The repercussions of the COVID-19 pandemic on children’s lives deserve attention. This study aimed to assess the prevalence of anxiety among Brazilian children and its associated factors during social distancing during COVID-19. We used a cross-sectional design with an online survey from April to May 2020 in Brazil. We included children aged 6–12 years and their guardians. The Children’s Anxiety Questionnaire (CAQ; scores 4–12) and the Numerical Rating Scale (NRS; scores 0–10) were used to measure anxiety. We enrolled 157 girls and 132 boys, with a mean age of 8.84 (±2.05) years; 88.9% of respondents were mothers. Based on CAQ ≥ 9, the prevalence of anxiety was 19.4% (n = 56), and higher among children with parents with essential jobs and those who were social distancing without parents. In logistic regression, the following variables were associated with higher CAQ scores: social distancing without parents; more persons living together in home; and education level of guardians. Based on NRS > 7, the prevalence of anxiety was 21.8% (n = 63); however, no associations with NRS scores were found with the investigated variables. These findings suggest the necessity of implementing public health actions targeting these parents and their children at the population level.
Objetivo: analisar a mortalidade materna no estado do Paraná após a implantação da Rede Mãe Paranaense. Método: estudo ecológico, com 466 óbitos maternos. As taxas foram analisadas segundo variáveis maternas, macrorregionais de residência e ano de ocorrência. Os dados foram agrupados em triênios de pré-implantação e pós-implantação da Rede. Resultados: a mortalidade materna diminuiu de 61 óbitos/100 mil nascidos vivos antes da Rede, para 39 óbitos/100 mil. Houve redução no número de óbitos para as características estudadas nas macrorregionais, com exceção da faixa etária de 35 anos ou mais na macrorregional Norte, onde houve aumento de 16,7% e das variáveis 8 anos de estudo (21,1%) e com companheiro (9,1%), na macrorregional Noroeste. Conclusão: a mortalidade materna reduziu no estado do Paraná após a implantação da Rede Mãe Paranaense. Ainda há necessidade de adequação das propostas do programa, considerando as características de cada macrorregional.
Introduction: There is a need for a policy about endemic diseases and pandemics to increase the safety of healthcare professionals, especially nursing personnel. Studies on the impact of the COVID-19 pandemic on perioperative nurses’ work processes are scarce.Aim: The objectives of this study were to understand the work experience of Brazilian perioperative nurses at the beginning of the COVID-19 pandemic and to develop a theoretical model that represents this process.Method: This is qualitative research with theoretical saturation achieved through the analysis of the 19th interview with nurses who had experienced the phenomenon under study. The interviews were recorded using a conferencing system and then transcribed in full, after which they were analysed according to grounded theory.Results: Three subprocesses emerged from this analysis: the COVID-19 pandemic left nurses in unprepared surgical settings feeling less confident, nurses were protagonists of transformational leadership in the work process and in shaping their professional identity, nurses reflected on the impact of COVID-19 on their work process and professional identity while the pandemic continued. From the realignment of the components of these subprocesses, it was possible to abstract the core category (process), entitled ‘from fragility to transitional overcoming of epic protagonism of perioperative nurses during the COVID-19 pandemic: transformational leadership as an intervening component for professional identity’.Conclusion: The discovered theoretical model posits transformational leadership as a potential tool for reconstructing nurses’ professional identities. Finally, this research recommends the formulation of a global policy to support systematic, active and continuous organisational programs for the management of future epidemics and pandemics.
28 March 2021 in Research, Society and Development
Este protocolo tem como objetivo mapear as publicações relacionadas ao diagnóstico e tratamento da COVID-19. É um protocolo de revisão de escopo que segue o método preconizado pelo Joanna Briggs Institute, demais autores e a Diretriz Itens de Relatório Preferidos Para Revisões Sistemáticas e Extensão de meta-análises para revisões de escopo. A estratégia PCC (população, conceito e contexto) sistematizou a busca que foi realizada nos meses de maio e junho de 2020, nas bases de dados PubMed, Cochrane, Embase, CINAHL, LILACS, SCOPUS e Web of Science. Quanto à literatura cinzenta, serão usados o Google Scholar. Os resultados serão analisados quantitativamente e serão organizados por temas e apresentados em termos de frequência absoluta e relativa. Espera-se que esta revisão de escopo contribua para o desenvolvimento de estratégias de enfrentamento da doença.