RE - Série 2, n.º 06: (2018)
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- Blood pressure control in elderly medicated women: benefits of a physical functional exercise programmePublication . Sales, Ângela; Cunha, MadalenaIntroduction: Physical activity is recommended for the prevention and treatment of hypertension. The approach of promoting functional physical activity in a group of hypertensive elderly women should be characterized by a holistic intervention on the person. This consists in considering the whole person in terms of their physical, psychic and social selves. Objective: To evaluate the effect of implement a functional training programme on resting blood pressure in hypertensive elderly women, submitted to exercise training over a period of 24 months. Methods: Exploratory research, with descriptive-analytical orientation to analyse the action of directed physical activity, implemented three times a week on the prognosis of arterial hypertension. This research was supported by the blood pressure data collection at rest in a sample of 60 Brazilian elderly women in the age group of 60 to 90 years, in the community of Vergel do Lago, Maceió / AL, Brazil. Results: The majority (80%) was elderly and hypertensive, having noticed that during the training period they had a systolic and diastolic blood pressure well below the normal standard for this age group. Conclusions: After the intervention of the Vivo Stadium Health Prevention Project, the elderly women showed a reduction and better control of blood pressure values. The results suggest that in inducing a specific physiological effect exerted at the muscle and cardio-circulatory level, physical training protects the state of health, indicating that it should be encouraged throughout the lifecycle. It can also be inferred that the programme implemented can be replicated as a measure of therapeutic education, assessment and audit of good health practices.
- Caregiver skills inventory: factorial structure in a sample of portuguese participantsPublication . Cunha, Madalena; Duarte, João; Cardoso, Ana; Ramos, Ana; Quintais, Diogo; Monteiro, Raquel; Castela, Rita; Almeida, VanessaIntroduction: The Caregiver Skills Inventory translated from the original Caring Ability Inventory (CAI) by Ngozi Nkongho (1999) was designed to measure skills that are self-perceived by informal caregivers. Considering that some caregivers may not be able to care for dependants and that knowledge about this problem is still lacking, it is justified to develop research in this area. Objectives: To evaluate the psychometric properties, namely the factorial structure and internal consistency; Self-perceived skills by informal caregivers. Methods: A cross-sectional observational study with a methodological focus was carried out in a community context, in a sample of 214 participants (86.9% women), with a mean age of 51.07 years. 63.6% of the participants live in rural areas; 66.8% have a partner; 57.5% studied up to the 3rd cycle of basic education, 65.9% have a highly functional family, 51.9% are in a nuclear or simple family. The internal consistency was studied and a confirmatory factorial analysis of the Caring Ability Inventory of Ngozi Nkongho (1999) was performed. Results: The internal consistency study of the Caring Ability Inventory by Ngozi Nkongho (1999), Spanish version of the Skills Inventory of the Caretaker of Berdejo & Parra (2008), confirmed the original structure, presenting three factors: Factor 1 - Knowledge (α=0.78); Factor 2 - Courage (α=0.65); Factor 3 - Patience (α=0.78). The Cronbach's alpha value for the CAI global was 0.84. Overall, 45.3% of the participants had acceptable skills to care for, 27.6% had very adequate care skills, and in 27.1% the skills were inadequate. Conclusions: This research contributes to the study of the psychometric properties of the Caring Ability Inventory, in a sample of the Portuguese population. The comparative analysis of the findings of the present investigation with the results obtained by Ngozi Nkongho (1999) revealed that, in the present study, the factorial structure is maintained and that the internal consistency values in the Global Note coincide (α=0.84), but in Knowledge and Courage factors are lower and in the Patience factor higher. The assessment of an instrument to measure the abilities of caregivers empowers nurses to implement their assessment and measurement in clinical practice in order to identify the most vulnerable clusters, that is, the groups of caregivers with less skill and to elaborate a proposal for intervention in terms of aid/formal intervention.
- Complications of fluidotherapy in patients with acute pancreatitis: A contributionPublication . Henriques, Carla; Pereira, Jorge; Matos, Ana; Afonso, CatarinaIntroduction: Aggressive fluid therapy is frequently suggested in the treatment of acute pancreatitis. However, there is some controversy about the effect of this therapy concerning the development of clinical complications and the need for surgery. Objectives: To explore the relationship between fluid administration in the first 48 hours and the development of local or systemic complications, to contribute to clarifying some open questions on this subject. Methods: This study is based on records of 109 patients admitted to the Surgical High Dependency Unit of Tondela Viseu Hospital Centre, between 2007 and 2012, with the diagnosis of acute pancreatitis. Data were explored, and statistical tests were used to identify variables that differentiate patients with complications. Receiver operating characteristic (ROC) curves allowed to relate the amount of fluids at 48 hours with the occurrence of each complication. Logistic regression models were used to identify independent risk factors for each complication. Results: There was no significant relationship between fluid therapy at 48 hours with death nor with the occurrence of systemic complications. As opposed, fluid therapy at 48 hours revealed to be associated with local and late complications, presence of infection and need for surgery. Conclusion: High levels of fluid therapy in the first 48 hours were associated with the development of complications.
- Curricular articulation between early childhood education and primary school: conceptions and practicesPublication . Cardoso, Ana Paula; Carugati, Florencia; Lacerda, Carla; Fidalgo, SusanaIntroduction: Curricular articulation between early childhood education and primary school is a fundamental process concerning the child’s adaptation to school. Primary teachers should establish links with pre-school educators, facilitating the transition between these two levels of education in a harmonious process, and promoting the continuity of the educational process. Objectives: To ascertain the importance and the meaning that teachers of primary school confer to curricular articulation and to know the aspects of the profile of the pupils that are favoured when consulting the individual process, as well as the most frequent initiatives regarding that articulation. Methods: A descriptive and analytical research was conducted, using a questionnaire survey applied to a sample of 45 teachers of the 1st year of primary school in the municipality of Viseu (Portugal). Results: From the data obtained, it is worth mentioning the great importance that teachers attribute to curricular articulation, the privilege conferred by them on how to behave in society (citizenship), the sense of autonomy and the children’s ability to communicate, as well as the teachers’ commitment to carry out a variety of activities and projects, in addition to the celebrations of thematic days and parties. Conclusions: Curricular articulation facilitates the transition between these two levels of education and contributes to an adequate adaptation of the children to the school, thereby promoting school success for all pupils.
- Industry 4.0: a challenge of competitionPublication . Antunes, Joaquim; Pinto, António; Reis, Pedro; Henriques, CarlaIntroduction: The value creation in industry in developed countries is being driven by the fourth stage of industrialization, denominated by Industry 4.0. The new industrial revolution will be motivated by next-generation information technologies such as Internet of Things (IoT), cloud computing, Big Data and data analysis, robotics, mobile computing, simulation and modelling, cyber-physical systems, among others. This opens new horizons for industry, but the challenges are countless creating difficulties for companies in the adoption of these technologies. Objectives: To make a powerful and deep literature revision pursuing a technical analysis of the Industry 4.0 requirements. Further. Methods: We will address the main risks and challenges associated with IoT and define the regional attractiveness measures as growth drivers that leaders must put in place to appeal for companies chasing 4.0. Results: IoT joins the digital world and the physical world being considered the next generation network or the future Internet. It allows to give life and communication capacity either to living beiings or to inanimate objects. IoT's intervention in Industry 4.0 im extreme, with a continuous interconnection of the digital and physical domain. Conclusions: Portugal's growth prospects will increasingly depend on policies that enable the economy to compete successfully and create new income opportunities. At the moment, there are structural bottlenecks that continue to curb growth and exacerbate vulnerabilities. Solving some of these problems will now lay the foundation for solid growth in the coming years, but this calls for a renewal of the impetus for structural reforms. Industry 4.0, can contribute significantly to reducing regional asymmetries. But in the longer term, skills will need to be improved to foster development and reduce the high levels of such inequalities.
- Patient safety culture: study of some intervening factorsPublication . Ferreira, Manuela; Consciência, João; Duarte, João; Silva, DanielIntroduction: Patient’s safety has a multidimensional and multidisciplinary character. In its multidimensional nature, WHO highlights the importance of the quality interaction and communication as determinants of quality and safety in health care delivery. Objetive: To analyze the extent to which sociodemographic and professional variables influence nurses’ communication skills and what the impact of nurses’ communicational competencies on the safety culture of care. Methods: A quantitative, descriptive-correlational, analytical and cross-sectional study with a sample of 138 nurses. We used the Hospital survey on Patient Safety Culture (Eiras, 2011), and the Clinical Communication Skills Scale (ECCC), validated by (Ferreira; Silva & Duarte 2016) for the evaluation of communication skills. Results: The population has 32.51 years as average, with a standard deviation of 7.958. They are mostly female (77.54%) with a degree (94.4%) and have, on average, 9.41 years of professional experience. Age, marital status, work experience does not influence the safety culture of the patient. After the inferential analysis through a multivariate multiple regression, we note that all manifest variables (Years of professional experience, collects information, share information and allows to terminate the dialogue) showed significant values. The greater the years of professional experience less punitive error response. Conclusions: The results point to the importance of some variables in the patient’s safety culture. This reality is circumscribed by new presuppositions and attitudes; Professionals who have to attend, in a timely manner, the evolution of knowledge, ensuring safe practices, assuring the quality of the care provided.
- The influence of the future expectation on quality of life of cadets of portuguese armyPublication . Rosinha, António; Silva, Beatriz; Souza, Marcos; Junior, RodolfoIntroduction: The quality of life at work has been a recurring theme in the literature, considering its role as motivating agent for workers and promoter of competitive advantage for organization. Objectives: This study intends to evaluate if the expectation that the cadet of the Portuguese Military Academy has on his future influences his health and quality of life, in particular the professional satisfaction, the satisfaction with life and the burnout syndrome and the perceived stress. Method: 424 cadets of the Portuguese Military Academy, all males, 99 (23.3%) from the first year, 105 (24.8%) from the second year, 109 (25.7%) from the third year and 111 (26.2%) of the fourth year. Participants completed the scales used to measure the variables of the study in person, in a collective and voluntary way. All ethical precepts for carrying out the research were respected. Results: The use of the modeling technique of structural equations revealed that the future expectation of professional and financial success has a positive and significant influence on the life and jobsatisfaction and a significant negative influence on the perceived stress and the burnout syndrome. Conclusion: The expectation of the future can be considered as a relevant variable to explain the quality of life of Portuguese citizens, at least with regard to indicators of satisfaction with life, satisfaction with work, perceived stress and burnout syndrome. References
- The winners’ drama in Seneca’s TroadesPublication . Balula, João PauloAbstract Introduction:The texts of classical literature are of great importance for the formation of critical readers. For this reason, this article proposes a current reading of the winners’ difficulties that are evident in Seneca’s Troades: Pyrrhus, Agamemnon, Ulysses, Achilles, and Helena. Development: Starting from a content analysis of the literary work, a reflection on the consequences of feelings and passions is presented. It becomes evident that when the human being is confronted with himself and with his essence everything comes to the surface: the most admired virtue (moderation) and the most despicable defects (arrogance, brutality, tyranny, hypocrisy and cowardice). Conclusions: It is concluded that the winners’ concern focuses on the doubt about the success of the return trip.
- Women solo travellers: motivations and experiencesPublication . Pereira, Andreia; Silva, CarlaIntroduction: The concept of female solo traveler, despite recent, has become a relevant tourist segment. As tourists, these women are looking for journeys that bring more than a trip from one place to another. They choose to go alone in the pursuit of adventure, independence, feeling of personal fulfillment, individuality and escape. They do not travel alone because they have no choice or because they are loners. They are driven by specific and consciousness motivations. Objective: In this conceptual work, a set of solo travel motivations are categorize based on literature review, to identify why women, choose to travel alone. The focus of this article is to explore the relationship between these motivations with women solo travel experiences providing a conceptual model. Methods: An extensive literature review focusing on the concept of tourism motivations and experiences provide a framework that allows assesses the specific motivations that driven women into travel alone and the corresponding solo traveler experience dimensions. The multi-dimension scales considers eight motivations dimensions: (1) escape, (2) self-identity and development, (3) challenge, (4) connectedness with others, (5) learning, (6) adventure, (7) new life perspectives, and (8) autonomy; and five experience dimensions: (1) sense, (2) feel, (3) think, (4) act, and (5) relate based on Schmitt’ model tourism experience (Schmitt, 1999). Results: Despite an extensive literature review, there are few studies based on experiences and motivations of women solo travelers. Conclusions: Even if it is a market that has not been very explored and studied has gained numerous supporters around the world, translating into an expressive impact not only in sociological terms, but also in its tourist experience.