Adolescents are considered vulnerable and exposed to different threats to health group, making it necessary discussion about ethical aspects related to their participation in research and clinical practice. The employed methodology was an integrative literature review and it was selected studies that approached the subject "bioethical matters related to vulnerability of adolescents" within the last fifteen years. Nine articles included the pre-established criteria to the study, grouped into three categories: 1) works that mentioned the psychological-cognitive comprehension of adolescent to participate in scientific research; 2) works emphasizing aspects related to medical decisions; and 3) studies approaching the issue of sexuality in adolescence. The analysis of selected studies found out it is not possible to reach a valid consensus to all situations involving adolescents in research and clinical practice. Resumo Vulnerabilidade de adolescentes em pesquisa e prática clínicaOs adolescentes são considerados grupo vulnerável e exposto a diferentes ameaças à saúde, tornando-se necessária a discussão sobre aspectos éticos relacionados a sua participação em pesquisa e prática clínica. Por meio de revisão integrativa de literatura foram selecionados estudos que abordaram aspectos bioéticos relacionados à vulnerabilidade de adolescentes nos últimos quinze anos. Nove artigos atenderam aos critérios pré-estabelecidos para o estudo e foram agrupados em três categorias: 1) trabalhos que pontuaram a compreensão psicológica e cognitiva do adolescente ao participar de pesquisa científica; 2) estudos que enfatizaram aspectos relacionados a decisões médicas; e 3) estudos que abordaram a temática da sexualidade na adolescência. Após análise dos estudos selecionados, verificou-se que não é possível chegar a consenso válido para todas as situações que envolvem adolescentes em pesquisa e prática clínica. Palavras-chave: Vulnerabilidade. Adolescência. Bioética. Resumen La vulnerabilidad de los adolescentes en la investigación y en la práctica clínicaLos adolescentes son considerados como grupo vulnerable y expuesto a diferentes amenazas en el ámbito de la salud, por lo cual es necesario que exista un debate sobre los aspectos éticos relacionados con su participación en la investigación y en la práctica clínica. Por medio de una revisión integradora de la literatura, se seleccionaron estudios que abordaban aspectos bioéticos relacionados con la vulnerabilidad de los adolescentes en los últimos quince años. Nueve artículos contemplaban los criterios preestablecidos para el estudio y se agruparon en tres categorías: 1) trabajos que contemplaban la comprensión psicológica y cognitiva del adolescente al participar en la investigación científica; 2) estudios que enfatizaban los aspectos relacionados con las decisiones médicas; y 3) estudios que abordaban la sexualidad en la adolescencia. Después del análisis de los estudios seleccionados, se verificó que no es posible llegar a un consenso válido para todas las situaciones que involucran a...

The level of knowledge and training of nursing staff has been related to indicators of quality of care in health, although the application of indicators is still rare related to continuing education programs. The aim of this study was to use the training indicator to evaluate the efficiency of a Continuing Education Program focused on nursing staff in a Brazilian university hospital. In addition, it also checked if different nursing staff characteristics interfere in the training indicator. The number of hours that each nursing professional spent in the program was measured, and this indicator was related to professional features like professional category, unit of work, employment link and department. We note that inpatient sectors and high-complexity care feature a greater average number of hours when compared to units of lower complexity or support or administrative sectors. Another relevant point was the lower number of hours of training of nurses compared to other nursing categories, highlighting the need to consider different strategies for each nursing category. Despite this, nurses that perform assistance compared to those who perform only administrative activities showed no differences in participation. We observe that the profile of professionals was a relevant factor in participating in the program, and that this must be taken into consideration in the planning of continuing education programs. The program in this institution, which has compulsory participation during working hours, was also effective compared to the few studies that have measured the number of hours of training in hospitals of high complexity.

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