Resumenpp.55-64 Resumo Revista de Enfermagem Referência A R T I G O D E I N V E S T I G A Ç Ã O Burnout em médicos e enfermeiros: estudo quantitativo e multicêntrico em unidades de cuidados paliativos em PortugalBurnout in physicians and nurses: a multicentre quantitative study in palliative care units in Portugal Desgaste profesional en médicos y enfermeros: un estudio cuantitativo y multicéntrico en unidades de cuidados paliativos en Portugal Sandra Martins Pereira*; Carla Margarida Teixeira**; Orquídea Ribeiro***; Pablo Hernández-Marrero****; António M. Fonseca*****; Ana Sofia Carvalho****** Conclusão: Embora a percentagem de profissionais com altos níveis de burnout em cuidados paliativos seja baixa, há fatores de risco que podem ser otimizados de modo a promover um maior bem-estar dos próprios profissionais.Palavras-chave: burnout; cuidados paliativos; médicos; enfermeiros; estudo multicêntrico.Marco Contextual: El contacto sistemático con la muerte se considera un factor de riesgo de desgaste profesional (burnout) en la salud, especialmente, para los médicos y enfermeros que desarrollan su actividad profesional en los cuidados paliativos. Objetivos: Estudiar el síndrome de desgaste profesional en estos profesionales en Portugal. Metodología: Estudio multicéntrico, de naturaleza cuantitativa mediante un cuestionario. Resultados: De un total de 142 profesionales, 88 devolvieron el cuestionario debidamente cumplimentado; de estos, solo el 3 % presentaba desgaste profesional y el 13 % tenía un riesgo elevado de desarrollar este síndrome. Como factores personales asociados positivamente con el desgaste profesional, se identificaron el hecho de que los profesionales no profesan ninguna religión (p = 0,005), así como el hecho de que no tienen formación de posgrado en cuidados paliativos (p = 0,011). Las experiencias en el lugar de trabajo con una correlación positiva con el desgaste profesional fueron algunos conflictos con otros profesionales (p = 0,012). Conclusión: A pesar de que el porcentaje de profesionales con niveles elevados de desgaste profesional en los cuidados paliativos es bajo, existen factores de riesgo que pueden ser optimizados con el fin de promover que los profesionales tengan mejor bienestar.Palabras clave: burnout; cuidados paliativos; médicos; enfermeros; estudio multicéntrico.Theoretical Framework: Systematic contact with death is considered a risk factor for burnout in health, particularly for doctors and nurses who develop their professional activity in palliative care. Objectives: To study the syndrome of burnout in these professionals in Portugal.Methodology: A multicenter quantitative survey study. Results: Out of 142 professionals, 88 returned the completed questionnaire; of these, only 3% were in burnout and 13% at high risk of developing this syndrome. Professing a religion (p=.005) and having post-graduate education/training in palliative care (p=.011) were significantly and inversely associated with burnout. Conflicts with other professionals (p=.012) were significantly ...

The assent procedure reflects an effort to enable the minor to understand, to the degree they are capable of, what their participation in the decision making process would involve. Aims: To evaluate the minors’ ability to understand the information provided to them when obtaining assent and to evaluate the opinion of the parents regarding the importance of asking the child’s assent. Methods: The sample included a total of 52 minors aged between 10 and 17 years who underwent exercise echocardiogram. The Quality of Informed Consent is divided into two parts: Part A was used to measure objective understanding and part B to measure subjective understanding. Results: The results show that the minors have a high capacity to understand the information given to them when asking for assent. A positive relationship was found between the two parts of the questionnaire. No statistically significant relationship was found between age and sex and part A and part B or between both age groups (<14 years old and ≥14 years old) and the measure. In the case of the parents, 96.6% of parents consider assent as an advantage for the child’s acceptance of health care. The opinion of the parents is not related to the age, sex or level of schooling. Conclusion: Minors showed a substantial level of understanding regarding the information provided to them. The parents considered the implementation of assent fundamental to the child’s acceptance of health care.

A public health emergency, as the COVID-19 pandemic, may lead to shortages of potentially life-saving treatments. In this situation, it is necessary, justifiable and proportionate to have decision tools in place to enable healthcare professionals to triage and prioritise access to those resources. An ethically sound framework should consider the principles of beneficence and fair allocation. Scientific Societies across Europe were concerned with this problem early in the pandemic and published guidelines to support their professionals and institutions. This article aims to compare triage policies from medical bodies across Europe, to characterise the process of triage and the ethical values, principles and theories that were proposed in different countries during the first outbreak of COVID-19.

No abstract

The Brazilian Meeting on Research Integrity, Science and Publication Ethics (BRISPE) has been held every two years since 2010 in Brazil. The BRISPE has been the major forum for discussion of research integrity in the country. Although it is a national meeting, it has strengthened the role Brazilian science has played in international conversations on the responsible conduct of research. In 2010, the I BRISPE (www.ibrispe.coppe.ufrj.br) focused on research integrity issues related to research projects, to the submission and review process of manuscripts, and to authorship. In 2012, the II BRISPE (www.iibrispe.coppe.ufrj.br) addressed research integrity and leadership in science. The meeting looked at the country's responsibility to foster responsible research, considering its scientific leadership in Latin America. The meeting led to the publication of the Joint Statement on Research Integrity, (www.iibrispe.coppe.ufrj.br/ images/IIBRISPE/JoinStatement/JointStatementonResearchIntegrity_IIBRIS-PE_2012_English.pdf). In 2014, the III BRISPE (http://www.fapesp.br/8788) focused on institutional policies to foster research integrity initiatives at universities and research centers in Brazil. Locally, the III BRISPE was also a preparatory meeting for the 4 th World Conference on Research Integrity, which was held in Rio de Janeiro, in 2015 (www.wcri2015.org). In 2016, the IV BRISPE (www.brispe2016.org) drew upon the role of mentors, editors and funders to strengthen a research integrity culture in Brazilian science. The event was held at the Federal University of Goiás (UFG), November 17-18, 2016, with 260 participants. For this fourth edition of the meeting, there was a call for submissions for oral and poster sessions on research and education and on science policy. From 40 submissions, 34 were accepted. The Proceedings of the IV BRISPE contain the abstracts of oral and poster presentations of authors who agreed to have them published. The V BRISPE will be held in 2018.