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Objective to identify the importance attributed to simulated practice use in nursing undergraduate students’ pedagogic actions in the field of disasters, in an interdisciplinary and interinstitutional scope in Portugal. Methods a study framed in the qualitative paradigm, supported by inductive and exploratory reasoning. As a data collection technique, semi-structured interviews were applied to coordinators/directors of nursing courses at public and private schools in Portugal. Results simulation methodology in the field of disasters is a teaching/learning strategy for nursing students to develop skills in this area. This type of teaching/learning methodology will have a greater advantage if carried out in partnership with organizations involved in protection and rescue operations and with an interdisciplinary scope, since it enhances prevention quality and response of all actors involved. Final considerations and implications for practice considering the specific complexity and unpredictability of disaster situations, the establishment of strategic cooperation partnerships with organizations with responsibility in this field, which promotes the development of nursing students’ skills and reduces the erroneous deterministic view of organizations, regarding the ability of students to integrate these actions, is fundamental.

RESUMO Objetivo: identificar o perfil de competências transversais de ensino/aprendizagem, que permita uma intervenção adequada do estudante do Curso de Licenciatura em Enfermagem no domínio da catástrofe. Métodos: investigação enquadrada na metodologia do paradigma qualitativo, transversal, apoiada no raciocínio indutivo e exploratória. Resultados: verificou-se que não existe consenso entre os Coordenadores/Diretores dos Cursos de Licenciatura em Enfermagem e os peritos de enfermagem em catástrofe quanto às competências transversais consideradas determinantes, decorrente da atual ausência da temática nos planos de estudo e da diminuta formação pessoal e profissional dos docentes. Considerações finais: o desenvolvimento e implementação de estratégias de ensino/aprendizagem, que permitam o desenvolvimento de competências transversais, favorecendo a capacidade do estudante para se encontrar com esta realidade de maneira consciente, equilibrada e eficiente, assume-se crucial.

Objetivo: identificar o perfil de competências transversais de ensino/aprendizagem, que permita uma intervenção adequada do estudante do Curso de Licenciatura em Enfermagem no domínio da catástrofe. Métodos: investigação enquadrada na metodologia do paradigma qualitativo, transversal, apoiada no raciocínio indutivo e exploratória. Resultados: verificou-se que não existe consenso entre os Coordenadores/Diretores dos Cursos de Licenciatura em Enfermagem e os peritos de enfermagem em catástrofe quanto às competências transversais consideradas determinantes, decorrente da atual ausência da temática nos planos de estudo e da diminuta formação pessoal e profissional dos docentes. Considerações finais: o desenvolvimento e implementação de estratégias de ensino/aprendizagem, que permitam o desenvolvimento de competências transversais, favorecendo a capacidade do estudante para se encontrar com esta realidade de maneira consciente, equilibrada e eficiente, assume-se crucial., OBJECTIVE: to identify the profile of transversal teaching/learning skills, which allows an adequate intervention of disaster nursing students. METHODS: this is research framed in the qualitative, transversal paradigm methodology, supported by inductive and exploratory reasoning. RESULTS: it was found that there is no consensus between Nursing Education Major Coordinators/Directors and disaster nursing experts regarding transversal skills considered decisive, due to the current absence of the theme in study plans and the limited personal and professional training of professors. FINAL CONSIDERATIONS: the development and implementation of teaching/learning strategies that allow the development of transversal skills, favoring students' ability to meet this reality in a conscious, balanced and efficient way, is crucial.

Objetivo: Avaliar o nível de Burnout dos enfermeiros de um serviço de urgência geral. Método: Estudo quantitativo, descritivo, correlacional e transversal. Participaram 32 enfermeiros de um serviço de urgência geral de adultos que responderam a um questionário para avaliar o Burnout. (Copenhagen Burnout Inventory). Resultados: Verificou-se que 59,4% dos enfermeiros estavam em Burnout Total, sendo o Burnout relacionado com o trabalho, a dimensão com valor mais elevado. Apurou-se que quanto menor a idade, quanto mais tempo na instituição, maior o nível de Burnout. Quanto mais tempo de exercício profissional, menor o Burnout. Verificou-se ainda valores mais elevados de Burnout nos participantes que pensam em mudar de profissão, nos que pensam em mudar de instituição e mudar de serviço. Conclusão: A prevalência de Burnout é elevada. O Burnout profissional é a dimensão mais prejudicada. A idade e o contexto de exercício são as dimensões que mais influenciam a perceção de Burnout., OBJECTIVE: To assess the level of Burnout among nurses in a general emergency department. METHOD: Quantitative, descriptive, correlational and cross-sectional study. 32 nurses from a general adult emergency department answered a questionnaire to evaluate Burnout. (Copenhagen Burnout Inventory). RESULT: It was verified that 59.4% of the nurses presented total Burnout. Work-related burnout was the subscale with the highest average score. It was found that the lower the age and the longer the time working in the institution, the higher the level of Burnout. Longer professional experience was related to lower levels of Burnout. There were also higher scores of Burnout among participants who thought about changing their profession, their institution or their service. CONCLUSION: The prevalence of Burnout is high. Professional Burnout was the most critical subscale. Age and the current work are the subscales that most influence perceived Burnout.

Background: The community outreach project of the Universidade Católica Portuguesa, which involves the public bathhouse of Alcântara, started out of the need to identify its users. Objectives: To characterize the users’ socio-demographic and health profile and describe their use of social and health resources. Methodology: A cross-sectional descriptive study, of quantitative nature, was conducted with the application of a questionnaire to a sample of 145 participants. Results: The typical user is male, single, aged 25-35 years and lives alone (21%). This user goes to the public bathhouse two to three times per week. Most of the users (58.3%) have no bathroom, 29.7% are homeless, 35.2% are not registered in any health care center, and 24.8% have mental disorders. Conclusion: The typical bathhouse user is of working age, was born in Lisbon and in the Portuguese-speaking African Countries, and has no source of income. The main reasons leading to the use of the public bathhouse are the economic difficulties, the homeless condition, and the lack of sanitary conditions., Enquadramento: O projeto de extensão à comunidade da Universidade Católica Portuguesa, que envolve o Balneário Público de Alcântara, iniciou-se com a necessidade de conhecer os seus utilizadores. Objetivos: Caracterizar o perfil sociodemográfico e de saúde dos utilizadores e descrever a utilização dos recursos sociais e de saúde. Metodologia: Estudo descritivo e transversal, de natureza quantitativa, com aplicação de formulário a 145 utilizadores. Resultados: O utilizador típico é do sexo masculino, solteiro, vive só, tem entre 25 e 35 anos (21%). Este utilizador frequenta o balneário, duas a três vezes por semana. A maioria (58,3%) não tem casa de banho, 29,7% são sem abrigo, 35,2 % não estão inscritos em centro de saúde e 24,8% têm patologia do foro mental. Conclusão: O utilizador tipo do balneário situa-se na fase ativa, é natural de Lisboa e dos Países Africanos de Língua Oficial Portuguesa e não tem qualquer fonte de rendimento. Os motivos que levam à utilização do balneário são as dificuldades económicas, a condição de sem-abrigo e a falta de condições sanitárias.

Aims: Identify which nursing interventions should be implemented in the stress control of the family of the sick person in a critical condition. Methods: Integrative literature review to explore the evidence of the last five years, using the EBSCOhost electronic search platform. Of the 67 articles found, 15 were considered potentially relevant, thus joining our sample. Results: The nursing interventions found in the literature were split into five areas of “action”. These include the need of nurses to assess the Family/ Caregivers Stress and family coping, implementing nursing interventions centered on each family, establishing an empathetic relationship and trust that facilitates and promotes family involvement in the care process as well as in the decision-making processes. They should also facilitate the communication with the family promoting active listening, informing them about the care of their relative, stating their support in this process, comforting them and fostering the development of coping mechanisms. Conclusions: The nurses should include the family of the person in critical condition in their care plan as stress and suffering control strategy. An approach based on this scientific evidence should be tested and validated in future studies.

The objective of the present study was to identify and synthesize the best empirical evidence found on factors that influence the response of nurses regarding clinical alarms.An integrative literature review was conducted with searches undertaken in ten electronic databases restricted to the period from 2005 to 2016.Eight articles were included by cross-checking the descriptors selected.In the analysis of the studies, the following possible factors that might interfere with the response of nurses in the monitoring of clinical alarms were found: high number of false alarms, inaudibility of alarms due to the competition of sounds, difficulty in distinguishing the urgency of alarms, and increase in noise caused by the raise in the number of alarms.

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RESUMO O presente estudo tem como propósito refletir sobre a prática de enfermagem no que concerne à temática da monitorização dos alarmes clínicos. Objetivo: Pretendemos identificar e sintetizar, a melhor, a evidência empírica produzida sobre os fatores que influenciam a resposta dos enfermeiros perante os alarmes clínicos. Método: Perspetivou-se um estudo de revisão integrativa da literatura. Selecionámos um conjunto de dez bases de dados eletrónicas, delimitou-se a pesquisa ao período temporal de 2005 a 2016. Resultados: Por meio de uma estratégia de cruzamento dos descritores selecionados, foram incluídos oito artigos. Conclusão: Na análise dos estudos, reconhecemos como possíveis fatores que interferem na resposta dos enfermeiros na monitorização dos alarmes clínicos: o grande número de falsos alarmes, a inaudibilidade dos alarmes por causa da competição de sons, a dificuldade de distinguir a urgência dos alarmes e o aumento do ruído provocado pelo aumento do número de alarmes. RESUMEN El presente estudio tiene como propósito reflexionar sobre la práctica de enfermería en lo que concierne a la temática del monitoreo de las alarmas clínicas. Objetivo: Pretendemos identificar y sintetizar, la mejor, la evidencia empírica producida sobre los factores que influyen la respuesta de los enfermeros frente a las alarmas clínicas. Método: Se tuvo una perspectiva de un estudio de revisión integradora de la literatura. Seleccionamos un conjunto de diez bases de datos electrónicos, se delimitó la pesquisa al periodo temporal de 2005 a 2016. Resultados: Por medio de una estrategia de cruzamiento de los descriptores seleccionados, fueron incluidos ocho artículos. Conclusión: En el análisis de los estudios, reconocemos como posibles factores que interfieren en la respuesta de los enfermeros en el monitoreo de las alarmas clínicos: el gran número de falsas alarmas, lo inaudible de las alarmas por causa de la competición de sonidos, la dificultad de distinguir la urgencia de las alarmas y el aumento de ruido provocado por el aumento del número de alarmas. ABSTRACT The aim of the present study was to reflect on nursing practice regarding the monitoring of clinical alarms. Objective: The objective of the present study was to identify and synthesize the best empirical evidence found on factors that influence the response of nurses regarding clinical alarms. Method: An integrative literature review was conducted with searches undertaken in ten electronic databases restricted to the period from 2005 to 2016. Results: Eight articles were included by cross-checking the descriptors selected. Conclusion: In the analysis of the studies, the following possible factors that might interfere with the response of nurses in the monitoring of clinical alarms were found: high number of false alarms, inaudibility of alarms due to the competition of sounds, difficulty in distinguishing the urgency of alarms, and increase in noise caused by the raise in the number of alarms.

Introduction: Nutritional therapy has had a major impact on the evolution of the clinical situation on the critical patient as well as the choice of treatment. The oral/enteral feeding is more physiologic and preferable, therefore, whenever possible, should be used the gastrointestinal tract. When this cannot be used, the parenteral is indicated, either supplement or total. Objective: The aim of this study is to clarify the importance of the nutritional therapy in critically ill patients. Material and Methods: A systematic review of the literature by mobilizing the descriptors “Nutritional Therapy”, “Critical Patients” and “Nursing care”, use the method peak. Were selected ten databases imaginable, between 2012-2016, included for analysis nine articles. Results and Discussion: It was found in most of the studies that malnutrition in hospital environment is highly prevalent and is not always recognized by health professionals. Nutritional support is intended to provide an intake of sufficient energy to feed the patient needs, in order to prevent malnutrition or correct a situation of pre-existing malnutrition. A nutritional approach is, among others, by the institution of enteral nutrition and parenteral nutrition, whose impact on improving the nutritional status of the client is very important in reducing morbidity and mortality. These aspects imply optimizing the balance of protein in reviews of Intensive Care Unit (ICU), as well as an improvement of the energy balance. Conclusion: It can be concluded that the treatment of the patient in a critical situation must include nutritional therapy, with the aim of reducing associated complications. After stratified the risks, its necessary to choose the adequate nutritional therapy. This, in a critical patient, can result in a better evolution of the underlying disease with increased survival, improving the quality of life and reduction the time that a patient stays in the hospital.