A massagem terapêutica, saúde e "coping"

Este estudio tiene como objetivo determinar la influencia del masaje terapéutico sobre los indicadores de salud (signos vitales, saturación de oxígeno) a fin de comprender su eficacia como estrategia de supervivencia. Por esa razón, se hizo un estudio clínico, en el que se evaluó una participante de 38 años de edad, seleccionada al azar entre otros 15 participantes en un hogar de ancianos a las afueras de Coimbra. Se realizó una sesión durante 45 minutos, en donde se midieron los indicadores de salud en dos momentos: antes y después de la aplicación del Masaje. Hemos utilizado 23 QVS escala del Doctor Vaz Serra, para evaluar la vulnerabilidad al estrés. Los resultados ponen de manifiesto que la aplicación de masaje terapéutico influye en los resultados de los indicadores de salud, a pesar de que la participante no estaba clasificada como persona vulnerable al stress. En su opinión, el masaje terapéutico es una estrategia adecuada para aliviar el estrés, pero el precio que hay que pagar por él es prohibitivo, es por ello por lo que no lo practican a menudo.This study aims to determine the influence of Therapeutic Massage in Health indicators (vital signs,oxygen saturation) in order to understand its effectiveness as a coping strategy. For that reason it was made a clinic study, which evaluated a female participant of 38 years old, randomly selected among 15 other participants in a nursing home on the outskirts of Coimbra. It was made a session during 45 minutes, where were measured health indicators in two moments: before and after Massage application. We used 23 QVS scale from Teacher/ Doctor Vaz Serra to assess the stress vulnerability. The results emphasize that the application of Therapeutic Massage influenced the results of the Health Indicators, despite the participant does not display a value that classify her as a stress vulnerable person. In her opinion Therapeutic Massage is an appropriate strategy to relieve stress, but the price to pay for one Massage are prohibitive to make that practice it often.O presente estudo tem como objectivo verificar a influência da Massagem Terapêutica em Indicadores de Saúde (sinais vitais; Saturação de Oxigénio), no sentido de compreender a sua eficacia como estratégia de coping. Para a sua concretização realizou-se um estudo de caso, em que se avaliou uma participante de 38 anos, seleccionada aleatoriamente entre 15 outras participantes de um lar perto da cidade de Coimbra - Portugal. Neste sentido, realizou-se uma sessão com duração de 45 minutos em que foram avaliados os Indicadores de Saúde antes e imediatamente após a sua aplicação. Foi utilizada a escala 23 QVS do Professor Doutor Vaz Serra no sentido de avaliar a vulnerabilidade, da voluntária, ao stress. Os resultados encontrados salientam que a aplicação de Massagem Terapêutica influenciou os resultados dos Indicadores de Saúde, apesar da participante não apresentar um valor que a classificasse como vulnerável ao stress. Segundo a opinião da participante a Massagem Terapêutica é uma estratégia adequada para aliviar o stress, e que seria pertinente a sua realização frequente, sendo a questão monetária uma dificuldade incontornável.peerReviewe

La dimensión energética del ser humano

El concepto de Energía es cada vez más utilizado por parte del sentido común y de las diversas disciplinas científicas. Con el fin de comparar las dos posiciones se realizó un estudio cualitativo para evaluar si la edad, el sexo y la ocupación influyen sobre las opiniones y definiciones personales de la Energía. Para realizar este proyecto, se enviaron 30 cuestionarios por email de los que sólo 15 fueron devueltos. Cada cuestionario fue diseñado en torno a 3 preguntas. La definición de Energía obtenida de los cuestionarios muestra una aproximación abstracta de ambos sexos y en todas las edades. Los resultados obtenidos revelaron que las variables de sexo, edad y profesión no influyeron en las respuestas una vez que todos los entrevistados consideraran afirmativamente que el ser humano es un ser energético. Apenas se registraron respuestas divergentes entre los individuos de profesiones de ciencias exactas y de las restantes áreas profesionales, aunque las de los primeros fueron definiciones más lógicas. De las 15 respuestas recibidas hubo 9 que tomaron la Energía como objeto de estudio en todas las áreas de la investigación científica actual que fue proporcionada como hipótesis.Energy is a concept that is increasing, between common sense and Scientifics disciplines. In order to compare the two positions, we made the following, qualitative study to assess whether age, sex and occupation influenced the views and personal settings on the energy subject. To realize this project, were sent 30 questionnaires by email, of which, only, 15 were returned. Each questionnaire was designed with 3 questions. The definition of energy, obtained by questionnaires, shows an abstract approach for both sexes and all ages. There were only different nuances, between individuals of the exact sciences professions and the other professions, the first ones had definitions more logical. Of the 15 responses received, there were 9 who took the energy an object of study in all areas of current scientific knowledge, which was provided as hypotheses.A Energia é um conceito cada vez mais utilizado quer pelo senso comum quer pelas diversas áreas científicas. No sentido de confrontar as duas posições supracitadas, realizou-se o seguinte estudo com análise qualitativa para avaliar se a idade, o sexo e a profissão influenciavam as opiniões e definições pessoais sobre Energia. Para concretizar este projecto foram enviados 30 questionários por email, dos quais foram reenviados 15 instrumentos de colheita de dados. Cada questionário foi elaborado com 3 questões. Os resultados obtidos revelaram que, as variáveis sexo, idade e profissão, não influenciaram os resultados uma vez que todos os respondentes consideraram, afirmativamente, que o ser humano é um é um ser energético. As definições de Energia obtidas, pelo questionário, revelaram-se abstractas para ambos os sexos e para todas as faixas etárias. Apenas se verificaram nuances divergentes, entre os indivíduos das profissões das ciências exactas e os das restantes áreas profissionais, uma vez que se obtiveram definições com linguagem mais lógica para os primeiros. Das 15 respostas recebidas, encontramos 9 que assumiam a Energia como objecto de estudo de todas as áreas do conhecimento científico actual, que foram fornecidas como hipóteses

Person-centered practice in the Portuguese Healthcare Services: a scoping review protocol

Recognizing the importance of the international advancements on person-centered practice (PCP) with positive implementation outcomes at the varied levels of healthcare systems, this scoping review will examine the PCP in Portuguese healthcare services. The Joanna Briggs Institute (JBI) guidance for scoping reviews will be followed. The Population (P) Concept (C) Context (C) mnemonic will scaffold research questions, the inclusion and exclusion criteria, and the searching strategy. Literature reporting on person-centeredness domains at the macro-, meso-, and micro levels applied to Portuguese healthcare services in Portuguese and English will be considered for inclusion. Accordingly, MEDLINE, CINAHL, SCOPUS, LILACS, SCIELO, Open Access Scientific Repository of Portugal (RCAAP), and Open gray will be searched. The literature will be screened for eligibility by two independent reviewers, first by title and abstract and subsequently by full text. A data extraction matrix designed to answer the research questions will be used for the included literature. The charted data will be thematically analyzed and presented graphically, with a narrative description of the literature characteristics. The results are expected to inform healthcare stakeholders at varying levels about the PCP domains where further improvements might be required in order to raise the quality of care to the international gold standards.info:eu-repo/semantics/publishedVersio

Assessment of Job Satisfaction in Nurses: Contributions to Health Management

Background: Evidence reflects that job satisfaction is an indicator of the quality of health care. Health managers and decision-makers cannot neglect its importance and should promote organizational interventions for its assessment and improvement. Objective: This study aims to (i) compare the job satisfaction experienced by nurses with the one desired (ii) identify the lowest areas of current satisfaction and (iii) reflect in areas of lowest and higher job satisfaction. Method: A descriptive study carried out in September 2021 with thirty oncology nurses, who were asked to fill out an electronic questionnaire with the professional life wheel coaching tool. This coaching diagnostic tool assesses the current satisfaction level and the desired satisfaction level from 1 to 10. The inquired areas were: salary, career progression, relationships with managers, relationships with the team, relationships with patients/family, professional environment, feeling of institutional belonging, working conditions, appreciation/recognition, and professional fulfillment. Ethical assumptions were preserved. Results: The results suggest that oncology nurses have important levels of job dissatisfaction. The lowest values of experienced job satisfaction were related to career development, while the highest were related to team relationships. Regarding the desired job satisfaction, the salary was the area presenting the least need for correction. The relationship with patients and families was identified as the area with the greatest desire for improvement. There was a weak correlation between job satisfaction and age, and job satisfaction and professional experience. Discussion and Conclusion: The relationship with the team was one of the areas identified by nurses as significant for their levels of satisfaction, revealing the importance of promoting the development of healthful and effective relationships. Promoting relationships with patients and families is also important as this area was identified as a desire for greater professional development. Health care institutions and nurse managers aiming at the promotion of job satisfaction should plan interventions focusing on the areas of lower job satisfaction and towards younger nurses, who have less experience in clinical environments. Such an approach will likely allow the nurses to feel valued and will reduce the gap between experienced and desired job satisfaction.info:eu-repo/semantics/publishedVersio

Monitoring and Management of the Palliative Care Patient Symptoms: A Best Practice Implementation Project

Acknowledgments: The authors acknowledge the support provided by Health Sciences Research Unit: Nursing (UICISA: E), hosted by the Nursing School of Coimbra (ESEnfC), and the Portugal Centre for Evidence-Based Practice: A JBI Centre of Excellence, Portugal.Background: In palliative care, symptoms are multiple and combined, evolving and changing, with a multidimensional character and multifactorial causes, and a high prevalence, negatively influencing the patient’s and family’s quality of life. Nurses who provide palliative care need to recognize and respond effectively to their patients’ symptoms. Methods: A project will be applied to implement the best practice in monitoring and managing palliative care patients’ symptoms. The Joanna Briggs Institute Practical Application of Clinical Evidence System (JBI PACES) and Getting Research into Practice (GRiP) audit and feedback tool will be used. The JBI PACES and GRiP framework for promoting evidence-based healthcare involves three phases of activity. First, a baseline audit. In a second phase, feedback will be given to the project team after the conclusion of the baseline audit report. Then, a third phase will be conducted as a follow-up audit. Conclusions: This project will improve the practice of the nursing team in monitoring and managing the symptoms of palliative care patients, positively influencing the quality of life of the patient and his family. The implementation and dissemination of this project could boost its replication in other centres.info:eu-repo/semantics/publishedVersio

Workplace stress in Portuguese oncology nurses delivering palliative care: A pilot study

Oncology nurses often face complex end-of-life issues, underlining their need for specific training in palliative care. In this context, nurses experience several emotional and psychological dilemmas, which are often difficult to manage and result in high levels of workplace stress. This study aimed to determine the levels and work-related factors of workplace stress among oncology nurses. A descriptive baseline study was performed as part of a large four-phase study based on quantitative data collected from Portuguese oncology nurses. Of the 32 participating nurses, most were women, and the mean age was 42.69 10.04 years. Overall, nurses revealed moderate levels of stress. Younger nurses with less professional experience had difficulties dealing with issues related to death and dying. This pilot study supported the development of a program of six Stress Management Training Workshops (SMTW) to reduce stress and increase adaptative strategies. Assessing workplace stress among oncology nurses should be the focus of intervention by managers and institutional leaders.info:eu-repo/semantics/publishedVersio

Improving peripheral venous catheterization-related outcomes in oncology patients: an action research study in Portugal

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Bacteriophages, gut bacteria, and microbial pathways interplay in cardiometabolic health

Cardiometabolic diseases are leading causes of mortality in Western countries. Well-established risk factors include host genetics, lifestyle, diet, and the gut microbiome. Moreover, gut bacterial communities and their activities can be altered by bacteriophages (also known simply as phages), bacteria-infecting viruses, making these biological entities key regulators of human cardiometabolic health. The manipulation of bacterial populations by phages enables the possibility of using phages in the treatment of cardiometabolic diseases through phage therapy and fecal viral transplants. First, however, a deeper understanding of the role of the phageome in cardiometabolic diseases is required. In this review, we first introduce the phageome as a component of the gut microbiome and discuss fecal viral transplants and phage therapy in relation to cardiometabolic diseases. We then summarize the current state of phageome research in cardiometabolic diseases and propose how the phageome might indirectly influence cardiometabolic health through gut bacteria and their metabolites

Estudio de caso de un adolescente según el Modelo Teórico de Ajuste al Cáncer Parental

Objective: To describe and analyze the experience of an adolescent experiencing parental cancer, based on A Model of Children’s Adjustment to Parental Cancer, and to prescribe nursing interventions in classified language. Method: This is a single case study, qualitative, of a 16-year-old adolescent experiencing maternal cancer. We analyzed a semi-structured interview, based on a script conceptualized by the selected theoretical model. Data processing took place through content analysis. Authorization was obtained from the Research Ethics Committee TI 25/2020. Results: The analysis of the adolescent’s interview allowed identifying categories in agreement with the model variables. Psychosocial adjustment dimensions and stress response symptoms, such as academic performance and somatic symptoms, were recognized in the adolescent’s adjustment process. Nursing interventions will focus on education and support. Conclusion: The theoretical model contributed to assess the needs of adolescents experiencing parental cancer, allowing nursing interventions to be prescribed in classified language that consider moderating and mediating variables, promoting adjustment. The model proved to be suitable for future interventions for adolescents experiencing similar situations.info:eu-repo/semantics/publishedVersio