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Optimization and performance studies of PES/SAPO-34 membranes for CO2/N2 gas separation
SAPO-34 nanocrystals were prepared and used as inorganic filler in polyethersulfone (PES) membranes. The
influence of preparation conditions on permeation properties of CO2 and N2 gases and CO2/N2 selectivity were
studied to achieve the highest separation performance possible for this mixed-matrix membrane. Gas permeation
properties of PES/SAPO-34 MMMs with different contents of SAPO-34, PES and initial film thickness were
investigated according to a full factorial design of experiments (DOE). The permeation tests and DOE results
revealed that the optimized conditions to maximize the selectivity for PES/SAPO-34 are: composition of 18.5 wt
% of SAPO-34, 15 wt% of PES, and a casted film thickness of 400 μm resulting in a CO2/N2 selectivity of 30.85.
The findings showed that a multivariable model was validated and able to predict the selectivity with determination
coefficient R2 of 0.969 and the results are in accordance with values presented in literature for PES/
SAPO-34 membranes. An economic analysis shows that the commercial grade price for the optimized membrane
is EUR 9.43/m2 which represents around 2.2 times cheaper than polymeric commercial membranes.The authors gratefully acknowledge the fundings from the Strategic
Project of CIEPQPF (UIDB/00102/2020), CICECO-Aveiro Institute of Materials (UIDB/50011/2020, UIDP/50011/2020 & LA/P/0006/2020), CIMO (UIDB/00690/2020 and UIDP/00690/2020) and SusTEC
(LA/P/0007/2021), financed by Fundação para a Ciência e Tecnologia
(FCT) through national funds. J. S. Cardoso is also grateful for the
financial support of the FCT through the PhD grant (SFRH/BD/148170/
2019). Prof. Dr. Marco Seabra, Coimbra University, is acknowledged for
his suggestions to the design of experiments and statistical analysis.info:eu-repo/semantics/publishedVersio
Evaluating the fire behaviour of cement-based lightweight materials with textile waste incorporation using a cone calorimeter
The conscientious utilization of natural resources and the efficient waste management have
become a matter of great concern in recent years due to the harmful impacts on the environment.
The construction sector presents itself as one of the sectors that most contributes to raw materials
consumption and waste generation, demanding the investigation of more sustainable and ecofriendly
building materials, where the valorisation of wastes originated from other industries
can be promising. Following the sustainability concept in construction materials, this work investigates
the potential use of textile waste in cement-based lightweight construction material,
evaluating the fire reaction of the material using the cone calorimeter equipment. The samples
were tested at three different radiant heat fluxes (35 kW/m2, 50 kW/m2, 75 kW/m2) to simulate
different fire situations. For the highest heat flux, the lightweight construction element with
textile waste incorporation showed a Heat Release Rate Average ≤ 18 kW/m2, a peak Heat
Release Rate Average ≤ 60 kW/m2, and a Total Heat Release Average ≤ 33 MJ/m2. These results
reveal a very satisfactory fire behaviour compared to other materials and show the suitability of
using textile waste as lightweight cement-based materials.info:eu-repo/semantics/publishedVersio
Fire resistance of austenitic stainless steel beams with rectangular hollow sections
This paper presents a study on the structural behaviour of stainless steel profiles
under fire conditions. An experimental campaign of three-point bending tests on
rectangular hollow section beams of the grade 1.4301 (also known as 304) were conducted,
considering both steady-state and transient state conditions. Prior to those
tests, the mechanical characterization of the stainless steel was investigated. The
constitutive laws obtained by tensile tests at high temperatures are compared with
those recommended in Eurocode 3, whose respective material models were recently
proposed for modifications, still requiring complete validation. In addition, numerical
modelling of the bending tests has been performed afterwards achieving close
approximation to the observed experimental results. Finally, analytical methods to
predict the load-deflection behaviour are also presented. Good agreement between
the considered methodologies was attained validating their application on the prediction
of the fire behaviour of stainless steel beams.This research work was performed within the framework of the project
‘StaSteFi – Fire design of stainless steel members’, PTDC/ECIEGC/
30655/2017, supported by the Portuguese Operational Programme
‘Competitividade e Internacionalização’ in its FEDER/FNR
component, and the Portuguese Foundation for Science and Technology
(FCT) in its State Budget component (OE).info:eu-repo/semantics/publishedVersio
Comunicação eficaz na transição de cuidados de enfermagem à pessoa em situação crítica, no serviço de urgência – implementação da metodologia ISBAR
A segurança dos doentes nos serviços de saúde, foi sempre uma
preocupação dos gestores em saúde. Um dos aspetos que a pode comprometer, é a
transferência de cuidados do doente entre os profissionais responsáveis por ele. Seja
nas passagens de turno, ou transferências intra e inter-hospitalares. É essencial que
seja estabelecida uma comunicação eficaz, de modo a assegurar a fluidez de assunção
de cuidados e responsabilidades. Estes pressupostos evitam a ocorrência de efeitos
adversos, de eventuais atrasos no diagnóstico e tratamentos, que podem dar origem a
atrasos no restabelecimento da pessoa em situação crítica.
Objetivos: Conhecer a perceção dos enfermeiros do Serviço de Urgência (SU),
relativamente à informação transmitida durante as passagens de turno. Tornar mais
eficaz a comunicação interpares, e garantir, como consequência, a segurança e a
melhoria dos cuidados de enfermagem, nos momentos de transição de doentes, no SU.
Metodologia: Trabalho realizado com base na metodologia investigação-ação, dividido
em três processos metodológicos parcelares e consecutivos. Primeiramente, foi
aplicado um questionário, a 59 enfermeiros em SU, com prestação direta de cuidados à
pessoa em situação crítica. No segundo momento, foi realizado um diagnóstico de
situação com a aplicação do Guia de Observação, durante os momentos de passagem
de turno. No terceiro momento, após a análise dos resultados emergentes do Guia de
Observação, foi criado, e implementado, o instrumento estruturado para aplicar nas
passagens de turno, baseado na metodologia Identify, Situation, Background,
Assessment e Recommendation (ISBAR), e aplicado novamente o Guia de Observação,
para estudo de eficácia e/ou eficiência trazida por este instrumento.
Resultados: A perceção dos enfermeiros sobre a comunicação durante as passagens
de turno é favorável em relação à maioria dos aspetos abordados. Estes valorizaram a
comunicação no contexto da equipa multidisciplinar, e aspetos relacionados com a
importância da formação e da experiência profissional com a qualidade da comunicação.
A perceção favorável do enfermeiro traduz-se no elevado nível de situações
significativas (70 a 90%) que cerca de 80% enfermeiros reportam conseguir transmitir
durante a passagem de turno. 36% dos participantes apontam a necessidade de
melhorias, 65% relacionadas com a organização do processo de transição de cuidados
e 45% com o problema das interrupções. Após a implementação da metodologia ISBAR
nas passagens de turno, houve uma melhoria em vários aspetos, como se depreende
da percentagem média de conformidade ser cerca de 69%, tendo melhorado cerca de
48%. O tempo de transmissão de informação aumentou, em média, 0,4 minutos por
doente.
Conclusão: Os resultados do presente trabalho apontam uma perspetiva favorável da
perceção dos enfermeiros sobre a comunicação durante a passagem de turno, ainda
que alguns aspetos tenham margem para melhoria, relacionados com a objetividade e
pertinência da informação, e com a necessidade de ter um contexto calmo que favoreça
a concentração, logo sem interrupções. Este contexto é, por sua vez, facilitador da
mudança, como se veio a verificar ao comparar a qualidade da passagem de turno antes
e depois de implementar a metodologia ISBAR, a certificação das melhorias demonstra
o interesse e eficácia da sua utilização.Patient safety in health services has always been a concern of health
managers. One of the aspects that can compromise it is the transfer of the patient's care
between the professionals responsible for it. Be it in handovers, or intra and inter-hospital
transfers. It is essential that effective communication is established to ensure the fluidity
of the assumption of care and responsibilities. These assumptions prevent the
occurrence of adverse effects, possible delays in diagnosis and treatment, which can
lead to delays in the recovery of the person in critical condition.
Objectives: To know the nurses’ perception in the Emergency Department (ED)
regarding the information transmitted during handover. To make peer-to-peer
communication more effective, and to ensure, consequently, the safety and improvement
of nursing care, in moments of patient transition, in the ED.
Methodology: This work was carried out based on the research-action methodology,
divided into three partial and consecutive methodological processes. First, a
questionnaire was applied to 59 nurses in the ED, with direct care provided to the
critically ill person. In the second moment, a diagnosis of the situation was carried out
with the application of the Observation Guide, during handovers. In the third moment,
after the analysis of the results emerging from the Observation Guide, a structured
instrument was created and implemented to be applied in handover, based on the
Identify, Situation, Background, Assessment and Recommendation (ISBAR)
methodology, and the Observation Guide was applied again to study the effectiveness
and/or efficiency brought by this instrument.
Results: Nurses' perception of communication during handover is favorable in relation
to most of the aspects addressed. They valued communication in the context of the
multidisciplinary team, and aspects related to the importance of training and professional
experience with the quality of communication. The favorable nurses’ perception
translates into the high level of significant situations (70 to 90%) that about 80% of nurses
report being able to transmit during handover. 36% of the participants point to the need
for improvements, 65% related to the organization of the care transition process and
45% to the problem of interruptions. After the implementation of the ISBAR methodology
in handovers, there was an improvement in several aspects, as can be seen from the
average percentage of compliance being about 69%, having improved about 48%. The
information transmission time increased by an average of 0.4 minutes per patient.
Conclusion: The results of the present study point to a favorable perspective of nurses'
perception of communication during handover, although some aspects have room for
improvement, related to the objectivity and relevance of the information, and to the need
to have a calm context that favors concentration, thus without interruptions. This context
is a facilitator of change, as it turned out when comparing the quality of handovers before
and after implementing the ISBAR methodology, the certification of improvements
demonstrates the interest and effectiveness of its use
Effect of the cleaning and disinfection methods on the hygienic conditions of fermentation tanks of table olives (Olea europaea L.) Negrinha de Freixo cultivar
This study aimed to evaluate and identify the microbial community attached to the surfaces of fermenter tanks
used in table olive Negrinha de Freixo cultivar processing through molecular analysis and verify if the cleaning/
disinfection was done correctly. Four fermentation tanks previously used in table olive processing were sampled
at three different inside areas: upper, middle, and lower. Before sampling, four cleaning/disinfection methods
were applied to the tanks, including (i) pressurised water; (ii) a disinfectant product used to clean bowls
(Vasiloxe); (iii) 10% sodium hydroxide solution (caustic soda liquid); and (iv) a disinfectant product used by the
wine industry (Hosbit). For each sample collected, mesophilic aerobic bacteria, yeast and moulds (YMC), lactic
acid bacteria (LAB), as well as total coliforms (TC) and Pseudomonas aeruginosa were evaluated. The results
showed significant differences between the different cleaning/disinfection methods applied. The fermenter
sanitised with only pressurised water showed a greater abundance of microorganisms than the others. Mesophilic
aerobic bacteria were the predominant population, with counts ranging between 2.63 and 5.56 log10 CFU/100
cm2, followed by the moulds (3.11–5.03 log10 CFU/100 cm2) and yeasts (2.42–5.12 log10 CFU/100 cm2). High
diversity of microbial communities was observed between the different fermenter tanks. The most abundant
species belonged to Aureobasidium, Bacillaceae, Cladosporium, and Rhodotorula genera. LAB, TC, and P. aeruginosa
were not detected. This study hopes to improve hygienic conditions and increase the quality assurance and safety
of the final product.The authors are grateful to the Foundation for Science and Technology
(FCT, Portugal) for financial support through national funds
FCT/MCTES (PIDDAC) to CIMO (UIDB/00690/2020 and UIDP/00690/
2020) and SusTEC (LA/P/0007/2021). The authors are also grateful to
the Project OLIVECOA—Centenarian olive trees of Cˆoa Valley region:
rediscovering the past to valorize the future, ref. COA/BRB/0035/2019.
F´atima Martins acknowledges the financial support to the project
“OleaChain: Competencies for sustainability and innovation in the
traditional olive grove value chain in the North Interior of Portugal”
(NORTE-06-3559-FSE-000188). Nuno Rodrigues thanks to National
funding by FCT - Foundation for Science and Technology, P.I., through
the institutional scientific employment program-contract. The authors
also thank the table olive producers who generously provided their facilities
for sampling.info:eu-repo/semantics/publishedVersio
Ferramenta de apoio à decisão ao planejamento agregado da produção
Mestrado de dupla diplomação com a UTFPR - Universidade Tecnológica Federal do ParanáEste estudo tem como objetivo desenvolver uma ferramenta de apoio à decisão para o planejament agregado da produção em uma empresa de médio porte do setor automotivo em Portugal. A ferramenta consiste em um modelo de programação linear inteira (PLI) implementado no software CPLEX Studio, com o intuito de estimar os níveis ótimos de produção, estoque, carga e mão de obra, visando a minimização do custo total de produção em um horizonte de três meses. A validação do modelo foi realizada por meio de um
estudo comparativo com um caso real de produção, além de testes de resposta em cenários específicos, o que resultou em estimativas eficientes e alinhadas aos objetivos da empresa. Diversos cenários foram simulados, destacando a eficácia do modelo na identificação de gargalos de produção, antecipação da produção para fazer face a uma maior demanda e ajuste de níveis de estoque de segurança. A ferramenta desenvolvida apresenta um grande potencial para melhorar significativamente o planejamento agregado da produção, permitindo decisões mais fundamentadas e estratégicas. Para obter o máximo proveito da ferramenta, é essencial manter os parâmetros de entrada atualizados e realizar análises periódicas, permitindo à empresa antecipar variações previstas na demanda e otimizar a alocação de recursos de forma eficiente e competitiva.This study aims to develop a decision support tool for aggregate production planning in a medium-sized company in the automotive sector in Portugal. The tool consists of an integer linear programming model (ILP) implemented in the CPLEX Studio software, with the aim of estimating the optimal levels of production, inventory, load and labor, aiming to minimize the total cost of production in three months. The validation of
the model was carried out through a comparative study with a real production case, in addition to response tests in specific scenarios, which resulted in efficient estimates aligned with the company’s objectives. Several scenarios were simulated, highlighting the model’s effectiveness in identifying production bottlenecks, anticipating production to meet greater demand and adjusting safety stock levels. The developed tool has a great potential to significantly improve aggregate production planning, allowing more informed and strategic decisions. To get the most out of the tool, it is essential to keep the input parameters up to date and carry out periodic analyses, allowing the company to anticipate expected variations in demand and optimize the allocation of resources efficiently and competitively
Characterization and bioactivity of copaiba essential oil carried in a self-nanoemulsifying drug delivery system
Copaiba essential oil (CEO) is the volatile part of copaiba balsam, which has been topically used for various
inflammatory conditions. However, there are some concerns about the CEO safety for oral use. The lipophilic
character of CEO also limits its application in the pharmaceutical field. This study prepared a selfnanoemulsifying
drug delivery system (SNEDDS) containing CEO and evaluated its toxic effects against a primary
culture from pig liver (PLP2) and Green monkey kidney cell line (Vero). The inhibition of oxide nitric
production was also evaluated on RAW 264.7 macrophage cell line to access the anti-inflammatory effect. The
CEO was extracted by hydrodistillation and β-caryophyllene accounted for 51.8% of the oil. The formulation
(FSNEDDS) consisting of CEO, Cremophor and ethyl linoleate was characterized in relation to morphology,
stability, rheology, simulated digestion and bioaccessibility in vitro. FSNEDDS displayed Newtonian flow
behavior with viscosity depending only on temperature and, in an aqueous medium, it formed small spherical
particles (<100 nm size diameter). The FSNEDDS showed higher oxidative stability than the non-formulated
CEO. In the simulated digestion, FSNEDDS formed nanoemulsifying droplets in gastric phase and tiny micelles
in intestinal phase, and a bioaccessibility of 63%. The FSNEDDS showed a superior anti-inflammatory activity
(+11%) than non-formulated CEO and this beneficial concentration was achieved with a non-toxic concentration
for none of the cell lines tested. In conclusion, FSNEDDS improves the physicochemical stability, bioaccessibility
and bioactivity of CEO, and it could be a phytotherapic option for per oral administration to treat inflammatory
diseases.The authors wish to thank the financial support of the Coordenaç˜ao
de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) and of the
Conselho Nacional de Desenvolvimento Científico e Tecnológico
(CNPq). The authors are grateful to the Foundation for Science and
Technology (FCT, Portugal) for financial support through national funds
FCT/MCTES (PIDDAC) to CIMO (UIDB/00690/2020 and UIDP/00690/
2020) and SusTEC (LA/P/0007/2020). The authors also thank the National
funding by FCT - Foundation for Science and Technology, through
the institutional scientific employment program-contract with L. Barros
and F. Mandim PhD grant (SFRH/BD/146614/2019).info:eu-repo/semantics/publishedVersio
Via verde sépsis no serviço de urgência de uma unidade local de saúde do norte do país entre 2018 e 2022
A sépsis e o choque séptico são problemas de saúde importantes, que
afetam milhões de pessoas todos os anos, em todo mundo. Uma entre cada cinco
pessoas infetadas morre. A identificação precoce e o tratamento adequado nas primeiras
horas, após o desenvolvimento da sépsis, melhoram os resultados, sendo a Via Verde
Sépsis uma resposta.
Objetivos: Analisar os resultados da implementação do protocolo Via Verde Sépsis no
Serviço de Urgência de Uma Unidade Local de Saúde do Norte do País, entre 2018 e
2022. Como objetivos específicos, delinearam-se os seguintes: Traçar um perfil
sociodemográfico e clínico dos utentes admitidos em Via Verde Sépsis; Verificar o
tratamento dos utentes admitidos em Via Verde Sépsis e os tempos alvo; Averiguar a
associação entre a mortalidade e as variáveis sociodemográficas e clínicas; Relacionar a
mortalidade e a ordem das médias dos tempos alvo de admissão-triagem, triagem-
observação médica, observação médica-lactatos e dias de internamento.
Métodos: Estudo observacional de natureza quantitativa, descritivo-correlacional e
analítico com enfoque transversal e retrospetivo, com recolha de dados clínicos para
analisar os resultados da implementação do protocolo Via Verde Sépsis no Serviço de
Urgência de Uma Unidade Local do Norte do País, entre 2018 e 2022. A amostra ficou
constituída por 316 utentes. Os dados foram recolhidos a partir de uma grelha elaborada
had hoc. O estudo obteve parecer favorável da Comissão de Ética.
Resultados: Registou-se um total de 316 utentes, correspondendo a 50,9% de homens e
40,1% de mulheres, com uma média de idade de 58,33±21,13 anos. Os anos com uma
percentagem mais expressiva de utentes admitidos em Via Verde Sépsis foram 2019
(41,1%) e 2018 (37,0%). Na maioria, durante o turno de trabalho da tarde (51,3%),
triados com prioridade “Amarela” (52,2%). Destacou-se o ponto de partida respiratório
(54,1%). Em relação à primeira linha de antibióticos utilizada, prevaleceu o Ceftriaxone
(55,1%), como antibióticos de segunda linha, destacou-se a Claritromicina, com 11,1%,
sendo 13,0% homens. Prevaleceram os utentes cujo destino foi a alta clínica (39,2%) e o
internamento no Serviço de Medicina (38,9%). A ativação da Via Verde Sépsis, ocorreu
em quase todos os utentes aquando da triagem (93,7%). Foi reduzida a taxa de utentes
que faleceram (2,5%) N=8, entre os quais, 4 (50,0%) eram homens e 4 (50,0%)
mulheres, com 5 (62,5%) na faixa etária dos 56-75 anos e 3 (37,5%) com idade superior
aos 75 anos, 6 (75%) foram triados com prioridade laranja e 2 (25,0%) com prioridade
amarela.
Conclusão: A triagem exata, o reconhecimento rápido, a reanimação precoce, a
administração precoce de antibióticos e a erradicação da fonte de infeção são os
componentes fundamentais para a prestação de cuidados de qualidade em caso de
sépsis. Como tal, é fundamental aumentar a ativação do protocolo da Via Verde Sépsis
para que ocorra uma redução da mortalidade.Sepsis and septic shock are important health problems that affect millions
of people every year around the world. One in five infected people dies. Early
identification and appropriate treatment in the first hours after sepsis develops improves
results, with Via Verde Sépsis being an answer.
Objectives: To analyze the results of the implementation of the Via Verde Sépsis
protocol in the Emergency Department of a Local Health Unit of the North of the
Country, between 2018 and 2022. The specific objectives were as follows: To draw up a
sociodemographic and clinical profile of patients admitted to Via Verde Sepsis; To
verify the treatment of patients admitted to Via Verde Sepsis and the target times; To
ascertain the association between mortality and sociodemographic variables; To relate
mortality and the order of the mean target times for admission - triage, triage - medical
observation, medical observation - lactate clarification and hospitalization days.
Methods: This is a quantitative, descriptive-correlational and analytical observational
study with a cross-sectional and retrospective approach, collecting clinical data to
analyze the results of the implementation of the Via Verde Sepsis protocol in the
Emergency Department of a Local Health Unit of the North of the Country, between
2018 and 2022. The sample consisted of 316 patients. The data was collected using a
had hoc grid. The study was approved by the Ethics Committee.
Results: A total of 316 users were registered, corresponding to 50.9% men and 40.1%
women, with an average age of 58.33±21.13 years. The years with the highest
percentage of patients admitted to Via Verde Sepsis were 2019 (41.1%) and 2018
(37.0%). The majority were admitted during the afternoon work shift (51.3%) and
triaged with "Yellow" priority (52.2%). The respiratory starting point stood out
(54.1%). The first line of antibiotics used was Ceftriaxone (55.1%) and the second line
of antibiotics was Clarithromycin (11.1%), of which 13.0% were men. The majority of
patients were discharged from hospital (39.2%) and admitted to the Medical Service
(38.9%). Almost all patients had their Via Verde Sépsis activated during triage (93.7%).
There was a low rate of patients who died (2,5%) N=8, of whom 4 (50,0%) were men
and 4 (50,0%) women, with 5 (62,5%) in the 56-75 age group and 3 (37,5%) aged over
75, 6 were triaged with orange priority and 2 (25,0%)with yellow priority.
Conclusion: Accurate triage, rapid recognition, early resuscitation, early administration
of antibiotics and eradication of the source of infection are the key components in
providing quality care in the event of sepsis. It is therefore essential to increase the
activation of the Via Verde Sépsis protocol in order to reduce mortality
Magnesium and manganese induced changes on chemical, nutritional, antioxidant and antimicrobial properties of the pansy and Viola edible flowers
composition was determined using standard methods. Free sugars, fatty acids, organic acids, tocopherols, and
phenolic compounds were analyzed using various HPLC and GC devises. The extract’s antimicrobial, antioxidant,
cytotoxicity, and anti-inflammatory activity were assessed. The results indicated that Mg enrichment negatively
affected plant growth and mineral accumulation but improved photosynthetic performance. The edible flowers
contained significant amounts of protein, low levels of fat, and varying sugar contents, such as glucose and
fructose. Various fatty acids and phenolic compounds were identified, with different concentrations depending
on the treatment. The flowers exhibited antioxidant potential, antimicrobial activity, cytotoxic effects, and antiinflammatory
properties. The correlations between the investigated parameters not only expand knowledge on
Mg and Mn interaction but also catalyze significant advancements in sustainable agriculture and food health,
fostering a healthier and more conscious future.The authors are grateful to the Foundation for Science and Technology
(FCT, Portugal) for financial support through national funds
FCT/MCTES (PIDDAC) to CIMO (UIDB/00690/2020 and UIDP/00690/
2020) and SusTEC (LA/P/0007/2020). L. Barros, Ricardo C. Calhelha, S.
A. Heleno and T. C. Finimundy thank the national funding by FCT
through the institutional scientific employment program-contract for
her contract, while M. Carocho thanks FCT through the individual scientific
employment program-contract (CEECIND/00831/2018). I. Oliveira
thanks FCT for her PhD grant (BD/06017/2020).info:eu-repo/semantics/publishedVersio
Vivências dos enfermeiros no cuidado à pessoa em fim de vida no serviço de urgência
O Serviço de Urgência (SU) é direcionado para o doente crítico, com
necessidade de estabilização emergente, estando subjacente o cuidado emergente. Mas não são
só estes doentes que procuram este serviço, também os doentes em fim de vida com
necessidades de cuidados paliativos (CP) entram na porta do SU, sendo necessário que os
enfermeiros(as) que lá exercem possam dar uma resposta efetiva neste âmbito. Daí ser fulcral
colocar ênfase à investigação de forma a refletir nas estratégias de intervenção mais
adequadas a estas pessoas.
Objetivo: Analisar as vivências dos enfermeiros no cuidado à pessoa em fim de vida (PFV),
no SU.
Metodologia: Estudo qualitativo. A recolha de dados foi realizada com recurso a uma
entrevista semiestruturada a um grupo focal de sete enfermeiros participantes no estudo, de
uma Unidade Local de Saúde (ULS) do Norte de Portugal, durante a primeira semana do mês
de abril de 2023.
Resultados: Os enfermeiros (as) atribuem o conceito de PFV a uma doença incurável com
pouco tempo de vida. Ao conceito de CP associam a promoção de conforto e bem-estar ao
doente, a promoção do bem-estar da família, os cuidados promotores de dignidade. Os
sentimentos negativos vivenciados pelos enfermeiros expressam sentimentos negativos
(frustração) e emoções negativas, como a tristeza, raiva e revolta. As principais intervenções
destes enfermeiros dirigidas à PFV enquadram-se no paradigma paliativo como alívio dos
sintomas, apoio ao doente e à sua família e proporcionar medidas de conforto. Consideram
intervenções fundamentais dirigidas à PFV, o conforto físico e psicológico, dando-se ainda
enfâse ao toque. Apontam para a adoção de medidas terapêuticas centradas na abordagem
curativa com a formatação e formação recebida e a pressão da família. Foi possível distinguir
nas dificuldades a “Sobrecarga de trabalho”, “Dificuldades de apoio ao nível da instituição”,
“Dificuldades ao nível dos recursos”. Por sua vez, de entre as necessidades sentidas
emergiram a “Necessidade de uma estrutura física adequada”, “Necessidade de melhoria ao
nível organizacional”. Todos foram unânimes em salientar a falta da dignidade para a PFV no
SU, por razões físicas/estruturais e por défice de formação. Como estratégias de melhoria, os
enfermeiros propõem: o investimento nas equipas multidisciplinares, a melhoria da estrutura
física e a uniformização de procedimentos na abordagem da PFV.
Conclusão: Os resultados apontam para um leque de dificuldades associadas às vivências dos
enfermeiros no cuidado à PFV, contudo também emergem estratégias de melhoria. Devem ser
promovidas estratégias organizacionais e individuais. Um exemplo seria a formação/
promoção de atividades de melhoria das estratégias de coping, visando facilitar a gestão dos
sentimentos e emoções por parte dos enfermeiros. Das várias medidas propostas destaca-se a
criação de uma rede de urgência de CP.The Emergency Service (ES) is geared towards critically ill patients in need of
emergent stabilization, with emergent care as its underlying principle. But it's not only these
patients who come to this service. End-of-life patients in need of palliative care (PC) also
enter the ES, and nurses working in these services need to provide an effective response in this
area. That's why it's crucial to put the emphasis on research in order to reflect on the most
appropriate intervention strategies for these people.
Objective: To analyze the experiences of nurses in caring for people at the end of life (PEL)
in the ES.
Methodology: A qualitative study. Data was collected using a semi-structured interview
with a focus group of seven nurses participating in the study, from a Local Health Unit in
Northern Portugal, during the first week of April 2023.
Results: Nurses attribute the concept of PEL to an incurable disease with a short time to
live. To the concept of PC they associate the promotion of comfort and well-being for the
patient, the promotion of the family's well-being and care that promotes dignity. The
negative feelings experienced by the nurses express negative feelings (frustration) and
negative emotions, such as sadness, anger, and revolt. These nurses' main interventions
aimed at the PEL fall within the palliative paradigm, such as relieving symptoms, supporting
the patient and their family and providing comfort measures. They consider physical and
psychological comfort to be fundamental interventions aimed at the PEL, with an emphasis on
touch. They point to the adoption of therapeutic measures centered on the curative approach
with the formatting and training received and pressure from the family. Difficulties included
"Work overload", "Difficulties with support from the institution" and "Difficulties with
resources". Among the needs felt, the following emerged: "Need for an adequate physical
structure", "Need for organizational improvement". All were unanimous in highlighting the
lack of dignity for PEL in the ES, due to physical/structural reasons and a lack of training.
As strategies for improvement, the nurses propose: investing in multidisciplinary teams,
improving the physical structure, and standardizing procedures for dealing with PEL.
Conclusion: The results point to a range of difficulties associated with nurses' experiences in
caring for people at the end of life, but strategies for improvement also emerge.
Organizational and individual strategies should be promoted. One example would be training
/ promoting activities to improve coping strategies, with the aim of making it easier for
nurses to manage their feelings and emotions. Of the various measures proposed, the
creation of an emergency PC network stands out