(1) Context: Cancer triggers significant changes in family dynamics. It is noteworthy that coping and problem-solving skills, particularly in situations involving cancer in children and adolescents, have not been adequately explored in the context of family adaptation. This study aims to analyze the effectiveness of family interventions in coping to improve problem-solving skills in parents and/or caregivers of children and adolescents during and after oncological treatment. (2) Methods: This is a scoping review following the recommendations of the Joanna Briggs Institute and the Systematic Reviews and Meta-Analyses Extension for Scoping Review (PRISMA-ScR), from 2014 to 2024, in the databases LILACS, CINAHL, SCOPUS, Web of Science, and PUBMED. (3) Results: Forty-five studies were eligible. Coping strategies were categorized as follows: (1) positive attitudes (including a sense of courage and hope, family support to enhance resilience, and future planning), (2) caregiver empowerment (involving acceptance of diagnosis, emotional distancing, and coping through religiosity), and (3) communication skills (encompassing professional communication, horizontal dialogue with healthcare teams, and sincere communication with friends and family). (4) Conclusions: Over time, families develop coping and problem-solving strategies that influence changes in family functioning patterns, aiding them in accepting, reinterpreting, and reframing ideas and feelings associated with neoplasia.

Our goal was to explore self‐care practices among men who have sex with men in the context of Mpox in Brazil. This study used qualitative research methods, including interviews and thematic analysis, to collect and analyze data from male participants across the Brazilian territory. The narratives unveil men's perspectives on self‐care, risk reduction, and health beliefs during the Mpox pandemic. Our findings highlight a multifaceted approach to self‐care among men, encompassing hygiene, physical contact management, mask usage, skin lesion vigilance, and adherence to official guidelines. Men's attitudes toward sexual behaviors emphasize the importance of reducing sexual partners, practicing safe sex, and combating misinformation through accurate information dissemination. The development of these behaviors and self‐care practices can be facilitated by nurses guided by Dorothea Orem's Self‐Care Theory, supported by patient‐centered care, with strategies to address and confront the stigma associated with the disease and provide emotional support. Thus, the study underscores the pivotal role of self‐care in mitigating infection risks, especially in the context of emerging infectious diseases. It acknowledges the impact of socio‐cultural factors and healthcare policies on men's preventive measures. However, it also recognizes limitations, such as potential bias due to stigma concerns and a nonrepresentative sample. Ultimately, the research advocates for tailored education, promotion of gender equity, and healthcare empowerment to effectively manage health risks in such contexts.

Introduction: The time taken for screening, detection and initiation of treatment is a determining factor for therapeutic management in oncology. The availability of reliable data guides decisions for public policies and evaluates compliance with these policies. Objective: To analyze the survival and outcomes of pediatric patients with leukemia and lymphoma from 2000 to 2022. Method: Epidemiological, descriptive study, with data extracted from Fundação Oncocentro do Estado de São Paulo, according to the International Classification of Childhood Cancer (ICCC). The time elapsed between the first consultation and diagnosis was evaluated, between diagnosis and the start of oncological treatment, and the survival of these patients, calculated according to the Peto-Peto test. Results: 12,030 cases were analyzed, 6,994 in males and 7,292 with leukemia. The probability of the time between consultation and diagnosis exceeds 30 days was 49.29% for leukemias and 76.31 for lymphomas, a significant result for treatment and relapses (p < 0.001) but not in relation to sex; the time between diagnosis and treatment exceeding 60 days was 38.04% for leukemias and 71.97% for lymphomas. Not undergoing treatment was significant (p < 0.001) while waiting for diagnosis after consultation for patients with leukemia and lymphomas, except surgery, chemotherapy and radiotherapy combined. Conclusion: Despite the advances, a considerable percentage of patients wait longer than expected for diagnosis and initiation of treatment, impacting their survival rates.

Analisar as evidências quanto à assistência de enfermagem para pacientes pediátricos com crises convulsivas, na enfermagem oncológica, segundo diagnósticos NANDA-I. Trata-se de Revisão Integrativa, nas bases LILACS, CINAHL, SCOPUS, WOS e PUBMED. Estudos primários foram incluídos entre 2018 e 2023, por meio de ficha validada e carregamento no webaplicativo Rayyan. De 555 estudos, elegeu-se somente 7, revelando a escassez de abordagens na enfermagem oncológica. A maioria dos estudos apresentou nível (VI) de evidência (n=42.8%). A Epilepsia Não Especificada foi prevalente (n=42.8%). Diagnósticos de enfermagem englobaram: comunicação prejudicada, risco de confusão aguda, dor, ansiedade, fadiga e distúrbio do padrão de sono. Dois eixos foram delineados: "Intervenções educacionais pré-crises convulsivas" e "Intervenções durante e pós-crises convulsivas". A assistência de enfermagem foi crucial na redução do tempo de administração de medicamentos, facilitação na identificação de sinais e sintomas, aceleração da terapia anticonvulsivante e redução de cuidados intensivos, custos hospitalares e taxas de reinternações. Descritores: Crises Convulsivas, Enfermagem Pediátrica, Oncologia Infantil, Diagnósticos de Enfermagem. Nursing in pediatric seizures and oncological contributions: integrative review Analyze the evidence regarding nursing care for pediatric patients with seizures, in oncology nursing, according to NANDA-I diagnoses. This is an Integrative Review, based on the LILACS, CINAHL, SCOPUS, WOS and PUBMED databases. Primary studies were included between 2018 and 2023, using a validated form and uploading to the Rayyan web application. Of 555 studies, only 7 were chosen, revealing the scarcity of approaches in oncology nursing. The majority of studies presented level (VI) of evidence (n=42.8%). Unspecified Epilepsy was prevalent (n=42.8%). Nursing diagnoses included: impaired communication, risk of acute confusion, pain, anxiety, fatigue and sleep pattern disturbance. Two axes were outlined: "Educational interventions before seizures" and "Interventions during and after seizures". Nursing care was crucial in reducing medication administration time, facilitating the identification of signs and symptoms, accelerating anticonvulsant therapy and reducing intensive care, hospital costs and readmission rates. Descriptors: Seizures, Pediatric Nursing, Childhood Oncology, Nursing Diagnoses. Enfermería en las convulsiones pediátricas y aportes oncológicos: revisión integradora Resumen: Analizar la evidencia sobre los cuidados de enfermería al paciente pediátrico con convulsiones, en enfermería oncológica, según diagnósticos NANDA-I. Esta es una Revisión Integrativa, basada en las bases de datos LILACS, CINAHL, SCOPUS, WOS y PUBMED. Se incluyeron estudios primarios entre 2018 y 2023, mediante un formulario validado y subiéndolo a la aplicación web Rayyan. De 555 estudios, sólo 7 fueron elegidos, lo que revela la escasez de abordajes en enfermería oncológica. La mayoría de los estudios presentaron nivel de evidencia (VI) (n=42,8%). La epilepsia no especificada fue prevalente (n=42,8%). Los diagnósticos de enfermería incluyeron: comunicación alterada, riesgo de confusión aguda, dolor, ansiedad, fatiga y alteración del patrón de sueño. Se delinearon dos ejes: "Intervenciones educativas antes de las convulsiones" e "Intervenciones durante y después de las convulsiones". Los cuidados de enfermería fueron cruciales para reducir el tiempo de administración de medicamentos, facilitar la identificación de signos y síntomas, acelerar la terapia anticonvulsivante y reducir los cuidados intensivos, los costos hospitalarios y las tasas de reingreso. Descriptores: Convulsiones, Enfermería Pediátrica, Oncología Infantil, Diagnósticos de Enfermería.

The objective was to discuss situated learning trajectories for social rehabilitation in face-to-face and online Communities of Practice (CoP) for people with a stoma. A comprehensive narrative review was carried out with an open timeline, with a sample of 18 international articles. The interpretation culminated in the conceptual pillars of the healthcare CoP, starting from identities and trajectories towards central participation, legitimate peripherality and reification; educational transfer in face-to-face and online settings with artifacts; examples and dilemmas of implementing collaborative designs or arrangements for different types of illness and the urgency of an interprofessional evaluation of the trajectory; finally, knowing about the existence of ethical communities, subsidies were proposed for communities of practice targeted at people with a stoma in the Brazilian National Health System, aiming at social-care participation and rehabilitation.

Introdução: O diagnóstico de câncer infantil gera medo, angústia e sofrimento para pacientes e suas famílias, impactando negativamente a comunicação e a adesão ao tratamento. Materiais educativos validados podem melhorar a compreensão e a participação ativa no cuidado. Objetivo: Validar o conteúdo do livro educativo “Guia Beabá do Câncer” sob a perspectiva de crianças, adolescentes, famílias e profissionais da saúde. Método: Estudo metodológico de validação de conteúdo utilizando o método Suitability Assessment of Materials (SAM) para avaliar a adequação do material em seis categorias (conteúdo, linguagem, ilustração, apresentação, motivação e adaptação cultural) e indicadores da experiência do usuário. Os dados foram coletados virtualmente, via Adobe Sign, e analisados no software Statistical Package for the Social Sciences (SPSS), utilizando-se indicadores como clareza, vocabulário, atratividade e usabilidade. Resultados: Participaram do estudo 12 crianças e adolescentes, 20 familiares e 29 profissionais da saúde. O material foi validado com escores de 100% pelas crianças e adolescentes, 98,4% pelos familiares e 97,6% pelos profissionais de saúde, superando os escores mínimos de 40% e 60%, necessários para considerar o material adequado ou superior ao adequado. Foram feitas sugestões de melhorias nas áreas de clareza e vocabulário, especialmente para públicos com menor letramento em saúde. Conclusão: O “Guia Beabá do Câncer” foi validado como uma ferramenta adequada para a educação em saúde de crianças em tratamento oncológico e seus familiares. Estudos futuros são recomendados para avaliar o impacto do guia na prática clínica e na melhoria da adesão ao tratamento.