Objective: To describe the experience in the implementation of the Humanitude Care Methodology (MCH) in the humanization of care for the elderly. Methodology: This is an experience report about the implementation of the MCH, in a Health Service in Portugal, with capacity for 30 elderly people, most of them having cognitive alterations. Results: The implementation of the MCH has shown positive results in the humanization of care for the elderly, namely in the reduction of agitation behaviors and better acceptance of care. There was a change in organizational culture, more focused on the person and on the humanization of care. Conclusion: The results reflect the need to introduce innovative care methodologies in the training of health professionals, with a focus on interaction, for a professionalized relational care that dignifies the person cared for and the care giver.
1 January 2019 in Revista Latino-Americana de Enfermagem
Objective: to evaluate the contribution of the implementation of the Humanitude Care Methodology to the quality of health care in a Continuing Care Unit. Method: an action-research study with a non-probability convenience sampling, involving 34 health professionals from one unit in Portugal. Data was collected through a questionnaire and an observation worksheet for the Structured Sequence of Humanitude Care Procedures. We used data content analysis with the Statistical Package for Social Science, version 17.0. Results: health professionals demonstrated difficulties to provide care for people who are agitated, confused, disoriented, aggressive and who refuse care, and to communicate with patients who do not communicate verbally. The professionals valued the accomplishment of the stages of the observation worksheet. There were discrepancies between the perception of accomplishment and the actual practice. Throughout the implementation of the methodology, there was an increase in the practical application of the procedures, with positive repercussion for the patients and for the professionals. Conclusion: the results allowed to perceive the contribution of the process of implementation of the methodology, through the positive transformations in health care delivery.
Nursing students have difficulties interacting with cognitively impaired elders. This study aimed to identify students’ difficulties in interacting with elders, the causes of the difficulties in interacting with elders, the strategies used to reduce these difficulties, and the importance attributed to the Structured Sequence of Humanitude Care Procedures (SSHCP). It also aimed to assess the contribution of the Humanitude Care Methodology (HCM) to the development of interaction skills in nursing students. An exploratory descriptive study with a quasi-experimental design was conducted with a sample of 64 nursing students during their hospital clinical training. A control group (usual training) and an experimental group (HCM training) were used. Data were collected through a questionnaire applied at baseline and follow-up. Content analysis, chi-square tests, and Student’s t-tests were performed. The main difficulty identified was caring for agitated and confused elders. Difficulties were associated with a lack of theoretical–practical teaching, the clinical training context, lack of experience, and personality traits. HCM impacted positively on the development of students’ interaction skills. This study shows that HCM is an innovative methodology in nursing education that will allow for moving from an instrumental and technicist education into a more humanized training capable of transforming care.
Considerando a importância da avaliação das competências relacionais de ajuda nos enfermeiros, torna-se necessário utilizar instrumentos fiáveis e adaptados aos contextos. Assim, o objectivo deste estudo foi avaliar as propriedades psicométricas do Inventário de Competências Relacionais de Ajuda (ICRA), através da realização de estudos de fiabilidade e validade, no sentido de aumentar o grau de confiança ou de exatidão que podemos ter na informação obtida por meio da utilização deste instrumento. O estudo quantitativo foi realizado numa amostra de 690 enfermeiros, que exerciam funções em seis hospitais e oito centros de saúde em Portugal. Os resultados obtidos indicam a existência de uma estrutura multidimensional das competências relacionais de ajuda diferenciando-se em quatro dimensões (competências genéricas, empáticas, de comunicação e de contacto), com correlações positivas entre si. O valor de Alpha Cronbach obtido por dimensão foi superior a .79, revelador de uma boa consistência interna dos itens por fator.