<?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>2184-3023</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Enfermagem de Reabilitação]]></journal-title>
<abbrev-journal-title><![CDATA[RPER]]></abbrev-journal-title>
<issn>2184-3023</issn>
<publisher>
<publisher-name><![CDATA[Associação Portuguesa de Enfermagem de Reabilitação]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2184-30232023000100205</article-id>
<article-id pub-id-type="doi">10.33194/rper.2023.318</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Estrutura da qualidade dos cuidados nas Unidades de Medicina Física e Reabilitação: perceção dos enfermeiros]]></article-title>
<article-title xml:lang="es"><![CDATA[Calidad de la estructura asistencial en las Unidades de Medicina Física y Rehabilitación: percepción de los enfermeros]]></article-title>
<article-title xml:lang="en"><![CDATA[Quality of care structure in Physical Medicine and Rehabilitation Units: nurses' perception]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martins]]></surname>
<given-names><![CDATA[Ana Rita Silva]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ribeiro]]></surname>
<given-names><![CDATA[Olga Maria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Padilha]]></surname>
<given-names><![CDATA[José Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martins]]></surname>
<given-names><![CDATA[Maria Manuela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vieira]]></surname>
<given-names><![CDATA[Mónica Sofia Martins]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernandes]]></surname>
<given-names><![CDATA[Carla Sílvia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital de São João  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Escola Superior de Enfermagem do Porto  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidade do Porto Instituto de Ciências Biomédicas Abel Salazar ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<volume>6</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2184-30232023000100205&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2184-30232023000100205&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2184-30232023000100205&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução: Com o desenvolvimento da sociedade, o conceito de qualidade tornou-se fundamental no âmbito das organizações de saúde. Contudo pouco ainda se sabe sobre o impacto da componente estrutura do modelo de Donabedian na qualidade dos cuidados prestados pelos Enfermeiros Especialistas em Enfermagem de Reabilitação (EEER). O objetivo deste estudo consiste em identificar e analisar os fatores relacionados com a qualidade dos cuidados de enfermagem de reabilitação nas Unidades de Medicina Física e Reabilitação (MFR) à luz do modelo de Donabedian na dimensão estrutura.  Metodologia: Estudo de caso de natureza qualitativa. Utilizamos uma amostra não probabilística de conveniência, sendo todos os participantes, EEER do mesmo serviço. Os dados foram recolhidos através de uma entrevista semiestruturada, constituída por oito perguntas abertas e um conjunto de oito perguntas para a caraterização sociodemográfica e profissional. Na análise dos dados utilizamos as orientações para a análise de conteúdo propostas por Bardin (2009) com recurso ao software Atlas.ti.  Resultados  e Discussão: Da análise dos discursos dos 16 participantes, à luz do modelo de Donabedian na área temática Estrutura emergiram as seguintes categorias: gestão de pessoas e liderança no serviço e ambiente físico e condições para funcionamento das práticas de enfermagem. O modelo de Donabedian suportou a discussão em conjugação com outros referenciais. Encontramos discrepâncias nos discursos dos participantes, especificamente em relação às metodologias de trabalho e de distribuição da carga de trabalho relativa aos cuidados de enfermagem de reabilitação. O método de trabalho surge como contributo dificultador para alguns enfermeiros, enquanto, para outros é uma mais-valia para a responsabilização das práticas autónomas desenvolvidas.  Conclusão: Podemos concluir que os enfermeiros identificam fatores facilitadores e dificultadores no âmbito da estrutura do serviço, que interferem com a qualidade dos cuidados.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: Con el desarrollo de la sociedad, el concepto de calidad se ha convertido en esencial dentro de las organizaciones sanitarias. Sin embargo, poco se sabe sobre el impacto del componente estructural del modelo de Donabedian en la calidad de los cuidados prestados por las Enfermeras Especialistas en Enfermería de Rehabilitación. El objetivo de este estudio es identificar y analizar los factores relacionados con la calidad de los cuidados de enfermería de rehabilitación en las Unidades de Medicina Física y Rehabilitación a la luz del modelo de Donabedian en la dimensión estructura.  Metodología: Estudio de casos de carácter cualitativo. Se utilizó una muestra no probabilística de conveniencia, siendo todos los participantes EEER del mismo servicio. Los datos se recogieron a través de una entrevista semiestructurada, compuesta por ocho preguntas abiertas y un conjunto de ocho preguntas de caracterización sociodemográfica y profesional. En el análisis de los datos, se utilizaron las directrices para el análisis de contenido propuestas por Bardin (2009) utilizando el software Atlas.ti.  Resultados y Discusión: Del análisis de los discursos de los 16 participantes, a la luz del modelo de Donabedian en el área temática Estructura, surgieron las siguientes categorías: gestión de personas y liderazgo en el servicio y entorno físico y condiciones para el funcionamiento de las prácticas de enfermería. El modelo de Donabedian apoyó la discusión junto con otras referencias. Encontramos discrepancias en los discursos de los participantes, específicamente en lo que se refiere a las metodologías de trabajo y a la distribución de la carga de trabajo relacionada con los cuidados de enfermería de rehabilitación. El método de trabajo surge como una contribución obstaculizadora para algunas enfermeras, mientras que, para otras, es un valor añadido para la responsabilización de las prácticas autónomas desarrolladas.  Conclusión: Podemos concluir que los enfermeros identifican factores facilitadores y complicadores dentro de la estructura del servicio, que interfieren en la calidad de los cuidados.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  With the development of society, the concept of quality has become essential within health care organizations. However, little is known about the impact of the structural component of the Donabedian model on the quality of care provided by the Specialist Nurses in Rehabilitation Nursing. The purpose of this study is to identify and analysis the factors related to the quality of rehabilitation nursing care in Physical Medicine and Rehabilitation Units in the light of the Donabedian model in the structure dimension.  Methodology:  Case study of a qualitative nature. We used a non-probability convenience sample, with all participants being RNs from the same service. Data were collected through a semi-structured interview, composed of eight open-ended questions and a set of eight questions for socio-demographic and professional characterization. In data analysis, we used the guidelines for content analysis proposed by Bardin (2009) using the Atlas.ti software.  Results and Discussion:  From the analysis of the speeches of the 16 participants, in light of the Donabedian model in the thematic area Structure, the following categories emerged: people management and leadership in the service and physical environment and conditions for the functioning of nursing practices. The Donabedian model supported the discussion in conjunction with other references. We found discrepancies in the participants' discourses, specifically regarding the work methodologies and workload distribution related to rehabilitation nursing care. The work method emerges as a hampering contribution for some nurses, while, for others, it is an added value for the accountability of the autonomous practices developed.  Conclusion:  We can conclude that the nurses identify facilitating and complicating factors within the structure of the service, which interfere with the quality of care.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Medicina Física e Reabilitação]]></kwd>
<kwd lng="pt"><![CDATA[Cuidados de Enfermagem]]></kwd>
<kwd lng="pt"><![CDATA[Enfermagem em Reabilitação]]></kwd>
<kwd lng="pt"><![CDATA[Qualidade da Assistência à Saúde]]></kwd>
<kwd lng="pt"><![CDATA[Estrutura]]></kwd>
<kwd lng="es"><![CDATA[Medicina Física y Rehabilitación]]></kwd>
<kwd lng="es"><![CDATA[Cuidados de Enfermería]]></kwd>
<kwd lng="es"><![CDATA[Enfermería de Rehabilitación]]></kwd>
<kwd lng="es"><![CDATA[Calidad de la Atención Sanitaria]]></kwd>
<kwd lng="es"><![CDATA[Estructura]]></kwd>
<kwd lng="en"><![CDATA[Physical Medicine and Rehabilitation]]></kwd>
<kwd lng="en"><![CDATA[Nursing Care]]></kwd>
<kwd lng="en"><![CDATA[Rehabilitation Nursing]]></kwd>
<kwd lng="en"><![CDATA[Quality of Health Care]]></kwd>
<kwd lng="en"><![CDATA[Structure]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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