Browsing by Author "Almeida, Ana Silva"
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- Barriers to family resilience in caregivers of people who have schizophreniaPublication . Fernandes, Júlio Belo; Fernandes, Sónia Belo; Almeida, Ana Silva; Cunningham, Rhona CruzetPurpose: To explore the barriers to family resilience in caregivers of peoplewho have schizophrenia. Design: A qualitative descriptive approach was used.Methods: Semistructured interviews were conducted with family caregiversof patients with schizophrenia registered at the psychiatry outpatient unitof a hospital center. Content analysis was performed on audio-recordedand verbatim-transcribed interviews. The consolidated criteria for reportingqualitative research (COREQ) checklist was applied to this study. Results: A total of 31 family caregivers participated, the majority of whomwere female (71%) with an average age of 57.5 years. Most participantslived with and cared for their relative (90.3%). The caregiver role wasassumed mostly by mothers (54.8%) and fathers (22.6%). Barriers to fam-ily resilience in caregivers of people experiencing schizophrenia broadlyfall under five categories: lack of knowledge about the disease, social stigma,expressed emotion, involvement in the relationship, and blame. Conclusions: In view of the paucity of studies exploring and understand-ing the barriers to family resilience, this study presents itself as one ofthe first in this area. There are different barriers to family resilience. Thisresearch provides an overview and an understanding of key barriers tofamily resilience in caregivers of people experiencing schizophrenia.Clinical Relevance: There is a need for nurses to help families to beresilient. By understanding the barriers to resilience, nurses are able tofocus on these factors and help families to remove or reduce theirinfluence.This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use anddistribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
- Older adults’ perceived barriers to participation in a falls prevention strategyPublication . Fernandes, Júlio Belo; Fernandes, Sónia Belo; Almeida, Ana Silva; Vareta, Diana Alves; Miller, Carol A.There is a need to increase older adults’ access and adherence to falls prevention strategies. This study aims to explore older adults’ perceived barriers to participation in a fall prevention strategy. A qualitative descriptive approach was used. Semi-structured interviews were conducted with 18 older adult users of a Day Care Unit from a Private Institution of Social Solidarity in the region of Lisbon and Tagus Valley in Portugal. The recruitment was made in September 2019. The interviews were recorded transcribed verbatim and analysed thematically using the method of constant comparisons. The barriers to participation in a fall prevention strategy are healthcare system gaps, social context, economic context, health status, psychological capability, and lack of knowledge to demystify myths and misconceptions about falls. There are different barriers to participate in a fall prevention strategy. It is urgent to eliminate or reduce the effect of these barriers to increase older adults’ participation in fall prevention strategies.
- Rehabilitation workforce challenges to implement person-centered carePublication . Fernandes, Júlio Belo; Vareta, Diana; Fernandes, Sónia; Almeida, Ana Silva; Peças, Dina; Ferreira, Noélia; Roldão, LilianaThere is an increasing emphasis on developing person-centered care in rehabilitation settings. However, this care practice has not been fully implemented due to several factors. This study explores rehabilitation workforce perspectives on the barriers and facilitators to implementing person-centered care (PCC). This was a quantitative descriptive study, which was developed based on interviews with 12 healthcare professionals from a private institution in the region of Lisbon and Tagus Valley in Portugal. The recruitment was made in October 2020. Braun, Clarke, Hayfield, and Terry’s content analysis was applied to the transcripts, and these were transcribed verbatim. The consolidated criteria for reporting qualitative research (COREQ) checklist were applied to this study. Participants described barriers such as an unsupportive organization and leadership, staff constraints, heavy workload, and resistance to change. Unique to this study, a patient’s clinical characteristics were identified as barriers to person-centered care. As facilitators, they described leadership, staff satisfaction, a positive physical environment, training and education, and shared decision-making. It is essential to understand the perceptions of the rehabilitation workforce, as they play an integral role in providing PCC. This study serves as a guide to facilitate person-centered care, as it provides an understanding of key barriers and facilitators for its implementation in rehabilitation settings.