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de Almeida Junior ÁD, Bezerra IMP, Alves SAA, Tristan-Cheever E, Salati T, de Abreu LC. Construction and Validation of an Educational Technology to Promote the Health of Postmenopausal Women with Dry Eye Syndrome. Eur J Investig Health Psychol Educ 2024; 14:1700-1711. [PMID: 38921078 PMCID: PMC11202452 DOI: 10.3390/ejihpe14060112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2024] [Revised: 05/27/2024] [Accepted: 06/02/2024] [Indexed: 06/27/2024] Open
Abstract
The climacteric heralds a transition from reproductive to non-reproductive life in women, often accompanied by various clinical manifestations such as dry eye, impacting their quality of life. This study focuses on systematically developing and suitability an educational digital booklet to promote eye health practices and prevent problems among postmenopausal women. The methodological approach encompassed semi-structured interviews with women diagnosed with Dry Eye Syndrome (DES), then constructing the material integrating content, script, illustrations, and layout informed by the interview findings. Subsequent validation involved assessment by 24 health experts for content, appearance, and evaluation by a target audience of 22 women. The booklet attained high suitability scores, with a Global Content Validity Index (CVI) of 0.96, indicating superior suitability as judged by experts. Additionally, it achieved a Global CVI of 0.98 for validation by the target audience. In conclusion, the educational booklet emerges as a suitable and reliable resource for promoting eye heath among DES and non-syndrome women, offering significant potential for broader application in relevant populations.
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Affiliation(s)
- Álvaro Dantas de Almeida Junior
- Postgraduate Program in Medical Sciences, Faculdade de Medicina, Universidade de São Paulo, São Paulo 01246-903, Brazil; (Á.D.d.A.J.); (E.T.-C.); (T.S.); (L.C.d.A.)
| | - Italla Maria Pinheiro Bezerra
- Postgraduate Program in Public Policies and Local Development, School of Sciences of Santa Casa de Misericórdia de Vitória, Vitória 29045-402, Brazil
- Scientific Writing Laboratoy, School of Scienses of Santa Casa de Misericórdia de Vitória, Vitória 29027-502, Brazil;
| | - Sabrina Alaide Amorim Alves
- Scientific Writing Laboratoy, School of Scienses of Santa Casa de Misericórdia de Vitória, Vitória 29027-502, Brazil;
- Postgraduate Program in Clinical Care in Nursing and Health, Universidade Estadual do Ceará, Fortaleza 60714-903, Brazil
| | - Elisa Tristan-Cheever
- Postgraduate Program in Medical Sciences, Faculdade de Medicina, Universidade de São Paulo, São Paulo 01246-903, Brazil; (Á.D.d.A.J.); (E.T.-C.); (T.S.); (L.C.d.A.)
| | - Thiago Salati
- Postgraduate Program in Medical Sciences, Faculdade de Medicina, Universidade de São Paulo, São Paulo 01246-903, Brazil; (Á.D.d.A.J.); (E.T.-C.); (T.S.); (L.C.d.A.)
| | - Luiz Carlos de Abreu
- Postgraduate Program in Medical Sciences, Faculdade de Medicina, Universidade de São Paulo, São Paulo 01246-903, Brazil; (Á.D.d.A.J.); (E.T.-C.); (T.S.); (L.C.d.A.)
- Postgraduate Program in Public Policies and Local Development, School of Sciences of Santa Casa de Misericórdia de Vitória, Vitória 29045-402, Brazil
- Scientific Writing Laboratoy, School of Scienses of Santa Casa de Misericórdia de Vitória, Vitória 29027-502, Brazil;
- School of Medicine, University of Limerick, V94 T9PX Limerick, Ireland
- Postgraduate Program in Public Health and Nutrition and Health, Department of Integrated Health Education, Universidade Federal do Espirito Santo, Vitória 29075-910, Brazil
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Cruz AXFD, Neto JC, Araújo AAC, Sousa ARD, Oliveira LBD, Sena IVDO, Sena Sousa L, Santos JD, Batista OMA, Mendes IAC, Fronteira I, Sousa ÁFLD. HIV testing among immigrant men who have sex with men in Brazil. Public Health Nurs 2023; 40:826-835. [PMID: 37526386 DOI: 10.1111/phn.13236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2023] [Revised: 07/15/2023] [Accepted: 07/21/2023] [Indexed: 08/02/2023]
Abstract
OBJECTIVE To evaluate the prevalence of non-testing for HIV among immigrant men who have sex with men (MSM) residing in Brazil and identify associated factors. DESIGN An analytical web-survey study was conducted across all Brazilian states from January 2020 to May 2021. SAMPLE The study included 804 MSM immigrants from Portuguese-speaking countries. MEASUREMENTS Odds ratio (OR) and adjusted Odds Ratio (AOR) were utilized to determine the strength of the association between non-HIV testing and associated factors. RESULTS Among the participants, 63.7% had never undergone HIV testing. Multivariate analysis revealed several factors associated with a higher likelihood of not being tested for HIV: having a steady/monogamus partner (AOR: 1.5; 95%CI: 1.1-2.3) or both casual and steady partners (AOR: 1.8; 95%CI: 1.2-3.4), not engaging in bareback sex (AOR: 1.91; 95%CI: 3-3.5), being an immigrant in the country for less than 12 months (AOR: 3.7; 95%CI: 2.5-9.7), and having a preference for insertive (AOR: 1.5; 95%CI: 1.1-2.5) or receptive (AOR: 2.9; 95%CI: 1.4-5.7) roles. However, practicing chemsex was found to be a protective factor for testing (AOR: 4). CONCLUSION To enhance HIV prevention strategies, it is crucial to implement specific measures that ensure accessibility, confidentiality, and a reduction in stigma associated with HIV testing.
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Affiliation(s)
| | - João Cruz Neto
- University of International Integration of Lusophone Afro-Brazilian, Redenção, Ceará, Brazil
| | | | | | - Layze Braz de Oliveira
- Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | | | | | - Jaqueline Dos Santos
- Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | | | | | - Inês Fronteira
- Public Health Research Centre, Comprehensive Health Research Center, National School of Public Health, New University of Lisbon, Lisbon, Portugal
| | - Álvaro Francisco Lopes de Sousa
- Institute of Teaching and Research, Sírio-Libânes Hospital São Paulo, São Paulo, Brazil
- Global Health and Tropical Medicine, Institute of Hygiene and Tropical Medicine, New University of Lisbon, Lisbon, Portugal
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Maia JC, Bertoncello KCG, de Souza SDS, Locks MOH, Martins SR, Lorenzini E. Validation of a Guideline for Nurses Taking Care of Patients With Liver Cirrhosis in the Context of COVID-19 in the Emergency Department. Gastroenterol Nurs 2023; 46:128-137. [PMID: 36779975 PMCID: PMC10044590 DOI: 10.1097/sga.0000000000000709] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Accepted: 01/07/2022] [Indexed: 02/14/2023] Open
Abstract
The objective of this study was to prepare and validate the content of a guideline for nursing care of adult patients with liver cirrhosis and COVID-19 treated in the emergency department. The study was conducted in two stages: first, the guideline was developed based on an integrative literature review and existing guidelines on the topic. The guideline was prepared with six domains and 64 care items. In the second stage, 15 specialists in urgency and emergency services performed content validation of the guideline. The data were analyzed using the Content Validity Index, with reliability assessed through Cronbach's α. The judges validated the guide regarding language clarity, objectivity, theoretical relevance, and practical pertinence. The value of the guideline's Content Validity Index was 0.96. Cronbach's α reliability reached a value of 0.93. The judges validated all domains and items of the guideline for theoretical relevance and practical pertinence, to be used by researchers and clinical practice professionals in the nursing area.
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Affiliation(s)
- Jéssica Costa Maia
- Correspondence to: Jéssica Costa Maia, MS, RN, Graduate Program in Nursing, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Santa Catarina, Brazil ()
| | - Kátia Cilene Godinho Bertoncello
- Jéssica Costa Maia, MS, RN, is Doctoral Student, Graduate Program in Nursing, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Santa Catarina, Brazil
- Kátia Cilene Godinho Bertoncello, PhD, RN, is Adjunct Professor, Graduate Program in Nursing, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Santa Catarina, Brazil
- Sabrina da Silva de Souza, PhD, RN, is Researcher, Graduate Program in Nursing, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Santa Catarina, Brazil
- Melissa Orlandi Honório Locks, PhD, RN, is Adjunct Professor, Graduate Program in Nursing, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Santa Catarina, Brazil
- Sabrina Regina Martins, MS, RN, is Doctoral Student, Graduate Program in Nursing, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Santa Catarina, Brazil
- Elisiane Lorenzini, PhD, RN, is Adjunct Professor, Graduate Program in Nursing, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Santa Catarina, Brazil
| | - Sabrina da Silva de Souza
- Jéssica Costa Maia, MS, RN, is Doctoral Student, Graduate Program in Nursing, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Santa Catarina, Brazil
- Kátia Cilene Godinho Bertoncello, PhD, RN, is Adjunct Professor, Graduate Program in Nursing, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Santa Catarina, Brazil
- Sabrina da Silva de Souza, PhD, RN, is Researcher, Graduate Program in Nursing, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Santa Catarina, Brazil
- Melissa Orlandi Honório Locks, PhD, RN, is Adjunct Professor, Graduate Program in Nursing, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Santa Catarina, Brazil
- Sabrina Regina Martins, MS, RN, is Doctoral Student, Graduate Program in Nursing, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Santa Catarina, Brazil
- Elisiane Lorenzini, PhD, RN, is Adjunct Professor, Graduate Program in Nursing, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Santa Catarina, Brazil
| | - Melissa Orlandi Honório Locks
- Jéssica Costa Maia, MS, RN, is Doctoral Student, Graduate Program in Nursing, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Santa Catarina, Brazil
- Kátia Cilene Godinho Bertoncello, PhD, RN, is Adjunct Professor, Graduate Program in Nursing, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Santa Catarina, Brazil
- Sabrina da Silva de Souza, PhD, RN, is Researcher, Graduate Program in Nursing, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Santa Catarina, Brazil
- Melissa Orlandi Honório Locks, PhD, RN, is Adjunct Professor, Graduate Program in Nursing, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Santa Catarina, Brazil
- Sabrina Regina Martins, MS, RN, is Doctoral Student, Graduate Program in Nursing, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Santa Catarina, Brazil
- Elisiane Lorenzini, PhD, RN, is Adjunct Professor, Graduate Program in Nursing, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Santa Catarina, Brazil
| | - Sabrina Regina Martins
- Jéssica Costa Maia, MS, RN, is Doctoral Student, Graduate Program in Nursing, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Santa Catarina, Brazil
- Kátia Cilene Godinho Bertoncello, PhD, RN, is Adjunct Professor, Graduate Program in Nursing, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Santa Catarina, Brazil
- Sabrina da Silva de Souza, PhD, RN, is Researcher, Graduate Program in Nursing, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Santa Catarina, Brazil
- Melissa Orlandi Honório Locks, PhD, RN, is Adjunct Professor, Graduate Program in Nursing, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Santa Catarina, Brazil
- Sabrina Regina Martins, MS, RN, is Doctoral Student, Graduate Program in Nursing, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Santa Catarina, Brazil
- Elisiane Lorenzini, PhD, RN, is Adjunct Professor, Graduate Program in Nursing, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Santa Catarina, Brazil
| | - Elisiane Lorenzini
- Jéssica Costa Maia, MS, RN, is Doctoral Student, Graduate Program in Nursing, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Santa Catarina, Brazil
- Kátia Cilene Godinho Bertoncello, PhD, RN, is Adjunct Professor, Graduate Program in Nursing, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Santa Catarina, Brazil
- Sabrina da Silva de Souza, PhD, RN, is Researcher, Graduate Program in Nursing, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Santa Catarina, Brazil
- Melissa Orlandi Honório Locks, PhD, RN, is Adjunct Professor, Graduate Program in Nursing, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Santa Catarina, Brazil
- Sabrina Regina Martins, MS, RN, is Doctoral Student, Graduate Program in Nursing, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Santa Catarina, Brazil
- Elisiane Lorenzini, PhD, RN, is Adjunct Professor, Graduate Program in Nursing, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Santa Catarina, Brazil
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Ahmed A, Tanveer M, Dujaili JA, Chuah LH, Hashmi FK, Awaisu A. Pharmacist-Involved Antiretroviral Stewardship Programs in People Living with HIV/AIDS: A Systematic Review. AIDS Patient Care STDS 2023; 37:31-52. [PMID: 36626156 DOI: 10.1089/apc.2022.0192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023] Open
Abstract
People living with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS; PLWHA) frequently encounter antiretroviral (ARV) therapy-related problems. Clinical pharmacists with specialized training in ARV stewardship play an important role in managing these problems. However, there is a paucity of evidence to clarify the impact of clinical pharmacists' interventions on managing ARV therapy-related problems in PLWHA. Therefore, we aim to systematically review the literature to determine the nature and impact of pharmacists' interventions on managing medication-related problems in PLWHA. The review protocol was registered on International Prospective Register of Systematic Reviews (PROSPERO; CRD42020173078). Relevant records were identified from six electronic bibliographic databases (PubMed, Embase, EBSCOhost, ProQuest, Scopus, and the Cochrane Central Register) from their inception until September 2022. We included all randomized and nonrandomized interventional studies that were published in English. After the abstract and full-text screening, data were extracted from the selected studies, and the quality of the studies was assessed. The electronic database search and citation tracking identified two thousand and three citations. The review included 21 of these studies, involving 2998 PLWHA, published between 2014 and 2022. Pharmacists' interventions, working alone or in a multi-disciplinary team, comprised ARV medication review, management of adverse drug reactions (ADRs), therapeutic drug monitoring, prevention of drug interactions, and provision of drug information to PLWHA or the health care team. The pharmacist-involved interventions significantly reduced incorrect/incomplete ARV regimens, drug interactions, incorrect dosages, duplicate therapy, polypharmacy, administration errors, missing medication, wrong formulation, ADRs, and prescribing errors. Most studies reported that physicians usually accept more than 90% of the pharmacists' recommendations. ARV medication-related problems remain highly prevalent in PLWHA. Pharmacist-led interventions and stewardship significantly reduce ARV therapy-related problems in PLWHA and are widely accepted by physicians. Dedicated pharmacists with specialized training and credentialing in infectious diseases or HIV/AIDS have a great potential to improve health outcomes in PLWHA.
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Affiliation(s)
- Ali Ahmed
- School of Pharmacy, Monash University, Jalan Lagoon Selatan, Bandar Sunway, Malaysia
| | - Maria Tanveer
- Department of Pharmacy, Quaid I Azam University, Islamabad, Pakistan
| | - Juman Abdulelah Dujaili
- School of Pharmacy, Monash University, Jalan Lagoon Selatan, Bandar Sunway, Malaysia.,Current affiliation: Swansea University Medical School, Singleton Campus, Swansea University, Wales, United Kingdom
| | - Lay Hong Chuah
- School of Pharmacy, Monash University, Jalan Lagoon Selatan, Bandar Sunway, Malaysia
| | - Furqan Khurshid Hashmi
- University College of Pharmacy, University of the Punjab, Allama Iqbal Campus, Lahore, Pakistan
| | - Ahmed Awaisu
- Department of Clinical Pharmacy & Practice, College of Pharmacy, QU Health, Qatar University, Doha, Qatar
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