e evidências de validade de conteúdo, tornando-se uma potencial ferramenta para aplicação em enfermeiros que atuam em hospitais. No entanto, são necessários avanços nas análises das demais evidências de validade para consolidar sua eficácia e confiabilidade. Resumen Objetivo Realizar una adaptación transcultural y evaluar las evidencias de validez de contenido de la Career Anchors Self-Assessment para el contexto de los enfermeros brasileños. Métodos Estudio psicométrico realizado en hospitales universitarios entre enero de 2021 y abril de 2022, a partir de las 11 etapas para la adaptación transcultural propuestas por el Patient Report Outcomes Measurement Information System, y evidencias de validez de contenido analizadas mediante el Content Validity Ratio (CVR). Resultados El procedimiento de adaptación cultural garantizó que la versión brasileña presente buena calidad de equivalencias conceptuales, semánticas, idiomáticas y experimentales. Se obtuvieron valores del Content Validity Ratio (CVR) superiores a 0,778. La prueba cognitiva demostró una buena comprensión del instrumento. Conclusión La versión brasileña, llamada Autoavaliação das Âncoras de Carreira (Autoevaluación de las Anclas de Carrera), presenta una buena calidad de traducción y evidencias de validez de contenido, lo que la transforma en una herramienta potencial para utilizar con enfermeros que trabajan en hospitales. Sin embargo, es necesario avanzar en el análisis de las demás evidencias de validez para consolidar su eficacia y fiabilidad. Abstract Objective Cross-culturally adapt and evaluate the evidence of content validity of the “Career Anchors Self-Assessment” for the context of Brazilian nurses. Methods Psychometric study carried out in university hospitals between January 2021 and April 2022, based on the 11 steps for cross-cultural adaptation proposed by the Patient Report Outcomes Measurement Information System, and evidence of content validity analyzed using the Content Validity Ratio (CVR). Results The cultural adaptation procedure ensured that the Brazilian version had good quality conceptual, semantic, idiomatic and experiential equivalence. Content Validity Ratio (CVR) values above 0.778 were obtained. The cognitive test showed good comprehension of the instrument. Conclusion The Brazilian version, called Self-Assessment of Career Anchors, has good translation quality and evidence of content validity, making it a potential tool for nurses working in hospitals. However, advances are needed in the analysis of other validity evidence to consolidate its effectiveness and reliability.

Objective. The study objective was to evaluate the effectiveness of Resiliency and Recovery Program on Compassion Fatigue level of Nursing Officer from selected hospitals of Pune City (India). Methods. The study used a quasi-experimental approach involving single group pre-test and post-test design. 100 nursing officers, working in selected hospitals of Pune city, who were willing to participate were selected using non probability convenience sampling. The data was collected using The Professional Quality of Life Scale: Compassion Satisfaction and Fatigue (ProQoL) Version 5 of Stamm. The study included pre-test, resiliency and recovery program and post-test. Resiliency and Recovery Program is an intervention aiming to develop five resiliency skills or antibodies including (a) self-regulation, (b) perceptual maturation, (c) intentionality, (d) self-care and (e) connection and support. Results. Statistically significant difference was revealed between the pre-test and post-test score means: Compassion Satisfaction (pre-test = 28.50 to post-test = 31.0; t-18.6671, p<0.001), Burn-out (pre-test = 35.2 to post-test = 31.7; t-15.00, p<0.001), and Secondary Traumatic Stress (pre-test = 37.4 to post-test = 33.07; t-14.8996, p<0.001). Conclusion. Resiliency and Recovery Program had a significant impact on Compassion Fatigue, leading to an increase in Compassion Satisfaction, and a reduction in Burnout and Secondary Traumatic Stress. Inculcating Resiliency skills in nursing officers can help them in reducing compassion fatigue and thus aids in health promotion.

Resumo Objetivo Sintetizar e analisar as evidências científicas acerca do empoderamento estrutural dos enfermeiros, especificamente no contexto da emergência. Métodos Revisão integrativa da literatura realizada nas bases de dados eletrônicas: Lilacs, PubMed, Scopus, Web of Science e Embase. Foram identificados 174 artigos nas bases de dados, considerando-se os critérios de inclusão e exclusão: estudos originais, nos idiomas português, inglês e espanhol, publicados a partir de 1996 e cujo escopo fossem os trabalhos acerca do empoderamento estrutural de enfermeiros atuantes nos diversos cenários da emergência. Após a avaliação e os refinamentos dos trabalhos por intermédio dos critérios estabelecidos, obteve-se um total de seis estudos para análise. Resultados Foram estabelecidas duas categorias temáticas para sintetizar o conhecimento: “as dimensões do empoderamento estrutural dos enfermeiros da emergência” e “a relação do empoderamento estrutural dos enfermeiros com outras variáveis e seu impacto no contexto da emergência”. Essas categorias temáticas permitiram evidenciar que a oportunidade é fundamental para o empoderamento do enfermeiro nesse contexto, além disso, observou-se a relevância da liderança e o ambiente de trabalho como componentes importantes que influenciam no empoderamento e na prática profissional do enfermeiro. Conclusão O empoderamento estrutural é significativo para prática profissional do enfermeiro no contexto da emergência, pois ter acesso às dimensões de empoderamento resulta em autonomia no trabalho, níveis maiores de autoeficácia e melhoria na qualidade e segurança da assistência prestada. Abstract Objective to synthesize and analyze the scientific evidence on the structural empowerment of nurses, specifically in the context of the emergency room. Methods An integrative literature review was carried out using the electronic databases Lilacs, PubMed, Scopus, Web of Science and Embase. 174 articles were identified in the databases, considering the inclusion and exclusion criteria: original studies, in Portuguese, English and Spanish, published from 1996 onwards and whose scope was work on the structural empowerment of nurses working in the various emergency scenarios. After evaluating and refining the studies using the established criteria, a total of six studies were obtained for analysis. Results Two thematic categories were established to synthesize the knowledge: “the dimensions of structural empowerment of emergency nurses” and “the relationship between nurses’ structural empowerment and other variables and their impact in the emergency context”. These thematic categories made it clear that opportunity is fundamental to nurses’ empowerment in this context, as well as the relevance of leadership and the work environment as important components that influence nurses’ empowerment and professional practice. Conclusion Structural empowerment is significant for nurses’ professional practice in the context of emergencies, since having access to the dimensions of empowerment results in autonomy at work, higher levels of self-efficacy and an improvement in the quality and safety of the care provided. Resumen Objetivo Sintetizar y analizar las evidencias científicas sobre el empoderamiento estructural de los enfermeros, específicamente en el contexto de emergencias. Métodos Revisión integradora de la literatura realizada en las bases de datos electrónicas Lilacs, PubMed, Scopus, Web of Science y Embase. Se identificaron 174 artículos en las bases de datos, con los siguientes criterios de inclusión y exclusión: estudios originales, en portugués, inglés y español, publicados a partir de 1996, cuyo alcance eran los trabajos sobre el empoderamiento estructural de enfermeros que trabajan en diferentes escenarios de emergencias. Después de la evaluación y la refinación de los trabajos mediante los criterios establecidos, se obtuvo un total de seis estudios para el análisis. Resultados Se establecieron dos categorías temáticas para sintetizar el conocimiento: “las dimensiones del empoderamiento estructural de los enfermeros de emergencias” y “la relación del empoderamiento estructural de los enfermeros con otras variables y el impacto en el contexto de emergencias”. Estas categorías temáticas permitieron evidenciar que la oportunidad es fundamental para el empoderamiento de los enfermeros en este contexto. Además, se observó la relevancia del liderazgo y del ambiente de trabajo como componentes importantes que influyen en el empoderamiento y en la práctica profesional de los enfermeros. Conclusión El empoderamiento estructural es significativo para la práctica profesional de los enfermeros en el contexto de emergencias, ya que tener acceso a las dimensiones del empoderamiento tiene como resultado la autonomía en el trabajo, mayores niveles de autoeficacia y una mejora de la calidad y seguridad de la atención brindada.