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Objective:to evaluate the contribution of the implementation of the Humanitude Care Methodology to the quality of health care in a Continuing Care Unit. Method:an action-research study with a non-probability convenience sampling, involving 34 health professionals from one unit in Portugal. Data was collected through a questionnaire and an observation worksheet for the Structured Sequence of Humanitude Care Procedures. We used data content analysis with the Statistical Package for Social Science, version 17.0. Results:health professionals demonstrated difficulties to provide care for people who are agitated, confused, disoriented, aggressive and who refuse care, and to communicate with patients who do not communicate verbally. The professionals valued the accomplishment of the stages of the observation worksheet. There were discrepancies between the perception of accomplishment and the actual practice. Throughout the implementation of the methodology, there was an increase in the practical application of the procedures, with positive repercussion for the patients and for the professionals. Conclusion:the results allowed to perceive the contribution of the process of implementation of the methodology, through the positive transformations in health care delivery.

ResumoEnquadramento: Humanitude é um termo recente, sendo utilizado pela primeira vez em 1980, por Freddy Klopfenstein. Gineste e Marescotti integraram este conceito e desenvolveram a metodologia de cuidado Humanitude (MCH), tendo surgido os primeiros estudos em Portugal em 2008. Objetivos: Descrever o estado da arte da implementação da MCH em Portugal. Metodologia: Estudo descritivo sobre o estado da arte da implementação da MCH em Portugal. A colheita da informação será realizada através de bases de dados, sites, livros e entrevistas a informantes-chave. Resultados: A implementação da MCH em Portugal caracteriza-se por formação na ação, investigação, organização de eventos cientí-ficos e através de diversas tipologias de publicações: 4 livros, 5 artigos científicos, 1 tese de doutoramento, 4 dissertações de mestrado e 67 comunicações científicas. Conclusão: A implementação da MCH em Portugal foi realizada através de formação na ação, investigação-ação e divulgação. Há necessidade de realização de investigação experimental e aplicada nesta área e publicação dos resultados em revistas nacionais e internacionais para uma efetiva divulgação do conhecimento produzido e disseminação desta metodologia.Palavras-chave: cuidado humanitude; relações enfermeiro-paciente; cuidado focado no paciente; cuidados de enfermagem; humanização dos serviços AbstractBackground: Humanitude is a recent term, which was used for the first time by Freddy Klopfenstein in 1980. Gineste and Marescotti have integrated this concept into the Humanitude care methodology (HCM). In Portugal, the first studies on the topic were published in 2008. Objectives: To describe the state-of-the-art in the implementation of HCM in Portugal. Methods: Descriptive study on the state-of-the-art in the implementation of HCM in Portugal. Data will be collected through a search in databases, websites, books, and interviews with key informants. Results: The implementation of HCM in Portugal is characterized by training in action, research, and organization of scientific events and publication of different types of work: 4 books, 5 scientific articles, 1 doctoral thesis, 4 Master's dissertations, and 67 presentations at scientific events. Conclusion: HCM has been implemented in Portugal through training in action, action-research, and dissemination activities. Experimental and applied research studies should be conducted in this area, and their findings should be published in national and international journals for an effective dissemination of both the produced knowledge and this methodology.

Objective: To describe the experience in the implementation of the Humanitude Care Methodology (MCH) in the humanization of care for the elderly. Methodology: This is an experience report about the implementation of the MCH, in a Health Service in Portugal, with capacity for 30 elderly people, most of them having cognitive alterations. Results: The implementation of the MCH has shown positive results in the humanization of care for the elderly, namely in the reduction of agitation behaviors and better acceptance of care. There was a change in organizational culture, more focused on the person and on the humanization of care. Conclusion: The results reflect the need to introduce innovative care methodologies in the training of health professionals, with a focus on interaction, for a professionalized relational care that dignifies the person cared for and the care giver. RESUMOObjetivo: Relatar a experiência vivida durante a implementação da Metodologia de Cuidado Humanitude na humanização da assistência a idosos. Métodos: Tratase de um relato de experiência sobre a implementação da Metodologia de Cuidado Humanitude em um Serviço de Saúde, em Portugal, com lotação para 30 idosos, tendo a maioria alterações cognitivas. Resultados: A implementação da Metodologia de Cuidado Humanitude demonstrou resultados positivos na humanização da assistência aos idosos, nomeadamente na redução dos comportamentos de agitação e melhor aceitação do cuidado. Verificou-se mudança na cultura organizacional, mais focada na pessoa e na humanização da assistência. Conclusão: Os resultados refletem a necessidade de introduzir metodologias de cuidado inovadoras na formação dos profissionais de saúde, com foco na interação, para um cuidado relacional profissionalizado que dignifique a pessoa cuidada e quem cuida. Descritores: Humanização da Assistência; Serviço de Saúde; Enfermagem Baseada em Evidências; Assistência Centrada no Paciente; Assistência a Idosos. RESUMENObjetivo: Describir la experiencia de los profesionales de salud en la implementación de la Metodología de Cuidado Humanitude (MCH) con personas mayores. Método: Se trata de un relato de experiencia sobre la aplicación de la MCH en un servicio de salud en Portugal, con capacidad para 30 personas ancianas, la mayoría con alteraciones cognitivas. Resultados: La implementación de la MCH demostró resultados positivos en la humanización de la asistencia a los ancianos, en particular en la reducción de los comportamientos de agitación y mejor aceptación del cuidado. Se verificó un cambio en la cultura organizacional, más enfocada en la persona y en la humanización de la asistencia. Conclusión: Los resultados apuntan la necesidad de introducir metodologías de cuidado innovadoras en la formación de los profesionales de salud, con enfoque en la interacción, para un cuidado relacional profesionalizado que dignifique a la persona cuidada y a los cuidadores. Descriptores: Humanización de la Atención; Servicio de Salud; Enfermería Basada en la Evidencia; Atención Dirigida al Paciente; Asistenc...

the thematic analysis showed that the educational practice is hampered by the high demand for care in the unit, lack of physical structure and professional qualification for health education. In the action phase, nurses and local managers agreed on actions to improve the quality of educational practices.

The aim of this quantitative study was to identify the socio-demographic and academic profile of intensive care registered nurses and participants of the events organized by the Department of Nursing of the Brazilian Association of Intensive Care Medicine. Data were collected by means of 400 questionnaires applied between January and July of 2010, however only 324 questionnaires were returned and 295 questionnaires were considered for the analysis. Data were analyzed with descriptive statistics resources with absolute relative frequency and simple mean, presented in tables. Results show the predominance of women, with specific graduate degrees. The skills and values highlighted include technical and scientific knowledge, and leadership. These professionals seek work in intensive care because of the high technological complexity. The study emphasized the existence of the professional profile required to work in the intensive care unit. The qualification of these professionals must prioritize the mastering of the technological language and the comprehensive and safe care.

Meditation is the third most commonly requested complementary and alternative medicine (CAM) therapy reported in a US survey. Those who suffer from chronic pain are those who most frequently use CAM therapies. This review aims to evaluate whether meditation-based interventions can help the treatment of fibromyalgia. A PubMed search was conducted using the terms "fibromyalgia" and "meditation", or "mindfulness", or "mantra" or "relaxation response". We selected articles which clearly described a meditation intervention being used in the treatment of fibromyalgia. Only four articles were classified with score 3 in the Jadad scale. Another seven articles were included in this review. Most of the results indicate improvement in fibromyalgia-related symptoms in patients who participated in a meditation-based intervention. Considering only 4 of the 13 studies achieved a score of 3 on the Jadad scale, researchers of meditation interventions should discuss the best methodologic control for these studies.

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