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- Escala de avaliação dos ambientes da prática profissional de enfermagem: construção e validação de conteúdoPublication . Ribeiro, Olga; Vicente, Corália Maria Fortuna de Brito; Martins, MM; Trindade, Letícia De Lima; Sousa, Clemente Neves; Cardoso, Maria Filomena Passos TeixeiraObjective: to construct and validate the content of the Assessment Scale of Nursing Professional Practice Environments. Method: methodological study conducted from January to May 2020. The construction of the Scale after a previous qualitative research and literature review. Content validation was performed by 22 experts. Results: initially, the Scale had 128 items grouped in the dimensions structure, process and outcome. Due to the experts’ evaluation, in the structure dimension, the 65 initial items, 20 were excluded, 10 were reformulated and one, added. In the process dimension, of the 49 initial items, 8 were excluded and 2 were reformulated. In the outcome dimension, of the 14 initial items, 2 were excluded, 2 reformulated and added 1. The final version contained 100 items, in which the Content Validity Index of each item fluctuated between 0.86 and 1. Conclusion: the construction and subsequent validation of the items by the experts was a fundamental step, giving security to the continuity of psychometric procedures.
- Dying in the emergency service: nurses’ attitudes before and after the first critical period of COVID-19Publication . Cardoso, Maria Filomena Passos Teixeira; Martins, MM; Ventura-Silva, João Miguel Almeida; Mota, Paulo Emílio; Costa, Paula Cristina Rodrigues; Ribeiro, OlgaBackground: Death is an increasingly frequent event in hospitals, and nurses are the health professionals who live with this reality the most. The pandemic caused by COVID-19 made this event more present, showing that nurses’ attitudes toward death may influence the care provided to people at the end of life. The objective of this study was to analyze the attitudes of nurses in the emergency service toward death, before and after the first critical period of the pandemic by COVID-19 in Portugal. Methods: A quantitative, comparative, and cross-sectional study was conducted in a hospital in Northern Portugal at 2 different moments: the first in February 2018 and the second in May 2020, after the first critical period of the pandemic by COVID-19. In both moments, data were collected using a self-completion questionnaire, which included the Death Attitude Profile Assessment Scale. Results: The attitudes fear, avoidance, closeness, and escape did not show significant differences. In neutral/neutral acceptance, differences were found between the first and second moments of data collection (P=.01), with a lower mean after the critical period of the pandemic. Conclusions: The results obtained in 2018 and 2020 showed slight changes in attitudes toward death. The need to invest in the training and preparation of nurses who deal directly with death and the dying process was evident. Nurse managers should promote spaces for reflection and team training on death, aiming to reduce the professionals’ suffering and anxiety.