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Objective: To examine the scientific evidence about the nursing practice environment in Primary Health Care. Methods: Three-step scoping review. 1) An initial research on CINAHL and MEDLINE. 2) A broader search using the same keywords and search terms in the remaining EBSCOHost platform databases. 3) Search the bibliographical references of the selected articles. The studies selected were from 2007 to 2018. Results: 19 articles were included, most reported findings of the nursing practice environment and results for clients, nurses, nurse managers and the efficiency of organizations, in Primary Health Care. Conclusion: Improving the environment of nursing practice has consequences on the quality of nursing care, with increased results for clients, nursing and Primary Health Care.

Objectives to know the quality of the leadership relationship from the perspective of a chief nurse and nurse, patient satisfaction, the relationship between the quality of the relationship perceived for both and patient satisfaction. Methods a quantitative, transverse and correlational approach. Non-probabilistic convenience sample consists of 15 chief nurses, 342 nurses, 273 patients. Data collected at the Central Lisbon Hospital Center, between January and March 2013, through the LMX-7, CLMX-7 and SUCEH21 scales. Statistical analysis was performed through SPSS ® Statistics 19. Results the chief nurse considers the quality of the leadership relationship good, the nurses consider it satisfactory, patients are considered to be satisfied with nursing care; there is a statistically significant correlation between the quality of the leadership relationship from the perspective of chief nurses and patient satisfaction, there is no statistically significant correlation between the quality of the leadership relationship in the nurse's perspective and satisfaction. Conclusion the chief nurse has a major role in patient satisfaction.

Aim Bring to discussion spiritual leadership and workplace spirituality on a health care system that faces constant challenges and seeks constant adaptations, as a way to guarantee nurses' well‐being and quality of care. Background The work environment has shown to have impact on staff well‐being. Workplace spirituality relates to sense of belonging, motivation and commitment. A spiritual leadership is fundamental to develop workplace spirituality. Evaluation Starting from literature, a reflection on the theme was carried out based on the results of the development of spiritual leadership and workplace spirituality in health care institutions, in professionals and in patients. Key issues Nurses have spiritual needs which need to be also addressed in order to promote the sense of identification with the institutions' vision and goals. A relation between spiritual leadership, workplace spirituality and subjective well‐being is often found in literature, and this is critical evidence towards new management and leadership dynamics and models in health care institutions that should integrate workplace spirituality. Conclusion Nursing leaders are responsible for workplace spirituality facilitation. Nursing leadership and workplace spirituality seem both an answer and way to the change of health institutions management paradigm, but more studies are needed to inform this change in practice. Implications for Nursing Management Workplace spirituality must be promoted in all health care institutions, aiming the humanization of care and teams. Nursing leaders must have spiritual competences and must include the promotion of workplace spirituality in daily agenda as a foundational area in management. The health care institutions' managers should consider the best leaders who should facilitate workplace spirituality.

Objective:To understand the perception of the quality of leadership relationships and the organizational commitment of nurses, and to analyze the influence of this relationship quality. Method: Cross-sectional and correlational study, with a quantitative approach, using a non-probability convenience sampling with 408 nurses. The data were collected through questionnaires at Central Hospital in Lisbon, between January and March 2013. The statistical analysis of the data was carried out using IBM® SPSS® Statistics 19 software. Results: Three hundred forty-two questionnaires were considered valid. The quality of the leadership relationship was satisfactory, and the nurses were poorly committed to the organization. The quality of the leadership relationship was statistically correlated with organizational commitment: there was found a moderate association to affective commitment (r s =0.42, p<0.05), a low association with the normative commitment (r s =0.37, p<0.05), and a very low association with the calculative commitment (r s =0.14, p<0.05). Conclusion: Leadership exerts influence on organizational commitment. An opportunity to improve the quality of the leadership relationship between nurses and their leaders was found, with the consequent possibility of developing organizational commitment.

Objectives: map both nursing interventions for the prevention of falls in paediatric age during hospitalization and the instruments for assessing the risk of falls in paediatrics. Methods: scoping review according to the protocol of Joanna Briggs Institute, with acronym PCC (P - children, C - fall preventive nursing interventions and instruments for assessing the risk of falling, C - hospital admission), in three sources of information (EBSCO, PubMed and SciELO). Results: the sample consisted of seven articles. The education of the child/family is the basis of the interventions, and the instruments for assessing the risk of falling identified were: Humpty Dumpty Falls Scale, GRAF PIF, CUMMINGS, I'M SAFE and CHAMPS. Conclusions: the education of children/parents on preventive measures is important and should be reinforced during hospitalization, using different methodologies. The Humpty Dumpty Falls Scale was the most analyzed.

Objective: To map the existence of instruments for evaluation of the risk of prolonged hospitalization time with hospital discharge delay of the patient. Methods: It was conducted a scoping review of the literature in accordance with suggested by the Joanna Briggs Institute. It was carried out research on the electronic platform Ebscohost: Medline, Cinahl, MedicLatina, Cochrane Data Base of Systematic Reviews; PubMed, in repositories (RIMAS, RIAP, RIUIS, RCAAP and Veritati) and Google Scholar. The bibliographic references of the selected documents were consulted. Results: From the research carried out, 7 articles were selected for analysis, which included 4 instruments: Patient Status of Continence, Ambulation, Age, Social Background and Thought Processes; 4-Score, Blaylock Risk Assessment Screen and The Multidisciplinary Record. Conclusion: The risk of prolonged hospitalization time with hospital discharge delay can be evaluated using 4 types of instruments. This assessment focuses mainly on the patient's cognitive function, age, reliance on daily living activities, mobility and social support, and is committed to an early and preventive discharge planning. ResumoObjetivo: Mapear a existência de instrumentos para avaliação do risco de prolongamento do tempo de internação com retardo da alta hospitalar do paciente. Métodos: Efetuada revisão da literatura do tipo scoping de acordo com o proposto pela Joanna Briggs Institute. Efetuada pesquisa na plataforma eletrônica da Ebscohost: Medline, Cinahl, MedicLatina, Cochrane Data Base of Systematic Reviews; na PubMed, em repositórios (RIMAS, RIAP, RIUIS, RCAAP e Veritati) e no Google Scholar. Consultadas as referências bibliográfi cas dos documentos selecionados. Resultados: Da pesquisa efetuada selecionaram-se 7 artigos para análise, que abordavam 4 instrumentos: Patient Status of Continence, Ambulation, Age, Social Background and Thought Processes; 4-Score, Blaylock Risk Assessment Screen e The Multidisciplinary Record. Conclusão: O risco de prolongamento do tempo de internação com retardo da alta hospitalar pode ser avaliado através de 4 tipos de instrumentos. Esta avaliação foca-se principalmente na função cognitiva do paciente, na sua idade, no seu nível de dependência nas atividades de vida diárias, na sua mobilidade e apoio social de que dispõe, apostando-se num planejamento de alta precoce e preventivo. ResumenObjetivo: Mapear la existencia de instrumentos para evaluar el riesgo de prolongar el tiempo de internación con retraso de alta hospitalaria del paciente. Métodos: Se llevó a cabo una revisión bibliográfi ca tipo scoping de acuerdo con lo propuesto por el Joanna Briggs Institute. Se realizó una investigación en la plataforma electrónica de Ebscohost: Medline, Cinahl, MedicLatina, Cochrane Data Base of Systematic Reviews; en PubMed, en repositorios (RIMAS, RIAP, RIUIS, RCAAP y Veritati) y en Google Scholar. Se consultaron las referencias bibliográfi cas de los documentos seleccionados. Resultados: De la investigación llevada a cabo, se seleccionaron siete a...

Objetivo: Identificar el proceso de adaptación del niño y la familia a la hospitalización y mapear las intervenciones de enfermería que promueven la adaptación a la hospitalización del niño/joven/familia. Método: Elaboración de Scoping Review basado en Joanna Briggs Institute (2014). Criterios de inclusión para Población: Niño, Joven (0-18 años) y Familia; Concepto: Intervenciones promotoras hacia la adaptación y Contexto: Hospitalización. Los estudios considerados fueron estudios cuantitativos, cualitativos y revisiones sistemáticas. Búsqueda de artículos en tres bases de datos electrónicas - PUBMED, MEDLINE y CINAHL. Criterio de selección: datados entre 2012 y 2019 y en régimen full text. Idiomas: inglés y portugués.Resultados: Se analizaron un total de 14 artículos, destacando que el diseño del estudio incluye 2 revisiones sistemáticas de la literatura, 7 estudios cualitativos y 5 cuantitativos. Los resultados del análisis se organizaron por temas: adaptación del niño a la hospitalización, adaptación de los padres y estrategias que promueven la adaptación a la hospitalización. Las intervenciones dirigidas a los niños se centran en el fortalecimiento de los mecanismos para hacer frente a los problemas y en el aumento de la seguridad, y se han clasificado en estrategias de comunicación; actividades recreativas y de relajación; promoción de la esperanza y estrategias de coping.Conclusión: Las intervenciones de enfermería promotoras de la adaptación a la hospitalización mapeadas pretenden disminuir la ansiedad y el estrés del niño / familia, aumentando la capacidad para recibir información, participar en el cuidado y en las decisiones. Se destacan el juego terapéutico, informaciones anticipatorias, técnicas de relajación, distracción, humor, musicoterapia, kits de adaptación, grupos terapéuticos y estrategias promotoras de esperanza. Objective: Identify the adaptation process of the child and family to hospitalization and map the nursing interventions that promote the child/youth/family’s adaptation to hospitalization. Method: Elaboration of a Scoping Review based on the Joanna Briggs Institute (2014). Inclusion criteria - Population: Child, Young (0-18 years old); Concept: Interventions promoting adaptation and Context: Hospitalization. The studies considered were quantitative, qualitative and systematic reviews. Electronic databases used for article search - PUBMED, MEDLINE and CINAHL. Selection criteria: full text articles dated between 2012 and 2019. Languages of inclusion: Portuguese and English.Results: A total of 14 articles were analyzed, including 2 systematic reviews of the literature, 7 qualitative studies and 5 quantitative studies. The results of the analysis were organized by themes: the child's adaptation to hospitalization, the parent’s adaptation to hospitalization and strategies promoting adaptation to hospitalization. The interventions aimed at children are focused on strengthening coping mechanisms and on increasing the sense of security. These have been categorized into communication strategies; playful activities and relaxation activities; and promotion of hope and coping strategies.Conclusion: The mapped Nursing interventions that promote adaptation to hospitalization intend to decrease the child / family’s anxiety and stress, increasing the ability to receive information and to participate in care and decisions. Intervention such as therapeutic play, anticipatory information, relaxation techniques, distraction, humor, music therapy, adaptation kits, therapeutic groups and hope-promoting strategies are emphasized. Objetivo: Identificar o processo de adaptação da criança e família à hospitalização e mapear as intervenções de enfermagem promotoras da adaptação à hospitalização da criança/jovem/família. Método: Elaboração de uma Scoping Review com base no Joanna Briggs Institute (2014). Critérios de inclusão - População: Criança, Jovem (0-18 anos); Conceito: Intervenções promotoras da adaptação e Contexto: Hospitalização. Os estudos considerados foram estudos quantitativos, qualitativos e revisões sistemáticas. Pesquisa de artigos em três bases de dados eletrónicas – PUBMED, MEDLINE e CINAHL. Critério de selecção: datados entre 2012 e 2019 e em regime full text. Línguas de inclusão: Português e Inglês.Resultados: Foram analisados 14 artigos, salientando-se que o desenho de estudo incluem 2 revisões sistemáticas da literatura, 7 estudos qualitativos e 5 quantitativos. Os resultados da análise foram organizados por temas: adaptação da criança à hospitalização, adaptação dos pais à hospitalização e estratégias promotoras de adaptação à hospitalização. As intervenções dirigidas à criança centram-se no fortalecimento dos mecanismos de enfrentamento e no aumento da segurança, tendo estas sido categorizadas em estratégias comunicacionais; atividades lúdicas/brincar e atividades de relaxamento; promoção da esperança e estratégias de coping.Conclusão: As intervenções de Enfermagem promotoras da adaptação à hospitalização mapeadas visam diminuir a ansiedade e stress da criança/família, aumentando a capacidade para receber informação, participar nos cuidados e em decisões. Destacam-se a brincadeira terapêutica, informações antecipatórias, técnicas de relaxamento, distração, humor, musicoterapia, kits de adaptação, grupos terapêuticos e estratégias promotoras de esperança.