RCAAP Repository

The aging of the population has become a major challenge for most countries worldwide, as well as a focus of research, in the concrete case in the area of nursing. The overall decline in fertility rates and the prolongation of life expectancy per capita in both developed and developing countries since 1996 have led to a resurgence of the elderly population worldwide. Developed countries were the first to experience an aged society and are moving towards hyper-aged societies, as is the Portuguese case. Several population projections also indicate that the aging process of the world's population will accelerate in the coming decades. Through this scenario, this article aims to reflect on hospital leadership and governance in promoting the quality of care in an aging country, based on a literature review methodology.

In this paper we present the results of the research carried out in Brazil within the scope of the master’s in social work (ISMT/Coimbra, Portugal). We analysed (i) the conflicts and demands placed, during the COVID-19 pandemic, on Guardinha's services by children and adolescents included in socio-educational services and (ii) the way in which social work responses to the issues in question may have contributed to strengthen the citizenship of children and their families. In the research, a qualitative methodological approach was chosen. We carried out a literature review to problematize the issues related to the social vulnerability of children and the ways in which, in their daily intervention, social workers can contribute to their inclusion. The methodological procedure to collect the empirical material, we used a semi-structured interview to which 6 professionals responded. Results: it was possible to understand that specialized care for contemporary childhood and adolescence (in the municipality of Campinas) is a process in constant transformation/adaptation, capable of identifying the real needs in presence and enhancing action, the exercise of citizenship and development of children and adolescents.

The present study addresses the concept of relationship marketing and aims to evaluate its contributions in the context of university libraries. For this purpose, a literature review was carried out, based on scientific production, published between 2000 and 2020, in databases such as B-on, Google Scholar, Business Source Complete (EBSCOhost), Scielo, Academia.edu and ResearchGate. The keywords used were “marketing relacional”, “marketing de relacionamento”, “relationship marketing”, “biblioteca universitária”, “biblioteca académica”, “university library” and “academic library”. The research carried out in this domain highlights the importance of this new aspect of marketing which, when integrated into the principles of internal management of these structures, influences the behavior of readers, generates satisfaction and contributes to their loyalty.

Background: In the current days there is still a negative and punitive stigma about audits performed to health organizations. From the financial areas to the organizational areas, even reaching to the actual act of providing nursing care, the influence that these evaluative acts have is transversal, being important to identify their contents. Objective: identify the benefits from audits in nursing care and analyze the influence of nursing audits in the management of health organizations. Methodology: Narrative revision of the literature, done by recommendation of PRISMA. A search was done through the B-On and EBSCOhost search engines, being identified 2894 articles which, after a selection process and verification of eligibility, 10 significant articles were included for current revision. Results: The included articles analysis shows the distinct influences of audits, be it in the nurse perception about the audits, in the registries, in the care quality and in the omission of health care costs. They also tackle the importance of having a auditor nurse. Conclusion: Audits promote quality of care given, team awareness on checking processes, satisfaction, safety, and rights of patients of health care. They have a preponderant role in cost management and reduction of waste in organizations, both of which are essential to maintain their sustainability.

The professional satisfaction of nurses results from the interaction with several factors that can influence the performance of nurses, which accentuated the need to deepen their knowledge. This study aims to: understand the influence of job satisfaction on the quality of nursing care, for this purpose, an integrative literature review was carried out, and the research was carried out via the EBSCOhost search engine in several databases, in particular, Academic Search Complete, APA PsycInfo, Complementary Index, CINAHL, Directory of Open Access Journals, MEDLINE and Science Direct, Supplemental Index. After analysis and respecting the previously established inclusion and exclusion criteria, 8 studies were found, which highlight a greater influence of organizational factors than personal factors, in the job satisfaction, on the other hand, they also refer to a direct relationship between greater job satisfaction among nurses and a higher quality in health and care provided. The available literature clearly demonstrates that professional satisfaction influences the provision of nursing care and, consequently, its quality, as well as the performance of health services. It is crucial that managers, regardless of the contexts of practice, pay attention to professional satisfaction as a factor for improving quality in health and define policies and strategies to increase the professional satisfaction of nurses. The present study demonstrates that professional satisfaction has an undeniable impact on the quality of nursing care, despite its limitations, such as the sample and the time limit, which do not allow an unequivocal statement and/or generalization. Although considering necessary to carry out other studies similar and complementary to this one, and on a larger scale, it is possible to say that it was possible to give a contribution to a better understanding of the influence of nurses' professional satisfaction on the quality of nursing care.

Vertebro medullary Trauma (SVT) is a neurological condition that, when it occurs in adolescence, has an impact on the growth, development, and emotional state of adolescents, influencing the process of physical rehabilitation. Given the above, there is an increased need to investigate and understand the psychological impact that TVM has on the development of adolescents, on their psychological capacity and Quality of Life (QL). This review aimed to identify adaptation strategies used by adolescents with SVT to adapt to their condition, and how it influences their psychological development and, consequently, their quality of life. It was developed an integrative review in online databases via EBSCOhost and B-On, having retained 7 articles that were included for the analysis, all published since 2010. The results show that active coping and avoidance coping are the most used adaptation modes. Active coping is associated with decreasing suffering and avoidance coping with maladaptive psychosocial outcomes. Cognitive alteration, social support and emotional regulation revealed the most effective adaptive adaptation. Ineffective coping and avoidance are associated with anguish, depression, and anxiety, which affect and are predictors of QoL. The coping strategies used are intrinsically linked to the adaptation process of adolescents after suffering a SVT, and, due to their condition, they are more likely to adopt maladaptive strategies that result in mental disorders (depression and anxiety) and a lower quality of life. It is, therefore, necessary to identify the strategies that the adolescent is using at an early stage, to compensate that they aim at a positive adaptation.

Blockchain is a technology that has been gaining more and more prominence in the digital world. The properties of this technology initially designed for the Bitcoin cryptocurrency demonstrated, from an early age, great potential for applicability in other areas and there are already several industries that benefit from this system. The healthcare sector was not indifferent to the implementation of this technology and the association of blockchain and thealthcare has been the subject of particular interest. Therefore, this article aimed to map the state of the art of Blockchain in healthcare through a bibliometric analysis of publications and citations that contained the keywords “Blockchain” and “Healthcare” in the title, abstract, or keywords, during the period extending from 2008 to the present. Through the Scopus database and its integrated research program, a total of 1584 publications were obtained which allowed the analysis of volume of work and citations, the countries of origin of the publications; and the articles with the greatest impact in the literature. With the analysis of other words or concepts associated with Blockchain and Healthcare, we sought to predict the trend for future investigations. It was possible to confirm the growing interest in this technology and its potential application in healthcare, specially in terms of the Internet of Things (IoT) and Electronic Patient Records (EMR).

The mains purpose of this study was to answer the following question: is there a relationship between indebtedness and quality of life? To achieve this objective quantitative methodology was used. For data collection, a questionnaire was created based on the OEC-DECO (Frade, 2013) and WHOQOL-BREF (Carona et al.,2006) questionnaires. This study identified a positive relationship between indebtedness (have credits) and quality of life. After analysing the various domains of quality of life (physical, psychological, social and environment) and the quality of life in general, it was concluded that for the psychological and the environment domains, quality of life is, on average, higher for people who hold credits. And also, for the psychological domain, the quality of life is, on average, higher for people who have both mortgage and non-mortgage credit when compared to people without credit or people with only mortgage credit. As for the physical domain, it was not possible to establish a cause-effect relationship between indebtedness and quality of life. After studying over-indebtedness (having arrears in instalments), for all the domains was found that, on average, the quality of life of over-indebtedness people was significant lower that those who are able to pay back their credits on time.

Artificial Intelligence (AI) has overcome the barriers of what was thought impossible and the cartography of published research shows cases where its adoption makes businesses faster, smarter and safer. However, and as is a trend in automation, AI is also subject to many dogmas, fears and even some threats at the business level, namely whether it could have an impact on jobs. This article aims to identify the morphology of the perception that managers have about the potential of AI in organizations. This is a study from a qualitative perspective, of a descriptive nature, adopting the interview as a method of data collection. The objective proposed above in this exploratory study allowed us to conclude that managers of organizations are relatively familiar with the concept of AI. Regarding its application in sectors of activity, we can conclude that AI has a noticeable impact on processes and activities in the Financial, Retail and Technology sectors. Regarding the Health and Energy sectors, although the impact is already relevant, the introduction of AI in these sectors, following the sample, is still at an embryonic stage. However, all managers are aware that this tool will be the future of the business world and that only organizations that use it best will be able to remain competitive in the long term.

The objective was to analyze the experiences of racial discrimination suffered by black people. Exploratory, descriptive and cross-sectional study, with a quantitative approach, part of the larger research entitled: Experiences of Discrimination Suffered by Black People, carried out from September to November 2021, with 205 black participants from Brazilian states. The instrument used was the Scale of Experiences of Discrimination, in addition to the collection of sociodemographic data, both through an online survey. Most of the participants were female, 71.4% (n=145); aged between 20 and 25 years, 59.0% (n=118); residents in the state of Ceará, 75.9% (n=98). Regarding unfair treatment related to racial discrimination, it was observed that participants try something when being treated unfairly. Turning to the experiences of discrimination, it was found that black people usually talk to other people when they suffer from some experience of racial discrimination. It was evidenced that the participants constantly suffer from experiences of racial discrimination in different spaces and share them with other people. Black people are too concerned about the unfair treatment they and others suffer because of their color and their race.

The Portuguese banking sector has been undergoing deep structural changes, influencing the motivation and productivity of its employees. In this sense, taking into account the importance of the sector and the scarce information in the literature on the subject, it was considered relevant to study it. With the objective of analyzing the influence that motivation has on the performance of the functions of the employees in the banking sector, a qualitative methodology was adopted, using 33 interviews with employees from seven different banks in the District of Viseu. The content analysis of the answers allowed us to conclude that motivation contributes positively to professional performance and, consequently, to productivity, that the factors that most contribute to motivation are the good relationship between colleagues, the workload, the recognition by superiors, the awards and the personal and family achievement, and that the focus on objectives, the positive spirit and the conciliation between personal and professional life are the strategies most used by employees for greater motivation. It was also possible to conclude that Bank managers should prioritize readjusting the number of employees, assigning new functions to those who have been in the same position for a long time, exerting less pressure, as well as providing greater recognition and praise and granting financial rewards or performance bonuses, in order to promote greater commitment and motivation from employees.

Introduction: Suicidal ideation, suicide and self-injurious behaviors constitute an unavoidable public health problem, with suicide being one of the main causes of death in adolescence. These are very complex phenomena, which do not result from just one cause, but from multiple interactions between biological, psychological, social, and even cultural factors. Objective: To systematize knowledge about the nurse's action in the face of suicidal ideation in adolescents and young adults. Method: This is an integrative literature review, carried out from November 25th, 2021, to January 26th, 2022, in the following databases: VHL (Virtual Health Library), Google Academic and Scielo (Scientific Electronic Library Online), with the following descriptors: “suicidal ideation”, “young adult”, “nurse’s action”, combined with the Boolean operator “AND”. Results: Six articles were selected, the most evident of which refers to risk and protective factors and that the nurse's action, despite being verbalized as necessary in the prevention of suicidal ideation and behaviors, is still not fully demonstrated. Conclusion: The selected articles revealed flaws in the work performed by nurses in caring for adolescents with suicidal ideation. The lack of knowledge and lack of training on the part of nurses, as well as the taboos and consequent prejudices are also evident. Thus, nursing must be qualified to provide ethical and effective care, physically establishing the patient as it provides psychological support, prioritizing qualified listening and carefree from prejudice or value judgments.

Decision making is a fundamental skill in the nursing practice and the complexity of this process requires the ability to meet the needs of patients through quick and effective decisions. The current article is a narrative review study on decision-making in nursing care management and it was based on the following research question: what is the understanding on decision making in nursing care management? The specific objectives were: to understand the relationship that exists between autonomy and leadership in the decision-making process, to identify the factors that influence it, to analyze the role that communication plays, as well as the knowledge and professional experience in this process. The analysis of the articles included in the study were accessed through the EBSCO and Medline databases using the descriptors "decision making", "decision making process", nurs*, Communication, Leadership. We noticed that decision- making, because it has a professional value in nursing practice, whether in clinical or management areas, has been a health topic addressed in several national and international research papers. The nurse must know the factors that contribute to decision -making and must have the necessary tools to act, which are essential for providing quality care to the person.

Dans la prière eucharistique III publiée en 1968 par le Saint-Siège on trouve dans l'anamnèse (qui répond au Unde et memores du canon romain) une expression rare: sacrificium vivum.

O presente ensaio pretende atingir a essência da religião pela análise fenomenológica do comportamento religioso do homem. O emprego da fenomenologia como método em tal estudo supõe não só a regulamentação processual que obteve em Husserl, mas sobretudo a sua aplicação a diversos campos da experiência humana, como a efectuada por Scheler na ética, por Merleau-Ponty na gnoseologia e por Heidegger na ontologia existencial. Consequentemente há que antepor uma consideração metodológica preliminar, a fim de precisar a intenção, os processos e as limitações da nossa investigação e o significado dos apuramentos obtidos.

The antiquity of the first known text of the Armenian penance is certainly enhanced by the hypothesis of its having been originally written as an order for the acceptance of heretics into penance.

Dans ce travail sur Qumran: exégèse historique et théologie du salut l'auteur étudie les méthodes exégétiques de Qumran. À son avis, Qumran adapte et modifie l'Ancien Testament dans une perspective d'actualisation historique et théologique suivant les règles du Targum, du Midrash et du Pesher et le principe du «panchronisme» pour chaque mot de l'Écriture. Les textes de Qumran ne peuvent servir à la critique textuelle à moins que cela se prouve positivement (dans des cas précis). Qumran n'est pas une source pour la critique textuelle mais bien pour l'exégèse historique et la théologie du salut. Les essais de plusieurs auteurs (F. M. Cross, M. Manson, S. Talmon, etc.) pour l'établissement des traditions textuelles, plus ou moins délimitées et schématisées, n'ont qu'une valeur relative. La traduction de la Septante, du moins chez Isaïe, présente également de nombreux exemples semblables en matière d'usage des méthodes exégétiques. Au contraire de J. Carmignac, l'auteur estime qu'on ne saurait expliquer les divergences textuelles entre Qumran et la Septante, d'une part, et le texte masorétique, d'autre part, uniquement en faisant appel à des arguments philologiques.

O nome do jesuíta inglês George Tyrrell (1861-1909) ficou ligado à mais completa sistematização teológica que do Modernismo nos deixaram os seus principais expoentes. Talvez não lhe caiba a glória de ser, como Loisy, um dos iniciadores daquele movimento cultural que, na viragem do século XIX para o século XX, tentou reinterpretar toda a doutrina cristã, de acordo com os postulados do pensamento moderno. Mas o certo é que Tyrrell, mais especulativo que positivo, estava destinado, por força do seu temperamento, a recolher as tendências e os axiomas de uma cultura religiosa inspirada na filosofia contemporânea, para os elaborar em corpo de doutrina teológica.

Quando, precisamente há uma década, traduzíamos do original o livro do Génesis para a Bíblia Ilustrada, pudemos sentir a responsabilidade e a angústia de escolher entre lições prováveis a que havia de constar da primeira versão portuguesa da Bíblia hebraica.

Discurso denso e sugestivo consagrou Paulo VI, em data recente, à renovação da Teologia Moral. É dele a asserção que serve de título a este breve comentário e que, não obstante a sua ambiguidade, sintetiza uma aspiração nobre, uma exigência iniludível do homem contemporâneo. Interpretando a vontade do Concílio Vaticano II e na sequência de outros actos de seu magistério, Paulo VI, no presente discurso, acolhe de bom grado tal anseio e necessidade e evoca alguns princípios fundamentais solidariamente implicados no agir humano e cristão e que nunca devem ser descurados numa sábia modernização ou actualização da Teologia Moral. Refere-se designadamente à ordem moral, à lei natural e positiva, e à consciência.