Parent sensitive support by paediatric nurses

Introduction The hospitalization of a child causes big changes in child and his family life. Parents often suffer from stress and anxiety. This can affect their relationship with the child. Because of the closeness to the parents, nurses have an important role in giving parents support so they can have more energy to support and take care of their children and in the inclusion of the family in the process of care Objectives: To define what family-centered care is, the needs of hospitalized children's parents and to identify the strategies and methods that the nurses use to give parental support adapted to the parent's needs and to identify the differences between parental support given by nurses in Belgium and Portugal. Methods and procedures The study exists out of two parts. First is an integrative review of literature. The search was performed using the databases MEDLINE, CINAHL , PubMed and Science Direct. 18 Articles were selected based on inclusion criteria. Second part is a focus group. The participants were pediatric nurses from Portugal and Belgium. Results family-centered care can be considered as a partnership between family and nurses. It has some general principles: information sharing, respect differences, negotiation and care in the context of the family. Parents have different needs: knowledge and communication, support, comfort, proximity and assurance. Parents cope with stress in different ways and nurses can support them while they are in the hospital. It is a nurse task to identify the stressors and know methods of emotional support, so she can protect the family structure. Nurses should always see the family as a path to the child, with whom the nurses should worry about taking care and meeting their needs. Conclusion Nurses should collect information which includes family relationships, cultural and religious habits and familiar dynamic. Parents need interpersonal emotional support. It is important for parents to be close to their children and take care of themselves. Nurses must create an environment where parents feel safe and have privacy. To create a therapeutic and professional relationship efficient communication is needed. Parents will experience less stress and anxiety.

Non perennial Mediterranean Rivers in Europe: Status, pressurs, and challanges for research and management

Non-perennial rivers and streams (NPRS) cover >50% of the global river network. They are particularly predominant in Mediterranean Europe as a result of dry climate conditions, climate change and land use development. Historically, both scientists and policy makers underestimated the importance of NRPS for nature and humans alike, mainly because they have been considered as systems of low ecological and economic value. During the past decades, diminishing water resources have increased the spatial and temporal extent of artificial NPRS as well as their exposure to multiple stressors, which threatening their ecological integrity, biodiversity and ecosystem services. In this paper, we provide a comprehensive overview of the structural and functional characteristics of NPRS in the European Mediterranean, and discuss gaps and problems in their management, concerning their typology, ecological assessment, legislative and policy protection, and incorporation in River Basin Management Plans. Because NPRS comprise highly unstable ecosystems, with strong and often unpredictable temporal and spatial variability - at least as far as it is possible to assess - we outline the future research needs required to better understand, manage and conserve them as highly valuable and sensitive ecosystems. Efficient collaborative activities among multidisciplinary research groups aiming to create innovative knowledge, water managers and policy makers are urgently needed in order to establish an appropriate methodological and legislative background. The incorporation of NPRS in EU-Med River Basin Management Plans in combination with the application of ecological flows is a first step towards enhancing NPRS management and conservation in order to effectively safeguard these highly valuable albeit threatened ecosystems

Macroinvertebrados aquáticos como bioindicadores no processo de licenciamento ambiental no Brasil

Resumo: Licenciamento ambiental no Brasil é um procedimento com vários níveis e etapas, concebido como ferramenta preventiva aos potenciais danos ambientais causados pela implantação de empreendimentos. Embora este procedimento seja obrigatório desde meados da década de 1980, ainda é limitado no que diz respeito ao uso de informações biológicas para a avaliação e o monitoramento de ambientes aquáticos. Neste processo, o órgão licenciador (federal, estadual ou municipal) define as variáveis a serem medidas, tendo como referência o tipo e a magnitude do empreendimento e as características específicas do local proposto para sua instalação. Respostas biológicas devem ser usadas para medir os impactos sobre ecossistemas aquáticos e os macroinvertebrados constituem um grupo que apresenta vantagens como bioindicadores, sendo os mais utilizados para este fim. Em 2011, o Grupo de Trabalho Intersetorial em Biomonitoramento foi criado para discutir o uso de macroinvertebrados em programas de monitoramento. Este trabalho apresenta as reflexões e propostas deste grupo e fornece subsídios para a inclusão destes organismos nos termos de referência a serem aplicados nos processos de licenciamento ambiental no Brasil. Abstract: In Brazil, the environmental licensing process has many stages, and it was designed as a tool to identify the potential and to prevent environmental damages caused by enterprises. Although this procedure is required since the mid-1980s, it is still limited regarding the use of bioassessment and biomonitoring of aquatic ecosystems. In this process, the agency responsible for the licensing (federal, state or local) is the responsible for defining the parameters to be measured. Those parameters are required based on the type and magnitude of the project, and the specific environment and location proposed for its installation. We recommend that biological responses should be used to assess and monitor stressors on aquatic ecosystems. Macroinvertebrates have been used worldwide as bioindicators because they have some advantages over other biological groups for this purpose. In 2011, the ?Intersectoral Working Group on Biomonitoring? was created to discuss the use of macroinvertebrates in biomonitoring programs. This paper presents proposals and recommendations aiming to stimulate and provide guidance for the use of this group in the context of the environmental licensing process in Brazil. Resumen: En Brasil, el proceso de licenciamiento ambiental tiene varios niveles y etapas. Fue diseñado como una herramienta de prevención de posibles daños ambientales causados por la ejecución de proyectos. Aunque este procedimiento exista desde la década de 1980, siegue con limitaciones en relación al uso de la información biológica para la evaluación y control de los ecosistemas acuáticos. En este proceso, la agencia de licenciamiento (federal, estadual o local) es la que define las variables a mensurar en función del tipo y la magnitud del proyecto y las características específicas del lugar propuesto para su instalación. Las respuestas biológicas deben ser utilizadas para evaluar los impactos a los ambientes acuáticos, y el grupo de los macroinvertebrados tienen ventajas sobre otros grupos biológicos y son los más utilizados para este fin. En 2011, el ?Grupo de Trabajo Intersectorial de Biomonitoreo? fue creado para discutir el uso de los macro-invertebrados en los programas de monitoreo ambiental. Este artículo presenta reflexiones y propuestas de este grupo y ofrece subsidios para la inclusión de estos organismos en los términos de referencia que serán aplicados en el proceso de licenciamiento ambiental en Brasil.