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Browsing Escola Superior de Saúde by Field of Science and Technology (FOS) "Ciências Médicas::Outras Ciências Médicas"
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- Counselling support for critically ill patients and their families following a critical care experience: a qualitative studyPublication . Rayamajhi, Sharad; Kydonaki, ClaireAbstract Background Patients recovering from the critical illness and their family members can suffer significant psychological distress affecting activity of daily living, family relationship, social participation and professional life. There are few initiatives where the psychological interventions were provided to patients and family group which have shown significantly beneficial impact on psychological health. However, there is a limited number of studies that address the psychological needs of patients, family members and bereaved family members with critical care experience. Objectives The aim of this study was to explore patients’, family members’ and bereaved family members’ experiences of counselling provision. Methods We conducted a qualitative study in three Scottish Intensive care units (ICU) between 2015-2017. Counselling service was provided to former ICU patients and their family members, including those bereaved following a critical illness experience by a qualified, professionally accredited counsellor who had a background in Intensive Care nursing. Participants self-referred to the service. Semi-structured interviews were conducted to explore participants’ experience of accessing the counselling service, their expectations and experiences of the counselling sessions, and their recommendations for future development. Thematic analysis was used to analyse the data. Data reporting was done using Consolidated Criteria for reporting qualitative research checklist (COREQ). Results All twelve participants (Patients n= 3, Family members n = 7 and Bereaved family members n=2) considered their overall experience of the counselling support positive. Four key themes were identified: perceived benefits, feasibility, appraisal and context of care. Conduit to resilience, enhanced coping, relief through disclosure, maintaining family relationship and individualised support were the main perceived benefits experienced by participants. The nurse-counsellor’s counselling expertise and critical care background was appreciated by the majority of the participants. Conclusion In conclusion, the counselling support provided to patients, family members and bereaved family members was considered a feasible and acceptable intervention. Relevance to future research: A full-scale randomised control trial is required to measure the impact of counselling service on patient and family outcomes. Keywords: Critical care, counselling, patients, family members, and bereaved family members.
- Dramatic strategies for augmenting nursing student engagement with inter-agency care: a quantitative studyPublication . Zahid, Zahida; Mahoney, Catherine; Kyle, RichardBackground: Inter-agency working (IW) is critical to the delivery of safe and effective health care to service users, families, and health-care staff to ensures that high-quality, consistent care is always available for the users. Several studies have advised that pre-registered health students get Inter-professional Education (IPE) to improve their knowledge and attitudes regarding inter-agency collaboration. Students, on the other hand, are unsure of the relevance of these concepts to their careers and demonstrate a lack of interest in studying. Similarly, the optimal approach to learn inter-agency collaboration has yet to be determined. Objectives: The aim of the study is to explore the impact of peer-initiated authentic drama on pre-registered students’ attitudes towards health care team working before and after module implementation with content on health and social care integration/inter-agency working. Methods: In this study, a quantitative (before-and-after) design was chosen. The study included second-year nursing students from Bachelors in Nursing (BN) and Masters in Nursing (MN) programmes who were studying the module 'Effective Interagency Working in Health and Social Care.' A convenience sample of 450 student nurses completed a pre- and post-module questionnaire. For data analysis, descriptive analysis and the Paired Sample T test were used. Results: Overall, there was an increase in the student nurses’ attitudes towards health care team working, understanding of health and social care integration and confidence around working within integrated health and social care landscapes with 80%-90% of participants agreeing or strongly agreeing with the survey questionnaire. With regards to paired sample T test results, these demonstrated that there was no significant difference between the mean pre-module score and mean post-module score ratings (p=.136). Conclusion: Drama-based nursing education is a real-world learning strategy that helps students gain a better understanding of health-care team working. This innovative instructional technique should be employed in the curricula of pre-registration health students in the future.
- Estimulação cognitiva e física na demênciaPublication . Portela, Carina dos Santos; Pacheco, Eusébio; Pereira, Elsa Cristina SacramentoEsta investigação teve como objetivo a implementação, e análise dos efeitos, de um programa de estimulação, cognitiva e física, em idosos institucionalizados que apresentavam uma perturbação neurocognitiva ligeira. Este estudo suportou-se na linha de investigação que advoga diversos tipos de terapias não farmacológicas, incluindo a estimulação cognitiva e física, a fim de prevenir ou minimizar os sintomas associados às perturbações neurocognitivas derivadas do processo de envelhecimento. Elaborou-se um estudo quasi-experimental, exploratório, descritivo, longitudinal e comparativo, divido em três fases: seleção e caracterização da amostra, intervenção, e comparação dos resultados pré e pós intervenção. O estudo foi desenvolvido junto de dois grupos de idosos constituídos por 16 elementos, com idades entre os 60 e os 93 anos, institucionalizados na Santa Casa da Misericórdia de Lagos. O programa de intervenção – estimulação cognitiva e física - decorreu ao longo de 15 semanas, num conjunto de 150 sessões (75 sessões de estimulação de cada tipo), distribuídas por cinco sessões semanais, com uma duração de cerca de 45 minutos cada. Foi utilizado o teste Mini Mental State Examination, para um rastreio cognitivo e o Índice de Katz para uma avaliação funcional dos idosos, nomeadamente antes e depois do programa de intervenção. A metodologia de análise de dados baseou-se numa análise estatística descritiva e numa análise inferencial não paramétrica usando o Teste Wilcoxon através do programa Statistical Package for the Social Sciencies. Concluiu-se que o programa de intervenção implementado promove efeitos estimulantes nos idosos, tornando-os mais ativos no seu quotidiano. Verificou-se melhorias significativas no desempenho cognitivo dos idosos que constituíram o grupo experimental. Já no grupo de controlo, constatou-se um agravamento significativo no desempenho funcional dos seniores na realização das AVD’s. Assim, recomenda-se que a estimulação cognitiva e física seja uma estratégia a implementar em organizações que se dedicam ao enquadramento de indivíduos idosos com quadros demenciais.
- A feasibility study of psychosocial intervention pre-clinical program (PIPCP) to enhance the active coping among clinical nursing students in emergency room and critical unit amidst Covid-19 pandemic in Indonesia and Scotland: a quantitative research proposalPublication . Asriwhardani, Fialisa; Paterson, RuthBackground Existing evidence stressed that the COVID-19 Pandemic had an effect on nursing students' mental health and well-being in clinical placement settings, particularly in ER and ICU rotation. The literature suggests that problem-based and emotion-based coping strategies may mitigate stress, yet it is unclear what impact these have on coping and how effective these interventions are in middle income compared to high-income countries. Aim This research proposal will test the feasibility of using a structured psychoeducation programme in Nursing students in Scotland and Indonesia when preparing for and during placement. Methods A quantitative method with experimental participant blinded feasibility study will compare a psychoeducation intervention with usual placement preparation. A sample (n=20) of final-year nursing students from universities in Indonesia and Scotland UK toward clinical rotation in ER and ICU during COVID-19 Pandemic will be recruited. The experimental group will receive psychoeducation intervention in three sessions weekly. The data analysis will be assessed through Multivariate analysis by General Linear Model-Repeated Measure (GLM-RM) to determine the intervention’s effectiveness in coping ability and anxiety prevalence in both groups. Bowen's approach a feasibility study will be designed to evaluate statistical comparisons feedback between both randomized groups in establish a focus area of feasibility. Research dissemination The possible result will inform the design of subsequent full-size RCT on this particular setting in international comparison. The study results will be disseminated through publication in the fields of nursing education and mental health nursing journals in a timely fashion.
- Impact of pain education program (pep) on the knowledge and attitude of surgical unit nurses in postoperative pain assessment (pop) and managementPublication . Alhassan, Hamdiya-tu; Sharp, SandraBackground: Acute pain after surgery is often unavoidable and its effective assessment and management is an essential component to good quality of care. Unfortunately, despite strategies and interventions to increase awareness of postoperative pain (POP) and clinical improvements in pain management, there is still evidence that pain is undertreated in the postoperative setting. The inadequacy in pain assessment and management has been linked to nurses' inadequate knowledge and training in this area. Implementing a pain education program (PEP) is an approach for improving the knowledge and attitudes of surgical unit nurses in POP assessment and management.
- Nível de exposição ao ruído e perceção do risco numa amostra de pescadores do AlgarvePublication . Palma, Ana Patrícia Guerreiro; Baptista, Ana Catarina; Sousa, António Oliveira eA pesca é uma das profissões mais perigosas. No entanto, poucos têm sido os estudos desenvolvidos quanto à Segurança e Saúde no Trabalho no grupo de trabalhadores desta indústria. A presente investigação foi realizada numa amostra de 14 pescadores ao serviço de uma embarcação de pesca por arte de cerco (traineira) que opera na região do Algarve, obtida por conveniência. O estudo teve como objetivo determinar os níveis de pressão sonora nos locais de trabalho e a exposição pessoal diária de cada trabalhador, avaliar a capacidade auditiva de cada trabalhador e nomeadamente se existem traços sugestivos de surdez sonotraumática, bem como avaliar a perceção de risco individual associada ao ruído neste grupo de trabalhadores. Para alcançar os objetivos definidos foram necessárias três fases de recolha de dados com recurso a diferentes instrumentos. Inicialmente efetuaram-se medições de ruído nos diferentes locais de trabalho da traineira. Posteriormente, os pescadores foram submetidos a exames audiométricos constituídos por otoscopia, timpanometria e audiometria tonal. Por último, a amostra respondeu a um questionário, por heteroadministração, dividido em três partes distintas: caracterização socioprofissional, anamnese audiológica ocupacional e perceção de risco associada ao ruído. Os resultados obtidos demonstraram que os pescadores alvo de estudo encontram-se expostos a elevados níveis de pressão sonora, que ultrapassam os valores de ação inferiores e os valores limites de exposição definidos na legislação. Metade dos trabalhadores apresentaram perda auditiva, sendo que quatro destes tinham traços sugestivos da perda ser induzida pelo ruído. Verificou-se que a perceção de risco individual é baixa, havendo trabalhadores com fracos conhecimentos acerca das fontes de ruído ou dos efeitos causados pela exposição prolongada.
- Nurses´ perception of patient safety culture in emergency and critical care services of maternal and child health department of an University HospitalPublication . Fuseini, Abdul-Karim Jebuni; Costa, Emilia Isabel Martins Teixeira da; Matos, Filomena Adelaide Pereira Sabino deIntroduction: The ultimate goal of every health institution is quality health care. Patient safety is one of the characteristics of high-quality healthcare delivery. Patient safety remains a difficulty in health care delivery, despite technical advancements in medicine and health research, as well as sophisticated health facilities. Many patients still inadvertently get hurt in their pursuit of medical and health care. Unwanted incidents in healthcare are the world's third leading cause of death. Objectives: to evaluate the nurses' perception of the patient safety culture in the Emergency and Critical Care Services of the Maternal and Child Department of University hospital; to identify, strengths, vulnerabilities and opportunities for improvement, training needs or intervention in patient safety culture and respective corrective actions aimed at increasing the quality of care provided by nurses in these areas of activity; and to recognize, in this population of nurses, sociodemographic variables potentially associated with their perception of the patient safety culture. Methodology: The data was collected from 84 participants using a quantitative cross-sectional design. Statistical Package for Social Science (SPSS) software, version IBM SPSS, version 28.0.0.0, was used to analyze the data. Results: were presented using, Descriptive and Inferential statistics. According to the findings, patient safety culture received a 49.4 percent overall positive rating. Although teamwork within units has the highest average positive score of 87.8%, Non-punitive response to errors (27.3%) and Staffing (25.9) were both rated as unsatisfactory and the least developed. Conclusion: According to the results, patient safety culture is vital in boosting hospital overall performance and ensuring patient safety with teamwork within units as this was found to be strength (fortress). The overall average positive score seems weak in this study. Management is hereby encouraged to show greater interest in patient safety issues and make it a top priority in policy making.
- Nursing care in ventilator-associated pneumonia and COVID-19: an informative intervention among nursesPublication . Rodríguez Fernández, Raquel; Baldonedo Cernuda, Ricardo Felipe; Mosteiro Díaz, Maria PilarLower respiratory infections are a group of diseases, generally caused by a virus, that compromise the lungs. It can affect children as well as adults (European Lung Foundation [ELF], 2021). According to the World Health Organization (WHO), 2.6 million of people died of lower respiratory infections in 2019, being the 4th leading cause of death as well as the most fatal transmittable disease (WHO, 2020). These numbers dramatically increased later in 2020 after the COVID-19 pandemic was declared worldwide (Ripa et al., 2021). Bronchitis, bronchiolitis, influenza or pneumonia are some examples of these type of infections. The latter is the most common infection-related death in European countries as well as in the United States of America (ELF, 2021).
- Nursing students' intention to do Clinical Practice during Coronavirus PandemicPublication . Boujeddain, Othmane; Amendoeira, JoséIntroduction: Coronavirus infections are known as a respiratory virus that cause disease ranging from a normal cold to a severe respiratory syndrome. On 30th January 2019 the world health organization announced the novel coronavirus (covid-19) as a public health emergency of international concern. Nursing education has significantly affected by this pandemic, Nursing students were forced to stop clinical practice for approximately one year and attend only online classes. During the first year of pandemic nursing students’ fail to do their clinical practice which is considered mandatory in students’ learning experience, the interaction between nursing students and other healthcare workers as well as patients is crucial. However there is a limited number of research evidences regarding the assessment of the nursing students' intention do clinical practice under the existence of covid-19 pandemic. Objective: To examine how nursing students’ intention to do clinical practice during covid-19 is influenced. Methods: For the scooping review a literature search of electronic databases and web searching were conducted for published and unpublished articles. Four databases will be utilized: CINAHL, MEDLINE, PubMed and Scopus, Web of Science and Cochrane Library. For the cross‑sectional study students under course 33 (3rd year) and course 34 (4th year) at the school of Health Santarém were selected .Data was collected using online structured self-administered questionnaire (Survey Monkey platform used with license granted by the Quality Of Life Research Center, in which the supervisor José Amendoeira is an integrated member) The questionnaire is made up of four sections namely, socio-demographic variables, knowledge of covid‑19, students ‘perception, intention and readiness to do clinical practice. Results: A total of 84 nursing students from the School of Health Santarém Portugal were included. The majority of responders were female (n=71, 84.5%) with mean age of 22.89 years old (SD=5.0), The duration of exposition to clinical practice was different among participants, 32 (38.1%) students were exposed to clinical practice for a period varying between 5 to 8 weeks, and the remaining 25 students (29.8%) were exposed to clinical practice for a period longer than three months. Furthermore, nursing students at the school of health Santarém showed good knowledge toward coronavirus disease; participants at the aforementioned school answered the majority of questions related coronavirus correctly. Responses related to perception showed that the majority of students 44 (52.4%) are having fear toward coronavirus. However, 62 (73.8%) of the respondents are satisfied with clinical practice during coronavirus time. Concerning the readiness and intention to practice 41 (48.8%) of students answered that they are ready to practice in clinical area and 31 (36.9%) of students are ready to practice where coronavirus patients exist. Conclusion: Although the existence of Coronavirus Pandemic the nursing students’ intention to do clinical practice remains positive. However the variables that influence this intention are changing from one country to another.
- Post-traumatic stress, anxiety, and depression among oncology nurses during COVID-19 pandemicPublication . Dung, Nguyen Thi; Mosteiro Díaz, Maria Pilar; Correia, Sara FrancoIn December 2019, severe acute respiratory syndrome (SARS-CoV-2) was found in Wuhan, China, soon became a global pandemic and continued to spread with an alarming and unpredictable rate (Richards et al., 2020). Symptoms from patients with coronaviruses include mild cold, fever, muscle pain, cough, loss of taste or smell. Furthermore, 33% patients with COVID-19 have complications that are various from respiratory distress syndrome, septic shock and severe pneumonia (Al-Quteimat & Amer, 2020). According to a report from WHO, in 2020 COVID-19 viruses had infected 82 million people and killed at least 3 million people in the world (WHO, 2021). As of 6th September 2021, there have been over 220 million confirmed cases of COVID-19, including over 4.5 million deaths (WHO, 2021).