Introduction: Contraceptive illiteracy leads to non-adherence, discontinuation, and dissatisfaction with the method. Person-centered contraceptive counseling is based on quality care on a communicative basis that promotes shared decision-making, leading to a choice adapted to the woman’s needs, lifestyle, and health condition. We intend to build and validate an instrument that serves as a guide for quality contraceptive counseling, facilitating decision-making about contraceptive methods. Methods: We used the Delphi method in a total of two rounds. The content was validated through a panel of eighteen experts with experience in teaching, research in contraceptive counseling, and obstetric nursing. To assess the consensus and stability of the responses, two questionnaires were administered and the Content Validity Index and Content Validity Ratio were calculated. Results: The initial version of the guide, consisting of six indicators and thirty-five items, was submitted to the panel of experts to obtain consensus and stability from respondents (first round). The results showed a response rate of 66.0%; thirty-four indicators reached consensus and one did not reach consensus. Suggestions for modifying the indicator were received by the experts and incorporated in the next round. In the second round, the response rate increased to 78.0%. Two indicators were resubmitted, of which one was accepted. This resulted in the final version of the instrument, with six points and thirty-five items. Discussion: The guide proved to be a valid tool for nurse–midwives to provide quality contraceptive advice to women, allowing them to make autonomous and informed choices regarding their sexual and reproductive health.

Higher education is key to developing a competent and engaged society. Therefore, holistic learning is a fundamental element. This study aimed to test the validity and reliability of a questionnaire for extracurricular teaching actions in higher education. The questionnaire was delivered online to nursing and teaching students participating in the extracurricular action organized by the universities participating in the EdSeX Project, in all cases worded in English. Reliability was measured through internal consistency provided by Cronbach’s alpha coefficient, yielding a value of 0.638 for the 19 items. The internal consistency for each latent variable measured by Cronbach’s alpha coefficient was 0.816 for F1 (N = 6) and 0.625 for F2 (N = 3). This means that in the applicable satisfaction questionnaire, the professor interactions and the quality of the organization of the teaching activity of the topic are the most influential elements in the training action. The questionnaire proved to have a good validity and is therefore a reliable instrument to measure the level of higher education students’ satisfaction with learning.

Background/Objectives: Human immunodeficiency virus remains a significant public health challenge, with breastfeeding contributing to the risk of mother-to-child transmission. Although antiretroviral therapy significantly reduces this risk, obstetric nurses face complex challenges in translating evolving guidelines into clinical practice. This scoping review aims to map existing scientific evidence on obstetric nurses’ approaches to evidence-based practice regarding breastfeeding in the context of HIV. Methods: Following the Joanna Briggs Institute methodology and PRISMA-ScR guidelines, a search was conducted across PubMed, Scopus and EBSCOhost (MEDLINE Complete, CINAHL Complete, Cochrane Central Register of Controlled Trials, and Nursing & Allied Health Collection: Comprehensive) for studies published in English and Portuguese between 2015 and 2025. Studies were included if they focused on the role of obstetric nurses, nurse-midwives, or midwives in infant-feeding practices for women living with HIV. Results: Eight studies were included, predominantly from sub-Saharan Africa, with additional evidence from Europe and Canada. Findings reveal that infant-feeding counseling is shaped by a complex interplay of clinical protocols and personal beliefs. Significant gaps in knowledge translation were identified. While nurses demonstrate high technical confidence in lactation support, their distinct professional contribution is often obscured by research that aggregates all healthcare providers. Conclusions: The challenge of supporting breastfeeding in the context of HIV extends beyond technical protocol adherence. It points to persistent gaps in knowledge translation, variability in counselling practices, and the influence of contextual and professional factors on guideline implementation. Strengthening care requires sustained investment in profession-specific education, institutional support, and evidence-informed practice frameworks that enable obstetric nurses to exercise informed clinical judgement.

Aim: Contraception aims to protect women from unplanned and unwanted pregnancies. The number of voluntary-terminations-of-pregnancy is an indicator that highlights issues such as difficulty accessing health services and women's lack of knowledge about contraceptives. These factors complicate choosing, adhering to, continuing, and achieving satisfaction with a contraceptive method. Mixed studies have gained prominence in health research with significant implications for care quality, particularly in nursing.Objectives: Analyze the applicability of mixed-method research in promoting contraceptive decision-making for women undergoing voluntary termination of pregnancy.Methods: A theoretical-reflective essay based on a theoretical framework guiding reflections on mixed research. This reflection explores the basic theoretical constructs of mixed methods and their applicability in promoting contraceptive decision-making for women in the process of voluntary pregnancy termination.Results: Categories emerging from qualitative study participants' statements were consolidated with quantitative data from women's responses to questionnaires. Integrating these two data types facilitated a robust analysis, discussion, and inference of results, leading to proposals for future interventions.Conclusions: Due to the advantages of the multimethod approach, we aim to disseminate its use in health research, demonstrating that combining quantitative and qualitative approaches provides greater insights into research phenomena and problems compared to using each method in isolation. This ultimately enhances care quality and contributes to scientific knowledge development.

Background: Half of the pregnancies worldwide are unplanned and are related to failures, non-use, incorrect use and/or discontinued contraceptive methods. Nurses are essential health promotion agents, which includes contraceptive counselling, which promotes decision-making regarding the most appropriate contraceptive method. We want to understand midwives' perceptions of the aspects that promote decision-making for a contraceptive method by women in the process of termination of pregnancy. Methods: Descriptive study method with a qualitative approach using a focus group interview. Five midwives participated in the termination of pregnancy consultation at a hospital in Lisbon, and Vale do Tejo in Portugal, in August 2020. We carried out a content analysis of the participants' speeches with the help of the methodology advocated by Bardin and the use of the WebQdA® software. Main Results: Midwives point to sociocultural and economic aspects, age and lack of literacy as conditioning factors in choosing a contraceptive method. Conclusions: Understanding the factors that drive women's contraceptive choices can promote interventions that promote sexual and reproductive health.

Introdução: O climatério é uma fase marcada por vulnerabilidades que interferem na qualidade de vida da mulher. As intervenções de enfermagem centradas na mulher durante este período contribuem para a promoção da saúde e qualidade de vida. A educação em saúde, alicerçada numa comunicação eficaz emerge, como estratégia essencial para fomentar o empoderamento feminino e o autocuidado, promovendo uma experiência mais positiva no climatério. Objetivo: Compreender as intervenções de enfermagem promotoras da qualidade de vida da mulher no climatério. Métodos: Revisão integrativa da literatura, realizada na EBSCOhost, Google Académico, RCAAP e Biblioteca Virtual em Saúde Resultados: Nos nove artigos publicados entre 2021 e 2024, identificaram-se seis temas centrais: educação em saúde, promoção da qualidade de vida, consulta de enfermagem, adesão ao regime terapêutico, formação profissional e aspetos socioculturais. Conclusão: As intervenções de enfermagem no climatério mostram-se eficazes na melhoria da qualidade de vida da mulher. Destacam-se ações educativas, apoio emocional, comunicação adequada, cuidados centrados na mulher e sensibilidade às questões socioculturais. Reforça-se, ainda, a necessidade de investir na formação dos enfermeiros e na formulação de políticas públicas direcionadas à saúde da mulher climatérica.