Academic literature on the topic 'Un-transcribed Audio'

Introduction Vaccination with the 2-dose HPV vaccine series among adolescent girls in Uganda remains low after almost 5 years since the vaccine was included into the routine national immunization program and barriers are not well understood. Objective We explored barriers that prevent eligible girls from initiating or completing the recommended 2-dose HPV vaccine series in Oyam District, Northern Uganda. Methods A qualitative study was conducted in Oyam District, Northern Uganda. Forty interviews were conducted with adolescent girls, their caregivers, Village Health Team Members, health workers and school administrators involved in HPV vaccination. All interviews were audio recorded and transcribed. NVivo version 11 was used for data management and content thematic approach for analysis guided by the Social Ecological Model. Results At individual level, low levels of knowledge about the vaccine, girls’ frequent mobility between vaccine doses, school absenteeism and drop out, fear of injection pain and discouragement from caregivers or peers were key barriers. At the health facilities level, reported barriers included: few healthcare workers, inadequate knowledge about HPV vaccine, limited social mobilization and community engagement to promote the vaccine, limited availability of the HPV vaccine, unreliable transportation, lack of reminder strategies after the first dose of the vaccine, lack of vaccination strategy for out-of-school girls and un-friendly behaviour of some healthcare workers. Concerns about safety and efficacy of the vaccine, negative religious and cultural beliefs against vaccination, rumors and misconceptions about the vaccine, mistrust in government intentions to introduce the new vaccine targeting girls, busy schedules and the gendered nature of care work were key community level barriers. Conclusion Our study revealed an interplay of barriers at individual, health facility and community levels, which prevent initiation and completion of HPV vaccination among adolescent girls. Strengthening HIV vaccination programs and ensuring high uptake requires providing appropriate information to the girls plus the community, school and health facility stakeholders; addressing cold chain challenges as well as adequate training of vaccinators to enable them respond to rumors about HPV vaccination.

Objectives: The aim of this study was to unravel the professional and social consequences of COVID-19 as compared with the AIDS pandemic according to oral health care providers, staff, and administrators. Methods: An exploratory qualitative inquiry via at-a-distance, semistructured interviews engaged a purposefully recruited sample of oral health care team workers in British Columbia. Interviews took place between April 20 and May 15, 2020; they were audio recorded, transcribed verbatim, and deidentified for interactive thematic analysis. An inductive process of coding was used to identify themes, subthemes, and categories of information. Results: Forty-five interviews were conducted with 18 dentists, 12 dental hygienists, 6 certified dental assistants, and 9 administrators; 22 were females. Interviews each lasted an average of 48 min. After the transcripts were coded, 3 subthemes emerged: 1) personal protective equipment and universal precautions as commonsense approaches to care during both pandemics; 2) an (un)collapsed world in terms of global lockdowns; and 3) social unrest in terms of the potential for stigma and discrimination caused by both pandemics. These subthemes made up the COVID-19–AIDS parallel theme. Conclusion: This study explored the extent to which the current COVID-19 pandemic is leading to professional and social consequences when a parallel is drawn with the AIDS pandemic. This is the first qualitative study that identifies the potential social unrest of the pandemic from the perspective of oral health care providers and administrators. Future studies should include other providers across Canada, as well the patients receiving oral health care during this pandemic. Knowledge Transfer Statement: The COVID-19 pandemic has unraveled potential societal implications in a parallel to the HIV/AIDS era from the perspectives of oral health care providers and their staff. Such implications are changing the way that oral health care is delivered; it may also be leading to social unrest in the form of stigma and discrimination. This study discusses some of these implications from the perspective of oral health care providers and administrators.

RESUMOObjetivo: identificar as principais queixas de saúde que os enfermeiros recebem ao cuidar de mulheres em tratamento quimioterápico para câncer de mama e quais as principais orientações de cuidado são realizadas. Método: estudo qualitativo, descritivo, com dez enfermeiros que trabalham em uma unidade de internação de um hospital privado e em ambulatório referência para tratamento quimioterápico, por meio de entrevista semiestruturada. As entrevistas foram realizadas em sala privativa, audiogravadas e, posteriormente, transcritas na íntegra, analisadas por meio da técnica de Análise de Conteúdo na modalidade Análise Temática. Resultados: foram encontradas 32 unidades de significado, as quais posteriormente foram agrupadas, formando duas categorias: Resposta corporal diante da quimioterapia e O cuidado do enfermeiro frente às queixas. Conclusão: as intervenções que os enfermeiros expuseram ao estudo foram pontuais, respaldadas cientificamente e relevantes frente às queixas relatas pelas mulheres, salientando o protagonismo desse profissional no cuidado, e na supervisão do mesmo. Descritores: Câncer de Mama; Enfermagem; Quimioterapia; Saúde da Mulher.ABSTRACTObjective: identify the main health complaints the nurses receive in their care practice for women undergoing chemotherapy for breast cancer, as well as the main care orientations they provide. Method: qualitative and descriptive study involving ten nurses who work at an inpatient ward of a private hospital and a referral outpatient clinic for chemotherapy, through semistructured interviews. The interviews were held at a private room, audio recorded and later fully transcribed and analyzed by means of thematic content analysis. Results: 32 units of meaning were found, which were later grouped in two categories, which were called: Physical response to the chemotherapy and Nursing care in response to the complaints. Conclusion: the interventions the nurses presented in the study were punctual, scientifically supported and relevant for the women’s complaints, highlighting this professional’s protagonist role in care and care supervision.Descriptors: Breast Neoplasms; Community Health Nursing; Drug Therapy; Women’s Health.RESUMEN Objetivo: identificar las principales quejas de salud que los enfermeros reciben en su cuidado a mujeres en tratamiento quimioterapéutico para cáncer de mama y cuales son las principales orientaciones de cuidado proporcionadas. Método: estudio cualitativo, descriptivo con diez enfermeros que trabajan en una unidad de hospitalización de un hospital privado y en ambulatorio de referencia para tratamiento quimioterapéutico, mediante entrevista semiestructurada. Las entrevistas fueron realizadas en sala privada, audio grabadas e posteriormente transcritas por complete, analizadas mediante la técnica de Análisis de Contenido en la modalidad Análisis Temático. Resultados: fueron encontradas 32 unidades de significado, posteriormente grupadas en dos categorías, llamadas: Respuesta corporal ante la quimioterapia y El cuidado del enfermero ante las quejas. Conclusión: las intervenciones que los enfermeros expusieron al estudio fueron puntuales, apoyadas científicamente y relevantes ante las quejas relatadas por las mujeres, subrayando el protagonismo de ese profesional en el cuidado y en su supervisión. Descriptores: Neoplasias de la Mama; Enfermería en Salud Comunitaria; Quimioterapia; Salud de la Mujer.

ABSTRACTObjective: to describe the clinical and social needs of patients with Crohn´s disease (CD) and identify the experiences of these patients during clinical treatment. Method: this is an exploratory qualitative study with participants with CD, over 18 years, admitted to a public teaching hospital, who agreed to participate signed a consent form after being informed (HCRP. 1149/2009). The interviews were recorded in audio and transcribed to Word for Windows. Data were analyzed following the steps in capturing the sense of data; identification of an initial set of theme or categories; establishment of the main categories and discussion. Results: the theme developed demonstrated the need of the specific tests and the qualification of the health’s professional for care these patients. Conclusion: The nurse must have knowledge about the patient’s reaction to the clinical treatment and realize a following with data collection to contribute with the diagnostic, besides the realize education interventions to contribute the adherence to clinical treatment, to prevent the complications and the possibility to disease’s control. Therefore the knowledge of the patient’s experience is important to better quality of care. Descriptors: Crohn’s disease; patient; nursing. RESUMOObjetivos: descrever as características clínicas e sociais dos pacientes com Doença de Crohn (DC) e identificar as experiências desses pacientes durante o tratamento clínico. Método: estudo exploratório, de abordagem qualitativa, com 14 pacientes maiores de 18 anos com DC, internados em hospital de ensino público, que consentiram em participar da pesquisa ao assinarem o Termo de Consentimento pós-informado, após aprovação do Comitê de Ética em Pesquisa do Hospital das Clínicas da Universidade de São Paulo, Ribeirão Preto (SP) sob número 11495/2009. As entrevistas foram gravadas e transcritas em Programa Word for Windows. Os dados foram analisados seguindo-se as etapas de captação dos sentidos dos dados; identificação de um conjunto inicial de temas ou categorias; estabelecimento de categorias-chaves e discussão. Resultados: o tema desenvolvido demonstrou a necessidade de exames específicos e a qualificação dos profissionais de saúde para prestar assistência a esses pacientes. Conclusão: O enfermeiro deve ter conhecimento sobre as reações do paciente ao tratamento clínico e realizar um seguimento com coleta de dados para contribuir no estabelecimento do diagnóstico, além de investir em intervenções educativas para favorecer a adesão ao tratamento clínico, como forma de prevenção de complicações e possibilidade de controle da doença. Portanto, o conhecimento da experiência destes pacientes é importante para melhorar a qualidade da assistência. Descritores: doença de Crohn; paciente; enfermagem.RESUMENObjetivo: describir las necesidades clínicas y sociales de los pacientes con enfermedad de Crohn (EC) e identificar las experiencias de estos pacientes durante el tratamiento clinico. Método: estudio exploratorio cualitativo con 14 participantes con EC, con más de 18 años, admitidos en un hospital escuela, que aceptaron participar con firma del consentimiento informado (HCRP 11495/2009). Las entrevistas fueron grabadas en audio y transcritas en el programa Word for Windos. Los datos fueron analizados siguiendo los pasos para capturar de los sentidos de los datos, la identificación de un conjunto inicial de temas o categorías, el establecimiento de las categorías principales y el debate. Resultados: el tema desarrollado demuestra la necesidad de pruebas específicas y la cualificación de los profesionales de la salud para ayudar a estos pacientes. Conclusión: la enfermera debe tener conocimiento sobre las reacciones del paciente al tratamiento médico y realizar una recolección de datos de seguimiento para contribuir en el diagnóstico, y la inversión en intervenciones educativas para promover la adhesión al tratamiento médico como medio de precención de las complicaciones y la posibilidad de control de la enfermedad. Así, el conocimiento de la experiencia de estos pacientes es importante para mejorar la calidad de la atención. Descriptores: enfermedad de Crohn; paciente; enfermería.

Background: Pharmacists in many countries have long been involved in some aspect of assisted dying. Since 2016, when Canada enacted legislation permitting medical assistance in dying (MAiD), the number of patients seeking the procedure has increased yearly. Despite the global nature of pharmacists’ involvement, little is known about how they experience MAiD practice. Objective: To study how pharmacists experience the practice of caring for patients who seek MAiD. Methods: This qualitative study used semistructured interviews with pharmacists who had cared for patients seeking MAiD. Interviews, conducted between June 2019 and October 2020, were audio-recorded and transcribed verbatim. Data were examined using a modified framework analysis approach. Data were coded and sorted using Quirkos and Microsoft Excel software. Themes were defined through an iterative process involving constant comparison. Results: Nineteen hospital pharmacists representing a range of practice settings in Alberta participated in the study. The experience of caring for patients seeking assistance in dying brought to light 3 themes: finding a place in the process, serving in a caring role, and bearing emotional burdens. Pharmacists’ experiences were personal, relational, emotional, and dynamic. Conclusions: Each of the pharmacists experienced MAiD practice in a unique way. Although their roles in MAiD were primarily medication-focused, their experiences highlighted the centrality of patient choices, autonomy, and needs. The results of this study will inform pharmacists (including those not yet engaged in MAiD practice) about the role, and will also be valuable for pharmacy organizations and educators seeking to support pharmacists and the profession, as well as policy-makers seeking to expand pharmacists’ roles in MAiD. RÉSUMÉ Contexte : Les pharmaciens de nombreux pays participent depuis longtemps à certains aspects de l’aide médicale à mourir (AMM). Depuis que le Canada a adopté une loi l’autorisant en 2016, le nombre de patients qui demandent l’intervention a augmenté chaque année. Malgré la nature mondiale de l’implication des pharmaciens, on sait peu de choses sur la façon dont ils vivent la pratique de l’AMM. Objectif : Étudier comment les pharmaciens vivent la pratique de la prise en charge des patients qui sollicitent l’AMM. Méthodes : Cette étude qualitative a utilisé des entretiens semi-structurés avec des pharmaciens qui avaient pris en charge des patients ayant fait une demande d’AMM. Un enregistrement sonore des entretiens, menés entre juin 2019 et octobre 2020, a été effectué et ils ont été transcrits mot à mot. Les données ont été examinées en adoptant une approche d’analyse du cadre modifié. Les données ont été codées et triées à l’aide des logiciels Quirkos et Microsoft Excel. Les thèmes ont été définis par un processus itératif impliquant une comparaison constante. Résultats : Dix-neuf pharmaciens d’hôpitaux représentant un éventail de milieux de pratique en Alberta ont participé à l’étude. L’expérience de la prise en charge de patients cherchant à recevoir l’aide médicale à mourir a mis en lumière 3 thèmes : trouver sa place dans le processus; jouer un rôle de proche aidant; et supporter des charges émotionnelles. Les expériences des pharmaciens étaient personnelles, relationnelles, émotionnelles et dynamiques. Conclusions : Chaque pharmacien a vécu la pratique de l’AMM d’une manière unique. Bien que leurs rôles dans l’AMM étaient principalement axés sur la médication, leurs expériences ont mis en évidence la centralité des choix, de l’autonomie et des besoins des patients. Les résultats de cette étude informeront les pharmaciens (y compris ceux qui ne sont pas encore engagés dans la pratique de l’AMM) sur le rôle. Ils seront également précieux pour les organismes pharmaceutiques et les éducateurs cherchant à soutenir les pharmaciens et la profession, ainsi que pour les décideurs politiques qui cherchent à élargir les rôles de pharmaciens dans l’AMM.

Objetiva-se compreender o cotidiano de cuidadores familiares de adolescentes com necessidades especiais de saúde atendidos em ambulatório de especialidades. Trata-se de uma pesquisa qualitativa descritiva desenvolvida no ambulatório referência no atendimento de adolescentes. Utilizou-se a leitura prévia de prontuários, associada a entrevista semiestruturada com 35 cuidadores familiares, transcritas e submetidas à análise de discurso Pecheutiana. Evidenciou-se o cuidado essencialmente feminino, algumas vezes compartilhado com outros membros da família. As estratégias de cuidado são consolidadas na busca por informações, na procura de auxílio nos serviços de saúde, no desenvolvimento de procedimentos. A sobrecarga materna foi evidenciada, o cotidiano de cuidados é permeado por estratégias construídas com o tempo por meio do saber da experiência feita. Sugere-se que o enfermeiro desenvolva uma abordagem ampliada sobre a rede que ampara e acolhe os adolescentes e sua família. O cuidado deve ser compartilhado por meio da troca de saberes, reflexão, dialogicidade e vínculo.Descritores: Família, Mãe, Saúde do Adolescente, Enfermagem. “I faced it all alone” care for teenagers with special needsAbstract: Objective is to understand the daily life of family caregivers of adolescents with special health needs attended in an outpatient clinic. This is a descriptive qualitative research developed at the reference outpatient clinic for adolescents. The previous reading of medical records was used, associated with a semi-structured audio interview recorded with 35 family caregivers, which were double transcribed and subjected to Pêcheux’s discourse analysis. The care is essentially feminine sometimes shared with other family members. Care strategies are consolidated in the search for information, in the search for help in health services, in the development of procedures. Maternal overload was evidenced, the daily care is permeated by strategies built over time through the knowledge of the experience made. We suggest that nurses develop an expanded approach to the network that supports and welcomes adolescents and their families. Care must be shared through the exchange of knowledge, reflection, dialog and bonding.Descriptors: Family, Mother, Adolescent Health, Nursing. “Lo enfrenté todo solo” atención a adolescentes con necesidades especialesResumen: El objetivo es comprender el día a día de los cuidadores familiares de adolescentes con necesidades especiales de salud atendidos en una clínica especializada. Se trata de una investigación cualitativa descriptiva desarrollada en la consulta externa de referencia para adolescentes. Se utilizó la lectura previa de historias clínicas, asociada a una entrevista semiestructurada con 35 cuidadores familiares, transcrita y sometida al análisis del discurso pecheutiano. Se evidenció el cuidado esencialmente femenino, en ocasiones compartido con otros miembros de la familia. Las estrategias de atención se consolidan en la búsqueda de información, en la búsqueda de ayudas en los servicios de salud, en el desarrollo de procedimientos. Se evidenció sobrecarga materna, el cuidado diario está impregnado de estrategias construidas en el tiempo a través del conocimiento de la experiencia realizada. Se sugiere que las enfermeras desarrollen un enfoque ampliado de la red que apoye y dé la bienvenida a los adolescentes y sus familias. El cuidado debe compartirse mediante el intercambio de conocimientos, la reflexión, el diálogo y la vinculación.Descriptores: Familia, Madre, Salud del Adolescente, Enfermería.

Background:The COVID-19 pandemic has resulted in unforeseen challenges for humanity, taking a significant toll, especially the immune-suppressed individuals. In this regard, the health and general well-being of people with rheumatic diseases, the great majority users of immunosuppressives, have been at stake.Objectives:To explore the impact of the COVID-19 pandemic on people with rheumatic diseases on immunosuppression during the first wave, concerning a) (self-)management of their disease; b) interaction with the health care team; c) emotional well-being and d) overall health.Methods:A qualitative study was conducted following a phenomenological approach. Adults (>18 years) with a rheumatic disease from four European countries (Cyprus, England, Greece, Portugal). Patients were recruited through patient’s associations and social media and were invited to participate in semi-structured, audio-recorded interview or focus groups, between July - August 2020. Following a pilot study the information provided was transcribed verbatim, anonymized and translated into English where necessary. An inductive approach was adopted to carry out a thematic framework analysis with the assistance of ATLAS.ti to identify key themes and subthemes. Data validation strategies were employed, and Ethical approval and informed consent were obtained.Results:Participants were 24 patients (21 women, age range 33 to 74 years) divided by 7 focus-groups and 1 individual interview. Most frequent diagnoses were rheumatoid arthritis (n=7), lupus (n=4), juvenile idiopathic arthritis (n=3).Three key themes with 3-7 subthemes were identified within the analytical framework, centred around the impact of the Covid-19 on patients’ lives (Figure 1): i) individual person (e.g. fear for myself and family, social isolation and lack of personal freedom, more time with family) ii) health settings (e.g. (un)clear information about risks of contamination, fear or risk of shortages of medication, remote consultations), and iii) work and community (e.g. persistent stress due to mass media exposure, lack of awareness by others about patients’ rheumatic disease and its disclosure, hope and suspicion about new vaccine development: “I hear that they will ask vulnerable groups to have the vaccine first (...) Why is that? we will be again the innocent victims”). Findings were similar across countries, except for spirituality (i.e. the pandemic as “the hand of God”), a coping subtheme particular to Portugal. These main themes resonated well with the social ecological model and Walsh’s Family Resilience Process [1,2].Conclusion:When experiencing a significant life-event people require some time to process the different lived experiences. This study provides insights on how patients from four countries coped with the new challenges. Such insights are invaluable for health care providers and policy makers, in guiding more meaningful support tailored to individual needs, especially at times of crisis. The study highlights the impact of COVID-19 on the lives of people with rheumatic disease. A follow-up study is currently underway to examine the effect of subsequent waves of the pandemic.References:[1]Golden SD, Earp JA. Social ecological approaches to individuals and their contexts: twenty years of health education & behavior health promotion interventions. Health Educ Behav. 2012;39(3):364-72. doi: 10.1177/1090198111418634.[2]Walsh F. Family resilience: a framework for clinical practice. Fam Process. 2003;42(1):1-18. doi: 10.1111/j.1545-5300.2003.00001.Acknowledgements:We thank the participants of this study.Disclosure of Interests:None declared

RESUMOObjetivo: conhecer a perspectiva dos profissionais de Enfermagem, que atuam na sala de emergência, sobre o processo de morte e morrer. Método: estudo qualitativo, descritivo e exploratório, realizado com 17 profissionais de Enfermagem que atuavam na sala de emergência de um hospital universitário. Os dados foram coletados por meio de entrevistas semiestruturadas, audiogravadas que, após transcritas, foram submetidas à Análise de Conteúdo na modalidade Temática. Resultados: emergiram as categorias - Sentimentos e percepções frente ao processo de morte e morrer e Alterações na percepção da morte em diferentes fases da vida. Ambas mostram sentimentos, experiências iniciais com a morte enquanto profissional e a falta de preparo acerca do tema durante a formação. Conclusão: os profissionais entendem que a morte faz parte do processo de viver, mas sentem tristeza, frustração e impotência, especialmente, quando o paciente permanece por mais tempo na emergência. Acredita-se que este estudo possa contribuir para que os profissionais se sintam motivados para refletir e discutir sobre cuidados mais humanos e solidários no serviço hospitalar de urgência. Descritores: Morte; Profissionais de Enfermagem; Serviços Médicos de Emergência; Serviço Hospitalar de Emergência; Percepção; Relações Profissional-Paciente.ABSTRACT Objective: to know the perspective of Nursing professionals, who work in the emergency room, about the process of death and dying. Method: a qualitative, descriptive and exploratory study, carried out with 17 Nursing professionals who worked in the emergency room of a university hospital. Data was collected through semi-structured, audio-taped interviews that, after being transcribed, were submitted to Content Analysis in the Thematic modality. Results: categories emerged - Feelings and perceptions regarding the process of death and dying and Alterations in the perception of death in different phases of life. Both show feelings, initial experiences with death as a professional, and lack of preparation on the subject during training. Conclusion: professionals understand that death is part of the process of living, but they feel sadness, frustration and impotence, especially when the patient stays for longer in the emergency room. It is believed that this study may contribute to the professionals feel motivated to reflect and discuss more humane and supportive care in the hospital emergency service. Descriptors: Death; Nurse Practitioners; Emergency Medical Services; Emergency Service Hospital; Perception; Professional-Patient Relations.RESUMEN Objetivo: conocer la perspectiva de los profesionales de Enfermería, que actúan en la sala de emergencia, sobre el proceso de muerte y morir. Método: estudio cualitativo, descriptivo y exploratorio, realizado con 17 profesionales de Enfermería que actuaban en la sala de emergencia de un hospital universitario. Los datos fueron recolectados por medio de entrevistas semiestructuradas, audiogravadas que, tras transcritas, fueron sometidas al Análisis de Contenido, en la modalidad Temática. Resultados: surgieron dos categorías - Sentimientos y percepciones frente al proceso de muerte y morir y Alteraciones en la percepción de la muerte en diferentes fases de la vida. Ambos muestran sentimientos, experiencias iniciales con la muerte como profesional y la falta de preparación acerca del tema durante la formación. Conclusión: los profesionales entienden que la muerte es parte del proceso de vivir, pero sienten tristeza, frustración e impotencia, especialmente cuando el paciente permanece por más tiempo en la emergencia. Se cree que este estudio puede contribuir a que los profesionales, se sientan motivados para reflexionar y discutir sobre cuidados más humanos y solidarios en el servicio hospitalario de urgencia. Descriptores: Muerte; Enfermeras Practicantes; Servicios Médicos de Urgencia; Servicio de Urgencia en Hospital; Percepción; Relaciones Profesional-Paciente.

This article aims to approach the school experiences of 13 students with disabilities. It corresponds to a cross, synchronous and non experimental study, whose scope is mainly descriptive. The data collection was carried out through a semi-structured interview and transcribed from audio recordings to make a category analysis. The main results showed that in the case of students who were born with disabilities, the fact that an institution was inclusive turned out essential for them to have adequate transit through the educational system and thus become apt for higher education. The combination disability-inclusion-right to education-higher education is what this paper aimed to weave, trying to follow as thread or anchor, the previous school experiences of students with disabilities. We recognize that an adequate, inclusive, positive experience besides a subjective construction of the body and disability by family members, become important conditions to access schooling. Education is a right, therefore it can not be seen as an act of charity; it should be required as a quality practice.

RESUMOObjetivo: realizar a tradução e a adaptação transcultural da National Early Warning Score 2 (NEWS2) e validar o uso, no Brasil, para a deterioração clínica de pacientes. Método: trata-se de estudo metodológico. Fundamentar-se-á o processo no modelo de Beaton e colaboradores seguindo-se seis etapas: tradução inicial, síntese das traduções, tradução reversa, comitê de especialistas, teste de versão final e auditoria do processo. Realizar-se-á o teste de versão final em um hospital universitário do Sul do Brasil, com amostra de 40 enfermeiros, que aplicarão a escala a três estudos de caso propostos pelas pesquisadoras. Transcrever-se-ão e analisar-se-ão as respostas por meio do coeficiente de Kappa avaliando-se a concordância dos observadores. Realizar-se-á, para a validação, um estudo de coorte avaliando-se os registros de Enfermagem dos pacientes admitidos na emergência, em maio de 2018, e os desfechos óbito ou transferência não programada para a terapia intensiva em 24h, 48h e 72h. Respeitar-se-ão, pelo estudo, os aspectos éticos obtendo-se, como produto educativo, a escala NEWS2 traduzida e adaptada ao português brasileiro. Resultados esperados: pretende-se traduzir, adaptar e validar a NEWS produzindo-se um produto de valia para a assistência aos pacientes. Descritores: Pacientes; Evolução Clínica; Avaliação; Tradução; Estudos de Validação; Segurança.ABSTRACTObjective: to perform translation and cross-cultural adaptation of the National Early Warning Score 2 (NEWS2) and to validate the use in Brazil of clinical deterioration of patients. Method: this is a methodological study. The process will be based on the model of Beaton and collaborators following six steps: initial translation, synthesis of translations, reverse translation, committee of experts, final version test and process audit. The final version will be tested in a university hospital in the South of Brazil, with a sample of 40 nurses, who will apply the scale to three case studies proposed by the researchers. Transcripts will be transcribed and analyzed using the Kappa coefficient and the agreement of the observers will be evaluated. A cohort study will be performed for the validation of the Nursing records of patients admitted to the emergency room in May 2018, and the outcomes of death or unscheduled transfer to intensive care in 24 hours, 48 hours and 72 hours. The ethical aspects will be respected by the study, obtaining as an educational product the NEWS2 scale translated and adapted to Brazilian Portuguese. Expected results: we intend to translate, adapt and validate NEWS producing a valuable product for patient care. Descriptors: Patients; Clinical Evolution; Evaluation; Translating; Validation Studies; Safety.RESUMEN Objetivo: realizar la traducción y la adaptación transcultural de la National Early Warning Score 2 (NEWS2) y validar el uso, en Brasil, para el deterioro clínico de pacientes. Método: se trata de un estudio metodológico. Se fundamenta el proceso en el modelo de Beaton y colaboradores siguiendo seis etapas: traducción inicial, síntesis de las traducciones, traducción inversa, comité de expertos, prueba de versión final y auditoría del proceso. Se realizará la prueba de versión final en un hospital universitario del sur de Brasil, con muestra de 40 enfermeros, que aplicarán la escala a tres estudios de caso propuestos por las investigadoras. Se transcriben y se analizarán las respuestas a través del coeficiente de Kappa evaluando la concordancia de los observadores. Se realizará, para la validación, un estudio de cohorte evaluando los registros de Enfermería de los pacientes admitidos en la emergencia, en mayo de 2018, y los resultados óbito o transferencia no programada para la terapia intensiva en 24h, 48h y 72h. El respeto será, por el estudio, los aspectos éticos de obtener, como un producto educativo, la escala News2 traducido y adaptado al portugués de Brasil. Resultados esperados: se pretende traducir, adaptar y validar la NEWS produciéndose un producto de valor para la asistencia a los pacientes. Descriptores: Pacientes; Evolución Clínica; Evaluación; Traducción; Estudios de Validación; Seguridad.