Isaura da Conceição Cascalho Serra

A continuidade de cuidados de saúde na perspetiva dos utentes

Continuity of care, in addition to ensuring improvement of the quality of care, contributes to the reduction of health costs. The objective of this study was to analyse the continuity of care in health units in the municipality of Évora (south of Portugal), from the perspective of users. This is across-sectional, exploratory and descriptive study with a quantitative approach, with a sample consisting of 342 users of health units. The instrument was a questionnaire adapted from English and Spanish studies. The results show that elements of continuity were identified in the different dimensions of the continuity of care - relational, management, information and some items of flexible continuity. Longitudinal continuity has the lowest values in nursing care. In conclusion, what stands out positively, and in its different dimensions, is relational continuity, in which most users recommend their family doctor and nurse to family and friends, and flexible continuity, which translates into reduced waiting times to be attended by a doctor or nurse and access to care. What stands out negatively is the weak involvement of the user in care by health professionals, in the dimensions of relational continuity.

Representações sociais dos estudantes de enfermagem sobre assistência hospitalar e atenção primária

Objective: To analyze how social representations of hospital and community care are structured in two groups of nursing students – 1st and 4th years. Method: Qualitative research oriented by the Theory of Social Representations. We used a questionnaire with Free Association of Words. Data were analyzed in the Software IRaMuTeQ 0.6 alpha 3. Results: We applied the method of Descending Hierarchical Classifi cation and obtained four classes. Class 4 has the largest social representation (30.41%) within the corpus. The two organizational axes are nurse and disease/patient in the central core. On the periphery are the care and help related to the nurse and the treatment and prevention associated with the disease. Conclusion: Social representations focus on disease/patient and on the role of nurses in the treatment, prevention, and care. Health promotion and the social determinants of health are absent from the social representations of students.

Estilos de vida: representações sociais construídas por doentes com infarto do miocárdio e familiares

Objetivo: Analisar as representacoes sociais de estilos de vida construidas por familiares e doentes com diagnostico de infarto do miocardio. Metodo: Estudo exploratorio e qualitativo sustentado na teoria das representacoes sociais, com 70 doentes e 70 familiares, de dois hospitais portugueses, um no litoral outro no interior do pais, de janeiro a junho de 2015. Foi realizada analise estrutural, com o uso de dois questionarios, recorrendo a tecnica de Associacao Livre de Palavras. Resultados: As evocacoes dos doentes e dos familiares indicaram fraca convergencia entre os dois grupos na representacao de Estilo de Vida, contudo mostraram a existencia de conhecimentos potenciadores de um estilo de vida saudavel. Conclusoes: As categorias Comer e Mudanca assumiram consensualidade nos grupos. Para doentes e familiares foi consensual que uma alimentacao pouco cuidada representa um estilo de vida prejudicial para a saude. Ficou tambem claro que a mudanca e fundamental. Tal assuncao abre espaco a intervencao dos profissionais de saude. Palavras-chave: Estilo de vida. Infarto do miocardio. Pacientes. Cuidadores. Enfermagem.Objective The social representations of lifestyles construed by family members and patients diagnosed with myocardial infarction. Method Exploratory qualitative study supported by the theory of social representations, with 70 patients and 70 family members of two Portuguese hospitals, one on the coast and one inland from January to June 2015. Structural analysis was performed using two questionnaires relying on the technique called Free Association of Words. Results The evocations of patients and family members indicated weak convergence between the two groups in representing Lifestyle, yet showed the existence of knowledge that enhances a healthy lifestyle. Conclusions The categories Eat and Change were a consensus among the groups. For patients and family members, it was consensual that a poor diet is a harmful lifestyle for health. It was also clear that change is fundamental. Such an assumption makes room for the intervention of health professionals.

Estilos de vida: representaciones sociales construidas por los pacientes con infarto de miocardio y familia

Objetivo: Analisar as representacoes sociais de estilos de vida construidas por familiares e doentes com diagnostico de infarto do miocardio. Metodo: Estudo exploratorio e qualitativo sustentado na teoria das representacoes sociais, com 70 doentes e 70 familiares, de dois hospitais portugueses, um no litoral outro no interior do pais, de janeiro a junho de 2015. Foi realizada analise estrutural, com o uso de dois questionarios, recorrendo a tecnica de Associacao Livre de Palavras. Resultados: As evocacoes dos doentes e dos familiares indicaram fraca convergencia entre os dois grupos na representacao de Estilo de Vida, contudo mostraram a existencia de conhecimentos potenciadores de um estilo de vida saudavel. Conclusoes: As categorias Comer e Mudanca assumiram consensualidade nos grupos. Para doentes e familiares foi consensual que uma alimentacao pouco cuidada representa um estilo de vida prejudicial para a saude. Ficou tambem claro que a mudanca e fundamental. Tal assuncao abre espaco a intervencao dos profissionais de saude. Palavras-chave: Estilo de vida. Infarto do miocardio. Pacientes. Cuidadores. Enfermagem.Objective The social representations of lifestyles construed by family members and patients diagnosed with myocardial infarction. Method Exploratory qualitative study supported by the theory of social representations, with 70 patients and 70 family members of two Portuguese hospitals, one on the coast and one inland from January to June 2015. Structural analysis was performed using two questionnaires relying on the technique called Free Association of Words. Results The evocations of patients and family members indicated weak convergence between the two groups in representing Lifestyle, yet showed the existence of knowledge that enhances a healthy lifestyle. Conclusions The categories Eat and Change were a consensus among the groups. For patients and family members, it was consensual that a poor diet is a harmful lifestyle for health. It was also clear that change is fundamental. Such an assumption makes room for the intervention of health professionals.

Lifestyles: social representations construed by patients with myocardial infarction and family members

Objetivo: Analisar as representacoes sociais de estilos de vida construidas por familiares e doentes com diagnostico de infarto do miocardio. Metodo: Estudo exploratorio e qualitativo sustentado na teoria das representacoes sociais, com 70 doentes e 70 familiares, de dois hospitais portugueses, um no litoral outro no interior do pais, de janeiro a junho de 2015. Foi realizada analise estrutural, com o uso de dois questionarios, recorrendo a tecnica de Associacao Livre de Palavras. Resultados: As evocacoes dos doentes e dos familiares indicaram fraca convergencia entre os dois grupos na representacao de Estilo de Vida, contudo mostraram a existencia de conhecimentos potenciadores de um estilo de vida saudavel. Conclusoes: As categorias Comer e Mudanca assumiram consensualidade nos grupos. Para doentes e familiares foi consensual que uma alimentacao pouco cuidada representa um estilo de vida prejudicial para a saude. Ficou tambem claro que a mudanca e fundamental. Tal assuncao abre espaco a intervencao dos profissionais de saude. Palavras-chave: Estilo de vida. Infarto do miocardio. Pacientes. Cuidadores. Enfermagem.Objective The social representations of lifestyles construed by family members and patients diagnosed with myocardial infarction. Method Exploratory qualitative study supported by the theory of social representations, with 70 patients and 70 family members of two Portuguese hospitals, one on the coast and one inland from January to June 2015. Structural analysis was performed using two questionnaires relying on the technique called Free Association of Words. Results The evocations of patients and family members indicated weak convergence between the two groups in representing Lifestyle, yet showed the existence of knowledge that enhances a healthy lifestyle. Conclusions The categories Eat and Change were a consensus among the groups. For patients and family members, it was consensual that a poor diet is a harmful lifestyle for health. It was also clear that change is fundamental. Such an assumption makes room for the intervention of health professionals.

Social representations of nursing students about hospital assistance and primary health care

Objective: To analyze how social representations of hospital and community care are structured in two groups of nursing students – 1st and 4th years. Method: Qualitative research oriented by the Theory of Social Representations. We used a questionnaire with Free Association of Words. Data were analyzed in the Software IRaMuTeQ 0.6 alpha 3. Results: We applied the method of Descending Hierarchical Classifi cation and obtained four classes. Class 4 has the largest social representation (30.41%) within the corpus. The two organizational axes are nurse and disease/patient in the central core. On the periphery are the care and help related to the nurse and the treatment and prevention associated with the disease. Conclusion: Social representations focus on disease/patient and on the role of nurses in the treatment, prevention, and care. Health promotion and the social determinants of health are absent from the social representations of students.

Representaciones sociales de los estudiantes de enfermería sobre asistencia hospitalaria y atención primaria

Objective: To analyze how social representations of hospital and community care are structured in two groups of nursing students – 1st and 4th years. Method: Qualitative research oriented by the Theory of Social Representations. We used a questionnaire with Free Association of Words. Data were analyzed in the Software IRaMuTeQ 0.6 alpha 3. Results: We applied the method of Descending Hierarchical Classifi cation and obtained four classes. Class 4 has the largest social representation (30.41%) within the corpus. The two organizational axes are nurse and disease/patient in the central core. On the periphery are the care and help related to the nurse and the treatment and prevention associated with the disease. Conclusion: Social representations focus on disease/patient and on the role of nurses in the treatment, prevention, and care. Health promotion and the social determinants of health are absent from the social representations of students.