Changes in the care context: challenges for nursing

Abstract

This research aimed to identify global changes in the way of practicing and understanding care, as well as the demands population change has generated and the implications for family and professional caregivers. An integrative literature review was performed, identifying 284 papers with the following descriptors: care and caregivers, associated with the descriptor "Nursing", published between 2005 and 2010. Forty-one papers were selected that correspond to the intended goal. The results point towards a care transition model, reconfigured by new care demands, which are mainly associated with the increase in chronic conditions and population aging. In addition, the change in social and individual roles takes care beyond the family sphere and closer to shared social responsibility. Care is the axis around which nurses rotate. Hence, it is fundamental to analyze this context, which demands evolution in professional care development. Cambios en el contexto del cuidado: desafíos para la enfermeríaEste trabajo tuvo por objetivo identificar cambios globales relacionados con la forma de hacer y entender el cuidado, así como las demandas generadas por el cambio poblacional y las implicaciones para cuidadores familiares y profesionales. Se realizó una revisión integradora de la literatura, identificando 284 artículos con los descriptores: cuidado y cuidadores, asociados al descriptor Enfermería, entre los años 2005 y 2010, seleccionando 41 artículos que corresponden al objetivo planteado. Los resultados apuntan a un modelo de transición en el cuidado, reconfigurado por las nuevas demandas de atención asociadas principalmente al incremento de las enfermedades crónicas y el envejecimiento poblacional. Además, el cambio en los roles sociales e individuales sitúan al cuidado mas allá del ámbito familiar y lo aproximan a la responsabilidad social compartida. El cuidado es el eje gravitatorio de las enfermeras, por ello resulta indispensable analizar este contexto que demanda evolución en el desarrollo del cuidado profesional.

Evaluation of the perceived health of caregivers of patients in mild-to-moderate stage Alzheimer's disease

“…Thus, the family continues to be the main factor responsible for the care of these patients and for the care of dependents in the home and, therefore, should be considered as the main source of care for a large majority of people who need it . Women, as opposed to the masculine gender, are in charge of caring for their relative within the home, establishing a certain inequality with respect to this characteristic in care .…”

“…1 It is a disease with a high consumption of social and health resources and high costs, due to the progressive seriousness of the disease 2 and the care of these patients by people of the closest social network, 3 known as informal support network. 4 Thus, the family continues to be the main factor responsible for the care of these patients and for the care of dependents in the home 5,6 and, therefore, should be considered as the main source of care for a large majority of people who need it. 7 Women, as opposed to the masculine gender, are in charge of caring for their relative within the home, establishing a certain inequality with respect to this characteristic in care.…”

Quality of interaction between the nursing personnel and the informal caregivers of people with memory disorders: A systematic review and metasummary of qualitative studies

“…The increasing diversity of the ageing population emphasises the relevance of collaboration with the care recipient's informal caregivers and of the social environment in professional care (Cruz‐Ortiz et al, 2011 ). From an interaction perspective, memory disorders pose particular demands for the involvement of informal caregivers.…”

Relações Sociais E Dimensões Íntimas De Idosos Afetados Por Hanseníase

“…Assim sendo, torna-se fundamental conhecer os aspectos intervenientes à capacidade de interação social das pessoas idosas com hanseníase, uma vez que, para planejar e implementar estratégias de intervenção faz-se necessário identificar as nuances que desencadeiam e/ou potencializam o fenômeno, isto é, compreender o processo de envelhecer em sua dinâmica global e específica, associada à presença de patologia crônica. Nesse sentido, a Enfermagem gerontogeriátrica (2-3, [11][12] tem importante papel no cuidado e prevenção de agravos à saúde dessas pessoas, configurando-se como indispensável diante das taxas progressivas de mudanças na estrutura etária do país, que se refletem no envelhecimento demográfico (1,(12)(13) .…”