Browsing by Author "Nunes, Alcina"
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- Ganhos em saúde em utentes internados em unidades de media duração e reabilitaçãoPublication . Almeida, Diogo; Amoedo, Natália; Morais, Carminda; Nunes, Alcina; Pimenta, RuiO envelhecimento da população, o aumento das patologias crónicas e as mudanças de perfil da rede familiar obrigaram a repensar os cuidados de saúde. Criou-se, assim, a Rede Nacional de Cuidados Continuados Integrados, sendo a Unidade de Média Duração e Reabilitação (UMDR) uma das tipologias de cuidados e foco de análise do presente estudo. Pretende-se avaliar os ganhos em saúde obtidos com o internamento em UMDR ao nível do estado cognitivo, do risco de queda e da independência funcional; relacionar o estado cognitivo no momento da admissão com a independência funcional no momento da alta; analisar os ganhos a nível do estado cognitivo, do risco de queda e da independência funcional em função do género. Realizou-se um estudo observacional, analítico e retrospectivo, segundo a metodologia STROBE. Partiu-se da análise documental inerente à base de dados da UMDR, dos doentes internados no período de 1/01/2017 a 31/12/2020, perfazendo 342 indivíduos, dos quais 33 foram excluídos. Recolheram-se dados relativos à caraterização sociodemográfica, ao momento de admissão e ao momento da alta do estado cognitivo, do risco de queda e da independência funcional, avaliados respetivamente através dos seguintes instrumentos, Short Portable Mental Status Questionnaire, Berg Balance Scale e Índice de Barthel. Definiu-se o nível de significância de 5%. A amostra foi constituída por 309 indivíduos, maioritariamente do sexo masculino, 56% (n=173), com média ± Desvio Padrão de idade 73,9±12,2 anos, casados 39,8% (n=123), reformados 83,8% (n=259) e com um diagnóstico principal de acidente vascular cerebral 45,6% (n=141). O estudo evidenciou ganhos em saúde estatisticamente significativos ao nível do estado cognitivo, do risco de queda e da independência funcional (p≤0,001). Verificaram-se diferenças estatisticamente significativas no nível da independência funcional no momento da alta, atendendo ao estado cognitivo inicial (p≤0,001) e, entre géneros, ao nível dos ganhos em saúde de estado cognitivo (p=0,016), risco de queda (p≤0,001) e independência funcional (p≤0,001).
- Health and wellness activities: contemporary market of thermalismPublication . Rodrigues, Cristina; Ferreira, Fernanda A.; Costa, Vânia; Alves, Maria José; Vaz, Márcia; Fernandes, Paula Odete; Nunes, AlcinaThe health and well-being market has suffered many evolutions in recent years, the differences occurring mainly in your holistic vision, demand profile and supply structuring. This article aims to present theoretical reflections on the scientific advances in this area over the last years. The study presents a literature review, published in the last years, on two intrinsically related themes: “Health and Wellbeing” and “Thermalism.” It then analyses the profile of consumers/practitioners. The methodology incorporates a mixed approach: a bibliometric and content analysis of the existing literature. It is also intended to identify the main trends and transformations that have occurred in the health and well-being market. Additionally, it intends to contribute to the advancement of scientific knowledge in this field of research. The main conclusions are related to the increase in publications in this area with different subjects, highlighting its growing interest and relevance in society. It is observed an increasingly holistic understanding of health and well-being and its impacts on people’s quality of life and a change in the consumer profile, which is increasingly young and healthy with different motivations.
- A methodology for the identification and assessment of the conditions for the practice of outdoor and sport tourism related activities: the case of Northern PortugalPublication . Silva, Goretti; Correia, Alexandra; Rachão, Susana; Nunes, Alcina; Vieira, Elvira; Santos, Sónia; Soares, Luís; Fonseca, Manuel; Ferreira, Fernanda A.; Veloso, Cláudia Miranda; Carrança, Paulo; Fernandes, Paula OdeteTourists’ demand for outdoor sport-related activities has been growing in the last decade, leading to the recognition of the outdoor tourism potential of the development of rural and urban areas where the activities could take place. While the literature has recognized this potential, its features and the existing conditions for its practice are often not fully comprehended, mainly due to the lack of measurement systems and performance indicators. This study addresses this gap by proposing a wide-ranging assessment matrix of nine outdoor-related activities, employing northern Portugal as a study area. Based on an exploratory qualitative analysis employing semi-structured interviews with key stakeholders (public, private and third sector), the main contribution of this study lies in the development of the outdoor tourism assessment matrix (OTAM) to collect data. The OTAM matrix aims to identify and assess the conditions, namely the infrastructure and resources, for the practice of outdoor and sport tourism-related activities within the sustainable development pillars. The nine matrices comprising the OTAM allow the identification of the places where the outdoor activities can be practiced, and the conditions under which they can contribute to the definition of the development strategies of outdoor tourism.
- Monitoring of outdoor tourism demand. North of PortugalPublication . Martins, Oliva M. D.; Nunes, Alcina; Ferreira, Fernanda A.; Veloso, Cláudia M.; Santos, Sónia; Correia, Alexandra I.; Fonseca, Manuel José; Silva, Goretti; Rachão, Susana; Vieira, Elvira Pacheco; Carrança, Paulo; Fernandes, Paula OdeteThe Herfindahl-Hirschman Index (HHI) was used in order to understand the tourism competitiveness of the different sub-regions that make up the North Region of Portugal. This index is a measure which helps to analyse market concentration and at the same time determines the competitiveness of the market.
- Outdoor solutions for the seasonal concentration of tourism demand in Northern Portugal: an integrated approach based on the Gini IndexPublication . Fernandes, Paula; Nunes, Alcina; Veloso, Cláudia; Santos, Eleonora; Ferreira, Fernanda A.; Fonseca, Manuel JoséMeasures that address the seasonality allow making a critical reflection on the application of control policies and monitoring regional measures crucial on a sector with such importance at the regional development analysis. The measures should stimulate or reduce tourism demand during low or peak seasons, respectively. Therefore, the current chapter focus on the development of a Gini Index to analyse the distribution of the seasonality in the Northern Portugal and through it control current public measures in practice and suggest the implementation of different and more effective policy measures. It will be used the Gini Index, by the tourists’ market of origin measured by the Overnight stays in hotel establishments. To understand the tourism flows the analyses will be focused on the matrix of interregional tourism flows and on the graphical technique. The results showed the high seasonal concentration of tourist flows.
- Outdoor tourism demand segmentation: a case study from North of PortugalPublication . Scalabrini, Elaine; Correia, Alexandra Lopes; Nunes, Alcina; Miranda, Cláudia; Vieira, Elvira; Ferreira, Fernanda A.; Silva, Goretti; Fonseca, Manuel; Carrança, Paulo; Santos, Sónia; Fernandes, Paula OdeteOutdoor tourism has been practised substantially in the last few years, particularly in the pandemic period when outdoor activities increased considerably (Silva et al., 2021). Outdoor tourism can be understood as the practise of outdoor activities (Ferreira et al., 2021) classified as hard or soft (Tsaur et al., 2020; UNWTO, 2014). These activities often take place in nature, protected areas, urban parks, and rural areas (Derek et al., 2019). Furthermore, outdoor tourism is considered one of the fastest-growing subcomponents of tourism and a trend in line with the principles of sustainability and environmental awareness (Valizadeh & Khoorani, 2020). Demand for outdoor activities encourages innovation, especially during uncertainty. Indeed, practitioners of outdoor activities seek health and have shown a growing interest in different activities and have adopted new behaviours, creating an opportunity for organisations to innovate (Hansen et al., 2019).
- Outdoor tourism demand segmentation: a case study from North of PortugalPublication . Scalabrini, Elaine; Correia, Alexandra; Nunes, Alcina; Veloso, Cláudia; Vieira, Elvira; Ferreira, Fernanda A.; Silva, Goretti; Fonseca, Manuel; Carrança, Paulo; Santos, Sónia; Fernandes, Paula OdeteThis research aimed to segment the market of visitors who practise outdoor activities in the North region of Portugal based on their motivations. An online survey was conducted between June to September of 2021, with a sample of 200 tourists who realised the region's outdoor activities during this period. The data collected allowed determining factor analysis and the clusters. Two factors: services/hospitality and nature experiences, and three clusters: soft practitioners, radicals, and enthusiasts were delimited. The results show that these groups differ in motivations and practised activities. Segmentation of outdoor tourism demand in North of Portugal should set out marketing and promotion strategies in different destinations, attracting demand from outside the region, and according to their preferences.
- Outdoor tourism in the North of Portugal from the perspective of Tourist Entertainment Companies (TEC)Publication . Martins, Oliva M. D.; Nunes, Alcina; Vieira, Elvira; Rachão, Susana; Correia, Alexandra; Fonseca, Manuel; Silva, Goretti; Santos, Sónia; Veloso, Cláudia; Ferreira, Fernanda A.; Carrança, Paulo; Fernandes, Paula OdeteBased on the perception of those responsible for Tourist Entertainment Companies (TEC), the objective of the research is to contribute to the characterization of Outdoor Tourism (OT). Exploratory qualitative research was carried out through 38 in-depth individual interviews. The territory geography, the experiences, and the internal market were considered relevant aspects. In addition, seasonality and climate were identified as significant factors in defining the offer, which can favour the preservation of the environment. Moreover, the risk of the activities was considered low. The interviewees suggested integrating everyone involved in a network to explore the region's potential, as well as to support activities and promote the region. The radical experience, adventure, and getting out of the routine were identified as motivations for the search, as well as contact with nature and the landscape. The research is limited to the North Region of Portugal, and it brings together the most different needs, desires, and expectations for tourism demand. Strengthening OT can favour employability and, consequently, economic and social balance while promotion of the activity can be explored through the customers' previous experience. The evaluations, testimonials, and word of mouth (WOM) being added value that can be optimized through social networks and digital marketing.
- Supply-side perspectives on outdoor tourism in the North of PortugalPublication . Martins, Oliva M. D.; Fernandes, Paula Odete; Nunes, Alcina; Rachão, Susana; Correia, Alexandra Isabela; Vieira, Elvira; Fonseca, Manuel José; Silva, Goretti; Santos, S.; Veloso, Cláudia; Ferreira, Fernanda A.; Carrança, PauloNowadays, the tourism sector presents many opportunities and challenges. Outdoor Tourism (OT), due to the unusual situation experienced by the pandemic caused by COVID-19, maybe one of the main opportunities to promote the local development of tourist destinations. Most of the literature developed in this context has focused the demand side. Therefore, the investigation intended to fill this gap, considering the perspective of the supply side, taking into account a vision of sustainable development. To meet this gap, the main objective is to contribute to the characterization of Outdoor Tourism (OT) in the North of Portugal, and understand the potential of OT in the perspective of supply., thirty-eight tourist entertainment companies (TEC) were interviewed to assess supply and perceived customers’ motivations. Of the seven Nomenclature of Territorial Units for Statistical Purposes (NUTS), the Northern region was considered to be an area with enormous potential for Nature-related tourist). For the supply side, seasonality and climate were identified as important factors supporting environment preservation. Radical experiences, adventure and getting out of the routine were identified as motivating demand factors, as well as the contact with Nature and the landscape. We have also observed that if we consider the stimulation of the local economy by OT, there is still a lot to do. The evidence pointed to some social imbalance, namely related to employability. Employees were hired according to the evolution of demand, which favours unemployment and social instability. Also, the tourists/costumers are the main channels of communication of the activities; the word-of- mouth (WOM) of costumers’ experiences, personally or through online social media, takes on a prominent role. In this sense, tourists’ online reviews, testimonies and word-of-mouth can be optimized through social networks and digital marketing. Finally, to evaluate the region's potential for the OT, the interviewees suggested integrating the players involved with the OT into a single network, supporting the activities and promoting the region.
- The importance-satisfaction matrix as a strategic tool for Termas de Chaves Thermal Spa priority improvementsPublication . Vaz, Márcia; Fernandes, Paula Odete; Ferreira, Fernanda A.; Alves, Maria José; Costa, Vânia; Nunes, AlcinaHealth and wellness tourism has gained increased interest from the public, which searches for spaces that assure health and wellness maintenance. Proof of this is the example of Termas de Chaves thermal spa, which has gradually grown demand for its products and services. In this context, this study aims to identify and analyse the attributes offered by the thermal spa since it is essential to know the customer’s preferences and satisfaction. To this end, dimensions related to the determinants of importance that influence the respondents’ satisfaction were evaluated. A questionnaire survey was applied on-site from 09 August to 20 December 2021, obtaining a total sample of 225 participants. After data collection, the importance-satisfaction matrix was applied for exploratory, descriptive analysis. The results show that customers give high overall importance and satisfaction to the attributes under study. Moreover, it was possible to identify that the factor “availability and assistance provided by human resources” presents high importance but low satisfaction. Such a conclusion indicates that it will be necessary to adapt improvement strategies to increase customer satisfaction.