Objective To validate the defining characteristics of the nursing diagnosis “labile emotional control” in traumatic brain injury (TBI) outpatients. Design This was a descriptive, cross‐sectional, quantitative study. Methods Thirty‐one Brazilian nurses who were experts in the area of TBI answered a semistructured questionnaire on the diagnosis “labile emotional control” based on NANDA‐International (NANDA‐I) Taxonomy II (2015–2017) using a Likert‐type scale to rate the 13 defining characteristics. Based on Fehring's model, the weighted average of ≥80 was used to define the main characteristic and the mean of ≥0.50 was considered for total content validation. Results Out of the 13 defining characteristics of the nursing diagnosis studied, “leaving a social situation” (0.80) and “expression of emotions inconsistent with the triggering factor” (0.81) were classified as principal characteristics, while the 11 others were classified as secondary characteristics. The diagnosis “labile emotional control” obtained a total score of 0.69, which was considered valid according to NANDA‐I Taxonomy II. Conclusions Because this is a new diagnosis with subjective characteristics, there is a need to train nurses to recognize the defining characteristics for the diagnosis. Clinical Relevance The validation of this diagnosis helps nurses understand and identify the subjective characteristics of the emotional impressions expressed by patients with TBI. These defining characteristics will help improve TBI nurses’ clinical practice.

Trata-se de uma revisão sistemática de ensaios clínicos, realizada de julho a agosto/2020 em quatro bases de dados. A seleção dos artigos ocorreu em duas fases por dois investigadores de forma independente e pareada. O risco de viés foi avaliado pelas diretrizes da Cochrane no Review Manager versão 5.5. Assim, o estudo teve como objetivo avaliar a efetividade de intervenções na redução do tempo de tela em adolescentes. Dessa maneira foram incluídos quatro artigos que atenderam aos critérios de elegibilidade para inclusão e análise. No que se refere aos tipos de tela, as seguintes foram abordadas nos estudos: televisão, videogame, computador e celular. As intervenções que envolveram atividade física mostraram-se mais eficazes, no entanto, a meditação mostrou-se mais efeitos benéficos em desfechos secundários como diminuição do vício em smartphones e níveis de estresse, além da melhora do autocontrole e estratégias de enfrentamento do estresse. Portanto, as intervenções utilizadas nos estudos foram parcialmente efetivas visto que após o período de intervenção os adolescentes voltaram a apresentar aumento de tempo de exposição.

Objective: To assess the capacity of Charlson, SAPS 3 and SOFA scores to predict acute kidney injury, need for dialysis, and death in intensive care unit patients. Method: Prospective cohort, with 432 individuals admitted to four intensive care units. Clinical characteristics at admission, severity profile, and intensity of care were analyzed using association and correlation tests. The scores sensitivity and specificity were assessed using the ROC curve. Results: The results show that patients with acute kidney injury were older (65[27] years vs. 60[25] years, p = 0.019) and mostly are from the emergency department (57.9% vs. 38.0 %, p < 0.001), when compared to those in the group without acute kidney injury. For dialysis prediction, the results of SAPS 3 and SOFA were AUC: 0.590; 95%CI: 0.507–0.674; p-value: 0.032 and AUC: 0.667; 95%CI: 0.591–0.743; p-value: 0.000, respectively. All scores performed well for death. Conclusion: The prognostic scores showed good capacity to predict acute kidney injury, dialysis, and death. Charlson Comorbidity Index showed good predictive capacity for acute kidney injury and death; however, it did not perform well for the need for dialysis.

Preditores de mortalidade e tempo médio de sobrevivência dos pacientes críticosPredictors of mortality and median survival time of critically ill patients Predictores de mortalidad y tiempo promedio de supervivencia de los pacientes críticos Jussiely