Social representations of nursing students about hospital assistance and primary health care

Objective: To analyze how social representations of hospital and community care are structured in two groups of nursing students – 1st and 4th years. Method: Qualitative research oriented by the Theory of Social Representations. We used a questionnaire with Free Association of Words. Data were analyzed in the Software IRaMuTeQ 0.6 alpha 3. Results: We applied the method of Descending Hierarchical Classifi cation and obtained four classes. Class 4 has the largest social representation (30.41%) within the corpus. The two organizational axes are nurse and disease/patient in the central core. On the periphery are the care and help related to the nurse and the treatment and prevention associated with the disease. Conclusion: Social representations focus on disease/patient and on the role of nurses in the treatment, prevention, and care. Health promotion and the social determinants of health are absent from the social representations of students.

Social representations about the Portuguese adolescent alcohol consumption

Alcohol is currently the most widely consumed psychoactive substance in the world and Portugal is the second country where such consumption is greater, registering a large increase in consumption by young people. Currently continue still, beliefs, myths and prejudices that because they are well rooted culturally serve as good reasons for drinking. This study sought therefore to identify the myths associated by adolescents to alcohol consumption. A questionnaire was developed for this purpose (74 items, α = 0.947) and applied to a sample of 1176 adolescents schooled between 14 and 18 years old, with a return rate of 42.6% (margin of error of 5% for a confidence level of 95%) in the district of Beja, Portugal, in 2012. The collected data were statistically analyzed using measures of association, factor analysis and linear regression. The results show that many myths are unknown among adolescents, verifying the presence of many questions, among which stands out: alcohol "warm", "thirst quenching", "gives strength", "facilitates digestion" "whet the appetite", "is a medicine", "is aphrodisiac", "facilitates social relations", among others. Age and sex are variables significantly affected the myths and objectives of alcohol consumption. These results clearly point to the need to be disassembled beliefs and wrong conceptions about the effects of alcohol consumption, particularly in the school environment, reducing the risk of the consequences and promoting adolescent health, preventing any future dependence on this psychoactive substance.

Social Representations of Violence against the Elderly

The repercussions of violence on the mental, social, and physical well-being of the elderly are some of the most challenging problems in public health today. Using a qualitative design, we conducted a study in Portugal and the United States that applied both descriptive and comparative methods in order to understand the social representations of violence against the elderly. Utilizing the Theory of Social Representations, we explored the perspectives of the elderly, their families, and healthcare professionals on the subject of violence against the elderly. The data on which the findings were based were obtained in two very different cultural contexts, yet the representations of violence against the elderly revealed no significant cross-cultural differences. However, conceptualizations regarding expectations of care and protection for the elderly proved to be distinct. We discussed concerns about the general attitudes of tolerance toward violence, including those of the elderly who self-identified as eventual victims. Violence against the elderly was portrayed as a part of old age and also somehow was justified by it. The results also indicated the need to better prepare healthcare professionals and society in general to deal with the consequences of the problem and not, as we would like to report, to prevent it from happening.

The Theory of Social Representations in Brazilian Health Researches: a Bibliometric Profile

The study aimed to characterizing the production of national articles on health, the time frame of the past 10 years, available in the database LILACS and MEDLINE Virtual Health Library that used the Theory of Social Representations in its searches, using as descriptors the words: social representations and health. It is a descriptive study, developed in the context of ibliometrics. Of the 158 units found, 122 were considered and analyzed after removal of those that did not include the stablished inclusion criteria: articles in Portuguese,available in full and that mentioned the expression "social representations", either in the title or abstract. The journal that most published researches about the Theory of Social Representations was Science & Public Health; being the largest number of articles published in 2011. The most frequent area of knowledge covering about the Theory of Social Representations was the Public Health, with the participant group most cited health professionals. Among the data collection instruments used, the semi-structured interview was the most frequent and the kind of qualitative analysis the content analysis was the most common. Noteworthy is the growing interest for the theory and the need for greater criteria in the preparation of abstracts, considering its importance in the spread of scientific production.

SOCIAL REPRESENTATIONS OF BASICS LIFE SUPPORT

Victims of cardiac arrest need immediate Basic Life Support, in order to preserve as much as possible, the flow of blood to the brain and heart and other vital organs, it is essential to gain time pending differentiated help, performing simple acts and practical (BLS) to save lives. Learn how to perform RPC is an interactive process that requires knowledge and skills, but at the same time an act of solidarity, social responsibility, civic consciousness, and a duty of citizenship. Because no one revives alone, it requires a coordinated work of a team, all citizens must join forces in a single goal: Save Lives, the massification of the BLS (RPC, 2014). We conducted an exploratory study that aimed to identify the social representations of basic life support in the general population. We used the technique of free association of words through a short questionnaire, we obtained a sample of 45 participants. The results show that participants were mostly female and 27 that fashion of age was in the age group 40 to 59 years. With regard to social representations, we find an organized structure follows the core: help, help to revive, and save is giving life, are in fact structural and consensual elements in basic life support. In more peripheral elements we find extremely important elements, which can be worked in a way so that the core is more efficient such as to act coordinately as a team in face of an accident, it can thus be successful in practice. The social representation of basic life support does not differ from that referred in the literature on the subject, but it is common knowledge that these skills can only be acquired if they are systematically trained, because they obey an algorithm that if it is not settled theoretical and instrumentally it is not effective in practice.

Social competence at the playground: Preschoolers during recess

Social interactions at the playground have been represented as a rich learning opportunity to hone and master social skills at pre- school years. Specifically, all forms of social play (fantasy, role, ex- ercise or rough-and-tumble) have been related to children’s social competence. The main goal of this study was to examine whether it is a certain kind of social play which facilitates the development of social competence, or if it is just the opportunity for interacting during recess that provides children with an optimal environment for social learning. A total of 73 preschoolers (4–6 years old) were videotaped at the school’s playground. Teachers provided assess- ments of children’s social competence. Children’s interactions at the playground were assessed through an innovative measuring method, based on radio-frequency identification devices. The results showed a positive association between exercise play and children’s social competence. In contrast with the literature, both forms of pretend play, fantasy and role play were unrelated to children’s social competence. Smaller peer groups and longer interactions also demonstrated a positive association with these preschoolers’ social competence. The study shows the importance of outdoor physical play for preschoolers’ social success. More- over, the study suggests that the environment in which children play has an important effect on the adaptive nature of their play.

Social competence at the playground: Preschoolers during recess

Social interactions at the playground have been represented as a rich learning opportunity to hone and master social skills at preschool years. Specifically, all forms of social play (fantasy, role, exercise or rough-and-tumble) have been related to children’s social competence. The main goal of this study was to examine whether it is a certain kind of social play which facilitates the development of social competence, or if it is just the opportunity for interacting during recess that provides children with an optimal environment for social learning. A total of 73 preschoolers (4–6 years old) were videotaped at the school’s playground. Teachers provided assessments of children’s social competence. Children’s interactions at the playground were assessed through an innovative measuring method, based on radio-frequency identification devices. The results showed a positive association between exercise play and children’s social competence. In contrast with the literature, both forms of pretend play, fantasy and role play were unrelated to children’s social competence. Smaller peer groups and longer interactions also demonstrated a positive association with these preschoolers’ social competence. The study shows the importance of outdoor physical play for preschoolers’ social success. Moreover, the study suggests that the environment in which children play has an important effect on the adaptive nature of their play.

Preschoolers’ free play - connections with emotional and social functioning

Play has an important role in various aspects of children’s development. However, time for free play has declined substantially over the last decades. To date, few studies have focused on the relationship between opportunities for free play and children’s social functioning. The aims of this study are to examine whether children ́s free play is related to their social functioning and whether this relationship is mediated by children ́s emotional functioning. Seventy-eight children (age, 55- 77 months) were tested on their theory of mind and emotion understanding. Parents reported on their children’s time for free play, empathic abilities, social competence and externalizing behaviors. The main findings showed that free play and children’s theory of mind are negatively related to externalizing behaviors. Empathy was strongly related to children’s social competence, but free play and social competence were not associated. Less time for free play is related to more disruptive behaviors in preschool children, however certain emotional functioning skills influence these behaviors independently of the time children have for free play. These outcomes suggest that free play might help to prevent the development of disruptive behaviors, but future studies should further examine the causality of this relationship.

Imagens das emoções na infância: Representações sociais da alegria e da tristeza entre crianças em idade pré-escolar

As crianças são muito sensíveis a qualquer mudança no meio familiar ou social. O modo como apreendem, vivenciam e exprimem emoções ou sentimentos, em interacção com o meio - pais, professores e colegas determina, em muito, o seu desenvolvimento, nomeadamente a nível cognitivo, emocional e social. Nesta investigação averiguámos as representações sociais dos sentimentos, em particular da alegria e da tristeza, entre crianças com 5 e 6 anos, de ambos os sexos, que frequentam Jardins de Infância em Lisboa. Enquadrámos teoricamente a investigação na teoria das Representações Sociais (e.g. Moscovici,1976). Os dados foram recolhidos através de desenhos e por associação livre de palavras, a questões colocadas individualmente às crianças, e tratados através de AFO. Os resultados revelaram bastante acerca dos sentimentos das crianças, o que também nos estimula a reflectir sobre o modo mais cuidado para actuar com elas, contribuindo para o seu bem-estar psíquico e social, e aprendizagem. ABSTRACT; Children are deeply sensitive to any change in the family or social environment. The way in which they perceive, experience, and express emotions or feelings when interacting with the environment - parents, teachers, and fellow students - largely determines their development namely on a cognitive, emotional and social level. This research examines the social representations of feelings, particularly of joy and sadness, among children aged 5 and 6 years old, of the both sexes, and attending Kindergartens in Lisbon. On a theoretical perspective, the empirical research is framed on the Social Representations theory (e.g., Moscovici,1976). The data was gathered using drawings and free association, from questions individually made to the children, and examined through FCA2. The results showed quite a lot about the feelings of the children, which also leads us to reflect on the most careful way to act with them, as to contribute to their psychic and social well being, as well as their learning

Sentimentos das crianças face aos professores

Este trabalho centra-se na análise dos sentimentos das crianças emergentes da relação aluno-professor. A investigação empírica enquadra-se na teoria das representações sociais, tendo como principal objectivo identificar os sentimentos mais comuns das crianças, em particular em relação aos seus professores, numa população de 120 sujeitos de ambos os sexos, com idades compreendidas entre os 8-11 anos de idade, alunos do 1.o e 2.o ciclos do Ensino Básico. Os dados foram recolhidos por associação livre de palavras e tratados através de AFC 1 Verificámos existir proximidade das representações das raparigas com as das crianças mais novas, salientando fortes sentimentos positivos, mostrando-se bastante motivadas e valorizando as relações interpessoais. Em comparação, as crianças de 10-11 anos e os rapazes, relevaram sobretudo dimensões tisicas, cognitivas e emocionais, associadas ao mal-estar e aborrecimento. Os resultados contribuem para compreender o universo cognitivo, emocional e relacional das crianças, na sua vivência quotidiana. ABSTRACT; This work is focused on the analysis of children's feelings emerging from the relation student-teacher. This empirical research lies within the scope of the theory of social representations, and its main objective is to identify the most common feelings in children, particularly towards their teachers, in a population of 120 subjects of both sexes, between the ages of 8 and 11, and attending the 1st and 2nd stages of Basic Education. The data was gathered using free word association, and examined through FAC2. We verified that the girls' representations were closer to the representations of younger children, and gave relevance to strong positive feelings, revealing a great motivation and validation of personal relations. By comparison, children aged 1O and 11, as well as boys, mainly gave relevance to physical, cognitive, and emotional dimensions, associated to uneasiness and boredom. The results contribute to the understanding of the cognitive, emotional, and relational universe of children in their daily lives.

O fim sob o olhar da inocência : Representações da morte na infância

A morte suscita-nos grande inquietação (e.g., Oliveira, 2008). Especialmente entre as crianças, perdidas na incompreensão, silêncio e repressão psicológica por parte dos adultos. Nesta investigação averiguamos as representações sociais, da morte e da vida, entre crianças dos 8 aos 11 anos, escolarizadas de ambos os sexos. As meninas representam a morte pelo medo que suscita, e pela sua dimensão ritualista, enquanto que os meninos a percecionam sobretudo por sentimento de mal-estar e impotência. Sobre a vida, os meninos evidenciam uma visão mais hedonista do que elas, que salientam a interação com o outro e as questões afetivo-emocionais. As representações das raparigas aproximam-se mais das dos sujeitos de 10-11 anos, enquanto que as dos rapazes se aproximam das dos participantes de 8-9 anos. Esperamos contribuir para o modo como as crianças representam a morte e, para uma educação para a morte e para a vida. ABSTRACT; Death rouses great uneasiness (e.g., Oliveira, 2008). Especially among children who are lost amid the incomprehension, silence and psychological repression of adults. This research examines social representations of life and death among school attending children of both sexes, between the ages of 8 and 11 years old. Girls represent death for both the fear it rouses and its ritualistic dimension, while boys mostly perceive it as a feeling of uneasiness and impotence. Regarding life, boys show a more hedonistic vision than girls, who give relevance to interacting with. others, and to affective and emotional issues. The representations of girls are closer to those of the 10-11-year-old subjects, while the representations of boys are closer to those of the 8-9-year-old participants. We hope to contribute to the way children represent death, and to an education on death and life.

Symposium: Violence in Adults and the elderly: to investigate and intervene

This symposium aims to address some studies on violence in adults, as well as address the job done in an intervention network in domestic violence and a project on the study of violence in the elderly, in Alentejo. Communications: - PREVALÊNCE OF VIOLENCE IN ADULTS- Zangão, Maria Otília; Serra, Isaura; Gemito, Maria Laurência; Pinheiro, Felícia Tavares; Magalhães, Dulce; Marques, Maria de Fátima - SOCIAL REPRESENTATION OF DOMESTIC VIOLENCE - Gemito, Maria Laurência; Pinheiro, Felícia Tavares; Zangão, Maria Otília; Serra, Isaura; Magalhães, Dulce; Marques, Maria de Fátima - DOMESTIV VIOLENCE IN THE PERSPECTIVE OF WOMEN WHO LIVE IT - Magalhães, Dulce; Marques, Maria de Fátima; Zangão, Maria Otília; Serra, Isaura; Gemito, Maria Laurência; Pinheiro, Felícia Tavares - INTEGRATED INTERVENTION NETWORK OF DISTRICT OF ÉVORA (RIIDE): A multidisciplinary response to violence - Gemito, Maria Laurência; Pinheiro, Felícia Tavares; Lopes, Manuel - ESACA - Ageing Safely in Alentejo – Understanding for Action - Mendes, Felismina; Gemito, Maria Laurência; Zangão, Maria Otilia; Chora, Maria Antónia; Pereira, Catarina Symposium goal(s): - To present studies on violence in Alentejo. - To discuss the importance of networks in the problem of violence. - To present Project underway on how to age with security in Alentejo. Symposium moderator(s): Maria Otília Brites Zangão Project affiliation:All three studies have resulted in an intervention project against domestic violence "Love me, love me not- Why does the violence exist and why does it not choose ages?" funded by POPH. ESACA Project - Aging Safely in Alentejo - Understanding to act, co-funded by: Alentejo 2020 Portugal 2020 and the European Union.

Adesão ao tratamento em pacientes com depressão major: A influência da percepção de doença, suporte social, espiritualidade e do estado emocional

Este estudo teve como finalidade investigar a relação entre alguns factores psicossociais e a adesão terapêutica, utilizando como variáveis preditoras, as representações de doença, a ansiedade e depressão as previsões de suporte social, e a espiritualidade e como variáveis de resultado, a adesão ao regime terapêutico, através da avaliação da adesão à medicação. Pretendeu-se testar quatro hipóteses: (1) Prevê-se que as representações de depressão nas suas dimensões da consequências, duração e controlo pessoal e de tratamento, identidade, preocupação, emoções e compreensão da doença sejam preditores significativos da adesão ao tratamento medicamentoso; (2) Prevê-se que os níveis de ansiedade e depressão dos doentes depressivos estarão significativa e negativamente correlacionados com os níveis de adesão ao tratamento medicamentoso; (3) Prevê-se que os níveis de suporte social percebido estarão significativa e positivamente correlacionados com os níveis de adesão ao tratamento medicamentoso e (4) Prevê-se que os níveis de espiritualidade se encontrem significativa e positivamente correlacionados com os níveis de adesão ao tratamento medicamentoso. Tratou-se de um estudo transversal, com desenho correlacionai e foi desenvolvido num Hospital da Região do Alentejo, mais especificamente, num Departamento de Psiquiatria a saúde Mental, com uma amostra não aleatória de 15 pacientes com o diagnóstico de Depressão. Os resultados confirmaram parcialmente a primeira hipótese, sendo as representações de doença, nas suas dimensões controlo pessoal, controlo do tratamento e emoções preditores significativos da adesão (mais especificamente das alterações das doses da medicação). A segunda hipótese também foi confirmada parcialmente, sendo a depressão preditora da adesão (tanto na dimensão do esquecimento, quanto na alteração das doses da medicação). A terceira hipótese foi, também, parcialmente confirmada sendo a aliança fiável preditora significativa da adesão (na dimensão do esquecimento da toma da medicação). Por último, a quarta hipótese foi igualmente confirmada parcialmente sendo a esperança/optimismo preditora significativa da adesão (tanto na dimensão do esquecimento, quanto na alteração das doses da medicação). Nas análises exploratórias verificou-se a influência da variável sócio­ demográfico “sexo” nas representações cognitivas e também na depressão. A "idade" também demonstrou algum efeito nas alterações à medicação e nas provisões sociais. O "estado civil" mostrou efeito no aconselhamento e na oportunidade de prestação de valores. As variáveis clínicas também mostraram ter influência. O "tempo de doença" mostrou efeito significativo nas representações emocionais, nas crenças, esperança/optimismo e no esquecimento da medicação. A "duração do tratamento com medicação" mostrou efeito na compreensão da doença e no esquecimento da medicação. Por fim, são apresentadas algumas implicações da depressão, bem como algumas sugestões para estudos futuros. /ABSTRACT: This study aimed to investigate the relationship between some psychosocial factors and the adherence, using as predictor variables, the representations of illness, the anxiety and depression, the social support predictions, and spirituality, and as outcome variables, adherence to treatment regimen, through the assessment of medication adherence. lt was intended to test four hypotheses: (1) lt is expected that the depression representations in its dimensions of consequences, duration and personal control and treatment, identity, concern, emotions and disease understanding are significant predictors of adherence to therapy; (2) lt is expected that anxiety and depression levels in depressed patients are significantly and negatively correlated with the levels of adherence to therapy; (3) lt is expected that the levels of perceived social support are significantly and positively correlated with the levels of adherence to drug treatment and (4) lt is expected that the levels of spirituality are significantly and positively correlated with levels of adherence to therapy. This was a cross-sectional study with correlational design and was developed in one Hospital of the Alentejo Region, more specifically, in a Department of Psychiatry and Mental Health, with a non¬random sample of 15 patients diagnosed with depression. The results partially confirmed the first hypothesis, being the representations of disease, in its dimensions of personal control, treatment control and emotions, significant predictors of adherence (more specifically, of the changes in the doses of medication). The second hypothesis was also partially confirmed, with depression being a predictor of adherence {both in the extent of oblivion and in the changes of medication doses). The third hypothesis was also partially confirmed, being the trustable alliance a quite significantly reliable predictor of adherence {in the dimension of the medication oblivion). Finally, the fourth hypothesis was equally partially confirmed, being the hope/optimism significant predictor of adherence (both in the extent of oblivion and in changing doses of medication). ln exploratory analyzes, it was verified the influence of socio-demographic variable "sex" in the cognitive representations and also in depression. The "age" also had some effect on changes to medication and social provisions. The "marital status" had effect in the counseling and in the opportunity to provide values. The clinical variables also proved to have influence. "Time sickness" had a significant effect on emotional representations, beliefs, hope/optimism and medication oblivion. The "treatment duration with medication" had effect in the disease understanding and the medication oblivion. Finally, are presented some implications of depression as well as some suggestions for future studies.

Social competence and emotional comprehension: How are they related in children?

The developmental progression of emotional competence in childhood provides a robust evidence for its relation to social competence and important adjustment outcomes. This study aimed to analyze how this association is established in middle childhood. For this purpose, we tested 182 Portuguese children aged between 8 and 11 years, of 3rd and 4th grades, in public schools. Firstly, for assessing social competence we used an instrument directed to children using critical social situations within the relationships with peers in the school context - Socially in Action-Peers (SAp) (Rocha, Candeias & Lopes da Silva, 2012); children were assessed by three sources: themselves, their peers and their teacher. Secondly, we assessed children’s emotional understanding, individually, with the Test of Emotion Comprehension (Pons & Harris, 2002; Pons, Harris & Rosnay, 2004). Relations between social competence levels (in a composite score and using self, peers and teachers’ scores) and emotional comprehension components (comprehension of the recognition of emotions, based on facial expressions; external emotional causes; contribute of desire to emotion; emotions based on belief; memory influence under emotional state evaluation; possibility of emotional regulation; possibility of hiding an emotional state; having mixed emotions; contribution of morality to emotion experience) were investigated by means of two SSA (Similarity Structure Analysis) - a Multidimensional Scaling procedure and the external variable as points technique. In the first structural analysis (SSA) we will consider self, peers and teachers’ scores on Social Competence as content variables and TEC as external variable; in the second SSA we will consider TEC components as content variables and Social Competence in their different levels as external variable. The implications of these MDS procedures in order to better understand how social competence and emotional comprehension are related in children is discussed, as well as the repercussions of these findings for social competence and emotional understanding assessment and intervention in childhood is examined.