Objectives: to analyze the approach to innovation in organizational and educational strategies for undergraduate and graduate nursing from the perspective of students.

Introduction: Urinary catheterization is a procedure widely used in the clinic, which benefits the patient in several situations. Research related to the long-term urinary catheter has focused on its possible complications and little on subjectivities. Goal: To understand the patient's perception of long-term urinary catheter use. Method: A qualitative, descriptive study carried out with 17 adult patients using long-term urinary catheters, treated at the outpatient clinic of a university hospital in Rio de Janeiro, Brazil. A semi-structured interview was applied, from November 2020 to March 2021, and thematic content analysis. Results: Most patients reported difficulties at the beginning, especially in modified physiological issues, self-esteem, self-image, sex, sexuality, work and social life. But gradually they can adapt to the new condition, which in some cases can be lifelong. The family and professional care, especially on the part of the nurse in the regular consultations for the exchange of the catheter, proved to be an important support network and fundamental structure in the adaptation to the use of the catheter. The nurse is essential in this context, being the professional who has the most opportunities to establish bonds and encourage self-care. Conclusions: The patients' perceptions were related to the view of the catheter as a foreign body, generator of discomfort and deprivation, but also to the notion of relief from suffering and comfort. It is essential to pay attention to these different perceptions, to take care with sensitivity, in an integral and individualized way.

Greater longevity and chronic diseases, such as cancer, require (re)organization of care for the sustainability of health systems and better quality of life. Palliative care organized by primary health care has positive outcomes, changing standards of care at the end of life, reducing hospitalizations and health costs and contributing to people’s autonomy to stay at home with controlled symptoms. However, in many countries, this is not possible because the provision of palliative cancer care is isolated or generalized, concentrated in the hospital, and without the strategic participation of primary care. In many developed countries, where palliative care is offered in an integrated way, home care has increased the people’s chances of receiving dignified care at the end of life. The aim of this review is to evaluate the organization of home palliative cancer care by primary care to improve the use of health resources and the quality of life of such patients. This systematic review protocol follows the Cochrane methodology to provide a narrative synthesis, with the resulting report guided by the Preferred Reporting Items for Systematic Reviews (PRISMA).

Objetivos: analisar a abordagem da inovação nas estratégias organizacionais e de ensino de graduação e pós-graduação em enfermagem na perspectiva dos discentes.

Objective: to evaluate the usability and operational performance of the Subcutaneous Hydration Device prototype in a simulated scenario with nurses, as well as to gather input for its continuous refinement. Method: pre-experimental, qualitative, and quantitative usability study using a simulated scenario, semi-structured interview, and focus group. Conducted in a laboratory with nine participants with experience in subcutaneous therapy. A checklist was used as a guide for conducting the simulated scenario and evaluating the operational performance of the prototype, as well as a script for the interview and focus group. Thematic content analysis was applied. Results: varied perceptions of the prototype were revealed, identifying strengths and weaknesses. Most participants demonstrated satisfaction with the ease of handling and expressed confidence in its possible implementation in clinical practice. Improvements related to ergonomics and functionality were suggested, such as the inclusion of accessories to reinforce stability, in addition to identifying the home environment and adults/elderly people as possible contexts and beneficiaries of the Subcutaneous Hydration Device. Conclusion: the study showed satisfactory performance of the Subcutaneous Hydration Device prototype in a simulated scenario and generated positive satisfaction among nurses. The potential of the Subcutaneous Hydration Device to improve nursing care, especially at home, was highlighted.

Objectives: to describe the organizational practice of oncology palliative care in Portugal, particularly in primary care, and to discuss implications for public health systems. Methods: this qualitative, descriptive, exploratory study was conducted between March and October 2023. Eighteen health care professionals from the Lisbon and Tagus Valley region participated in interviews and focus groups. The study used Alceste, thematic analysis, and tools (a flowchart and SWOT matrix). Ethical requirements were met. Results: lexical findings from two classes yielded two categories: 1) Organizational structures and professional competencies in palliative care in primary care; 2) Planning and models of care delivery in primary care. Final considerations: effective coordination is needed, grounded in formal policy with feasible goals. A hospital-to-home transition program should support community teams that integrate generalist and specialist palliative care within home-based care, thereby expanding access to palliative care. This requires training in generalist palliative care in primary care.