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OBJECTIVE: to investigate the contributions of applying the Lean methodology to improve work processes in health and nursing and its impact on associated financial aspects. METHOD: an integrative review, carried out in six databases, whose sample of ten (100.0%) studies was analyzed and summarized descriptively. RESULTS: the outcomes obtained were stratified into: benefits/barriers to Lean Healthcare implementation; economic aspects involving Lean Healthcare implementation; and process improvements through Lean Healthcare implementation. The majority of studies (60.0%) were carried out in university hospitals, contexts that need to continually improve the quality of services provided, generally with scarce and limited resources, which support the viability of maintaining the teaching, research and extension tripod. CONCLUSION: three (30.0%) studies highlighted the financial aspects associated with Lean methodology application. The others only mentioned the possibility of financial gains through improving processes and reducing waste.

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OBJECTIVES: to investigate the reasons for low patient safety incident reporting among Indonesian nurses. METHODS: this qualitative case study was conducted among 15 clinical nurses selected purposively from a public hospital in Lampung, Indonesia. Interview guidelines were used for data collection through face-to-face in-depth interviews in July 2022. The thematic approach was used to analyze the data. RESULTS: in this present study, seven themes emerged (1) Understanding incident reporting; (2) The culture; (3) Consequences of reporting; (4) Socialization and training; (5) Facilities; (6) Feedback; and (7) Rewards and punishments. FINAL CONSIDERATIONS: these findings should be considered challenges for the patient safety committee and hospital management to increase patient safety incident reporting, particularly among nurses in the hospital.

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OBJECTIVE: To understand the role of nurses in field hospitals aimed at patients with Covid-19. METHODS: Qualitative research based on Alfred Schütz's social phenomenology. Twenty nurses working in São Paulo were interviewed between May and June 2020. The testimonies were organized and analyzed based on the theoretical-methodological and thematic framework. RESULTS: The following categories emerged: "Nurses' challenges in field hospital care", "Visibility of nursing in the Covid-19 pandemic scenario" and "Covid-19 post-pandemic professional valorization". FINAL CONSIDERATIONS: The reflection on the results that emerged in this study may contribute to support improvements in training, working conditions and valuing nurses, considering the importance of this professional category in the scope of health services. New investigations may increase knowledge in the area, providing subsidies for professional role in this and other health situations that require nursing intensity and excellence.

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OBJECTIVE: to describe the health promotion competency domains, performed by nurses, for adolescents, according to the Galway Consensus. METHOD: a qualitative study based on the Galway Consensus theoretical methodological framework. Fifteen nurses from northeastern Brazil participated. Data were collected between April and May 2017 through pre-structured interviews, submitted to the content analysis technique and analyzed according to the Galway Consensus dimensions. RESULTS: the following competency areas were found: catalyzing changes, leadership, needs assessment, planning, implementation, and partnerships. These competencies were contemplated from embracement of adolescents at health unit, guidance, teamwork, educational activities and lectures, as well as active search. CONCLUSION: most health promotion domains were observed; however, it is still suggested that there are challenges to an effective performance of health promotion among adolescents because some competency domains in health promotion have not been evidenced.

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INTRODUCCIÓN: Las precauciones estándar corresponden a un grupo de prácticas de prevención de infecciones que se aplican en la atención a todos los pacientes, tiene como objetivo prevenir la transmisión cruzada de microorganismos entre pacientes. OBJETIVO: Develar la opinión de las/os estudiantes de Kinesiología de la Universidad Mayor-Temuco con relación a las Precauciones Estándar. METODOLOGÍA: Estudio cualitativo, descriptivo y exploratorio, estudio intrínseco de caso, la muestra no probabilística, intencionada: 12 sujetos estudiante de kinesiología 2018; criterio de inclusión: haber aprobado la asignatura de Cuidados Básicos del Enfermo; recogida de datos: entrevistas en profundidad, se utilizaron notas de campo y se manejó el método de comparación constante, además esquema de la reducción progresiva. RESULTADOS: Para la categoría de significado de precauciones estándar surge medida de protección y seguridad para usuario y tratante; para precauciones estándar utilizadas en prácticas clínicas emerge las subcategorías de elementos y técnicas de barrera en forma análoga nace como categoría aplicabilidad de precauciones estándar de ella se desprenden campos clínicos, eventos clínicos del usuario y técnicas y procedimientos; para la categoría factores facilitadores: docente y estudiantes; en tanto factores obstaculizadores: curriculum. CONCLUSIONES: En los estudiantes existe un conocimiento deficiente y conceptos aislados sobre PE, utilizan principalmente guantes y lavado de manos; menor grado uso de mascarilla y pechera. Destaca positivamente conocimiento docente; factores obstaculizadores: aspectos teóricos deficientes curriculares; considerar modificaciones curriculares en aspectos conceptuales y procedimentales.

BACKGROUND: the standard precautions correspond to a group of infection prevention practices that are applied in the care of all patients, it aims to prevent the cross-transmission of microoganisms between patiens. OBJETIVE: to reveal the opinion of Kinesiology students at the Universidad Mayor-Temuco regarding standard precautions. METHODOLOGY: Qualitative, descriptive, and exploratory study, intrinsic case study, non-probabilistic sample, intentional: 12 subjects, kinesiology student of the year 2018; For data collection, in-depth interviews were used, field notes and the constant comparison method were used, in addition to the progressive reduction scheme. RESULTS: 173 units of meaning emerge, for the category of meaning of standard precautions, protection and security measure for user and trafficker arises; For standard precautions used in clinical practices, the subcategories of barrier elements and techniques emerge, the most mentioned, in an analogous way, the applicability of standard precautions is born as a category of clinical fields, clinical events of the user and techniques and procedures; for the category facilitating factors: teacher and student are the least mentioned; as impeding factors: curriculum. CONCLUSIONS: There is a deficient knowledge and isolated concepts about SP, mainly use gloves and hand washing; less degree the use of masks and scrubs. It is positively highlighted teacher's knowledge, and some of the hindering factors are the lack of theoretical aspects of the curriculum and the consideration for curriculum modifications to compensate conceptual and procedural aspects.

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OBJECTIVE: To culturally adapt and validate the General Practice Nurse Satisfaction Scale for the Brazilian context. METHOD: Methodological study performed according to guidelines provided in the international scientific literature and validation of the Australian instrument for the Brazilian context. The sample consisted of 199 patients admitted from August 2017 to January 2018 in a public university hospital in the south of Brazil. Data were analyzed using factor analysis and Cronbach's alpha. RESULTS: According to factor analysis, 21 questions were validated and divided into four dimensions: interpersonal relationship and communication, confidence, credibility, and dedication. The instrument presented satisfactory internal consistency, with Cronbach's alpha equal to 0.93, and ranging between 0.87 and 0.66 for the dimensions. CONCLUSION: The instrument's Brazilian version is valid and reliable to assess the satisfaction of patients with nursing care.

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OBJECTIVES: to reflect on professional, user and family autonomy as a centrality in Best Practices in nursing in Brazil. METHODS: this is a theoretical-reflective study. RESULTS: from a retrospective look at the creation and evolution of nursing autonomy in its knowledge and care practices, it exposes the use of autonomy in nursing care and foster the participation of the user and his family as the center of Best Practices in nursing. FINAL CONSIDERATIONS: the text suggests the institutional commitment of health services to the formal postgraduate education of nurses and the prospect of more autonomy and quality for the expression of Best Practices in nursing.

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Stereotypes of older adults and assumptions of old age as a time of dependency and vulnerability affect not only how older adults are perceived and treated by society, but how they are treated by members of the nursing profession as well. When nurses display ageist attitudes, it can be harmful to older patients both physically and emotionally. In this review article the author describes some of the literature related to ageism in nursing, discusses how ageism can affect the quality of the care that is provided to older adult patients, and explains theories that may help explain ageism in nursing.

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OBJECTIVE: This study intends to analyze how the human condition of the nurse is established in the context of Psychosocial Care Centers (Caps). METHOD: theoretical-reflexive study, anchored in three essential parts: 1) Theoretical and philosophical conception of the human condition from Hannah Arendt's perspective; 2) The nurse's work in the Caps; and 3) Human condition to think about the work of the nurse. RESULTS: in the context of the Caps, the work can be represented by the psychic significations; the work, through the production of nurses' practice of care; and the action by the relations established between worker and institution, worker and user. FINAL CONSIDERATIONS: the understanding of the vita activa allows to reflect on the human condition of the nurse in their work context and (re) considers a better understanding about the impact of the work on the life of these mental health workers in the contemporaneity.

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OBJECTIVE: to assess the effects of an intervention based on the Theater of the Oppressed in reducing school bullying. METHOD: a quasi-experimental study with 232 first-year high school students from two public schools in the city of Cuiabá, Mato Grosso State, Brazil. An intervention was performed with the Theater of the Oppressed, a theatrical methodology created by Augusto Boal and inspired by Paulo Freire's "Pedagogy of the Oppressed", in which one school composed the intervention group, and another school, the comparison group. Both groups were assessed for involvement in bullying situations before and after intervention. For data analysis, Poisson Regression models with random effect were used. RESULTS: intervention group presented a significant decrease in direct victimization (physical and verbal aggression). CONCLUSION: the Theater of the Oppressed represents an important strategy in reducing bullying victimization among school adolescents.

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Résumé Cet article concerne le Système de Santé en France. Il souligne que dans ce pays il est essentiel de former des professionnels insérés dans un «savoir-faire¼, et également préparés aux mutations actuelles et à venir de la profession infirmière. Ainsi, une revue de la littérature a été réalisée à partir de la classification et de l'analyse des textes et des documents recherchés, nous avons essayé de comprendre le Système de Santé Français et de soins infirmiers. Cela a permis la construction de deux catégories thématiques. La première est le Service Sanitaire réalisé par les étudiants des formations en santé qui traduit la volonté du Gouvernement de placer la prévention au cœur de son action. Et la deuxième aborde la Formation des infirmiers qui est un référentiel basé sur la compétence. La démographie des infirmières en France est également abordée, ce qui met en évidence l'augmentation du nombre d'infirmières de 2010 à 2018.

Abstract This paper concerns the French Health Care System that revolutionized the rationale of the existing social protection. It emphasizes that, in this country, it is essential to train professionals integrated into a "know-how", and also prepared for the current and future changes in the nursing profession. A literature review was carried out based on the classification and analysis of the texts and documents researched, and we tried to understand the French Health and Nursing System. This allowed the construction of two thematic categories. The first one is the "Health Service" that addresses health training courses for prevention, while the second one deals with Nursing Education, which is a competency-based framework. The demography of nurses in France is also discussed, which highlights the increased number of nurses from 2010 to 2018.

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This paper concerns the French Health Care System that revolutionized the rationale of the existing social protection. It emphasizes that, in this country, it is essential to train professionals integrated into a "know-how", and also prepared for the current and future changes in the nursing profession. A literature review was carried out based on the classification and analysis of the texts and documents researched, and we tried to understand the French Health and Nursing System. This allowed the construction of two thematic categories. The first one is the "Health Service" that addresses health training courses for prevention, while the second one deals with Nursing Education, which is a competency-based framework. The demography of nurses in France is also discussed, which highlights the increased number of nurses from 2010 to 2018.

Cet article concerne le Système de Santé en France. Il souligne que dans ce pays il est essentiel de former des professionnels insérés dans un «savoir-faire¼, et également préparés aux mutations actuelles et à venir de la profession infirmière. Ainsi, une revue de la littérature a été réalisée à partir de la classification et de l'analyse des textes et des documents recherchés, nous avons essayé de comprendre le Système de Santé Français et de soins infirmiers. Cela a permis la construction de deux catégories thématiques. La première est le Service Sanitaire réalisé par les étudiants des formations en santé qui traduit la volonté du Gouvernement de placer la prévention au cœur de son action. Et la deuxième aborde la Formation des infirmiers qui est un référentiel basé sur la compétence. La démographie des infirmières en France est également abordée, ce qui met en évidence l'augmentation du nombre d'infirmières de 2010 à 2018.

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ABSTRACT Objective: To culturally adapt and validate the General Practice Nurse Satisfaction Scale for the Brazilian context. Method: Methodological study performed according to guidelines provided in the international scientific literature and validation of the Australian instrument for the Brazilian context. The sample consisted of 199 patients admitted from August 2017 to January 2018 in a public university hospital in the south of Brazil. Data were analyzed using factor analysis and Cronbach's alpha. Results: According to factor analysis, 21 questions were validated and divided into four dimensions: interpersonal relationship and communication, confidence, credibility, and dedication. The instrument presented satisfactory internal consistency, with Cronbach's alpha equal to 0.93, and ranging between 0.87 and 0.66 for the dimensions. Conclusion: The instrument's Brazilian version is valid and reliable to assess the satisfaction of patients with nursing care.

RESUMEN Objetivo: Adaptar y validar culturalmente el instrumento de la General Practice Nurse Satisfaction Scale para el contexto brasileño. Método: Estudio metodológico, realizado a través de los pasos de traducción, síntesis, retrotraducción, evaluación por el comité de expertos, pre-prueba y revisión del proceso de adaptación por parte de los investigadores. La muestra consistió en 199 pacientes ingresados ​​desde agosto de 2017 hasta enero de 2018 en un hospital público y universitario en el sur de Brasil. El análisis de los datos se realizó mediante análisis factorial y alfa de Cronbach. Resultados: Del análisis factorial, 21 preguntas se dividieron en cuatro constructos: relación interpersonal y comunicación; confianza credibilidad y dedicación. El instrumento presentaba una consistencia interna satisfactoria, con alfa de Cronbach de 0,93 y entre 0,87 y 0,66 para las construcciones. Conclusión: La versión brasileña del instrumento tiene validez y confiabilidad para ser utilizada para evaluar la satisfacción del paciente con el servicio de enfermería.

RESUMO Objetivo: Adaptar culturalmente e validar o instrumento General Practice Nurse Satisfaction Scale para o contexto brasileiro. Método: Estudo metodológico, realizado segundo recomendações da literatura científica internacional e validação do instrumento australiano para sua utilização no contexto brasileiro. A amostra foi constituída de 199 pacientes internados no período de agosto de 2017 a janeiro de 2018 em um hospital público e universitário no sul do Brasil. A análise dos dados ocorreu por meio de análise fatorial exploratória e alfa de Cronbach. Resultados: A partir da análise fatorial exploratória, foram validadas 21 questões divididas em quatro dimensões: relacionamento interpessoal e comunicação; confiança; credibilidade e dedicação. O instrumento apresentou consistência interna satisfatória, com alfa de Cronbach 0,93 e variando entre 0,87 e 0,66 para as dimensões. Conclusão: A versão brasileira do instrumento tem validade e fidedignidade para ser utilizada

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ABSTRACT Objectives: to reflect on professional, user and family autonomy as a centrality in Best Practices in nursing in Brazil. Methods: this is a theoretical-reflective study. Results: from a retrospective look at the creation and evolution of nursing autonomy in its knowledge and care practices, it exposes the use of autonomy in nursing care and foster the participation of the user and his family as the center of Best Practices in nursing. Final considerations: the text suggests the institutional commitment of health services to the formal postgraduate education of nurses and the prospect of more autonomy and quality for the expression of Best Practices in nursing.

RESUMEN Objetivos: reflexionar sobre la autonomía profesional, del usuario y de la familia como centralidad en Buenas Prácticas de Enfermería en Brasil. Métodos: estudio teórico-reflexivo. Resultados: a partir de una mirada retrospectiva a la creación y evolución de la autonomía en la enfermería en sus saberes y prácticas asistenciales, expone el uso de la autonomía en el cuidado de enfermería y el fomento a la participación del usuario y su familia como el centro de Buenas Prácticas de Enfermería. Consideraciones finales: el texto sugiere el compromiso institucional de los servicios de salud con la educación formal postgraduada de los enfermeros y la prospección de más autonomía y más calidad para la expresión de Buenas Prácticas de Enfermería.

RESUMO Objetivos: refletir sobre a autonomia profissional, do usuário e da família como centralidade em Boas Práticas de Enfermagem no Brasil. Métodos: estudo teórico-reflexivo. Resultados: a partir de um olhar retrospectivo à criação e evolução da autonomia na Enfermagem em seus saberes e práticas assistenciais, expõe o uso da autonomia no cuidado de enfermagem e o fomento à participação do usuário e sua família como o centro de Boas Práticas de Enfermagem. Considerações finais: o texto sugere o compromisso institucional dos serviços de saúde com a educação formal pós-graduada dos enfermeiros e a prospecção de mais autonomia e mais qualidade para a expressão de Boas Práticas de Enfermagem.

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AIMS: to present a reflection on the clinic of patients infected by COVID-19 and to propose the main nursing diagnoses based on International Classification for Nursing Practice (ICNP©). METHOD: this is a reflection study, in which the selection criteria used were articles indexed in the MEDLINE, LILACS and BDENF databases published between December 2019 and April 2020, in English and Portuguese. RESULTS: 10 scientific articles were part of the study, which made it possible to know the symptomatologic profile of the disease, with emphasis on the classic triad of COVID-19, which is cough, shortness of breath and fever. It revealed that the basic human need most affected in this patient profile is oxygenation in view of hypoxemia being the main complication, for which the clinical outcome was negative, especially in elderly patients. CONCLUSION: there was a shortage and studies related to nursing in the face of this pandemic, but it was possible to conclude that ICNP© is one of the taxonomies that can be used to implement nursing diagnoses and intervention, the most frequent nursing diagnoses are related to the basic human and social need for oxygenation and vascular regulation.

OBJETIVO: apresentar uma reflexão sobre a clínica dos pacientes contaminados pela COVID-19 e propor os principais diagnósticos de enfermagem baseados na Classificação Internacional para a Prática de Enfermagem (CIPE®). MÉTODO: trata-se de um estudo de reflexão, na qual utilizaram-se como critérios de seleção, artigos indexados nas bases de dados MEDLINE, LILACS e BDENF publicados entre dezembro de 2019 a abril de 2020, no idioma inglês e português. RESULTADOS: fizeram parte do estudo 10 artigos científicos o que possibilitou conhecer o perfil sintomatológico da doença, com destaque para a tríade clássica da COVID-19 que é tosse, falta de ar e febre. Revelou que a necessidade humana básica mais afetada nesse perfil de paciente é a oxigenação tendo em vista hipoxemia ser a principal complicação, para as quais o desfecho clínico foi negativo, principalmente, em pacientes idosos. CONCLUSÃO: evidenciou-se a carência e estudos relativos à enfermagem frente a essa pandemia, porém foi possível concluir que a CIPE® é uma das taxonomias que pode ser utilizada para implementar os diagnósticos e intervenção de enfermagem, os diagnósticos de enfermagem mais frequentes estão relacionados a necessidade humana básica de oxigenação e regulação vascular.

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ABSTRACT Objective: This study intends to analyze how the human condition of the nurse is established in the context of Psychosocial Care Centers (Caps). Method: theoretical-reflexive study, anchored in three essential parts: 1) Theoretical and philosophical conception of the human condition from Hannah Arendt's perspective; 2) The nurse's work in the Caps; and 3) Human condition to think about the work of the nurse. Results: in the context of the Caps, the work can be represented by the psychic significations; the work, through the production of nurses' practice of care; and the action by the relations established between worker and institution, worker and user. Final considerations: the understanding of the vita activa allows to reflect on the human condition of the nurse in their work context and (re) considers a better understanding about the impact of the work on the life of these mental health workers in the contemporaneity.

RESUMEN Objetivo: evaluar cómo se establece la condición humana del enfermero en contexto de Centros de Atención Psicosocial (Caps). Método: estudio teórico y de reflexión a partir de tres partes esenciales: 1) Concepción teórica y filosófica de la condición humana desde la perspectiva de Hannah Arendt; 2) El trabajo del enfermero en los Caps; y 3) Condición humana para pensar el trabajo del enfermero. Resultados: el contexto de trabajo del Caps, la labor puede representarse por las significaciones psíquicas; obra por la producción de la práctica asistencial del enfermero; y la acción por las relaciones establecidas entre el trabajador y la institución, el trabajador y el usuario. Consideraciones finales: la comprensión de la vita activa permite reflexionar sobre la condición humana del enfermero en su contexto de trabajo y (re)considera en la contemporaneidad una mejor comprensión sobre el impacto del trabajo en la vida de esos trabajadores de la salud mental.

RESUMO Objetivo: analisar como se estabelece a condição humana do enfermeiro no contexto dos Centros de Atenção Psicossocial (Caps). Método: estudo teórico-reflexivo, ancorado em três partes essenciais: 1) Concepção teórica e filosófica da condição humana na perspectiva de Hannah Arendt; 2) O trabalho do enfermeiro nos Caps; e 3) Condição humana para pensar o trabalho do enfermeiro. Resultados: no contexto de trabalho do Caps, o labor pode ser representado pelas significações psíquicas; a obra, pela produção da prática assistencial do enfermeiro; e a ação pelas relações estabelecidas entre trabalhador e instituição, trabalhador e usuário. Considerações finais: a compreensão da vita activa permite refletir sobre a condição humana do enfermeiro em seu contexto de trabalho e (re)considera na contemporaneidade uma melhor compreensão sobre o impacto do trabalho na vida desses trabalhadores da saúde mental.

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OBJECTIVE: to relate nonspecific low back pain within the nursing work context with their workloads, attrition processes and the risks of illness. METHOD: a cross-sectional study with 301 workers from a general hospital in the south of the country. The Nordic Musculoskeletal Questionnaire and the Work Context Assessment Scale composed of three dimensions were used: working conditions, work organization and socio-professional relations. The association of variables with low back pain was tested using bivariate and multivariate analyzes. The measure of association used was the Odds Ratio and its respective intervals with 95% confidence. The data collected were discussed under the theoretical framework of the work process within the marxist conception and the theory of social determination of the health-disease process. RESULTS: there was a statistically significant association between the dimensions of work organization and working conditions with low back pain and they obtained a critical classification meaning moderate risks to the professional illness. CONCLUSION: the study allowed a better understanding of the nursing work process and its relation with nonspecific low back pain and signaled that changes in the organization and working conditions should occur in order to reduce the risks of nursing workers' illness.

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OBJECTIVE: To identify work process-related causes associated with nursing errors reported in newspapers. METHOD: This was a documentary and qualitative study based on the work process theory and hermeneutic analysis that examined 112 news articles published between 2012 and 2016 in 21 high-circulation Brazilian newspapers, organized and codified using Atlas.ti software. RESULTS: The causes associated with the reported errors were associated with workforce (lack of professionals and training, turnover, work overload, lack of information, recklessness, negligence, and distraction); work instruments (similar labels or packages, storage, lack of product identification and information, and medical prescriptions); and the object of nursing work (overcrowding and specific characteristics of patient). CONCLUSION: Analysis of the possible causes of reported errors identified the negative outcomes of nursing work, while also identifying elements of the work process that influenced these results. The findings emphasize the importance of understanding these errors so they can be avoided and of reviewing nursing work conditions to guarantee quality and safety of care.

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