Introduction: Mobility is a basic action practiced during the execution of general nursing care during hospitalization, however, when it comes to elderly people, this action is usually controversial because it constitutes a risk for falls. Objective: To apprehend the structure of the social representations of the nursing team regarding the mobility of the hospitalized elderly person. Methods: This is exploratory descriptive research with a qualitative approach, based on the principles of the Theory of Social Representations, with a focus on the structural approach. The social group studied was composed of 100 professionals from the nursing team who work in units dedicated to the care of the elderly at a university hospital in the city of Salvador, Bahia, Brazil. Data collection took place in two moments, through the free word association and unstructured interview techniques. The free word association data were processed by the EVOC software, which determined the structure of the social representation through the four-place table. Content analysis was used for the interviews. The discussion involved the entire research corpus. Results: In the table, considering the frequency and the average order of evocations, the terms “fall, bedridden and care” composed the central nucleus. From the analyses of interviews, three thematic categories emerged: Mobility care involving risks, mobility care, aimed at maintaining independence/autonomy and care to deal with barriers to mobility. For the nursing team investigated, the social representation of mobility is associated with ambulation, with limited movements in the face of the risk of falling, which stimulates autonomy and independence. Conclusion: The structure of the Social Representations on the mobility of the hospitalized elderly person is anchored in everyday situations of the professional practice of the investigated group, evidencing conflicts between promoting prevention/recovery of incapacity through hospitalization and avoiding other health damages due to the risk of falls.
A cross-sectional analytical study was conducted to assess how a COVID-19 pandemic interfered with the mental health of students in higher education in Bahia and to check for the presence of anxious and depressive symptoms through a questionnaire. Students were adapted virtually to respond anonymously about sociodemographic characteristics, lifestyle, health-related aspects and a pandemic. To assess the symptoms of anxiety and depression, the Hospital Anxiety and Depression Scale (HAD) was used. The data were trained in SPSS. In total, 1,213 students were acquired. Most altered their health behavior with worsening sleep quality, increased use of medication to sleep, decreased frequency of physical activities. Anxious and depressive symptoms were present in 66.1% and 54.4% of undergraduate and graduate students, respectively, associated with social isolation, uncertainty about the future, difficulties in family relationships, financial loss, fear of being infected and of being infected. other people and loss of a family member due to COVID - 19. In view of the evidence of psychological distress, it is necessary to develop measures so that students can adopt more positive behaviors and reduce much of the impacts left by this pandemic.
RESUMOIntrodução: Os cuidados paliativos são uma abordagem multidisciplinar que visa melhorar a qualidade de vida dos pacientes que enfrentam uma doença potencialmente fatal. O conhecimento dos graduandos da área de saúde sobre cuidados paliativos é importante para a adequada prestação dessa assistência. Objetivo: Avaliar o conhecimento geral sobre cuidados paliativos de graduandos de medicina, enfermagem, fisioterapia, psicologia e serviço social do estado da Bahia. Método: Estudo transversal, com alunos de graduação da área de saúde da Bahia, aplicação de questionário eletrônico contendo perguntas sobre o perfil sociodemográfico e acadêmico dos alunos e seu nível de conhecimento sobre cuidados paliativos. As variáveis foram expressas em mediana e amplitude interquartil. O teste do qui-quadrado de Pearson foi usado para comparar os grupos com melhor e pior conhecimento. Para testar a correlação entre as variáveis, foi utilizado o teste de Spearman. P <0,05 foram considerados significativos. Resultados: participaram 524 alunos de graduação, 83% do sexo feminino, a maioria na faixa etária entre 18 e 29 anos, cursando o primeiro curso de graduação em instituição de ensino superior, com interesse em cuidados paliativos apesar de não possuírem disciplinas nessa área em seu curso. A mediana da pontuação de acertos dos graduandos de todos os cursos foi de 5 (4 -6) e 63,2% tinham conhecimento moderado, com pouca diferença entre as áreas. Conclusão: O conhecimento dos graduandos sobre cuidados paliativos ainda não é suficiente, o que sugere a existência de lacunas no ensino dessa temática nos cursos da saúde, e que podem impactar na qualidade do serviço prestado nesta assistência.
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