The Coronavirus Disease 2019 (COVID-19) outbreak has created an unprecedented impact on global health and further aggravated the physical inactivity pandemic. For this reason, the understanding of sociodemographic variables in the context of physical activity levels are important for the field of public health in order to assist in relevant public health decisions. Our main aim was to characterize sociodemographic variables and physical activity levels and their association with COVID-19 aspects. We applied an online Google survey with closed questions in Brazilian people of different age and regions, both sexes and physical activity levels (n = 1.726). Our main results were that participants who had symptoms of COVID-19 had the highest percentage of level 1 of physical activity (the lowest level according to the classification used) and those who showed no symptoms had the highest percentage of levels 2 and 3 of physical activity; that is, close to the light/moderate levels of physical activity. This cross-sectional study in the Brazilian population provided important sociodemographic data and COVID-19 aspects regarding the level of physical activity. It is possible to assume that the regular practice of physical activity could positively impact health status and quality of life and be a tool in the field of public health to cope (from a physical and mental point of view) with disease scenarios that require quarantine.
Objetivou-se identificar o conhecimento teórico da equipe de enfermagem sobre as manobras de ressuscitação cardiopulmonar em suporte básico de vida, associando tal conhecimento às variáveis sociodemográficas, econômicas e de formação profissional. Trata-se de estudo transversal, descritivo e quantitativo, cujos dados foram obtidos de questionários aplicados a 351 funcionários de uma equipe de enfermagem de um serviço de emergência e de unidades de terapia intensiva. Houve declínio do conhecimento dos sujeitos sobre ressuscitação e parada cardiopulmonar com o passar do tempo. Fatores socioeconômicos e profissionais estiveram associados ao conhecimento dos profissionais de enfermagem. Sugere-se que treinamentos com menores intervalos aumentem o grau de retenção e o conhecimento da equipe de enfermagem.
Objective: To evaluate the conformity of the set of good practices for preventing ventilator-associated pneumonia (VAP) in the emergency department of a university hospital. Method: A cross-sectional analytical study with a quantitative approach, conducted in a university hospital in the city of São Paulo. The study sample consisted of opportunities for care observations that comprise the set of good practices for preventing ventilator-associated pneumonia provided to intubated patients hospitalized in the emergency department. Results: A total of 209 observations were performed in 42 patients. Of the hospitalized patients, 23.8% developed VAP, and 52.4% died. Of the five recommended measures for preventing VAP, only two presented compliance above 50%. Conclusion: The care provided to patients is not in line with what is recommended in the literature, which demonstrates the need for periodic renewal of the team’s educational practices and the development of auditing projects to ensure improvements in the care process.
Objetivo: Avaliar o conhecimento sobre sepse dos enfermeiros de um serviço de emergência. Método: Estudo transversal, quantitativo, desenvolvido em Hospital Universitário, com 41 enfermeiros. Os dados sociodemográficos, de trabalho e de conhecimento sobre sepse foram coletados por meio de instrumentos estruturados e analisados utilizando-se estatística descritiva e inferencial. Resultados: 11(26,83%) relataram ter tido conteúdo de sepse no treinamento admissional. A maioria das questões obtiveram maior índice de acertos do que erros. As que obtiveram baixo índice de acertos tratavam de definição (2;4,76%) e do tempo máximo para início da antibioticoterapia (17;40,48%). Conclusão: Verificou-se desatualização quanto aos protocolos mais recentes sobre definição e gerenciamento da sepse. Assim, este estudo sinaliza a necessidade de medidas institucionais para fixação e atualização deste conteúdo.Descritores: Enfermeiros; Conhecimento; Sepse; Serviço Hospitalar de Emergência. NURSES' KNOWLEDGE OF AN EMERGENCY SEPSIS SERVICEObjective: To evaluate the knowledge about sepsis of nurses in an emergency service. Method: Cross-sectional, quantitative study, developed at a University Hospital. Involved 41 nurses, the sociodemographic, work and sepsis knowledge data were collected through structured instruments and analyzed using descriptive and inferencial statistics. Results: 11 (26.83%) reported having sepsis content in admission training. Most of the questions got higher hit rate than errors. Those with low success rates were definition (2; 4.76%) and maximum time to start antibiotic therapy (17; 40.48%). Conclusions: Nurses were outdated regarding the most recent protocols on sepsis definition and management. Thus, this study points to the need for institutional measures to consolidate and update this content.Descriptors: Nurses; Knowledge; Sepsis; Emergency Service; Hospital.CONOCIMIENTO DE LOS ENFERMEROS DE UN SERVICIO DE SEPSIS DE EMERGENCIAObjetivo: Evaluar el conocimiento sobre la sepsis de los enfermeros en un servicio de emergencia. Método: Estudio transversal, cuantitativo, desarrollado en un hospital universitario. Participaron 41 enfermeros, los datos de conocimiento sociodemográfico, laboral y de sepsis se recopilaron a través de instrumentos estructurados e se analizaron mediante estadísticas descriptivas e inferenciales. Resultados: 11 (26.83%) informaron tener contenido de sepsis en la admisión. La mayoría de las preguntas obtuvieron una mayor tasa de aciertos que los errores. Aquellos con bajas tasas de éxito fueron la definición (2; 4.76%) y el tiempo para comenzar la terapia con antibióticos (17; 40.48%). Conclusiones: Los enfermeros estaban desactualizadas con respecto a los protocolos más recientes sobre definición y manejo de sepsis. Este estudio señala la necesidad de medidas institucionales para consolidar y actualizar este contenido.Descriptores: Enfermeras; Conocimiento; Sepsis; Servicio de Urgencia en Hospital.
Objective: To build and validate the content of a clinical simulation scenario for teaching in-hospital transport of critically ill patients. Methods: A descriptive study of construction and validation of a clinical simulation scenario for teaching in-hospital transport. A scenario based on the literature was built, followed by validation, using the Delphi technique, by five specialists, with an agreement of 80%. The experts were selected through snowball sampling. An instrument was developed containing 26 topics to be assessed for relevance, clarity, objectivity, feasibility, current content, vocabulary, and a field for observations. Results: Two rounds were carried out by the specialists to reach a consensus of 80%. According to the experts´ recommendation, the initial scenario was written more clearly and objectively, and divided into two parts: patient preparation and patient transport. Conclusion: In this study, the construction and validation of the scenario for teaching in-hospital transport were successfully performed. It may be applied in several services to evaluate the training of nursing undergraduate students, as well as for the professional improvement of those who work in the in-hospital transport service.
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