<?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>0874-0283</journal-id>
<journal-title><![CDATA[Revista de Enfermagem Referência]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Enf. Ref.]]></abbrev-journal-title>
<issn>0874-0283</issn>
<publisher>
<publisher-name><![CDATA[Escola Superior de Enfermagem de Coimbra - Unidade de Investigação em Ciências da Saúde - Enfermagem]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0874-02832023000100235</article-id>
<article-id pub-id-type="doi">10.12707/rvi22121</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Transporte inter-hospitalar da pessoa em situação crítica: Vivências dos enfermeiros de uma ilha de Cabo Verde]]></article-title>
<article-title xml:lang="en"><![CDATA[Inter-hospital transport of the critically ill: The experience of nurses from a Cape Verdean Island]]></article-title>
<article-title xml:lang="es"><![CDATA[Transporte interhospitalario de pacientes en estado crítico: Experiencias del personal de enfermería en una isla de Cabo Verde]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Aliene Soares]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Magalhães]]></surname>
<given-names><![CDATA[Carlos Pires]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Politécnico de Bragança Campus de Santa Apolónia ]]></institution>
<addr-line><![CDATA[Bragança ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Escola Superior de Enfermagem de Coimbra Unidade de Investigação em Ciências da Saúde: Enfermagem ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>serVI</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0874-02832023000100235&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0874-02832023000100235&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0874-02832023000100235&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Enquadramento:  A transferência inter-hospitalar da pessoa em situação crítica entre ilhas de um país insular decorre da necessidade de acesso a recursos de maior complexidade, cujas condições de transporte/assistência são determinantes para a sobrevivência do doente.  Objetivo:  Identificar os principais sentimentos e dificuldades vivenciados pelos enfermeiros de uma ilha de Cabo Verde no que concerne ao transporte inter-hospitalar da pessoa em situação crítica.  Metodologia:  Estudo qualitativo, por entrevista semiestruturada a um grupo focal de enfermeiros.  Resultados:  Das principais dificuldades apontadas emergiram como subcategorias - Carência/dificuldades ao nível dos meios de transporte; carência de recursos materiais apropriados para assistência durante o transporte; Dificuldades para assegurar o conforto e privacidade do doente; Problemas ao nível da rede referenciação/comunicação inter-hospitalar; Ausência de médico durante o transporte; Problemas relativos ao regresso dos enfermeiros ao hospital de origem. Um leque de sentimentos negativos como a angústia, o medo, as preocupações, entre outros, decorrem das dificuldades vivenciadas.  Conclusão:  Os relatos dos enfermeiros possibilitam um primeiro diagnóstico da situação, ao nível dos recursos, planeamento e efetivação do transporte.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background:  Inter-hospital transport of critically ill patients between islands in an island nation is driven by the need for access to more complex health resources. In this context, transport and care delivery conditions are crucial to patient survival.  Objective:  To identify the main feelings and difficulties of nurses from a Cape Verdean island regarding the inter-hospital transport of critically ill patients.  Methodology:  This qualitative study was conducted using semi-structured interviews with a focus group of nurses.  Results:  From the main difficulties identified, the following subcategories emerged: Lack of/difficulties with means of transport; Lack of adequate material resources to assist during transport; Difficulties in ensuring patient comfort and privacy; Problems with inter-hospital referral/communication network; Absence of a physician during transport; and Costs associated with the inability of the nurse to return immediately after delivering the patient. Several negative feelings, such as anguish, fear, and worry, resulted from the difficulties experienced by the nurses.  Conclusion:  The nurses&amp;apos; statements provide an initial diagnosis of the situation regarding the resources, planning, and execution of inter-hospital transport of critically ill patients.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Marco contextual:  El traslado interhospitalario de un paciente en estado crítico entre islas de un país insular se debe a la necesidad de acceder a recursos más complejos, cuyas condiciones de transporte/asistencia son decisivas para la supervivencia del paciente.  Objetivo:  Identificar las principales sensaciones y dificultades experimentadas por los enfermeros de una isla de Cabo Verde en relación con el transporte interhospitalario de pacientes en estado crítico.  Metodología:  Estudio cualitativo, mediante entrevistas semiestructuradas con un grupo focal de enfermeros.  Resultados:  De las principales dificultades surgieron las siguientes subcategorías - Carencia/dificultades de medios de transporte; Carencia de recursos materiales adecuados para la asistencia durante el transporte; Dificultades para garantizar el confort y la intimidad del paciente; Problemas con la red de derivación/comunicación interhospitalaria; Ausencia de médico durante el transporte; Problemas relacionados con el regreso de los enfermeros al hospital de origen. De las dificultades experimentadas se derivan una serie de sentimientos negativos como angustia, miedo, preocupación, entre otros.  Conclusión:  Los informes de los enfermeros proporcionan un diagnóstico inicial de la situación, en cuanto a recursos, planificación y ejecución del transporte.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[cuidados críticos]]></kwd>
<kwd lng="pt"><![CDATA[transporte de pacientes]]></kwd>
<kwd lng="pt"><![CDATA[assistência ao paciente]]></kwd>
<kwd lng="pt"><![CDATA[enfermeiros]]></kwd>
<kwd lng="pt"><![CDATA[perceção]]></kwd>
<kwd lng="en"><![CDATA[critical care]]></kwd>
<kwd lng="en"><![CDATA[transport of patients]]></kwd>
<kwd lng="en"><![CDATA[patient care]]></kwd>
<kwd lng="en"><![CDATA[nurses]]></kwd>
<kwd lng="en"><![CDATA[perceptions]]></kwd>
<kwd lng="es"><![CDATA[cuidados críticos]]></kwd>
<kwd lng="es"><![CDATA[transporte de pacientes]]></kwd>
<kwd lng="es"><![CDATA[atención al paciente]]></kwd>
<kwd lng="es"><![CDATA[enfermeros]]></kwd>
<kwd lng="es"><![CDATA[percepción]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bloor]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Frankland]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Thomas]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Robson]]></surname>
<given-names><![CDATA[K.]]></given-names>
</name>
</person-group>
<source><![CDATA[Focus groups in social research]]></source>
<year>2001</year>
<publisher-name><![CDATA[SAGE]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bourn]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Wijesingha]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Nordmann]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Transfer of the critically ill adult patient]]></article-title>
<source><![CDATA[BJA Education]]></source>
<year>2018</year>
<volume>18</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>63-8</page-range></nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="">
<collab>Comissão Nacional para os Direitos Humanos e a Cidadania</collab>
<source><![CDATA[Recomendação sobre constrangimentos na efetivação do direito à saúde]]></source>
<year>2018</year>
</nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Delgado]]></surname>
<given-names><![CDATA[A. P.]]></given-names>
</name>
</person-group>
<source><![CDATA[O papel do enfermeiro no processo de evacuação interna de utentes críticos de Santo Antão para São Vicente]]></source>
<year>2018</year>
<publisher-name><![CDATA[Universidade do Mindelo]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<collab>Entidade Reguladora da Saúde</collab>
<article-title xml:lang=""><![CDATA[Regulamento n.º 964/2020]]></article-title>
<source><![CDATA[Diário da República]]></source>
<year>2020</year>
<numero>214</numero>
<issue>214</issue>
</nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fernandes]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
<name>
<surname><![CDATA[Infante]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Mota]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Ribeiro]]></surname>
<given-names><![CDATA[O.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Assistência de enfermagem durante o transporte inter-hospitalar do doente em estado crítico: Revisão scoping]]></article-title>
<source><![CDATA[Millenium: Revista de Educação, Tecnologias e Saúde]]></source>
<year>2022</year>
<volume>2</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>141-67</page-range></nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Lisboa]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Moreira]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
<name>
<surname><![CDATA[Sousa]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
<name>
<surname><![CDATA[Teixeira]]></surname>
<given-names><![CDATA[T.]]></given-names>
</name>
<name>
<surname><![CDATA[Príncipe]]></surname>
<given-names><![CDATA[F.]]></given-names>
</name>
<name>
<surname><![CDATA[Mota]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Transporte inter-hospitalar do doente crítico: Representação social dos enfermeiros]]></article-title>
<source><![CDATA[Revista de Investigação &amp; Inovação em Saúde]]></source>
<year>2019</year>
<volume>2</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>29-38</page-range></nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Filho]]></surname>
<given-names><![CDATA[J. P.]]></given-names>
</name>
<name>
<surname><![CDATA[Reis]]></surname>
<given-names><![CDATA[R. P.]]></given-names>
</name>
<name>
<surname><![CDATA[Barbosa]]></surname>
<given-names><![CDATA[D. F.]]></given-names>
</name>
<name>
<surname><![CDATA[Lima]]></surname>
<given-names><![CDATA[A. L.]]></given-names>
</name>
<name>
<surname><![CDATA[Gomes]]></surname>
<given-names><![CDATA[M. P.]]></given-names>
</name>
<name>
<surname><![CDATA[Bezerra]]></surname>
<given-names><![CDATA[D. G.]]></given-names>
</name>
<name>
<surname><![CDATA[Jacob]]></surname>
<given-names><![CDATA[L. R.]]></given-names>
</name>
<name>
<surname><![CDATA[Martins]]></surname>
<given-names><![CDATA[A. S.]]></given-names>
</name>
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[J. F.]]></given-names>
</name>
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[M. R.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Transporte de pacientes críticos: A visão do enfermeiro]]></article-title>
<source><![CDATA[Revista Eletrônica Acervo Enfermagem]]></source>
<year>2020</year>
<numero>5</numero>
<issue>5</issue>
</nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="">
<collab>Instituto Nacional de Estatística Cabo Verde</collab>
<source><![CDATA[Anuário estatístico 2019]]></source>
<year>2021</year>
</nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="">
<collab>Instituto Nacional de Previdência Social</collab>
<source><![CDATA[Relatório e contas 2019]]></source>
<year>2019</year>
</nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="">
<collab>Intensive Care Society</collab>
<collab>Faculty of Intensive Care Medicine</collab>
<source><![CDATA[Guidance on: The transfer of the critically Ill adult]]></source>
<year>2019</year>
</nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lima]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
</person-group>
<source><![CDATA[Evacuações internas]]></source>
<year>2016</year>
</nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Krueger]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<name>
<surname><![CDATA[Casey]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<source><![CDATA[Focus groups: A practical guide for applied research]]></source>
<year>2015</year>
<edition>5</edition>
<publisher-name><![CDATA[SAGE]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Matias]]></surname>
<given-names><![CDATA[A. R.]]></given-names>
</name>
<name>
<surname><![CDATA[Sá]]></surname>
<given-names><![CDATA[F. L.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Intervenções da equipe multiprofissional no transporte de pacientes em estado crítico: Revisão sistemática de métodos mistos]]></article-title>
<source><![CDATA[Escola Anna Nery]]></source>
<year>2022</year>
<numero>26</numero>
<issue>26</issue>
</nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="">
<collab>Ordem dos Enfermeiros</collab>
<source><![CDATA[Regulamento n.º 429/2018: Regulamento de competências específicas do enfermeiro especialista em enfermagem médico-cirúrgica na área de enfermagem à pessoa em situação crítica]]></source>
<year>2018</year>
</nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="">
<collab>Ordem dos Médicos</collab>
<collab>Sociedade Portuguesa de Cuidados Intensivos</collab>
<source><![CDATA[Transporte de doentes críticos: Recomendações]]></source>
<year>2008</year>
</nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pavão]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Transporte do doente crítico]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Coimbra]]></surname>
<given-names><![CDATA[N.]]></given-names>
</name>
</person-group>
<source><![CDATA[Enfermagem de urgência e emergência]]></source>
<year>2021</year>
<page-range>98-103</page-range><publisher-name><![CDATA[Lidel]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B18">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rodrigues]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
<name>
<surname><![CDATA[Martins]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Vivências dos enfermeiros ao cuidar do doente crítico durante o transporte marítimo]]></article-title>
<source><![CDATA[Pensar Enfermagem]]></source>
<year>2012</year>
<volume>16</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>26-41</page-range></nlm-citation>
</ref>
<ref id="B19">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[I.]]></given-names>
</name>
<name>
<surname><![CDATA[Veloso]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Keating]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Focus group: Considerações teóricas e metodológicas]]></article-title>
<source><![CDATA[Revista Lusófona de Educação]]></source>
<year>2014</year>
<volume>26</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>175-90</page-range></nlm-citation>
</ref>
<ref id="B20">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vilelas]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<source><![CDATA[Investigação: O processo de construção do conhecimento]]></source>
<year>2020</year>
<edition>3</edition>
<publisher-name><![CDATA[Edições Sílabo]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
