Browsing by Issue Date, starting with "2025-05-28"
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- On the borderlands of culture : Israeli migrants beyond the TejoPublication . Iancu, Zohar; Gil, Isabel Maria de Oliveira Capeloa; Barkay, TamarAt the heart of this dissertation is the phenomenon of Israeli-Jewish citizens migrating to Europe, specifically to rural Portugal. This migration trend has gained increasing visibility in Israeli media in recent years. Numerous articles and news reports are dedicated to the emigration of Israeli-Jewish citizens from the nation-state. Within this context, migration to Portugal has often been portrayed as "the new dream" for Israelis. Against this backdrop, this study focuses on migration to the region of south-western Alentejo, Portugal. This area has become a popular destination for those seeking alternative lifestyles, including Israelis. The trend suggests that migration to Alentejo is influenced by and reflective of cultural and socio-economic trends at the Israeli, global, and local levels. To achieve a multi-dimensional and nuanced comprehension of the phenomenon at hand, the research is analytically grounded in cultural and sociological theorizations of migration and diaspora, particularly in the context of contemporary Israeli society. Concretely, the study juxtaposes considerations from culture, border, and diaspora studies, utilizes the notion of symbolic boundaries, and builds on research on in- and out-migration within Israel, and global trends of counterurbanization. This body of research and scholarship allows for the exploration of the thesis that phenomenon of the “borderlands” of Israeli cultural identity can challenge both the collective boundaries and the internal divisions within Israeli culture. Essentially, Israeli emigration to Portugal represents a territorial border crossing. However, this dissertation suggests that contextualizing this border crossing within a broader perspective contributes to our understanding of how physical and symbolic boundaries work together to shape mental, physical, and social human existence. To thoroughly explore the subjective experiences and perceptions of Jewish-Israelis in Alentejo, Portugal, the study employed an interdisciplinary qualitative approach. Data was collected over three years, from August 2021 to May 2023, using multiple research methods, including participant observations of holiday ceremonies, gatherings, and cultural events; 21 in-depth interviews with JewishIsraeli citizens residing in Alentejo, and a focus group of Jewish-Israeli women. The visual research method known as “photovoice” was utilized to document the daily lives of the women in the focus group. The research shows that while initially aiming to distance themselves from Israeli culture and other Israelis while pursuing cosmopolitan, alternative lifestyles, the participants in the fieldwork maintain close and intricate connections with their culture of origin, often forging meaningful social relationships with other Israelis in the region. Based on this finding, the study suggests that the participants operate within a “cultural borderland”—a liminal and hybrid space that draws on Israeli cultural practices while at the same time challenging conventional Israeli-Jewish collective identity. Overall, the dissertation suggests that the case study of the Israeli diasporic space in Alentejo illuminates how ex-Israeli communities are constructed and reimagined beyond Israeli national and cultural borders. In doing so, this dissertation aims to amplify voices that are often excluded from discourses on Israeli migration. The study’s empirical and analytical contributions enrich the literature on diasporas, particularly in the emerging field of modern Israeli diasporas, as well as in research on current migration patterns to rural Portugal, academic inquiry into the nexus of culture and borders, and the study of Israeli society and culture.
- Efeito do modelo de enfermeiro de referência nos resultados em saúde da pessoa idosa com multimorbilidade no hospital : estudo quasi-experimentalPublication . Gonçalves, Maria Isabel Rodrigues; Jesus, Élvio de; Nunes, ElisabeteIntroduction: Average life expectancy is increasing, as is the likelihood of chronic disease in the elderly population, which may increase the need for health services. With regard to hospital care and in particular inpatient care, organizing care according to the primary nursing model could be an effective way of improving health outcomes for older people with multimorbidity. Aim: To analyze the effect of the primary nursing care organization model on therapeutic self-care and satisfaction with nursing care in hospitalized elderly people with multimorbidity. Methodology: A quantitative paradigm was used and a quasi-experimental study with a control group was carried out. Two inpatient units with identical characteristics were selected from a private hospital in the Lisbon region. In the intervention unit, the primary nursing model was introduced to organize nursing care, while in the control unit the usual organization of delivering care was maintained. The sample was obtained by convenience, the participants were elderly people with multimorbidity, 106 in the intervention group and 100 in the control group. The Therapeutic Self-Care Scale (Portuguese version) was applied at admission, leaving the unit and follow-up, and the Citizen Satisfaction with Nursing Care Scale (ESCCE) at leaving the unit to participants from both units. Results: The main results showed that on admission to the inpatient unit, participants had different mean self-care scores, which were lower in the intervention group (t (191.045) = - 2.24; p = 0.026). At the time of discharge, the intervention group had a positive and higher variation in mean self-care scores compared to admission than the control group (t (192.67) = 2.28; p = 0.024). At follow-up, there were no significant differences in self-care between the two groups in relation to discharge (t (204.00) = 0.91; p = 0.363). Between follow-up and admission, the intervention group had a positive and higher change in mean self-care scores compared to the control group (t (187.55) = 2.68; p = 0.008). In terms of satisfaction, the intervention group also had higher satisfaction scores than the control group, but the difference was not statistically significant (t (204.00) = 1.09; p = 0.138). Conclusion: Organizing care around the primary nursing model had a positive impact on the health outcomes of hospitalized elderly people with multimorbidity, particularly in terms of therapeutic self-care skills. Although more studies are needed, especially experimental ones, these results already have an impact on clinical practice and the management of nursing services, reflected in quality indicators that are sensitive to x nursing care. In education, the primary nursing model encourages students to focus on continuity and coordination of care, which are essential to caring for elderly people with multimorbidity.