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Moral Distress of Nurses Working in Paediatric Healthcare Settings
Publication . Miranda, Ana Cristina Ribeiro; Fernandes, Sara Duarte; Ramos, Sílvia; Nunes, Elisabete; Fabri, Janaína; Caldeira, Sílvia
This scoping review aims to map the evidence on moral distress of nurses working in paediatric healthcare settings from homecare to hospital. It was conducted according to the Joanna Briggs Institute. International databases were searched according to the specific thesaurus and free search terms. Independent screening and analysis were conducted using Rayyan QCRI. This review considered a total of 54 studies, including quantitative and qualitative studies, systematic reviews, and grey literature; English and Portuguese languages were included. Moral distress is a phenomenon discussed in nursing literature and in the paediatric context but is considered absent from discussion in clinical practice. It is caused by disproportionate care associated with overtreatment. Nurses can present a variety of symptoms, characterising moral distress as a highly subjective experience. The paediatric contexts of practice should promote a healthy ethical climate and work towards a moral community built with peer support, education, communication, leadership, and management involvement. Moral distress is still a complex and challenging multidimensional concept, and the aim should be to promote a culture of prevention of the devastating consequences of moral distress and work towards moral resilience.
Reestruturação pedagógica de gestão de projeto de software
Publication . Santos, Mickaël Fonseca dos; Cunha, João Carlos Costa Faria da; Filipe, Ricardo Ângelo Santos
Atualmente, as metodologias ágeis são uma tendência, sendo adotadas cada vez mais
pela indústria. Desta forma, este trabalho teve como objetivo a reestruturação da
Unidade Curricular de Gestão de Projetos de Software da Licenciatura em
Engenharia Informática do Instituto Superior de Engenharia de Coimbra,
substituindo a metodologia de ensino tradicional por uma abordagem baseada em
metodologias ágeis. Para fundamentar esta reformulação, realizou-se uma análise das
boas práticas da engenharia de software e das metodologias de desenvolvimento de
software existentes. Foi realizado um trabalho de campo, que incluiu entrevistas a
empresas influentes a nível regional, nacional e internacional, assim como a outras
instituições de ensino superior, com o propósito de identificar metodologias e
práticas utilizadas no ensino de gestão de projetos de software. Tendo em conta que
este trabalho teve a duração de dois anos letivos, no primeiro ano letivo, a unidade
curricular foi analisada internamente, de modo a avaliar tanto os processos como as
práticas já em utilização, identificando os aspetos eficazes e as melhorias e ajustes
necessários. No segundo ano letivo, após o planeamento da reformulação da
Unidade Curricular, os alunos implementaram a metodologia Scrum, juntamente
com práticas e processos derivados de DevOps no desenvolvimento de software.
Os resultados superaram as expectativas, demonstrando um aumento significativo
nas competências adquiridas pelos alunos do segundo ano letivo na gestão de
projetos de software, apesar das previsões iniciais favorecerem os alunos do primeiro
ano, que apresentavam maior conhecimento prévio nas áreas, tecnologias e
processos da unidade curricular, conforme evidenciado por um formulário aplicado
no início de cada ano letivo.
Determination of baseline groundwater levels for tree conservation in urban historical botanical gardens using Applied Geophysics
Publication . Paz, Maria Catarina; Falcão, Ana Paula; Garcia, César Augusto; Esteves, Miguel; Afonso, Nuno; Mendes, Maria Paula
Historical botanical gardens hold a significant place in cultural heritage. They serve as interpretive repositories of past botanical knowledge and practices, showcase plant collections cultivated over centuries, provide space for the emergence of new ecologies, offer numerous human well-being benefits, and supply vital regulating ecosystem services, which are especially important in urban areas. Nowadays, however, plants within urban historical botanical gardens can be at risk due to urban development. Therefore, it is crucial to achieve a comprehensive understanding of these spaces to help implement protective measures and support proper urban planning of the surrounding areas. This study investigates the subsurface of the Botanical Garden of Lisbon (JBL), which is subject to nearby construction works that may alter groundwater flow and depth. We employed a methodology designed for minimal on-site disturbance and high adaptability to the spatial constraints typical of these spaces. Two non-invasive applied geophysical techniques were used: electrical resistivity tomography (ERT) and ground-penetrating radar (GPR). Our main objectives were: (1) to assess groundwater levels in the construction area and establish the piezometric surface, and (2) to determine if tree roots reach the saturated zone, establish a groundwater baseline, and suggest protective measures.
The establishment of the piezometric surface and the delimitation of the root zone, extending up to 3.0 m in depth, revealed that tree roots can access groundwater levels. This finding underscores the critical need for vigilant monitoring and management of groundwater levels during excavation activities, as decreased lateral groundwater contributions from the excavation area can adversely affect groundwater levels of trees in the plant beds. These findings and methodology can be applied to urban botanical gardens worldwide, as many of these gardens face similar challenges due to urbanization and environmental changes.
Mapping Strategies for Strengthening Safety Culture: A Scoping Review
Publication . Pacenko, Cristiane de Lima; Figueiredo, Karla Crozeta; Nunes, Elisabete; Cruchinho, Paulo; Lucas, P. B.
Background: Twenty years after the “To Err Is Human” report, one in ten patients still suffer harm in hospitals in high-income countries, highlighting the need to strengthen the culture of safety in healthcare. This scoping review aims to map patient safety culture strengthening strategies described in the literature. Method: This scoping review follows the JBI methodology. It adhered to all scoping review checklist items (PRISMA-ScR) with searches in the Lilacs, MedLine, IBECS, and PubMed databases and on the official websites of Brazilian and North American patient safety organizations. The research took place during the year 2023. Results: In total, 58 studies comprising 52 articles and 6 documents from health organizations were included. Various strategies were identified and grouped into seven categories based on similarity, highlighting the need for a comprehensive organizational approach to improve patient care. The most described strategies were communication (69%), followed by teamwork (58.6%) and active leadership (56.9%). Conclusion: The identified strategies can promote the development of a culture in which an organization can achieve patient safety, involving practices and attitudes that reduce risks and errors in healthcare. However, the identification of strategies is limited because it is restricted to certain databases and websites of international organizations and does not cover a broader spectrum of sources. Furthermore, the effectiveness of these strategies in improving patient safety culture has not yet been evaluated.
Parents’ Needs When Experiencing the Transition to Twin Parenthood
Publication . Freitas, Maria João; Travanca, Isabel Sofia Maneta; Garcia-Fernández, Rubén
Background: The transition to twin parenthood is a demanding challenge with a higher risk of maternal and fetal complications during pregnancy and a postpartum period that involves caring for more than one newborn at the same time with similar and simultaneous needs. (2) Aim: To find out about parents’ needs when experiencing the transition to twin parenthood and to describe the intervention of their specialized nursing support network. (3) Methodology: A descriptive exploratory study, based on a proper non-probabilistic sample of 15 nurses and 55 couples who are parents of twins, using two online questionnaires publicized on social networks. (4) Results: The couple’s needs were identified through knowledge of their experiences and difficulties during pregnancy and after the twin birth. Couples’ and nurses’ perceptions differed on the identified needs. The specialized nursing support network focuses its intervention on providing informative guidance on twin pregnancy and postpartum period, health education, group sharing experiences, home visits, planning, and including a family support network in the management of twin care and the creation of a daily routine. (5) Conclusions: There is a need to implement a program focused on the needs of parents of twins, promoting realistic expectations for the birth and parenting of twins, preparing parents, improving their well-being, and creating a specialized nursing support network available to this population.