Objective:The study's purpose has been to grasp the family members' perceptions regarding the psychiatric hospitalization of one of their members. Methods: It is a descriptive-exploratory study with a qualitative approach. The study's participants were eight relatives of individuals hospitalized in the Psychiatric Emergency Service of a General Hospital. The data were collected in July 2017, through semi-structured interviews, which were transcribed in full and submitted to the thematic analysis process using the IRAMUTEQ® software. Results: The following three thematic axes were identified: The family meanings concerning the mental disorders; The psychiatric emergency hospitalization from the family's viewpoint; The perceptions about medication and therapeutic resources. Conclusion: Some families have greater difficulty in accepting the psychiatric hospitalization of one of their members than others. The feelings generated and the routine change, they all differ between the families that have a mental disorder bearing person and those who have chemical dependents with an associated basal disorder.

Objective to compare the skill of informal caregivers to care for dependent people undergoing educational planning discharge intervention with and without follow-up at home. Method this is a quasi-experimental, randomized, simple pilot study, with pre and post-test, not blind, however, with blind assessment of the outcomes, with two follow-up interventions. It was carried out between October 2019 and January 2020 in Maringá, Brazil, with 21 informal caregivers of dependent people, randomized to Intervention Group I and Intervention Group II. Group I underwent an educational intervention consisting of guidance and training during the hospitalization period, with follow-up after hospital discharge by nurses at home, and participants in Group II received only guidance at the hospital. To assess the difference in the level of skill, the COPER 14 instrument was used, applied at times 0, week 1 and week 4, submitting the results to analysis of variance. Results group I had more than twice as much (mean score=8.94) of skill as Group II (mean score=3.90), with a significant increase in practically all the variables analyzed. A significant increase in the score ranks was detected between the variables cognitive and behavioral skill (1.19 - 3.00, p=0.001), psychomotor (1.13 - 3.00, p=0.001) and relational (1.75 - 2.75, p=0.037) in Group I. Conclusion the educational intervention given to the Intervention Group I (IG-I) was effective in increasing the skill of informal caregivers of dependent people. Brazilian Registry of Clinical Trials RBR-5rzmzf.

RESUMOObjetivo: conhecer a perspectiva dos profissionais de Enfermagem, que atuam na sala de emergência, sobre o processo de morte e morrer. Método: estudo qualitativo, descritivo e exploratório, realizado com 17 profissionais de Enfermagem que atuavam na sala de emergência de um hospital universitário. Os dados foram coletados por meio de entrevistas semiestruturadas, audiogravadas que, após transcritas, foram submetidas à Análise de Conteúdo na modalidade Temática. Resultados: emergiram as categorias - Sentimentos e percepções frente ao processo de morte e morrer e Alterações na percepção da morte em diferentes fases da vida. Ambas mostram sentimentos, experiências iniciais com a morte enquanto profissional e a falta de preparo acerca do tema durante a formação. Conclusão: os profissionais entendem que a morte faz parte do processo de viver, mas sentem tristeza, frustração e impotência, especialmente, quando o paciente permanece por mais tempo na emergência. Acredita-se que este estudo possa contribuir para que os profissionais se sintam motivados para refletir e discutir sobre cuidados mais humanos e solidários no serviço hospitalar de urgência. Descritores: Morte; Profissionais de Enfermagem; Serviços Médicos de Emergência; Serviço Hospitalar de Emergência; Percepção; Relações Profissional-Paciente.ABSTRACT Objective: to know the perspective of Nursing professionals, who work in the emergency room, about the process of death and dying. Method: a qualitative, descriptive and exploratory study, carried out with 17 Nursing professionals who worked in the emergency room of a university hospital. Data was collected through semi-structured, audio-taped interviews that, after being transcribed, were submitted to Content Analysis in the Thematic modality. Results: categories emerged - Feelings and perceptions regarding the process of death and dying and Alterations in the perception of death in different phases of life. Both show feelings, initial experiences with death as a professional, and lack of preparation on the subject during training. Conclusion: professionals understand that death is part of the process of living, but they feel sadness, frustration and impotence, especially when the patient stays for longer in the emergency room. It is believed that this study may contribute to the professionals feel motivated to reflect and discuss more humane and supportive care in the hospital emergency service. Descriptors: Death; Nurse Practitioners; Emergency Medical Services; Emergency Service Hospital; Perception; Professional-Patient Relations.RESUMEN Objetivo: conocer la perspectiva de los profesionales de Enfermería, que actúan en la sala de emergencia, sobre el proceso de muerte y morir. Método: estudio cualitativo, descriptivo y exploratorio, realizado con 17 profesionales de Enfermería que actuaban en la sala de emergencia de un hospital universitario. Los datos fueron recolectados por medio de entrevistas semiestructuradas, audiogravadas que, tras transcritas, fueron sometidas al Análisis de Contenido, en la modalidad Temática. Resultados: surgieron dos categorías - Sentimientos y percepciones frente al proceso de muerte y morir y Alteraciones en la percepción de la muerte en diferentes fases de la vida. Ambos muestran sentimientos, experiencias iniciales con la muerte como profesional y la falta de preparación acerca del tema durante la formación. Conclusión: los profesionales entienden que la muerte es parte del proceso de vivir, pero sienten tristeza, frustración e impotencia, especialmente cuando el paciente permanece por más tiempo en la emergencia. Se cree que este estudio puede contribuir a que los profesionales, se sientan motivados para reflexionar y discutir sobre cuidados más humanos y solidarios en el servicio hospitalario de urgencia. Descriptores: Muerte; Enfermeras Practicantes; Servicios Médicos de Urgencia; Servicio de Urgencia en Hospital; Percepción; Relaciones Profesional-Paciente.

Objetivo: compreender a vivência de mães de filhos com síndrome de Down. Método: pesquisa descritiva e exploratória, qualitativa, desenvolvida com mães de crianças diagnosticadas com Síndrome de Down acompanhadas pela Associação de Pais e Amigos dos Excepcionais. A coleta de dados se deu por meio de entrevistas por meio da técnica de história de vida oral. A análise de conteúdo subsidiou a análise dos dados. Resultados: participaram do estudo, seis mães de crianças com Síndrome de Down. Da análise emergiram três categorias: Vivenciando o diagnóstico de Síndrome de Down; as transformações no cotidiano e suas implicações; e, A assistência de saúde dispensadas as mães com crianças diagnosticadas com Síndrome de Down. Conclusão: pode-se compreender as vivências de mães de crianças diagnosticadas com Síndrome de Down. Identificou-se emoções e sentimentos experimentados no momento do diagnóstico, os quais perpassaram durante todo o desenvolvimento do filho e incidiram sobre o processo de maternagem.

Objective: To identify factors associated with cognitive, emotional, psychomotor, and relational skills of informal caregivers in home care. Methods: A cross-sectional study carried out with a sample of 216 informal caregivers residing in a municipality in the state of Paraná. Data collection took place between February and July 2019, with an instrument developed and validated to assess the skills of informal caregivers. Descriptive and inferential analyses were used. Results: The factors associated with a greater competence of informal caregivers were being female, having training in the field, and having more than five years home care experience. The lowest competence was observed in caregivers who had health problems and belonged to the lowest strata of family purchasing power. Participants had lower scores in psychomotor competence and had better results in cognitive competence. Conclusion: It was found that women with experience in care had higher levels of competence to provide quality care at home assistance services.