This study aimed to identify the nursing care practices to the client with hypertension in the scientific production in the last ten years. It was carried out a bibliographic study, using in the BIREME, the LILACS, SciELO and BDENF's data basis, selecting thirty articles. The results were exposed in charts, tables and graphics, where prevails, in the literature analyzed, the nursing consultation as the more used practice, through the nursing attendance systematization and the Health Education with individual approaches, besides the realization of home visits with family approach. One believes that the systematization of nursing care will contribute in an expressive manner to the adhesion to the antihypertensive treatment.

Sistematização da assistência de enfermagem fundamentada na CIPE® e na teoria da adaptação em hipertensos Systematization of nursing care based on CIPE® and the theory of adaptation in hypertensivesSistematización de atención de enfermería fundamentada en CIPE® y en teoría de adaptación en hipertensos

Dimensioning the instrumentation: Exploratory or confi rmatory factor analysis?Re: Quality of nursing care: Instrument development and validation Dear Editor, Martinez et al. in their research entitled as "Quality of nursing care: Instrument development and validation", published in volume 69 and issue 5 in 2016, have done a valuable work in relation to the design and psychometry of instrument as well as the relevant areas (Nurses' perceptions of activities leading to increased quality of care by nurses) (1) . There are some tips in some parts of the research methodology that need to be considered. Explaining them seems to be capable of improving the work in future research and to be a guidance for other researchers in the field of design and validity of the instrument. Conceptualization and generating items in this study were performed with a deductive approach and by using OE -Ordem dos Enfermeiros (Order of Nurses) standard related to Portugal standards. Sampling in large sample size and focusing on the validity and reliability of the provided tool are as the strengths of the mentioned study.Papers appraisal is essential for the growth of knowledge and improves the quality of scientific research (2) . Scientific review of articles can be useful for readers and researchers regarding the increase of the article quality (3) . The mentioned study is criticized from two major aspects: In evaluating the newly designed instrument validity, only the qualitative content analysis (intelligibility, clarity and communication) has been mentioned. Although this evaluation is proper and accurate, but it is not enough, and CVI or CVR have not been calculated (4)(5) , while focusing on these indices is crucial in instrumentation and represents the issue that whether the instrument content fully assesses the studied structure or not (5) . The important, and in fact, the main thing to notice is that followed by sampling, the exploratory factor analysis method was used to assess the construct validity, while the dimensions have been specified in the beginning of the study and it is even determined that which items would be placed in which dimensions. In this context, the factor analysis of choice will be of confirmatory type and not the exploratory kind (5)(6)(7) . Since, the confirmatory type is the test hypothesis, suggesting that whether the statements included within each dimension are really fit and belong to that dimension or not (4) . The exploratory type, as the name implies, involves the detection and determining the dimensions. Sometimes, the texts can be used to state the dimensions of a structure. However, to specify which statements need to be placed in the made instrument, the exploratory factor analysis prediction should be employed in such circumstances.The purpose of the aforementioned is helping the illustration of key points in the design of the instrument and mentioning of some necessary points. Researchers would like to appreciate the Rev Bras Enferm Journal as it accepts the review of articles with contentm...

RESUMOObjetivou-se avaliar as evidências disponíveis na literatura sobre os cuidados clínicos e gerenciais desenvolvidos por enfermeiros visando à prevenção de úlceras por pressão. Utilizou-se o método da revisão integrativa, e foram pesquisados artigos com os descritores "úlcera por pressão", "Enfermagem", "prevenção e controle" e "cuidados de Enfermagem", disponíveis nas bases de dados SciELO e Base de Dados de Enfermagem (BDENF), publicados no período de 2002 a 2011. Resultaram 16 artigos desta busca e da aplicação dos critérios de inclusão e exclusão, os quais constituíram a amostra deste trabalho. Para a análise e a discussão das publicações, estas foram sintetizadas e os cuidados foram divididos em cinco categorias distintas: alívio de pressão; nutrição; higiene; hidratação e gerenciamento do cuidado. Esta última esteve presente em muitos artigos, embora a categoria alívio de pressão tenha apresentado o maior número dos cuidados de Enfermagem. Concluiu-se que este estudo possibilitou apreender os cuidados de Enfermagem desenvolvidos nas diferentes realidades, visando o cuidado ao paciente em situação de risco para úlcera por pressão. Vale ressaltar que alguns cuidados de Enfermagem na prevenção de úlcera por pressão dependem exclusivamente da prescrição do enfermeiro e da implementação por parte da equipe de Enfermagem, como é o caso da mudança de decúbito, mas o trabalho interdisciplinar ainda é necessário para a execução dos cuidados preventivos em sua totalidade. DESCRITORES:Úlcera por pressão. Prevenção. Enfermagem. Estomaterapia. ABSTRACTThis study aimed at evaluating the evidence available in the literature on the clinical and management care developed by nurses for the prevention of pressure ulcers. The research occurred by means of the integrative review method, in which we researched articles containing the descriptors "pressure ulcer", "Nursing", "prevention and control", and "Nursing care", available in the SciELO and Base de Dados de Enfermagem (BDENF) databases, published from 2002 to 2011. Based on this survey and on the application of inclusion and exclusion criteria, we selected 16 articles, which constituted the study sample. For the analysis and discussion of publications, we synthesized them and divided the care into fi ve distinct categories: pressure relief; nutrition; hygiene; hydration; and care management. The latter was present in many articles, although the pressure relief category has presented the largest number of Nursing care. Thus, this study enabled to understand the Nursing care developed in diff erent realities, with the aim of providing care to patients at risk for pressure ulcers. It is worth mentioning that some Nursing care in the prevention of pressure ulcers depend solely on nurse prescription and on the Nursing staff 's implementation, like the change in position, even though the interdisciplinary work is still required for the performance of preventive care in their entirety.

O objetivo do presente estudo foi identificar os problemas adaptativos e estímulos fundamentados no modelo teórico de Roy, bem como os diagnósticos de enfermagem segundo a CIPE® Versão 1. Estudo de casos múltiplos, realizado com 45 hipertensos com doenças associadas assistidos em uma unidade de saúde da Secretaria Executiva Regional V - Fortaleza. Dentre os problemas adaptativos identificados o sedentarismo é o mais presente (84,4% dos indivíduos), seguido de sobrepeso/obesidade (57,8%) e distúrbios no padrão de sono (42,2%). 64,3% dos diagnósticos de enfermagem identificados encontram-se no âmbito biológico, sendo os de maior prevalência: Autocuidado Parcial (93,3%), Padrão de Exercício Diminuído (84,4%), Dentição Comprometida (82,2%), Aprendizagem Baixa (60,0%), Sobrepeso/Obesidade (57,7%). Concluiu-se que a identificação de problemas adaptativos auxiliam-nos na elaboração de diagnósticos, os quais, por sua vez, conferem uma linguagem própria à enfermagem além de maior autonomia profissional e qualidade na assistência