PapersFlow Research Brief
Health, Nursing, Elderly Care
Research Guide
What is Health, Nursing, Elderly Care?
Health, Nursing, Elderly Care is a cluster of research exploring the evolution, challenges, and innovations in Brazil's healthcare system, including primary care, chronic diseases, quality of life, community-based care, aging population, health policy, social determinants of health, and healthcare access.
This field encompasses 130,391 works focused on Brazil's health system. Key areas include evidence-based practices in nursing, geriatric assessment tools, and management of chronic non-communicable diseases. Research emphasizes integrative reviews and policy developments like the Unified Health System.
Topic Hierarchy
Research Sub-Topics
Brazilian Unified Health System
This sub-topic examines the structure, evolution, and challenges of Brazil's SUS (Sistema Único de Saúde), including its funding mechanisms and policy reforms. Researchers study its implementation, coverage disparities, and impacts on population health outcomes.
Primary Care in Brazil
This sub-topic focuses on the Family Health Strategy (Estratégia Saúde da Família) and community health workers in delivering primary care. Researchers investigate its effectiveness in preventive care, chronic disease management, and health equity.
Chronic Non-Communicable Diseases in Brazil
This sub-topic covers epidemiology, burden, and management of NCDs such as hypertension, diabetes, and cardiovascular diseases in the Brazilian context. Researchers analyze social determinants, intervention strategies, and policy responses.
Geriatric Care and Gerontology in Brazil
This sub-topic explores aging-related health issues, cognitive assessments like the Mini-Mental State Examination, and geriatric nursing practices tailored to Brazil. Researchers study quality of life, dementia care, and elderly health services.
Health Inequalities and Social Determinants in Brazil
This sub-topic investigates disparities in healthcare access influenced by socioeconomic status, race, and geography within Brazil. Researchers examine social determinants and their role in health outcomes and policy equity.
Why It Matters
Papers in this field address Brazil's Unified Health System, which expanded access despite regional inequalities, as detailed in 'The Brazilian health system: history, advances, and challenges' (Paim et al., 2011), serving over 190 million people through primary care networks. Tools like the Mini-Mental State Examination adaptations in 'Sugestões para o uso do mini-exame do estado mental no Brasil' (Brucki et al., 2003) enable cognitive screening for aging populations, with norms from 433 healthy individuals. Quality of life assessments via 'Aplicação da versão em português do instrumento abreviado de avaliação da qualidade de vida "WHOQOL-bref"' (Fleck et al., 2000) support chronic disease management, while recent preprints highlight nurse-led interventions reducing readmissions in multimorbidity cases.
Reading Guide
Where to Start
'Integrative review: what is it? How to do it?' by Souza et al. (2010), as it provides a clear methodological foundation for synthesizing evidence in nursing and health research, essential for understanding evidence-based practices in elderly care.
Key Papers Explained
'Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem' (Mendes et al., 2008, 4086 citations) establishes integrative review methods, built upon by 'Integrative review: what is it? How to do it?' (Souza et al., 2010, 3459 citations) detailing phases. 'The Brazilian health system: history, advances, and challenges' (Paim et al., 2011, 2311 citations) contextualizes system reforms, extended in 'Brazil's unified health system: the first 30 years and prospects for the future' (Castro et al., 2019, 984 citations). 'Chronic non-communicable diseases in Brazil: burden and current challenges' (Schmidt et al., 2011) links policy to aging burdens.
Paper Timeline
Most-cited paper highlighted in red. Papers ordered chronologically.
Advanced Directions
Recent preprints examine nurse-led interventions for multimorbidity, hospital-to-home transitions in older adults, and comprehensive geriatric assessments by nurses in primary care. 'Humanized and Community-Based Nursing for Geriatric Care' emphasizes empathy-driven models. Policy news covers funding extensions for nursing homes and deregulation effects on elderly protections.
Papers at a Glance
| # | Paper | Year | Venue | Citations | Open Access |
|---|---|---|---|---|---|
| 1 | Revisão integrativa: método de pesquisa para a incorporação de... | 2008 | Texto & Contexto - Enf... | 4.1K | ✓ |
| 2 | Integrative review: what is it? How to do it? | 2010 | Einstein (São Paulo) | 3.5K | ✓ |
| 3 | The Brazilian health system: history, advances, and challenges | 2011 | The Lancet | 2.3K | ✓ |
| 4 | Sugestões para o uso do mini-exame do estado mental no Brasil | 2003 | Arquivos de Neuro-Psiq... | 2.2K | ✓ |
| 5 | Aplicação da versão em português do instrumento abreviado de a... | 2000 | Revista de Saúde Pública | 1.9K | ✓ |
| 6 | Tratado de geriatria e gerontologia | 2006 | — | 1.9K | ✕ |
| 7 | Chronic non-communicable diseases in Brazil: burden and curren... | 2011 | The Lancet | 1.6K | ✕ |
| 8 | Coping e qualidade de vida em pacientes listados para transpla... | 2018 | — | 1.4K | ✕ |
| 9 | Amostragem por saturação em pesquisas qualitativas em saúde: c... | 2008 | Cadernos de Saúde Pública | 1.1K | ✓ |
| 10 | Brazil's unified health system: the first 30 years and prospec... | 2019 | The Lancet | 984 | ✓ |
In the News
These 3 Policy Moves Are Likely To Change Health Care ...
THE NEW OLD AGE # These 3 Policy Moves Are Likely To Change Health Care for Older People By **Paula Span** January 23, 2026 Republish This Story
These 3 policy moves are likely to change health care for ...
Posted inInvestigative: Health # These 3 policy moves are likely to change health care for older people Trump administration’s deregulation efforts roll back elderly care protections
House passes appropriations package for health care ...
The House Jan. 22 voted341-88 to pass a three-bill minibus for fiscal year 2026 that includes funding for key health programs and other bipartisan health care provisions and extensions. The bill in...
Court blocks state's attempt to end capital funding for aging ...
Nearly 100 nursing homes can continue receiving state funding to help fund capital improvements at their aging facilities — at least for now.
Impact of Government Shutdown on Nursing Home Care
On October 1, 2025, current funding for the federal government expired. As a result, funding for discretionary federal programs will not continue until Congress agrees on a funding extension. Whil...
Code & Tools
The scope for this app includes everything an Elderly person needs. It primarily consists of three parts, the health tracker, medicine reminder, an...
GeriLife is a comprehensive toolkit designed to empower caregivers in elder-care communities, promoting wellness and ensuring equitable engagement ...
App helps caregivers manage stress, appointments, and health emergencies. Provides information on elderly care options: long- term care, nursing, h...
The Elderly Care Management System is a web application designed to provide a centralized platform for managing elderly care services. It aims to c...
Balagurunath] , and Shay Chaudhary . Our Android app, Curae Suprema, provides an elder individual with an easy-to-use tool to monitor their daily t...
Recent Preprints
Humanized and Community-Based Nursing for Geriatric Care
**Background**: As global populations age, the demand for effective and compassionate geriatric care has intensified. Humanized nursing emphasizes empathy and person-centered care, while community-...
Nurse-Led Interventions to Improve Health, Adherence, and Functional Outcomes in Adults and Older Adults With Multimorbidity: A Systematic Review of Randomized and Quasiexperimental Studies
PMCID: PMC12473742 PMID: 41019866 ## Abstract **Objective:** To synthesize evidence from randomized controlled trials (RCTs) and quasiexperimental studies evaluating the effectiveness of nurse-...
The effectiveness of interventions on clinical and patient-reported outcomes in hospital-to-home transitions of older adults: a systematic review
The global ageing population presents growing challenges for health and social care systems, particularly during transitions from hospital to home for older adults. These high-risk periods are asso...
Effectiveness of comprehensive geriatric assessment adapted to primary care when provided by a nurse or a general practitioner: the CEpiA cluster-randomised trial
Distributed under a Creative Commons Attribution - NonCommercial - NoDerivatives 4.0 International License Effectiveness of comprehensive geriatric assessment adapted to primary care when provided ...
Shaping older adults' care policy: a scoping review of key ...
Our review of 120 publications identified socio-demographic characteristics, caregiver support, health conditions, healthcare system attributes, funding policies, and person-centered care as key de...
Latest Developments
Recent developments in health, nursing, and elderly care research as of February 2026 include the integration of AI, telehealth, and holistic support in elder care, with a focus on aging in place and improving quality of life (advancednursing.care). Additionally, there is a growing emphasis on well-being, purpose, and autonomy in senior living environments, alongside innovative approaches to nursing care in various settings (ccl-hg.com, mdpi.com). Research also highlights the importance of interventions during hospital-to-home transitions, fall prevention strategies, and improving end-of-life care in nursing homes (springer.com, jamanetwork.com).
Sources
Frequently Asked Questions
What is an integrative review in nursing research?
An integrative review synthesizes knowledge from significant studies for clinical applicability, as outlined in 'Integrative review: what is it? How to do it?' (Souza et al., 2010). It involves phases like formulating questions, searching literature, and evaluating data quality. This method aids evidence incorporation in health and nursing practices.
How is the Mini-Mental State Examination applied in Brazil?
Suggestions for uniform application of the Mini-Mental State Examination in Brazil derive from evaluating 433 healthy individuals, per 'Sugestões para o uso do mini-exame do estado mental no Brasil' (Brucki et al., 2003). Cutoff scores adjust for education levels to detect cognitive impairment. It serves as a standardized tool for elderly cognitive screening.
What challenges does Brazil's health system face with chronic diseases?
'Chronic non-communicable diseases in Brazil: burden and current challenges' (Schmidt et al., 2011) identifies rising burdens from cardiovascular diseases and diabetes amid social inequalities. Interventions target prevention through primary care expansions. These diseases account for major morbidity in aging populations.
What is the WHOQOL-bref instrument?
The WHOQOL-bref is a 26-item abbreviated version assessing quality of life across physical, psychological, social, and environmental domains, validated in 'Aplicação da versão em português do instrumento abreviado de avaliação da qualidade de vida "WHOQOL-bref"' (Fleck et al., 2000). It enables rapid evaluation in Portuguese-speaking populations. Scores correlate with health outcomes in chronic care settings.
What methodological contributions exist for qualitative health research?
'Amostragem por saturação em pesquisas qualitativas em saúde: contribuições teóricas' (Fontanella et al., 2008) explains theoretical saturation sampling for transparent data collection in qualitative studies. It ensures rigor by stopping recruitment when new data repeats patterns. This approach enhances credibility in nursing and elderly care inquiries.
What advances mark Brazil's Unified Health System?
'Brazil's unified health system: the first 30 years and prospects for the future' (Castro et al., 2019) reviews 30 years of the system, noting universal coverage achievements and future equity challenges. It highlights primary care expansions reducing hospitalizations. Ongoing reforms address aging population demands.
Open Research Questions
- ? How can nurse-led comprehensive geriatric assessments in primary care optimize outcomes compared to general practitioner delivery, as tested in cluster-randomized trials?
- ? What interventions most effectively support hospital-to-home transitions for older adults to prevent functional decline and readmissions?
- ? In what ways do humanized and community-based nursing models leverage local networks to enhance geriatric care quality?
- ? How do policy changes in funding and deregulation impact nursing home protections and elderly care access?
- ? What nurse-led strategies best improve adherence and functional outcomes in multimorbid older adults?
Recent Trends
Field growth centers on Brazil's Unified Health System evaluations, with 'Brazil's unified health system: the first 30 years and prospects for the future' (Castro et al., 2019) marking recent high-citation policy analysis amid 130,391 works.
Preprints shift to nurse-led models, including interventions for multimorbidity (PMCID: PMC12473742) and geriatric assessments (CEpiA trial by Orcel et al.).
News highlights policy moves like House appropriations for health programs (Jan 2026) and court blocks on nursing home funding cuts.
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