This study aimed to identify and characterize biopsychosocial factors that impact the purpose in life (PIL) among adults that are working or already retired. This cross-sectional study includes a sample of 1330 participants, of whom 62.2% were female, with ages ranging from 55 and 84 years, with a mean of 61.93 years and a standard deviation of 7.65. Results suggest that the education level, stress, spirituality (religion) and optimism, social support from friends, and quality of life related to physical health seem to contribute positively to the PIL for both groups. However, some variables such as age, marital status and environmental quality of life help explain the PIL of retired people and the quality of life related to social support helps explain the PIL of working adults. Overall, the reported findings suggest that the purpose in life is strongly related to physical, psychological, social and environmental health factors. It is highlighted that working adults and retired people have their purpose in life related to similar factors and others specific to each life stage, suggesting the need for crucial interventions to promote a healthier and more positive aging process.

Introduction: Chronic Obstructive Pulmonary Disease (COPD) is one of the leading causes of mortality worldwide, with a significant impact on quality of life. Self-management is crucial for controlling the disease, reducing exacerbations, and decreasing hospital admissions. The aim of this study is to identify the gains attributable to Rehabilitation Nursing care in empowering self-management in elderly individuals with COPD. Methodology: A Rapid Literature Review (RLR) was conducted, including four randomized clinical trials (RCTs) and two quasi-experimental studies, obtained from EBSCOhost between 2018 and 2023. Results: This study analyzed self-management interventions in 505 elderly individuals with COPD (mean age 70.6 years, 66.9% male). Most studies presented a low risk of bias. The interventions, including physical and cognitive rehabilitation, educational programs, and technology-based interventions, resulted in improvements in quality of life, well-being, functionality, self-management, self-efficacy, and self-care, with sustained gains in patient knowledge and activation. Additionally, significant improvements were observed in physical symptoms, such as dyspnea, and emotional symptoms, such as anxiety. Conclusion: Our review highlights the central role of Rehabilitation Nursing in empowering the elderly for effective COPD self-management. The implementation of these interventions improves disease management, autonomy, and quality of life for patients. These interventions show great potential for reducing costs associated with exacerbations and hospitalizations, promoting a patient-centered, integrated, holistic, and personalized approach, essential for economic sustainability and better health outcomes.

To maximize the potential of sex education, it is essential to optimize aspects related to the environment, the trainer–trainee interaction, and the quality of training. The objective of the present study was to identify and describe the satisfaction of higher education students with sex education training. An exploratory, descriptive, and cross-sectional study was carried out using the Student Satisfaction with Higher Education questionnaire, which was applied to a sample of 132 higher education students from several countries. In the statistical analysis using the SPSS software version 28, non-parametric tests were used, namely, the Mann–Whitney test and the Kruskal–Wallis test, in addition to Spearman’s correlation coefficient. Overall, the participants considered themselves very satisfied with the sex education training provided (χ = 4.77). The largest contribution to the satisfaction of the higher education students with the sex education training was the “quality of the training organization (environment and content)” (χ = 4.79). Educators and policymakers have the role of designing, implementing, and evaluating programs that satisfy college students and encourage them to strive for more sex education training aimed at promoting well-being, happiness, and sexual health.

Introdução: A mortalidade por acidente vascular cerebral tem diminuído, mas a morbilidade continua a ser um desafio, tornando abordagens integradas essenciais para a readaptação e reintegração dos indivíduos. Os enfermeiros de reabilitação desempenham um papel central ao capacitar a pessoa e a família, visando maximizar a funcionalidade. Objetivo: Identificar as intervenções de Enfermagem de Reabilitação que resultam em ganhos em funcionalidade no autocuidado da pessoa com alterações neurológicas decorrentes de acidente vascular cerebral. Metodologia: Foi realizada uma revisão sistemática da literatura, nomeadamente uma rapid review, seguindo as diretrizes Instituto Joanna Briggs e a mnemónica PICO, com pesquisa na EBSCO nas bases de dados CINAHL, MEDLINE, MedicLatina e Psychology and Behavioral Sciences Collection, abrangendo artigos publicados entre janeiro de 2019 e agosto de 2024, uma vez que o ano de 2019 marcou mudanças significativas no domínio da reabilitação devido à pandemia de COVID-19. Resultados: Foram incluídos 5 estudos de caráter quantitativo: 2 estudos observacionais prospetivos e 3 experimentais, realizados em países europeus e sul americanos. Todos apresentam qualidade metodológica conforme as diretrizes do Instituto Joanna Briggs. Foram identificadas intervenções de Enfermagem de Reabilitação eficazes em três domínios principais: reabilitação motora, respiratória e cognitiva. Estas intervenções demonstraram melhorias significativas na saúde de utentes com alterações neurológicas decorrentes de AVC. Na reabilitação motora, registaram-se avanços em mobilidade, força muscular, amplitude articular, postura e equilíbrio. Já na reabilitação cognitiva, os ganhos foram evidentes na funcionalidade e na qualidade dos movimentos das extremidades superiores. Discussão: A reabilitação é essencial no acidente vascular cerebral, com a maior parte da recuperação a ocorrer nas primeiras 12 semanas após o evento. Intervenções neurológicas aumentam a independência funcional e a qualidade de vida física. Treinos diários podem fortalecer os membros inferiores, enquanto abordagens restaurativas e compensatórias melhoram a função neuropsicológica para apraxia dos membros superiores. Conclusões: Verificaram-se em funcionalidade no autocuidado da pessoa com alterações neurológicas decorrentes de acidente vascular cerebral resultantes de intervenções de enfermagem de reabilitação física e cognitiva, alinhadas com diretrizes profissionais.

This scoping review examines the underexplored impact of the transition to residential care on conjugal relationships among older couples in long-term care facilities (LTCFs). With an aging population and evolving care policies, understanding marital experiences in residential care settings becomes increasingly essential. Using the Joanna Briggs Institute methodology and the Population, Concept, and Context framework, a systematic search across six databases identified 17 studies from 529 articles. These studies were classified into three living arrangements: spouses in LTCFs with partners in the community, co-residing couples, and those addressing both scenarios. Findings reveal variations in living arrangements and the emotional complexity of these transitions, emphasizing the importance of maintaining marital bonds and relational identity. Influenced by institutional care policies and staff training, these outcomes highlight the need for longitudinal, quantitative and intervention-based research. Policy recommendations advocate relationship-centred care to promote privacy, marital continuity, and interventions enhancing marital well-being in LTCFs.