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- 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.
- 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.