ABSTRACT Introduction: Cardiovascular diseases represent an important cause of morbidity and mortality during pregnancy, cardiomyopathy is notable as a syndrome of heart failure. Objective: To characterize patients with peripartum cardiomyopathy according to clinical and epidemiological variables of interest for the investigation. Methods: A descriptive and cross-sectional study of 18 patients with diagnosis of peripartum cardiomyopathy was carried out. They were assisted at Dr. Juan Bruno Zayas Alfonso Teaching General Hospital in Santiago de Cuba from October, 2015 to December, 2022. Results: In the series there was a prevalence of patients over 35 years (32.6 average age), besides African descendant (50.0 %), chronic hypertension (44.4 %) and multiparity (8.9 %) as risk factors and the left ventricle failure as clinical manifestation. The ejection fraction of this ventricle was regularly diminished and the pharmacological treatment response was satisfactory in all the sample. Conclusions: Peripartum cardiomyopathy is of low incidence in this center; however, due to its seriousness, the early diagnosis and the specialized staff intervention are necessary to avoid complications.

RESUMEN Introducción: Las enfermedades cardiovasculares representan una causa importante de morbilidad y mortalidad durante la gestación, entre las que se destaca la miocardiopatía, que cursa como un síndrome de insuficiencia cardíaca. Objetivo: Caracterizar a pacientes con miocardiopatía periparto según variables clínicas y epidemiológicas de interés para la investigación. Métodos: Se realizó un estudio descriptivo y transversal de las 18 pacientes con diagnóstico de miocardiopatía periparto, asistidas en el Hospital General Docente Dr. Juan Bruno Zayas Alfonso de Santiago de Cuba en el período comprendido desde octubre de 2015 hasta diciembre de 2022. Resultados: En la serie predominaron las pacientes mayores de 35 años de edad (edad promedio de 32,6 años), además de la descendencia africana (50,0 %), la hipertensión arterial crónica (44,4 %) y la multiparidad (8,9 %) como factores de riesgo y la insuficiencia del ventrículo izquierdo como manifestación clínica. La fracción de eyección de dicho ventrículo estuvo regularmente disminuida y la respuesta al tratamiento farmacológico fue satisfactoria en el total de la muestra. Conclusiones: La miocardiopatía en el periparto es de baja incidencia en este centro; sin embargo, por la gravedad que representa, se impone el diagnóstico temprano y la intervención del personal especializado para evitar complicaciones.

ABSTRACT Introduction: The nursing care process includes actions aimed at preventing diseases during postpartum period. Objective: To describe the process of nursing care for the tertiary prevention of some complications related to postpartum. Methods: An observational descriptive and cross-sectional study was carried out at Dr. Juan Bruno Zayas Alfonso Teaching General Hospital in Santiago de Cuba, from January to December, 2022, that included 2 population groups integrated by 225 newly-delivered women and 80 nurses. The variables studied were the following: complications, type of care, working time with newly-delivered women and level of knowledge about prevention. Results: In the series there was a prevalence of the hemorrhage (36.4%), pre-eclampsia and thromboembolism (26.0 and 21.1%, respectively) as main complications, besides the care of standardized type (56.5%) and the inadequate knowledge on prevention (58.7%). Conclusions: Nursing care for the tertiary prevention of some complications is offered fundamentally to newly-delivered women with pre-eclampsia, thromboembolism and hemorrhages, reason why the standardized care requires more preparation of the staff that intervenes in the process.

RESUMEN Introducción: En el proceso de atención de enfermería se incluyen acciones destinadas a la prevención de enfermedades durante el puerperio. Objetivo: Describir el proceso de atención de enfermería para la prevención terciaria de algunas complicaciones relacionadas con el puerperio. Métodos: Se realizó un estudio observacional descriptivo y transversal en el Hospital General Docente Dr. Juan Bruno Zayas Alfonso de Santiago de Cuba, desde enero hasta diciembre del 2022, que incluyó a 2 grupos poblacionales integrados por 225 puérperas y 80 enfermeras. Entre las variables estudiadas figuraron las siguientes: complicaciones, tipo de cuidado, tiempo de trabajo con puérperas y nivel de conocimientos sobre prevención. Resultados: En la serie predominaron la hemorragia (36,4 %), la preeclampsia y el tromboembolismo (26,0 y 21,1 %, respectivamente) como principales complicaciones, además del cuidado de tipo estandarizado (56,5 %) y los conocimientos inadecuados sobre prevención (58,7 %). Conclusiones: La atención de enfermería para la prevención terciaria de algunas complicaciones se brinda fundamentalmente a puérperas con preeclampsia, tromboembolismo y hemorragia, por lo que el cuidado estandarizado requiere mayor preparación del personal que interviene en el proceso.

Objetivo: examinar o olhar da equipe de enfermagem quanto às repercussões da movimentação de pacientes (admissões, transferências e altas) na organização do trabalho e na entrega do cuidado. Método: estudo qualitativo utilizando técnica de grupo focal conduzido junto a vinte e três profissionais sendo doze enfermeiros, oito técnicos e três auxiliares de enfermagem lotados em três unidades de internação de um hospital de ensino do interior de São Paulo. Ocorreram quatro encontros, entre novembro de 2021 e março de 2022. Os relatos foram analisados na modalidade temática com o auxílio do software MAXQDA. Resultados: emergiram duas categorias temáticas: a influência de fatores estruturais e da organização do trabalho na movimentação intra-hospitalar de pacientes; e a movimentação de pacientes demanda tempo, gera sobrecarga de trabalho e interfere na entrega do cuidado. Conclusão: o volume de movimentações de pacientes associado às demandas imprevistas, complexidade assistencial e insuficiência de pessoal e de recursos repercutem negativamente na entrega do cuidar com riscos clínicos e sobrecarga laboral. Os achados possibilitam aprimorar a regulação das entradas e saídas de pacientes nas unidades, organização do trabalho e gestão do cuidado evitando-se riscos clínicos, atrasos, omissões e sobrecarga laboral. Objetivo admissões, admissões (admissões altas Método enfermeiros Paulo encontros 202 2022 MAXQDA Resultados temáticas intrahospitalar intra hospitalar tempo Conclusão imprevistas laboral evitandose evitando se atrasos 20 2

Objective: to examine the nursing team’s view of the repercussions of moving patients (admissions, transfers and discharges) on the organization of work and the delivery of care. Method: this is a qualitative study using the focus group technique, conducted with 23 professionals - 12 nurses, eight nurse technicians and three nurse assistants working in three inpatient units at a teaching hospital in the countryside of Sao Paulo. Four meetings took place between November 2021 and March 2022. The reports were analyzed thematically using MAXQDA software. Results: two thematic categories emerged: the influence of structural factors and work organization on the intra-hospital moving of patients; it demands time, generates work overload and interferes with the delivery of care. Conclusion: the volume of moving patient associated with unforeseen demands, care complexity and insufficient staff and resources have a negative impact on the delivery of care, with clinical risks and work overload. The findings make it possible to improve the regulation of patients entering and leaving the units, work organization and care management, avoiding clinical risks, delays, omissions and work overload. Objective teams team s admissions, admissions (admissions discharges Method technique 2 1 nurses Paulo 202 2022 software Results emerged intrahospital intra time Conclusion management delays 20

Objetivo: examinar la perspectiva del equipo de enfermería sobre las repercusiones del movimiento de pacientes (admisiones, traslados y altas) en la organización del trabajo y en la prestación de cuidados. Método: estudio cualitativo utilizando la técnica de grupo focal llevado a cabo con 23 profesionales, incluyendo 12 enfermeros, ocho técnicos y tres auxiliares de enfermería de tres unidades de internación de un hospital universitario del interior de São Paulo. Se realizaron cuatro encuentros entre noviembre de 2021 y marzo de 2022. Los relatos fueron analizados en la modalidad temática con la ayuda del software MAXQDA. Resultados: surgieron dos categorías temáticas: la influencia de factores estructurales y de la organización del trabajo en el movimiento intrahospitalario de pacientes; y, el movimiento de pacientes demanda tiempo, genera sobrecarga de trabajo e interfiere en la prestación de cuidados. Conclusión: el volumen de movimientos de pacientes asociado a demandas imprevistas, complejidad asistencial e insuficiencia de personal y de recursos repercute negativamente en la prestación del cuidado con riesgos clínicos y sobrecarga laboral. Los hallazgos permiten mejorar la regulación de las entradas y salidas de pacientes en las unidades, la organización del trabajo y la gestión del cuidado, evitando riesgos clínicos, retrasos, omisiones y sobrecarga laboral. Objetivo admisiones, admisiones (admisiones altas cuidados Método 2 profesionales 1 enfermeros Paulo 202 2022 MAXQDA Resultados temáticas tiempo Conclusión imprevistas laboral retrasos 20

BACKGROUND: In this project, we reviewed our experience in minimal access paediatric surgery (MAPS) at Greys Hospital over the last decade. This information would provide an overview of our experience and would enable us to identify areas where we can strengthen our surgical service and our training programme METHOD: All surgical patients are captured in the hybrid electronic medical registry (HEMR). All patients aged 18 years or less who underwent a MAPS procedure between 2012 and 2021 were reviewed. Data collected included demographic information, type of surgery, nature of the surgery (elective or emergency), organ system operated on, whether trainees or consultants performed the surgeries and the morbidities and mortalities experienced. Statistical analysis included linear regression and ANOVA, which was performed using Jamovi software RESULTS: A total of 1 328 MAPS procedures were performed on 994 patients over nine years. There were 359 female and 635 male patients. There was a steady increase in the number of cases performed per year. The age of the patients ranged from one day of life to 18 years, with a median of 8 years. The multiple linear regression results indicated a very strong collective significant effect between the courses performed, the number of consultants, and the MAPS cases performed. The ANOVA test for the individual factors was not statistically significant, but there was a very strong combined correlation with an r-value of 0.87 and a p-value of 0.014 using the overall model test. The consultants' training also directly impacted on the teaching and training of registrars, with progressively more cases being performed by trainees over the years. Postoperative morbidity was reported in 40 patients. The morbidity rate was three per cent. There were no mortalities CONCLUSION: It is feasible to deliver MAPS to children in our environment. A comprehensive quality improvement strategy has yielded satisfying results. The increased use of MAPS has resulted in a general transfer of skills to junior staff. Ongoing efforts to support the rollout of MAPS in children are warranted

RESUMEN El traumatismo craneoencefálico se considera una lesión de la cabeza, resultante de un trauma penetrante o cerrado por fuerzas de aceleración y desaceleración, que resultan en una o más de las siguientes situaciones: disminución del nivel de conciencia, amnesia, alteración del estado mental en el momento de la lesión, anormalidades objetivables neurológicas o neuropsicológicas, y fractura de cráneo o lesiones intracraneales. En las últimas décadas, se han producido grandes cambios en la profesión de enfermería, uno de los cuales ha sido la introducción del proceso científico a sus actividades, que permite aplicar el marco teórico de la profesión. El objetivo de este trabajo es presentar un caso de traumatismo craneoencefálico y vincularlo al proceso de atención de enfermería. Se trató de una adolescente de 16 años de edad, de raza blanca, que ingresó en la Unidad de Cuidados Intensivos del Hospital Pediátrico Docente Provincial Eliseo Noel Caamaño, de Matanzas. La vinculación de este caso con el proceso de atención de enfermería permite un elevado grado de interacción con el paciente, herramienta básica y primordial en la labor cotidiana del personal de enfermería involucrado en el cuidado humanizado en una unidad de atención al paciente crítico.

ABSTRACT Traumatic brain injury is considered a head injury, resulting from penetrating or blunt trauma by acceleration or deceleration forces resulting in one or more of the following situations: decreased level of consciousness, amnesia, alteration mental status at the time of injury, objectively neurological abnormalities or neuropsychological and skull fracture or intracranial injures. In the last decades many changes have taken place in the nursing profession, one of which has been the introduction of scientific process to its activities, which allows the theoretical framework of the profession to be applied. The aim of this work is to present a case of traumatic brain injury and link it to the nursing care process. It was a 16-years-old white adolescent admitted to the Intensive Care Unit of the Provincial Pediatric Teaching Hospital Eliseo Noel Caamaño in Matanzas. The link of this case with the nurse care process allows a high degree of interaction with the patient, a basic and primary tool in the daily work of the nursing staff involved in humanized care in a critical patient care unit.

RESUMO Introdução: Os avanços da medicina desencadearam um aumento significativo do grau de especialização dos médicos. Entretanto, apesar da crescente procura dos médicos por especialização, existe escassez de profissionais em determinadas áreas, o que torna relevante compreender os fatores e as barreiras que influenciam os alunos de Medicina na tomada da carreira futura. Essa decisão passa por inúmeras reflexões, e o tema tem sido extensamente abordado no mundo tudo. Objetivo: Esta pesquisa visou estudar os principais fatores e motivações que levaram os estudantes do sexto ano da Faculdade de Ciências Médicas da Universidade Metropolitana de Santos (Unimes) a escolher a especialidade médica. Método: Trata-se de um estudo observacional transversal com abordagem quantitativa. Foi realizada uma análise estatística não paramétrica em que se utilizaram a linguagem R versão 4.2.3 e o teste exato de Fisher para testar as hipóteses. Dos 106 alunos matriculados, apenas 90 participaram voluntariamente da pesquisa. Resultado: Na pesquisa, 57 alunos identificaram-se como do gênero feminino e 33 como do masculino, sendo a maioria entre 23 e 26 anos. A grande área médica mais desejada foi a clínica médica (35,6%), seguida da clínica cirúrgica (23,2%), ginecologia e obstetrícia (22,2%) e pediatria (11,1%), sendo as duas últimas escolhidas, majoritariamente, pelo gênero feminino. Entre as especialidades citadas, destacou-se a anestesiologia (13,3%). Os principais fatores e motivações de influência foram: “qualidade de vida e retorno financeiro” (55,6%) e “presença de docente do internato” (53,3%), porém sem significância estatística como as especialidades escolhidas. A área da clínica médica se correlacionou estatisticamente com “oferecer maior envolvimento integral com o paciente, permitindo melhor assistência, além de prática ambulatorial” e a clínica cirúrgica e ginecologia e obstetrícia com “prática de procedimentos invasivos e atendimento de emergência, e predomínio de prática hospitalar”. Dos concluintes, 30% mudaram de opinião durante a graduação e 32,3% pretendem atuar como médicos generalistas e realizar especialização posterior. Conclusão: Este estudo demonstra como diversos fatores dentro da graduação exercem influência direta na escolha da carreira médica pelos estudantes de Medicina. Estudos adicionais são necessários, assim como estratégias de aconselhamento acadêmico, com a finalidade de esclarecer as oportunidades possíveis para cada área médica. Introdução Entretanto áreas futura reflexões tudo Objetivo Unimes (Unimes Método Tratase Trata quantitativa 423 4 2 3 4.2. hipóteses 10 matriculados 9 Resultado 5 identificaramse identificaram masculino anos 35,6%, 356 35,6% , 35 6 (35,6%) 23,2%, 232 23,2% (23,2%) 22,2% 222 22 (22,2% 11,1%, 111 11,1% 11 1 (11,1%) escolhidas majoritariamente citadas destacouse destacou 13,3%. 133 13,3% . 13 (13,3%) foram qualidade financeiro 55,6% 556 55 (55,6% presença internato 53,3%, 533 53,3% 53 (53,3%) oferecer paciente assistência ambulatorial emergência hospitalar. hospitalar hospitalar” concluintes 30 323 32 32,3 posterior Conclusão necessários acadêmico 42 4.2 35,6 (35,6% 23,2 (23,2% 22,2 (22,2 11,1 (11,1% 13,3 (13,3% 55,6 (55,6 53,3 (53,3% 32, 4. 35, (35,6 23, (23,2 22, (22, 11, (11,1 13, (13,3 55, (55, 53, (53,3 (35, (23, (22 (11, (13, (55 (53, (35 (23 (2 (11 (13 (5 (53 (3 ( (1

ABSTRACT Introduction: Advances in medicine have triggered a significant increase in the degree of specialization of doctors. However, despite the growing demand for doctors to specialize, there is a shortage of professionals in certain areas, urging the need to understand the factors and barriers that influence medical students’ decision-making about their future careers. Such decisions are subject to countless reflections and the topic has been extensively discussed worldwide. Objective: This research aimed to study the main factors and motivations that led sixth-year students at Medical Sciences College of the Metropolitan University of Santos (UNIMES,2023) to choose their medical specialty. Method: This is a cross-sectional, observational study with a quantitative approach. Non-parametric statistical analysis was performed using the R language version 4.2.3 and Fisher’s exact test was used on hypotheses. Of the 106 enrolled students, only 90 voluntarily participated in the study. Result: Of the participants, 57 identified as female and 33 as male, with the majority aged between 23 and 26 years. The most desired large medical area was General Internal Medicine (35.6%), followed by Surgery (23.2%), Gynecology and Obstetrics (22.2%), Pediatrics (11.1%), the latter two being favored primarily by women. Prominent among the specialties mentioned was Anesthesiology (13.3%). The main influencing factors and motivations were: “quality of life and financial return” (55.6%) and “presence of teaching staff at the internship” (53.3%), however, with no statistically significance for the chosen specialties. The area of the General Internal Medicine was correlated statistically with “Offers more comprehensive involvement with the patient, allowing better care, in addition to outpatient practice” while Surgery and GO correlated with “Practice of invasive procedures and emergency care, and predominance of hospital practice”. Thirty percent of the graduates changed their minds during undergraduate training and 32.3% intend to work as general practitioners and specialize at a later stage in their career. Conclusion: This study demonstrates how several factors within undergraduate training have a direct influence on students’ choice of medical career. Further studies are needed, as well as academic counseling strategies, in order to clarify the possible opportunities for each medical area. Introduction However areas decisionmaking decision making careers worldwide Objective sixthyear sixth year UNIMES,2023 UNIMES2023 UNIMES 2023 (UNIMES,2023 specialty Method crosssectional, crosssectional cross sectional, sectional cross-sectional approach Nonparametric Non parametric 423 4 2 3 4.2. Fishers Fisher s hypotheses 10 9 Result participants 5 male years 35.6%, 356 35.6% , 35 6 (35.6%) 23.2%, 232 23.2% (23.2%) 22.2%, 222 22.2% 22 (22.2%) 11.1%, 111 11.1% 11 1 (11.1%) women 13.3%. 133 13.3% . 13 (13.3%) were quality return 55.6% 556 55 (55.6% presence internship 53.3%, 533 53.3% 53 (53.3%) however Offers patient care practice Practice practice. 323 32 32.3 career Conclusion needed strategies UNIMES,202 UNIMES202 202 (UNIMES,202 42 4.2 35.6 (35.6% 23.2 (23.2% 22.2 (22.2% 11.1 (11.1% 13.3 (13.3% 55.6 (55.6 53.3 (53.3% 32. UNIMES,20 UNIMES20 20 (UNIMES,20 4. 35. (35.6 23. (23.2 22. (22.2 11. (11.1 13. (13.3 55. (55. 53. (53.3 UNIMES,2 UNIMES2 (UNIMES,2 (35. (23. (22. (11. (13. (55 (53. UNIMES, (UNIMES, (35 (23 (22 (11 (13 (5 (53 (UNIMES (3 (2 (1 (

RESUMO Introdução: A pandemia de Covid-19 evidenciou lacunas no preparo de profissionais de saúde. Objetivo: Este estudo teve como objetivo conhecer as sugestões de profissionais que atuaram na assistência à saúde sobre como melhor prepará-los para lidar com esse contexto. Método: Trata-se de um estudo qualitativo exploratório, em que se realizaram entrevistas semiestruturadas em profundidade com diversas categorias de profissionais de um hospital-escola de alta complexidade do Sul do Brasil. No estudo, adotou-se a sociologia compreensiva como referencial. Resultado: As sugestões para as instituições que prestam atenção à saúde abrangeram maior atenção a seu corpo clínico, com oferta regular de programas de treinamento técnico e preparo psicológico. No caso das instituições de ensino na saúde, houve as seguintes sugestões: maior ênfase do currículo nos aspectos psicológicos e no cuidado integral destinado à saúde do ser humano, com humanização; comunicação; trabalho colaborativo em equipe; liderança e gestão de pessoas; maior carga horária de teoria e prática com simulação e práticas em cenários reais em emergência e cuidado intensivo; aspectos relacionados a conteúdos de medicina de crise, biossegurança e bioética quando os recursos são escassos; e cuidado com pacientes críticos. A literatura aponta que investimentos em programas de educação permanente minimizam os erros evitáveis, melhoram o desempenho da equipe e promovem a valorização profissional. No contexto da pandemia de Covid-19, evidenciou-se a necessidade de aprendizagem do autocuidado, comunicação com pacientes e familiares e estratégias para controle e manejo das emoções. No que diz respeito às habilidades técnicas e científicas a serem enfatizadas frente a crises em massa, destacam-se tópicos relativos à biossegurança e cuidados com pacientes críticos. Considerações finais: As sugestões fornecidas podem contribuir para melhor preparo de profissionais de saúde para atuar em contextos de pandemia. Introdução Covid19 Covid 19 Covid-1 Objetivo preparálos prepará los Método Tratase Trata exploratório hospitalescola hospital escola Brasil adotouse adotou referencial Resultado clínico psicológico humano humanização pessoas intensivo crise escassos críticos evitáveis profissional Covid19, 19, evidenciouse autocuidado emoções massa destacamse destacam finais Covid1 1 Covid-

ABSTRACT Introduction: The COVID-19 pandemic provided evidence of gaps in the preparation of health professionals. The objective of this study was to know the suggestions of professionals who worked in healthcare about how to better prepare them to deal with this context. Method: This was an exploratory qualitative study with in-depth semi-structured interviews of diverse groups of professionals from a high-complexity teaching hospital in the South Region of Brazil. Comprehensive Sociology was used as a framework. Results: The suggestions for institutions that provide healthcare included greater attention to their clinical staff, with regularly offered technical training and psychological preparation programs. Suggestions for health education institutions included greater curricular emphasis on psychological aspects and comprehensive care in human health, with humanization; communication; collaborative teamwork, leadership, and management; greater theoretical and practical course load, with simulation and practice in real emergency and intensive care scenarios, in addition to contents covering crisis medicine, biosafety, bioethics when resources are scarce, and care for critically-ill patients. Discussion: The literature indicates that investments in permanent education programs minimize avoidable errors, improve team performance and promote professional development. In the context of the Covid-19 pandemic, the need to learn self-care, communication with patients and family members and strategies for controlling and managing emotions was highlighted. With regard to technical and scientific skills to be emphasized in the presence of mass crises, topics related to biosafety and care for critically-ill patients are highlighted. Final considerations: The suggestions provided can contribute to better preparation of health professionals to work in pandemic contexts. Introduction COVID19 COVID 19 COVID-1 Method indepth depth semistructured semi structured highcomplexity high complexity Brazil framework Results staff humanization teamwork leadership management load scenarios medicine scarce criticallyill critically ill Discussion errors development Covid19 Covid Covid-1 selfcare, selfcare self care, self-care highlighted crises considerations contexts COVID1 1 COVID- Covid1 Covid-

RESUMEN Fundamento: los cambios acontecidos en la educación médica superior demandan la necesidad de establecer mecanismos de control que contribuyan a garantizar el cumplimiento de indicadores que midan y controlen la calidad de la atención a la salud, a la vez que tributan a la certificación de sus instituciones universitarias. Objetivo: exponer los resultados alcanzados con la implementación de un proyecto de intervención para elevar la calidad en el servicio de Ortopedia y Traumatología del Hospital General Universitario “Mártires del 9 de Abril”, de Sagua la Grande, Villa Clara. Métodos: se realizó una investigación prospectiva longitudinal entre enero 2018-diciembre 2022. Se utilizaron métodos teóricos: análisis-síntesis, inductivo-deductivo e histórico-lógico; empírico: análisis documental; y matemático-estadísticos para el análisis de los datos encontrados. Resultados: en el periodo de aplicación del proyecto para garantizar la calidad del claustro, se elevó el número de educadores con categoría de profesores auxiliares y profesores titulares; más del 50 % adquirieron categorías investigativas, y se incrementó la categoría científica: el 70 % posee título de doctor en ciencias o segundo grado de la especialización. Los índices que miden la producción científica del claustro se encuentran por encima de los establecidos por la Junta de Acreditación Nacional. Conclusiones: se expusieron los resultados satisfactorios alcanzados con la implementación del proyecto de intervención para elevar la calidad en el servicio de Ortopedia y Traumatología, lo cual facilitó su presentación en la Junta de Acreditación Nacional para lograr su evaluación institucional como formadora de profesionales de la salud.

ABSTRACT Background: the changes that have occurred in higher medical education demand the need to establish control mechanisms that contribute to guaranteeing compliance with indicators that measure and control the quality of health care, while contributing to the certification of its university institutions. Objective: to present the results achieved with the implementation of an intervention project to improve the quality of the Orthopedics and Traumatology service at the “Mártires del 9 de Abril” General University Hospital, in Sagua la Grande, Villa Clara. Methods: a longitudinal prospective research was carried out from January 2018 to December 2022. Theoretical methods were used: analysis-synthesis, inductive-deductive and historical-logical; empirical ones: documentary analysis; and mathematical-statistical methods for the analysis of the data found. Results: during the period of application of the project to guarantee the quality of the teaching staff, the number of educators with the rank of assistant professors and full professors increased; More than 50% acquired research rankings, and the scientific rank increased: 70% have a doctorate in science or second level of specialization. The indexes that measure the scientific production of the faculty are above those established by the National Accreditation Board. Conclusions: the satisfactory results achieved with the implementation of the intervention project to raise the quality of the Orthopedics and Traumatology service were presented, which facilitated its presentation to the National Accreditation Board to achieve its institutional evaluation as a trainer of health professionals.

ABSTRACT Introduction: Traumatic brain injury is the leading cause of death and disability in children. Nursing staff must offer specialized and humanized care. Objective: Identify the level of knowledge of nursing staff about traumatic brain injury in a Pediatric Intensive Care Unit. Methods: A cross-sectional qualitative-quantitative descriptive study was carried out to identify the level of knowledge of nursing staff about traumatic brain injury in the Intensive Care Unit at Eliseo Noel Caamaño Pediatric Teaching Hospital, Matanzas, Cuba, from January to April 2022. A knowledge measurement instrument was designed and applied. Results: 92.6% of the professionals were female, mainly ranging 19 and 38 years of age (48.2%). 59.3% of the nurses showed low level of knowledge; 33.3% of them were licensed nurses. The correlation between years of professional experience and level of knowledge was determined. 44.5% of nurses with low knowledge only had 5 years or less in the practice. 59.3% of respondents were not trained on the topic before; 48.2% of them obtained low level of knowledge. Conclusions: It was identified that there are hitches in the level of knowledge of pediatric intensive care nurses about traumatic brain injury. Adequate training is necessary to improve the level of knowledge of professionals working in this area.

RESUMEN Introducción: El traumatismo craneoencefálico es la primera causa de muerte y discapacidad en la población infantil. El personal de enfermería debe ofrecer cuidados especializados y humanizados. Objetivo: Identificar el nivel de conocimiento del personal de enfermería sobre el traumatismo craneoencefálico en una Unidad de Cuidados Intensivos Pediátricos. Métodos: Se realizó un estudio descriptivo, cualicuantitativo y transversal para identificar el nivel de conocimiento del personal de enfermería sobre el traumatismo craneoencefálico en la Unidad de Cuidados Intensivos del Hospital Pediátrico Docente “Eliseo Noel Caamaño” de Matanzas, Cuba, en el período entre enero y abril de 2022. Se diseñó y aplicó un instrumento de medición de conocimientos. Resultados: El 92,6 % de los profesionales correspondió al sexo femenino, principalmente en edades entre 19 y 38 años (48,2 %). El 59,3 % de los enfermeros mostró un nivel de conocimiento bajo; de ellos, el 33,3 % eran enfermeros licenciados. Se determinó la correlación entre los años de experiencia profesional y el nivel de conocimiento. El 44,5 % de los enfermeros con bajo conocimiento solo contaba con cinco años o menos de práctica. El 59,3 % de los encuestados no fueron capacitados antes sobre el tema; de ellos, el 48,2 % obtuvo un nivel de conocimiento bajo. Conclusiones: Se identificó que existen dificultades en el nivel de conocimiento de los enfermeros intensivistas pediátricos sobre el traumatismo craneoencefálico. Se necesita una capacitación adecuada que mejore el nivel de conocimiento de los profesionales que trabajan en esta área.

BACKGROUND: A theory-practice gap in nursing education often occurs, and the staff from the nursing education institution and the associated healthcare services should find ways to improve their collaboration to reduce the gap during the training of nursing students AIM: This study aimed to develop context-specific collaboration guidelines for a nursing education institution and associated healthcare services SETTING: Private hospital in the Gauteng province of South Africa METHODS: Guidelines were developed from the findings of an integrative literature review. Thereafter, it was contextualised in a qualitative study with focus group discussions (FGDs) involving 9 theoretical lecturers and 10 clinical facilitators RESULTS: In the partnership between the nursing education institution and the associated healthcare services, bilateral communication, cooperation between the theoretical lecturers and the clinical facilitators in delivering evidence-based patient care, intensified innovation in teaching and learning practices and an environment conducive to theory-practice integration should be emphasised CONCLUSION: A set of context-specific guidelines was developed to enable the theoretical lecturers and the clinical facilitators to collaborate in supporting nursing students to apply their theoretical knowledge in the development of clinical competencies CONTRIBUTION: The guidelines can be adjusted to suit the context of other nursing education institutions and their associated healthcare services to improve collaboration between theoretical lecturers and clinical facilitators to the benefit students' skills development in theory-practice integration

Abstract Paper aims This study demonstrates the complexity of the patient flow from admission to discharge of an adult Intensive Care Unit (ICU) through the application of the Functional Resonance Analysis Method (FRAM). Originality This paper shows the daily functioning of the patient flow, shedding light on the high levels of interdependence and variabilities in Complex Sociotechnical Systems. Research method The research was developed according to the four steps for FRAM analysis. Sources of evidence involved empirical data collection in a leading teaching public hospital in Brazil. Main findings There were identified 34 functions performed mainly by caregivers and support staff. Five instantiations were described to illustrate the functional resonance scenarios caused by the variability propagation across the functions. Implications for theory and practice Limitations of this study and suggestions for future research are pointed out. The resulting model is a basis for context understanding for ongoing and following studies. ICU (ICU FRAM. . (FRAM) Systems analysis Brazil 3 staff out studies (FRAM

Resumen Objetivo Investigar cómo enfermeros de distintos escenarios de práctica operacionalizan el alta hospitalaria responsable, y cuánto tiempo se dedican a este proceso. Métodos Web Survey realizada con 71 enfermeros de 29 hospitales del estado de São Paulo, de febrero a septiembre de 2021. Catorce actividades, validadas por especialistas en etapa anterior, fundamentaron la construcción del cuestionario sometido a la prueba piloto. En la prueba se solicitaron datos personales y profesionales de los encuestados, además de la regularidad, momento, profesionales involucrados y tiempo estimado para la conducción de las actividades en el alta hospitalaria. Para el análisis estadístico se aplicaron medidas de tendencia central y pruebas paramétricas y no paramétricas para la comparación de las variables. Resultados Los enfermeros estaban vinculados a hospitales universitarios (n=46), públicos (n=14) y privados (n=11). Mayormente eran de sexo femenino 66 (93 %), con edad promedio de 36 (DP 7,0) años; y tiempo de actuación profesional de 11,8 (DP 7,1) años. En su mayoría, desempeñaba función clínica/asistencial. Se reportó que la mayoría de las actividades era realizada con regularidad en los primeros cuatro días de internación. Programación de visita domiciliaria, identificación de problemas posteriores al alta y contacto telefónico (de hasta siete días) nunca eran ejecutados por los enfermeros; 44 (63,7 %), 41 (58,6 %) y 51 (71,8 %), respectivamente. El tiempo promedio estimado para el proceso representó 257,5 minutos. Conclusión La no implementación de forma sistemática de varias actividades y el tempo significativo demandado en el proceso pueden orientar a los gestores en la revisión de protocolos relativos al alta responsable y en la gestión de las prácticas para el perfeccionamiento del proceso. 7 2 Paulo 2021 anterior piloto encuestados momento variables n=46, n46 n n=46 , 46 (n=46) n=14 n14 14 (n=14 n=11. n11 n=11 . 11 (n=11) 6 93 (9 %, % 3 DP 7,0 70 0 años 118 8 11, 7,1 1 clínicaasistencial clínica asistencial clínica/asistencial internación domiciliaria 4 63,7 637 63 (63, 58,6 586 58 (58, 5 71,8 718 (71, respectivamente 2575 257 257, minutos 202 n4 n=4 (n=46 n=1 n1 (n=1 (n=11 9 ( 7, 63, (63 58, (58 71, (71 25 20 n= (n=4 (n= (6 (5 (7 (n

Abstract Objective To investigate how nurses from different practice settings operationalize responsible hospital discharge, and how much time they dedicate to this process. Methods This is a web survey carried out with 71 nurses from 29 hospitals in the state of São Paulo between February and September 2021. Fourteen activities, validated by specialists in a previous stage, supported the construction of a questionnaire submitted to a pre-test. Respondents’ personal and professional data were requested, as well as the regularity, moment, professionals involved and estimated time for carrying out activities at hospital discharge. For statistical analysis measures of central tendency and parametric and non-parametric tests were applied to compare the variables. Results Nurses were linked to teaching (n=46), public (n=14) and private (n=11) hospitals. They were mostly female, 66 (93%), with a mean age of 36 (SD 7.0), years and professional experience time of 11.8 (SD 7.1) years. For the most part, they performed a clinical/assistance role. It was reported that most activities were performed regularly in the first four days of hospitalization. Scheduling home visits, identifying post-discharge problems and telephone contact (up to seven days) were never carried out by nurses, 44(63.7%), 41(58.6%) and 51(71.8%), respectively. The estimated average time for the process represented 257.5 minutes. Conclusion Failure to systematically implement various activities and the significant time required in the process can guide managers in reviewing protocols related to responsible discharge and in managing practices to improve the process. 7 2 2021 stage pretest. pretest pre test. test pre-test Respondents requested regularity moment nonparametric non variables n=46, n46 n n=46 , 46 (n=46) n=14 n14 14 (n=14 n=11 n11 11 (n=11 female 6 93%, 93 93% (93%) 3 SD 7.0, 70 7.0 0 7.0) 118 8 11. 7.1 1 part clinicalassistance clinical assistance role hospitalization visits postdischarge post up 4463.7%, 44637 44 63.7% 63 44(63.7%) 4158.6% 41586 41 58.6% 58 41(58.6% 5171.8%, 51718 51 71.8% 51(71.8%) respectively 2575 257 5 257. minutes 202 n4 n=4 4 (n=46 n=1 n1 (n=1 9 (93% 7. 4463 4463.7% 637 63.7 44(63.7% 4158 4158.6 586 58.6 41(58.6 5171 5171.8% 718 71.8 51(71.8% 25 20 n= (n=4 (n= (93 446 4463.7 63. 44(63.7 415 4158. 58. 41(58. 517 5171.8 71. 51(71.8 (n (9 4463. 44(63. 41(58 5171. 51(71. ( 44(63 41(5 51(71 44(6 41( 51(7 44( 51(

Resumo Objetivo Investigar como enfermeiros de diferentes cenários de prática operacionalizam a alta hospitalar responsável, e quanto tempo eles se dedicam a este processo. Métodos Web Survey realizada com 71 enfermeiros de 29 hospitais do Estado de São Paulo, entre fevereiro e setembro de 2021. Quatorze atividades, validadas por especialistas em etapa anterior, embasaram a construção do questionário submetido ao pré-teste. Nele, foram solicitados dados pessoais e profissionais dos respondentes e, também, a regularidade, momento, profissionais envolvidos e tempo estimado para a condução das atividades na alta hospitalar. Para análise estatística aplicou-se medidas de tendência central e testes paramétricos e não paramétricos para comparação das variáveis. Resultados Os enfermeiros estavam vinculados a hospitais de ensino (n=46); públicos (n=14) e privados (n=11). Eram, majoritariamente, do sexo feminino 66(93%), com idade média de 36(DP 7,0); anos e tempo de atuação profissional de 11,8(DP 7,1) anos. Em sua maioria, desempenhava, função clínico/assistencial. Relatou-se que a maioria das atividades era realizada com regularidade nos primeiros quatro dias de internação. Agendamento de visita domiciliar, identificação de problemas pós-alta e contato telefônico (até sete dias) nunca eram executados pelos enfermeiros; 44(63,7%), 41(58,6%) e 51(71,8%), respectivamente. O tempo médio estimado para o processo representou 257,5 minutos. Conclusão A não implementação de forma sistemática de várias atividades e o tempo significativo demandado no processo podem nortear os gestores na revisão de protocolos relativos à alta responsável e no gerenciamento das práticas para o aprimoramento do processo. 7 2 Paulo 2021 anterior préteste. préteste pré teste. teste pré-teste Nele também momento aplicouse aplicou variáveis n=46 n46 n 46 (n=46) n=14 n14 14 (n=14 n=11. n11 n=11 . 11 (n=11) Eram majoritariamente 6693%, 6693 66 93% , 93 66(93%) 36DP DP 36 7,0 70 0 7,0) 11,8DP 118DP 11,8 8 7,1 1 desempenhava clínicoassistencial clínico assistencial clínico/assistencial Relatouse Relatou internação domiciliar pósalta pós até 4463,7%, 44637 44 63,7% 63 44(63,7%) 4158,6% 41586 41 58,6% 58 6 41(58,6% 5171,8%, 51718 51 71,8% 51(71,8%) respectivamente 2575 257 5 257, minutos 202 n=4 n4 4 (n=46 n=1 n1 (n=1 (n=11 6693% 669 9 66(93% 3 7, 8DP 118 11, 4463 4463,7% 637 63,7 44(63,7% 4158 4158,6 586 58,6 41(58,6 5171 5171,8% 718 71,8 51(71,8% 25 20 n= (n=4 (n= 66(93 446 4463,7 63, 44(63,7 415 4158, 58, 41(58, 517 5171,8 71, 51(71,8 (n 66(9 4463, 44(63, 41(58 5171, 51(71, 66( 44(63 41(5 51(71 44(6 41( 51(7 44( 51(

RESUMEN Objetivo: Conocer la percepción de los estudiantes y el personal de enfermería sobre el proyecto de extensión “Caminando por el hospital”. Método: Estudio cualitativo realizado en un hospital universitario brasileño de noviembre/2019 a abril/2022 con estudiantes y profesionales de enfermería participantes en un proyecto de extensión universitaria. Los datos se recogieron mediante instrumentos en la plataforma Google Forms® y se sometieron a un análisis temático de contenido. El proyecto fue aprobado por el comité de ética. Resultados: Participaron en el estudio 15 académicos, cuatro enfermeros y seis técnicos de enfermería. Del análisis surgieron cuatro categorías: “Conociendo el entorno/dinámica del hospital”, “Articulación entre la teoría y la práctica”, “Vínculo entre los estudiantes y los profesionales sanitarios” y “Proceso de trabajo en la unidad”. Consideraciones finales: Los resultados ponen de manifiesto la importancia de la extensión universitaria al proporcionar conocimientos y experiencias de la práctica clínica hospitalaria, que pueden contribuir al fortalecimiento de la enseñanza y la formación académica en enfermería. Objetivo Caminando hospital. . hospital” Método noviembre2019 noviembre 2019 noviembre/201 abril2022 abril 2022 abril/202 Forms contenido ética Resultados 1 académicos categorías Conociendo entornodinámica entorno dinámica hospital, , Articulación práctica, práctica” Vínculo sanitarios Proceso unidad. unidad unidad” finales hospitalaria noviembre201 201 noviembre/20 abril202 202 abril/20 noviembre20 20 noviembre/2 abril20 abril/2 noviembre2 2 noviembre/ abril2 abril/

ABSTRACT Objective: To know the perception of academics and nursing staff about the extension project “Walking through the hospital”. Method: Qualitative study conducted in a Brazilian university hospital from November/2019 to April/2022 with nursing students and professionals participating in a university extension project. Data were collected using instruments on the Google Forms® platform and submitted to Content Thematic Analysis. The project was approved by the Ethics Committee. Results: Fifteen academics, four nurses and six nursing technicians participated in the study. Four categories emerged from the analysis: “Knowing the hospital environment/dynamics”, “Articulation between theory and practice”,“Bond between academics and health care professionals” and “Work process in the unit”. Final considerations: The findings highlight the importance of university extension in providing knowledge and experienceof hospital clinical practice, which can contribute to strengthening teaching and academic training in nursing. Objective Walking hospital. . hospital” Method November2019 November 2019 November/201 April2022 April 2022 April/202 Forms Analysis Committee Results analysis Knowing environment/dynamics, environmentdynamics environment/dynamics , environment dynamics environment/dynamics” Articulation practice,Bond practiceBond practice Bond Work unit. unit unit” considerations November201 201 November/20 April202 202 April/20 November20 20 November/2 April20 April/2 November2 2 November/ April2 April/

RESUMO Objetivo: Conhecer a percepção de acadêmicos(as) e equipe de enfermagem sobre o projeto de extensão “Caminhando pelo hospital”. Método: Estudo qualitativo realizado em hospital universitário brasileiro de novembro/2019 a abril/2022 com acadêmicos e profissionais de enfermagem participantes de um projeto de extensão universitária. Os dados foram coletados por meio de instrumentos na plataforma Google Forms® e submetidos à Análise da Temática de Conteúdo. Projeto aprovado pelo Comitê de Ética. Resultados: Participaram do estudo 15 acadêmicos, quatro enfermeiros e seis técnicos de enfermagem. Da análise, emergiram quatro categorias: “Conhecendo o ambiente/dinâmica hospitalar”, “Articulação entre teoria e prática”, “Vínculo entre acadêmicos e profissionais da saúde” e “Processo de trabalho da unidade”. Considerações finais: Os achados evidenciam a importância da extensão universitária ao proporcionar conhecimentos e experiências da prática clínica hospitalar, o que pode contribuir no fortalecimento do ensino e da formação acadêmica em enfermagem. Objetivo acadêmicosas as acadêmicos(as Caminhando hospital. . hospital” Método novembro2019 novembro 2019 novembro/201 abril2022 abril 2022 abril/202 Forms Conteúdo Ética Resultados 1 análise categorias Conhecendo ambientedinâmica ambiente dinâmica hospitalar , hospitalar” Articulação prática, prática” Vínculo saúde Processo unidade. unidade unidade” finais novembro201 201 novembro/20 abril202 202 abril/20 novembro20 20 novembro/2 abril20 abril/2 novembro2 2 novembro/ abril2 abril/

RESUMEN Objetivo: identificar el conocimiento del equipo de enfermería sobre la seguridad del paciente y la ocurrencia de eventos adversos en la Atención Médica de Urgencia. Método: estudio transversal, cuantitativo, desarrollado en un hospital escuela de la región Centro-Oeste de Brasil. Se realizó a profesionales de enfermería a través de un cuestionario online con preguntas relacionadas con la seguridad del paciente, aplicado en septiembre de 2021. El análisis de los datos fue descriptivo. Resultado: Noventa profesionales participaron en el estudio, siendo 28(31,1%) enfermeros y 62(68,9%) técnicos de enfermería. En la evaluación de los ítems del cuestionario, el mejor porcentaje de aciertos fue sobre higiene de manos 84(93,3%), el ítem peor evaluado fue protocolo de identificación del paciente 45(50%). Las úlceras por presión se señalaron como el acontecimiento adverso más frecuente 28(33%). Conclusión: los resultados muestran que la formación continua es esencial para que los profesionales apliquen en la práctica los objetivos internacionales de seguridad del paciente. Objetivo Urgencia Método transversal cuantitativo CentroOeste Centro Oeste Brasil 2021 descriptivo Resultado 2831,1% 28311 28 31,1% 31 1 28(31,1% 6268,9% 62689 62 68,9% 68 9 62(68,9% 8493,3%, 84933 84 93,3% , 93 3 84(93,3%) 4550%. 4550 45 50% . 50 45(50%) 2833%. 2833 33% 33 28(33%) Conclusión 202 2831 2831,1 2 311 31,1 28(31,1 6268 6268,9 6 689 68,9 62(68,9 8493 8493,3% 8 933 93,3 84(93,3% 4550% 455 4 5 45(50% 2833% 283 28(33% 20 2831, 31, 28(31, 626 6268, 68, 62(68, 849 8493,3 93, 84(93,3 45(50 28(33 28(31 62(68 8493, 84(93, 45(5 28(3 62(6 84(93 45( 28( 62( 84(9 84(

ABSTRACT Objective: to identify the nursing staff knowledge about patient safety and the occurrence of adverse events in Emergency Medical Care. Method: cross-sectional, quantitative study, developed in a teaching hospital in the Midwest region of Brazil. It was conducted with nursing professionals through an online questionnaire containing questions related to patient safety, applied in September 2021. The data analysis was descriptive. Results: Ninety professionals participated in the study, 28(31.1%) being nurses and 62(68.9%) nursing technicians. In the evaluation of the questionnaire items, the best score was about hand hygiene 84(93.3%), the worst evaluated item was patient identification protocol 45(50%). Pressure ulcers were indicated as the most frequent adverse event 28(33%). Conclusion: the results indicate that continuing education is essential for professionals to apply the international patient safety goals in practice. Objective Care Method crosssectional, crosssectional cross sectional, sectional cross-sectional study Brazil 2021 descriptive Results 2831.1% 28311 28 31.1% 31 1 28(31.1% 6268.9% 62689 62 68.9% 68 9 62(68.9% technicians items 8493.3%, 84933 84 93.3% , 93 3 84(93.3%) 4550%. 4550 45 50% . 50 45(50%) 2833%. 2833 33% 33 28(33%) Conclusion practice 202 2831 2831.1 2 311 31.1 28(31.1 6268 6268.9 6 689 68.9 62(68.9 8493 8493.3% 8 933 93.3 84(93.3% 4550% 455 4 5 45(50% 2833% 283 28(33% 20 2831. 31. 28(31. 626 6268. 68. 62(68. 849 8493.3 93. 84(93.3 45(50 28(33 28(31 62(68 8493. 84(93. 45(5 28(3 62(6 84(93 45( 28( 62( 84(9 84(

RESUMO Objetivo: identificar o conhecimento da equipe de enfermagem sobre a segurança do paciente e a ocorrência de eventos adversos em Pronto Atendimento Médico. Método: estudo transversal, quantitativo, desenvolvido em hospital de ensino da região Centro-Oeste do Brasil. Foi realizado com profissionais de enfermagem por meio de um questionário online contendo questões relacionadas à segurança do paciente, aplicado em setembro de 2021. A análise dos dados foi descritiva. Resultado: Noventa profissionais participaram do estudo, sendo 28(31,1%) enfermeiros e 62(68,9%) técnicos de enfermagem. Na avaliação dos itens do questionário, o melhor índice de acerto foi sobre higienização das mãos 84(93,3%), o pior item avaliado foi protocolo de identificação do paciente 45(50%). A lesão por pressão foi apontada como o evento adverso mais frequente 28(33%). Conclusão: os resultados evidenciam que a educação permanente é fundamental para os profissionais aplicarem as metas internacionais de segurança do paciente na prática. Objetivo Médico Método transversal quantitativo CentroOeste Centro Oeste Brasil 2021 descritiva Resultado 2831,1% 28311 28 31,1% 31 1 28(31,1% 6268,9% 62689 62 68,9% 68 9 62(68,9% 8493,3%, 84933 84 93,3% , 93 3 84(93,3%) 4550%. 4550 45 50% . 50 45(50%) 2833%. 2833 33% 33 28(33%) Conclusão prática 202 2831 2831,1 2 311 31,1 28(31,1 6268 6268,9 6 689 68,9 62(68,9 8493 8493,3% 8 933 93,3 84(93,3% 4550% 455 4 5 45(50% 2833% 283 28(33% 20 2831, 31, 28(31, 626 6268, 68, 62(68, 849 8493,3 93, 84(93,3 45(50 28(33 28(31 62(68 8493, 84(93, 45(5 28(3 62(6 84(93 45( 28( 62( 84(9 84(

ABSTRACT Introduction: Studies show that stress is the second more important health problem related to the employment, which ratifies the existence of a high level of this disorder perceived by the sanitary professionals, being the nursing personnel one of the most affected in the working environment. Objective: To determine the prevalence of the syndrome of burnout in the nursing staff of the Surgical Unit at Dr. Joaquín Castillo Duany Hospital in times of COVID-19. Methods: A descriptive and cross-sectional study was carried out from August to December, 2020 that included 28 nursing professionals of the Surgical Unit of Dr. Joaquín Castillo Duany Teaching Clinical Surgical Hospital from Santiago de Cuba. The data were obtained of the surveys based on the Maslach Burnout Inventory questionnaire. Results: The female sex prevailed among the interviewed professionals (85.7 %). Most of them had more than 10 years of working experience in the institution; 10.7 % of them had high level of depersonalization. Also, 14.3 % referred emotional fatigue and just 21.4 % felt that possessed a low personal realization. No worker was diagnosed with the syndrome of burnout. Conclusions: There is no homogeneity among the results obtained in diverse investigations regarding the existence of this disorder in the health staff. The above-mentioned could respond to particularities characteristic of the workspaces, to the type of hospital institution, the volume of medical assistance offered and to the presence or not of external stress agents as the COVID-19.

RESUMEN Introducción: Estudios muestran que el estrés es el segundo problema de salud más importante relacionado con el empleo, lo cual ratifica la existencia de un elevado nivel de este trastorno percibido por los profesionales sanitarios, siendo el personal de enfermería uno de los más afectados en el entorno laboral. Objetivo: Determinar la prevalencia del síndrome de desgaste profesional en el personal de enfermería de la Unidad Quirúrgica del Hospital Dr. Joaquín Castillo Duany en tiempos de la COVID-19. Métodos: Se realizó un estudio descriptivo y transversal, desde agosto hasta diciembre del 2020, que incluyó a 28 profesionales de enfermería de la Unidad Quirúrgica del Hospital Clinicoquirúrgico Docente Dr. Joaquín Castillo Duany de Santiago de Cuba. Los datos se obtuvieron de las encuestas basadas en el cuestionario Maslach Burnout Inventory. Resultados: Predominó el sexo femenino entre los profesionales encuestados (85,7 %). La mayoría sobrepasaban los 10 años de experiencia laboral en la institución; 10,7 % de ellos tenían alto nivel de despersonalización. Asimismo, 14,3 % refirió cansancio emocional y solo 21,4 % sintió que poseía una baja realización personal. Ningún trabajador fue diagnosticado con el síndrome de desgaste profesional. Conclusiones: No existe homogeneidad entre los resultados obtenidos en diversas investigaciones respecto a la existencia de esta alteración en el personal de la salud. Lo anterior pudiera responder a particularidades propias de las áreas de trabajo, al tipo de institución hospitalaria, el volumen de asistencia médica prestada y a la presencia de estresores externos o no como la COVID-19.