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J Psychosoc Nurs Ment Health Serv ; 58(7): 11-13, 2020 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-32602930


The current need for social distancing due to the COVID-19 pandemic can lead to social isolation in the older adult population. Social isolation contributes to multiple health problems for older adults residing in the community and residential care facilities. Mitigating the effects of social isolation requires a holistic approach, focusing interventions on the physical, psychological, and psychosocial needs of older adults. Nurses possess a unique expertise in developing holistic interventions and using creativity to counteract the negative health sequelae resulting from social isolation. The nursing role in holistic care serves to protect the older adult's ego integrity, improve quality of life, and maintain wellness during this time of mandated social distancing. [Journal of Psychosocial Nursing and Mental Health Services, 58(7), 11-13.].

Infecções por Coronavirus/psicologia , Enfermagem Holística , Pneumonia Viral/psicologia , Isolamento Social/psicologia , Infecções por Coronavirus/enfermagem , Humanos , Pandemias , Pneumonia Viral/enfermagem , Qualidade de Vida , Fatores de Risco , Apoio Social
Metas enferm ; 23(1): 65-71, feb. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-189189


Para la mayoría de las lesiones medulares no hay ningún tratamiento curativo, y dado el gran impacto que ocasiona en la calidad de vida de estas personas, las intervenciones van orientadas, entre otras, a la adaptación del nuevo estado de salud y a la obtención de la mayor independencia y autonomía posible en las necesidades del individuo. Además, después de la lesión se experimenta ansiedad y preocupación extrema que impide el manejo adecuado de las emociones, por lo que será necesario un seguimiento adecuado del proceso de duelo para la pronta recuperación psicológica. Dada la relevancia del abordaje adecuado en el proceso de duelo en el paciente lesionado medular se propone la exposición de un caso clínico de un paciente joven con dicha situación y experiencia, que pueda ayudar a otros profesionales. Para ello se elabora un plan de atención enfermero siguiendo el modelo teórico de Virginia Henderson y la taxonomía NANDA, NOC y NIC

There is no curative treatment for the majority of spinal cord injuries, and given their major impact on the quality of life of these patients, interventions are targeted, among other things, to adaptation to their new health status and achieving the highest independency and autonomy possible for their individual needs. Besides, patients will experience anxiety and extreme concern after the injury, which prevents an adequate management of emotions; therefore, an adequate follow-up will be required for the grieving process, in order to achieve an early psychological recovery. Given the relevance of an adequate approach for the grieving process in a patient with spinal injury, we hereby present the case record of a young patient with said situation and experience, which can be helpful for other professionals. To this aim, a nursing care plan was prepared, following the theoretical model by Virginia Henderson, and the NANDA, NOC and NIC taxonomy

Humanos , Masculino , Adulto , Traumatismos da Medula Espinal/enfermagem , Avaliação em Enfermagem/métodos , Cuidados de Enfermagem/organização & administração , Diagnóstico de Enfermagem , Modelos de Enfermagem , Traumatismos da Medula Espinal/etiologia , Adaptação Psicológica , Terminologia Padronizada em Enfermagem , Enfermagem Holística/organização & administração
J Clin Nurs ; 29(9-10): 1599-1613, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-31855298


AIMS AND OBJECTIVES: To determine factors associated with nurses' spiritual care competencies. BACKGROUND: Holistic nursing care includes biopsychosocial and spiritual care. However, nurses are limited by a lack of knowledge, time constraints and apprehension of assessing spiritual issues, which leaves them unable to assess and meet patients' spiritual needs. Thus, when patients experience spiritual distress, clinical nurses lose the opportunity to support spiritual growth and self-actualisation. In Taiwan, spiritual care, religion and culture are unique compared to those in other countries. Overall, factors associated with Taiwanese nurses' spiritual care competencies lack comprehensive exploration. METHODS: This study adopted a descriptive correlational design using cross-sectional survey (see Appendix S1). Cluster sampling was used to select clinical nurses from fourteen units of a medical centre and a regional hospital. Data were collected from January-June 2018 with a 97.03% response rate. Clinical nurses completed a background questionnaire, spiritual care practice questionnaire, spirituality and spiritual care-related scales. Data were analysed using descriptive and linear regression. This report followed the STROBE checklist. RESULTS: Spiritual care competence ranged from 44-123 (mean 84.67 ± 12.88; range 27-135). The majority of clinical nurses rated their spiritual care competence as moderate (64-98). The significant factors associated with nurses' spiritual care competence were education, religion, interest in spiritual care, having role models, past life events, barriers to providing spiritual care of the spiritual care practice score, and spiritual attitude and involvement score. The overall model was significant (p < .001) and accounted for 55.0% of variance (adjusted R2  = .488). CONCLUSIONS: Most clinical nurses have moderate spiritual care competence. Objective factors identified affect clinical nurses' spiritual care competencies. RELEVANCE TO CLINICAL PRACTICE: To improve nurses' spiritual care competencies, objective factors that affect clinical nurses' spiritual care competencies must be emphasised. Multiple strategies for enhancing nurses' own spiritual well-being can be provided via employee health promotion projects and activities, and promoting nurses' spirituality and spiritual care competencies can be explored in clinical settings through bedside teaching, situational simulation, objective structured clinical examinations and self-reflection.

Competência Clínica , Enfermagem Holística/normas , Terapias Espirituais/enfermagem , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Espiritualidade , Inquéritos e Questionários , Taiwan
Holist Nurs Pract ; 34(1): 24-34, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31725097


The purpose of this study was to examine metaphors used by patients with chronic conditions to describe their experience with holistic nurse coaching. A secondary analysis was conducted using Metaphor Identification Procedure to analyze the corpus of 112 pages of typed transcription. Five metaphors emerged: (1) taking personal power back like acquiring a new toolbox; (2) seeing health challenges from different angles like a duck pond race; (3) shifting perception of a chronic condition like a spider turned into a friend; (4) engaging in self-care like caring for a favorite plant; and (5) choosing to focus on the positive like a collage that changed from dark to light. Specific interventions can be developed to address each of these metaphors to help patients live well with chronic conditions.

Doença Crônica/enfermagem , Doença Crônica/psicologia , Enfermagem Holística , Metáfora , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros/psicologia , Pesquisa Qualitativa , Autocuidado
Holist Nurs Pract ; 34(1): 40-48, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31725099


Despite a growing body of research literature within dementia care, research concerning how to provide holistic quality care and its benefit for people with dementia is still scarce. In this study, a secondary analysis of original qualitative data from a former study was employed. Findings demonstrated that slow nursing embodies a holistic caring approach, which may improve the care quality provided to people with dementia. The current findings also provide key knowledge that may contribute to nursing research and education.

Demência/enfermagem , Enfermagem Holística , Casas de Saúde , Feminino , Humanos , Pessoa de Meia-Idade , Noruega , Enfermeiras e Enfermeiros/psicologia , Pesquisa Qualitativa
Br J Community Nurs ; 24(Sup12): S22-S25, 2019 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-31804886


Community nurses regularly treat patients with chronic wounds (those persisting over 6 weeks); with the complexity of both the patients' health needs and the wound itself, this often becomes a highly time-consuming task for the nurse. Wound assessment tools are designed to support all qualified nurses, regardless of whether the nurse possesses specialist wound care knowledge or not, in delivering safe and appropriate wound care. The wound assessment tool, using the acronym TIME, has been recently amended to now be known as TIMERS (Tissue, Infection/Inflammation, Moisture, Wound edge, Repair/Regeneration, Social). This article will examine what the newly amended wound assessment tool TIMERS represents, in addition to looking at the practical issues around its implementation in community settings.

Enfermagem em Saúde Comunitária , Higiene da Pele/enfermagem , Ferimentos e Lesões/enfermagem , Doença Crônica , Enfermagem Holística , Humanos , Úlcera Cutânea/enfermagem
J Nurs Adm ; 49(12): 604-609, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31725519


Caring for multiple complex patients simultaneously is 1 of the biggest challenges for clinical nurses (CNs) in acute care. We utilized the results of research to develop a 6-hour Professional Nursing Practice Curriculum (PNPC) specifically for CNs who are professionally and legally responsible for providing holistic care to an assigned group of patients on inpatient clinical units in acute care hospitals. The curriculum can be used by faculty to prepare senior nursing students for their 1st professional practice role in an acute care setting. Components of the PNPC will be beneficial for nurse leaders in an assessment of their educational practices for transitioning newly licensed RNs to practice and addressing professional development needs of CNs.

Competência Clínica , Enfermagem de Cuidados Críticos/educação , Currículo , Bacharelado em Enfermagem/organização & administração , Enfermagem Holística/educação , Papel Profissional , Estudantes de Enfermagem , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estados Unidos
Rev Bras Enferm ; 72(6): 1554-1561, 2019.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31644744


OBJECTIVE: To understand spirituality/religiosity as experienced by people with sickle cell disease, and its influence on coping with the disease. METHOD: A qualitative, descriptive, and exploratory study conducted in the State of Bahia. Twenty-nine respondents participated in semi-structured interviews. Content analysis was used to analyze the empirical material. RESULTS: Individuals with sickle cell disease experience spirituality/religiosity motivated by their hope for a miracle, and fear of death; among their rites are: reading religious materials, individual and group prayer, and attendance at worship services. The effects on their health include: comfort by means of coping by comparing two evils, anxiety relief, social support, and lifestyle changes; however, spirituality/religiosity may be impaired. FINAL CONSIDERATIONS: This study demonstrates the need to qualify health professionals to address spiritual issues of these individuals during illness, with the aims of diagnosing suffering and anguish, and providing care, comfort and strengthening of the spiritual bonds of these individuals.

Anemia Falciforme/psicologia , Esperança , Religião e Psicologia , Espiritualidade , Adulto , Anemia Falciforme/enfermagem , Ansiedade/psicologia , Atitude Frente a Morte , Medo , Feminino , Enfermagem Holística , Humanos , Estilo de Vida , Masculino , Pessoa de Meia-Idade , Manejo da Dor/psicologia , Pesquisa Qualitativa , Religião , Religião e Ciência , Apoio Social , Adulto Jovem
Nurs Educ Perspect ; 40(6): 358-360, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31478988


The educational structure of many nursing programs is largely monocultural, with a traditional pedagogy. Empowered holistic nursing education (EHNE) creates a learning environment with more cultural responsiveness and support for diverse classrooms. The aim of this study was to determine what impact the theory had on diversification. With EHNE the philosophical framework of a new RN-to-BSN program, student demographic data were collected, along with exit survey questions. A statistically significant increase was found in the diversification of the six cohorts. The EHNE shows potential as a programmatic framework for increasing diversification of the nursing profession.

Bacharelado em Enfermagem/organização & administração , Enfermagem Holística/educação , Filosofia em Enfermagem , Diversidade Cultural , Humanos , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Estudantes de Enfermagem/estatística & dados numéricos , Inquéritos e Questionários
Int J Nurs Educ Scholarsh ; 16(1)2019 Sep 20.
Artigo em Inglês | MEDLINE | ID: mdl-31539360


Much has been written about the inclusion of holistic nursing values and practices in undergraduate nursing education, but their inclusion and influence in advanced practice nursing education has not been fully explored. Nurse practitioners (NPs) are nurses, so it is assumed that the nursing perspective provides a framework for NP education and practice, and that NP education represents the blending of a holistic nursing approach with medical diagnosis and treatment. Nurse practitioners are taking increasing responsibility for filling the gap in primary healthcare availability in the U.S., and in the current political and economic healthcare climate, NPs are in a position to promote primary care models that honor comprehensive, patient-centered, and relationship-based care. As a result, it becomes essential to quantify the inclusion of these values in NP educational programs and coursework, as instilling core values for practice begins in educational environments. This quantitative, descriptive study explored the inclusion of holistic nursing values by NP faculty, using the Nurse Practitioner Holistic Caring Instrument (NPHCI). The NPHCI exhibited quite high reliability and validity in the sample, including confirmation of its three subscales. Survey results suggest that NP faculty actively incorporate holistic nursing values in educational coursework, and that age, length of time teaching in NP programs, highest educational degree, and academics as the primary area of practice were important indicators of the inclusion of holistic nursing values in NP program curricula. Findings add to knowledge of NP education, but further study is warranted.

Competência Clínica/normas , Bacharelado em Enfermagem/organização & administração , Enfermagem Holística/educação , Profissionais de Enfermagem/educação , Currículo/normas , Enfermagem Baseada em Evidências/métodos , Humanos , Papel do Profissional de Enfermagem , Estudantes de Enfermagem
J Christ Nurs ; 36(4): 222-227, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31490876


Though unpublished in peer-reviewed literature for more than 40 years, the Theory of Nursing for the Whole Person has been, and remains, a highly useful framework for nursing practice, education, and research. Used by the College of Nursing at Oral Roberts University, the theory was developed by the founding dean, I. Tomine Tjelta. Founded on a Christian worldview, the theory is built on the basic nursing paradigm concepts, yet functions as a distinctly scriptural framework. The theory's five conceptual triads describe how nursing addresses the whole-person health-illness continuum for individuals, families, and communities.

Cristianismo , Enfermagem Holística , Teoria de Enfermagem , Enfermagem na Comunidade de Fé , Humanos
Int J Palliat Nurs ; 25(8): 368-376, 2019 Aug 02.
Artigo em Inglês | MEDLINE | ID: mdl-31437105


BACKGROUND: Fatigue is a common symptom experienced by people with cancer and other long-term, non-malignant conditions. It can be disease-related or caused by treatments such as chemotherapy or radiotherapy. Patients frequently report this as a distressing symptom and, while some international guidelines for its management exist, evidence suggests that these are not always implemented. METHOD: This article reviews the evidence basis for fatigue management, looking at exercise, education, psychological interventions, complementary therapies and pharmacological therapy, and finds that a one-size fits all approach to fatigue management is unrealistic. FINDINGS: Research appears to support different interventions at various points in the disease trajectory and this is of importance for service design as palliative care is increasingly introduced earlier in the patient's pathway. CONCLUSION: Although the body of research is growing, management of fatigue caused by non-malignant conditions remains poorly evidenced, making comprehensive recommendations for these patient groups even more challenging.

Fadiga/enfermagem , Enfermagem Holística , Enfermagem de Cuidados Paliativos na Terminalidade da Vida , Estimulantes do Sistema Nervoso Central/uso terapêutico , Doença Crônica , Terapia Cognitivo-Comportamental , Terapias Complementares , Terapia por Exercício , Humanos , Metilfenidato/uso terapêutico , Modafinila/uso terapêutico , Neoplasias/complicações , Educação de Pacientes como Assunto
J Holist Nurs ; 37(3): 260-272, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31257971


Background: Nurses and others have used various terms to describe our caring/healing approach to practice. Because terms used can influence our image of ourselves and the image others have of us, we sought to clarify their meanings. Questions: How are the terms holistic nursing, integrative health care, and integrative nursing defined or described? Do we identify with these definitions/descriptions? Are the various terms the same or are they distinct? Method: We conducted an integrated review of peer-reviewed literature following the process described by Whittemore and Knafl. Using standard search methods, we reviewed full texts of 94 published papers and extracted data from 58 articles. Findings: Holistic describes "whole person care" often acknowledging body-mind-spirit. Holistic nursing defines a disciplinary practice specialty. The term integrative refers to practice that includes two or more disciplines or distinct approaches to care. Both terms, integrative and holistic, are associated with alternative/complementary modalities and have similar philosophical and/or theoretical underpinnings. Conclusions: There is considerable overlap between holistic nursing and integrative nursing. The relationship of integrative nursing to integrative health care is unclear based solely on definitions. Consideration of terms used provides opportunities for reflection, collaboration, and growth.

Prestação Integrada de Cuidados de Saúde/classificação , Enfermagem Holística/classificação , Prestação Integrada de Cuidados de Saúde/métodos , Prestação Integrada de Cuidados de Saúde/tendências , Enfermagem Holística/métodos , Enfermagem Holística/tendências , Humanos
J Clin Nurs ; 28(19-20): 3478-3491, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31162855


AIMS AND OBJECTIVES: To explore home care nurses' experiences of implementation and use of checklists developed for improving continuity of care for older patients (65+ years). BACKGROUND: The Norwegian Coordination Reform was implemented to improve coordination between hospitals and communities and facilitate a quicker return to home community after hospital discharge. To follow-up, national learning networks were initialised to improve pathways for chronically ill older patients, including the development and use of standardised checklists. DESIGN: An explorative qualitative design was chosen. METHODS: Three focus group interviews were conducted, including 18 registered nurses from eight municipalities in southern Norway. Systematic text condensation was used to analyse the interview texts. The COREQ checklist was followed. RESULTS: Three categories emerged from the analysis. (a) "The implementation process" included the experiences of a chaotic beginning, the importance of involvement, the leaders' role and resource allocation. (b) "Pros and cons of checklists in use" included the informants' experiences of checklists' usefulness for nurses and the patients. (c) "Competence needed" included the need for a comprehensive set of formal, experiential and social competences. CONCLUSION AND RELEVANCE TO CLINICAL PRACTICE: The leaders' role, support and engagement are decisive for a successful implementation. To succeed and establish solid routines, allocating resources when implementing new laborious routines, such as checklists, is important. To improve holistic continuity of care to chronically ill older patients, checklists should be customisable to each patient's needs, be comprehensive enough to grasp the essence in what to be done at several time points, but at the same time brief enough to be operational. Checklists can be a useful tool for home care nurses, if customised to the individual municipality and the staffs' working routines. It is important that the staff have versatile and extensive competencies enabling them to use the checklists appropriately.

Lista de Checagem/métodos , Continuidade da Assistência ao Paciente/normas , Serviços de Assistência Domiciliar/organização & administração , Adulto , Feminino , Grupos Focais , Enfermagem Holística/métodos , Humanos , Liderança , Masculino , Pessoa de Meia-Idade , Noruega , Pesquisa Qualitativa
Rev. Bras. Saúde Mater. Infant. (Online) ; 19(2): 471-479, Apr.-June 2019.
Artigo em Inglês | LILACS | ID: biblio-1013142


Abstract Objectives: to understand the cultural context presented in hospitals and its relation to the obstetric nurse's autonomous practice on low-risk childbirth care. Methods: ethnographic research performed in three public maternities in Rio Grande do Norte, Brazil. Three managers and twenty-three obstetric nurses participated in this research. Results: distinctive on cultural, organizational and structural aspects of the hospital institution interfering directly with the obstetric nurse's autonomous practice. Among these aspects, professional appreciation on low-risk childbirth care contributes for the nurse's autonomy Conclusions: it was noticed that obstetric nurses undergo different contexts of action, which directly interfere with their autonomy on low-risk childbirth care and their decisionmaking abilities. It is necessary, then, to eradicate the relation of dominance and submission that it is still imposed by medical hegemony.

Resumo Objetivos: compreender o contexto cultural da instituição hospitalar e sua relação com a prática autônoma do enfermeiro obstetra na assistência ao parto de risco habitual. Métodos: pesquisa etnográfica desenvolvida em três maternidades públicas do Estado do Rio Grande do Norte, Brasil, com três gestores e 23 enfermeiros obstetras. Resultados: diferentes aspectos de ordem cultural, organizacional e estrutural da instituição hospitalar interferem diretamente na prática autônoma do enfermeiro obstetra. Dentre estes aspectos, a valorização profissional na assistência ao parto de risco habitual contribui para a autonomia do profissional em questão. Conclusões: constatou-se que o enfermeiro obstetra vivencia distintos contextos de atuação, os quais interferem diretamente na sua autonomia na assistência ao parto de risco habitual e no seu poder de decisão. Faz-se necessário, então, desvencilhar-se das relações de domínio e submissão, ainda impostas pela hegemonia médica.

Humanos , Prática Profissional , Cultura Organizacional , Autonomia Profissional , Tocologia , Enfermeiras Obstétricas , Brasil , Enfermagem Holística , Parto Humanizado , Tomada de Decisões , Humanização da Assistência
J. Health NPEPS ; 4(1): 302-318, jan.-jun. 2019.
Artigo em Português | LILACS | ID: biblio-999705


Objetivo: caracterizar os benefícios das práticas integrativas e complementares no cuidado de enfermagem. Método: revisão integrativa realizada nas bases de dados Scielo, Lilacs, PudMed e BVS. Os descritores de busca foram terapias complementares, cuidados em enfermagem, enfermagem holística, toque terapêutico, acupuntura, fitoterapia, aromaterapia, homeopatia. Encontrou-se 4421 artigos disponíveis nos idiomas Português, Espanhol e Inglês; publicados entre os anos 2006 e 2018. Destes foram selecionados 21 artigos. Resultados: entre os benefícios das práticas integrativas foi evidenciado o relaxamento e bem estar, alívio da dor e da ansiedade, diminuição de sinais e sintomas de doenças, estimula o contato profissional-paciente, redução do uso de medicamentos, fortalecimento do sistema imunológico, melhoria da qualidade de vida e diminuição de reações adversas. Considerações finais: É preciso protagonismo empoderamento e preparo da enfermagem para a implementação das PICs em sua prática diária qualificando as práticas assistenciais e reduzindo os custos hospitalares. (AU)

Objective: to characterize the benefits of integrative and complementary practices in nursing care. Method: integrative review in the SciELO, Lilacs, PudMed and Virtual Health Library databases. The search descriptors were Complementary Therapies, Nursing Care, Holistic Nursing, Therapeutic Touch, Acupuncture, Phytotherapy, Aromatherapy and Homeopathy. There were 4421 articles available in Portuguese, Spanish and English published between the years 2006 and 2018. Of these, 21 articles were selected. Results: the benefits of integrative practices showed relaxation and well-being, relief of pain and anxiety, reduction of signs and symptoms of diseases, stimulation of professional-patient contact, reduction of medication use, strengthening of the immune system, quality of life and reduction of adverse reactions. Final considerations: it is necessary to lead, empower and prepare nursing for the implementation of ICPs in their daily practice, qualifying care practices and reducing hospital costs.(AU)

Objetivo: caracterizar los beneficios de las prácticas integrativas y complementarias en el cuidado de enfermería. Método: revisão integrativa realizada nas bases de dados SciELO, Lilacs, PudMed y BVS. Los descriptores de búsqueda fueron Terapias Complementarias, Cuidados en Enfermería, Enfermería Holística, Toque Terapéutico, Acupuntura, Fitoterapia, Aromaterapia, Homeopatía. Se encontró 4421 artículos disponibles en portugués, español e Inglés; publicados entre los años 2006 y 2018. De ellos se seleccionaron 21 artículos. Resultados: los beneficios de las prácticas integrativas fueron evidenciados por la relajación y el bienestar, alivio del dolor y la ansiedad, disminución de signos y síntomas de enfermedades, estimula el contacto profesional-paciente, reducción del uso de medicamentos, fortalecimiento del sistema inmunológico, calidad de vida y disminución de las reacciones adversas. Consideraciones finales: Es necesario protagonismo, empoderamiento y preparación de la enfermería para la implementación de las PICs en su práctica diaria calificando las prácticas asistenciales y reduciendo los costos hospitalarios.(AU)

Humanos , Terapias Complementares/instrumentação , Enfermagem Holística , Medicina Integrativa/instrumentação , Cuidados de Enfermagem/métodos
Index enferm ; 28(1/2): 28-32, ene.-jun. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-184979


Objetivo principal: Conocer la percepción de las personas sobre la repercusión del contexto político en su salud. Metodología: Se realizó un estudio cualitativo. Participaron cinco usuarios del Centro de Atención Primaria Raval Nord en Barcelona que verbalizaron en consulta malestar físico y emocional relacionado con el contexto político. Se realizaron entrevistas semiestructuradas, preservando el rigor científico mediante la triangulación del investigador. Resultados principales: Todos los participantes manifestaron malestar emocional y físico que relacionaron con incertidumbre y desconfianza hacia las instituciones políticas. Refirieron diferentes tipos de afrontamiento; la evitación fue el más utilizado entre otros como la resignación, la socialización o la implicación. Conclusión principal: Los participantes perciben su salud biopsicosocial afectada por la crisis política. Identifican el contexto político como principal estresor. La integración en la práctica profesional de la dimensión social y la percepción de salud de la persona debe ser una realidad, y es esencial para un cuidado holístico y de calidad

Objective: Get to know people's perception about the consequences of the political context on their own health. Methods: A qualitative study was conducted. Five users of the Raval Nord Primary Care Center in Barcelona city, who during consultation verbalized physical and emotional discomfort related to the political context. Semi-structured interviews were carried out, preserving scientific rigor through the triangulation of the researcher. Results: All participants expressed emotional and physical discomfort related to uncertainty and distrust towards political institutions. They manifested different types coping strategies; avoidance was the most used among others as resignation, socialization and involvement were also described. Conclusions: Participants perceive their biopsychosocial health as affected by the political crisis. They identify the political context as the main stressor. The social dimension and the person health's perception must be integrated into the professional practice, and it is essential for a holistic quality care

Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Percepção , Saúde Holística , Atitude Frente a Saúde , Política de Saúde , Enfermagem Holística , Adaptação Psicológica , Comportamentos Relacionados com a Saúde