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- Geriatric care: ways and means of providing comfortPublication . Ribeiro, Patrícia Cruz Pontífice Sousa Valente; Marques, Rita Margarida Dourado; Ribeiro, Marta PontificeObjective: To know the ways and means of comfort perceived by the older adults hospitalized in a medical service. Method:: Ethnographic study with a qualitative approach. We conducted semi-structured interviews with 22 older adults and participant observation of care situations. Results: The ways and means of providing comfort are centered on strategies for promoting care mobilized by nurses and recognized by patients(clarifying/informing, positive interaction/communication, music therapy, touch, smile, unconditional presence, empathy/proximity relationship, integrating the older adult or the family as partner in the care, relief of discomfort through massage/mobilization/therapy) and on particular moments of comfort (the first contact, the moment of personal hygiene, and the visit of the family), which constitute the foundation of care/comfort. Final considerations: Geriatric care is built on the relationship that is established and complete with meaning, and is based on the meeting/interaction between the actors under the influence of the context in which they are inserted. The different ways and means of providing comfort aim to facilitate/increase care, relieve discomfort and/or invest in potential comfort.
- Burnout assessment in nurses from a general emergency servicePublication . Nobre, Daniela Filipa Rocha; Rabiais, Isabel Cristina Mascarenhas; Ribeiro, Patrícia Cruz Pontífice Sousa Valente; Seabra, Paulo Rosário CarvalhoOBJECTIVE: To assess the level of Burnout among nurses in a general emergency department. METHOD: Quantitative, descriptive, correlational and cross-sectional study. 32 nurses from a general adult emergency department answered a questionnaire to evaluate Burnout. (Copenhagen Burnout Inventory). RESULT: It was verified that 59.4% of the nurses presented total Burnout. Work-related burnout was the subscale with the highest average score. It was found that the lower the age and the longer the time working in the institution, the higher the level of Burnout. Longer professional experience was related to lower levels of Burnout. There were also higher scores of Burnout among participants who thought about changing their profession, their institution or their service. CONCLUSION: The prevalence of Burnout is high. Professional Burnout was the most critical subscale. Age and the current work are the subscales that most influence perceived Burnout.
- O conforto do doente idoso crónico em contexto hospitalar: contributos para uma revisão sistemática da literaturaPublication . Ribeiro, Patrícia Cruz Pontífice Sousa Valente; Costa, Arminda Arminda MendesEste artigo constitui o relatório de um estudo com contributos para uma revisão sistemática da literatura (RS), centrado na temática do conforto na prática de cuidados de enfermagem ao doente idoso crónico hospitalizado. Diretamente relacionado com o fenómeno de conforto do doente idoso crónico hospitalizado, não se encontrou qualquer trabalho em contexto nacional, verificando-se a existência de poucos trabalhos de investigação em contexto internacional, em amostras de doentes ou prestadores de cuidados/enfermeiros que procuram perceber as perspetivas/vivências dos diferentes atores. O objetivo é determinar a melhor evidência disponível relativamente ao processo de conforto – estrutura, construção e resposta do conforto - do doente idoso crónico hospitalizado – incluindo como participantes doentes idosos e enfermeiros/prestadores de cuidados, divulgando assim aspetos fundamentais da literatura. Na condução desta RS foi utilizada a metodologia PI[C]OD e a técnica de análise e integração de dados por metasumário. Foram identificados apenas quatro estudos, cujos achados foram analisados e sintetizados. Embora os achados revelem algumas pistas, não são suficientemente conclusivos e específicos para dar resposta à questão central do estudo. Recomenda-se o desenvolvimento de investigação que possibilite a compreensão da natureza do processo de conforto do doente idoso com vivência de uma situação crónica num contexto situacional de hospitalização.