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- From the drama of unoccupied time and isolation due to Covid-19’s pandemic to the need for person-centered care at residential care facilities in PortugalPublication . Barbosa, Maria Miguel; Paúl, Constança; Teixeira, L.; Yanguas, Javier; Afonso, Rosa MarinaDuring the pandemic, restrictive measures were implemented at Portuguese residential care facilities (PRCF), such as isolating residents and ceasing collective activities. It is important to understand how PRCF are implementing activities that allow residents to occupy their time and fight isolation. As such, we aim to analyze whether: 1. new activities were implemented for residents (identifying which were carried out); 2. occupation activities were provided to isolated residents in their rooms (identifying which were carried out); 3. the implementation of activities is associated with variables like the amount of staff. This is an exploratory, quantitative, and cross-sectional study. An online questionnaire was sent by email to 2325 PRCF and entities were asked to share it with their workers. The study was also divulged on social networks. Data collection occurred between July 8th and October 18th, 2020. The study had 784 staff members participating and 90.8% reported that new activities were implemented at their facilities, predominantly videocalls. Concerning isolated residents most respondents (64.4%) stated that providing activities was impossible. Results showed that those PRCF that expanded teams had a higher percentage of new activities and activities with residents isolated in bedrooms. These results are alarming because while residents should have had more resources to cope with the pandemic, higher risks of unoccupied time and isolation existed, a dramatic situation for its potentially harmful consequences. Focusing on sanitary issues (and less on older adults) may reinforce traditional care models that had shown negative impacts before the pandemic. This highlights the need to evolve the care paradigm during and beyond the pandemic at PRCF: with Person-Centered Care as an option.
- Staff Assessment Person-Directed Care Questionnaire: Adaptation and Validation for the Portuguese PopulationPublication . Barbosa, Maria M.; Teixeira, L.; Yanguas, Javier; Paúl, Constança; Afonso, Rosa MarinaPerson-centered care aims to increase and guarantee the quality of care at residential care facilities for older adults. The implementation and development of this approach requires validated assessment tools, which are still lacking in Portugal. This study aims to adapt and validate for the Portuguese population the internationally and widely used essential instrument that is the Staff Assessment Person-Directed Care (SAPDC). The adaptation of the SAPDC included its translation, back translation, and a pilot-study. For validation, staff members were recruited by distributing the study via email and on social media. Respondents included 546 native Portuguese-speaking staff members working at residential care facilities for over 6 months. The mean score of SAPDC was 165.74 (SD = 36.78). The exploratory factor analysis showed eight conceptually distinct dimensions, considered adequate by the expert team. The total scale showed a very good internal consistency (α = .96) and excellent temporal stability assessed by Intraclass Correlation Coefficient (> .90). Providing a Portuguese version of the SAPDC is useful to substantiate technical and scientific advancements and define policies with implications on evolving care approaches. This tool helps optimize the quality and dignification of gerontological practices, which is urgent at Portuguese residential care facilities.
- Estruturas Residenciais para Pessoas Idosas em Portugal e o Impacto da pandemia COVID 19: Perspetiva da Atenção Centrada na PessoaPublication . Barbosa, Maria Miguel; Paúl, Constança; Teixeira, L.; Yanguas, Javier; Afonso, Rosa MarinaIntrodução: Durante a pandemia COVID-19 as Estruturas Residenciais para Pessoas Idosas (ERPIs) enfrentam exigências passíveis de comprometer a qualidade dos cuidados. [...]
- Adaptation and validation of the Person‐centered Care Assessment Tool (P‐CAT) to the Portuguese populationPublication . Barbosa, Maria Miguel; Teixeira, L.; Edvardsson, David; Paúl, Constança; Yanguas, Javier; Afonso, Rosa MarinaBackground: The relevance of person-centred care as an optimising approach to the quality of care provided to older adults has sparked the development of important instruments that measure this approach at residential care facilities and requires vali-dation for the Portuguese population.Objectives: This study aims to adapt and validate the Person-centered Care Assessment Tool (P-CAT) to the Portuguese population.Methods: The P- CAT assesses the level of person-centred care provided by resi -dential care facilities, according to staff. The process of adapting the P- CAT to the Portuguese population includes its translation, backtranslation and a pilot study. To recruit participants for the validation study, we contacted the Portuguese residential care facilities with emails provided in the official registries, and the study was also divulged on social media.Results: The study had the participation of 573 staff members. The mean score of P- CAT was 50.76 (SD = 7.65). The exploratory factor analysis showed three dimen -sions: the extent of care personalisation, the amount of organisational support and the degree of environmental accessibility. The results show good internal consistency for the total scale (α= 0.809) and good temporal stability in the test– retest assessed by intraclass correlation coefficient (0.893).Conclusions: This version of the P-CAT for the Portuguese population has shown ad-equate psychometric properties and contributes to the study of care provided at resi-dential care facilities in Portugal through self- reporting from staff.Implications for practice: The availability of this instrument is useful for professional practice and research purposes and supports technical and scientific advancements that are necessary for the evolution of care frameworks.
- Association between handgrip strength, walking, agerelated illnesses and cognitive status in a sample of Portuguese centenariansPublication . Patto, Maria Da Assunção Vaz ; Bueno, Belén; Ribeiro, Óscar; Teixeira, Laetitia; Afonso, Rosa MarinaAbstract Background: Centenarians are a growing population in Europe and present significant variability in motor and cognitive functions. The aim of our study was to characterize health status, as well as cognitive and motor functions in a group of Portuguese centenarians. In addition, our study also aimed at analyzing the relationship between cognitive functions and the burden of diseases affecting the elderly. Methods: Fifty-two centenarians were evaluated using the Mini-Mental State Examination, short version. Walking- related parameters (velocity and time spent in the 3 m walk test), grip strength and number of age-related illnesses were also measured. The relationship between cognitive scores and time spent in the three metre walk test, velocity, grip strength and number of diseases was analysed. Results: Cognitive scores showed a positive correlation with both handgrip strength and time spent in the three metre walk. In contrast, no association was found between cognitive scores and the presence/absence of disease, walking velocity or number of diseases present. Conclusions: These results suggest that in centenarians, cognitive functions may be related with motor functions.
- Caring and Working during the COVID-19 Pandemic: Perspective of Portuguese Residential Care Facility WorkersPublication . Barbosa, Maria Miguel; Teixeira, Laetitia; Paúl, Constança; Yanguas, Javier; Afonso, Rosa MarinaResidential care facilities (RCF) for older people are facing high demands due to the COVID-19 pandemic. The aim of this study was to explore the workers’ perspectives on the changes in work and care dynamics amidst the first wave of the pandemic at Portuguese RCF. This is a descriptive, quantitative, and cross-sectional study. An online questionnaire about pandemic-induced changes in work and care dynamics was sent to 2325 RCF. These entities were then asked to share it with their workers. The participants (n = 784) were mostly women (92.7%) and mostly composed of technical directors (41.6%) and direct-care workers (17.1%). The respondents reported that during the first wave of the pandemic, when compared to the pre-pandemic period, there were greater difficulties in providing care related to the basic necessities of older people (52.7%); direct-care workers were required to work more consecutive hours in each shift (69.95%); direct-care workers had to live at RCF (14.8%), and there were changes concerning the possibility of promoting person-centered care (PCC) practices. It also revealed that focusing on disease prevention and sanitary measures alone facilitates practices that reinforce the traditional model of procedure-centered care and have negative consequences on the rights and well-being of those living and working at RCF, exposing and accentuating preexisting vulnerabilities. This study considers the pandemic’s serious implications and alarming questions about basic care, dignity, living, and working conditions at Portuguese RCF. These notions reinforce the need for change through redefining care policies and practices in Portuguese RCF beyond the pandemic. The current situation provides an opportunity to adopt a formal PCC model.