Introduction: The multiple changes that have occurred because of changes in society and the achievements of people with disabilities regarding their rights are great achievements. However, this was only possible due to the effort and dedication of numerous associations. Aims: To identify the associations that support people with disabilities in Lisbon and make their social and demographic profile. Methodology: At first, there was an exploratory phase for the data collection on the websites; at the second phase, we took an individual approach to obtain information about each association. Results: The 1st Association was born at the end of the 19th century, in 1888, and the last one appeared in 2005. From the 24 associations, that support people with disabilities and/or their families, that emerged in the last 50 years, only 8 (33%) are focusing on early intervention. Conclusion: The findings point to the importance that these associations have on the social environment, since they integrate experts on disability and more competent authorities to raise awareness of society, in order to promote a better quality of life for these persons.
Goal: To analyze the simulation contribution to the development of non-technical skills in pre-hospital emergency nurses. Method: Descriptive, analytic study using a Web questionnaire. A convenience sample was used in the central south region of Portugal made up by 52% of nurses (N = 65) working in prehospital emergency teams from three regions. The data were analyzed using the SPSS22, proceeding to a descriptive analysis of the same and subsequent analysis, using the measures of central tendency and dispersion. The study was approved by a competent Ethics Committee. Results: The simulation emerges as a strategy used in the training of these professionals both in the school and work context, being valued for the acquisition and development of non-technical skills. Nurses value the use of non-technical skills at the event and context for study, identifying them clearly and assigning them different levels of relevance. Knowledge is regarded as important resources in the process of care in complex situations for which the Debriefing, as time of simulation, is considered by nurses relevant and important for learning.
Introduction: Health professionals when they take care of spaces of intimacy, especially in hygiene care, present difficulties in promoting the dignity of the person cared for, so they must operationalize the relationship by appropriating innovative strategies appropriate to the needs of people such as the Methodology of Care Humanitude. Objectives: To identify the contribution of the Methodology of Care Humanitude in the promotion of independence in the self-care of hygiene, in the autonomy, verticality, acceptance of the hygiene care by the person cared for, in the hygiene adequacy to their preferences and in the time spent in the care of hygiene. Method: Exploratory-descriptive study, with a quantitative approach, using a non-probabilistic sampling process for convenience, involving 33 elderly individuals who had been hospitalized at this unit for at least 90 days hospitalization and 34 health professionals from a Integrated Long Term Care and Maintenance Units. Data collection was performed using the Barthel index, of the sample characterization questionnaire and the difficulties experienced in the hygiene care and an observation script of Structured Sequence of Humanitude Procedures (Simoes, Salgueiro, & Rodrigues, 2012). Quantitative data processing was performed using the Statistical Package for Social Science, version 17.0. Results: After the implementation of the Methodology of Care Humanitude, there was a reduction of people classified as totally dependent on hygiene care from 100% to 93.94%. There was greater intentionality and stimulation of verticality, promotion of autonomy, through the involvement of the person in decision making, greater adequacy of hygiene care to the preferences of the person, as well as greater awareness of the moments in which the professionals use the gloves. There was also a decrease in the average time of providing hygiene and comfort care from 25.37 to 17.55 minutes throughout the implementation of the Methodology of Care Humanitude. Conclusion: Through the implementation of the Methodology of Care Humanitude it is possible to dignify the person at the moment of the hygiene and comfort care, stimulating the independence and involvement of the person in the care and reducing the average time of provision of hygiene care by the health professionals.
The quality of elderly’s mouth care is nurses’ responsibility. This study is an integrative literature review that aims to identify the current state of scientific knowledge about the controversies associated with the mouth care of the elderly. The bibliographic research occurred in June 2017 in national and international scientific databases, obtaining a final sample of five articles. The data resulted in the following thematic categories: Analysis of the concepts of mouth care in the elderly; Needs of the dependent elderly on the care of the mouth; Knowledge and skills of nurses in the provision of oral care in the elderly. It is assumed that nurses play a singular role in the context of the provision of mouth care in the elderly, but that it is an underestimated care, and there are innumerable gaps in the performance of these interventions.
Introduction: The proximity to life´s threat triggers the person’s feelings of uncertainty, being this the psychological stressor with greater influence in critical situation. Objectives: To know the impact of the uncertainty experienced by the critically ill person and, inherently, how to direct the nursing care in this scope. Methods: Integrative literature review. Results: Pejorative and ambivalent feelings are associated with uncertainty. Being away from significant people, inability to influence one’s own care, among others, fosters it. Their appreciation translates into a new life purpose. Coping mechanisms help in the adaptive process. Conclusion: Knowing the impact of uncertainty in the critically ill person refers to directing nursing care in order to maximize adaptation, namely by optimizing the structure providers and framework stimuli of the person’s, involving her in their own care, and promoting coping strategies
The adoption of student-centered approaches to teaching promotes the involvement, critical thinking and reflection of higher education students. Aims: To know the sociodemographic and Professional profile of Nursing teachers; to identify the Preferential Approaches to Teaching within the Nursing Curricular Units, during the four years of formation; to identify differences in the responses to the Inventory on Approaches to Teaching in function of the sociodemographic and Professional characterization of teachers. Methodology: The Approach to Teaching Inventory, Portuguese version, and the Sociodemographic and Professional Characterization Questionnaire were used. Results: There is a predominance of the female gender and age between 51 and 60 years. The majority of teachers have a preferential approach to teaching that aims to achieve Conceptual Change Focused on the Student, especially those younger than 50 years. At the same time, the teachers who teach theoretical-practical classes are the ones that approach least to the approaches to Teaching- Focused Information Transmission in relation to those who do not teach them.
Background: Nursing as a discipline and profession mobilizes scientific knowledge of Health Promotion in its area of intervention. This was highlighted in the Ottawa Charter in community practice, community participation on social and health policies. The scientific evidence emphasizes the approach of behavior change by the nurses and not the salutogenic approach. This article follows the doctoral thesis in nursing, in which emerged the proposal of using the systems model, integrating thesalutogenic model. Objective: To propose a critical reflection around these models with contribution to the approach of Health Promotion in nursing. Methodology: Essay with theoretical, reflective and argumentative exposition. Results: With the contributions of the salutogenic model to the systems model, nursing has a guiding support for the formation and practice of Health Promotion, accompanying the person, in paradigm of transformation.
Objective: Synthesize scientific knowledge about humanitude’s care method in elderly care. Method: Integrative literature review available in the CINAHL, LILACS and SciELO databases, using the descriptors: Humanitude, Care, Nursing, linked by the Boolean operator, published between 2006 and 2017, in Portuguese, Spanish and English. Seven studies were selected after applying inclusion and exclusion criteria. Results: From the analysis arose the following thematic axes on the method of humanitude’s care: Importance that the nurses confer to the method; Application of the method in nursing care; and Formation of the humanitude’s care method in health professionals. Conclusions: This study may contribute to a reflection and a change in nurse practice facing the need to respect and preserve the autonomy of the elderly, as well as the restructuring of teaching and training programs in institutions.
Background: At the beginning of the 20th century, in Portugal, the Royal Hospital of S. Jose and its annexes centralized the care provided to patients in the Lisbon region, as well as in other regions of the country, where nurses played important roles in their organizational dynamics. Objectives: To analyze the hospital organization in the Royal Hospital of S. Jose and annexes in 1901; Identify the functions that the nurses exercised in the Royal Hospital of S. Jose and annexes in 1901; Interpret the functions that the nurses exercised in the Royal Hospital of S. Jose and annexes in 1901; Material and Methods: This is a qualitative study of a historical nature, which reminds us of the past and can give rise to new ideas and, in this way, conceive a new structure for human thought and understanding, taking into account time, place and situations. For the realization of this study we resort to a primary source and secondary sources. As a primary source we refer to the “Regulation of Clinical Services of Hospital Real de S. Jose e anexos, 1901”, which is in the National Library of Lisbon. As secondary sources, we use articles and a doctoral thesis, found on the Google Academic digital platform. Results: The general regulation of clinical services of the Royal Hospital of St. Joseph and annexes of 1901 is presented as an extensive document with 221 articles, covering seven major chapters. This regulation covered the following hospitals: “1st - Sao Jose Hospital; 2nd - Hospital Estephania; 3rd - Queen Amelia Hospital; 4th - Rilhafolles Hospital ... This hospital has regulations and private regimen; 5th - Hospital of Desterro; 6th - Hospital of S. Lazaro; 7th - Hospital of incurable and isolation “(Regulation of the Clinical Services of the Royal Hospital of S. Jose and annexes, 1901: 7-10, with)” (...) general regulation of services commom to the wards of all hospitals indistinctively, ... “(ib: p.6). Conclusions: With the analysis and interpretation of this regulation we can see that the Royal Hospital of S. Jose and annexes was a strong reference for the provision of care to the patient, presenting several resources for them. Nurses were instrumental in ensuring such a phenomenon.
Introduction: Death is a natural event, which forces the human being to confront himself during his life. Materials and Methods: The objective of this study was to conduct a literature review of what has been published in the last 6 years about the feelings of professionals and students of the health sciences in the face of death. This is a literature review of the descriptive type. Data were obtained through the b-ON and SCIELO databases. Results: The human being has difficulties in accepting his own death because it implies accepting the finitude of life. Denial of death is common because denying allows one to discard the thought of it. Discussion: Death causes many feelings in professionals and students around health sciences such as impotence, frustration, anguish that become more intense when it is unexpected or pediatric age. Conclusion: Death causes discomfort to the human being, since it emphasizes impotence towards terminality and/or finitude because it cannot avoid it.
Work occupies most part of the adult life. In this opinion article we use the descriptive method to convey our experience about what makes the nurse feel cared for when providing care for the People entrusted to him/her. We were moved by the conviction that effective leadership facilitates the improvement of the functioning of nursing teams and, consequently, of nursing care. Thus, in this reflection we aim to motivate the human resources nurse managers to make the interaction between the organizational and personal goals of their team’s nurses compatible, optimizing health outcomes sensitive to the care provided by nurses. We have given particular relevance to the need to manage the processes of motivation, leadership, professional training, guidance and caregiving to the nurses. Based on this report of our experience, grounded on the results from the scarce bibliographical references, we conclude that taking care of those who provide care improves professional performance, supports human, technical and conceptual competence, while encouraging the capacity to innovate.
Promoting interventions of dignity in the adult and elderly in palliative care Aim: Synthesise existing knowledge about the promoting interventions of dignity in the adult and elderly in palliative care Background: The longevity increasement, the increase in chronic and progressive diseases, as well as changes in the family network, they have caused impact on the organization of health systems and resources for the chronically ill. Palliative care will become increasingly important. The preservation and / or promotion of human dignity in palliative care has gained increasing emphasis. Review methods: This is an integrative literature review, conducted in accordance with the methods proposed by Sousa, Silva and Carvalho (2010). Results: Three articles were included and three identified issues (Illness Related Concerns, Dignity Conserving Repertory and Social Dignity Inventory). Conclusion: This review clarified the meaning of dying with dignity and synthesized aspects of dignity in end-of-life care. Further necessary.
Hospital organizations are influenced by policies, namely economical, and by technological advances and the effects of globalization, which altogether put emphasis towards the achievement of results. However, a continuous quality improvement should when people are at stake the processes aimed to achieve maximum efficiency cannot jeopardize the quality of care provided. The quality nursing care may imply a change in the traditional working methods of the more conservative paradigms of nursing. The method of reference nursing is congruent with the delegation of the management of care and simultaneously facilitates the professional development of nurses. We believe that it promotes co-responsibility and contribution of nurses, is a guaranty of quality of care, stimulates the nurse-patient ratio, favours the coordination and evaluation of care and encourages the use of the nursing process, which is indispensable to the achievement of this method. On a personal level, we can consider the contribution to maintaining motivation, reducing monotony, stimulating interest to learn, and allow nurses to directly see the final product of their work while deciding the processes and procedures for its implementation. The method of reference nursing promotes personalized monitoring of the patient and family, reinforces the nurse-patient relationship, contributes to the improvement of care, planning and development, and provides an individualized communication based on truth, trust and mutual respect. Based on literature and experience, we believe that organizing the provision of nursing care per nurse reference is a strategy to ensure quality of care. It is an enriching experience of formal delegation of authority in reference nursing to manage nursing. care.
This study was based on research developed at national level and international, on the repercussions of hospital management model in the motivation of nurses. It´s defined as to assess the motivational state of the nurses after the model of transition management. For this purpose was taken a sample of 18 nurses of a Intensive Care Unit. In the data collection it was used a questionnaire with sociodemographic questions and motivation, which applied by suggestion of the Service, during an internship. The data were analyzed using descriptive statistics. The results suggest that for 88.9% of the sample model change management interfered in the working conditions and relations between the staff generating an environment of competitive between it and with little benefit to patients. For most of the nurses constitute disincentives to work order and orientations of the Administrative Council. Just 11.1% of for the development / professional formation, unknown the majority the change process and objectives of the same. The results seem to reflect fear, lack of knowledge and involvement of the nurses in the change process.
Knowing who the rural populations are and how they live, particularly how they have experienced the issues of health status, was the reason for this study that addressed three main concepts, namely the rural community, the elderly population and social determinants of health. The progressive increase of longevity, observed across the board in all societies, accompanied by a sharp drop in general fertility and mortality, has been leading to a significant change in the population’s age pyramid, with a substantial increase of the citizens over 65 years of age. This is an exploratory and descriptive study. We took a convenience sample of 777 inhabitants, of whom 64,1% are elderly, who met the following inclusion criteria: living in the rural area of a municipality in the northern region (NUT’s III); consenting to participate in the research; and having resorted to the mobile unit during the study period, i.e. January to September 2010. We consider this the most appropriate classification for the objectives of this study, since it seeks to understand the health profile of the elderly population in a given geographical area and find out some of the factors that influence that health profile. All ethical procedures arising from research on humans have been taken into account, with favorable opinion from the Ethics Committee for Health, the ARS North (opinion n. o 35/2009). To collect data, we used the survey questionnaire and participant observation. Results show that the interior will become a huge “retirement home” and that care for the elderly in domestic context is a task in support of neighborhood networks. It was found that 62,9% did not have adequate self-health monitoring; 62,3% had an adherence to the prescribed treatment regimen not shown; and 65,5% had an ineffective management of therapeutic regimen. Regarding the health situation, it was found that 25,1% of respondents suffer from cardiovascular disease, 20,7% have an osteoarticular pathology and 16,2% suffer concurrently from cardiovascular and metabolic disease. In what concerns to access to medical consultations, 62,2% of the subjects of our sample had between 0 and 5 appointments in their family doctor in the year prior to the questionnaire. The study contributes to give visibility to this part of the population, it reflects the cultural influence of the health of rural populations and helps to rethink the suitability of public policies and the importance of using proximity strategies in the preparation of health plans, in order to provide proper and equal care. The local care will be those that effectively minimize the difficulties encountered as a result of geo-demographic isolation and access to health care derived from knowledge deficit and a reduced social and familiar support network.
The evolution of medicine and the increase in average life expectancy has led to an increase in the elderly population and to the emergence of chronic diseases. Being elderly with a chronic illness implies a change in lifestyle and the use of medication. Aim: To identify nursing interventions that promote adherence to the therapeutic regimen in the elderly with chronic diseases. Methods: Systematic review of the literature, selecting 5 articles, published between 2010 and 2015, found in electronic databases, with a critical evaluation of the results. Results: The initial evaluation of the elderly with chronic illness, health education and inclusion of the elderly and significant people should be aspects included in the nursing intervention. Conclusions: The intervention of the nurse as a privileged actor, together with the elderly with chronic disease, is essential for adherence to the therapeutic regimen.
Introduction Having a sick family member, especially in palliative care, is a crisis in the family system. It generates a lot of stress, because the disease is felt by family members as a threat due to the unpredictability of events and changing needs (Pereira & Lopes, 2012). Objectives To identify the socio-economic variables that interfere with the satisfaction of family members of patients in palliative situation; To analyze the effect of family functionality in satisfaction of family members of patients in palliative situation. Methods Quantitative, descriptive and cross-sectional study in a non-probabilistic convenience sample of 150 families of patients in palliative situation in Palliative Care Units in central Portugal, aged between 16 and 81 years and a mean of 37.17 (SD=1.279). Instruments: Family Apgar Scale (Augustine and Rebelo, 1988); scale FAMCARE - Kristjanson (1993), translation by Almeida (2012). The study of reliability of FAMCARE obtained internal consistency (Cronbach Alpha) of 0,964. Results Family functionality is better among men (M = 81.50 ± 16.725 SD). No statistically significant (Z = -0.786; p = 0.432). Overall, 25.3% of family members showed to be very satisfied, 47.3% moderately satisfied and 27.3% somewhat satisfied with the health care provided to his family. In males the level of satisfaction is higher (OM = 77.21) as opposed to women (OM = 74.28), with no statistical difference (Z =-0.291; p = 0.771). The family aged ≥44 years are more satisfied about the availability of information. Participants with a monthly household income greater than four times the minimum wage are more satisfied with the information, availability and physical care. Family members with high family functionality show a higher level of satisfaction with provided care. Age and family functionality are predictors of all dimensions of satisfaction. Conclusions Greater satisfaction withthecareprovidedwas encountered within the oldest and better family functionality. These variables must be considered when we plan differentiated assistance to the families of patients with palliative needs.
Introduction The return to work has been considered a public health problem and one of the main goals of cardiac rehabilitation, because it has economic benefits for society, in terms of the increased of productivity and the reduced of the costs, and also it improves the individual well-being and the economic security of the patients and their families. Several medical, psychological and sociodemographic variables have been related to return to work after ischemic heart disease, being assigned a higher weight to socio-psychological variables. Objective To determine the prevalence of return to work and relate the influence of personality on the return to work of the patient after ischemic heart disease. Methods This analytical, correlational and cross-sectional study was conducted with 164 patients aged less than 65 years with a clinical diagnosis of ischemic heart disease, three to six months after hospital discharge. Data collection was performed through a self-administered questionnaire ((sociodemographic characterization, Graffar scale and Personality Inventory (Vaz-Serra, Ponciano and Freitas, 1980) in cardiology follow-up consultation. We used the discriminant analysis test through the SPSS program version 20.0 for Windows. Results Patients had an average age of 54,2±7,4 years; 81,7% were male; 96,3% were married; 41,5% belonged to Class III of Graffar scale. The prevalence of return to work was 58,5%. The discriminant analysis by stepwise method permitted to obtain a final model that allows differentiation of the two groups. The neuroticism proved to be a predictor of return to work of the patient after ischemic heart disease. Conclusions The results are consistent with some national and international studies, confirming the relationship between personality and the return to work. The return to work after a cardiac event is a multidimensional process that appears to be strongly influenced by psychosocial factors, including personality. Thus, by identifying the individual's personality traits, including thinking, feelings, behaviour, the way of acting daily, it would be possible to predict behaviours associated with the health and the disease process.
Introduction Nurses are one of the most exposed professional group to stressors, namely those who provide end of life care due to their daily contact with death, bad emotions and suffer. There is scientific evidence that humor may constitute an incisive coping strategy in the management of occupational stress that can be used by professionals for their own benefit. The analysis of the relationship between humor and the stress level requires the exploitation of characteristics like the magnitude and orientation thereof using appropriate tools of evaluation. Objectives Establish the relationship between Humor and Stress in the workplace of nurses who provide end of life care. Define the nature of this relationship in terms of its magnitude and orientation. Methods Correlational Study. Data collection began with an online form – containing a social-demographic survey and both Portuguese translations of Multidimensional Sense of Humor Scale (Jose, 2008) and Nurse Stress Index (Fernandes, 1996) – to 61 nurses who care for end of life patients. Data analysis was conducted using the statistical software SPSS, version 20. Results The results of this study demonstrates that individuals experience stress in several situations linked to work environment and reveal a strong acceptance and appreciation of humor. Conclusions An increase in the stress level led to a growth in sense of humor. Therefore, it can be seen that nurses who care for end of life patient’s appeal to sense of humor as a strategy to manage stressful situations that they face in their everyday labor.
Introduction Nurses in hospital setting and in their duties context are subject to excessive and repetitive efforts during long periods of time, adopting incorrect postures. The shortage of human and technical resources and some working conditions are favorable to the emergence of low back pain. These cause pain, functional limitations and high costs of health care and can contribute to high work absenteeism. Objectives To assess the prevalence of low back pain in nurses. To determine the bond between sociodemographic variables and functional disability to low back pain. Methods This is a non-experimental study, of quantitative and transversal nature, following a descriptive correlational route. It was used a non-probabilistic convenience sample consisting of 103 nurses performing duties at the hospital, aged 25 to 54 years (mean = 34.01 ± 7.69). For the variables measurement it was used a data collection instrument in order to assess the prevalence of low back pain and the Low Back Pain and Disability Questionnaire of Quebec (QDLIQ). Results The nurses showed a high prevalence of low back pain (78.64%) in the last 12 months. Results suggest that low back pain prevalence is more frequent in women under 40 years old, overweight, who don’t perform any work out activity, that do daily household activities and have a high degree of functional disability. Conclusions Results of this research confirm the high prevalence of low back pain in the sample of nurses. It also showed the association with sociodemographic variables and functional disability. It is clear the need of greater intervention by those who have management functions, as well as the Institutional Occupational Health services.
