Este estudo objetivou verificar as concepções dos hipertensos, os fatores de risco e suas vivências quanto ao aumento da pressão em um Centro de Referência em Doenças Cardiovasculares na cidade do Salvador-BA. Foram entrevistadas 33 pessoas hipertensas. Trata-se de um estudo descritivo, de cunho qualitativo, amparado na análise do discurso proposta por Foucault. Quanto aos conceitos de fatores de risco, percebeu-se que foram confundidos com as complicações da hipertensão, entretanto, quando a abordagem mudou de "fatores de risco" para "fatores que podem aumentar a pressão", as respostas foram mais coerentes e condiziam com os fatores de risco pontuados pelas VI Diretrizes Brasileiras de Hipertensão. Além disso, notou-se através dos discursos que a percepção de aumento da pressão está diretamente ligada às vivências e à história de vida de cada um. Sendo assim, é preciso que as orientações sejam transmitidas de forma mais clara possível para que o entendimento possa servir de elemento facilitador para o controle da doença. Este estudo trouxe como ganhos a percepção dos fatores de risco na visão dessas pessoas de modo a fornecer pistas para a equipe de saúde interdisciplinar no intuito de promover o cuidado à saúde pautado nas vivências e no contexto socioeconômico e cultural nos quais estão inseridos.

BackgroundThe World Health Organization has recommended the introduction of HPV vaccines into national immunization programme (NIP), but vaccination coverage remains low worldwide. We assessed the coverage and the parental acceptance of female and male HPV vaccination in Brazil after its introduction into the NIP.MethodsWe conducted a random-digit-dial survey of parents in seven major Brazilian cities from July-2015 to October-2016. A knowledge, attitude and practices questionnaire was developed and validated by expert analysis, semantic analysis, and pre-testing.Results826 out of 2,324 (35.5%) eligible parents completed the interview. Parental acceptance of the HPV vaccine for daughters and sons 18 years of age or less was high (92% and 86%, respectively). Parents refusing vaccination were less likely to know that: HPV is sexually transmitted and causes genital warts, HPV vaccination is more beneficial before sexual debut, and HPV vaccine reactions are minor, and they were more likely to believe HPV vaccination can cause severe adverse events. Parents accepting HPV vaccine for daughters but not forsons were more likely to ignore that the vaccine is recommended for boys. Attitudes associated with HPV vaccine acceptance included: general belief in vaccines, trust in the NIP and in the HPV vaccine efficacy. Among girls eligible for HPV vaccination through the NIP, 58.4% had received a two-dose scheme and 71.1% at least one dose. “No vaccination/missed vaccination at school” was the most common reason for missed HPV vaccination in theNIP.ConclusionsOne year after introduction in the NIP, most parents surveyed in Brazil accepted HPV vaccination for their daughters and sons. Low coverage in the NIP seemed to be due to challenges in adolescent vaccine delivery and HPV vaccination barriers at health-care centers, rather than to vaccine refusal.

This study aimed to present the results of the construction and content validation of the Scale of Predisposition for the Occurrence of Adverse Events (EPEA). A descriptive research with a qualitative approach was carried out. To study the quality of nursing care and design the scale, we performed a literature review that resulted in a preliminary instrument, composed of 90 items, divided into two dimensions to assess the quality of health care (structure and process). Expert analysis and semantic analysis were applied as techniques to study the content validity of the instrument. The findings indicate that the operational version of the EPEA was composed of 64 items, grouped into two dimensions: structure (18 items) and process (46 items). The EPEA is the first Brazilian measure constructed to assess the nurses' attitudes towards the factors that may predispose to the occurrence of adverse events in ICU. Construcción y validación de contenido de la escala de la predisposición a eventos adversosEste estudio objetivó presentar los resultados de la construcción y validación de contenido de la Escala de Predisposición a Eventos Adversos (EPEA). Se trata de una investigación descriptiva, bajo enfoque cualitativo. Para estudiar la calidad del cuidado y preparación del instrumento, se realizó una revisión de la literatura, que resultó en un instrumento preliminar que contiene 90 ítems, divididos en dos dimensiones para evaluar la calidad del cuidado de salud (estructura y proceso). Se realizó la validación del contenido del instrumento por medio de las técnicas de análisis de los jueces y semántico. A partir de este análisis, la EPEA se compone de 64 ítems, agrupados en dos dimensiones: la estructura (18 ítems) y el proceso (46 ítems). La EPEA es la primera medida nacional, construida para evaluar las actitudes de los enfermeros a los factores que pueden predisponer a la aparición de efectos adversos en la UTI.