The opinion of the physicians and nurses who participated in this study converged with the principal national and international guidelines on palliative sedation. However, even though it is a therapy that has been adopted in palliative care, it remains a controversial practice.

Objective: To understand the perception of nurses from the Family Health Strategy in relation to palliative care in the home. Methods: A descriptive, exploratory study with a qualitative approach conducted with nine nurses from the Family Health Strategy of the municipality of Lavras -MG. Semi-structured interviews were conducted and data were subjected to content analysis. Results: The various dimensions of care in the home context were identified, along with the performance and limitations of nurses in the care of the patient and his family at end of life. The capacity to establish a bond, by the proximity to people who receive their care, is a remarkable point of the action of these nurses with patients and families in end of life situations. Conclusion: The nurses consider the patient and his family as the unit of care, they have the opportunity to share solidarity, experiences and learning, not only from a professional standpoint, but above all, from a human one. Keywords: Family Health Program; Hospice care; Public health nursing; Home nursing reSumo Objetivo: Compreender a percepção de enfermeiras da Estratégia Saúde da Família com relação aos cuidados paliativos no domicílio. Méto-dos: Estudo descritivo, exploratório, com abordagem qualitativa realizado com nove enfermeiras da Estratégia Saúde da Família do município de Lavras -MG. Foram realizadas entrevistas semiestruturadas e os dados foram submetidos à Análise de Conteúdo. Resultados: As várias dimensões do cuidado no contexto domiciliar foram identificadas, bem como a atuação e as limitações das enfermeiras no cuidado do paciente em final de vida e de sua família. A capacidade em estabelecer vínculo, pela proximidade com pessoas que recebem seus cuidados, é um ponto marcante da atuação dessas enfermeiras com pacientes e familiares nas situações de final de vida. Conclusão: As enfermeiras ao considerar o paciente e sua família como unidade de cuidado, têm a oportunidade de compartilhar solidariedade, experiências e aprendizados, não só do ponto de vista profissional, mas, sobretudo, humano. Descritores: Programa Saúde da Família; Cuidados paliativos; Enfermagem em saúde pública; Assistência domiciliar reSumen Objetivo: Comprender la percepción de enfermeras de la Estrategia Salud de la Familia respecto a los cuidados paliativos en el domicilio. Métodos: Estudio descriptivo, exploratorio, con abordaje cualitativo realizado con nueve enfermeras de la Estrategia Salud de la Familia del municipio de Lavras -MG. Se llevaron a cabo entrevistas semi estructuradas y los datos se sometieron al Análisis de Contenido. Resultados: Fueron identificadas las diversas dimensiones del cuidado en el contexto domiciliario, así como también la actuación y las limitaciones de las enfermeras en el cuidado del paciente al final de su vida y de su familia. La capacidad para establecer vínculo, por la proximidad con personas que reciben sus cuidados, es un punto marcante de la actuación de esas enfermeras con pacientes y familiares en las situaciones de final de vida...

Objective: To investigate the most commonly used educational approaches in dementia training for primary health care professionals. Method: Integrative literature review, conducted between April and June of 2018, in PubMed, LILACS and IBECS databases. The descriptors used were: Training, Health Personnel, Dementia, Primary Health Care for PubMed; and the MeSH terms, Training Programs, Health Personnel, Dementia, and Primary Health Care for LILACS and IBECS. Results:The sample consisted of 13 articles; eight were published in the last five years (62%); seven articles with a quantitative approach (54%); seven articles produced on the European continent (54%), followed by five published on the North American continent (38%). All journals were from the health area (100%). Conclusion: Educational strategies were combined and used for education. Significant improvements in knowledge, skills, and attitudes of the teams with regard to professional management of dementias were evidenced.

Objectives The aim of this study was to translate, culturally adapt, and psychometrically evaluate the Brazilian version of the “End-of-Life Professional Caregiver Survey” (BR-EPCS). Method This is an observational cross-sectional study. The sample was composed of 285 Brazilian healthcare professionals who work or worked in the palliative care area. A minimum number of 280 participants were established, following the recommendation of 10 subjects for each instrument item. The European Organisation for Research and Treatment of Cancer — Quality of Life Group Translation Procedure protocol was used for the translation and the cultural adaptation. For the precise/reliable evaluation of factors measured by the BR-EPCS, Cronbach's alpha (α) and composite reliability coefficients were used. The factorial analyses were made by means of the exploratory structural equation modeling methods and confirmatory factor analysis. We have conducted a multiple linear regression analysis to evaluate the sociodemographic variables' capabilities in the result prediction measured by BR-EPCS factors. Results The factorial analysis showed the relevance of two factors: Factor 1 — “Given care effectiveness” (18 items; Cronbach's α = 0.94; Composite Reliability = 0.95) and Factor 2 — “Mourning and ethical and cultural values” (10 items; Cronbach's α = 0.89; Composite Reliability = 0.88). Multiple linear regression analyses revealed that the working time, sex, palliative care training, and its own advance directives are predictors of the constructs assessed by the BR-EPCS. Significance of results The BR-EPCS is a reliable, valid, and culturally appropriate tool to identify the educational needs of healthcare professionals who work with palliative care. This instrument can be used for educational and research reasons.

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