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Fundamentals of Care in a 1997 Azorean Disaster: A Multiple-Case Study

2026-03-05Artigo científico Acesso aberto
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datacite.subject.fosCiências Médicas::Ciências da Saúde
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorPires, Eunice Gatinho
dc.contributor.authorBaixinho, Cristina Lavareda
dc.contributor.authorHenriques, Adriana
dc.contributor.authorCosta, Andreia
dc.date.accessioned2026-09-09T14:05:45Z
dc.date.available2026-09-09T14:05:45Z
dc.date.issued2026-03-05
dc.descriptionThis article belongs to the Special Issue Caring in Emergency Settings: Nursing, Professional Practices, and Shared Experiences.
dc.descriptionArticle nr. 89
dc.descriptionGuidelines and Standards Statement: This manuscript was drafted following the Standards for Reporting Qualitative Research (SRQR) for qualitative research.
dc.descriptionUse of Artificial Intelligence: AI or AI-assisted tools were not used in drafting any aspect of this manuscript.
dc.description.abstractBackground/Objectives: Disasters have a substantial impact on health systems and populations worldwide, with increasing frequency, mortality, and economic losses associated with natural hazards. The United Nations emphasises that disasters result from the interaction between hazards, exposure, and vulnerability, requiring integrated, people-centred health responses aligned with the 2030 Agenda. However, empirical evidence describing specific nursing interventions, particularly during response and recovery phases, is limited. This study aims to analyse the fundamental nursing care interventions provided to disaster victims in the Autonomous Region of Azores, Portugal. Methods: A qualitative multiple case study was conducted using documentary analysis of the nursing records from two disaster survivors with different clinical trajectories. Data were collected between August 2023 and May 2024 through complete transcription of nursing documentation contained in the clinical files. Data analysis followed Yin’s case study methodology and was theoretically supported by the Fundamentals of Care Framework. Results: The findings indicated a predominance of interventions addressing physiological needs during the acute phase, which progressively evolved to maintenance, psychosocial support, and adaptation needs during prolonged hospitalizations. Nursing care integrates advanced technical skills with relational and person-centred interventions, including emotional support, therapeutic communication, and promotion of patient autonomy. Conclusions: Nursing practice in disaster situations should be conceptualised as integrative, person-centred care grounded in international nursing frameworks. Strengthening disaster-specific nursing education, developing phase-adapted care protocols, and promoting multicentre longitudinal research appear to play a critical role for advancing nursing care models and informing health policies in disaster-prone regions.eng
dc.identifier.citationPires, E.G.; Baixinho, C.L.; Henriques, A.; Costa, A. Fundamentals of Care in a 1997 Azorean Disaster: A Multiple-Case Study. Nurs. Rep. 2026, 16, 89. https://doi.org/10.3390/nursrep16030089
dc.identifier.doi10.3390/nursrep16030089
dc.identifier.eissn2039-4403
dc.identifier.urihttp://hdl.handle.net/10400.8/16833
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relation.hasversionhttps://www.mdpi.com/2039-4403/16/3/89
dc.relation.ispartofNursing Reports
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectDisaster nursing
dc.subjectPatient-centred care
dc.subjectFundamental care
dc.subjectCase reports
dc.subjectQualitative research
dc.titleFundamentals of Care in a 1997 Azorean Disaster: A Multiple-Case Studyeng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage19
oaire.citation.issue3
oaire.citation.startPage1
oaire.citation.titleNursing Reports
oaire.citation.volume16
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameLavareda Baixinho
person.givenNameCristina
person.identifier57203119057
person.identifier.ciencia-idBF1A-C950-8BEE
person.identifier.orcid0000-0001-7417-1732
relation.isAuthorOfPublicationb0ae74ed-abba-4718-88f8-9e5c8c8031b0
relation.isAuthorOfPublication.latestForDiscoveryb0ae74ed-abba-4718-88f8-9e5c8c8031b0

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