<?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>2183-6914</journal-id>
<journal-title><![CDATA[Revista Onconews]]></journal-title>
<abbrev-journal-title><![CDATA[Revista Onconews]]></abbrev-journal-title>
<issn>2183-6914</issn>
<publisher>
<publisher-name><![CDATA[Associação de Enfermagem Oncológica Portuguesa (AEOP)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2183-69142022000200002</article-id>
<article-id pub-id-type="doi">10.31877/on.2021.45.01</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Fatores determinantes na transição para cuidados paliativos: Perspetiva de enfermeiros peritos]]></article-title>
<article-title xml:lang="en"><![CDATA[Conditioning factors for the transition to palliative care: Clinical nurse specialist&#8217; perception]]></article-title>
<article-title xml:lang="es"><![CDATA[Factores determinantes en la transición a cuidados paliativos: Perspectiva de enfermeros expertos]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tavares]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[R.S.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Magalhães]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A4"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital da Luz Lisboa Unidade de Cuidados Continuados e Paliativos ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Escola Superior de Saúde de Santa Maria Instituto Português de Oncologia do Porto (Portugal) Departamento Cirurgia Oncológica]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Portuguese Oncology Institute of Porto (IPO Porto) / Porto Comprehensive Cancer Centre (Porto.CCC) &amp;amp Oncology Nursing Research Unit IPO Porto Research Center (CI-IPOP) ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,RISE@CI-IPOP (Health Research Network)  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>12</month>
<year>2022</year>
</pub-date>
<numero>45</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2183-69142022000200002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2183-69142022000200002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2183-69142022000200002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Enquadramento: O foco de atenção dos enfermeiros deve abarcar os fatores de vulnerabilidade para compreender a dimensão da intensidade das suas intervenções, de forma a facilitar o processo de transição para cuidados paliativos.  Objetivo: Determinar a perceção dos peritos em enfermagem sobre as condicionantes da transição para cuidados paliativos.  Metodologia: Estudo qualitativo, com abordagem fenomenológica descritiva, com recurso ao método de análise de conteúdo, de Bardin. Entrevistas semiestruturadas a 9 peritos de uma Unidade de Cuidados Paliativos. Os dados foram interpretados à luz da Teoria das Transições, de Afaf Meleis e organizados com o software ATLAS.ti®.  Resultados:  Identificaram-se fatores considerados facilitadores, tais como atitudes e significados positivos sobre os cuidados paliativos, a espiritualidade e religiosidade; e outros identificados como inibidores, tais como suporte familiar insuficiente, expectativas irrealistas e falta de conhecimento sobre cuidados paliativos.  Conclusão:  Os enfermeiros devem tornar-se agentes facilitadores da transição para cuidados paliativos, identificando as barreiras e enfatizando os fatores facilitadores com vista a uma transição saudável.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background:  Nurses&#8217; focus should include vulnerability factors to understand the intensity range of their interventions, in order to facilitate the transition process to palliative care.  Objective:  To determine the conditioning factors for the transition to Palliative Care from the Clinical Nurse Specialist&#8217; perception.  Methodology:  Qualitative study, with a descriptive phenomenological approach, using Bardin's method of content analysis. Semi-structured interviews with 9 experts from a Palliative Care Unit. Data were interpreted in the light of Afaf Meleis' Theory of Transitions and organized with the ATLAS.ti®.  Results:  Facilitating factors were identified, such as positive attitudes and meanings about palliative care, spirituality and religiosity; and others identified as inhibiting conditions, such as insufficient family support, unrealistic expectations and lack of knowledge about palliative care.  Conclusion:  Nurses must become the facilitators of the patient&#8217;s transition process to the palliative care identifying and stepping in the obstacles to their development according to the individual, their family and the caregivers&#8217; needs.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Marco contextual:  El enfoque de los enfermeros debe abarcar los factores de vulnerabilidad para comprender la dimensión de la intensidad de sus intervenciones, para facilitar el proceso de transición a los cuidados paliativos.  Objetivo:  Determinar la percepción de los expertos en enfermería sobre los determinantes de la transición para Cuidados Paliativos.  Metodología:  Estudio cualitativo, con enfoque fenomenológico descriptivo, utilizando el método de análisis de contenido de Bardin. Entrevistas semiestructuradas con 9 expertos de una Unidad de Cuidados Paliativos. Los datos se interpretaron a la luz de la Teoría de las Transiciones, de Afaf Meleis y se organizaron con el software ATLAS.ti®.  Resultados:  Se identificaron factores facilitadores para la transición, como actitudes y significados positivos sobre Cuidados Paliativos, espiritualidad y religiosidad; y otros identificados como obstáculos, como apoyo familiar insuficiente, nivel socioeconómico bajo, expectativas poco realistas y desconocimiento sobre Cuidados Paliativos.  Conclusión:  Los enfermeros deben convertirse en agentes facilitadores de la transición a los Cuidados Paliativos, identificando barreras y enfatizando los factores facilitadores para una transición saludable.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[cuidados paliativos]]></kwd>
<kwd lng="pt"><![CDATA[enfermagem]]></kwd>
<kwd lng="pt"><![CDATA[cuidado transicional]]></kwd>
<kwd lng="pt"><![CDATA[estudo qualitativo]]></kwd>
<kwd lng="en"><![CDATA[palliative care]]></kwd>
<kwd lng="en"><![CDATA[nursing]]></kwd>
<kwd lng="en"><![CDATA[transitional care]]></kwd>
<kwd lng="en"><![CDATA[qualitative research]]></kwd>
<kwd lng="es"><![CDATA[Cuidados Paliativos]]></kwd>
<kwd lng="es"><![CDATA[Enfermería]]></kwd>
<kwd lng="es"><![CDATA[Transición]]></kwd>
<kwd lng="es"><![CDATA[Investigación Cualitativa.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Meleis]]></surname>
<given-names><![CDATA[AI]]></given-names>
</name>
<name>
<surname><![CDATA[Sawyer]]></surname>
<given-names><![CDATA[LM]]></given-names>
</name>
<name>
<surname><![CDATA[Im]]></surname>
<given-names><![CDATA[EO]]></given-names>
</name>
<name>
<surname><![CDATA[Messias]]></surname>
<given-names><![CDATA[DKH]]></given-names>
</name>
<name>
<surname><![CDATA[Schumacher]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Experiencing transitions an emerging middle-range theory. Adv Nurs Sci]]></article-title>
<source><![CDATA[Advances in nursing science]]></source>
<year>2000</year>
<volume>23</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>12-28</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fringer]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Hechinger]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Schnepp]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Transitions as experienced by persons in palliative care circumstances and their families - a qualitative meta-synthesis]]></article-title>
<source><![CDATA[BMC Palliat Care]]></source>
<year>2018</year>
<volume>17</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>22</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chick]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Meleis]]></surname>
<given-names><![CDATA[AI]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Transitions: A nursing concern.]]></article-title>
<source><![CDATA[Nursing research methodology. CO]]></source>
<year>1986</year>
<page-range>237-57</page-range><publisher-name><![CDATA[Aspen Publication]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="">
<collab>International Association for Hospice &amp; Palliative Care</collab>
<source><![CDATA[Palliative Care Definition]]></source>
<year>2019</year>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="">
<article-title xml:lang=""><![CDATA[Aprovação do Regulamento do Exerci´cio Profissional dos Enfermeiros]]></article-title>
<source><![CDATA[Decreto-Lei n.o 161/1996. Diário da República n.o 205/1996, Série I-A]]></source>
<year>1996</year>
<month>-0</month>
<day>9-</day>
<page-range>2959-62</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Schumacher]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Meleis]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Transitions: a central concept in nursing]]></article-title>
<source><![CDATA[Transitions Theory: middle-range and situation-specific theories in nursing research and practice]]></source>
<year>2010</year>
<page-range>38-51</page-range><publisher-loc><![CDATA[New York ]]></publisher-loc>
<publisher-name><![CDATA[Springer Publishing Company]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="">
<collab>Ordem dos Enfermeiros - Conselho de Enfermagem</collab>
<source><![CDATA[Padro~es de Qualidade dos Cuidados de Enfermagem]]></source>
<year>2001</year>
<publisher-loc><![CDATA[Lisboa, Portugal ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nickolich]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
<name>
<surname><![CDATA[El-Jawahri]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Temel]]></surname>
<given-names><![CDATA[JS]]></given-names>
</name>
<name>
<surname><![CDATA[LeBlanc]]></surname>
<given-names><![CDATA[TW]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Discussing the Evidence for Upstream Palliative Care in Improving Outcomes in Advanced Cancer]]></article-title>
<source><![CDATA[American Society of Clinical Oncology Educational Book]]></source>
<year>2016</year>
<numero>36</numero>
<issue>36</issue>
<page-range>e534-8</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Knaul]]></surname>
<given-names><![CDATA[FM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Integrating palliative care into health systems is essential to achieve Universal Health Coverage]]></article-title>
<source><![CDATA[Lancet Oncol]]></source>
<year>2018</year>
<volume>19</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>e566-7</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zhi]]></surname>
<given-names><![CDATA[WI]]></given-names>
</name>
<name>
<surname><![CDATA[Smith]]></surname>
<given-names><![CDATA[TJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Early integration of palliative care into oncology evidence, challenges and barriers]]></article-title>
<source><![CDATA[Ann Palliat Med]]></source>
<year>2015</year>
<volume>4</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>122-31</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Coleby]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Defining what matters most to patients]]></article-title>
<source><![CDATA[Br J Nurs]]></source>
<year>2017</year>
<volume>26</volume>
<numero>Sup16a</numero>
<issue>Sup16a</issue>
<page-range>S15-20</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Machado]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Morrer num Serviço De Medicina Interna: As Últimas Horas de Vida]]></article-title>
<source><![CDATA[Med Interna (Bucur)]]></source>
<year>2018</year>
<volume>25</volume>
<numero>4</numero>
<issue>4</issue>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chow]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Dahlin]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Integration of Palliative Care and Oncology Nursing]]></article-title>
<source><![CDATA[Semin Oncol Nurs]]></source>
<year>2018</year>
<volume>34</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>192-201</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Richards]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Ingleton]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Gardiner]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Gott]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Awareness contexts revisited indeterminacy in initiating discussions at the end-of-life]]></article-title>
<source><![CDATA[J Adv Nurs]]></source>
<year>2013</year>
<volume>69</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>2654-64</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Stajduhar]]></surname>
<given-names><![CDATA[KI]]></given-names>
</name>
<name>
<surname><![CDATA[Tayler]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Helene Hudson Lecture Taking an "upstream" approach in the care of dying cancer patients: The case for a palliative approach]]></article-title>
<source><![CDATA[Can Oncol Nurs J]]></source>
<year>2014</year>
<volume>24</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>144-8</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Benner]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<source><![CDATA[De Iniciado a Perito.]]></source>
<year>2005</year>
<publisher-loc><![CDATA[Coimbra ]]></publisher-loc>
<publisher-name><![CDATA[Quarteto Editora]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="">
<collab>European Association of Palliative Care</collab>
<source><![CDATA[Competências Centrais em Cuidados Paliativos: Um Guia Orientador da EAPC sobre Educação em cuidados paliativos]]></source>
<year>2013</year>
<edition>1</edition>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
