(1) Background: Due to the increase in care needs, especially in the elderly, the concept of caregiver has emerged. This concept has undergone changes over the years due to new approaches and new research in the area. It is in this context that the concept of informal caregiver emerged. (2) Objectives: To analyse the evolution of the caregiver concept. (3) Methods: Bibliometric analysis, data collection (Web of Science Core Collection) and analysis (Excel; CiteSpace; VOSviewer). (4) Results: Obtained 22,326 articles. The concept emerged in 1990, being subjected to changes, mostly using the term “informal caregiver” since 2016, frequently related to the areas of Gerontology and Nursing. The following research boundaries emerged from the analysis: “Alzheimer’s Disease”, “Elderly” and “Institutionalization”. (5) Conclusions: The informal caregiver emerges as a useful care partner, being increasingly studied by the scientific community, particularly in the last 5 years. Registration number from Open Science Framework: osf.io/84e5v.

Objetivo: Investigar la relación entre la satisfacción con la vida en general, el sentido del humor y la ansiedad, la depresión y el estrés con la felicidad subjetiva en pacientes con enfermedades renales crónicas que se someten a hemodiálisis. Material y métodos: Se desarrolló un estudio transversal y correlacional en dos unidades de la clínica de diálisis Diaverum y en una unidad del hospital, con 183 pacientes de enfermedad renal crónica sometidos a hemodiálisis. Se utilizó un instrumento para caracterizar el perfil sociodemográfico y clínico de la muestra (edad, sexo, nacionalidad, educación, ocupación, estado civil, duración de las sesiones de diálisis, presencia de hipertensión y diabetes): la escala subjetiva de felicidad; la satisfacción con la vida en general; la escala 21 de depresión, ansiedad y estrés; y la escala multidimensional del sentido del humor. Los procedimientos inferenciales incluían coeficientes de correlación de Spearman y regresión lineal múltiple que se ajustaba a la edad, el estado civil, la actividad profesional y la diabetes. Los resultados: La Felicidad Subjetiva se correlacionó positivamente con la satisfacción con la vida en general, y las tres dimensiones del Sentido del Humor. Sin embargo, la felicidad subjetiva se correlacionó negativamente con el estrés/ansiedad y la depresión. La satisfacción con la vida en general, la producción de humor y el uso social del humor, y la actitud hacia el humor tuvieron una relación positiva con la felicidad subjetiva. Sin embargo, la depresión tenía una relación negativa con la felicidad subjetiva.

Background: Compassion fatigue is a common phenomenon among healthcare professionals and includes several concepts that share a direct relationship with quality of life, with consequences on both physical and emotional well-being but also at the economic and organizational levels. Objectives: To analyze the profile of scientific publications on compassion fatigue, dissecting trends, and highlighting research opportunities. Method: Bibliometric analysis based on Donthu’s guidelines, data collection from Web of Science (Clarivate Analytics), and analytic techniques (performance analysis and science mapping) with VOSviewer^® and CiteSpace^®. Results: We obtained 1364 articles and found that the concept emerged in 1995 and is frequently associated with areas of general health. Through analysis, we identified the following research frontiers: “vicarious traumatization”, “working”, “survivor”, “mental health”, and “impact”. Conclusion: There has been a growing interest in this subject among researchers, with an increase in scientific production related to areas of health such as nursing, providing a solid starting point for further investigation. Registration number from the Open Science Framework: osf.io/b3du8.

Objective: To evaluate whether visualization of humor movies during hemodialysis sessions improves subjective well-being and sense of humor, while decreasing stress / anxiety and depression levels, in hemodialysis patients. Material and Method: A pre-test / post-test design study with a non-equivalent control group was carried out in patients with chronic kidney disease undergoing hemodialysis, in two hemodialysis units of Diaverum Clinics. The study included 34 patients in the intervention group and 33 patients in the control group. The intervention consisted in the visualization of humor movies during hemodialysis sessions for ten sessions over a four-week period. The control group watched neutral movies. Data were collected using a sociodemographic and health information questionnaire (age, gender, nationality, education, occupation, marital status, dialysis session length, presence of hypertension and diabetes); the Subjective Happiness Scale; the satisfaction with life in general; the Depression Anxiety Stress Scale 21, and the Multidimensional Sense of Humor Scale. Student t-tests and t-tests for paired samples were performed. The response to change was evaluated using: the percentage of change, ceiling effect and floor effect, effect size, and the standardized response mean. Results: The levels of subjective happiness and sense of humor increased in the intervention group, but there were no significant increases in satisfaction with life in general. Only depression levels decreased significantly in the intervention group. Conclusions: The visualization of humor movies as a nursing intervention improved the levels of subjective happiness and sense of humor, while decreasing the perception of depressive symptoms.

Fragility affects the ability to recover from stress conditions as the use of information and communication technologies in health care grows. The objective of this chapter is to identify evidence on interventions using ICT technology to prevent or delay frailty. A systematic review of the literature was used. Search was performed in April 2019 through B-on and EBSCO host, in databases Academic Search Complet, with Full Test in MEDLINE, CINAHL Plus®, and MedicLatina. Boolean equation ((Telemedicine) OR (mobile health) OR (computer reality) OR (virtual reality)) AND (Frail Elderly) AND (randomized controlled trial), from 2013 to 2017. Articles followed PRISMA flowchart. Results show that 2946 articles were selected, and 17 met the criteria. The used ICT were virtual-augmented reality, multidisciplinary home-telehealth and telemonitoring, nurse home visits, Wii Fit, and other interactive video games. The chapter conclude that the implementation of ICT to manage self-care at home requires an interdisciplinary, collaborative, and user-centered approach to improve the viability, acceptability, and usability of innovations.

A sociedade inclusiva leva todos os cidadãos à participação na vida comunitária, sem qual- quer discriminação mas, frequentemente, os cidadãos com mobilidade reduzida ou condi- cionada confrontam-se com barreiras de distinta natureza. A condição de pessoa com in- capacidade é árdua e desigual, mesmo salvaguardada pela legislação, mas é essencial efetividade na sua aplicação, que também envolve o Enfermeiro de Reabilitação. Objetivos: Refletir sobre os direitos das pessoas com incapacidade e sobre o papel dos pro- fissionais na ação global da reabilitação, particularmente o dos enfermeiros de reabilita- ção; mobilizar estratégias para a promoção da acessibilidade. Metodologia: Estudo descritivo com recurso à legislação específica, websites oficiais e fon- tes sobre a reabilitação, enfermagem e enfermagem de reabilitação. Resultados: A legislação orienta-se para a proteção do cidadão com mobilidade reduzida ou condicionada. Mas as barreiras existem e são precisas mudanças nas pessoas e na socie- dade, tendo o profissional papel relevante na sua efetivação. Os enfermeiros no geral e os especialistas de reabilitação em particular devem advogar pelas condições necessárias ao usufruto da acessibilidade desenvolvendo estratégias especificas. Conclusões: É preciso monitorização contínua para a igualdade de oportunidades e acessi- bilidade, que passa pela atitude das pessoas, das entidades responsáveis e dos profissionais. Os enfermeiros de reabilitação devem afirmar-se fazendo parte integrante desta missão. Descritores: Enfermagem em reabilitação; direitos humanos; legislação; acessibilidade ar- quitetónica; pessoas com deficiência. AbstractAn inclusive society leads all citizens to participate in community life, without any discri- mination, but often citizens with reduced or conditioned mobility face barriers of a diffe- rent nature. The condition of person with disability is arduous and unequal, even protec- ted by legislation, but it is essential effectiveness in its application, which also involves the Rehabilitation Nurse.Objectives: Reflect on the rights of persons with disabilities and on the role of professio- nals in the overall rehabilitation action, particularly the rehabilitation nurses; Mobili-ze strategies for the promotion of accessibility.Methodology: Descriptive study using specific legislation, official websites and sources on rehabilitation, nursing and rehabilitation nursing. Results: The legislation is oriented towards the protection of the citizen with reduced or conditioned mobility. But barriers exist and changes are needed in people and society, and the professional has a relevant role in its implementation. Nurses in general and reha- bilitation specialists in particular should advocate for the conditions necessary for the en- joyment of accessibility by developing specific strategies. Conclusions: Continuous monitoring is required for equal opportunities and accessibility, which involves the attitude of people, responsible entities and professionals. Rehabilita- tion nurses must assert themselves as an integral part of this mission. Keywords: Rehabilitation nursing; human rights; legislation; architectural accessibility; disabled persons.