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ORIGINAL ARTICLE12-12-2025
Cross-cultural adaptation of Family Satisfaction with Care in the Intensive Care Unit 24R – Brazilian version
Revista Brasileira de Enfermagem. 2025;78:e20240273
Abstract
ORIGINAL ARTICLECross-cultural adaptation of Family Satisfaction with Care in the Intensive Care Unit 24R – Brazilian version
Revista Brasileira de Enfermagem. 2025;78:e20240273
DOI 10.1590/0034-7167-2024-0273
Views13See moreABSTRACT
Objectives:
to cross-culturally adapt and validate the content of Family Satisfaction with Care in the Intensive Care Unit 24R for use in Brazil.
Methods:
methodological research. Translation, translation consensus, equivalence assessment, back-translation, back-translation consensus, and pre-test were performed. Seven experts assessed translation equivalence and content validity. Applicability, item comprehension, and internal consistency were verified in a pre-test with 30 family members. Data were analyzed using the Content Validity Index, semantic assessment, correlation (r) between items, and Cronbach’s alpha.
Results:
linguistic adjustments were made to make the items understandable. The Content Validity Index was 0.86, Cronbach’s alpha was 0.93, and all items presented a correlation ≥0.30. Semantic assessment obtained more than 85% approval.
Conclusions:
the adapted questionnaire had its content validated, proving to be reliable for assessing psychometric properties. It showed potential to contribute to assessing family satisfaction in intensive care in Brazil, in order to identify aspects that need to be improved as well as those that should be maintained and strengthened.

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REVIEW12-12-2025
Educational games for self-care of people with intestinal ostomies: a scoping review
Revista Brasileira de Enfermagem. 2025;78:e20240662
Abstract
REVIEWEducational games for self-care of people with intestinal ostomies: a scoping review
Revista Brasileira de Enfermagem. 2025;78:e20240662
DOI 10.1590/0034-7167-2024-0662
Views14See moreABSTRACT
Objective:
to describe scientific evidence of self-care games for people with intestinal stomas.
Methods:
a scoping review that included original, review, experimental, exploratory, descriptive, analytical, quasi-experimental, and experimental articles. Editorials, letters to the editor, abstracts, opinion pieces, duplicates, and studies involving animals or cadavers were excluded. The articles followed the following stages: export to Mendeley software; exclusion of duplicates; screening; test investigation; full-text reading; eligibility assessment; reference search; and article inclusion. Data extraction was conducted in accordance with JBI, which served as the basis for assessing methodological quality.
Results:
a total of 645 articles were identified, leaving two articles included. Article 1 consisted of a card game for adults, with probing questions about handling and maintenance. Article 2, a smartphone app called StoMakker, was for children and adolescents.
Conclusions:
we identified a lack of articles addressing the topic and the need to expand publications and develop these playful activities.

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ORIGINAL ARTICLE12-12-2025
Influence of therapeutic play on salivary cortisol levels in children undergoing venipuncture
Revista Brasileira de Enfermagem. 2025;78:e20240636
Abstract
ORIGINAL ARTICLEInfluence of therapeutic play on salivary cortisol levels in children undergoing venipuncture
Revista Brasileira de Enfermagem. 2025;78:e20240636
DOI 10.1590/0034-7167-2024-0636
Views12See moreABSTRACT
Objectives:
to investigate the influence of Instructional Therapeutic Play on salivary cortisol levels in children undergoing peripheral venipuncture.
Methods:
randomized controlled clinical trial, allocated into two groups: Intervention and Control, conducted in pediatric inpatient units, children’s emergency rooms, and outpatient clinics of two hospitals in the city of São Paulo. A sample of 52 children, both genders, aged between 3 and 12 years, underwent venipuncture and were able to play. Data were analyzed using descriptive and inferential statistics with a 5% significance level and a 95% confidence interval.
Results:
cortisol levels decreased in both groups, but less so among children who did not receive the toy intervention, remaining lower for those who did receive the intervention, and among those who were successfully punctured on the first attempt.
Conclusions:
although the null hypothesis was confirmed in this study, the use of Therapeutic Play for stress relief is recommended.
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ORIGINAL ARTICLE12-12-2025
Clinical simulation and deliberate practice in rapid-cycle deliberate practice: a randomized clinical trial
Revista Brasileira de Enfermagem. 2025;78:e20240632
Abstract
ORIGINAL ARTICLEClinical simulation and deliberate practice in rapid-cycle deliberate practice: a randomized clinical trial
Revista Brasileira de Enfermagem. 2025;78:e20240632
DOI 10.1590/0034-7167-2024-0632
Views11See moreABSTRACT
Objectives:
to compare clinical simulation with a standardized patient with rapid-cycle deliberate practice in knowledge acquisition, perception of experience and scenario design in the care of patients with suspected stroke.
Methods:
a randomized clinical trial conducted between 2022 and 2023 involving 134 undergraduate nursing students. After a theoretical class, participants were randomly assigned to one group. A questionnaire was administered before and after the practical sessions to assess knowledge, in addition to the Educational Practices Questionnaire and the Simulation Design Scale.
Results:
the groups showed significant improvement in knowledge (p<0.001), with no difference between them (p=1.0). Rapid-cycle deliberate practice obtained a better assessment regarding design (p=0.03).
Conclusions:
the strategies are effective and recommended in nursing education, although rapid-cycle deliberate practice showed advantages in student engagement. Universal Trial Number: U1111-1295-1246.
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REVIEW12-12-2025
Strategies for implementing HIV self-testing in diverse populations: an integrative review
Revista Brasileira de Enfermagem. 2025;78:e20240597
Abstract
REVIEWStrategies for implementing HIV self-testing in diverse populations: an integrative review
Revista Brasileira de Enfermagem. 2025;78:e20240597
DOI 10.1590/0034-7167-2024-0597
Views17See moreABSTRACT
Objectives:
to identify strategies for implementing HIV self-testing in populations.
Methods:
an integrative review of MEDLINE/PubMed, Scopus, CINAHL, Web of Science, and LILACS databases. Full articles available online, in Portuguese, English, Spanish, or French, regardless of the year of publication, were included. Letters to the editor, review articles, and duplicates, rapid tests performed by professionals, and home self-tests sent to a laboratory without on-site results, were excluded. The sample of 24 articles had their level of evidence assessed using descriptive data analysis.
Results:
the most prevalent strategy for implementing self-testing was community distribution through home visits, mail, and distribution points such as bars, nightclubs, and transportation terminals. Peer distribution was significant among men who have sex with men, young people, and trans women, with primary delivery directly to the individual or secondary delivery, where one individual delivers to others. Social and technological media facilitated patient recruitment, delivery, and connection to healthcare services.
Conclusions:
the distribution of HIV self-tests in the community was the most accessible strategy, which increased the use of combination HIV prevention methods and initiation of antiretroviral therapy. The main challenges to implementing self-testing were financial costs and acceptance, due to fear of results, stigma, and intimate partner violence.

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ORIGINAL ARTICLE12-12-2025
Development and validation of a questionnaire on nursing care for people with radiodermatitis
Revista Brasileira de Enfermagem. 2025;78:e20240546
Abstract
ORIGINAL ARTICLEDevelopment and validation of a questionnaire on nursing care for people with radiodermatitis
Revista Brasileira de Enfermagem. 2025;78:e20240546
DOI 10.1590/0034-7167-2024-0546
Views14See moreABSTRACT
Objectives:
to develop and validate a questionnaire on clinical practices developed by radiotherapy nurses in the process of caring for people at risk of or with radiodermatitis.
Methods:
methodological study, containing: establishment of the conceptual framework; definition of objectives and target population; development of items and responses; selection and organization of items; structuring of the questionnaire; content validation using the Content Validity Index; pre-testing in the target population. Data collection was performed via the Research Electronic Data Capture platform.
Results:
in the content validation, the questionnaire was expanded to a total of 55 questions. The overall Content Validity Index value for relevance was 0.97 and 1.00 for representativeness. The final version was considered relevant, representative, and had an appropriate layout. The target population considered the items to be relevant and clear.
Conclusions:
the validated questionnaire will contribute to the standardization of nursing care for people with radiodermatitis, considering current resolutions and evidence, through the application of evidence-based protocols.

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ORIGINAL ARTICLE12-12-2025
Nursing consultation protocol for supported self-care for people with Parkinson’s disease
Revista Brasileira de Enfermagem. 2025;78:e20240495
Abstract
ORIGINAL ARTICLENursing consultation protocol for supported self-care for people with Parkinson’s disease
Revista Brasileira de Enfermagem. 2025;78:e20240495
DOI 10.1590/0034-7167-2024-0495
Views20See moreABSTRACT
Objectives:
to develop and validate the content of the Nursing Consultation Protocol for Supported Selfcare in People with Parkinson’s Disease.
Methods:
this methodological study was conducted in two stages: protocol development and content validation. Relevance and clarity were assessed using the Delphi technique. After evaluating the protocol instruments, the Content Validity Index was calculated.
Results:
an integrative review and a documental study characterizing older people with Parkinson’s disease guided the protocol development. The final version comprises 6 sections, 29 topics, and 14 subtopics. The Content Validity Index was high in the first round (0.94) and increased to 0.99 after refinements.
Conclusions:
the expert panel deemed the protocol content valid in terms of relevance and clarity. Further research is recommended to assess its clinical validity.
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ORIGINAL ARTICLE12-12-2025
Participatory construction of an assistive technology for leprosy contact surveillance
Revista Brasileira de Enfermagem. 2025;78:e20240488
Abstract
ORIGINAL ARTICLEParticipatory construction of an assistive technology for leprosy contact surveillance
Revista Brasileira de Enfermagem. 2025;78:e20240488
DOI 10.1590/0034-7167-2024-0488
Views12See moreABSTRACT
Objectives:
to develop, in a participatory manner, an assistive technology to contribute to the nurses’ work process when managing leprosy contacts in Primary Health Care.
Methods:
this is a methodological study with a participatory interface. Data were collected between March and October 2023 at 19 Basic Health Units, with 29 nurses interviewed individually. IRAMUTEQ software was used for data analysis.
Results:
three thematic axes were organized, highlighting: Concepts regarding leprosy contact surveillance and decision-making; Operational difficulties in the work process; and Participatory development of assistive technology. Nurses supported the development of the technology in the form of a monitoring book, offering suggestions for improving the product for use in daily healthcare settings.
Final Considerations:
the participatory development process enabled the creation of an assistive technology aligned with nurses’ needs for managing and monitoring contacts in Primary Health Care.



