Background: Given the worldwide pandemic caused by SARS-CoV-2, this study sought to understand how people with spinal cord injury (SCI) perceive the post-pandemic context. Objectives: We aimed to understand the perceptions of people with SCI in Brazil regarding the world in the post-pandemic context. Methods: This qualitative study was conducted on SCI Brazilians using a form published on SurveyMonkey® with questions regarding their perspectives on the post-pandemic world. The responses were analyzed considering Bardin, Axel Honneth, and Ernst Bloch. Results: The results demonstrated that the lives of SCI people in Brazil did not change during the pandemic, as they were already isolated due to the lack of accessibility. Conclusions: Imagining future scenarios following the pandemic is highly complex; however, the present can be understood as a moment to reflect on how humanity has developed thus far, especially concerning impaired accessibility and the pervasive lack of empathy and solidarity.
Objective: To identify in the literature the existing studies that discuss the perception of the relationship between hope, spinal cord trauma and nursing care. Methods: This is an integrative literature review, based on existing scientific publications in the main health databases, in English, Portuguese and Spanish, until 2017, totaling 11 studies. Results: The articles were evaluated for their construct quality through specific checklists for each type of study. Hope has emerged as a motivational strategy that drives positive attitudes, while it fosters the creative elaboration of goal-management strategies and enhances hope as a springboard for future possibilities. Conclusion: Although the scarcity of nursing studies that discuss the perception of hope in spinal cord injury, it was observed that it is inherent in the living process of people with this condition.
Background: Human dimensions are transversal to the concepts of health rehabilitation, since they motivate care actions. The aim of this study was to understand rehabilitation from the collective discernment of a multidisciplinary group. Methods: This was participatory research that used a qualitative approach combined with brainstorming and conceptual mapping techniques, in a focus group of a team of researchers from the Laboratory of Research, Teaching, Extension and Technology in Health, Nursing and Rehabilitation of a Federal University in Brazil, with data publication authorised by the participants. Participants were 92% women and 8% men aged between 25 and 62 and who were members of the research group. The thematic analysis occurred from the semantics of words and associated connectors. Results: Actions in structured levels were found in the collective understanding of rehabilitation, which enabled the formation of a theoretical care design. The first level presented love, hope, respect, empathy, understanding, esteem, and self-determination. The second level included the pillars of the (re)habilitation process: praxis, intersubjectivity, and comfortable living as a product. The third level showed the dimensions of the person as a whole: spirituality, (re)signification of the meanings of life, functionality of biophysical structures, and biopsychosocial (re)construction — the environment where the dynamic constitution of identity is internalised. The fourth level was the environment where actors move and transform (becoming), where diversity is manifested and the uniqueness of the person is acknowledged. Conclusions: Rehabilitation is a (co)constructed process based on human attributes that facilitate or may not facilitate transformation. It implies rebuilding of the process of living, with the diversity of each person. Its actions are based on love, solidarity, and respect for mutual rights. The concept of rehabilitation can support the operationalisation of research and interdisciplinary care in a multidisciplinary team.
Objetivo: analisar instrumentos que avaliem a autonomia e alguns de seus aspectos em indivíduos com lesão medular. Métodos: Trata-se de revisão integrativa da literatura, a partir de publicações científicas existentes nas principais bases de dados da saúde, em inglês, português e espanhol, até 2017, visando analisar instrumentos que avaliem a autonomia e o "ser" autônomo. Como processo de validação da qualidade metodológica dos estudos analisados, utilizou-se os checklists específicos para cada tipo de estudo, seja observacional, qualitativos ou revisões sistemáticas. Resultados: O termo autonomia permanece muito relacionado ao conceito de independência e participação. Porém, pode-se perceber que os instrumentos buscam transcender a perspectiva médico-centrada do corpo, compreendendo a autonomia como uma busca pela satisfação de vida, pela identidade, pela esperança e liberdade. Conclusão: Embora a escassez de estudos sobre autonomia como algo mais complexo do que a relação corpo-decisão, na literatura emergem pesquisadores que observam a autonomia como um eixo inerente ao processo de viver da pessoa.
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