Health literacy, a more complex concept than knowledge, is a required capacity to obtain, understand, integrate and act on health information [1], in order to enhance individual and community health, which is defined by different levels, according to the autonomy and personal capacitation in decision making [2]. Medium levels of Health literacy in an adolescent population were found in a study conducted in 2013/2014, being higher in sexual and reproductive health and lower in substance use. It was also noticed that the higher levels of health literacy were in the area adolescents refer to have receipt more health information. The health literacy competence with higher scores was communication skills, and the lower scores were in the capacity to analyze factors that influence health. Higher levels were also found in younger teenagers, but in a higher school level, confirming the importance of health education in these age and development stage. Adolescents seek more information in health professionals and parents, being friends more valued as a source information in older adolescents, which enhance the importance of peer education mainly in older adolescents [3]. As a set of competences based on knowledge, health literacy should be developed through education interventions, encompassing the cultural and social context of individuals, since the society, culture and education system where the individual is inserted can define the way the development and enforcement of the health literacy competences [4]. The valued sources of information should be taken into account, as well as needs of information in some topics referred by adolescents in an efficient health education. Schizophrenia is a serious and chronic mental illness which has a profound effect on the health and well-being related with the well-known nature of psychotic symptoms. The exercise has the potential to improve the life of people with schizophrenia improving physical health and alleviating psychiatric symptoms. However, most people with schizophrenia remains sedentary and lack of access to exercise programs are barriers to achieve health benefits. The aim of this study is to evaluate the effect of exercise on I) the type of intervention in mental health, II) in salivary levels of alpha-amylase and cortisol and serum levels of S100B and BDNF, and on III) the quality of life and selfperception of the physical domain of people with schizophrenia. The sample consisted of 31 females in long-term institutions in the Casa de Saúde Rainha Santa Isabel, with age between 25 and 63, and with diagnosis of schizophrenia according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR). Physical fitness was assessed by the six-minute walk distance test (6MWD). Biological variables were determined by ELISA (Enzyme-Linked Immunosorbent Assay). Psychological variables were assessed using SF-36, PSPP-SCV, RSES and SWLS tests. Walking exercise has a positive impact on physical fitness (6MWD -p = 0.001) and physical components of the psychological test...

RESUMO CONTEXTO:A forma como cada pessoa vive e sente satisfação com a sua experiência de vida, tem naturalmente uma dimensão subjetiva mas reveladora de aspetos intrínsecos da dimensão humana. A felicidade pode ser um conceito agregador dessas dimensões embora de difícil definição para pessoas com ou sem doença mental. OBJETIVO: Identificar a perceção de felicidade em pessoas com doença mental, os fatores que contribuem para aumentar ou menorizar essa perceção. MÉTODOS: Revisão Integrativa da Literatura. Pesquisa em bases de dados internacionais, realizada em agosto de 2016. Foi aplicado um conjunto de descritores e critérios de inclusão. Obteve-se uma amostra final de 7 estudos, publicados entre 2006-2014. RESULTADOS: Não se encontraram definições aprofundadas do conceito expressas pelos participantes. Emerge como aproximação ao conceito a capacidade para interação social ou enquanto fenómeno intrinsecamente relacionada com a religiosidade. A felicidade depende pouco de eventos externos e reforça-se com fatores duradouros e de uma dimensão mais interior e predeterminada previamente à doença. Os fatores que contribuem são essencialmente de ordem pessoal, familiar, suporte social alargado e emocional. Os que contribuem para menorizar a felicidade são de ordem pessoal, efeitos secundários da medicação, escassez de suporte social alargado, disfunção afetiva e emocional. A família não surgiu enquanto fator associado a menor felicidade. CONCLUSÕES: A felicidade está interligada à vivência social e ao bem-estar, à resiliência, a fatores protetores internos da própria pessoa.

Resumo ResumenBackground: The community outreach project of the Universidade Católica Portuguesa, which involves the public bathhouse of Alcântara, started out of the need to identify its users.Objectives: To characterize the users' socio-demographic and health profile and describe their use of social and health resources. Methodology: A cross-sectional descriptive study, of quantitative nature, was conducted with the application of a questionnaire to a sample of 145 participants.Results: The typical user is male, single, aged 25-35 years and lives alone (21%). This user goes to the public bathhouse two to three times per week. Most of the users (58.3%) have no bathroom, 29.7% are homeless, 35.2% are not registered in any health care center, and 24.8% have mental disorders. Conclusion:The typical bathhouse user is of working age, was born in Lisbon and in the Portuguese-speaking African Countries, and has no source of income. The main reasons leading to the use of the public bathhouse are the economic difficulties, the homeless condition, and the lack of sanitary conditions.

Background Nurses in clinical practice settings share responsibility with academy teachers in the education of nursing students in clinical teaching. This dynamic is essential for the students’ learning and their skill development. During preceptorship, the nurse has to mobilize the available resources to act competently and effectively. The purpose of this article is to identify the aspects that should be considered when selecting a nurse preceptor. Methods A qualitative study was carried out based on Grounded Theory using Strauss and Corbin’s version. The study took place in a medicine ward and a surgery ward of a hospital in the Lisbon metropolitan area. The authors conducted fourteen semi-structured interviews with nurses who were at different stages of Benner’s Professional Development Model and with different outlooks on nursing preceptorship. The initial script was reorganized after the pilot test. It was also adjusted after the first exploratory interviews and after the in-depth interviews in order to reflect the interviewees’ work experience and outlooks on preceptorship. The interviews had an average duration of 45 min and were audio recorded. Theoretical sampling was conducted considering the needs identified in data coding until we reached theoretical saturation. Data analysis began after the first interview, first by open coding, followed by axial and selective coding, always in a logic of constant comparison with theory. Ethical principles, scientific integrity and methodological rigour were ensured throughout the study. Results Two categories emerged that were supported by all nurses: skills and individual characteristics. The former includes communication skills, relational skills, reflective skills, technical-scientific skills, and emotional skills, while the latter includes perceptiveness, responsibility, motivation, and professional initiative. Conclusion Nurses value both the individual characteristics they possess and the skills they have developed throughout their career. The recognition of the aspects found in this study for the selection of nurse preceptors allows for an informed and reasoned decision making, with a view to the success of the preceptorship and to the improvement of the quality of nursing education.

Objectives: to characterize the homeless families who use a Public Shower Room; identify significant life events/phenomena for the family’s transition to homelessness; understand the relationship between significant life events; identify future expectations of respondents. Methods: an exploratory, descriptive study using the interview and thematic content analysis. Sample consisted of public shower room users. Results: mental illness, social, personal and family factors justify the transition of subjects to homelessness. The total absence of hopelessness alternates with expectations for the future based on resilience and hope. Final Considerations: we highlight in the study the self-determination expressed in small expressions of the narrative, on the one hand, as well as aspects related to the evolution of family relationships, on the other.