The Implications of Family Members' Absence from Hospital Visits during the COVID-19 Pandemic: Nurses' Perceptions.

BACKGROUND: In response to the COVID-19 pandemic, several measures were taken to prevent the transmission of infection in the hospital environment, including the restriction of visits. Little is known about the consequences of these directives, but it is expected that they will have various implications. Thus, this study aimed to understand the consequences of measures to restrict visits to hospitalized individuals. METHODS: A qualitative interpretive study was conducted through semistructured interviews with 10 nurses chosen by convenience. Content analysis was performed using Atlas.ti software, version 22 (Berlin, Germany). RESULTS: Twenty-two categories and eight subcategories were identified and grouped according to their scope: implications for the patient, implications for the family, and implications for care practice. CONCLUSIONS: The identified categories of implications of restricting hospital visits (implications for patients, relatives, and care practices) are incomparably more negative than positive and have a strong potential to cause safety events in the short to long term, also jeopardizing the quality of care. There is the risk of stagnation and even setback due to this removal of families from the hospital environment, not only in terms of safety and quality of care but also with regard to person- and family-centered care.

A new model for pharmacies? Insights from a quantitative study regarding the public's perceptions.

BACKGROUND: Worldwide community pharmacies are shifting their role in the healthcare system from simple medication dispensers to health care providers. High levels of satisfaction with pharmacy services were found in previous studies. This study has two main goals. The primary goal is to describe the levels of satisfaction and knowledge regarding pharmacy services in Portugal. The secondary goal is to explore the perceptions and the utilisation of pharmacy services by the Portuguese. This statement includes exploring the impact of a set of variables on both perceptions and uses of pharmacies in regard to services that are currently offered as well as to new services that may be provided in the future. METHODS: A face-to-face survey of closed-ended questions was applied to a nationwide representative sample of the Portuguese population in September 2015. The sample was weighted based on population distribution across regions, habitat, age and gender. Data analysis comprises descriptive statistics and Multiple Correspondence Analysis to explore different typologies of respondent's orientation toward community pharmacy. RESULTS: A total of 1114 interviews comprised the study. Of the respondents, 36% used the pharmacy as a first resource when seeking to treat a minor ailment, and 54% reported that they use the pharmacy as a first resource when seeking answers about medicines. Of those who visited their pharmacy at least once in the previous year, 94% were either globally satisfied or very satisfied. The level of acknowledgement of pharmacy services' was also high among the Portuguese. Of the participants, 29% considered there could be more services available in pharmacies that are currently provided by other health care facilities. The construction of a typology of orientations towards community pharmacy practice resulted in three outcome groups: "Motivated" (63%), those with a connection to a pharmacy; "Settled" (23%), mainly those who had a pharmacy nearby; and "Demobilised" (14%), those who are weakly tied to a pharmacy. CONCLUSIONS: The vast majority of the Portuguese population has a strong positive attitude towards their community pharmacy, as expressed by the high levels of satisfaction with, and positive evaluation of, the pharmacy's services.

Perceções, atitudes e emoções dos doentes submetidos a internamento psiquiátrico compulsivo: Revisão integrativa / Perceptions, attitudes and emotions of the patients subjected to involuntary psychiatric hospitalization: Integrative review / Percepciones, actitudes y emociones de los enfermos sometidos a ingreso compulsivo: Revisión integrativa

CONTEXTO: O internamento compulsivo em Psiquiatria é um dos temas mais desafiantes desta área da saúde devido às questões éticas envolvidas. A experiência de estar sob cuidados involuntários, nomeadamente em internamento compulsivo, caracteriza-se por sentimentos negativos face à perda de liberdade e autonomia. OBJETIVOS: Conhecer perceções, atitudes e emoções dos doentes submetidos a internamento compulsivo. MÉTODOS: Revisão integrativa da literatura através de pesquisa nas bases de dados EBSCO e Trip Database nas duas primeiras semanas de janeiro de 2018, cujos critérios de inclusão foram: estarem disponíveis em full text, de abordagem quantitativa, qualitativa e/ou revisões de literatura, nos idiomas Português, Inglês e Espanhol e terem como tema de pesquisa as perceções, atitudes e emoções de doentes internados compulsivamente em psiquiatria. RESULTADOS: Foram encontrados 8 artigos que dão resposta ao objetivo do estudo, incluem uma revisão de literatura, quatro estudos observacionais, um ensaio controlado, um estudo qualitativo e um estudo de validação de escala. CONCLUSÕES: Face à experiência de internamento compulsivo, foram identificadas perceções, atitudes e emoções maioritariamente negativas, mas também positivas e ambivalentes. Conclui-se que estas vivências podem ter consequências para além do internamento e que há práticas que devem ser aperfeiçoadas no sentido de melhorar a experiência do doente sujeito a internamento compulsivo.

BACKGROUND: Involuntary hospitalization in Psychiatry is one of the most challenging themes in this specialty due to the ethical issues involved. The experience of being under involuntary care, namely in compulsory hospitalization, is characterized by negative feelings in the face of loss of freedom and autonomy. AIM: To investigate the perceptions, attitudes and emotions of the patients that are admitted into involuntary hospitalization. METHODS: Integrative literature review through data search on the EBSCO database and on the Trip Database, in the first two weeks of January 2018, whose inclusion criteria were: to be available in full text, quantitative, qualitative and / or literature reviews, in the Portuguese, English and Spanish languages, attitudes and emotions of patients hospitalized compulsively in psychiatry. RESULTS: We found eight articles that met the study's objective, including a literature review, four observational studies, a controlled trial, a qualitative study and a scale validation study. CONCLUSIONS: Perceptions, attitudes and emotions that were mostly negative, but also positive and ambivalent, were identified in view of the experience of compulsive hospitalization. It is concluded that these experiences can have consequences beyond hospitalization and that there are practices that must be improved in order to improve the experience of the patient subject to compulsory hospitalization.

CONTEXTO: El ingreso compulsivo en Psiquiatría es uno de los temas más desafiantes de esta área de salud debido a las cuestiones éticas envueltas. La experiencia de estar bajo cuidados involuntarios, en un régimen de ingreso compulsivo, se caracteriza por sentimientos negativos en relación a la pérdida de libertad y autonomía. OBJETIVOS: Conocer las percepciones, actitudes y emociones de los enfermos sometidos al ingreso compulsivo. MÉTODOS: Revisión integrativa de la literatura a través de la búsqueda en las bases de datos EBSCO eTrip Database, en las dos primeras semanas de enero de 2018, cuyos criterios de inclusión fueron: estar disponibles en texto completo, cuantitativa, cualitativa y / o revisiones de la literatura, en portugués, inglés y español y tienen como tema de investigación de las percepciones, actitudes y emociones de pacientes internados compulsivamente en psiquiatría. RESULTADOS: Se encontraron ocho artículos que dan respuesta al objetivo del estudio, incluyen una revisión de literatura, cuatro estudios observacionales, un ensayo controlado, un estudio cualitativo y un estudio de validación de escala. CONCLUSIONES: Frente a la experiencia de internamiento compulsivo, se identificaron percepciones, actitudes y emociones mayoritariamente negativas, pero también, positivas y ambivalentes. Se concluye que estas vivencias pueden tener consecuencias más allá del internamiento y que hay prácticas que deben ser perfeccionadas en el sentido de mejorar la experiencia del paciente sujeto a internamiento compulsivo.