A pesquisa identificou estudos clínicos acerca das intervenções breves para o uso abusivo de álcool e analisou a eficácia dos aconselhamentos para os consumidores. Estudo bibliográfico sistemático que utilizou artigos publicados no período de 1997 a 2010. Os achados mostraram que a estratégia de intervenção breve é efetiva na redução da frequência e quantidade de álcool, com melhores resultados quando aplicada na atenção primária. Todos os profissionais da área da saúde obtêm bons resultados com o manejo dessa terapia. Não foi possível definir se a estratégia é mais eficaz se aplicada em bebedores de uso nocivo ou em crônicos, uma vez que a intervenção depende da mobilização de recursos motivacionais do paciente e de mudanças de atitude relacionadas ao consumo de álcool.

PURPOSE: To describe a new method of validating nursing outcomes and indicators that incorporates nurses’ and patients’ perspectives. METHODS: The Nurse–Patient Outcome Content Validation Method was developed in light of the experience of conducting the content validation of the nursing outcome Knowledge: Heart Failure Management (1835). It was developed based on Fehring's content validation model used for the validation of NANDA International nursing diagnoses. It expands the concept of who is an expert in the validation of nursing outcomes. FINDINGS: The Nurse–Patient Outcome Content Validation Method is a new method in which the concept of experts is expanded to gather patients’ as well as healthcare professionals’ perspectives on the importance of indicators to measure an outcome. Based on the importance ratios , the indicators are grouped into three categories: critical, supplemental, or unnecessary. To validate the outcome, importance ratios of critical and supplemental indicators are summed and divided by the total number of the indicators to calculate the outcome content validity (OCV) score of the nursing outcome. CONCLUSION: The Nurse–Patient Outcome Content Validation Method is a new method of content validation of nursing outcome and indicators that incorporates the patient perspective. IMPLICATIONS FOR NURSING PRACTICE: The Nurse–Patient Outcome Content Validation Method provides a mechanism to include nurses’ and patients’ perspectives to content validity research of nursing outcomes. It supports patient empowerment since the patient is viewed as an expert regarding the experience of living and managing his/her clinical condition.

Keywords: Anxiety; Nursing; Cardiac Catheterization

Background: Heart failure (HF) is a global chronic condition that contributes to high hospitalization rates, mortality, and healthcare costs. Effective self-care is crucial for improving quality of life, reducing hospitalizations, and lowering costs. Although much research has examined strategies that improve physical activity adherence and interventions that reduce rehospitalization, no umbrella reviews have explicitly addressed interventions to improve self-care in chronic HF. Objective: The aim of this study was to systematically review existing evidence on interventions to improve self-care in adults with chronic HF. Methods: A comprehensive search for systematic reviews or meta-analyses published between 2011 and 2024 was conducted across 5 electronic databases. Two independent reviewers appraised the studies using the Joanna Briggs Institute tool. Quantitative findings were summarized by intervention type, sample size, and main outcomes, and then synthesized in tabular and narrative formats. Results: Forty-four systematic reviews met the inclusion criteria, encompassing 135 primary studies. The overlap across reviews was minimal (3.8%). The most prevalent categories of self-care intervention were face-to-face or telehealth education (63 studies), written educational materials (31 studies), and telemonitoring via phone calls or text messages (50 studies). The quality of the reviews ranged from moderate to high quality. The most effective interventions combined educational, psychological, and telehealth components. Conclusions: All intervention categories showed statistically significant improvements in HF self-care. Although the importance of self-care in HF management is recognized, the optimal delivery modality remains uncertain and multifaceted. Future research should focus on developing multimodal interventions based on behavioral change theories and evaluating their long-term impact.

Aim: Establish linkages between components of the Self- and Family Management Framework and outcomes of the Nursing Outcomes Classification to evaluate the comprehensiveness of outcomes addressing self- and family management in the Nursing Outcomes Classification.Design: Descriptive study.Methods: Experts conducted a six-step process to establish linkages: (1) preliminary mapping of all relevant nursing outcomes to the framework; (2) development of checklists for team members serving as 'identifiers' and 'reviewers'; (3) mapping all relevant nursing outcomes to the framework; (4) final agreement on mapped outcomes; (5) establishment of inter-rater reliability; and (6) discussion of findings with authors of the Self- and Family Management Framework.Results: Three hundred and sixty-three nursing outcomes were identified as related to the management of chronic disease across all components of the framework: outcomes related to patient self-management (n = 336), family functioning (n = 16) and family caregivers (n = 11).Conclusion: The Nursing Outcomes Classification outcomes comprehensively address self-management, and, less so, family functioning, and caregivers.Implications: Established linkages can be used by nurses to track and support patient and family management outcomes across the care continuum.Patient or public contribution: Linking standardized nursing outcomes to the Self- and Family Management Framework can assist in goal setting and measurement of nursing care during chronic disease management. This work can help describe to funders, policy makers and others invested in health care reform the specific contributions of nurses to self- and family management of chronic disease.Impact: This paper demonstrates the linkages between components of the Self- and Family Management Framework and Nursing Outcomes Classification outcomes. The results of this study offer the opportunity to quantify the impact of nursing care and enhance nursing practice for patients with chronic conditions as well as contribute to developing Nursing Outcomes Classification outcomes that consider self-management processes.