Aim To investigate the nurses' work environment in university hospitals during the COVID‐19 pandemic in Brazil. Background The COVID‐19 pandemic brought challenging times for nurses worldwide. In Brazil, as well as in several countries, nurses are working hard in hospital settings caring for patients infected with the virus, sometimes with unfavourable work environment conditions. Methods This study was a convergent embedded mixed methods research. The sample comprised 104 nurses from three Brazilian university hospitals. Data were collected in April–June 2020 from an online questionnaire with a self‐reporting Likert scale survey designed to measure the nurses' perceptions of their work environment. Qualitative data in the form of written comments were also collected through an open question. Data were analysed using descriptive statistics and content analysis. Results The quantitative results showed that the responses to ‘I received training on the correct use of personal protective equipment’ and ‘I am afraid of being infected’ items had the best and worst evaluations, respectively. The qualitative findings revealed five themes: feeling of insecurity, lack of personal protective equipment, lack of diagnostic tests, changes in the care flow and fear of the unknown. Conclusion The study has highlighted the challenges faced by hospital nurses while caring for patients with COVID‐19. Implications for Nursing and Nursing Policy The gaps identified will assist the policymakers and hospital managers in developing policies to enhance the support offered to nurses and improve the care provided to patients with COVID‐19 in university hospitals. The results also indicate the need for attention to the mental health of the professionals due to the increasing workload and treatment of an illness hitherto unknown.

Carga de trabalho numa unidade de internamento hospitalar de acordo com o Nursing Activities Score Workload in a hospital inpatient unit using the Nursing Activities Score Carga de trabajo en una unidad de internamiento hospitalario según el Nursing Activities Score

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Objetivo: Identificar a produção científica acerca do tema advocacia do paciente por enfermeiros no contexto da terapia intensiva entre os anos de 2010 a 2020. Métodos: Revisão integrativa da literatura sobre o tema advocacia do paciente em unidade de terapia intensiva (UTI) entre os anos de 2010 a 2020, realizada nas bases de dados: Publisher Medline (PUBMED), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Cochrane Library e Web of Science, e também na biblioteca eletrônica Scientific Electronic Library Online (SCIELO) Com a busca nas base de dados, e na biblioteca eletrônica, foram encontradas 217 referências, das quais, 18 atenderam aos critérios de inclusão e exclusão da pesquisa. Resultado: Os 18 artigos selecionados foram categorizados conforme os temas identificados com maior recorrência, os quais consistem em: enfermeiro como defensor do paciente e família, barreiras para a defesa do paciente e enfermeiro como articulador entre equipe, paciente e família. Conclusão: Essa revisão possibilita levar ao meio científico, o que vem sendo estudado acerca da advocacia do paciente em UTI nos últimos 10 anos, em âmbito nacional e internacional, além de evidenciar à importância do enfermeiro enquanto defensor dos direitos do paciente e da família, explanar sobre as barreiras existentes para que a advocacia do paciente pelo enfermeiro intensivista ocorra de forma qualificada, e também demonstra como o enfermeiro executa o papel de intermediário entre seu paciente, família e equipe multiprofissional.