Aim To investigate the prevalence, risk factors, and impact of pelvic floor dysfunctions in female nurses. Design A systematic review. Data Sources Searches were conducted in the following five electronic databases: PubMed/Medline, LILACS, SCIELO, Cochrane Library, and CINAHL. There were no period or language limitations. Review Methods Data extraction and synthesis were conducted and the appraisal of the quality of the studies was performed using the Joanna Briggs Institute critical appraisal tool checklist for prevalence data. Results A total of 15 studies were included. The symptoms investigated were lower urinary tract symptoms, including urinary incontinence and its subtypes, sexual dysfunctions, constipation, faecal incontinence, and dual incontinence. Overall, prevalence ranged from 9.9% to 89.6%. Associated factors related to occupational roles were lifting heavy weights and poor bladder habits. Quality of life was significantly worse for nurses with pelvic floor disorders. Conclusion Pelvic floor dysfunctions are very common among female nurses, considerably affecting their quality of life. Additional studies are needed to investigate the impact on work productivity, causal relationships with the occupation and the performance of prevention and treatment interventions directed toward this population.

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RESUMOObjetivo: avaliar a conformidade das práticas de prevenção de infecção de corrente sanguínea relacionada à realização do curativo de cateter venoso central de curta permanência. Método: estudo observacional de 30 enfermeiras na troca do curativo de cateter venoso central de curta permanência em pacientes em um hospital, em Fortaleza-Ce, no período de 2014 a 2015. Para a coleta de dados utilizou-se um check-list. Os dados foram submetidos à análise estatística descritiva. Pesquisa aprovada com Parecer nº 488.788. Resultados: das 30 observações diretas foram registradas 163 não conformidades, sendo as principais relativas à apresentação ao paciente e explicação do procedimento, posicionamento da cabeça, higienização das mãos após o descarte, limpeza das conexões do cateter, identificação do curativo e realização do registro de enfermagem imediato. Conclusão: destacaram-se muitas não conformidades em relação ao procedimento realizado, evidenciando a necessidade de incorporar a prática baseada em evidência científica, de modo a minimizar o risco de infecções em curativo desse dispositivo. Palavras-chave: Enfermagem; terapêutica; prevenção de doenças; cateteres.ABSTRACT Objective: to assess conformity with bloodstream infection prevention practices relating to dressing the short-term central venous catheter. Method: structured observational study of 30 nurses changing dressings on short-term central venous catheters in inpatients at a hospital in Fortaleza, Ceará, from 2014 to 2015. Data were collected using a check-list and subjected to descriptive statistical analysis. The results were displayed as absolute and relative frequencies. The study was approved by Opinion No. 488.788. Results: in 30 direct observations, 163 non-conformities were recorded, relating mostly to: presentation and explanation of the procedure to the patient, positioning of the head, hand hygiene after disposal, cleaning of the catheter connections, identification of the dressing and immediate completion of the nursing record. Conclusion: many nonconformities were found in performance of the procedure, evidencing the need to incorporate scientific evidence-based practice to minimize the risk of infections from dressing this device. Keywords: Nursing, therapeutics, disease prevention; catheters. RESUMENObjetivo: evaluar la conformidad de las prácticas de prevención de infección del torrente sanguíneo relacionadas con la realización del vendaje de catéter venoso central de corta permanencia. Método: estudio observacional de 30 enfermeras durante el cambio de vendaje de catéter venoso central de corta permanencia en pacientes en un hospital de Fortaleza-Ce, de 2014 a 2015. Para la recolección de datos, se utilizó un check-list. Se sometieron los datos al análisis estadístico descriptivo. La investigación fue aprobada bajo el Dictamen nº 488.788. Resultados: de las 30 observaciones directas, se registraron 163 no conformidades, siendo las principales relacionadas a cómo presentar y explicar el procedimiento al paciente, el posicionamiento de ...

Aims: To analyze the psychometric properties of instruments measure knowledge and/or attitude and/or practice related to urinary incontinence (UI). Methods: This review was conducted in September 2018 without restrictions regarding language and year of publication. Data sources: MEDLINE/PubMed, CINAHL, SCOPUS, PsycINFO, Web of Science, Cochrane, LILACS, and Google. The psychometric properties were evaluated using the COnsensus-based Standards for the selection of health status Measurement INstruments and the Quality Criteria for Measurement Properties.Results: A total of seven articles published between 1999 and 2018 were included. The evaluation of the psychometric properties showed that the majority of the instruments presented "excellent" or "good" methodological quality; however, the description of aspects related to the validation stages was inadequate in some studies, causing the quality of the results to be evaluated as "indeterminate" in some properties. This review cannot recommend any questionnaire without reservations; however, the Urinary Incontinence Scales and the Barriers Incontinence Care Seeking Questionnaire presented better evaluations, regarding both methodological quality and the quality of the results. Conclusion: This review provides a strategy to select the most suitable instrument to assess knowledge, attitude, and practice regarding UI, according to the psychometric properties, guiding their use by researchers in clinical practice. K E Y W O R D Shealth knowledge, attitudes, practice, lower urinary tract symptoms, systematic review

Aims: To determine the percentage of women with symptomatic pelvic organ prolapse who opted for pessary and had a successful pessary fitting trial; to identify the most commonly used size of pessary for stage of prolapse; and to identify risk factors associated with unsuccessful fitting. Methods: We conducted a prospective cohort study of women with symptoms of genital prolapse referred to a public hospital tertiary care clinic (2013-2019). We used ring and ring with support pessaries for fittings. We collected patient demographics, pelvic organ prolapse quantification, size of pessary used and evaluated factors associated with pessary fittings. We defined unsuccessful fit as failure to continue pessary use at 4 weeks post fitting trial. We used Mann-Whitney and χ 2 tests to compare variables between groups of successfully and unsuccessfully fitted. Using logistic regression, we built a prediction model for unsuccessful fit. Results: All 170 women with symptomatic prolapse referred to our clinic accepted to undergo a pessary fitting. More than 70% (n = 124/72.9%) were successfully at 4 weeks. We used an average of 1.7 pessaries (range: 1-6) per patient to identify the best-fitting pessary and #2, 5, 3, 7, and 4 were the sizes commonly used (78.2%). Women with body mass index ≥30 kg/m 2 (odds ratio