Sistema Regional de Información
en línea para Revistas Científicas de América Latina,
el Caribe, España y Portugal

Objective: to reflect on the potential of the Theory of Recognition for the professional practice of rehabilitation nurses. Method: reflective theoretical study based on the framework of Axel Honneth and the specific skills of rehabilitation nurses. Results: two analysis topics emerged - the theoretical framework of Axel Hornet; and the contribution of Axel Honneth's theoretical framework to the professional practice of rehabilitation nurses. Discussion: the support of professional practice in theoretical frameworks has been deeply defended in the last decade, and in this context, Axel Honneth makes a significant contribution to the intentional and systematic performance of the rehabilitation nurse. Conclusion: during the rehabilitation process, in addition to the importance of recognizing the person, it was clear that in the context of the therapeutic relationship, the rehabilitation nurse must attend to the three pillars presented by Honneth, love, right and solidarity, so that the person be completely respected.

Objective: To identify the techniques of Traditional and Complementary Medicine that rehabilitation nurses use and the perceived gains. Methodology: Study of mixed methods exploratory and descriptive study, with data collection through an online questionnaire from August to December 2019. Data were analysed using SPSS, version 23 and content analysis. Results: 31 rehabilitation nurses participated, 58.06% were women, with an average age of 42.9 ± 8.8 years and 8.6 ± 6.8 years as a rehabilitation nurse. The most representative areas of training are traditional Chinese medicine and therapeutic massage and 38.89% of the techniques used being within the area of Traditional Chinese Medicine. Participants identify more gains in the motor, sensory and respiratory areas. Conclusion: Participants use the techniques of traditional Chinese medicine to a greater extent and perceive gains from its use. It is important to quantify the gains from the integration of these techniques in rehabilitation nursing.

Introduction: The person with disuse syndrome may present balance changes and a condition of fragility, with a consequent deficit in the performance of their activities of daily living. Objective: To identify the gains that are sensitive to rehabilitation nursing care with a program of therapeutic activities and exercises to restore balance and improve frailty. Method: Qualitative study, case study. The case of an elderly person with disuse syndrome admitted to an adult hospital is presented. The ethical principles in research have been followed. Results: Gains in postural balance and fragility were evidenced after the implementation of 9 sessions of therapeutic exercises and balance training. Conclusion: The implementation of rehabilitation nursing care proved to be effective in recovering body balance in people with disuse syndrome, as well as in improving frailty, optimizing their autonomy.

Introduction: Cerebrovascular diseases are one of the main causes of death and morbidity in Portugal, causing disability and invalidity. Objective: To analyze the health gains of a stroke patient after implementing a Rehabilitation Program. Method: Case study of a patient who suffered a stroke, of a descriptive nature, in an inpatient service of a North Coast Hospital in the country, for 30 days. Results: After the implementation of the Rehabilitation Program, there was an improvement in body balance, muscle strength, capacity for self-care and swallowing and decreased risk of falling. Conclusion: The intervention of the Rehabilitation Nurse brings gains in the functional recovery of stroke patients, contributing to their autonomy in activities of daily living.

EDITORIAL Depois de um ano difícil para todos os cidadãos, onde os efeitos da pandemia umas vezes estão evidentes, outras vezes ocultos e talvez ainda com consequências tardias incalculáveis, poderíamos dizer que para a revista os efeitos foram muito positivos. Seria impensável no início do ano prever a necessidade de publicar dois números extra: um centrado em estudos de caso e outro das vivências da pandemia. É o momento de agradecer a todos os colegas que têm partilhado as suas pesquisas, reflexões, casos, revisões e esperar que outros fiquem motivados, pois queremos fazer a diferença enquanto enfermeiros de reabilitação; só assim demonstramos que a nossa especialidade tem matéria para ser autónoma, com conhecimento específico identificado, que garante sustentabilidade científica às competências específicas para as quais fizemos formação e desenvolvemos práticas profissionais.Evoluir no conhecimento em enfermagem de reabilitação exige que cada enfermeiro partilhe e sustente teoricamente as suas práticas e a melhorforma de o fazer é divulgar junto da comunidade.Neste número, de fecho do ano, temos um conjunto de artigos que percorre o ciclo vital mas também reitera que os enfermeiros desenvolvem técnicas muito específicas, tais como a utilização de técnicas da medicina tradicional e complementar, o exercício físico, a educação postural em crianças em idade escolar, mas também programas ou resultados de intervenções tais como pessoa com AVC em processo de reabilitação, impacte da reabilitação respiratória na pessoacom DPCO ou ainda a reabilitação no contexto da UCI.Estudos sobre a segurança do doente tornam-se visíveis na abordagem dos artigos sobre quedas e fragilidade, o que acresce valor para a intervenção dos enfermeiros de reabilitação. A identidade patológica predominante neste número é o acidente vascular cerebral sendo abordado em diferentes perspetivas.Surgem ainda, com ênfase, doisartigos sobre a problemática da inclusão, o que abre a porta à forte possibilidade de uma área de trabalho junto das autarquias, quer na perspetiva de consultores ou ainda de provedores da pessoa com deficiência. Verificamos também neste número a existência de um esforço dos enfermeiros para teorizarem sobre as suas intervenções e neste sentido surgem: Reconhecimento do outro para o trabalho efetivo do enfermeiro de reabilitação a partir de uma reflexão filosófica e a enfermagem de reabilitação como processo emancipatório.Estamos a encerrar um ciclo onde podemos dizer que o objetivo de publicar dois números da revista, com dez artigos cada, o que representava 20 artigos por ano, redigidos por enfermeiros de reabilitação, foi superado. Podemos dizer também que o segundo objetivo, que se prende com a indexação, tem vindo a ser progressivamente atingido e, neste momento, a revista apresenta-se em várias bases de dados: Google académico (2018); Biblioteca Nacional de Portugal (2018); Citefactor (2019) FI=0,08; Directory of Research Journals Indexing (2020); Researchbib (2020). Estamos perante um novo desafio, passar para uma nova plataforma que nos garanta maior segurança e facilidade nas revisões cegas e, desta forma, evoluir para a indexação em bases de dados de melhores fatores de impacto. Satisfeitos com o nosso trabalho e com todos os que contribuíram para os nossos objetivos (autores dos artigos, revisores, apoio gráfico e a staff da APER), só nos resta agradecer e desejar a todos um Bom Natal e um Feliz Ano de 2021. MARIA MANUELA MARTINS

Introduction: The COVID-19 pandemic has had a significant global impact on health and socioeconomic status. At the same time, it has caused an overload on health systems and their professionals, including rehabilitation nurses. The real expression of this impact at the level of rehabilitation nurses is unknown. Objective: To assess the impact of the COVID19 pandemic on Portuguese rehabilitation nurses. Method: Observational, descriptive and cross-sectional study, with a non-probabilistic sample of Portuguese rehabilitation nurses who performed functions in any type of service in the three months prior to data collection. Data collection took place at the beginning of the third quarter of 2020 through an online questionnaire provided by email. Results: Sample consisting of 146 nurses specialized in Rehabilitation Nursing (EEER), of which 31% (n = 45) had to cease providing specialized care during the pandemic (increase of 2.7x). Regarding satisfaction with the quality of care provided, the average before the start of the pandemic was 3.95 (SD ± 0.75) and during the pandemic it dropped to 2.9 (SD ± 1.11) (scale of 5-point Likert). Of the participants. 73.3% (n = 107) refer that they had, at some point, to follow institutional guidelines in disagreement with their ethical and deontological principles, with 69.9% (n = 102) reporting having had a need, at least a situation, to prioritize which sick people to care for. During the pandemic, the EEER relied on expert colleagues and online resources to increase knowledge and skills regarding the care inherent in the pandemic. Conclusion: During the first pandemic peak by COVID 19, a significant part of the EEERs had to ensure only general care. The main challenges faced by EEER were in the field of organization and management of care due to the greater complexity of patients, the greater bureaucratic burden, changes in the relationship with co-workers and the need to balance professional and personal life. There was a decrease in satisfaction with the quality of care provided, as well as a high percentage of EEER who experienced ethical and deontological challenges. In order to ensure their continuous training and to update their skills and guarantee the quality and safety of nursing care, the EEERs have shown dynamism and a willingness to use information and communication technologies.

Introduction: Pulmonary Rehabilitation (PR) is a central component in the non-pharmacological treatment of COPD. One of the primary elements of PR is exercise training. However, little is known about the effectiveness of conducting these programs by nurses. Objectives: Identify the impact of an PR program, prescribed by nurses, on the capacity for self-care of the person with COPD. Methods: Systematic literature review until February 4, 2019, using MEDLINE, EMBASE, Web of Science Core Collection, Scopus, and CINAHL. Results: The systematic literature review included 1 article which showed that people undergoing PR programmes, supervised by nurses, revealed a decrease in fatigue levels, an improvement in their life quality and in the daily routine tasks/activities execution. Conclusion: This review allowed to identify that nurse-led interventions has positive impact over fatigue, health related quality of life and in daily living activity performance of COPD patients.

Introduction: Early mobilization in critical patients as been considered as an intervention capable of decreasing morbidity risk factors and functional decline. Objectives: Evaluate safety of a rehabilitation program in a Portuguese Intensive care unit (ICU); evaluate if it has an early beginning; evaluate if critical patients did the sit/stand-up position early and identify the strength gains. Methods: A quantitative descriptive study was performed. The data was analysed with Microsoft Excel and Tableau 10.1 software. The sample was composed of 146 critical patients of both genders, submitted to 800 sessions of a rehabilitation program. Results: The average age of the patients was situated at 63,9 years with an average hospitalization length of 20,6 days; 7,25% experienced adverse events and 8,5% suffered motor complications; 56,62% started the rehabilitation program in the first 72 hours; 25% of the rehabilitation sessions resulted in sit/stand-up position and average strength gains from 0,364 strength degrees, for the lowest performing group analysed, to a maximum of 2,6 strength degrees in the group that revealed the best results. Conclusion: The results revealed an early and safe implementation of the rehabilitation program, resulting in health gains to critical patients. However, data relative to the timing of the fulfilment of the sit/stand-up position in critically ill patients is inconclusive.

Background: The triage process contributes to early stroke treatment, reducing mortality and disability. Objective: To analyze nurses' difficulties in triage and activating the Code Stroke protocol. Method: Descriptive and cross-sectional study. The data were collected, by convenience sampling, in an emergency medical-surgical service through a questionnaire. Results: The sample included 21 nurses (39.7±7.4 years), mostly women (71.4%). In terms of professional experience, the working time in emergency department was 9.5 (±6.2 years).The verbal and physical violence of patients and family members was the most mentioned difficulty regarding triage. About 29% partially and 19% fully agree that inadequate information about two symptoms at the time of onset constitutes a difficulty in activating the Code Stroke. Conclusion: Triage and the Stroke Code protocol are considered facilitators of care, with sporadic difficulties in some phases of the process.

Introduction: Adequate nursing care can promote the social inclusion of people with acquired physical disabilities because it allows full participation in different areas of life in society, such as work, health and leisure.” Objective: To analyze which nursing care were developed for the inclusion and social participation of people with acquired physical disabilities. Methodology: Integrative literature review. The research was conducted in the databases of Web of Science,Scopus, in databse aggregator EBSCOhost and Biblioteca Virtual em Saúde, identifying studies from 2010-2020. Results: of the 615 studies identified, 14 studies were included demonstrating that some developed nursing care are: the identification of architectural barriers and the promotion of safe and effective care transitions through the empowerment of people with disabilities. Conclusion: The social inclusion of people with acquired physical disabilities must be a specific intervention in nursing care.