Care relationships and the autonomy of people with physical disabilities.

As a form of functional diversity, spinal cord injury expressed by tetraplegia is one of the most serious events that can impact people, affecting their family and socioeconomic life. The type of care relationship established in these cases will be essential for preserving autonomy. The objective of this study was to understand how care relationships influence the autonomy of people with tetraplegia and the dynamics that trigger practices of autonomy violation, maintenance and promotion. This research is inspired by problematization as a methodology using the Arch of Maguerez as an analytical approach strategy that enables an engagement between empirical and theoretical data. Some models of care relationships identified in this study either promote or violate autonomy: the protectionist model, based on the biomedical interpretation model of disability and the bodily impediments caused by spinal cord injury; the participatory model, involving the patient's interest in adapting to their new condition of family and community life, seeking to understand the practical aspects of daily life; the sharing model, in which the complicity and understanding of new forms of bodily expression allow the caregiver to be almost an extension of the tetraplegic person's body; the delegate model, which occurs in relationships with professional caregivers; and the emancipatory model, which seeks to empower the patient, highlight potentialities, and encourage autonomy. The key components of these conceptual care models guided the elaboration of hypotheses for intervention with the objective of maintaining and promoting the autonomy of people with tetraplegia through supported care.

Validación del cuestionario de limitaciones en el trabajo en militares del ejército brasileño / Validation of the Work Limitations Questionnaire in Brazilian Army military personnel

Objective. To validate the Work Limitations Questionnaire (WLQ) to measure presenteeism in Brazilian military personnel. Methods. This is a test validation study conducted with 125 individuals of a military staff attending a Brazilian Army Unit. We applied a form with demographic and occupational variables and the WLQ, composed of 25 items. The construct validity was assed trough confirmatory factorial analysis. Results. We confirmed the interdependent structure of the WLQ´s domains for explaining the presenteeism of the sample in four domains: outcome demand, mental demand, physical demand and time management. Most of items showed factorial loads between 0.5 and 0.7 and the adjustment (absolute and incremental) and residues indexes demonstrated satisfactory values. The Alphas in domains ranged from 0.68 (output demand) to 0.79 (time management) in domains, evidencing reliability for the WLQ. Conclusion. We confirm the construct validity of the WLQ to assess presenteeism in Brazilian military staff.(AU)

Objetivo. Validar el Cuestionario de Limitaciones en el Trabajo (WLQ) para evaluar el presentismo en militares del ejército brasileño. Método. Se trata de un estudio de validación de pruebas conducido con 125 militares de una organización militar del Ejército Brasileño. Se aplicó un formulario para la caracterización sociodemográfica y funcional y el WLQ, compuesto por 25 ítems. La validez de constructo se evaluó mediante del análisis factorial confirmatorio. Resultados. Se confirmó la estructura interdependiente de los dominios para explicación del presentismo en el grupo de estudio en cuatro dominios: demanda de producción, demanda mental, demanda física y gerencia del tiempo. La mayoría de los ítems presentaron cargas factoriales entre 0.5 y 0.7 y los índices de ajuste (absolutos e incrementales) y de residuos tuvieron valores satisfactorios. La confiabilidad por dominio varió de 0.68 (demanda de producción), 0.73 (demanda física) y 0.79 (gerencia del tiempo), evidenciando confiabilidad del WLQ. Conclusión. El WLQ es un instrumento confiable y válido para evaluar el presentismo en militares del ejército brasileño.(AU)

Objetivo. Validar o Questionário de Limitações no trabalho (WLQ) para avaliar presenteísmo em militares do Exército Brasileiro. Método. Trata-se de uma pesquisa de validação de um teste realizada com 125 de militares de uma organização militar do Exército Brasileiro. Aplicaram-se um Formulário para caracterização sócio-demográfica e funcional e o WLQ, composto por 25 itens. A validade de constructo foi avaliada por meio de análise fatorial confirmatória. Resultados. Confirmou-se a estrutura interdependente dos domínios para explicar o presenteísmo na população de estudo em domínios: demanda de produção, demanda mental, demanda física e gerência do tempo. A maioria dos itens apresentou cargas fatoriais entre 0.5 e 0.7 e os índices de ajuste (absolutos e incrementais) e de resíduos apresentaram valores satisfatórios. Os Alfas por domínio variaram de 0.68 (demanda de produção) a 0.79 (gerência do tempo), evidenciando confiabilidade do WLQ. Conclusão. Confirmou-se a validade de constructo do WLQ para avaliar presenteísmo em militares do exército brasileiro.(AU)

Validation of the Work Limitations Questionnaire in Brazilian Army military personnel.

OBJECTIVES: To validate the Work Limitations Questionnaire (WLQ) to measure presenteeism in Brazilian military personnel. METHODS: This is a test validation study conducted with 125 individuals of a military staff attending a Brazilian Army Unit. We applied a form with demographic and occupational variables and the WLQ, composed of 25 items. The construct validity was assed trough confirmatory factorial analysis. RESULTS: We confirmed the interdependent structure of the WLQ´s domains for explaining the presenteeism of the sample in four domains: outcome demand, mental demand, physical demand and time management. Most of items showed factorial loads between 0.5 and 0.7 and the adjustment (absolute and incremental) and residues indexes demonstrated satisfactory values. The Alphas in domains ranged from 0.68 (output demand) to 0.79 (time management) in domains, evidencing reliability for the WLQ. CONCLUSIONS: We confirm the construct validity of the WLQ to assess presenteeism in Brazilian military staff.