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- Confirmatory analysis of the Parenting Styles and Dimensions Questionnaire (PSDQ) short form in a portuguese samplePublication . Martins, Cátia; Ayala Nunes, Lara; Nunes, Cristina; Pechorro, Pedro; Costa, Emília; Matos, FilomenaAn important research field in family studies relates to the role parenting practices can have on several domains of children's development. Regarding to parenting styles, it was Baumrind's conceptualization that was responsible for a relevant research boost in this area. She proposed a model contemplating three different styles: authoritative, authoritarian, and permissive. The aim of our study was to examine the factor structure, internal consistency and others psychometric properties of the Portuguese version of the Parenting Styles and Dimensions Questionnaire (PSDQ). The participants were 424 parents (mainly mothers, 81.2%) from Algarve (South of Portugal), that answered to PSDQ and a sociodemographic questionnaire. The instrument comprises 32 items: 12 questions regarding the authoritative style, 15 questions regarding the authoritarian style, and 5 questions regarding the permissive style. Several competing models (i.e., one and three-factorial, and another where latent variables were organized in a 1st and 2nd order factors) were tested in regards to PSDQ factor structure using confirmatory factor analysis. A fourth model, contemplating inter-correlations between item 7 and 8 was also proposed, which showed adequate fit and internal consistency. These findings support the PSDQ original structure. Implications concerning the use and contributes to social and emotional child' adjustment are discussed.
- Parents' perceived social support and children's psychological adjustmentPublication . Nunes, Cristina; Martins, Cátia; Nunes, Lara; Adelaide de Matos, Filomena; Costa, Emília Isabel; Gonçalves, AndreaPerceived social support has often been investigated due to its direct and indirect effects in reducing the impact of several risk factors on physical and psychological well-being. Moreover, many studies have revealed a link between social support and positive parenting, which in turn has an impact on children's well-being. In Portugal, there is a significant lack of studies in this area. The aim of the present study was to analyze the relationship between parents' perceived social support and children's psychological adjustment. The sample consisted of 409 parents (83.13% mothers) living in the region of Algarve (South of Portugal). The Duke-UNC Functional Social Support and the Strengths and Difficulties Questionnaires were used. Findings The results showed that, on average, families had a social support network of nine people, with a balanced presence of family (M = 4.25, SD = 3.54) and friends (M = 4.36, SD = 3.17). Parents reported medium-high levels of confidant and affective support, but instrumental support was lower. However, single-parent families, immigrant families, and divorced parents were found to be more socially isolated and received less support than they needed. Affective social support showed predictive value for child psychological adjustment. Applications These findings suggest that developing universal and selective parental education and support programs that focus on strengthening informal social support networks is needed, especially for vulnerable families. Implications for social workers who intervene with families are discussed.
- Bullying: quem merece? Os caminhos escondidos da infância (Bullying: who deserves it? The hidden paths of childhood)Publication . Matos, FilomenaA violência entre pares/bullying é noticiada quase diariamente pelos media. Apesar das consequências nefastas para o futuro de crianças e jovens, parece não se conseguir resolver a espiral de violência que grassa nas nossas escolas. A Família e a Escola, pilares da educação e construção do futuro, são peças fundamentais na resolução deste flagelo e na construção da Paz.
- Qualidade de vida e bem-estar nas crianças em AlbufeiraPublication . Nunes, Cristina; Matos, Filomena; Costa, EmíliaNeste relatório apresentamos os resultados da investigação realizada pela equipa composta pelas doutoras Cristina Nunes, Filomena Matos e Emília Costa para dar resposta ao pedido feito pela Câmara Municipal de Albufeira (CMA) à Universidade do Algarve (UAlg) na elaboração de um estudo sobre a qualidade de vida e o bem-estar das crianças em idade pré-escolar e escolar no Concelho. A utilidade deste estudo decorre do facto de que o conhecimento sobre os fatores de risco e de proteção para o bem-estar infantil contribuirá para aumentar a eficácia das intervenções pois assim estas poderão ajustar-se melhor às características e necessidades das crianças e famílias. A crise económica dos últimos anos tem tornado mais vulneráveis um considerável número de famílias e afetado o seu bem-estar. Na última avaliação sobre o bem-estar infantil, realizada pela UNICEF (2013), Portugal ocupava o 15º lugar entre os 29 países estudados. Nesta avaliação foram utilizados 26 indicadores agrupados nas seguintes dimensões: Bem-estar material, saúde e segurança, educação, comportamentos de risco, habitação e ambiente.
- Aprendizagem e relação interpessoal no ensino à distância em EnfermagemPublication . Adelaide de Matos, Filomena; Costa, Emília IsabelA situação de pandemia instalada em Portugal desde março de 2020 implicou o desenvolvimento de estratégias de adaptação ao ensino à distância na Universidade. O objetivo desta investigação de metodologia qualitativa, em formato de relato, é descrever e analisar a experiência dos intervenientes (22 estudantes e 2 professores) do Curso de Licenciatura em Enfermagem, no processo de ensino-aprendizagem, utilizando exclusivamente o ensino virtual como espaço de aprendizagem. Os professores relataram a sua experiência e criaram um questionário on-line para estudantes, para avaliar as dimensões de aprendizagem e relação interpessoal. Dos resultados obtidos enfatizamos que a adaptação não foi difícil, mas foi sentida a necessidade, por estudantes e docentes, de ampliar competências digitais. Os estudantes referiram menor nível de atenção e motivação como obstáculos à aprendizagem, bem como menor satisfação nas relações interpessoais, sentindo mais difícil esta modalidade quando comparada com o ensino presencial.
- Pregnant woman awareness of obstetric danger signs in developing country: systematic reviewPublication . Yunitasari, Esti; Matos, Filomena; Zulkarnain, Hakim; Kumalasari, Dewi I.; Kusumaningrum, Tiyas; Putri, Tantya E.; Yusuf, Ah.; Astuti, Nining P.Background Mother's awareness of obstetric danger signs is the degree of a pregnant woman to fully utilize her knowledge of the signs and symptoms of complications of pregnancy, which helps the mother and family to seek medical help immediately. High maternal and infant mortality rates in developing countries are due to a combination of a lack of quality, resources and access to health services coupled with mother’s lack of awareness. The purpose of this study was to collect current empirical studies to describe the pregnant women awareness about the obstetric danger sign in developing country. Method This review employed the Prisma-ScR checklist. The articles searched in four electronic databases (Scopus, CINAHL, Science Direct, Google Scholar). Variables that used to search the articles (pregnant woman, knowledge, awareness, danger signs pregnancy). The Framework used to review is PICOS. Result The results of the article found 20 studies which met inclusion criteria. The determinants were high educational status, more pregnancy experience, more ANC visit, and labour in the health facility. Conclusion The level of awareness is low to medium, only some have fair awareness, in which related to determinant. The recommended effective strategy is to improve the ANC program by assess the risk of obstetric danger sign promptly, assess the barrier of health seeking related to the family support, i.e. the husband and the elderly. Additionally, use MCH handbook or mobile application to record the ANC visit and communicate with the family.
- Anxiety and depression in the initial stage of the COVID-19 outbreak in a Portuguese sample: exploratory studyPublication . José, Helena; Oliveira, Cláudia; Costa, Emília; Matos, Filomena; Pacheco, Eusébio; Nave, Filipe; Valentim, Olga; Sousa, LuísIn previous studies, it was found that the confinement to which the population was subjected during the quarantine of the COVID-19 pandemic increased the risk of anxiety and depression. Objective: to analyze the levels of anxiety and depression symptoms in Portugal residents during the quarantine of the COVID-19 pandemic. Methods: This is a descriptive, transversal, and exploratory study of non-probabilistic sampling. Data collection was carried out between 6th and 31st of May 2020. Sociodemographic and health questionnaires PHQ-9 and GAD-7 were used. Results: The sample consisted of 920 individuals. The prevalence for depressive symptoms (PHQ-9 ≥ 5) was 68.2% and (PHQ-9 ≥ 10) was 34.8%, and for anxiety symptoms (GAD-7 ≥ 5) was 60.4% and (GAD-7 ≥ 10) was 20%. Depressive symptoms were moderately severe for 8.9% of the individuals, and 4.8% presented severe depression. Regarding the generalized anxiety disorder, we found that 11.6% of individuals present moderate symptoms, and 8.4% severe anxiety symptoms. Conclusions: The prevalence of depressive and anxiety symptoms were substantially higher than those previously found for the Portuguese population and when compared with other countries during the pandemic. Younger individuals, female, with chronic illness and medicated, were more vulnerable to depressive and anxious symptoms. In contrast, participants who maintained frequent levels of physical activity during confinement had their mental health protected.
- Patient-safety culture among emergency and critical Care Nurses in a Maternal and Child DepartmentPublication . Fuseini, Abdul-Karim Jebuni; Costa, Emília Isabel; Adelaide de Matos, Filomena; Merino-Godoy, Maria-de-los-Angeles; Nave, FilipeIntroduction: The quality of healthcare has multiple dimensions, but the issue of patient safety stands out due to the impact it has on health outcomes, particularly on the achievement of the Sustainable Development Goals (SDGs), expressly SDG3. In the services that we propose to study, the patient-safety culture had never been evaluated. Aim: To evaluate nurses’ perceptions of the patient-safety culture in the Emergency and Critical Care Services of the Maternal and Child Department of a University Hospital and to identify strengths, vulnerabilities, and opportunities for improvement. Methods: This an exploratory, cross-sectional study with a quantitative approach, using the Hospital Survey on Patient Safety Culture as an instrument for data collection. The population were all nurses working in the emergency and critical care services of the maternal and child-health department, constituted, at the time of writing, by 184 nurses, with a response rate of 45.7%. Results: Applying the guidelines from the Agency for Healthcare Research and Quality (AHRQ), only teamwork within units had a score greater than 75%. For this reason, it is considered the strength (fortress) in the study. The lowest-rated were non-punitive responses to errors and open communication. Conclusion: The overall average percentage score is below the benchmark of the AHRQ, indicating that issue of patient safety is not considered a high priority, or that the best strategies to make it visible have not yet been found. One of the important implications of this study is the opportunity to carry out a deep reflection, within the organization, that allows the development of a non-punitive work environment that is open to dialogue, and that allows the provision of safe nursing care.
- Parenting programme structure, potential barriers, and facilitators: a scoping reviewPublication . Ramos, Ana; Adelaide de Matos, Filomena; Soares, HéliaBecoming a parent is a challenging transition, and stress factors may arise. This scoping review aims to map, from the literature, the structure, potential barriers, and facilitators to be considered when conducting a parenting programme for parents of children up to 3 years old. It followed the JBI methodology and included studies with parents of children up to 3 years old (Participants), studies about parenting programme structure, its potential barriers, and facilitators (Concept) in the healthcare or community setting (Context). Qualitative and/or quantitative study designs and grey literature publications between 2016 and 2021 were eligible. The search was performed in three stages in CINAHL Plus with Full Text, MEDLINE with Full Text, and PubMed databases. It was also conducted in OpenGrey, ProQuest, Portuguese Open Access Scientific Repository, and Google Scholar. Fourteen articles were selected. The following aspects were identified regarding parenting programmes: benefits; structuring elements to be considered; facilitating factors and possible barriers to its development, and measurement instruments to assess the programme. Parenting programmes are important ways to contribute to a healthy, sustainable, and resilient society. It should be adapted to individuals, groups, and communities. They add value to parents, children, and society and should be carefully adapted to the group’s needs.