Background: Although surgical treatments for breast cancer have exhibited advanced interventions, axillary lymph node dissection can limit functionality and compromise women’s self-care. This study aims to assess the effectiveness of a rehabilitation nursing program in improving self-care performance in women undergoing breast surgery with axillary lymph node dissection. Methods: This quantitative, quasi-experimental study involved 48 women recruited from a main hospital between 2018 and 2019. The participants completed a three-month rehabilitation program at home. The evaluation instrument used was the DASH questionnaire. This study was not registered. Results: The functionality of the upper limb ipsilateral to the surgery improved significantly (p < 0.001) after the implementation of the program, influencing the participants’ capacity for self-care, including washing/drying their hair, washing their back, and wearing a shirt. The average DASH total score increased from 54.4 to 8.1 after the program. Conclusions: The rehabilitation nursing program positively influenced the participants’ self-care ability. Incorporating rehabilitation nursing programs into breast cancer treatment can improve self-care performance and the overall quality of patients’ lives. This study was not registered.

Introduction: Invasive procedures in pediatric nursing practice require a child-centered approach to minimize pain levels associated with manifestations of stress, anxiety, and long-term traumatic reactions.Method: This cross-sectional study aimed at identifying nurses’ perception of stress, anxiety, and pain levels in children and adolescents (0–18 years) undergoing invasive procedures, and strategies used to minimize the associated distress. Based on a literature review, an online questionnaire was developed that evaluates the distress associated with frequent invasive procedures and strategies used to reduce discomfort.Results: Participants were 157 nurses who provided nursing care to children in all types of healthcare settings, such as hospitals and community health centers. Nurses evaluated lumbar puncture and catheter insertion as the procedures that caused more stress, anxiety, and pain in all age groups. ANOVA and post-hoc analyses indicate that nurses perceived adolescents as experiencing less stress than children in all the invasive procedures. Pediatric specialist nurses perceived a significantly higher total level of distress (an index that indicates stress, anxiety or pain in the whole group of procedures) compared to nurses with other specialties or generalist nurses, in all age groups. Non-pharmacological strategies were the most frequently used strategies used by nurses for minimizing distress in children, including distraction (51.2%), preparation (30.7%), and sensory techniques (14.6%). Pharmacological strategies, such as topical anesthetics and light sedation, were less frequently used.Conclusion: This study highlights the importance of specialized training and knowledge concerning strategies to reduce distress in pediatric invasive procedures, suggesting the need for more significant investment in education and support for nursing professionals to improve patient experience.

Objetivo: conocer las identidades profesionales de enfermeros portugueses y los sentidos de las transiciones en curso, para proporcionar el apoyo necesario a los desafíos de identidad profesional. Materiales y método: investigación de enfoque mixto realizada entre 2016 y 2017. Se utilizó el Inventario de Identidad Psicosocial de Zavalloni y Louis-Guérin como herramienta de recolección de datos, junto a una muestra de 102 enfermeros, de los cuales 19 fueron entrevistados posteriormente. Se analizaron datos que correspondían a los posibles selves, a la identificación del núcleo central, a los elementos periféricos de identidad profesional y las condiciones profesionales. Resultados: se verificó la existencia de un grupo dominante de enfermeros en una dualidad de identidad entre el enfoque en los cuidados y la autonomía profesional y el enfoque en las exigencias institucionales, con temor a la externalización del cuidado. Se identificó otro grupo profesional, más relacionado con el cuidado, que no presenta evidencias de institucionalización, sino que persigue un mayor desarrollo de las relaciones humanas y del conocimiento científico. Conclusiones: las posibles transiciones de identidad reconocidas pueden ocurrir según refuerzos y reconocimientos ofrecidos, que correspondan a factores de mercado y consecuente despersonalización del cuidado, o con la conquista de la autonomía y el rescate del cuidado, basado en la cientificidad profesional.

Introduction: Educational technologies serve as essential teaching tools for laypeople, as they not only provide knowledge but also foster the development of safer practices. However, limited information is available regarding their use in teaching the removal of foreign body airway obstruction in children aged 2–12 years. Objective: To identify the educational technologies used for teaching the removal of foreign body airway obstruction in children. Method: This scoping review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines and the Joanna Briggs Institute (JBI) methodology. Were consulted eleven data sources between June and December 2024. The results were synthesized into tables and figures and analyzed using descriptive statistics. Results: Were included 19 studies. Most publications came from Brazil, followed by Spain and the United States. Regarding the study setting, the school environment was the most common (26,3%), with family members (26,3%) and school professionals (15,8%) as the primary target audiences. Concerning the main types of educational technologies, 8 studies (42,1%) focused on non-digital technologies (e.g., practical exercises, simulation, in-person courses, educational books, and calendars), while 11 studies (57,9%) involved digital technologies (e.g., mobile applications, videos, video calls, telesimulation, games, and artificial intelligence). Conclusions: Digital technologies were the most frequently used tools for teaching foreign body airway obstruction removal in children, primarily in school settings and targeting family members.

Introduction: Armed conflict and forced displacement pose substantial risks to mental health, yet psychological outcomes among refugees vary considerably across national contexts. Understanding cross-national differences in distress, resilience, and coping is essential for designing effective public health responses to large-scale displacement crises such as the war in Ukraine. This study aimed to identify and compare cross-national differences in psychological distress, resilience, and coping strategies among Ukrainian war refugees residing in seven European host countries and internally displaced persons in Ukraine. Methods: A cross-sectional online survey was conducted among 1,631 Ukrainian adults residing in Poland, Germany, Spain, Cyprus, Slovenia, Portugal, Serbia, or displaced within Ukraine. Psychological distress was assessed using the Refugee Health Screener (RHS-15), the Hopkins Symptom Checklist (HSCL-25), and a DSM-5–based trauma symptom checklist. Resilience was measured with the Resilience Scale (RS-25), and coping strategies were assessed using the COPE Inventory (COPE-60). One-way analyses of variance (ANOVA) were used to examine cross-national differences in distress, resilience, and adaptive and maladaptive coping. Results: Significant cross-national differences were observed across all mental health indicators ( p < 0.05). The highest levels of psychological distress were reported by refugees in Slovenia, Ukraine, Portugal, Spain, and Germany, whereas the lowest distress levels were observed in Cyprus and Poland. Resilience differed significantly between countries ( F = 22.01, p < 0.001), with the highest mean levels reported in Poland and Germany and the lowest in Spain. Adaptive coping strategies were most frequently used in Poland, Germany, and Slovenia and least frequently in Cyprus and Serbia ( F _{(7, 1622)} = 25.85, p < 0.001). Differences in maladaptive coping were also significant but less pronounced across countries. Conclusions: The mental health, resilience, and coping strategies of Ukrainian refugees vary substantially across host-country contexts. These findings underscore the importance of institutional, social, and policy environments in shaping psychological adaptation during forced displacement. Public health responses to refugee crises should address not only individual-level coping and resilience but also structural factors such as access to services, stability of reception systems, and integration support to reduce psychological distress and promote mental wellbeing.