http://hdl.handle.net/11422/14 Thu, 23 Jul 2026 16:29:29 GMT 2026-07-23T16:29:29Z http://hdl.handle.net/11422/29775 Title: Evidências de validade da versão brasileira da “Coping and Adaptation Processing Scale” (CAPS) no perioperatório de cirurgias ortopédicass Author(s)/Inventor(s): Barbosa, Joice César de Aguiar Advisor: Lopes, Rafael Oliveira Pitta Abstract: Introduction: In the 1970s, Callista Roy developed the Middle-Range Theory of Coping and Adaptation and the Coping and Adaptation Processing Scale, whose Brazilian version still lacks evidence of the testability of its theoretical constructs. Objective: General: To analyze the evidence of validity and psychometric reliability of the Brazilian version of the “Coping and Adaptation Processing Scale” in the perioperative orthopedic population. Specific Objectives: To verify the stability of the “Coping and Adaptation Processing Scale” at different perioperative moments in orthopedic surgeries and to estimate the internal structure of the “Coping and Adaptation Processing Scale” at different perioperative moments in orthopedic surgeries. Method: Psychometric study in accordance with Standards, 2014. The research setting was na institute specializing in medium and high complexity orthopedic surgeries in Rio de Janeiro. The sample consisted of 450 participants in the perioperative period of primary total hip and knee arthroplasty surgeries, considering 5-10 individuals per item. For statistical analysis, the FACTOR and JAMOVI programs were used. Descriptive analyses of sociodemographic, clinical, and orthopedic data were performed, through data collection from medical records, in order to characterize the participants. Subsequently, the scale was applied. The psychometric procedures consisted of stability analysis with 46 participants in the preoperative, immediate postoperative, and late postoperative periods; who were subsequently allocated to the preoperative group. Test-retest analysis was performed using non-parametric repeated measures analyses for each group, followed by ANOVA for the entire sample. To analyze the validity evidence of the internal structure considering the 450 participants, the following methods were adopted: matrix definition; sample adequacy test; determination of the number of factors; factor extraction and rotation; and bias correction. Results: The scale showed temporal stability. The scores indicated a reduction in coping strategies in the immediate postoperative period in response to surgical stimuli. FACTOR analysis identified that the five-factor model does not adequately explain the construct, suggesting unidimensionality. In the JAMOVI analysis, after the sixth round, the model found presented three dimensions, defined as input, central, and output processes, according to the theoretical proposition, absence of negative items or items with double saturation, acceptable RMSEA, solid TLI, more consistent theoretical structure, items with loadings ≥ 0.40, and overall McDonald’s Omega reliability of 0.94. Conclusions: The model found differs from the original proposed model. This is attributed to the sociocultural and linguistic particularities and the inequalities in access to healthcare present in the Brazilian population compared to developed populations. The contribution of the study lies in the possibility of rigorously investigating the factorial structure of the instrument applied to a clinical scenario permeated by complex human responses such as the orthopedic perioperative period, a context that previously lacked research references on the scale’s structure. The study strengthens the disciplinary knowledge of nursing since, through the empirical testability of a theory, it is possible to improve clinical practice and the decision-making process. The findings further reinforce the importance of new investigations aimed at verifying metric and conceptual invariance in other clinical and sociocultural contexts. Publisher: Universidade Federal do Rio de Janeiro Type: Dissertação Mon, 08 Dec 2025 00:00:00 GMT http://hdl.handle.net/11422/29775 2025-12-08T00:00:00Z http://hdl.handle.net/11422/29764 Title: Caracterização dos grupos de pesquisa e perfil produtivo dos pesquisadores líderes de história da enfermagem no Brasil Author(s)/Inventor(s): Faustino, Gabriella Picoli dos Santos Advisor: Aperibense, Pacita Geovana Gama de Sousa Abstract: Introduction: This study analyzes the contemporary configuration of Research Groups (RPGs) in Nursing History in Brazil, focusing on their organizational structure and the scientific production profile of their leaders between 2000 and 2023. It is based on the hypothesis that transformations in the field of Nursing have reconfigured Research Groups, potentially indicating the emergence of a new generation or the deepening of the most recent generation described by Salles and Barreira (2010). Accordingly, the study aims to characterize the Nursing History research groups (HE-RPGs) registered in the Brazilian Directory of Research Groups; to describe the scientific production profile of their leaders; and to analyze the extent to which these configurations reveal processes of continuity, renewal, or generational transformation in the field of Nursing.Method: This is a documentary and analytical-descriptive study, grounded in a quantitative historical approach, which examined official data from the CNPq Directory of Research Groups covering the period from 2000 to 2023. Data collection involved identifying and manually extracting information available on the RPGs’ webpages and on the Lattes curricula of their leaders, following the criteria of pertinence, sufficiency, exhaustiveness, representativeness, and homogeneity proposed by Barros (2012). Data treatment consisted of organizing variables into spreadsheets, thematic segmentation, consolidation of historical series, and the application of descriptive statistical procedures. The interpretative analysis articulated the results through Karl Mannheim’s concepts of generational position, generational connection, and generational unit, complemented by the scientific generation model of Salles and Barreira (2010), which guided the sociological and historiographical interpretation. This integration between quantification and interpretation made it possible to examine patterns, continuities, and potential generational inflections in the constitution of the Nursing History research groups in Brazil. Results: The results indicate a significant expansion in scientific production, along with growth in the number of researchers, increased academic qualifications, and greater diversity of educational backgrounds within the groups. Leaders exhibited robust academic trajectories, predominantly linked to consolidated graduate programs, which contributed to the qualification and visibility of the HE-RPGs. An initial institutional concentration in the Southeast region was identified, followed by progressive internalization and a more balanced geographic distribution in the past decade, reflecting processes of expansion and democratization of research across the country. Growth in the number of groups, institutional diversification, expansion of research lines, and the strengthening of federal institutions as central loci of historical production were also observed. Leaders demonstrated high academic qualifications, participation in collaborative networks, and significant bibliographic, technical, and cultural outputs, albeit with regional asymmetries. Their trajectories also revealed increasing articulation between Nursing History, Public Health, and Education, reflecting the thematic transversality that characterizes newer generations of researchers. Additionally, diversification of production formats, geographic expansion, alternating cycles of growth and retraction influenced by funding policies, changes in graduate education, and the impacts of the pandemic were identified, along with the strengthening of collaborative networks, expansion of internationalization, and adaptation to CAPES evaluation requirements. When interpreted through the generational framework, these findings suggest that while the HE-RPGs preserve characteristics of the fifth scientific Generation, such as internationalization, indexing, and collective production, they also incorporate emerging elements, such as digitalized practices, increased thematic transversality, and reorganized scientific production, indicating a transitional movement toward a hybrid generation in the field of Nursing History. Final Considerations: The scientific community of Nursing in Brazil has undergone important structural transformations in recent decades, driven by the expansion of graduate education, CAPES evaluation policies, and increasing internationalization. However, these changes do not constitute the rupture necessary to define a new generation; rather, they reinforce the consolidation of the fifth generation described by Salles and Barreira. Researchers share generational position, connection, and unit, expressed through similar academic trajectories, shared formative experiences, and relatively stable collective practices. Recent phenomena such as the digitalization of scientific work, intensification of virtual networks, and the emergence of artificial intelligence technologies point to potential future inflections, but they have not yet produced effects sufficient to characterize a new generation. Publisher: Universidade Federal do Rio de Janeiro Type: Dissertação Fri, 19 Dec 2025 00:00:00 GMT http://hdl.handle.net/11422/29764 2025-12-19T00:00:00Z http://hdl.handle.net/11422/29763 Title: Cólera no Haiti: uma análise da incidência, mortalidade e da letalidade no período de 2010 a 2023 Author(s)/Inventor(s): Jean Pierre, Dieuline Advisor: Souza, Maria Helena do Nascimento Abstract: Introduction: Cholera is an acute diarrheal infection caused by the ingestion of food or water contaminated with Vibrio cholerae. Its severe form is characterized by extreme watery diarrhea and potentially fatal dehydration. Although it can be easily treated with simple measures such as oral rehydration salts, cholera remains a significant threat due to its high morbidity and mortality among vulnerable populations with limited access to basic sanitation and adequate healthcare. Objective: To describe the incidence, mortality, and case fatality rates of cholera in Haiti between the years 2010 and 2023.Method: This is an epidemiological, observational, cross- sectional study based on secondary, publicly available data from the World Health Organization and the Ministry of Public Health of Haiti. Descriptive analyses are presented using absolute case numbers and population-based rates. Results: The annual cholera case volume reached 3,336, and the mortality rate rose to 40 deaths per 100,000 inhabitants. The case fatality rate was 2.3%. The cholera epidemic that occurred in Haiti between 2010 and 2011 was associated with the consequences of the 2010 earthquake. The low incidence or renewed surge in 2022 was attributed to underreporting of cases, persistent poverty, and lack of access to adequate healthcare and sanitation services. Conclusion: The identification of health indicators related to cholera incidence, mortality, and case fatality in Haiti reveals underlying factors associated with disease occurrence and deaths. This highlights the need for effective intersectoral health promotion measures aimed at reducing or eliminating this disease. Publisher: Universidade Federal do Rio de Janeiro Type: Dissertação Thu, 31 Jul 2025 00:00:00 GMT http://hdl.handle.net/11422/29763 2025-07-31T00:00:00Z http://hdl.handle.net/11422/29760 Title: Elaboração, validação e avaliação da eficácia de material educativo para adolescentes sobre prevenção de traumatismos dentoalveolares em ambiente escolar: um estudo piloto Author(s)/Inventor(s): Freire, Sheyla Maria Almeida Herrera Advisor: Faria, Lucianne Cople Maia de Abstract: Dentoalveolar trauma (DT) is one of the main oral health issues worldwide, encompassing both physical and psychological aspects. The primary etiologies of DT in adolescents, particularly in school environments, are related to falls and sports activities. This is a pilot study aimed at developing, validating the content, and evaluating the effectiveness of an educational material (EM) designed for adolescents, focusing on the prevention of falls in everyday situations and physical activities at school, with the goal of reducing DT in this setting. The first stage of the study involved the creation of the EM in the form of a poster, based on a literature review of databases and guidelines from the Brazilian Ministry of Education, Labor, and Employment, and Health. Subsequently, two groups of expert judges, one consisting of pediatric dentists and the other of professionals in the fields of Education/Design, were responsible for validating the thematic content of the EM. Following this, the poster was validated by the target audience to ensure its clarity and motivational appeal. To assess the effectiveness of the EM sixty adolescent patients from the clinics of the School of Dentistry at the Federal University of Rio de Janeiro (FOUFRJ) were interviewed between October and December 2024. The judges’ agreement was evaluated using the Content Validity Index (CVI), and the target audience’s validation was calculated using the Content Validity Coefficient (CVC). To evaluate effectiveness, the differences between the means and frequencies of correct responses before and after reading the EM were estimated using the Wilcoxon and McNemar tests (α = 0.05). The poster was validated, with a CVI of 0.89 and 1.0 by dentists and educators/designers, respectively. All calculated CVCs, ranging from 0.88 to 1.0, were considered acceptable. Based on the results obtained in this pilot study, it is possible to establish validated parameters for the ME developed and to dimension a sufficient sample to test its effectiveness, based on a main study, thus increasing the reliability of the results and the possibility of recommending the dissemination of its content, through health education actions with the target audience. Publisher: Universidade Federal do Rio de Janeiro Type: Dissertação Wed, 26 Mar 2025 00:00:00 GMT http://hdl.handle.net/11422/29760 2025-03-26T00:00:00Z