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ORIGINAL ARTICLE12-12-2025
Maternal and neonatal factors associated with exclusive breastfeeding upon hospital discharge
- Paola Cristina Toapanta-Pinta
, - Adriana Paola Sinchiguano Cóndor ,
- Deicy Maribel Muso Defaz ,
- Angélica Oliva Gualavisí Landeta ,
- Blanca Llilman Parra Cadena , [ ... ],
- Santiago Vasco-Morales
Abstract
ORIGINAL ARTICLEMaternal and neonatal factors associated with exclusive breastfeeding upon hospital discharge
Revista Brasileira de Enfermagem. 2025;78:e20250196
DOI 10.1590/0034-7167-2025-0196
- Paola Cristina Toapanta-Pinta ,
- Adriana Paola Sinchiguano Cóndor ,
- Deicy Maribel Muso Defaz ,
- Angélica Oliva Gualavisí Landeta ,
- Blanca Llilman Parra Cadena ,
- Santiago Vasco-Morales
Views5See moreABSTRACT
Objective:
to identify maternal and neonatal factors associated with exclusive breastfeeding at hospital discharge from a tertiary care hospital.
Methods:
a cross-sectional study using secondary data from 22,136 records of newborns hospitalized in a neonatal unit (2009-2022). Maternal and neonatal variables and feeding practices at discharge were analyzed. Bayesian logistic regression models were applied.
Results:
exclusive breastfeeding at hospital discharge was 91.55%. Negatively associated factors were cesarean delivery (OR: 0.90), illicit substance use (OR: 0.30), low birth weight (OR: 0.84), and cleft lip and palate (OR: 0.15). Breastfeeding counseling and labor and delivery support promoted exclusive breastfeeding at hospital discharge.
Conclusion:
despite the high prevalence of exclusive breastfeeding at hospital discharge, barriers persist that must be addressed through promotion strategies, staff training, and support for mothers at risk.
Views5
Abstract
ORIGINAL ARTICLEMaternal and neonatal factors associated with exclusive breastfeeding upon hospital discharge
Revista Brasileira de Enfermagem. 2025;78:e20250196
DOI 10.1590/0034-7167-2025-0196
- Paola Cristina Toapanta-Pinta ,
- Adriana Paola Sinchiguano Cóndor ,
- Deicy Maribel Muso Defaz ,
- Angélica Oliva Gualavisí Landeta ,
- Blanca Llilman Parra Cadena ,
- Santiago Vasco-Morales
Views5See moreABSTRACT
Objective:
to identify maternal and neonatal factors associated with exclusive breastfeeding at hospital discharge from a tertiary care hospital.
Methods:
a cross-sectional study using secondary data from 22,136 records of newborns hospitalized in a neonatal unit (2009-2022). Maternal and neonatal variables and feeding practices at discharge were analyzed. Bayesian logistic regression models were applied.
Results:
exclusive breastfeeding at hospital discharge was 91.55%. Negatively associated factors were cesarean delivery (OR: 0.90), illicit substance use (OR: 0.30), low birth weight (OR: 0.84), and cleft lip and palate (OR: 0.15). Breastfeeding counseling and labor and delivery support promoted exclusive breastfeeding at hospital discharge.
Conclusion:
despite the high prevalence of exclusive breastfeeding at hospital discharge, barriers persist that must be addressed through promotion strategies, staff training, and support for mothers at risk.
- Paola Cristina Toapanta-Pinta
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ORIGINAL ARTICLE12-12-2025
Development and assessment of an educational video to promote self-efficacy in newborn care
- Rhaiany Kelly Lopes de Oliveira ,
- Maria Jocelane Nascimento da Silva ,
- Hévila Ferreira Gomes Medeiros Braga ,
- Emília Soares Chaves Rouberte ,
- Flávia Paula Magalhães Monteiro , [ ... ],
- Emanuella Silva Joventino Melo
Abstract
ORIGINAL ARTICLEDevelopment and assessment of an educational video to promote self-efficacy in newborn care
Revista Brasileira de Enfermagem. 2025;78:e20250101
DOI 10.1590/0034-7167-2025-0101
- Rhaiany Kelly Lopes de Oliveira ,
- Maria Jocelane Nascimento da Silva ,
- Hévila Ferreira Gomes Medeiros Braga ,
- Emília Soares Chaves Rouberte ,
- Flávia Paula Magalhães Monteiro ,
- Antônio Marcos de Souza Soares ,
- Benedita Shirley Carlos Rosa ,
- Maria Vera Lúcia Moreira Leitão Cardoso ,
- Emanuella Silva Joventino Melo
Views12See moreABSTRACT
Objectives:
to develop and assess an educational video to promote self-efficacy among newborn caregivers.
Methods:
a video development study conducted in five stages: content delimitation (narrative review and situational diagnosis); script content construction and validity (experts); video development; produced video validity (experts); and face validity (target audience). The Content Validity Index was used to analyze the data.
Results:
the video “Cuidando do seu bebê” is 24 minutes long and covers the main home care practices for newborns. The assessment was carried out from the perspective of appearance and content, presenting a Content Validity Index higher than 0.80 in all validity stages. The target audience unanimously considered the video relevant and clear.
Conclusions:
the video is valid for use by healthcare professionals as a tool to promote the self-efficacy of newborn caregivers.
Views12Abstract
ORIGINAL ARTICLEDevelopment and assessment of an educational video to promote self-efficacy in newborn care
Revista Brasileira de Enfermagem. 2025;78:e20250101
DOI 10.1590/0034-7167-2025-0101
- Rhaiany Kelly Lopes de Oliveira ,
- Maria Jocelane Nascimento da Silva ,
- Hévila Ferreira Gomes Medeiros Braga ,
- Emília Soares Chaves Rouberte ,
- Flávia Paula Magalhães Monteiro ,
- Antônio Marcos de Souza Soares ,
- Benedita Shirley Carlos Rosa ,
- Maria Vera Lúcia Moreira Leitão Cardoso ,
- Emanuella Silva Joventino Melo
Views12See moreABSTRACT
Objectives:
to develop and assess an educational video to promote self-efficacy among newborn caregivers.
Methods:
a video development study conducted in five stages: content delimitation (narrative review and situational diagnosis); script content construction and validity (experts); video development; produced video validity (experts); and face validity (target audience). The Content Validity Index was used to analyze the data.
Results:
the video “Cuidando do seu bebê” is 24 minutes long and covers the main home care practices for newborns. The assessment was carried out from the perspective of appearance and content, presenting a Content Validity Index higher than 0.80 in all validity stages. The target audience unanimously considered the video relevant and clear.
Conclusions:
the video is valid for use by healthcare professionals as a tool to promote the self-efficacy of newborn caregivers.
- Rhaiany Kelly Lopes de Oliveira
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ORIGINAL ARTICLE12-12-2025
Construction and assessment of the “Almanac for Women with Breast Cancer”: convergent care research
- Karolina Rosa Teófilo ,
- Denise Antunes de Azambuja Zocche ,
- Ana Paula Carmona ,
- Bruno Henrique Fiorin ,
- Marcia Valéria de Souza Almeida , [ ... ],
- Eliane de Fatima Almeida Lima
Abstract
ORIGINAL ARTICLEConstruction and assessment of the “Almanac for Women with Breast Cancer”: convergent care research
Revista Brasileira de Enfermagem. 2025;78:e20250031
DOI 10.1590/0034-7167-2025-0031
- Karolina Rosa Teófilo ,
- Denise Antunes de Azambuja Zocche ,
- Ana Paula Carmona ,
- Bruno Henrique Fiorin ,
- Marcia Valéria de Souza Almeida ,
- Cândida Caniçali Primo ,
- Eliane de Fatima Almeida Lima
Views15See moreABSTRACT
Objectives:
to develop a printed almanac for women with breast cancer.
Methods:
convergent care research with a qualitative approach, carried out in a specialized oncology service in Vitória, Espírito Santo, from August 2023 to August 2024. The almanac was built based on the doubts of women undergoing chemotherapy treatment. After its creation, participants used and assessed the technology. An agreement rate of 80% was considered adequate.
Results:
the almanac has 47 pages, with comic strips and games such as word searches, seven differences, mazes and others. Participants assessed the educational technology as relevant, enlightening and capable of encouraging new habits, in addition to adding knowledge. All items had an agreement rate above 80%.
Conclusions:
the almanac consists of an innovative educational technology that addresses risk factors, treatments, self-care and social rights of people with cancer in a playful way and with easy-to-understand language.
Views15Abstract
ORIGINAL ARTICLEConstruction and assessment of the “Almanac for Women with Breast Cancer”: convergent care research
Revista Brasileira de Enfermagem. 2025;78:e20250031
DOI 10.1590/0034-7167-2025-0031
- Karolina Rosa Teófilo ,
- Denise Antunes de Azambuja Zocche ,
- Ana Paula Carmona ,
- Bruno Henrique Fiorin ,
- Marcia Valéria de Souza Almeida ,
- Cândida Caniçali Primo ,
- Eliane de Fatima Almeida Lima
Views15See moreABSTRACT
Objectives:
to develop a printed almanac for women with breast cancer.
Methods:
convergent care research with a qualitative approach, carried out in a specialized oncology service in Vitória, Espírito Santo, from August 2023 to August 2024. The almanac was built based on the doubts of women undergoing chemotherapy treatment. After its creation, participants used and assessed the technology. An agreement rate of 80% was considered adequate.
Results:
the almanac has 47 pages, with comic strips and games such as word searches, seven differences, mazes and others. Participants assessed the educational technology as relevant, enlightening and capable of encouraging new habits, in addition to adding knowledge. All items had an agreement rate above 80%.
Conclusions:
the almanac consists of an innovative educational technology that addresses risk factors, treatments, self-care and social rights of people with cancer in a playful way and with easy-to-understand language.
- Karolina Rosa Teófilo
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ORIGINAL ARTICLE12-08-2025
Risk for shock in people with acute myocardial infarction: a middle-range theory
- Anna Livia de Medeiros Dantas ,
- Richardson Augusto Rosendo da Silva ,
- Dandara Nayara de Azevedo Dantas ,
- Fernanda Beatriz Batista Lima e Silva ,
- Maria Isabel da Conceiação Dias Fernandes , [ ... ],
- Ana Beatriz Pereira
Abstract
ORIGINAL ARTICLERisk for shock in people with acute myocardial infarction: a middle-range theory
Revista Brasileira de Enfermagem. 2025;78(4):e20240504
DOI 10.1590/0034-7167-2024-0504
- Anna Livia de Medeiros Dantas ,
- Richardson Augusto Rosendo da Silva ,
- Dandara Nayara de Azevedo Dantas ,
- Fernanda Beatriz Batista Lima e Silva ,
- Maria Isabel da Conceiação Dias Fernandes ,
- Maria Eduarda Silva do Nascimento ,
- Harlon França de Menezes ,
- Ana Beatriz Pereira
Views11See moreABSTRACT
Objectives:
to develop a middle-range theory for the risk for shock in people with acute myocardial infarction.
Methods:
theoretical-causal validity of the nursing diagnosis "Risk for shock" in people with acute myocardial infarction, based on a middle-range theory. The study followed six stages: definition of the approach for theory construction; definition of conceptual models; definition of main concepts; development of pictorial diagram; construction of propositions; establishment of causal relationships and evidence for practice.
Results:
three essential attributes were identified, 23 clinical antecedents related to the risk for shock, eight theoretical propositions were formulated, and causal relationships were established between the identified stimuli and the essential attributes.
Conclusions:
the theory developed established relationships between theory and practice based on the establishment of propositions and causal relationships that allow nurses' diagnostic reasoning.
Views11Abstract
ORIGINAL ARTICLERisk for shock in people with acute myocardial infarction: a middle-range theory
Revista Brasileira de Enfermagem. 2025;78(4):e20240504
DOI 10.1590/0034-7167-2024-0504
- Anna Livia de Medeiros Dantas ,
- Richardson Augusto Rosendo da Silva ,
- Dandara Nayara de Azevedo Dantas ,
- Fernanda Beatriz Batista Lima e Silva ,
- Maria Isabel da Conceiação Dias Fernandes ,
- Maria Eduarda Silva do Nascimento ,
- Harlon França de Menezes ,
- Ana Beatriz Pereira
Views11See moreABSTRACT
Objectives:
to develop a middle-range theory for the risk for shock in people with acute myocardial infarction.
Methods:
theoretical-causal validity of the nursing diagnosis "Risk for shock" in people with acute myocardial infarction, based on a middle-range theory. The study followed six stages: definition of the approach for theory construction; definition of conceptual models; definition of main concepts; development of pictorial diagram; construction of propositions; establishment of causal relationships and evidence for practice.
Results:
three essential attributes were identified, 23 clinical antecedents related to the risk for shock, eight theoretical propositions were formulated, and causal relationships were established between the identified stimuli and the essential attributes.
Conclusions:
the theory developed established relationships between theory and practice based on the establishment of propositions and causal relationships that allow nurses' diagnostic reasoning.
- Anna Livia de Medeiros Dantas
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ORIGINAL ARTICLE12-08-2025
Factors associated with non-adherence to polychemotherapy treatment for leprosy
Revista Brasileira de Enfermagem. 2025;78(4):e20240437
Abstract
ORIGINAL ARTICLEFactors associated with non-adherence to polychemotherapy treatment for leprosy
Revista Brasileira de Enfermagem. 2025;78(4):e20240437
DOI 10.1590/0034-7167-2024-0437
Views11See moreABSTRACT
Objectives:
to identify factors associated with non-adherence to polychemotherapy treatment for leprosy.
Methods:
a cross-sectional study, carried out with cases of abandonment of leprosy treatment in the municipality of Palmas-TO. The cases were identified from the Notification System for Notifiable Diseases, and a questionnaire was subsequently applied.
Results:
dropout rates for 2017 and 2018 were 8.3% and 3.12%, respectively. Forty people participated in the study: the majority were women (57.5%), with an average age of 48.2 years, 75% were black/brown, 50% had completed/incomplete elementary education, and 52.5% were retired/unemployed. Factors associated with adherence to leprosy treatment were lack of improvement in symptoms and having the diagnosis ruled out by another physician/not believing they had leprosy.
Conclusions:
the results point to the difficulty in accepting leprosy by cases and the importance of healthcare professionals in health education and adequate leprosy diagnosis.
Views11Abstract
ORIGINAL ARTICLEFactors associated with non-adherence to polychemotherapy treatment for leprosy
Revista Brasileira de Enfermagem. 2025;78(4):e20240437
DOI 10.1590/0034-7167-2024-0437
Views11See moreABSTRACT
Objectives:
to identify factors associated with non-adherence to polychemotherapy treatment for leprosy.
Methods:
a cross-sectional study, carried out with cases of abandonment of leprosy treatment in the municipality of Palmas-TO. The cases were identified from the Notification System for Notifiable Diseases, and a questionnaire was subsequently applied.
Results:
dropout rates for 2017 and 2018 were 8.3% and 3.12%, respectively. Forty people participated in the study: the majority were women (57.5%), with an average age of 48.2 years, 75% were black/brown, 50% had completed/incomplete elementary education, and 52.5% were retired/unemployed. Factors associated with adherence to leprosy treatment were lack of improvement in symptoms and having the diagnosis ruled out by another physician/not believing they had leprosy.
Conclusions:
the results point to the difficulty in accepting leprosy by cases and the importance of healthcare professionals in health education and adequate leprosy diagnosis.
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ORIGINAL ARTICLE12-08-2025
Adaptation and content validity of the Brazilian version of the Mental Health Literacy questionnaire
Revista Brasileira de Enfermagem. 2025;78(4):e20240309
Abstract
ORIGINAL ARTICLEAdaptation and content validity of the Brazilian version of the Mental Health Literacy questionnaire
Revista Brasileira de Enfermagem. 2025;78(4):e20240309
DOI 10.1590/0034-7167-2024-0309
Views20See moreABSTRACT
Objectives:
to perform cross-cultural adaptation and content validity of the Mental Health Literacy questionnaire into Brazilian Portuguese.
Methods:
a validity study developed according to the following stages: (1) assessment of conceptual and item equivalence; (2) idiomatic and semantic equivalence (translation, back-translation, formal assessment, critical analysis by 17 experts and pre-testing with 32 young adults, using the survey technique); (3) operational equivalence.
Results:
important changes were made to ensure instrument validity. The Content Validity Index for the Brazilian context was 97.2% (feasibility) and 98.9% (relevance). The instrument proved to be understandable and easy to apply in pre-testing.
Final Considerations:
the Mental Health Literacy questionnaire, Brazilian version, contributes to assessing mental health literacy as well as to improving the quality of actions to promote, prevent and protect mental health in young people.
Views20Abstract
ORIGINAL ARTICLEAdaptation and content validity of the Brazilian version of the Mental Health Literacy questionnaire
Revista Brasileira de Enfermagem. 2025;78(4):e20240309
DOI 10.1590/0034-7167-2024-0309
Views20See moreABSTRACT
Objectives:
to perform cross-cultural adaptation and content validity of the Mental Health Literacy questionnaire into Brazilian Portuguese.
Methods:
a validity study developed according to the following stages: (1) assessment of conceptual and item equivalence; (2) idiomatic and semantic equivalence (translation, back-translation, formal assessment, critical analysis by 17 experts and pre-testing with 32 young adults, using the survey technique); (3) operational equivalence.
Results:
important changes were made to ensure instrument validity. The Content Validity Index for the Brazilian context was 97.2% (feasibility) and 98.9% (relevance). The instrument proved to be understandable and easy to apply in pre-testing.
Final Considerations:
the Mental Health Literacy questionnaire, Brazilian version, contributes to assessing mental health literacy as well as to improving the quality of actions to promote, prevent and protect mental health in young people.
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ORIGINAL ARTICLE12-08-2025
Prevalence of depression and analysis of its association with anxiety in military police officers: a cross-sectional study
- Renato Canevari Dutra da Silva ,
- Carolina Veras Mendes ,
- Maria Neyrian de Fátima Fernandes ,
- Gilson Gonçalves Silva ,
- Lidiane Bernardes Faria Vilela , [ ... ],
- Elton Brás Camargo Júnior
Abstract
ORIGINAL ARTICLEPrevalence of depression and analysis of its association with anxiety in military police officers: a cross-sectional study
Revista Brasileira de Enfermagem. 2025;78(5):e20240312
DOI 10.1590/0034-7167-2024-0312
- Renato Canevari Dutra da Silva ,
- Carolina Veras Mendes ,
- Maria Neyrian de Fátima Fernandes ,
- Gilson Gonçalves Silva ,
- Lidiane Bernardes Faria Vilela ,
- Elton Brás Camargo Júnior
Views9See moreABSTRACT
Objective:
to identify the prevalence of depression and its association with anxiety levels among military police officers.
Methods:
a cross-sectional study, conducted with active military police officers, using the Beck Depression Inventory and the Beck Anxiety Inventory, both validated for the Brazilian context. Multivariate logistic regression analyses verified associations.
Results:
the sample consisted of 672 military police officers, with a prevalence of depression of 34.5%. Police officers with depression presented significantly higher levels of anxiety. Anxiety was a significant predictor of depression, with each one-point increase in anxiety score being associated with a 1.20-fold increase in the odds of depression (adjusted Odds Ratio = 1.20; 95% Confidence Interval 1.16-1.24; p < 0.001).
Conclusions:
the high prevalence of depression and its association with anxiety highlight the need to implement prevention and mental health promotion actions among military police officers.
Views9Abstract
ORIGINAL ARTICLEPrevalence of depression and analysis of its association with anxiety in military police officers: a cross-sectional study
Revista Brasileira de Enfermagem. 2025;78(5):e20240312
DOI 10.1590/0034-7167-2024-0312
- Renato Canevari Dutra da Silva ,
- Carolina Veras Mendes ,
- Maria Neyrian de Fátima Fernandes ,
- Gilson Gonçalves Silva ,
- Lidiane Bernardes Faria Vilela ,
- Elton Brás Camargo Júnior
Views9See moreABSTRACT
Objective:
to identify the prevalence of depression and its association with anxiety levels among military police officers.
Methods:
a cross-sectional study, conducted with active military police officers, using the Beck Depression Inventory and the Beck Anxiety Inventory, both validated for the Brazilian context. Multivariate logistic regression analyses verified associations.
Results:
the sample consisted of 672 military police officers, with a prevalence of depression of 34.5%. Police officers with depression presented significantly higher levels of anxiety. Anxiety was a significant predictor of depression, with each one-point increase in anxiety score being associated with a 1.20-fold increase in the odds of depression (adjusted Odds Ratio = 1.20; 95% Confidence Interval 1.16-1.24; p < 0.001).
Conclusions:
the high prevalence of depression and its association with anxiety highlight the need to implement prevention and mental health promotion actions among military police officers.
- Renato Canevari Dutra da Silva
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ORIGINAL ARTICLE12-08-2025
Analizyng the implementation of the Health Promoting University framework in different contexts: a cluster analysis
Revista Brasileira de Enfermagem. 2025;78(5):e20240130
Abstract
ORIGINAL ARTICLEAnalizyng the implementation of the Health Promoting University framework in different contexts: a cluster analysis
Revista Brasileira de Enfermagem. 2025;78(5):e20240130
DOI 10.1590/0034-7167-2024-0130
Views5ABSTRACT
Objectives:
to analyse how 22 universities in Spain have implemented the HPU framework in different contexts.
Methods:
firstly, a document analysis was used as a research method to assess the action areas of work to promote HPU framework. Documents were selected from the university’s networks and numerically coded.
Results:
a Multiple Correspondence Analysis and a Hierarchical Cluster Analysis identified three types of universities based on the implementation of health promotion areas: “Incipient HPU” that is a heterogeneous group that tend to apply some of the HPU principles by addressing acute actions in time; “Premature HPU” englobe those universities that express the need to incorporate a HPU roadmap but does not express it in practice, and “Mature HPU” that are recognized by university authorities.
Final Considerations:
these results show how universities recognize and implement the HPU framework differently even when they are part of the same network.
Keywords:Community ParticipationDocument AnalysisHealth PromotionHierarchical Cluster AnalysisUniversitiesSee moreViews5Abstract
ORIGINAL ARTICLEAnalizyng the implementation of the Health Promoting University framework in different contexts: a cluster analysis
Revista Brasileira de Enfermagem. 2025;78(5):e20240130
DOI 10.1590/0034-7167-2024-0130
Views5ABSTRACT
Objectives:
to analyse how 22 universities in Spain have implemented the HPU framework in different contexts.
Methods:
firstly, a document analysis was used as a research method to assess the action areas of work to promote HPU framework. Documents were selected from the university’s networks and numerically coded.
Results:
a Multiple Correspondence Analysis and a Hierarchical Cluster Analysis identified three types of universities based on the implementation of health promotion areas: “Incipient HPU” that is a heterogeneous group that tend to apply some of the HPU principles by addressing acute actions in time; “Premature HPU” englobe those universities that express the need to incorporate a HPU roadmap but does not express it in practice, and “Mature HPU” that are recognized by university authorities.
Final Considerations:
these results show how universities recognize and implement the HPU framework differently even when they are part of the same network.
Keywords:Community ParticipationDocument AnalysisHealth PromotionHierarchical Cluster AnalysisUniversitiesSee more
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