Background: The therapeutic potential of music therapy, a non-invasive, affordable, and adaptable psychosocial intervention, has gained increasing attention in cancer care. Cancer diagnosis and treatment are often accompanied by significant psychological challenges, including anxiety, depression, emotional distress, and fatigue, all of which can substantially reduce patients’ quality of life (QoL). Addressing these psychological issues is essential for delivering comprehensive, holistic care. Existing studies vary in terms of therapy types, delivery methods, treatment phases, and patient populations. This heterogeneity can affect the comparability of findings and limit the generalizability of individual study outcomes. Aim: The aim of this study is to conduct a comprehensive meta-analysis to assess the impact of music therapy on the psychological well-being and resilience of cancer patients. Method: Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a systematic selection of peer-reviewed studies was conducted based on inclusion criteria such as study design, participant characteristics, type of music intervention, and measurable psychological outcomes. Both active (e.g., singing, playing instruments, songwriting) and receptive (e.g., listening to live or recorded music) forms of therapy were considered across various types and stages of cancer. Results: The findings demonstrated statistically significant improvements in emotional health, reduced symptoms of anxiety and depression, and increased coping ability (Hedges’ g = 0.51; 95% CI: 0.36 to 0.66; p < 0.001) and psychological resilience (Hedges’ g = 0.47; 95% CI: 0.33 to 0.61; p < 0.001). Effectiveness and heterogeneity among mental results in cancer patients were assessed using statistical analysis utilising meta-analysis with random-effects models. Conclusion: Interventions conducted by certified music therapists, particularly when initiated early in treatment, were particularly more effective. Music therapy is an effective complementary treatment in cancer care. Its integration into supportive care frameworks is recommended to enhance psychological recovery, emotional strength, and overall well-being in cancer patients.
Background/Objectives: This study assessed how to best prepare pediatric and adolescent cancer patients for amputation and support them afterward. Methods: This pilot qualitative study explored pre- and post-amputation experiences from the perspectives of nine pediatric and adolescent survivors who underwent amputation. Hour-long audio-recorded semi-structured interviews were transcribed and analyzed using the Sort and Sift, Think and Shift qualitative approach. Results: Participants described the informational supports they received before surgery, including guidance on what to expect, contact with amputation-related organizations, and exposure to tangible tools, such as a physical model of a knee joint. Emotional support from fellow amputees and healthcare providers, particularly surgeons, was also found to be meaningful. Individuals also identified unmet needs and gaps in emotional care. These included clearer guidance on post-surgical adaptations (e.g., basic self-care and navigating physical limitations) and the need for information tailored to their learning styles. Many emphasized the importance of improved pain management resources, expanded access to mental health services for both them and their families, and support in adjusting to changes in body image and social relationships. Participants also shared advice for future patients, recommending strategies such as personalizing hospital rooms, connecting with other amputees through social media, and using art to process their experience and say goodbye to the lost limb. Conclusions: Interviews with nine cancer survivors provide guidance for improving holistic, patient-centered care throughout the amputation process. Informational and emotional support should be tailored to an individual’s learning style and specific needs, in addition to their age at the time of surgery.
Quynh-Anh N. Nguyen, Thach Tran, Tu-Anh Tran
et al.
Emotional Intelligence (EI) is the knowledge, beliefs, and attitudes an individual has about their own and other people's emotions. EI is considered a protector against mental illness and potentially increases mental health. Petrides' Trait Emotional Intelligence Questionnaire (TEIQue) is validated among adults globally. However, there is little data yet about its use among Asian countries. This study aims to translate and culturally verify the Trait Emotional Intelligence Adolescent Short Form (TEIQue-ASF) and investigate content validity, construct validity, and reliability targeting answering the research question of whether TEIQue-ASF can be used to measure EI among Vietnamese high school adolescents. The content of the TEIQue-ASF was translated (English to Vietnamese) and back-translated (Vietnamese to English) in consultation with bilingual and bicultural health researchers and pilot-tested among 51 potential respondents. Phraseology and wording were then adjusted, and the final version is named the TEIQue-ASF-VN. The TEIQue-ASF-VN's properties were investigated in a cross-sectional self-report survey among high school students in Central Vietnam. In total, 1593/1686 (94.5%) eligible students (age range 15–18) from nine high schools in rural, urban, and coastline areas completed the survey. Explanatory Factor Analysis (EFA) with Oblimin rotation yielded a four-factor solution with all factor loadings above .30. Some facets loaded differently than the original version. The differences in cultural values between Vietnam and Western countries might lead to this partial duplication. Cronbach's alpha of the global score for the TEIQue-ASF-VN was .77. The TEIQue-ASF Vietnamese version is understandable, has good content, and constructs validity and reliability among adolescents in Vietnam. This study contributes to the broader understanding of the applicability and reliability of EI measures across diverse cultural settings. It recommends using the TEIQue-ASF Vietnamese version in schools or communities and studying education, psychology, and public health to investigate trait EI in Vietnam.
Work plays a central role in many men’s lives and can be a major contributor to mental health. The current study aim was to examine the prevalence and nature of Canadian men’s mental health challenges at work, including diverse indicators of mental health and workplace characteristics. Participants (N = 451) were men (M = 49.97 years; SD = 14.99) employed in British Columbia, Canada, who were recruited via a market research online panel. Questionnaires were used to collect men’s mental health data (e.g. depression, loneliness), work-related health (e.g. burnout, bullying), and workplace performance (e.g. presentism, absenteeism). Findings revealed high rates of hazardous drinking (36%), depression (22%), suicidal/self-injury ideation (18%), and anxiety (14%). Many participants reported that they frequently experienced occupational burnout, and 18% reported that personal problems significantly impaired their work. Of concern, approximately 53% indicated that they keep feelings to themselves and 45% reported that they would prefer not to talk about their problems. Important factors related to mental health symptoms were identified (e.g. age, distress concealment, male-dominated workplace). These findings highlight the need for policy makers and employers to take immediate action to address men’s mental health challenges by developing initiatives that promote men’s mental health in the workplace.
Mohamad Abrar Putera Redian, Hanna Azfa Sadida, Anindita Khoirunnisa
et al.
Tujuan dilakukannya penelitian ini adalah untuk mengetahui gambaran mengenai komitmen pernikahan
pada pasangan dengan perbedaan agama. Komitmen pernikahan dalam penelitian ini mencakup
beberapa aspek diantaranya: komitmen personal, komitmen moral, dan komitmen struktural. Metode
penelitian yang digunakan adalah studi kasus dengan partisipan pasangan suami-istri yang tetap
melangsungkan pernikahan dengan perbedaan agama, dan dengan usia pernikahan 1 tahun. Penggalian
data dilakukan dengan wawancara mendalam (in-depth interview), sementara teknis analisis data
menggunakan analisis tematik (thematic analysis) dan dikembangkan dengan metode theory driven.
Pemantapan kredibilitas penelitian menggunakan teknik triangulasi sumber dengan melakukan
pengecekkan pada data yang sudah diperoleh yaitu hasil wawancara partisipan, dan juga dasar teori
yang digunakan. Berdasarkan hasil analisis data dapat ditemukan bahwa jalinan hubungan yang
dilakukan partisipan membentuk individu yang memiliki perasaan ketergantungan dan memunculkan
ikatan untuk saling memiliki dan berjanji untuk menjaga dan saling percaya satu sama lain dalam waktu
yang lama.
As mental health therapists, too often we see outward symptoms of lives impacted by complex trauma. Disconnection from self, others (families and community), and Country is at a crisis point. Looking to our First Nations healing knowledges, the author explores her experiences as a First Nations woman and therapist, and how she incorporates bush and animal assisted therapies into her private practice. Areas that the article touches on include healing on your ancestral Country, healing on Country that is not your own, healing when you do not know where your Country is, and incorporating animal assisted therapies into your healing modalities.
Eleonora Prina, Federico Tedeschi, Laura Rabbi
et al.
Background: This cross-sectional online survey aims to investigate the impact of Primary Sjögren's Syndrome (pSS) on mental health by measuring anxiety, depressive symptoms and health-related quality of life (HR-QoL) in the Italian context. Methods: Participants diagnosed with pSS were recruited via the National Association of Sjögren's Syndrome Patients (A.N.I.Ma.S.S.), composed by members across Italy, and completed an online survey using the LimeSurvey platform. Data collected encompassed demographic, clinical information (e.g., age, gender, disease duration), diagnostic details (suspecting and diagnosing specialists), and mental health assessments (HADS for depressive and anxiety symptoms, SF-36 for HR-QoL). Descriptive analyses were conducted, including frequencies for binary variables, mean and standard deviations for interval-level variables, alongside correlation assessments between clinical scales. Results: The study included 216 women with pSS who completed the survey (average age: 54 years). Mental health symptoms evaluated by the HADS subscales revealed a clinical level of anxiety in 50 % and depression in 41 % of the respondents Patients with pSS had a low score in all eight domains of the SF-36. Limitations: The study has limitations, including its focus on female pSS patients due to limited male participants, potential biases in self-reported survey data, and the lack of certain demographic and clinical variables. Conclusion: Our results emphasize the critical role of emotional distress in the progression of pSS, highlighting the need for its proper management. This insight contributes to the development of a rational therapeutic approach to pSS patients useful for all the healthcare professionals, pharmaceutical industry, and drug regulatory organizations.
Bridget Kennedy, Nicholas Sims-Rhodes, Jacob Avendano
et al.
Mental health research is often focused on alleviating psychological distress rather than increasing well-being. This study approached mental health from a dual-continua model (DCM) framework, which allows for distress and well-being to co-occur. The aims of the present study were to expand upon DCM literature by examining differences in psychological well-being indicators among a broad adult sample with varying levels of depression and/or anxiety symptoms. Our sample was comprised of adults in the United States (n = 1,170) who reported different levels of anxiety, depression, mindfulness, resilience, and satisfaction with life. Participants who reported high anxiety symptoms, high depression symptoms, both anxiety and depression symptoms, or neither were grouped by their level of reported life satisfaction (high or low). We predicted that groups with higher life satisfaction would report higher levels of resilience and trait mindfulness than groups with lower life satisfaction, irrespective of higher levels of anxiety and/or depression, consistent with a DCM of mental health. Our results indicated that higher life satisfaction was associated with higher levels of resilience in all groups except for the high depression with low anxiety group. Higher levels of life satisfaction were also associated with higher trait mindfulness in all but the high anxiety with low depression group. Implications for mental health treatment and prevention are discussed.
The Greater MENA region has high rates of political, social, and structural violence exposure, however there is a discrepancy in reported rates of PTSD in comparison with other areas of the world. This may be due to cultural variations in the conceptualization and expression of traumatic stress. More generally, there has been ongoing tension between theories of universality versus cultural variance in mental health. Quantitative evidence shows that similar symptoms emerge in the aftermath of trauma across cultures. At the same time, a growing body of evidence indicates the integral role of culture in shaping the etiology and phenomenology of mental disorders. Research exploring local narratives of individuals exposed to violence within the Greater MENA region is increasing, but no review has summarized findings of this body of research yet. This systematic review aimed to critically examine qualitative literature investigating how PTSD, CPTSD, any other forms of culturally-acknowledged trauma-related distress are experienced and expressed among people living in the Greater MENA region. Results covered CCD, culturally normalized symptoms of distress, PTSD, and CPTSD symptoms. Main symptom clusters of PTSD and CPTSD were endorsed with variations on particular symptom expressions. Studies provided sociocultural norms guiding such symptom expressions and highlighted the importance of structural factors in maintaining and perpetuating traumatic distress. The discussion section situates these findings within broader literature to deepen our understanding, and thus provide practical and research recommendations for more comprehensive and culturally-relevant understanding, diagnosis, and treatment of traumatic stress with the Greater MENA region.
Nicole Racine, Sheila McDonald, Suzanne Tough
et al.
Background: Mothers have experienced a near doubling of depression and anxiety symptoms pre- to during the COVID-19 pandemic. The identification of mechanisms that account for this increase can help inform specific targets for mental health recovery efforts. The current study examined whether women with higher levels of depression and anxiety symptoms pre-pandemic, reported higher levels of depression and anxiety symptoms during the pandemic, and whether these increases were mediated by perceived stress, strained relationships, coping attitudes, participation in activities, alcohol use, and financial impact. Methods: Mothers (n = 1,333) from an ongoing longitudinal cohort (All Our Families; AOF) from Calgary, Alberta, Canada, completed online questionnaires prior to (2017–2019) and during the COVID-19 pandemic (May-July 2020). Mothers reported on depressive and anxiety symptoms pre- and during the pandemic, as well as perceived stress, engagement in physical and leisure activities, coping, alcohol use, and financial impact of the pandemic. Results: In unadjusted analyses, maternal depression and anxiety symptoms pre-pandemic were strongly associated with COVID-19 depressive (r = 0.57, p<.01) and anxiety symptoms (r = 0.49, p<.01). Significant indirect effects between maternal depressive symptoms pre- and during COVID-19 were found for coping behavior (abcs=0.014, 95%CI=0.005, 0.022, p=.001), perceived stress (abcs=0.22, 95%CI=0.179, 0.258, p<.001), and strained relationships (abcs=0.013, 95%CI= 0.005, 0.022, p=.003). For maternal anxiety symptoms pre- and during COVID-19, significant indirect effects were observed for perceived stress (abcs=0.012, 95%CI=0.077, 0.154, p=.003) and strained relationships (abcs=0.010, 95%CI=0.001, 0.018, p=.03). Conclusions: Perceived stress, coping attitudes, and interpersonal relationships are three potential intervention targets for mitigating COVID-19 related mental distress in mothers.
Jessica E. Lambert, Fred Nantogmah, Adam Yahaya Dokurugu
et al.
Abstract Background The maltreatment of people with mental illness in Ghana's traditional and faith-based healing centres, including shackling, flogging, and forced fasting, has been documented by numerous sources. Such treatment is potentially traumatising and may exacerbate mental health problems. Despite widespread use, few studies have focused on experiences and characteristics of people who seek traditional healing for mental illness or healers' perspectives treatment of these conditions. Method Purposeful sampling was used to recruit 82 individuals who were treated in healing centres and 40 traditional healers; all took part in semi-structured interviews. Those treated were asked about experiences in centres and assessed for prior trauma exposure, posttraumatic stress, and functional impairment. Healers were asked about beliefs and practices related to the treatment of mental illness. Results Individuals treated in centres and healers generally believed that mental illness has a spiritual cause. Approximately 30.5% of those treated in centres were exposed to maltreatment; despite this, half would return. Individuals with a history of trauma were more likely to report maltreatment in the centre and had higher symptoms of posttraumatic stress. Most participants had impaired functioning. Healers who used practices like shackling believed they were necessary. Most healers were willing to collaborate with the official health structure. Conclusion Results provide insight into the treatment of mental illness by traditional healers in Ghana and the need for trauma-informed mental health services. Findings also highlight the importance of considering cultural beliefs when attempting to implement mental health interventions in the region.
Smalyanna Sgren da Costa Andrade, Ana Aline Lacet Zaccara, Kamila Nethielly Souza Leite
et al.
OBJECTIVE Assessing the adequacy of knowledge, attitude and practice of women regarding male and female condoms as STI/HIV preventive measures. METHOD An evaluative Knowledge, Attitude and Practice (KAP) household survey with a quantitative approach, involving 300 women. Data collection took place between June and August 2013, in an informal urban settlement within the municipality of João Pessoa, Paraiba, Northeast Brazil. RESULTS Regarding the male condom, most women showed inadequate knowledge and practice, and an adequate attitude. Regarding the female condom, knowledge, attitude and practice variables were unsatisfactory. Significant associations between knowledge/religious orientation and attitude/education regarding the male condom were observed. CONCLUSION A multidisciplinary team should be committed to the development of educational practices as care promotion tools in order to improve adherence of condom use.
การวิจัยครั้งนี้เป็นการวิจัยเชิงพัฒนา มีวัตถุประสงค์หลักเพื่อพัฒนาแบบรายการพฤติกรรมเด็กทารกและวัยหัดเดินช่วงอายุ 7–30 เดือน ฉบับภาษาไทย เพื่อประเมินความบกพร่องในการปรับระดับข้อมูลทางประสาทความรู ้สึก และมี
วัตถุประสงค์รองเพื่อตรวจสอบความตรงตามเนื้อหาของแบบรายการพฤติกรรม กลุ่มตัวอย่างเป็นผู้ดูแล
เด็กวัยทารกและวัยหัดเดินปกติช่วงอายุ 7–30 เดือน จำนวน 120 คน การวิจัยครั้งนี้มีกระบวนการดำเนิน
งานแบ่งเป็น 3 ระยะ ได้แก่ กระบวนการแปลกลับ กระบวนการตรวจสอบความตรงตามเนื้อหาและ
กระบวนการนำไปทดลองใช้ในผู้ปกครอง/ผู้เลี้ยงดู เพื่อนำข้อมูลมาปรับปรุงแบบรายการพฤติกรรมต่อไป
ผลการวิจัยพบว่าแบบรายการฉบับภาษาไทย ที่ผ่านการตรวจสอบความตรงตามเนื้อหาและแก้ ไข
ตามข้อเสนอแนะจากกลุ่มตัวอย่างจำานวน 7 หัวข้อหลัก หรือ 10 หัวข้อย่อย แบบรายการพฤติกรรมเด็ก
ทารก/วัยหัดเดินช่วงอายุ 7–30 เดือน ฉบับภาษาไทย ที่ได้ประกอบด้วยข้อคำาถามจำานวน 58 ข้อ แบ่งเป็น
9 หัวข้อ ได้แก่ การควบคุมพฤติกรรมเด็กทารก/วัยหัดเดิน สมาธิ การนอน การกินหรือการป้อนอาหาร การแต่งตัว การอาบน้ำและการสัมผัส การเคลื่อนไหว การฟังภาษาและเสียง การมองและการมองเห็น และความผูกพัน-อารมณ์ โดยมีการระบุความถี่ในการเกิดพฤติกรรม คือ ไม่เลย/บางครั้ง พบในปัจจุบัน และพบในอดีต แบบรายการพฤติกรรมเด็กทารก/วัยหัดเดินช่วงอายุ 7–30 เดือนฉบับภาษาไทยที่ได้นี้มี ความตรงตามเ นื้ อหาและเ หมาะสมกับบริบทของสังคมไทยและสามารถนำไปใช้ เป็นต้นแบบในการทำการศึกษาคุณสมบัติทางการวัดอื่นๆ ต่อไป เพื่อให้สามารถพัฒนาไปใช้ ในการคัดกรองปัญหาความบกพร่องของการปรับระดับการรับความรู้ สึกในเด็ก กลุ่มเสี่ยงหรือเด็กพิเศษที่เป็นเด็กเล็กหรือวัยหัดเดิน
This study was a development research. The main objective of this research was to develop
the assessment in strument for the sensory modulation problems and behaviors in children
aged 7-30 months old from the Infant/Toddler Symptom Checklist Aged 7 – 30 Months. The secondary objective was to establish content validity of the Infant/Toddler Symptom Checklist Aged 7–30 Months, Thai Version. Participants were 120 caregivers of infants and toddlers. This study was divided into 3 phases: the back-translation method, the examination of its content validity and the pilot use process was conducted with parents/caregivers of children aged 7 – 30 months in order to gain additional suggestions on the translated material. The results of this study were the Infant/Toddler Symptom Checklist Aged 7–30 Months in Thai version which was qualified by content vali dityexamination and corrected by following the suggestion of sampling after pilot use which consist of 7 subtest, 10 items. The assessment tool consisted of 58 items. These items comprised 9 subtests: self-regulation, attention, sleep, eating or feeding, dressing bathing and touch, movement, listening language and sound, looking and sight, and attachment-emotion. The frequency specification of behavioral occurrence was : never or sometimes, yes most times and past. The Infant/Toddler Symptom Checklist Aged 7–30 Months in Thai version is a prototype clinical tool which is culturally appropriate and outfitted for further psychometric property investigations and to develop the assessment tools for sensory modulation disorder in high-risk infants and toddlers.
Miako Kimura, Acácia Lima de Oliveira, Lina Sayuri Mishima
et al.
Este estudo objetivou adaptar culturalmente e analisar as propriedades psicométricas da versão brasileira da Underwood's Daily Spiritual Experience Scale (DSES). A adaptação seguiu as etapas internacionalmente recomendadas e a versão adaptada manteve equivalência com a original, após ajustes na redação de cinco itens. Na aplicação a 179 pacientes médico-cirúrgicos mostrou evidências de consistência interna (alfa de Cronbach=0,91), estabilidade temporal (ICC=0,94 no teste e reteste) e validade de construto convergente, na correlação com a subescala Religiosidade Intrínseca do instrumento DUREL (r=0,56; p<0,001). A análise fatorial exploratória extraiu três componentes, explicando 60,5% da variância do total. A versão brasileira da DSES apresenta evidências de confiabilidade e validade junto a pacientes hospitalizados. São necessários mais estudos para confirmar a sua composição fatorial e testar a sua aplicabilidade em diferentes populações.
Letícia de Oliveira Borba, Marcio Roberto Paes, Andréa Noeremberg Guimarães
et al.
Pesquisa exploratória realizada de setembro a novembro de 2008, com seis famílias de portadores de transtorno mental em uma Associação de pacientes e familiares em Curitiba. Objetivos: conhecer o papel da família em relação ao portador de transtorno mental, e identificar a percepção da família com relação à saúde mental-transtorno mental, ao portador de transtorno mental e ao tratamento em saúde mental. Os dados foram obtidos mediante a técnica de Discussão de Grupo e organizados em categorias temáticas. Constatou-se que o papel da família é cuidar, incentivar, estar presente; a saúde mental é a capacidade de se relacionar, desempenhar atividades sem sofrimento; transtorno mental é o inverso, diante dele as famílias se percebem impotentes; o internamento é percebido como sofrimento, e destaca-se a importância do tratamento farmacológico. Há a necessidade de discutir essas questões com as famílias e instrumentalizar os profissionais de saúde para atender essas novas demandas de cuidados.
Com o objetivo de conhecer a percepção das enfermeiras acerca de sua atuação ante os direitos dos clientes e desenvolver um instrumento que possibilitasse mensurar esta percepção, realizou-se uma pesquisa exploratório-descritiva, com uma amostra de 73 enfermeiras de dois hospitais. Mediante um questionário auto-aplicado, foram identificados e validados quatro construtos relacionados à atuação das enfermeiras, quanto aos direitos dos clientes: preservação da individualidade; respeito à autonomia do cliente, identificação pessoal e informação para a tomada de decisão. O construto que apresentou melhor desempenho diz respeito à preservação da individualidade. Já o respeito à autonomia do cliente e a identificação pessoal situaram-se em um nível intermediário, enquanto que o construto informação para a tomada de decisão apresentou-se como o menos realizado pelas enfermeiras. A preservação da individualidade e o respeito à autonomia mostraram-se como os construtos que mais influenciam a percepção das enfermeiras de como, em geral, respeitam os direitos dos clientes.<br>Con el objetivo de conocer la percepción de las enfermeras referentes a su actuación ante los derechos de los clientes y para desarrollar un instrumento para mensurar esta percepción, se realizó una investigación exploratorio-descriptiva, con una muestra de 73 enfermeras de dos hospi-tales. Por medio de un cuestionario auto-aplicado, fueron identificados y validados cuatro constructos relacionados a la actuación de las enfermeras, en cuanto a los derechos de los clientes: preservación de la individualidad, respeto a la autonomía del cliente, identificación personal e información para la toma de decisión. El constructo que presentó un mejor desempeño se refiere a la preservación de la individualidad. Ya el respeto a la autonomía del cliente y la identificación personal se situaron en un nivel intermedio, mientras que el constructo información para la toma de decisión se presentó como el menos realizado por las enfermeras. La preservación de la individualidad y el respecto a la autonomía se mostraron como los constructos que más influencian la percepción de las enfermeras de como, en general, respetan los derechos de los clientes.<br>This exploratory-descriptive survey was carried out with a sample consisting of 73 nurses from two hospitals in order to know the perception they have of their work via-a-vis patients' rights and develop an instrument capable of measuring such perception. Four constructs referring to the nurses' performance via-a-vis patients' rights were identified and validated, based on questions the nurses answered: preservation of individuality; respect for the patient's autonomy; personal identification; and information for decision-taking. Preservation of individuality was the construct with the best performance. Respect for the patient's autonomy and personal identification appear in an intermediate level, whereas the construct information for decision-taking was the least used. In general, preservation of individuality and respect for the patient's autonomy are the constructs that influenced the most nurses' perception on patients' rights.
Marcia Regina Cubas, Ana Cláudia Koproski, Andrei Muchinski
et al.
É de fundamental importância uma linguagem específica da profissão e a CIPESC® -Classificação Internacional para as Práticas de Enfermagem em Saúde Coletiva tem como um dos objetivos desvelar a atuação dos enfermeiros na saúde coletiva. No Brasil, a ABEn, responsável pela classificação, encontrou na Secretaria Municipal da Saúde de Curitiba - PR aliada para efetiva implantação. O objetivo deste artigo foi validar a nomenclatura dos 52 diagnósticos de enfermagem do pré-natal - base CIPESC® - Curitiba. É um estudo exploratório-descritivo, desenvolvido com enfermeiras assistenciais e com experts na área de gineco-obstetrícia e terminologia. Os resultados foram apresentados pelo Índice de Concordância por meio de freqüência absoluta, todas as definições foram validadas, porém necessitam de adequações à linguagem cotidiana. As enfermeiras apresentam dificuldades para inter-pretar intervenção de enfermagem na promoção do bem-estar, sendo premente a discussão do conceito de promoção à saúde e o processo saúde-doença na saúde coletiva.<br>Es de fundamental importancia un lenguaje específico de la profesión y la CIPESC® -Clasificación Internacional para las Prácticas de Enfermería en Salud Colectiva que tiene como uno de los objetivos desvedar la actuación de los enfermeros en la salud colectiva. En Brasil, la ABEn, responsable por la clasificación, encontró como aliada para realizar la efectiva implantación la Secretaria Municipal de la Salud de Curitiba - PR. El objetivo de este artículo fue validar la nomenclatura de los 52 diagnósticos de enfermería del periodo de embarazo - base CIPESC® - Curitiba. Es un estudio exploratorio-descriptivo, desarrollado con enfermeras asistenciales y con experts en el sector de ginecología-obstetricia y terminología. Los resultados fueron presentados por el Índice de Concordancia por medio de la frecuencia absoluta, todas las definiciones fueron validadas, sin embargo, necesitan de adecuaciones para el lenguaje cotidiano. Las enfermeras presentan dificultades para interpretar la intervención de enfermería en la promoción del bienestar, siendo apremiante la discusión del concepto de promoción a la salud y el proceso salud-enfermedad en la salud colectiva.<br>The existence of a specific language for the profession is essential, and the International Nursing Practice Classification in Collective Health (CIPESC, in the Portuguese-language acronym) has as one of its goals the classification of the work of nurses in collective health. In Brazil, the Brazilian Nursing Association (ABEn, in the Portuguese-language acronym), responsible for the classification, found in the Municipal Secretary of Health of Curitiba, in the State of Paraná, an ally for its effective implantation. The purpose of this article was to validate the nomenclature of the 52 diagnoses of pre-natal Nursing - CIPESC base - in Curitiba. It is an exploratory-descriptive study developed with assisting nurses and experts in the area of gynecology obstetrics and terminology. The results were presented through the Consonance Index through absolute frequency. All the definitions were validated, but they need to be adjusted to the daily language. The nurses show difficulty in interpret nursing intervention in the promotion of well-being, and it is urgent to discuss the concept of health promotion and the health-illness process in collective health.
O estudo descreve os caminhos e descaminhos da participação discente em um Curso de Graduação em Enfermagem. Objetiva identificar as experiências participativas das alunas nos vários ambientes do curso, os pontos críticos, dificuldades e sugestões de aperfeiçoamento da qualidade da participação e das relações aluno-aluno/aluno-professor. Durante o percursso são apresentados os pressupostos teóricos-filosóficos e a metodologia adotada que, numa abordagem qualitativa, adota a análise de conteúdo como meio facilitador de identificar as experiências vivenciadas. A realidade é descrita por 12 alunas concluintes da turma de 1992 e é feita uma avaliação de todo o trajeto vivenciado pelas mesmas em quatro anos de curso. Concluiu-se que há muitos tropeços e obstáculos a ultrapassar mas que alunos e professores estão buscando, no diálogo, reconstruir novos caminhos, mais qualitativos, mais participativos.