Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 8.215
Filtrar
2.
Br J Nurs ; 28(18): 1220, 2019 Oct 10.
Artigo em Inglês | MEDLINE | ID: mdl-31597052

RESUMO

John Fowler, Educational Consultant, explores how to survive your nursing career.


Assuntos
Consultores/psicologia , Saúde Holística , Recursos Humanos de Enfermagem/psicologia , Equilíbrio Trabalho-Vida , Humanos
4.
RECIIS (Online) ; 13(3): 608-617, jul.-set. 2019. ilus
Artigo em Português | LILACS | ID: biblio-1021520

RESUMO

Há sinalizações acadêmicas para o desenvolvimento de modelos de gerenciamento do conhecimento pautados no paradigma holístico. Mutuwa e Maiga afirmam que não há um modelo unificador para o setor de saúde, o que permite inferir que o modelo desses autores se propõe ao atingimento desse feito. Assim, esta pesquisa se justifica pelo objetivo de analisar a aderência do modelo de Mutuwa e Maiga à Gestão do Conhecimento holística, de modo a identificar se esse modelo supre a lacuna de uma estrutura unificadora para este setor. Essa análise é realizada por meio de procedimentos metodológicos mistos, contemplando a abordagem qualitativa-quantitativa e a Análise de Conteúdo. Por resultado, há uma adesão de somente 15,4% do modelo de Mutuwa e Maiga à Gestão do Conhecimento holística, conforme caracterização apresentada nessa pesquisa, permitindo inferir que a Gestão do Conhecimento não tem demonstrado direcionamento para uma abordagem orientada ao paradigma holístico. Assim, esta pesquisa contribui por fomentar o desenvolvimento de novos modelos de gerenciamento do conhecimento alicerçados no paradigma holístico, considerando os delineamentos aqui expostos.


There are academic signals for the development of knowledge management models based on the holistic paradigm. Mutuwa and Maiga affirm that there is no unifying model for the health sector, which allows to infer that the model of these authors is proposed to reach this achievement. Thus, this research is justified by the objective of analyzing the adherence of the model of Mutuwa and Maiga to Holistic Knowledge Management, in order to identify if this model bridged the gap of a unifying structure for this sector. This analysis is performed by means of mixed methodological procedures, including qualitative-quantitative approach and Content Analysis. As a result, the model of Mutuwa and Maiga adheres in 15.4% to the Holistic Knowledge Management, according to the characterization presented in this research, allowing to infer that Knowledge Management has not presented a direction towards a holistic paradigm-oriented approach. Thus, this research contributes to foster the development of new models of knowledge management based on the holistic paradigm, considering the designs presented here.


Hay señales académicas para el desarrollo de modelos de gestión del conocimiento pautados en el paradigma holístico. Mutuwa y Maiga afirman que no hay un modelo unificador para el sector de salud, lo que permite inferir que el modelo de esos autores se propone al logro de ese hecho. Así, esta investigación se justifica por el objetivo de analizar la adherencia del modelo de Mutuwa y Maiga a la Gestión del Conocimiento holístico, para identificar si ese modelo suplía la laguna de una estructura unificadora para este sector. Este análisis se realiza a través de procedimientos metodológicos mixtos, contemplando el abordaje cualitativocuantitativo y el Análisis de Contenido. Por lo tanto, el modelo de Mutuwa y Maiga se adhiere en un 15,4% puntos porcentuales a la Gestión del Conocimiento holístico, conforme caracterización presentada en esa investigación, permitiendo inferir que la Gestión del Conocimiento no ha presentado direccionamiento para un enfoque orientado al paradigma holística. Así, esta investigación contribuye por fomentar el desarrollo de nuevos modelos de gestión del conocimiento fundamentados en el paradigma holístico, considerando los delineamientos aquí expuestos.


Assuntos
Humanos , Organização e Administração , Administração de Recursos Humanos , Tomada de Decisões Gerenciais , Pesquisa Qualitativa , Educação Continuada , Gestão do Conhecimento para a Pesquisa em Saúde , Gestão do Conhecimento , Pediatria , Análise Quantitativa , Estratégias , Conhecimento , Saúde Holística , Liderança , Aprendizagem , Motivação
5.
RECIIS (Online) ; 13(3): 634-646, jul.-set. 2019. ilus
Artigo em Português | LILACS | ID: biblio-1021537

RESUMO

O presente artigo trata-se de um trabalho descritivo sobre o Coletivo Bee, um movimento estudantil pertencente à Universidade Estadual de Ciências da Saúde de Alagoas que surgiu com o objetivo de implantar o movimento LGBTT na Universidade para discutir o preconceito de gênero e de orientação sexual, por meio de ações de empoderamento e de emancipação das minorias LGBTTs. Ao longo de sua trajetória, o Coletivo desenvolveu atividades como reuniões para discussão das temáticas relacionadas ao movimento, organização de eventos, atividades de protestos, cyber ativismo, participação na regulamentação e implantação do uso do nome social, entre outras atividades com finalidade de trazer a reflexão sobre a cidadania e a saúde da população LGBTT. Sua importância esteve concentrada na integração de lésbicas, gays, bissexuais, travestis e transexuais à sociedade e, sobretudo, na busca de assegurar o direito ao acesso integral aos serviços da rede pública de saúde e fortalecer a Política Nacional de Saúde Integral LGBTT na formação universitária.


This article is about a descriptive work about the Bee Collective, a student movement belonging to the State University of Health Sciences of Alagoas, which came up with the objective of implanting the LGBTT movement in the University to discuss gender bias and sexual orientation, through actions of empowerment and emancipation of LGBTT minorities. Throughout its history, the Collective has developed activities such as meetings to discuss issues related to the movement, organization of events, protest activities, cyber activism, participation in regulation and implementation of the social name, among other activities to bring the reflection on the citizenship and health of the LGBTT population. Its importance was focused on the integration of lesbians, gays, bisexuals, transvestites and transsexuals into society and, above all, in the quest to ensure the right to full access to public health services and to strengthen the National LGBTT Comprehensive Health Policy in university education.


Este artículo trata sobre un trabajo descriptivo sobre Bee Collective, un movimiento estudiantil perteneciente a la Universidad Estatal de Ciencias de la Salud de Alagoas, que tuvo el objetivo de implantar el movimiento LGBTT en la universidad para discutir el sesgo de género y la orientación sexual, a través de acciones de empoderamiento y emancipación de las minorías LGBTT. A lo largo de su historia, el Colectivo ha desarrollado actividades como reuniones para discutir temas relacionados con el movimiento, organización de eventos, actividades de protesta, ciberactivismo, participación en la regulación y la implementación del nombre social, entre otras actividades para llevar la reflexión sobre la ciudadanía y salud de la población LGBTT. Su importancia se centró en la integración de lesbianas, gays, bisexuales, travestis y transexuales en la sociedad y, sobre todo, en la búsqueda de garantizar el derecho al pleno acceso a los servicios de salud pública y de fortalecer la Política nacional de salud integral LGBTT en la educación universitaria.


Assuntos
Humanos , Política Pública , Equidade em Saúde , Minorias Sexuais e de Gênero , Ativismo Político , Política de Saúde , Universidades , Participação da Comunidade , Sexualidade , Estudantes de Saúde Pública , Saúde da População , Direitos das Minorias , Promoção da Saúde , Saúde Holística
6.
RECIIS (Online) ; 13(3): 647-657, jul.-set. 2019. ilus
Artigo em Português | LILACS | ID: biblio-1021549

RESUMO

Este estudo analisou a aplicação das práticas discursivas e produção de sentidos na descrição e interpretação dos sentidos dados a diferentes fenômenos em saúde mental no Brasil. Trata-se de uma revisão bibliográfica baseada na literatura especializada, a partir da consulta a estudos científicos selecionados utilizando a Biblioteca Virtual em Saúde (BVS) com as palavras-chave 'práticas discursivas' e 'produção de sentidos', no título, resumo ou assunto, resultando na seleção de 21 estudos, dada sua relação com a saúde mental. A aplicação desta teoria se deu na abordagem profissional e usuário, assistência terapêutica, formação profissional, maternidade, paternidade, adoção e percepção pessoal de fenômenos como crise, vulnerabilidade social, doença, cuidado, self, exclusão social e violência. Compreender esses fenômenos possibilita a reflexão sobre a práxis de profissionais de saúde mental e afins, contribuindo com estratégias de acolhimento e formação de vínculo na relação entre profissional e usuário a partir da interpretação dos sentidos.


This study has analyzed the application of discursive practices and production of meanings in the description and interpretation of the meanings given to different phenomena in mental health in Brazil. This is a bibliographical review based on specialized literature from the inquiry to selected scientific studies employing the Virtual Health Library (VHL) with the following keywords: 'discursive practices' and 'production of meanings', in the title, abstract or subject, resulting in the selection of 21 studies, given their relation to the mental health. The application of this theory is on the professional approach and user, therapeutic assistance, professional training, maternity, paternity, adoption and personal perception of phenomena such as crisis, social vulnerability, illness, care, self, social exclusion and violence. Understanding these phenomena enables the reflection about the praxis of mental health professionals and the like, contributing with strategies of integration and formation of links in the relationship between the professional and the user from the interpretation of the meanings.


Este estudio analizó la aplicación de las prácticas discursivas y producción de los sentidos en la descripción e interpretación de los sentidos dados a diferentes fenómenos en salud mental en Brasil. Se trata de una revisión bibliográfica basada en la literatura especializada, a partir de la consulta a estudios científicos utilizando la Biblioteca Virtual en Salud (BVS) con las palabras clave: 'prácticas discursivas' y 'producción de sentidos', en el título, resumen o asunto, resultando en la selección de 21 estudios, dada su relación con la salud mental. La aplicación de esta teoría se dio en el enfoque profesional y usuario, asistencia terapéutica, formación profesional, maternidad, paternidad, adopción, y percepción personal de fenómenos como crisis, vulnerabilidad social, enfermedad, cuidado, self, exclusión social y violencia. Comprender estos fenómenos posibilita la reflexión sobre la praxis de profesionales de salud mental y afines, contribuyendo con estrategias de acogida y formación de vinculo en la relación entre profesional y usuario a partir de los sentidos.


Assuntos
Humanos , Psicologia Social , Saúde Mental , Comunicação , Assistência Integral à Saúde , Saúde Holística , Linguagem , Relações Médico-Paciente , Brasil , Revisão , Discurso , Vulnerabilidade Social , Marginalização Social , Serviços de Saúde Mental
7.
BMC Public Health ; 19(1): 1107, 2019 Aug 14.
Artigo em Inglês | MEDLINE | ID: mdl-31412824

RESUMO

BACKGROUND: As the incidence and prevalence rates of end stage renal disease (ESRD) rise globally, a disproportionate increase has been observed in the elderly population. Singapore has the fifth highest incidence of treated ESRD worldwide, with the upward trend of ESRD being most apparent among those aged 70 years and older. Although it is well-documented that ESRD patients suffer an impaired quality of life compared to the general population, there is limited research focusing on the unique experiences and needs of elderly ESRD patients in Asian populations. To address the knowledge gap, this study seeks to explore the impact of ESRD and dialysis on the quality of life of elderly (≥70 years old) ESRD patients in Singapore and examine the coping strategies utilised by these patients. METHODS: This qualitative study involved semi-structured, in-depth interviews with 7 peritoneal dialysis patients, 5 haemodialysis patients, 4 patients on non-dialysis supportive care and 7 caregivers in Singapore. Interviews were conducted in English, Chinese, and Malay and fully transcribed. QSR NVivo 11 software was used for analysis. RESULTS: Participants reported that ESRD and dialysis had an impact on three highly interconnected areas of their quality of life: (a) biological/physical (general symptoms, neuromuscular problems, skin problems and poor sleep quality); (b) psychological (depressive symptoms, anxiety and fears, stress and negative self-perceptions); and (c) social (increased dependence on family and loss of social life). There were four key strategies that participants used to cope with these biopsychosocial challenges: (a) family support (financial, practical and emotional support); (b) religious/spiritual support (experiencing gratitude/contentment, the power of prayer and belonging to a faith community); (c) avoidance (cognitive avoidance and distraction techniques); and (d) acceptance (positive thinking and problem solving). CONCLUSIONS: This study has provided insights into the biopsychosocial impact of ESRD and dialysis, as well as cultural and religious factors that shape the experiences and coping mechanisms of elderly ESRD patients and caregivers in Singapore, which can be used to further the development and implementation of more holistic and person-centred services to help each patient achieve a better quality of life.


Assuntos
Adaptação Psicológica , Falência Renal Crônica/psicologia , Falência Renal Crônica/terapia , Diálise Renal/psicologia , Idoso , Idoso de 80 Anos ou mais , Cuidadores/psicologia , Feminino , Saúde Holística , Humanos , Masculino , Assistência Centrada no Paciente , Pesquisa Qualitativa , Qualidade de Vida , Singapura
8.
West Afr J Med ; 36(2): 138-143, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31385600

RESUMO

BACKGROUND: Holistic ward round (HWR) is a polyadic, multiphasic, holistic model of neurosurgical patient care. It is a multidisciplinary ward round where all healthcare providers involved in patients care, the patients, the relations, as well as clergymen (depending on the patients' faith and need) collectively work to review patient's condition and make decisions in the patient's best interest. OBJECTIVES: The study assessed the effectiveness of the holistic model of care and identified the challenges facing this model of healthcare delivery. METHODS: The study was qualitative in design and In-depth Interviews (IDIs) were conducted with eighteen (18) participants who were purposively selected. They include neurosurgeons, nurses, medical social workers and physiotherapists. The data were thematically content analysed with the help of ATLAS.ti (v.7) software. RESULTS: The study found that patients and relations have immensely benefitted from the model of care through psychosocial support. The major challenges facing HWR were logistic, timing and common problems found in the Nigerian healthcare system. CONCLUSION: It was concluded that for HWR to effectively help spinal cord injured patients further, the healthcare providers, patients and their families require support in different forms from outside the hospital.


Assuntos
Saúde Holística , Equipe de Assistência ao Paciente , Assistência ao Paciente , Assistência Centrada no Paciente/métodos , Adulto , Feminino , Hospitais Universitários , Humanos , Relações Interprofissionais , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Neurocirurgiões , Neurocirurgia , Nigéria , Fisioterapeutas , Pesquisa Qualitativa , Assistentes Sociais
9.
Artigo em Inglês | MEDLINE | ID: mdl-31466374

RESUMO

Humans are increasingly aware that their fate will depend on the wisdom they apply in interacting with the ecosystem. Its health is defined as the condition in which the ecosystem can deliver and continuously renew its fundamental services. A healthy ecosystem allows optimal interactions between humans and the other biotic/abiotic components, and only in a healthy ecosystem can humans survive and efficiently reproduce. Thus, both the human and ecosystem health should be considered together in view of their interdependence. The present article suggests that this relationship could be considered starting from the Hippocrates (460 BC-370 BC) work "On Airs, Waters, and Places" to derive useful medical and philosophical implications for medicine which is indeed a topic that involves scientific as well as philosophical concepts that implicate a background broader than the human body. The brain-body-ecosystem medicine is proposed as a new more complete approach to safeguarding human health. Epidemiological data demonstrate that exploitation of the environment resulting in ecosystem damage affects human health and in several instances these diseases can be detected by modifications in the heart-brain interactions that can be diagnosed through the analysis of changes in heart rate variability.


Assuntos
Encéfalo , Ecossistema , Saúde Holística , Corpo Humano , Humanos
10.
Nat Commun ; 10(1): 3476, 2019 08 02.
Artigo em Inglês | MEDLINE | ID: mdl-31375661

RESUMO

Recent advances in DNA/RNA sequencing have made it possible to identify new targets rapidly and to repurpose approved drugs for treating heterogeneous diseases by the 'precise' targeting of individualized disease modules. In this study, we develop a Genome-wide Positioning Systems network (GPSnet) algorithm for drug repurposing by specifically targeting disease modules derived from individual patient's DNA and RNA sequencing profiles mapped to the human protein-protein interactome network. We investigate whole-exome sequencing and transcriptome profiles from ~5,000 patients across 15 cancer types from The Cancer Genome Atlas. We show that GPSnet-predicted disease modules can predict drug responses and prioritize new indications for 140 approved drugs. Importantly, we experimentally validate that an approved cardiac arrhythmia and heart failure drug, ouabain, shows potential antitumor activities in lung adenocarcinoma by uniquely targeting a HIF1α/LEO1-mediated cell metabolism pathway. In summary, GPSnet offers a network-based, in silico drug repurposing framework for more efficacious therapeutic selections.


Assuntos
Algoritmos , Reposicionamento de Medicamentos/métodos , Biologia de Sistemas/métodos , Adenocarcinoma de Pulmão/tratamento farmacológico , Adenocarcinoma de Pulmão/genética , Arritmias Cardíacas/tratamento farmacológico , Arritmias Cardíacas/genética , Simulação por Computador , Conjuntos de Dados como Assunto , Estudos de Viabilidade , Redes Reguladoras de Genes/efeitos dos fármacos , Insuficiência Cardíaca/tratamento farmacológico , Insuficiência Cardíaca/genética , Saúde Holística , Humanos , Subunidade alfa do Fator 1 Induzível por Hipóxia/metabolismo , Neoplasias Pulmonares/tratamento farmacológico , Neoplasias Pulmonares/genética , Redes e Vias Metabólicas/efeitos dos fármacos , Redes e Vias Metabólicas/genética , Terapia de Alvo Molecular/métodos , Ouabaína/farmacologia , Ouabaína/uso terapêutico , Mapas de Interação de Proteínas/efeitos dos fármacos , Mapas de Interação de Proteínas/genética , Fatores de Transcrição/metabolismo , Transcriptoma
11.
Public Health ; 174: 49-55, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31319317

RESUMO

OBJECTIVES: The Work It Out (WIO) program is a holistic chronic disease self-management and rehabilitation program in Queensland that is tailored for urban Aboriginal and Torres Strait Islander people with/at risk of chronic disease. This study aimed to examine the overall changes in participants' exercise capacity and anthropometric measurements and to explore the correlations between these changes. STUDY DESIGN: Quasi-experimental prepost intervention study. METHODS: A total of 406 participants self-identified as Aboriginal and Torres Strait Islander people, who had attended one or more cycles of the program from 2014 to 2017, were included. Health information from the last review assessment was compared with that of the initial assessment using paired t-tests. Multivariate regression models were applied to explore the associations between changes in 6-min walk distance (6MWD) and anthropometric measurements. RESULTS: An increase in 6MWD (77 m, 95% confidence interval [CI]: 65, 90), as well as small reductions in waist circumference (WC) (-1.79 cm, 95% CI: -2.76 to -0.82) and hip circumference (-1.11 cm, 95% CI: -2.13 to -0.08) were identified. Statistically significant reductions were observed across all anthropometric measures in the respective highest tertiles (body mass index: -0.71, 95% CI: -1.35 to -0.07; weight: -2.59 kg, 95% CI: -4.84 to -0.34; WC: -5.09 cm, 95% CI: -6.99 to -3.20; waist to hip ratio: -0.033, 95% CI: -0.047 to -0.02). The increments of 6MWD in returning participants (92 m, 95% CI: 75 to 109) was found to be greater than those in one-off participants (59 m, 95% CI: 40-78). In particular, the percentage of 6MWD change from baseline was significantly correlated to the percentage of WC change after adjusting for age, gender, the number of pre-existing chronic conditions, and the number of cycles attended (coefficient: -1.33, 95% CI: -2.42 to -0.24). CONCLUSION: Significant improvement in functional exercise capacity and modest changes in anthropometric measurements were identified in WIO participants. WC change could be used as an indicator of the change of participants' six-minute walk distance. Findings may be useful for promoting and guiding similar health programs for improving chronic disease management in Australian Indigenous communities.


Assuntos
Doença Crônica/etnologia , Doença Crônica/terapia , Saúde Holística/etnologia , Grupo com Ancestrais Oceânicos/estatística & dados numéricos , Autogestão , População Urbana/estatística & dados numéricos , Adolescente , Adulto , Antropometria , Tolerância ao Exercício , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Avaliação de Programas e Projetos de Saúde , Queensland , Adulto Jovem
13.
Adv Food Nutr Res ; 88: 299-335, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31151727

RESUMO

With superior physicochemical properties, soft engineered nanoparticles (sENP) (protein, carbohydrate, lipids and other biomaterials) are widely used in foods. The preparation, functionalities, applications, transformations in gastrointestinal (GI) tract, and effects on gut microbiota of sENP directly incorporated for ingestion are reviewed herein. At the time of this review, there is no notable report of safety concerns of these nanomaterials found in the literature. Meanwhile, various beneficial effects have been demonstrated for the application of sENP. To address public perception and safety concerns of nanoscale materials in food, methodologies for evaluation of physiological effects of nanomaterials are reviewed. The combination of these complementary methods will be useful for the establishment of a comprehensive risk assessment system.


Assuntos
Inocuidade dos Alimentos , Trato Gastrointestinal/metabolismo , Nanopartículas/normas , Saúde Holística , Humanos , Nanopartículas/administração & dosagem , Nanopartículas/metabolismo , Percepção , Medição de Risco
16.
Trials ; 20(1): 364, 2019 Jun 18.
Artigo em Inglês | MEDLINE | ID: mdl-31215468

RESUMO

BACKGROUND: Strategies to improve the care of elderly, multimorbid patients frequently focus on implementing evidence-based knowledge by structured assessments and standardization of care. In Germany, disease management programs (DMPs), for example, are run by general practitioners (GPs) for this purpose. While the importance of such measures is undeniable, there is a risk of ignoring other dimensions of care which are essential, especially for elderly patients: their spiritual needs and personal resources, loneliness and social integration, and self-care (i.e., the ability of patients to do something on their own except taking medications to increase their well-being). The aim of this study is to explore whether combining DMPs with interventions to address these dimensions is feasible and has any impact on relevant outcomes in elderly patients with polypharmacy. METHODS: An explorative, cluster-randomized controlled trial with general practices as the unit of randomization will be conducted and accompanied by a process evaluation. Patients aged 70 years or older with at least three chronic conditions receiving at least three medications participating in at least one DMP will be included. The control group will receive DMP as usual. In the intervention group, GPs will conduct a spiritual needs assessment during the routinely planned DMP appointments and explore whether the patient has a need for more social contact or self-care. To enable GPs to react to such needs, several aids will be provided by the study: a) training of GPs in spiritual needs assessment and training of medical assistants in patient counseling regarding self-care and social activity; b) access to a summary of regional social offers for seniors; and c) information leaflets on nonpharmacological interventions (e.g., home remedies) to be applied by patients themselves to reduce frequent symptoms in old age. The primary outcome is health-related self-efficacy (using the Self-Efficacy for Managing Chronic Disease 6-Item Scale (SES-6G)). Secondary outcomes are general self-efficacy (using the General Self-Efficacy Scale (GSES)), physical and mental health (using the Short-Form Health Survey (SF-12)), patient activation (using the Patient Activation Measure (PAM)), medication adherence (using the Medication Adherence Report Scale (MARS)), beliefs in medicine (using the Beliefs About Medicines Questionnaire (BMQ)), satisfaction with GP care (using selected items of the European Project on Patient Evaluation of General Practice (EUROPEP)), social contacts (using the 6-item Lubben Social Network Scale (LSNS-6)), and loneliness (using the 11-item De-Jong-Gierveld Loneliness Scale (DJGS-11)). Interviews will be conducted to assess the mechanisms, feasibility, and acceptability of the interventions. DISCUSSION: If the interventions prove to be effective and feasible, large-scale implementation should be sought and evaluated by a confirmatory design. TRIAL REGISTRATION: German Clinical Trials Register (DRKS), DRKS00015696 . Registered on 22 January 2019.


Assuntos
Gerenciamento Clínico , Saúde Holística , Solidão , Ensaios Clínicos Controlados Aleatórios como Assunto , Autocuidado , Idoso , Análise por Conglomerados , Humanos , Adesão à Medicação , Atenção Primária à Saúde , Projetos de Pesquisa , Espiritualidade
17.
Index enferm ; 28(1/2): 28-32, ene.-jun. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-184979

RESUMO

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


Assuntos
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
18.
Eur J Cancer Care (Engl) ; 28(3): e13099, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31106505

RESUMO

INTRODUCTION: Growing consensus describes it as "inappropriate" to deliver care to young people in either child or adult environments of care or in settings not equipped to meet their psychosocial needs. The aim of this review was to identify what patient and professional experience tells us about the culture of care specific to young people receiving cancer care in the UK. METHODS: A narrative review of published, UK-based research was conducted. Five online databases were searched using terms related to "culture of care," "cancer" and "adolescent." Papers were assessed for relevance, according to pre-determined criteria: 19/1,366 identified papers met our inclusion criteria. RESULTS: Studies included in this review were predominantly reflective of care received in specialist units. The findings were in support of "young people-friendly," "tailored environments," showing how they facilitate young people to have positive experiences of care. Communication, information delivery and patient choice were themes that were central to the culture of care. CONCLUSION: Highlighted was the need to provide care beyond addressing clinical needs through a young person-centred approach, to facilitate optimal experiences of care. However, to fully understand the culture of care, research needs to focus on the delivery of care outside of specialist units.


Assuntos
Serviços de Saúde do Adolescente , Assistência à Saúde , Neoplasias/terapia , Adolescente , Institutos de Câncer , Comunicação , Assistência à Saúde Culturalmente Competente , Cultura , Meio Ambiente , Saúde Holística , Humanos , Educação de Pacientes como Assunto , Participação do Paciente , Assistência Centrada no Paciente , Grupo Associado , Papel Profissional , Reino Unido , Adulto Jovem
19.
New Bioeth ; 25(2): 172-184, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31130114

RESUMO

With no statutory definition of death, the accepted medical definition relies on brain stem death criteria as a definitive measure of diagnosing death. However, the use of brain stem death criteria in this way is precarious and causes widespread confusion amongst both medical and lay communities. Through critical analysis, this paper considers the insufficiencies of brain stem death. It concludes that brain stem death cannot be successfully equated with either biological death or the loss of integrated bodily function. The overemphasis of the brain-stem and its consequences leaves  the criteria open to significant philosophical critique. Further, in some circumstances, the use of brain stem death criteria causes substantial emotional conflict for families and relatives. Accordingly, a more holistic and comprehensive definition of death is required.


Assuntos
Atitude Frente a Morte , Morte Encefálica/diagnóstico , Temas Bioéticos , Morte Encefálica/classificação , Tronco Encefálico/fisiopatologia , Família/psicologia , Saúde Holística , Humanos , Filosofia Médica
20.
Eur J Cancer Care (Engl) ; 28(3): e13087, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31087443

RESUMO

OBJECTIVE: Globally, cancer services herald the use of Holistic Needs Assessments (HNA). Implementation is, however, heterogeneous. There is a need to understand what effect implementation variation has on patient experience, outcomes and service demand. This is the first study to examine whether the way in which HNA is implemented, impacts on patient outcomes. METHODS: MEDLINE, AMED, CINAHL, PsycINFO and the Psychological and Behavioural Sciences Collection were searched (June 2000-June 2018). Search strategy included international HNA tools and synonyms for "needs." An overview of quality was obtained through application of the Mixed Methods Appraisal Tool. Key themes were identified through thematic synthesis. RESULTS: Twenty studies were included (RCTs [n = 4], service evaluations [n = 8] and feasibility studies [n = 8]). Implementation approaches and assessor actions were identified and through thematic synthesis were defined as detecting, discussing/dealing, directing and downstream care. The way in which HNA is implemented is more important to understanding outcomes than what is implemented. CONCLUSION: There is a need to conceptualise HNA as a means and not an end in itself. Pursuers of HNA-led outcomes must understand and strengthen connections between assessment and outcomes. The conceptual framework can assist development of more insightful measures of both process and outcomes.


Assuntos
Saúde Holística , Determinação de Necessidades de Cuidados de Saúde , Neoplasias , Necessidades e Demandas de Serviços de Saúde , Humanos
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA