The abrupt interruption of previously planned activities in face-to-face classes, which combine theoretical and practical activities, generates impacts in the short, medium, and long terms for all school levels. Especially, the socioeconomically vulnerable populations will be more affected and among the possible repercussions will be the accentuation of social inequalities for access to essential goods and services like education, among others. School dropout indicators may significantly increase what retro-feeds the aforementioned repercussions.²

Background: Moral distress is a phenomenon that can lead to an imbalance of the mind and body. There are many coping strategies to overcome the obstacles that lead the subject to this condition. Some coping strategies are capable of being achieved through the cultivation of moral resilience. Aim: The aim is to identify the strategies of moral resilience in the nursing management of University Hospitals in Brazil. Research design: The research design is the qualitative study with discursive textual analysis. Participants and research context: : 44 nurse managers and nurses in leadership positions participated in a total of 30 University Hospitals in Brazil. Data were collected online, using a questionnaire with open questions. Ethical considerations: The Ethics Committee approved the study. Participants received information about the research, agreed to respond to the questionnaire, and were guaranteed anonymity. Findings: Personal adaptive strategies (intrapersonal and interpersonal) and organizational collaborative strategies (intrinsic and transformational management) emerged from this process. The intrapersonal strategies involved elements of rationality, flexibility, rebalancing practices, moral courage, and detachment. The interpersonal strategies addressed support networks, team involvement, and dialog. Organizational strategies dealt with actions which reorient ethical infrastructure, ethical education, and psychological protection, as well as fostering dialogical relationships, empowerment, and cooperation. Conclusion: From the perspective of social historical construction, it is understood that developing personal and organizational strategies is essential to cultivating moral resilience.

Objective: To evaluate the frequency and intensity of moral distress in Brazilian nurses. Method: Cross-sectional study performed with nurses from 27 Brazilian states through application of the Brazilian Moral Distress Scale in Nurses (Portuguese acronym: EDME-Br) and descriptive statistical analysis. Results: Participation of 1,226 Brazilian nurses in the study. The intensity and frequency of overall moral distress were rated as moderate level, with averages of 3.08 (± 1.45) and 2.94 (± 1.37), respectively. Specifically, the highest intensity and frequency was related to the factors Acknowledgement, power and professional identity and Work teams, while the lowest was related to the factor Defense of values and rights. Conclusion: Moral distress occurs in precarious work environments, with little expressiveness of the nurses’ role. One highlights the importance of the problem in terms of its amplitude and multicausality, reaching professionals acting in different work contexts.

The objective of this reflective study was to propose conceptual elements for the analysis of moral distress as a process that articulates various concepts of moral experience. The moral distress is explored as a phenomenon manifested in different scenarios and dimensions of labor - care, management and education. Although a relative consensus exists on the concept and comparable empirical results in several countries, there are limited studies that explore theoretical gaps, critical points and possibilities to expand the analytical potential. In the search for consistent and updated theoretical supports for the changing needs of the field, the state of the art was surveyedn and a conceptual framework was designed to address moral distress as a process that articulates various concepts or moments of moral experience, such as uncertainty, moral sensitivity and moral deliberation. The proposed matrix articulates the development process of moral competencies or the construction of the ethical subject, present in pedagogical and philosophical discourses of interest to the profession.

Objectives: to identify information that can support creating good practice assumptions to develop family interview for organ and tissue donation. Methods: this scoping study, conducted in two Brazilian hospitals in the southern, between April and December 2017, included integrative review and consultation with 15 families who experienced interview for organ donation. For data analysis, thematic content analysis was used. Results: three categories emerged: communication of death, which shows the need to know the history of hospitalization of patients; emotional support, the team must have mastery of the stages of mourning; information about donation, professionals need to know the stages of the donation process and respect families’ time. Final Considerations: good practice assumptions point to the need for team training, respect for family time and the use of simple language.

Objetivo: refletir sobre o panorama atual e tendências da força de trabalho de enfermagem no Brasil e no mundo. Método: ensaio teórico-reflexivo elaborado com base em dados de relatórios de organizações internacionais e nacionais de saúde e enfermagem, disponíveis em sites oficiais, entre fevereiro e setembro de 2021. Resultados: o cenário atual da força de trabalho da enfermagem aponta para escassez global de profissionais, alertando para um contingente de pessoas que não terá suas necessidades de saúde atendidas. O Brasil dispõe de quantitativo de profissionais de enfermagem semelhante ao dos países desenvolvidos, mas com distribuição desigual e percentual pequeno de enfermeiros na composição da força de trabalho. Conclusão: mesmo com esforços globais para reduzir a escassez da força de trabalho de enfermagem, o cenário permanece crítico. Trata-se de um trabalho fundamental para alcançar saúde para todos, o que requer investimento em número, qualificação e condições de trabalho adequadas.