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This study aimed to screen the cognitive profile elderly people living in long-term care institutions in the municipality of Miranda do Corvo by evaluating 174 participants with the Mini Mental State Examination (MMSE) (n=96) and the clinical dementia diagnosis (n=78). According to the MMSE, 41.7% of respondents had scores suggestive of cognitive impairment. The percentage rose to 67.8% (n=118) by adding the diagnosis of dementia reported in individual medical records to this result. The comparison of our results with those obtained nationwide showed that this proportion was significantly higher (p<0.001). The educational level was a predictive factor for MMSE scores (p=0.001). We can conclude that the high prevalence of suspected cognitive impairment and dementia revealed in our study should lead us to reflect on the quality of care provided and on the lack/scarcity of cognitive stimulation programs in long-term care institutions for seniors. Thus, it is imperative to implement regular cognitive assessment and to apply intervention programs for the preservation and improvement of the cognitive functioning of institutionalized elderly of deprived areas.

Can we discuss humanization in health without bringing the expressions of racism in the health-ilness process to the centrality of the debate? Would it be possible to think of humanized care practices without considering structural and institutional racism in health? An affirmative answer to one of these questions reinforces the current myth of Brazilian racial democracy, which prevents us from recognizing or validating how much racism is alive in our society and produces unequal experiences of living, sickening, and dying for the black population, which accounts for more than 56% of the Brazilian population. In this article, in dialogue with Ayres' production on Happiness Projects and healthcare, I seek to reflect on the production of health care in the Brazilian context, considering structural racism and the prevailing myth of racial democracy in the centrality of this care production. As a health institution aiming to ensure health as a right to citizenship, should we commit to projects of happiness or enable and support emancipation and freedom projects?Can we discuss humanization in health without bringing the expressions of racism in the health-ilness process to the centrality of the debate? Would it be possible to think of humanized care practices without considering structural and institutional racism in health? An affirmative answer to one of these questions reinforces the current myth of Brazilian racial democracy, which prevents us from recognizing or validating how much racism is alive in our society and produces unequal experiences of living, sickening, and dying for the black population, which accounts for more than 56% of the Brazilian population. In this article, in dialogue with Ayres' production on Happiness Projects and healthcare, I seek to reflect on the production of health care in the Brazilian context, considering structural racism and the prevailing myth of racial democracy in the centrality of this care production. As a health institution aiming to ensure health as a right to citizenship, should we commit to projects of happiness or enable and support emancipation and freedom projects?

ABSTRACT Objectives: to define the concept of Health Education of Hospitalized Patient. Methods: the study used the conceptual analysis based on Walker and Avant strategies: Derivation, Synthesis, and Analysis of the concept. Researchers conducted 35 interviews with nurses who worked in direct care to patients admitted to a Hospital-School, and a bibliographic search on the CINAHL, Medline/PubMed®, Scopus, Web of Science, LILACS, and BDENF databases. Results: the study identified the antecedents, attributes, and consequences of the concept and defined the concept of Health Education of Hospitalized Patient as “the action of sharing knowledge about the promotion, prevention, recovery and rehabilitation concerning to health based on reciprocity between nurses and patients, family members and companions, in a systematized or unsystematic way”. Final Considerations: the identification of antecedents, attributes, consequences, and empirical references enabled the theoretical definition unprecedented of this concept and its applicability in practice, contributing to science and hospital nursing care. RESUMO Objetivos: definir o conceito Educação para a Saúde do Paciente Hospitalizado. Métodos: análise conceitual baseada nas estratégias Derivação, Síntese e Análise do Conceito propostas por Walker e Avant. Foram realizadas: 35 entrevistas com enfermeiros que atuavam na assistência direta ao paciente internado em um hospital-escola; e busca bibliográfica às bases de dados CINAHL, MEDLINE/PubMed®, Scopus, Web of Science, LILACS e BDENF. Resultados: antecedentes, atributos e consequências do conceito foram identificados e permitiram definir o conceito Educação para a Saúde do Paciente Hospitalizado como “a ação de compartilhar conhecimentos acerca da promoção, prevenção, recuperação e reabilitação relacionadas à saúde fundamentada na reciprocidade entre os enfermeiros e os pacientes, familiares e acompanhantes, de forma sistematizada ou assistemática”. Considerações Finais: a identificação dos antecedentes, atributos, consequências e referentes empíricos possibilitou a definição teórica sem precedentes desse conceito e sua aplicabilidade na prática, contribuindo para a ciência e para a assistência de enfermagem hospitalar. RESUMEN Objetivos: definir concepto Educación para la Salud del Paciente Hospitalizado. Métodos: análisis conceptual basada en estrategias Derivación, Síntesis y Análisis del Concepto propuestas por Walker y Avant. Fueron realizadas: 35 entrevistas con enfermeros que actuaban en la atención directa al paciente internado en un hospital-escuela; y busca bibliográfica a bases de datos CINAHL, MEDLINE/PubMed®, Scopus, Web of Science, LILACS y BDENF. Resultados: antecedentes, atributos y consecuencias del concepto fueron identificados y permitieron definir el concepto Educación para la Salud del Paciente Hospitalizado como “la acción de compartir conocimientos sobre la promoción, prevención, recuperación y rehabilitación relacionadas a salud fundamentada en la reciprocidad entre enfermeros y pacientes, familiares y acompañantes, de manera sistematizada o asistemática”. Consideraciones Finales: identificación de los antecedentes, atributos, consecuencias y referentes empíricos posibilitó la definición teórica sin precedentes de ese concepto y su aplicabilidad en la práctica, contribuyendo para la ciencia y la atención de enfermería hospitalaria.

Aggressiveness is prevalent in old age, and to adapt treatments and diminish the accompanying damage to the self and others, it is important to understand aggressiveness predictors. Poor emotional awareness, impulsivity, and emotion dysregulation are potential mechanisms influencing aggressiveness. The present study examines whether alexithymia, emotion dysregulation, and impulsivity influence aggressiveness in older adults; and whether the effect of alexithymia is conditioned by emotional dysregulation and impulsivity after controlling for probable confounders. The sample consisted of 326 Portuguese older adults (63.2% female) aged 60-96 years from residential care homes and the community. Participants completed report instruments measuring alexithymia, emotional dysregulation, impulsivity, and aggressiveness. Results of the mediation analysis showed that older adults who had more alexithymia tended to report higher levels of emotional dysregulation and impulsivity, which in turn accounted for higher reported aggressiveness. All these effects were independent of cognitive functioning and depressive symptoms. This study suggests the relevance of evaluating and intervening on alexithymia, impulsivity, and emotion dysregulation to reducing aggressiveness in older people.

ABSTRACT Objectives: to know the repercussions of a Reiki therapy intervention on the sleep quality of nursing professionals working in a general hospital. Methods: a qualitative-quantitative study conducted with 16 professionals from the nursing team of a hospital in northwest Paraná, who participated in an intervention consisting of six weekly Reiki sessions. Data collected from September, 2019 to March, 2020 through semi-structured interviews and application of the Pittsburgh Sleep Quality Index before and after the intervention. Results: better sleep quality, characterized by a reduction in the time to fall asleep and in nightmares, and an increase in sleeping hours. Conclusions: reiki intervention had a positive impact on the sleep quality of participants. RESUMEN Objetivos: conocer las repercusiones de una intervención con sesiones de Reiki en la calidad del sueño de los profesionales de enfermería que actúan en un hospital general. Métodos: estudio cualitativo-cuantitativo realizado con 16 profesionales del equipo de enfermería de un hospital del noroeste de Paraná que participaron de una intervención de seis sesiones semanales de Reiki. Datos recolectados de septiembre, 2019 a marzo, 2020 a través de entrevistas semiestructuradas y aplicación del Índice de Calidad de Sueño de Pittsburgh antes y después de la intervención. Resultados: mejor calidad de sueño, caracterizada por una reducción del tiempo para conciliar el sueño y de las pesadillas y un aumento de las horas de sueño. Conclusiones: la intervención de Reiki tuvo un impacto positivo en la calidad de sueño de los participantes. RESUMO Objetivos: conhecer as repercussões de intervenção com sessões de reiki na qualidade do sono de profissionais de enfermagem atuantes em um hospital geral. Métodos: estudo de abordagem quali-quantitativa realizado com 16 profissionais da equipe de enfermagem de um hospital no noroeste do Paraná que participaram de uma intervenção constituída por seis sessões semanais de reiki. Dados coletados de setembro/2019 a março/2020, mediante entrevista semiestruturada e aplicação do Índice de Qualidade do Sono de Pittsburgh antes e após o término da intervenção. Resultados: melhora na qualidade do sono, caracterizada por redução do tempo para adormecer e dos pesadelos e aumento nas horas dormidas. Conclusões: a intervenção com reiki repercutiu de forma positiva sobre a qualidade do sono das participantes.

The present study addresses the psychometric properties of the Portuguese translation and adaptation of the Family Adaptability and Cohesion Evaluation Scale – version IV (FACES IV). The sample included 1083 individuals from 387 nuclear families, with an average age of 36 years. Besides its sociodemographic heterogeneity, the sample also included participants in various family life cycle stages and belonging to different family subsystems. We found overall good to moderate psychometric properties, namely adequate internal consistency, convergent validity, and discriminant ability. However, rigid and enmeshed scales presented weaker results. Normative expectations and cultural bias are discussed. FACES IV appears to be a valid and reliable measure of family dynamics, suitable for research and clinical purposes within the Portuguese context. However, further studies need to be carried out regarding the instruments’ properties in tapping extremely high cohesion (enmeshment) and low flexibility (rigidity) levels. Highlights The Family Adaptability and Cohesion Evaluation Scale - version IV (FACES IV) validation with a large and heterogeneous sample of the Portuguese population. Limitations of previous Portuguese validation efforts were addressed, namely sample homogeneity and lack of adequate measures to address convergent validity. Portuguese FACES IV measures reliably and validly cohesion and flexibility. Family functioning assessed according to different stages of the family life cycle and family subsystem membership.

ABSTRACT Objectives: to identify feelings, experiences, and expectations of kidney transplant patients, generated from the diagnosis of chronic renal disease until the post-transplant period, highlighting the challenges for nurses to incorporate individualized care to cope throughout the disease process. Methods: qualitative, descriptive research, carried with seven kidney transplant patients, in the city of Manaus, State of Amazonas. The data analysis followed the methodological referential of Bardin’s content analysis. Results: the diagnosis of the disease was experienced negatively, and hemodialysis was described as an imprisonment and health decline. The transplant meant an improvement in quality of life. The main difficulties were lack of a specialized hospital and low immunity. Conclusions: the nurses’ approach of chronic renal patient and with the renal transplantation favored the discovery of solutions facing the demands of the disease and allowed greater capacity to implement individualized care, surrounding a relationship of trust and respect. RESUMO Objetivos: identificar sentimentos, vivências e expectativas de indivíduos renais transplantados, gerados desde o diagnóstico de Doença Renal Crônica até o período pós-transplante, destacando os desafios para o enfermeiro na incorporação de cuidados individualizados de enfrentamento durante todo o processo da doença. Métodos: pesquisa qualitativa, descritiva, realizada com sete transplantados renais, na cidade de Manaus, Amazonas. A análise dos dados seguiu o referencial metodológico da análise de conteúdo de Bardin. Resultados: o diagnóstico da doença foi vivenciado de forma negativa, e a hemodiálise foi descrita como aprisionamento e declínio. O transplante significou melhora da qualidade de vida. As principais dificuldades foram falta de hospital especializado e baixa imunidade. Conclusões: a aproximação do enfermeiro com o doente renal crônico e com o transplantado renal favorece o encontro de soluções diante das exigências da doença e permite-lhe maior capacidade para implementar cuidados individualizados, envoltos em uma relação de confiança e respeito. RESUMEN Objetivos: identificar sentimientos, experiencias y expectativas de individuos renales trasplantados, generados desde el diagnóstico de enfermedad renal crónica hasta el postrasplante, destacando los desafíos para el enfermero en la incorporación de cuidados individualizados de enfrentamiento durante el proceso de la enfermedad. Métodos: investigación cualitativa, descriptiva, con siete trasplantados renales, en Manaus, Amazonas. El análisis de los datos siguió el referencial metodológico del análisis de contenido de Bardin. Resultados: el diagnóstico de la enfermedad ha vivido de forma negativa, y la hemodiálisis ha sido descripta como reclusión y declive. El trasplante significó mejora de la calidad de vida. Las principales dificultades fueron falta de hospital especializado y baja inmunidad. Conclusiones: el acercamiento del enfermero con el enfermo renal crónico y con el trasplantado renal favorece el encuentro de soluciones delante las exigencias de la enfermedad y le permite mayor capacidad para implementar cuidados individualizados, en una relación de confianza y respecto.

Aim of the study: Notwithstanding its clinical and empirical relevance, there is no consensus on how to conceptualize dissociation. This may be partly due to the conflicting results yielded on the factor structure of the gold-standard selfreport measure of dissociation (the Dissociative Experiences Scale-Revised; DES-II, Carlson and Putnam, 1993). In an attempt to advance research on this topic, we sought to explore the factorial structure of an Italian version of the DES-II. Material and methods: A sample of 320 subjects (122 inmates and 198 community participants) was administered the Italian version of the DES-II. Results: The Italian version of the DES-II showed good psychometric properties and replicated a two-factor structure. Items content seemed to support the distinction into two qualitatively different forms of dissociative experiences, described as detachment and compartmentalization phenomena. In line with the expectations, participants in the inmate sample reported higher rates of dissociative experiences than community participants, on both dimensions. Conclusions: This study provides further support for the validity of the Italian version of the DES-II for use with community and inmate samples. Furthermore, we corroborated previous evidence on a two-factor structure of the DES-II, which is consistent with theoretical assumptions describing two distinct, albeit overlapping, dissociative dimensions (i.e., detachment and compartmentalization).

Nurses play a very important role in the organ donation and transplant team; therefore, they need to be qualified and trained for various tasks, including donor identification, notification to the intra-hospital donation coordination team, donor monitoring and maintenance. In Brazil, researchers highlight theimportance of nurses for the success of the organ donation process, but also identify several discrepancies in terms of knowledge and feelings that arisein the care of POD(8,9). [...]they consider it more important to care for those with a life prognosis, neglecting the necessary care for POD maintenance(9). In South Korea, in a survey conducted with nursing students, 85.1% reported not having received any training on organ donation in BD; 68% were willing to donate theirorgansifthey had BD; and 39.5% were willing to donate the organs of family members under these conditions(12). Study design, period and location This is a study of methodological approach and technological production, which corresponded to the validity, by health experts (nurses) and web designers, of a website called EMPDO website.

to classify body language used in nursing care, and propose \"Body language in nursing care\" as an analytical category for nursing communication. quantitative research with the systematic observation of 21:43 care situations, with 21 members representing the nursing teams of two hospitals. Empirical categories: sound, facial, eye and body expressions. sound expressions emphasized laughter. Facial expressions communicated satisfaction and happiness. Eye contact with members stood out in visual expressions. The most frequent body expressions were head movements and indistinct touches. nursing care team members use body language to establish rapport with patients, clarify their needs and plan care. The study classified body language characteristics of humanized care, which involves, in addition to technical, non-technical issues arising from nursing communication.