32 research outputs found
Enfoques e intervenciones de enfermerĂa promotoras de la autonomĂa del anciano
Objectives: To describe the meaning attributed to the experiences of the clinical experience of specialist nurses in the implementation
of nursing care focuses and respective interventions that promote the autonomy of the elderly.
Method: Qualitative study based on Giorgi’s method. Eighteen specialist nurses were interviewed, recruited for convenience in two
hospitals in the northern region of Portugal, between March and December 2018.
Results: In the clinical experience of specialist nurses, regarding the nursing process, three themes emerged: focuses of nursing care;
implementation of nursing interventions and hindering factors.
Conclusions: The specialist nurses, most of whom are rehabilitation specialists, essentially promote the physical capacity of the
elderly, within the scope of autonomy, revealing that working conditions, such as lack of time and information systems, are the
limiting factor of their promotion.info:eu-repo/semantics/publishedVersio
Concept of older person autonomy: phenomenological study of the opinion of specialist nurses
Abstract
Background: The concept of autonomy is composed of several components, making it a multidimensional concept. This includes
cognitive ability, intellectual ability, emotional intelligence, social situation, and physical ability skills. This study aimed to describe the
experiences attributed to the meaning of the concept of autonomy, by specialist nurses.
Methods: A descriptive phenomenological study was carried out, according to the Giorgi method. Eighteen nurses were recruited
at a hospital in Portugal. Data were collected through individual interviews.
Results: The 18 specialist nurses work on average as nurses for 16years and are specialist nurses; for an average of 5.9years,
most are specialist nurses in rehabilitation nursing. From the data analysis, six themes emerged: ability to do, ability to resolve, decision
ability, cognitive ability, social integration, and emotional intelligence.
Conclusions: Most professionals perceive the concept as the ability to perform activities of daily living and the ability to make
decisions, especially concerning informed consent. It is necessary to raise awareness of the breadth of this concept since the quality
of life and dignity of the elderly person depends on autonomyinfo:eu-repo/semantics/publishedVersio
Focos e intervenções de Enfermagem promotoras da autonomia dos idosos
Objetivos: Descrever o significado atribuĂdo Ă s vivĂŞncias da experiĂŞncia clĂnica dos enfermeiros especialistas na implementação de focos do cuidado de enfermagem e respetivas intervenções promotoras da autonomia dos idosos.MĂ©todo: Estudo qualitativo com base no mĂ©todo de Giorgi. Foram entrevistados 18 enfermeiros especialistas, recrutados por conveniĂŞncia em dois hospitais da regiĂŁo a norte de Portugal, entre março e dezembro de 2018.Resultados: Na experiĂŞncia clĂnica dos enfermeiros especialistas, quanto ao processo de enfermagem, emergiram trĂŞs temas: focos do cuidado de enfermagem; implementação de intervenções de enfermagem e fatores dificultadores.Conclusões: Os enfermeiros especialistas, em sua maioria em reabilitação, promovem essencialmente a capacidade fĂsica dos idosos, no âmbito da autonomia, revelando que as condições de trabalho, como a falta de tempo e os sistemas de informação, constituem ofator limitador da sua promoção.
Palavras-chave: Assistência ao paciente. Cuidados de enfermagem. Autonomia pessoal. Condições de trabalho. Pesquisa qualitativa
Prática de enfermagem na promoção da autonomia dos idosos
Objective: To describe the meaning attributed by specialist nurses to the promotion
of the elderly’s autonomy. Method: This is a phenomenological study, according to
Giorgi’s method, which uses semi-structured interviews. Eighteen specialist nurses
participated, recruited using convenience sampling, in two hospitals in the northern
region of Portugal, between March and December 2018. Results: Five themes
emerged: use of instruments; use of theoretical framework; nursing diagnoses;
prescription of interventions; nursing records. Conclusion: Specialist nurses use
instruments that essentially promote the elderly’s physical capacity, within the scope
of autonomy. The information systems used to record the diagnoses and prescriptions
for interventions do not reflect the intervention for the person’s autonomy. Autonomy
in a multidimensional way is not very well developed, despite the recognition of its
importance for the elderly’s quality of life and dignity.Objetivo: Descrever o significado atribuĂdo por enfermeiros especialistas Ă promoção da autonomia dos idosos. MĂ©todo: Estudo
fenomenológico, segundo o método de Giorgi, que recorre à entrevista semiestruturada. Participaram 18 enfermeiros especialistas,
recrutados por conveniência em dois hospitais da região a norte de Portugal, entre março a dezembro de 2018. Resultados: Emergiram
cinco temas: uso de instrumentos; uso de referencial teórico; diagnósticos de enfermagem; prescrição de intervenções; registros de
enfermagem. ConclusĂŁo: Os enfermeiros especialistas utilizam instrumentos que promovem essencialmente a capacidade fĂsica dos
idosos, no âmbito da autonomia. Os sistemas de informação utilizados para registrar os diagnósticos e prescrições de intervenções
não refletem a intervenção para a autonomia da pessoa. A autonomia de forma multidimensional é pouco trabalhada, apesar do
reconhecimento de sua importância para a qualidade de vida e dignidade da pessoa idosa.Objetivo: Describir el significado atribuido por enfermeros expertos sobre la promociĂłn de la autonomĂa de los ancianos. MĂ©todo:
Estudio fenomenológico, según el método de Giorgi, basado en entrevista semiestructurada. Participaron 18 enfermeros expertos,
convocados por conveniencia en dos hospitales en una regiĂłn al norte de Portugal, entre marzo y diciembre de 2018. Resultados:
Surgieron cinco temas: uso de instrumentos; uso de referencias teĂłricas; diagnĂłsticos de enfermerĂa; prescripciĂłn de intervenciones;
registros de enfermerĂa. Consideraciones Finales: Los enfermeros expertos utilizan instrumentos que promueven esencialmente la
capacidad fĂsica de los ancianos en lo que se refiere a la autonomĂa. Los sistemas de informaciĂłn utilizados para registrar los diagnĂłsticos
y prescripciones de intervenciones no reflejan la intervenciĂłn para la autonomĂa de uno. La autonomĂa de forma multidimensional se ha
trabajado poco, a pesar del reconocimiento de su importancia para la calidad de vida y dignidad del anciano.info:eu-repo/semantics/publishedVersio
Focos e interven??es de enfermagem promotoras da autonomia dos idosos
Objetivos: Descrever o significado atribu?do ?s viv?ncias da experi?ncia cl?nica dos enfermeiros especialistas na implementa??o de focos do cuidado de enfermagem e respetivas interven??es promotoras da autonomia dos idosos.
M?todo: Estudo qualitativo com base no m?todo de Giorgi. Foram entrevistados 18 enfermeiros especialistas, recrutados por conveni?ncia em dois hospitais da regi?o a norte de Portugal, entre mar?o e dezembro de 2018.
Resultados: Na experi?ncia cl?nica dos enfermeiros especialistas, quanto ao processo de enfermagem, emergiram tr?s temas: focos do cuidado de enfermagem; implementa??o de interven??es de enfermagem e fatores dificultadores.
Conclus?es: Os enfermeiros especialistas, em sua maioria em reabilita??o, promovem essencialmente a capacidade f?sica dos idosos, no ?mbito da autonomia, revelando que as condi??es de trabalho, como a falta de tempo e os sistemas de informa??o, constituem o fator limitador da sua promo??o.DA10-CEBF-4D75 | Maria Salom? Martins FerreiraN/
Pervasive gaps in Amazonian ecological research
Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear un derstanding of how ecological communities respond to environmental change across time and space.3,4
While the increasing availability of global databases on ecological communities has advanced our knowledge
of biodiversity sensitivity to environmental changes,5–7 vast areas of the tropics remain understudied.8–11 In
the American tropics, Amazonia stands out as the world’s most diverse rainforest and the primary source of
Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepre sented in biodiversity databases.13–15 To worsen this situation, human-induced modifications16,17 may elim inate pieces of the Amazon’s biodiversity puzzle before we can use them to understand how ecological com munities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus
crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced
environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple or ganism groups in a machine learning model framework to map the research probability across the Brazilian
Amazonia, while identifying the region’s vulnerability to environmental change. 15%–18% of the most ne glected areas in ecological research are expected to experience severe climate or land use changes by
2050. This means that unless we take immediate action, we will not be able to establish their current status,
much less monitor how it is changing and what is being lostinfo:eu-repo/semantics/publishedVersio
Pervasive gaps in Amazonian ecological research
Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear understanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5,6,7 vast areas of the tropics remain understudied.8,9,10,11 In the American tropics, Amazonia stands out as the world's most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepresented in biodiversity databases.13,14,15 To worsen this situation, human-induced modifications16,17 may eliminate pieces of the Amazon's biodiversity puzzle before we can use them to understand how ecological communities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple organism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region's vulnerability to environmental change. 15%–18% of the most neglected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lost