Background: Increasing longevity and increasing of the progressive chronic disease conditions of people admitted to long-term care facilities (LTCFs) increases the vulnerability of infections associated with health care.Objective: Knowing the incidence of healthcare associated infections in 3 LTCFs in the Alentejo Region -Portugal.Method: Longitudinal study, focusing on the LTCFs of Santa Casa da Misericórdia de Santiago do Cacém, in a limited period of 6 years, from January 1, 2013 to December 31, 2018.Results: The incidence of healthcare associated infections (HAIs) obtained in the present study presented is maximum value of 7.3 ‰ and a minimum of 1.75 ‰ in the medium and rehabilitation typologies, while in the typology of long duration, the maximum and minimum of 4.5 ‰ and 1, 9 ‰ respectively.
Context:The professional satisfaction of nurses in chronic-disease patient care, whether in an ambulatory or internment setting, influences care quality and overall nurse satisfaction.Objetives: Identify professional satisfaction factors of nurses in chronic-disease patient care.Methods: A scoping revision was performed using the proposed methodology Joanna Briggs Institute.The research included articles of original research published between 2015 and 2018, both in English, Portuguese and Spanish.Results: Of the 68 articles obtained, 23 studies were analyzed, of which only 4 matched the inclusion criteria.The professional satisfaction factors identified were the influence of work environment in care practice, the interpersonal relationships between professionals, patient and family, and professional achievement of nurses.Observed professional dissatisfaction factors were working conditions, work overload associated to patient suffering and death, which can lead to psychological exhaustion, and professional and remuneratory devaluation. Conclusion:The nurse manager can devise appropriate strategies to promote professional satisfaction among teams and in the organization.
Health literacy is a challenge for the nacional health system and fundamental to empowering people in health and disease management.Understanding what is the level of literacy of the population and intervene interdisciplinarily allows to obtain health gains and contribute to the sustainability of the health system itself.There are several conditions for health literacy and ways of applying it.The multidisciplinary team has the duty to promote empowerment of the citizen to develop their health literacy and thus contribute to a better knowledge about it.
PUBMED, Biblioteca Nacional de Portugal, tendose identificado, selecionado e avaliado a qualidade metodológica, incluindo artigos de acordo com as recomendações da metodologia PRISMA.Resultados: Dos 165 artigos identificados, foram incluídos 9 artigos, que cumpriam os critérios de elegibilidade e qualidade metodológica definidos para esta revisão.Desta forma, através dos artigos selecionados foi possível perceber que o uso dos tablets e smartphones pode perturbar o desenvolvimento cognitivo e social, criar distúrbios do sono e prejudicar
A evidência científica mostra que ambientes da prática favoráveis promovem a melhoria na capacidade de resposta dos enfermeiros e melhores resultados para os enfermeiros e para os clientes dos cuidados de saúde.Estes dados são particularmente importantes em Cuidados de Saúde Primários, onde o acesso aos cuidados de saúde, pelos clientes, é, na maioria das vezes, iniciado pelos enfermeiros.No artigo analisado, os resultados da investigação permitiram conhecer o ambiente da prática em dois estados dos EUA, em três tipos de organização, e determinar o impacto das diferentes políticas de saúde praticadas e da organização no ambiente da prática.Conclui-se, assim, que são necessários mais estudos, em vários países e nos vários contextos
Introdução: Socialmente o envelhecimento envolve uma mudança de estatuto social, de relações/interações sociais exigindo do idoso uma adaptação contínua e uma reorganização de forma a manter a homeostasia.Quando investigadores questionaram aos idosos quais os problemas, ou dificuldades mais relevantes que percecionavam, as respostas foram: "a solidão".É crucial a avaliação da solidão não como estado unitário mas nos aspetos que integram a sensação de solidão em três âmbitos específicos: social, familiar e romântico para a manutenção/melhoria de qualidade de vida.Objetivos Identificar e caracterizar através dos dados sociodemográficos o grupo de pessoas idosas dos municípios de Covilhã (Portugal) e de Burgos (Espanha); Compreender se a perceção subjetiva de solidão é análoga entre o
Instrumentos de avaliação das atividades instrumentaisde vida diária em pessoas idosas com demência
group status and group membership Atractivo de los miembros normativos y desviados en función del estado del grupo y la membresía del grupo.
inglês e espanhol, disponíveis com texto integral, referentes a pessoas adultas/idosas submetidas a hemodiálise, que incluem estudos primários experimentais e quasi-experimentais e que utilizem intervenções de enfermagem indutoras do riso e do humor.Resultados: Selecionaram-se cinco artigos, com estudos quase-experimentais, que apresentam o controlo e diminuição da pressão arterial, a qualidade de vida, a promoção do bem-estar (felicidade e satisfação com a vida em geral) a diminuição da depressão, do stresse e ansiedade e o aumento do sentido do humor como os principais benefícios
In Europe it is estimated that one fifth of the population suffer from chronic pain. However, it seems that society is not yet prepared to understand the people who suffer from chronic pain. To live twenty-four hours with pain and project the day according to pain is still often associated with laziness or no willing to work. In order to start in Europe a process of destigmatisation of chronic pain and better access to specialized units for this, this paper intends to discuss the potential of creating a ten-minute video about the experience of living with chronic pain. For the construction of the video "intergenerational living with chronic pain" there is a need to conduct focus groups with various informants as patients of different ages, family members, health professionals, education professionals and human resource managers. This video could be a reliable tool for further testing and use, not only in clinical practice and training of professionals, as well as of lay people.
Introduction: Comfort is a key element in the provision of nursing care to patients with Palliative Care. Comfort is a complex act. To promote comfort is to be attentive to all manifestations of distress, to take into account all dimensions of the human being and to provide measures for the relief of suffering (Morse, 2000). We can see that there is no clear definition for the concept of comfort, however, it is unanimous that this emerges as a lifelong need in health and illness, therefore, providing comfort is one of the main functions and a challenge for the Practice of nursing care (Ribeiro and Costa 2012). Objective: The objective of this study is to understand the nurses' perception regarding the comfort of the person at the end of life in a home context, identifying the comfort conception for the nurse with respect to the person at the end of life. Material and Methods: A qualitative, descriptive study was carried out through semi-structured interviews with 8 participants. The methodology used for data processing was content analysis. (Bardin, 2014) Results: After analyzing our data, we can say that, in terms of Comfort Design (Domain), four categories were found: Physical Expression, Multifocal / Multidimensional Expression of Comfort, Affective Expression and Basic Needs Fulfilled ). Conclusion: The main contribution of this study is to explore the phenomenon of comfort with regard to the end-of-life person in a home context, reinforcing the importance that nurses assume in the implementation of comforting care. Based on a humanistic-affective approach, the comfort process is mediated by the nurse-patient / family interaction.
