Critical Factors on Autonomy Reconstruction after Self-Care Dependency

Saturday, 26 July 2014: 1:50 PM

Alice Brito, RN, McN, PhD
Oporto College of Nursing, Porto, Portugal

Purpose: to characterize the phenomenon of dependence on self-care at discharge moment and

 to explore in depth the process of self-care autonomy reconstruction

Methods: qualitative study


During the transition there are factors considered critical to the personal conditions, community resources, the support and the health condition that determines the way of experiencing the transition. Personal condition identified that interfere in the process was awareness, motivation, engagement, self-care attitude, make decisions capacity, understand self-care as “situation” or “condition; meanings attributed to the changes and health status. Support in the process of rebuilding of autonomy is fundamental and may be economic, spiritual, family and community level. Society can promote socialization, promoting the involvement and facilitating the process or increase and promote social stigma associated with this very issue of dependency.


The nursing therapeutics promoters of healthy transition that emerged throughout the study were: promoting awareness; promoting self-care; facilitating decision making; promoting use of equipment; promoting housing changes; and, promoting access to available resources.