RESUMO Inúmeros trabalhos e pesquisas clínicas realizados em diversas instituições trouxeram à luz a noção de trauma e contribuíram para o surgimento do conceito de trauma relacional precoce. O trauma relacional precoce é uma forma de trauma complexo pela multiplicidade de suas fontes e seus modos de expressão. Suas principais características são frequentemente distúrbios de apego e atuação. Nas famílias onde ocorre tal trauma que às vezes pode ser pervertido em configurações narcísicas, esse modo de funcionamento organizado em torno da negatividade impacta a pluralidade do psíquico e interfere nas abordagens de tratamento das equipes multidisciplinares. Para promover uma abordagem multifocal de cuidados adaptados às diferenças de situações, profissionais de educação e sócio judiciais. expressão atuação narcísicas multidisciplinares situações judiciais

ABSTRACT Numerous works and clinical research conducted in various institutions have cast fresh light on the notion of trauma and have contributed to the emergence of the concept of early relational trauma. Early relational trauma is a form of trauma rendered complex by the multiplicity of its sources and its modes of expression. Its main features are often attachment and acting-out disturbances. In families where such trauma occurs, links could sometimes be perverted and form a narcissistic configuration. This mode of functioning, organized around negativity, impacts the plurality of psychic processes and interferes with the treatment approaches of multidisciplinary teams. In order to promote a multifocal approach to care tailored to differences in situations, educational and socio-judicial practitioners. expression actingout acting out disturbances occurs configuration functioning negativity teams situations sociojudicial socio judicial practitioners

Abstract Chronic heel pain is a challenging diagnosis and although it is a common and disabling condition frequently mistreated. Baxter Nerve (BN) entrapment is responsible for 20% of heel pain and can be managed by an ultrasound guide nerve block, a simple, safe, and durable technique. A 67-year-old woman complained of paraesthesia on the left heel and a “stepping on glass” feeling. Various techniques were performed to manage her symptoms without any results. An ultrasound BN block was finally performed with an instant relief and satisfactory pain control for the follow-up period of six months. This clinical report highlights the success of the ultrasound BN block as an effective and lasting solution for chronic heel pain.

Resumo Objetivo: Com base na relevância da inteligência emocional (IE) para prever o desempenho individual no trabalho, este estudo examina as ligações entre as facetas da IE (traço), a confiança nos colegas e o desempenho de tarefa em um trabalho de engenharia de software. Referencial teórico: Especificamente, este trabalho se baseia no modelo de cascata de Joseph e Newman para levantar hipóteses sobre o impacto sequencial das facetas de IE (traço) no desempenho de tarefa. Ele também testa empiricamente o efeito mediador da confiança nos colegas no vínculo entre a regulação emocional e esta variável critério. Metodologia: Ele segue um desenho de investigação preditivo com duas fases de coleta de dados. Na primeira fase, as facetas da IE e a confiança nos colegas foram respondidas pelos participantes. A segunda fase foi implementada seis meses depois para coletar as avaliações do desempenho de tarefa dos funcionários facultadas pelos supervisores diretos. Foi obtida uma amostra final de 102 funcionários que pertencem a uma única função de engenharia de software. Resultados: Os resultados das análises de equações estruturais deram suporte ao efeito sequencial esperado entre as facetas da IE em estudo (i.e., das facetas da avaliação das emoções dos outros e da avaliação das próprias emoções na faceta de regulação emocional). Estes também demonstraram que o efeito da regulação emocional no desempenho de tarefa é inteiramente indireto por meio da variável de confiança nos colegas de trabalho. Implicações práticas e sociais da pesquisa: Os gestores devem constituir e desenvolver uma força de trabalho com indivíduos com alta IE (traço), porque estes serão mais capazes de atingir níveis melhores de desempenho de tarefa, por meio do desenvolvimento de confiança em relação a seus colegas. Contribuições: De acordo com o nosso conhecimento, este é o primeiro estudo que dá enfoque na interação entre as facetas da IE (traço) e a confiança nos colegas na determinação do desempenho de tarefa no trabalho.

Abstract Purpose: Building upon the relevance of emotional intelligence (EI) in predicting individual performance at work, this research paper examines the links between trait EI facets, co-worker trust, and task performance in a software engineering job. Theoretical framework: Specifically, it draws upon the Joseph and Newman cascading model to hypothesize that trait EI facets impact on task performance in a sequential way. It also empirically tests the mediating effect of co-worker trust on the link between emotion regulation and task performance. Design/methodology/approach: This study follows a predictive design with two data collection phases. In the first phase EI facets and co-worker trust were self-rated by the participants. The second phase was implemented after six months to collect the employees’ task performance ratings from direct supervisors. A final sample was obtained of 102 employees, all of whom were project software engineers. Findings: The results from structural equation modelling provided support for the expected sequential effect between the EI facets under study (from appraisal of others’ and one’s own emotions to emotion regulation). They further showed that the effect of emotion regulation on task performance is fully indirect and occurs via co-worker trust. Research Practical & Social implications: Managers should build and develop a workforce of individuals with high trait EI, since they are more able to achieve stronger levels of task performance by developing feelings of trust towards their co-workers. Originality/value: To the best of our knowledge, this is the first study to focus on the interplay between trait EI facets and co-worker trust in determining task performance at work.

Resumen El presente artículo busca describir el proceso de construcción y estudio de las cualidades psicométricas de la Escala de Satisfacción con el Grupo de Trabajo (ESAGT). En el primer estudio (n = 321 miembros/77 equipos) procuró evaluarse la estructura interna de la ESAGT por medio de un Análisis Factorial Exploratorio. Los resultados revelaron una estructura unidimensional que fue confirmada por la conducción de un Análisis Factorial Confirmatorio con una segunda muestra (n = 403 miembros/73 equipos). En el tercer estudio procuró evaluarse la validez nomológica de la ESAGT (n = 471 miembros/75 equipos), habiendo revelado los resultados la presencia de correlaciones negativas con el conflicto intergrupal y con las emociones negativas y de una correlación positiva con las emociones positivas. La consistencia interna de la ESAGT, evaluada en los tres estudios, presentó valores adecuados.

Abstract This paper aims to describe the process of construction and study of the psychometric qualities of the Group Satisfaction Scale (ESAGT). In a first study (n = 321 members/77 teams) the internal structure of ESAGT was studied through Exploratory Factor Analysis. The results revealed a one-dimensional structure, which was confirmed by conducting a Confirmatory Factor Analysis on a second sample (n = 403 members/73 teams). In a third study, the nomological validity of ESAGT was evaluated (n = 471 members/75 teams), and the results revealed the presence of negative correlation with intragroup conflict and negative emotions and a positive correlation with positive emotions. The reliability of ESAGT was evaluated and provided specific values in the three studies.

Resumo O presente artigo visa descrever o processo de construção e estudo das qualidades psicométricas da Escala de Satisfação com o Grupo de Trabalho (ESAGT). No primeiro estudo (n = 321 membros/77 equipas), procurou avaliar-se a estrutura interna da ESAGT através de uma Análise Fatorial Exploratória. Os resultados revelaram uma estrutura unidimensional que foi confirmada pela condução de uma Análise Fatorial Confirmatoria com uma segunda amostra (n = 403 membros/73 equipas). No terceiro estudo procurou avaliar-se a validade nomológica da ESAGT (n = 471 membros/75 equipas), tendo os resultados revelado a presença de correlações negativas com o conflito intragrupal e com as emoções negativas e de uma correlação positiva com as emoções positivas. A consistência interna da ESAGT, avaliada nos três estudos, apresentou valores adequados.

Resumo O objetivo deste estudo foi analisar o papel mediador dos comportamentos de suporte na relação entre a liderança transformacional e quatro critérios da eficácia da equipe (designadamente, o desempenho, a viabilidade, a qualidade da experiência grupal e os processos de melhoria). Conduziu-se um estudo empírico com uma amostra composta por 653 participantes de 117 equipes de diferentes setores de atividade (e.g., indústria, proteção civil, consultoria), onde foram testadas as relações previstas. Os resultados mostraram um efeito direto positivo da liderança transformacional nos comportamentos de suporte, assim como dos comportamentos de suporte na eficácia da equipe (nomeadamente, no desempenho, na viabilidade, na qualidade da experiência grupal e nos processos de melhoria). Além disso, foi igualmente identificado um efeito mediador dos comportamentos de suporte na relação entre a liderança transformacional e os quatro critérios da eficácia da equipe. Implicações para a investigação, para a prática profissional e pistas para futuras pesquisas foram apresentadas.

Abstract The aim of the present study was to analyse the mediator role of supportive behaviours in the relationship between transformational leadership and four team effectiveness criteria: performance, viability, quality of group experience, and improvement processes. An empirical study was conducted with a sample of 653 participants from 117 teams from different professional practice sectors (e.g., industry, civil protection, and consultancy), in which these relationships were tested. The results showed a positive direct effect of transformational leadership on supportive behaviours and on team effectiveness (including performance, viability, quality of the group experience, and improvement process). Furthermore, the present study also identified the mediator effect of supportive behaviours on the relationship between transformational leadership and the four team effectiveness criteria considered. Implications for research and professional practice were discussed, and suggestions for further studies were offered.

ABSTRACT This paper investigates the effects of transformational leadership on team effectiveness. In particular, we studied the effects of transformational leadership on three criteria of team effectiveness: viability, team process improvement, and quality of group experience. In addition, we examined the indirect effect of transformational leadership on team effectiveness via affective team commitment. Ninety teams working in different organizational contexts in Portugal were surveyed. Two different questionnaires were administrated, respectively, to team members and team leaders. Team members (N = 445) were surveyed about leadership, team commitment, and quality of the group experience, whereas team leaders (N = 90) were asked to assess team viability and team process improvement. Hypotheses were tested through structural equation modelling. Results revealed that affective team commitment partially mediates the relationship between transformational leadership and quality of the group experience. The mediational role of affective team commitment between transformational leadership and both team viability and team process improvement was not supported. Implications for practice and suggestions for further research are provided.

RESUMEN El objetivo de esta investigación fue contribuir a aclarar los efectos del liderazgo transformacional en la eficacia de los equipos. Hemos estudiado los efectos directos e indirectos del liderazgo transformacional en tres criterios de eficacia del equipo: la viabilidad, la mejora del proceso en equipo y la calidad de la experiencia grupal. Además, analizamos el efecto indirecto del liderazgo transformacional en la eficacia grupal a través del compromiso afectivo con el equipo. Se encuestó a 90 equipos que trabajaban en diferentes contextos organizacionales en Portugal. Se administraron dos cuestionarios diferentes respectivamente a los miembros del equipo y a los líderes. Los miembros del equipo (N = 445) fueron encuestados sobre el liderazgo, el compromiso con el equipo y la calidad de la experiencia grupal, mientras que a los líderes (N = 90) se les pidió que evaluasen la viabilidad del equipo y la mejora del proceso en equipo. Las hipótesis se examinaron mediante modelos de ecuaciones estructurales. Los resultados revelaron que el compromiso afectivo con el equipo media parcialmente la relación entre el liderazgo transformacional y la calidad de la experiencia grupal. El rol de mediación del compromiso afectivo del equipo entre el liderazgo transformacional, la viabilidad de éste y la mejora del proceso en equipo, no ha sido sustentado empíricamente. Además, presentamos implicaciones para la práctica y sugerencias para futuras investigaciones.

Abstract The aim of this study is to adapt and consequently validate the Global Transformational Leadership measuring scale (GTL). The scale was therefore applied to a sample of 456 members of 70 work groups, belonging to 26 organizations. The factorial structure of the scale was analysed through the exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), with the sample being split in two equal parts: EFA was conducted in both sub-samples and CFA was applied in the second sub-sample. The internal consistency was evaluated via Cronbach's alpha and the nomological validity was analysed via the evaluation of the GTL's correlations with both team-level autonomy and quality of group experience. The results revealed the presence of a unidimensional scale with a good level of internal consistency. Regarding the nomological validity, the results pointed to hypothetical relations, since the GTL showed positive correlations with the variables considered. Thus, the Portuguese version of the GTL is presented as a useful instrument for evaluating transformational leadership.

Resumen El objetivo de este estudio fue adaptar y, consecuentemente, validar al portugués la escala Global Transformational Leadership (GTL). La escala se aplicó a una muestra de 456 miembros de 70 grupos de trabajo, pertenecientes a 26 organizaciones. La estructura factorial fue analizada mediante el análisis factorial exploratorio (AFE) y el análisis factorial confirmatorio (AFC), después de dividir la muestra en dos partes iguales: la AFE se aplicó en las dos muestras y la CFA en la segunda muestra. La consistencia interna se evaluó mediante el alfa de Cronbach y la validez nomológica se analizó mediante las correlaciones de GTL con la autonomía del grupo y la calidad de la experiencia del grupo. Los resultados revelaron la presencia de una escala unidimensional com un buen nivel de consistencia interna. Los datos sobre la validez nomológica confirmaron las relaciones previstas, habiendo presentado la GTL correlaciones positivas con las variables consideradas. La version portuguesa de la GTL se presenta como una herramienta útil para evaluar el liderazgo transformacional.

Introduction: The "see and treat" approach is an immediate diagnosis and treatment of cervical intraepithelial neoplasia (CIN) using loop electrosurgical excision procedure (LEEP). However, this approach has some degree of overtreatment rate, which is defined as a negative LEEP histology. This study was undertaken to evaluate the overtreatment rate of the "see and treat" approach in women with high-grade squamous intraepithelial lesion (HSIL) citology, in a tertiary care university hospital. Methods: A total of 44 women with HSIL on cervical citology undergoing colposcopy followed by LEEP, between January 2010 and March 2012, were analyzed in a tertiary center. The statistical analysis was carried out using SPSS computer software version 21. Chi-square test was used to determine the impact of age, menopausal status and colposcopic findings in the overtreatment rate. Results: During the study period, 44 women were analyzed. The mean age was 43 years. A total of 31,8% (n=14) women were postmenopausal. About 50% (n=22) had unsatisfactory colposcopic evaluation. The other 22 colposcopies revealed 18 cases of high grade lesions (81,8%). The LEEP histopathological results were as follows: CIN 2 (34,1%;n=15), CIN 3 (29,5%;n=13), invasive cervical carcinoma (2,3%;n=1), adenocarcinoma in situ (2,3%;n=1), CIN 1 (18,2%;n=8), no CIN (11,3%;n=5) and inconclusive (2,3%;n=1). These findings indicate that a total of 68,2% women with HSIL had high-grade lesions in histology. The overtreatment rate was 13,6%. Conclusions: In our institution, the "see and treat" approach has an overtreatment rate (13,6%) slightly higher than the reported in the literature. Age, menopausal status and colposcopic findings had no statistically significant impact on the overtreatment rate. Regarding the cyto-histologic correlation in this study, it was recorded a total of 68.2 % of high-grade lesions (histologically proven) in cytology HSIL. Due to low rate of complications, the "see and treat" procedure seems to be a safe procedure.

Ovarian cancer is the most lethal gynaecological malignancy. There is limited knowledge regarding this cancer and we are witnessing a paradigm shift, in which the Fallopian tube is considered the primary site of most high-grade serous carcinoma (HGSC). The aim of this article is to review the current body of knowledge of the origin and pathogenesis of ovarian cancer and the clinical implications of the new model of carcinogenesis. During more than 30 years, the prevailing view on the origin of HGSC was that it derived from the ovary, since the ovarian surface epithelium is exposed to inflammation and oxidative stress induced by ovulation. The incessant ovulation hypothesis was proposed by Fathalla in 1971. At the beginning of this century, many studies were published demonstrating the presence of invasive and non-invasive carcinoma in the fallopian tubes of prophylactic salpingo-oophorectomies performed in carriers of BRCA mutation, which led some authors to suggest the fallopian tube as the origin of these tumors. This theory was published in 2007, by Kindelberger, who described the precursor lesion - serous tubal intraepithelial carcinoma (STIC). The advances in cellular and molecular biology and in genetics added support for this new concept, indicating that the HGSC develops from an occult intraephitelial carcinoma in the fimbria of the fallopian tube and involves the ovary secondarily. Observational epidemiologic evidence strongly supports that tubal ligation and hysterectomy are associated with a decrease in the risk of ovarian cancer, by approximately 26-34%. The additional bilateral salpingectomy to hysterectomy does not affect ovarian function, and has no significant differences in rate of complications and operative time. Considering the new insights into the origin of HGSC, in which the majority is of tubal origin, there is a significant preventive potential by performing prophylactic salpingectomy.

Asymmetrasca decedens, uma cigarrinha polífaga, largamente distribuída na região mediterrânica é aqui referenciada como um novo registo para Portugal continental. Importantes infestações desta espécie foram encontradas associadas a pomares de pessegueiro, damasqueiro e ameixeira e a amieiros (Alnus glutinosa), a sul da Serra da Gardunha, na região da Beira Interior. Foram observados os sintomas característicos, constituídos por folhas amareladas e enroladas nos bordos, viradas para baixo, antes de secarem e caírem. Quer os adultos quer as ninfas causam danos diretos nas plantas tendo a espécie também capacidade para ser vetora de fitoplasmas, entre os quais o European Stone Fruit Yellows (16RX-B). Neste artigo são apresentadas as características morfológicas externas de A. decedens, imagens da genitália masculina e uma descrição sucinta das lesões nas folhas de pessegueiro, de modo a permitir a sua identificação, na medida em que a espécie tem um elevado potencial de dispersão e de constituir populações com comportamento de praga. A. decedens apresenta uma significativa resistência aos inseticidas convencionais, o que pode dificultar o combate, tendo um vasto leque de hospedeiros entre culturas economicamente importantes, como fruteiras e plantas ornamentais.

Asymmetrasca decedens, a polyphagous leafhopper widely distributed in Mediterranean region, is here reported as a new record to mainland Portugal. Heavy infestations of this species have been found associated with peach, apricot and plum orchards, as well as on Alnus glutinosa, in southern of Serra da Gardunha (Beira Interior Region). Typical symptoms, the so-called ‘hopperburn', with leaves turning yellow and curling their edges downwards before drying-out and shedding, were spotted. Both adults and immature forms cause direct injury and the species also has the ability to be a vector of European Stone Fruit Yellows (16RX-B), among other phytoplasmas. External morphological characteristics of A. decedens, illustration of the male genitalia and a brief description of leaf lesions on peach are presented, in order to enable its identification, since it has a great potential for spreading as a pest. Not only A. decedens reveals a significant resistance to conventional insecticides, which may hinder its control, but also it has a vast host range of economically important plants, like ornamental or fruit trees.

The purpose of this study was to contribute to the clarification of the conditions under which teams can be successful. To attain this goal, the direct and interactive effects of diversity and of the team's cultural orientation towards learning on team outcomes (team performance, team members' satisfaction) were analyzed. Data were obtained from a survey among 73 teams from different industrial and service companies, which perform complex and non-routine tasks. In order to test the hypotheses, multilevel analysis and hierarchical regression analysis were conducted. The results show a significant (although marginal) effect of diversity on members' satisfaction with the team. The team orientation towards learning presented positive effects on both team performance and members' satisfaction with the team. No interactive effects were identified. Although the positive impact of a learning culture on organizational effectiveness has already been studied and is well established in the literature, this is one of the first studies that provides empirical evidence of the impact of this kind of culture at the team level. At an intervention level, this study points to managers who want to create successful teams that they may be advised to enhance the levels of the team orientation towards learning, creating conditions in the team to promote and support the acquisition of knowledge.

El objetivo de este estudio ha sido contribuir a aclarar las condiciones que hacen que los equipos sean eficaces. A tal fin se analizaron los efectos interactivos directos e indirectos de la diversidad y de la orientación cultural del equipo sobre el desempeño del mismo (rendimiento, satisfacción de sus miembros). Se obtuvieron datos de una encuesta aplicada a 73 equipos de diferentes empresas industriales y de servicios que llevan a cabo tareas complejas y no rutinarias. Para la puesta a prueba de las hipótesis se llevó a cabo un análisis multinivel y regresión jerárquica. Los resultados señalan un efecto significativo (aunque marginal) de la diversidad en la satisfacción de los miembros en el equipo. La orientación de éste hacia el aprendizaje tenía efectos positivos tanto para el desempeño del equipo como para la satisfacción de los miembros con el equipo. No se observaron efectos interactivos. A pesar de que ya se haya estudiado la repercusión positiva de una cultura de aprendizaje en la eficacia de la organización y que esté bien consolidada en las publicaciones, este estudio es uno de los primeros en aportar pruebas empíricas de las consecuencias de este tipo de cultura al nivel de equipo. Al nivel de intervención, el estudio señala que puede aconsejarse a los directivos que deseen crear equipos eficaces que mejoren el nivel de orientación del equipo hacia el aprendizaje, sentando las condiciones en el equipo que favorezcan y respalden la adquisición de conocimientos.

In the contemporary context of high competitiveness between organizations, organizational learning culture and knowledge management (KM) have been considered key concepts in both academic and managerial settings. This study aims to provide empirical support for the relationship between organizational learning culture and knowledge management, specifically concerning the prediction of learning culture on KM processes. Data collection was carried out through questionnaires in 50 Portuguese manufacturing firms. Data was analyzed at the organizational level using standard multiple regressions. The results showed a significant and positive relationship between learning culture and KM practices. Concerning the two dimensions of learning culture, internal integration was the main predictor for KM formal practices, KM informal practices and strategic management of knowledge, whereas the external adaptation dimension was shown to predict only the strategic management of knowledge. The present study contributes to theoretical and empirical findings concerning the relationship between learning culture and knowledge management processes.

En el contexto actual de alta competencia entre organizaciones, la cultura de aprendizaje organizacional y la gestión del conocimiento (GC) se consideran clave tanto en entornos académicos como directivos. Este estudio pretende proporcionar apoyo empírico para la relación entre la cultura de aprendizaje organizacional y la gestión del conocimiento, y más concretamente sobre el grado en que la cultura de aprendizaje es capaz de predecir los procesos de GC. La recogida de datos se realizó mediante cuestionarios en 50 empresas portuguesas de producción. Los datos fueron analizados al nivel organizacional usando regresiones múltiples. Los resultados mostraron una relación positiva y significativa entre la cultura de aprendizaje y las prácticas de GC. Con respecto a las dos dimensiones de la cultura de aprendizaje, la integración interna fue el principal predictor de las prácticas formales de GC, de las prácticas informales de GC y de la gestión estratégica del conocimiento, mientras que la adaptación externa fue capaz de predecir sólo la gestión estratégica del conocimiento. El presente estudio contribuye a hallazgos teóricos y empíricos relativos a la relación entre la cultura de aprendizaje y los procesos de gestión del conocimiento.

Dependence in adolescence: the vacuum by the excess. The link is perceived at the same time as a condition and a variable of the psychic, but also the question which returns to the absence and to the separation. However, for certain teenagers if the central question of the link is exactly the possibility to symbolize an absence, we can imagine that the construction of a link will always be complex and established by several aspects. With Daphnée, 17 years, consumer of cannabis, we are going to question the function para-exciting of the cannabis so that the links intra-psychics and symbolic can be protected.

Le lien est perçu à la fois comme une condition et une variable de la formation psychique individuelle. Mais aussi la question qui renvoi à l'absence et à la séparation. Toutefois, pour certains adolescents si la question centrale du lien est justement la possibilité de symboliser une absence, on peut imaginer que la construction d'un lien sera toujours complexe et constituée de plusieurs aspects. Avec Daphnée, 17 ans, consommatrice de cannabis, nous allons questionner la fonction para excitante du cannabis pour que les liens intrapsychiques et symboliques puissent être préservés.

This study examined the incremental validity of proactive personality for predicting overall job performance over the Big Five in the context of an innovative software engineering job. Proactive personality and the Big Five were measured in a sample of 243 engineers and overall job performance was assessed through supervisor ratings in a sub-sample of 95 of these engineers. Results showed that even though proactive personality represents a valid and important predictor of performance it does not show a relevant increment on the prediction yielded by extraversion, openness, conscientiousness, emotional stability and organizational tenure. Implications for the relevancy and practical value of proactive personality for personnel selection are discussed.

Este estudio examina la validez añadida de la personalidad proactiva sobre los «cinco grandes» para predecir el desempeño en el trabajo en el contexto de un puesto de trabajo de ingeniero de software. La personalidad proactiva y los «Cinco Grandes» fueron medidos en una muestra de 243 ingenieros y el desempeño global fue evaluado mediante valoraciones del supervisor en una sub-muestra de 95 de estos ingenieros. Los resultados mostraron que aun cuando la personalidad proactiva representa un importante y válido predictor del desempeño no muestra un incremento relevante en la predicción producida por la extraversión, apertura, conciencia, estabilidad emocional y antigüedad en el puesto. Se discuten las implicaciones, la relevancia y el valor práctico de la personalidad proactiva para la selección de personal.

O objetivo foi identificar as necessidades de cuidados de enfermagem do cuidador da pessoa em fase terminal e respectivas intervenções de enfermagem, recorrendo a uma revisão sistemática da literatura. Foi efectuada uma pesquisa na EBSCO e ProQuest e procurados artigos científicos em texto integral, publicados entre janeiro de 1998 a dez de 2008, usando as seguintes palavras-chave: "Palliative care", "Family", "Nursing" e "Needs". Foi utilizado o método de PI[C]OD e seleccionados 14 artigos do total de 77. As necessidades do cuidador da pessoa em fase terminal são: comunicação; relação de confiança e segurança; reconhecimento e operacionalização de desejos; preparação para o luto; necessidades de informação; capacitação; envolvimento nos cuidados; necessidades emocionais; necessidades espirituais e necessidades de descanso. Concluiu-se que a família apresenta diferentes necessidades que requerem uma intervenção personalizada do enfermeiro, através do estabelecimento de uma relação de confiança

The purpose was to identify needs for nursing care of caregiver of the person in the terminal stage and nursing interventions, using a systematic review of the literature. A research in EBSCO and ProQuest and sought Full Text scientific articles, published between 1998 and 2008, using the following keywords: "Palliative care", "Family", "Nursing" and "Needs" was made. The method PI[C]OD was used to select 14 items of total 77. The care needs the person in the terminal stage are: communication, relationship of trust and security, recognition and operationalization of desires; preparation for mourning; needs for information, training, involvement in care, emotional needs, spiritual needs and resting needs. It was concluded that the family has different needs that require personal intervention of the nurse, through the establishment of a trust relationship

El objetivo fue identificar las necesidades de cuidados de enfermería del cuidador de la persona en fase terminal y sus intervenciones de enfermería, mediante una revisión sistemática de la literatura. Se realizó una búsqueda en EBSCO y ProQuest y busco Texto completo de artículos científicos, publicados entre el 1998 y el 2008, mediante el siguientes palabras clave: "Palliative care", "Family", "Nursing" y "Needs". El método PI[C]OD fueutilizado para seleccionar los 14 elementos seleccionados del total de 77. Las necesidades del cuidador de la persona en fase terminal fueran: la comunicación, la relación de confianza y la seguridad, el reconocimiento y la puesta en práctica de los deseos, la preparación para el duelo; necesidades de información, formación, participación en la atención, necesidades emocionales, espirituales y las necesidades de descanso. Se hay concluydo que la familia tiene diferentes necesidades que requieren la intervención personal de enfermería, mediante el establecimiento de una relación de confianza