<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0873-3015</journal-id>
<journal-title><![CDATA[Millenium - Journal of Education, Technologies, and Health]]></journal-title>
<abbrev-journal-title><![CDATA[Mill]]></abbrev-journal-title>
<issn>0873-3015</issn>
<publisher>
<publisher-name><![CDATA[Instituto Politécnico de Viseu (IPV)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0873-30152024000100207</article-id>
<article-id pub-id-type="doi">10.29352/mill0223.33593</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Nurses` avoidance of the caregiver empowerment process: perspectives on conditioning factors]]></article-title>
<article-title xml:lang="pt"><![CDATA[Evitamento do enfermeiro ao processo de capacitação do cuidador informal: perspetivas sobre os fatores condicionantes]]></article-title>
<article-title xml:lang="es"><![CDATA[Evitación enfermera del proceso de empoderamiento del cuidador: perspectivas sobre los factores condicionantes]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vidinha]]></surname>
<given-names><![CDATA[Telma]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[António]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gonçalves]]></surname>
<given-names><![CDATA[Marco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferraz]]></surname>
<given-names><![CDATA[Liliana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Marques]]></surname>
<given-names><![CDATA[António]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Escola Superior de Enfermagem de Coimbra  ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,UICISA: E - Unidade de Investigação em Ciências da Saúde: Enfermagem  ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro Hospitalar e Universitário de Coimbra  ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Núcleo de Investigação em Enfermagem CHUC  ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>04</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>04</month>
<year>2024</year>
</pub-date>
<numero>23</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0873-30152024000100207&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0873-30152024000100207&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0873-30152024000100207&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  In clinical settings, nursing practices are more focused on the dependent person than on the caregiver, which may be related to the complexity of the informal caregiver training process.  Objective: To explore and understand the phenomenon of nurses' avoidance of the informal caregiver training process and identify the underlying factors.  Methods:  This is an exploratory and descriptive study with a qualitative approach. Semi-structured interviews were carried out with nine nurses from a central hospital in Portugal. After transcription, content analysis was performed according to Bardin using the NVivo10® software. Ethical requirements were met, and a favorable opinion was obtained from the ethics committee.  Results:  Three thematic units emerged that were organized into categories and subcategories: Recognition of the phenomenon (2 categories); Intrinsic factors that condition nurses in training informal caregivers (4 categories and 2 subcategories); and Extrinsic factors that condition nurses in training informal caregivers (6 categories and 6 subcategories).  Conclusion:  A comprehensive approach is needed to preparing caregivers, from training nurses to identify and assess caregivers&#8217; needs to coordinating and managing the therapeutic regime and planning for discharge. Healthcare organizations and communities should commit to creating the conditions for caregivers to achieve a healthy and safe transition.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  Nos contextos clínicos verifica-se que as práticas de enfermagem estão mais centradas na pessoa dependente do que no cuidador, o que pode estar relacionado com a complexidade do processo de capacitação do cuidador informal.  Objetivo: Explorar e conhecer o fenómeno do evitamento dos enfermeiros à capacitação do cuidador informal, com identificação dos fatores subjacentes.  Métodos:  Estudo exploratório e descritivo, com abordagem qualitativa. Foram realizadas entrevistas semiestruturadas a 9 enfermeiros de um hospital central de Portugal e após transcrição, efetuada a análise de conteúdo segundo Bardin e apoio do NVivo10®. Cumpridos os pressupostos éticos e obtido parecer favorável da comissão de ética.  Resultados:  Emergiram três unidades temáticas com as respetivas categorias e subcategorias: reconhecimento do fenómeno (2 categorias); fatores intrínsecos que condicionam a capacitação do cuidador (4 categorias e 2 subcategorias); e fatores extrínsecos (6 categorias e 6 subcategorias).  Conclusão:  É necessária uma abordagem abrangente na preparação do cuidador informal, tendo por base a formação dos enfermeiros, a identificação e avaliação das suas necessidades, a implementação/gestão de cuidados e o planeamento da alta. Deve haver também um compromisso das organizações de saúde e de toda a comunidade na criação de condições para que se consiga uma transição saudável e segura.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  En contextos clínicos, las prácticas de enfermería se centran más en la persona dependiente que en el cuidador, lo que puede estar relacionado con la complejidad del proceso de empoderamiento del cuidador.  Objetivo:  Explorar y comprender el fenómeno de la evitación del empoderamiento del cuidador por parte de las enfermeras, identificando los factores subyacentes.  Métodos:  Se trata de un estudio exploratorio y descriptivo con enfoque cualitativo. Se realizaron entrevistas semiestructuradas a 9 enfermeras de un hospital central y tras su transcripción, se llevó a cabo el análisis de contenido según Bardin con el apoyo de NVivo10®. Se cumplieron los requisitos éticos y se obtuvo el dictamen favorable del comité de ética.  Resultados:  Surgieron tres unidades temáticas con sus respectivas categorías y subcategorías: reconocimiento del fenómeno (2 categorías); factores intrínsecos que condicionan la capacitación del cuidador (4 categorías y 2 subcategorías); y factores (6 categorías y 6 subcategorías).  Conclusión:  Es necesario un enfoque integral para preparar al cuidador, que abarque desde la formación del personal de enfermería en la identificación y evaluación de las necesidades del cuidador, hasta la conciliación y gestión del régimen terapéutico y la planificación del alta. También debe existir un compromiso por parte de las organizaciones sanitarias y de toda la comunidad para crear las condiciones necesarias para que el cuidador logre una transición saludable y segura.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[patient-centered care]]></kwd>
<kwd lng="en"><![CDATA[nursing care]]></kwd>
<kwd lng="en"><![CDATA[patient discharge]]></kwd>
<kwd lng="en"><![CDATA[informal caregivers]]></kwd>
<kwd lng="en"><![CDATA[transitions]]></kwd>
<kwd lng="pt"><![CDATA[cuidado centrado na pessoa]]></kwd>
<kwd lng="pt"><![CDATA[cuidados de enfermagem]]></kwd>
<kwd lng="pt"><![CDATA[planeamento da alta]]></kwd>
<kwd lng="pt"><![CDATA[cuidador informal]]></kwd>
<kwd lng="pt"><![CDATA[transições]]></kwd>
<kwd lng="es"><![CDATA[atención dirigida al paciente]]></kwd>
<kwd lng="es"><![CDATA[atención de enfermería]]></kwd>
<kwd lng="es"><![CDATA[alta del paciente]]></kwd>
<kwd lng="es"><![CDATA[cuidador informal]]></kwd>
<kwd lng="es"><![CDATA[transiciones]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Albsoul]]></surname>
<given-names><![CDATA[R. A.]]></given-names>
</name>
<name>
<surname><![CDATA[FitzGerald]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
<name>
<surname><![CDATA[Hughes]]></surname>
<given-names><![CDATA[J. A.]]></given-names>
</name>
<name>
<surname><![CDATA[Ahmed Alshyyab]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Missed nursing care and complexity theory: a conceptual paper]]></article-title>
<source><![CDATA[Journal of Research in Nursing]]></source>
<year>2021</year>
<volume>26</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>809-23</page-range></nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bardin]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
</person-group>
<source><![CDATA[Análise de conteúdo]]></source>
<year>2018</year>
<edition>5a</edition>
<publisher-name><![CDATA[Edições 70]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cho]]></surname>
<given-names><![CDATA[S. H.]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[J. Y.]]></given-names>
</name>
<name>
<surname><![CDATA[You]]></surname>
<given-names><![CDATA[S. J.]]></given-names>
</name>
<name>
<surname><![CDATA[Song]]></surname>
<given-names><![CDATA[K. J.]]></given-names>
</name>
<name>
<surname><![CDATA[Hong]]></surname>
<given-names><![CDATA[K. J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Nurse staffing, nurses prioritization, missed care, quality of nursing care, and nurse outcomes]]></article-title>
<source><![CDATA[International Journal of Nursing Practice]]></source>
<year>2020</year>
<volume>26</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-9</page-range></nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="book">
<collab>Direção Geral da Saúde</collab>
<source><![CDATA[Documento Técnico para a Implementação do Plano Nacional para a Segurança dos Doentes 2021 |2026]]></source>
<year>2022</year>
<page-range>1-66</page-range><publisher-name><![CDATA[Ministério Da Saúde. Direção-Geral Da Saúde]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dixe]]></surname>
<given-names><![CDATA[M. D. A. C. R.]]></given-names>
</name>
<name>
<surname><![CDATA[Querido]]></surname>
<given-names><![CDATA[A. I. F.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Informal caregiver of dependent person in self-care: Burden-related factors]]></article-title>
<source><![CDATA[Revista de Enfermagem Referência]]></source>
<year>2020</year>
<volume>2020</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>1-8</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="">
<collab>Euro Carers</collab>
<source><![CDATA[Euro Carers]]></source>
<year>2023</year>
</nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fernandes]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
</person-group>
<source><![CDATA[A família como foco dos cuidados de enfermagem - aprendendo com o family nursing game]]></source>
<year>2014</year>
<publisher-name><![CDATA[Instituto de Ciências Biomédicas Abel Salazar]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="book">
<collab>Grupo Sistemas de Informação e Documentação em Enfermagem - CHUC-SIDE</collab>
<source><![CDATA[Tomada de decisão em Enfermagem no CHUC - O percurso da mudança, 2012-2016]]></source>
<year>2017</year>
<edition>1ª</edition>
<publisher-name><![CDATA[Centro Hospitalar e Universitário de Coimbra]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Guimarães]]></surname>
<given-names><![CDATA[A. C.]]></given-names>
</name>
<name>
<surname><![CDATA[Freitas]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[S. O.]]></given-names>
</name>
<name>
<surname><![CDATA[Brandão]]></surname>
<given-names><![CDATA[V.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Caring for Carers: Caregiver Assessment Tools]]></article-title>
<source><![CDATA[Gazeta Médica]]></source>
<year>2020</year>
<volume>7</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Marques]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
</person-group>
<source><![CDATA[Capacitar para o cuidado: percepção do cuidador informal da pessoa com acidente vascular cerebral]]></source>
<year>2015</year>
<publisher-name><![CDATA[Escola Superior de Enfermagem de Coimbra]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Matos]]></surname>
<given-names><![CDATA[A. C.]]></given-names>
</name>
</person-group>
<source><![CDATA[Passagem de turno: contributo para a qualidade na gestão da informação]]></source>
<year>2021</year>
<publisher-name><![CDATA[Escola Superior de Enfermagem de Coimbra]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Meleis]]></surname>
<given-names><![CDATA[A. I.]]></given-names>
</name>
</person-group>
<source><![CDATA[Transitions theory - middle range and situation specific theories in nursing research and practice]]></source>
<year>2010</year>
<publisher-name><![CDATA[Springer Publishing Company]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Meleis]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Dean]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<source><![CDATA[Theoretical Nursing - Development and Progress]]></source>
<year>2012</year>
<edition>Fifth</edition>
<publisher-name><![CDATA[Wolters Kluwer - Lippincott Williams &amp; Wilkins]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mizuma]]></surname>
<given-names><![CDATA[K.]]></given-names>
</name>
<name>
<surname><![CDATA[Amitani]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Mizuma]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Kawazu]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Sloan]]></surname>
<given-names><![CDATA[R. A.]]></given-names>
</name>
<name>
<surname><![CDATA[Ibusuki]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<name>
<surname><![CDATA[Takezaki]]></surname>
<given-names><![CDATA[T.]]></given-names>
</name>
<name>
<surname><![CDATA[Owaki]]></surname>
<given-names><![CDATA[T.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Clarifying differences in viewpoints between multiple healthcare professionals during discharge planning assessments when discharging patients from a long-term care hospital to home]]></article-title>
<source><![CDATA[Evaluation and Program Planning]]></source>
<year>2020</year>
<volume>82</volume>
<numero>June</numero>
<issue>June</issue>
</nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nunes]]></surname>
<given-names><![CDATA[M. do C. D.]]></given-names>
</name>
<name>
<surname><![CDATA[Gonçalves]]></surname>
<given-names><![CDATA[M. A. R.]]></given-names>
</name>
<name>
<surname><![CDATA[Vidinha]]></surname>
<given-names><![CDATA[T. S. dos S.]]></given-names>
</name>
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[E. J. F. dos]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[El juicio clínico de las enfermeras sobre el empoderamiento del cuidador]]></article-title>
<source><![CDATA[Index de Enfermería]]></source>
<year>2022</year>
<volume>31</volume>
<numero>3 SE-Originales</numero>
<issue>3 SE-Originales</issue>
<page-range>1-5</page-range></nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Petronilho]]></surname>
<given-names><![CDATA[F.]]></given-names>
</name>
</person-group>
<source><![CDATA[Preparação do regresso a casa. Formasau - Formação e saúde]]></source>
<year>2007</year>
</nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Petronilho]]></surname>
<given-names><![CDATA[F.]]></given-names>
</name>
</person-group>
<source><![CDATA[A alta hospitalar do doente dependente no autocuidado: decisões, destinos, padrões de assistência e de utilização dos recursos. Estudo exploratório sobre o impacte nas transições do doente e do familiar cuidador]]></source>
<year>2013</year>
<publisher-name><![CDATA[Universidade de Lisboa]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B18">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rego]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Coelho]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Organizar a Prestação de Cuidados Por &#8220;Enfermeiro de Referência&#8221;]]></article-title>
<source><![CDATA[Promove a Qualidade. Servir]]></source>
<year>2016</year>
<volume>59</volume>
<numero>5-6</numero>
<issue>5-6</issue>
<page-range>68-75</page-range></nlm-citation>
</ref>
<ref id="B19">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Shibily]]></surname>
<given-names><![CDATA[F. M.]]></given-names>
</name>
<name>
<surname><![CDATA[Aljohani]]></surname>
<given-names><![CDATA[N. S.]]></given-names>
</name>
<name>
<surname><![CDATA[Aljefri]]></surname>
<given-names><![CDATA[Y. M.]]></given-names>
</name>
<name>
<surname><![CDATA[Almutairi]]></surname>
<given-names><![CDATA[A. S.]]></given-names>
</name>
<name>
<surname><![CDATA[Almutairi]]></surname>
<given-names><![CDATA[W. Z.]]></given-names>
</name>
<name>
<surname><![CDATA[Alhallafi]]></surname>
<given-names><![CDATA[M. A.]]></given-names>
</name>
<name>
<surname><![CDATA[Alsharif]]></surname>
<given-names><![CDATA[F.]]></given-names>
</name>
<name>
<surname><![CDATA[Almutairi]]></surname>
<given-names><![CDATA[W.]]></given-names>
</name>
<name>
<surname><![CDATA[Badr]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The perceptions of nurses and nursing students regarding family involvement in the care of hospitalized adult patients]]></article-title>
<source><![CDATA[Nursing Reports]]></source>
<year>2021</year>
<volume>11</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>133-42</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
