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Sistemas de informação em saúde no gerenciamento hospitalar

2026-09-03T13:56:29Z

Título: Sistemas de informação em saúde no gerenciamento hospitalar Autor(es): Portela, Matheus Oliveira Abstract: Health information systems have assumed a strategic role in the hospital context by enabling the organization, integration, and analysis of clinical and administrative data, contributing to the improvement of service management and quality of care. However, despite technological advances, challenges remain regarding the implementation and effective use of these systems, such as difficulties in interoperability, professional training, and adaptation of work processes. Objective: To analyze, based on recent scientific literature, the impacts of the implementation of health information systems on hospital management. Method: This is an integrative literature review with a qualitative and exploratory approach, conducted in the SciELO, LILACS, and PubMed databases through the Virtual Health Library, considering publications from 2019 to 2025 in Portuguese, English, and Spanish. Results: It is expected that the results will highlight the main benefits of health information systems for hospital management, as well as the challenges and limitations faced in the implementation process, in addition to their contributions to patient safety.

Padrão venoso superficial da fossa cubital: revisão sistemática de literatura e metanalise

2026-09-02T13:57:15Z

Título: Padrão venoso superficial da fossa cubital: revisão sistemática de literatura e metanalise Autor(es): Marques, Luana Thalia dos Santos; Santos, Victória Thifany Moura Souza Abstract: The superficial venous system of the upper limb exhibits high anatomical variability in the cubital fossa region as a result of embryonic development and vascular remodeling. The cephalic, basilic, median antebrachial, and median cubital veins constitute the main components of this system, establishing different patterns of communication that are considered normal anatomical findings. These variations have significant clinical relevance, particularly during venipuncture procedures, as they influence the relationship of the veins to adjacent structures, such as nerves and arteries, directly impacting patient safety. In light of this, the present study investigated the superficial venous patterns of the cubital fossa. This is a systematic review conducted in accordance with the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), with the protocol registered in PROSPERO. The search was conducted in seven electronic databases, including PubMed, Scopus, Embase, Web of Science, ScienceDirect, the Cochrane Library, and LILACS, using the search terms “anatomy,” “forearm,” “vein,” and “cubital fossa.” Observational anatomical studies describing morphological variations of the superficial veins of the cubital fossa in humans were included. Methodological quality was assessed using the Anatomical Quality Assurance (AQUA) tool, and, when possible, the data were subjected to meta-analysis using the random-effects model (p < 0.05). Superficial venous pattern Type 1 had the highest pooled prevalence, followed by Types 2 and 3. Types 4 and 5 had intermediate prevalences, while Types 6 through 11 corresponded to rare variants, with a prevalence of less than 1%. No statistically significant differences were observed with respect to sex and laterality, while only Type 4 showed a significant difference among the geographic regions analyzed. These findings reinforce the high anatomical variability of the region and highlight the importance of understanding these patterns for procedure planning, contributing to greater safety in clinical practice. It is concluded that Type 1 superficial venous pattern is the most prevalent in the cubital fossa, followed by Types 2 and 3. No significant association were observed between genders or laterality, although Type 4 showed a higher frequency in Middle Eastern populations.

Intervenções não farmacológicas no manejo da dor oncológica

2026-09-02T13:36:12Z

Título: Intervenções não farmacológicas no manejo da dor oncológica Autor(es): Sales, Gabriel Lima Gonçalves Abstract: Introduction: Cancer is one of the leading causes of death worldwide and represents a public health challenge. Pain is one of the main symptoms reported by cancer patients, and the American Pain Society has recognized pain as the fifth vital sign, meaning the nursing team plays a fundamental role in recognizing and managing this pain. Therefore, non-pharmacological interventions for pain relief have shown significant results in cancer patients. General objective: To synthesize the main evidence on non-pharmacological interventions used by the nursing team in the management of pain in cancer patients. Method: This is a rapid systematic review, conducted according to PRISMA 2020 recommendations. The search was performed in the PubMed/MEDLINE, CINAHL, LILACS, SciELO and Cochrane Library databases, using controlled descriptors (DeCS/MeSH), free words and the following Boolean operators AND and OR. Randomized clinical trials published between January 2015 and June 2025, in Portuguese, English, and Spanish, with full text available, were included. The methodological quality of the studies was assessed using the PEDro scale, and the risk of bias was assessed using the Risk of Bias 2 (Rob 2) tool. Results: Forty-two studies were identified, of which two met the eligibility criteria and comprised the final sample, one of which was retrieved through manual search. Both investigated foot reflexology as a non-pharmacological intervention performed by trained professionals. The studies demonstrated a reduction in pain intensity, as well as benefits on fatigue, sleep quality, and nausea, with no reported adverse events. The methodological assessment indicated satisfactory quality and a judgment of "some concerns" regarding the risk of bias. Discussion: The findings corroborate recent evidence that points to foot reflexology as a promising integrative practice for pain management in cancer patients. However, the heterogeneity of intervention protocols, the lack of standardization in the measurement of outcomes, the reduced number of randomized clinical trials, and methodological limitations, such as blinding difficulties, restrict the robustness of the available evidence and hinder comparisons between studies. Conclusion: Foot reflexology has shown promising results as a non-pharmacological intervention for pain management in cancer patients, also contributing to the reduction of associated symptoms and to improving quality of life. However, its incorporation into clinical practice must be based on the work of trained professionals and on evidence of higher scientific quality, requiring new randomized clinical trials with standardized protocols and long-term follow-up.

Complicações em pós-operatório de cirurgias pediátricas: percepção de enfermeiros

2026-09-02T13:16:34Z

Título: Complicações em pós-operatório de cirurgias pediátricas: percepção de enfermeiros Autor(es): Xavier, Antônio Filipe dos Santos; Ferreira, Wemilly Karoline Anjos Abstract: The postoperative period is observed as a critical moment that requires specialized assistance from the nursing team, especially in the Post-Anesthesia Care Unit (PACU). Complications at this stage can increase hospitalization time, cause permanent damage and, in more severe cases, progression to death. The nurse's perception of such complications is of paramount importance for qualified care. OBJECTIVE: To identify the perception of nurses regarding pediatric surgical complications in the immediate postoperative period (IPP) and mediate postoperative period (MPP). METHODS: This was a descriptive and quantitative study, developed through a semi-structured questionnaire with sociodemographic data and questions about complications and discomforts in the IPP and MPP, which was evaluated through descriptive statistics. RESULTS: Nurses demonstrated satisfactory perception regarding technical knowledge, identification of complications and clinical management. Female professionals predominated, aged 35-44 years, with over ten years of training and specialization, although most did not have specific training in pediatric postoperative care. Strengths included nursing assessment and care, knowledge of protocols and adherence to safe surgery; weaknesses were observed in the use of assessment scales and specific training. The reduced sample (n=23) was the main limitation, with satisfactory internal consistency (Cronbach's α = 0.852). CONCLUSION: The study contributed to the improvement of perioperative care, evidencing the nurse's perception and the need for continuing education and qualification in the pediatric area.