Objectives: to achieve the degree of saturation in study that applied the grounded theory. Methods: qualitative research, carried out in four Family Health Units, between June 2018 and May 2019. The data from the interviews with 30 health professionals and non-participant observation were coded in the stages: open, axial and integration. Results: the degree of saturation was achieved by two conceptual models - theoretical saturation and inductive thematic. Theoretical saturation was considered: the development of conceptual codes and observation, in the collection and analysis of data, when they generated new categories/subcategories or only indicated increasing instances. For thematic inductive saturation, the use of new codes based on each interview stood out. Final Considerations: the visual layout for the number of codes, the theoretical scope of the concepts and the delimitation of the sample groups guided the identification of the degree of saturation for the development of the conceptual body that supported the substantive theory.

Objective: To reflect about the do-not-resuscitation order at COVID-19 in Brazil, under bioethical focus and medical and nursing professional ethics. Method: Reflection study based on the principlist bioethics of Beauchamps and Childress and in professional ethics, problematizing actions, and decisions of non-resuscitation in the pandemic. Results: It is important to consider the patient's clinic, appropriation of treatment goals for people with comorbidities, elderly people, with less chance of surviving to resuscitation, or less quality of life, with the palliative care team, to avoid dysthanasia, use of scarce resources and greater exposure of professionals to contamination. Conclusion: COVID-19 increased the vulnerabilities of professionals and patients, impacting professional decisions and conduct more widely than important values such as the restriction of freedom. It propelled the population in general to rethink ethical and bioethical values regarding life and death, interfering in decisions about them, supported by human dignity.

Objective to understand nurses’ motivational aspects to become specialists in oncology nursing.

Objetivo: compreender o significado das habilidades sociais atribuído por enfermeiros especialistas em enfermagem em oncologia. Método: estudo qualitativo, exploratório, que aplicou a Teoria Fundamentada nos Dados e o Interacionismo Simbólico. Participaram 14 enfermeiros de um dos grupos amostrais, especialistas em oncologia, de hospital oncológico. Aplicamos a entrevista semiestruturada, on-line, de maio de 2021 a dezembro de 2022. A análise seguiu a codificação aberta, axial e integração, e aplicamos o paradigma da codificação. Resultados: a categoria paradigmática ‘condição do fenômeno’ é apresentada face o aspecto semântico e de reconhecimento da aplicação das habilidades sociais. A categoria Percepções e significados das habilidades sociais para enfermeiros oncologistas alicerçou-se nas subcategorias: reagindo ao termo, e atribuindo significados e valores às habilidades sociais na especialidade da enfermagem em oncologia. Conclusão: os enfermeiros reconhecem as habilidades sociais e sua importância na oncologia. Desse modo, reitera-se a importância da articulação teórico-prático para qualificar a prática na oncologia.

Descrever, na visão dos residentes, a organização e as dinâmicas de atendimento instituídas na atenção primária à saúde na pandemia da COVID-19, e discutir o processo de educação neste contexto. Estudo qualitativo, descritivo, desenvolvido com os alunos do Programa de Residência Multiprofissional em Saúde da Família da Universidade Federal de Rondônia, Brasil. Aplicou-se entrevista semiestruturada entre junho e agosto de 2020, e análise de conteúdo temática. Emergiram três categorias, com temas que envolveram habilidade de comunicação, trabalho em equipe, liderança, conhecimento e contato com o território, flexibilidade, educação permanente e equilíbrio emocional. Destacaram-se dificuldades na educação pela necessidade de novo planejamento didático-pedagógico, falta de recursos e pouco investimento na atenção primária. Das facilidades, destacaram-se autonomia e implementação de novas estratégias, como telemonitoramento. A pandemia trouxe novos elementos para a educação do residente, ampliando seu escopo, principalmente, na gestão e liderança. Descritores: Atenção Primária à Saúde, Capacitação em Serviço, Estratégia Saúde da Família, Infecções por Coronavírus. Education of multidisciplinary residents in primary care in COVID-19 Abstract: To describe, in the residents' view, the organization and dynamics of care instituted in primary health care in the COVID-19 pandemic, and to discuss the education process in this context. A qualitative, descriptive study developed with students from the Multiprofessional Residency Program in Family Health at the Federal University of Rondônia, Brazil. A semi-structured interview was applied between June and August 2020, and thematic content analysis. Three categories emerged, with themes that involved communication skills, teamwork, leadership, knowledge and contact with the territory, flexibility, permanent education and emotional balance. Difficulties in education were highlighted due to the need for new didactic-pedagogical planning, lack of resources and little investment in primary care. Of the facilities, autonomy and implementation of new strategies, such as telemonitoring, stood out. The pandemic brought new elements to resident education, expanding its scope, mainly in management and leadership Descriptors: Coronavirus Infections, Family Health Strategy, Inservice Training, Primary Health Care. Educación de residentes multidisciplinarios en atención primaria en COVID-19 Resumen: Describir, en la visión de los residentes, la organización y la dinámica de la atención instituida en la atención primaria de salud en la pandemia de COVID-19, y discutir el proceso de educación en este contexto. Estudio cualitativo, descriptivo, desarrollado con estudiantes del Programa de Residencia Multiprofesional en Salud de la Familia de la Universidad Federal de Rondônia, Brasil. Se aplicó entrevista semiestructurada entre junio y agosto de 2020 y análisis de contenido temático. Surgieron tres categorías, con temas que involucraron habilidades de comunicación, trabajo en equipo, liderazgo, conocimiento y contacto con el territorio, flexibilidad, educación permanente y equilibrio emocional. Se destacaron las dificultades en la educación por la necesidad de una nueva planificación didáctico-pedagógica, falta de recursos y poca inversión en la atención primaria. De las facilidades, se destacó la autonomía y la implementación de nuevas estrategias, como el telemonitoreo. La pandemia trajo nuevos elementos a la formación de residentes, ampliando su alcance, principalmente en gestión y liderazgo. Descriptores: Atención Primaria de Salud, Capacitación en Servicio, Estrategia de Salud Familiar, Infecciones por Coronavirus.

Background: Home-based palliative cancer care coordinated by primary care has been proposed as a strategy to improve access, continuity, and alignment with patient preferences, but its organizational characteristics and effects remain insufficiently synthesized. Aim: The aim was to characterize the organizational components of home-based palliative care models for patients with advanced cancer coordinated by primary care and to evaluate the effects of these models on patient-related and health system outcomes. Methods: Following a Cochrane review protocol, primary studies were searched in MEDLINE, Scopus, LILACS, Web of Science, the Cochrane Library, and CINAHL to identify randomized controlled trials and analytical observational studies published between January 2018 and May 2026. Results: The narrative synthesis included seven analytical observational studies conducted in high-income countries, most classified as 4b—settings with advanced and integrated palliative care. Across these studies, recurrent organizational components included case management, structured care pathways prioritizing home-based care, and mechanisms linking primary care with specialized palliative care teams. Reported outcomes were associated with potential system-level benefits, such as fewer emergency department visits and higher proportions of home death, but these findings are subject to residual confounding, heterogeneity, and indirectness, which limit confidence in the evidence. Conclusion: The available evidence, which was restricted to seven observational studies conducted in countries with highly developed palliative care systems, suggests that certain organizational components may support home-based palliative cancer care coordinated by primary care. However, substantial methodological limitations, the absence of patient-centred outcomes, and the lack of studies from low- and middle-income countries indicate that further research is needed before drawing practice or policy recommendations.