Percorrer por autor "Almeida, Ana Silva"
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- Barriers and strategies affecting the use of assistive devices for falls prevention among people with Parkinson’s disease : a qualitative pilot studyPublication . Fernandes, Júlio Belo; Domingos, Josefa; Fernandes, Sónia; Ferreira, Noélia; Almeida, Ana Silva; Chalaça, Ana; Sousa, Natacha; Santos, Isabel; Duarte, Andreia; Godinho, CatarinaBackground: As Parkinson’s disease (PD) progresses, patients experience difficulties with gait and balance, requiring assistive devices to ensure fall prevention and safety. Despite the advantages provided by these aids, many people with PD do not adhere to their use. Objective: This study aims to explore the barriers to using assistive devices among people with PD and identify strategies to improve their adherence. Methods: We used a qualitative, exploratory, and descriptive research design. Individual semi-structured interviews were conducted from October 2021 to July 2022, with participants selected through convenience sampling. Thematic analysis was performed to analyze data. Results: Nineteen participants were interviewed, with the majority being male (63.2%) and a mean age of 72.3. This research identified several barriers to using assistive devices that were grouped under six broad themes and 14 subthemes. These themes included disease symptoms, physical limitations associated with holding the device, stigma, symbolism of the device, level of involvement of health professionals, and environmental factors. Concerning the strategies to improve adherence, they were grouped into themes that reflect different priority settings in the health sector. At the macro level, participants emphasized the significance of community education and intergenerational contact. At the meso level, participants highlighted the need for support groups, as well as prescription and training provided by health professionals. Finally, at the micro level, participants emphasized the importance of tailored care and shared decision-making. Conclusion: This study’s findings offer insights on barriers and strategies reported by people with PD, improving assistive device utilization.
- 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.
- Enablers, barriers and strategies to build resilience among cancer survivors : a qualitative study protocolPublication . Fernandes, Júlio Belo; Domingos, Josefa; Almeida, Ana Silva; Castro, Cidália; Simões, Aida; Fernandes, Sónia; Vareta, Diana; Bernardes, Catarina; Fonseca, Jorge; Vaz, Célia; Dias, Ana Rita; Fernandes, Tatiana; Godinho, CatarinaCancer is a life-threatening illness affecting all dimensions of a person’s health. Cancer survivors must build resilience to face this adversity and continue their life projects. The present study explores the enablers, barriers, and strategies to build resilience among cancer survivors. This qualitative, descriptive exploratory study will use purposive sampling to recruit cancer survivors and healthcare professionals from two hospital centers in Lisbon and Tagus Valley. Interviews will be conducted until data saturation occurs. Data analysis will be performed using an inductive content analysis process with the help of the QDA Miner Lite database. The findings from this study will generate knowledge that may help stakeholders to identify effective strategies to build resilience among cancer survivors. By implementing strategies to foster resilience, healthcare professionals can potentially promote positive adaptations to cancer by strengthening resilience enablers and reducing the impact of barriers.
- Exploring person-centredness in technology-based gait rehabilitation after stroke : a scoping review framework analysisPublication . Fernandes, Júlio Belo; Vareta, Diana; Fernandes, Sónia; Chalaça, Ana; Almeida, Ana Silva; Maia, Ana Catarina; Magsi, Faiza; Hall, Steven; McCormack, BrendanBackground: Technology-based gait rehabilitation after stroke is expanding, however the extent to which interventions embody person-centred care remains unclear. Aims: The objective of this review is to explore the extent to which technology-based interventions for gait rehabilitation in stroke survivors reflect the principles of person-centred practice. Methods: A scoping review was conducted following the Arksey and O’Malley methodological framework and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. A comprehensive search was performed in MEDLINE Complete, CINAHL Complete, Nursing & Allied Health Collection: Comprehensive, and the Cochrane Central Register of Controlled Trials, with the last search update on September 1, 2025. Data charting was aligned with the domains of the PCPF, enabling the identification of person-centredness indicators both explicitly stated in the texts and inferred from their context. Results: The search identified 1,460 records; after screening, 21 randomised controlled trials were included. Extracted data were mapped to PCPF domains to identify explicit and implicit indicators of person-centredness. Representation was variable: Prerequisites, Practice Environment, Person-Centred Processes, and Outcomes appeared across studies, while Macro Context was absent. Alignment was evident via practitioner expertise and responsive parameter adjustments (Prerequisites), specialised, well-resourced settings (Practice Environment), and personalised goal setting, real-time feedback, and preference-sensitive features (Processes). Regarding outcomes, all studies reported performance-based measures (motor performance); one included biomarker outcomes and two used Patient-Reported Outcome Measures (quality of life). No Patient-Reported Experience Measures were reported. Conclusion: Technology-focused gait trials remain predominantly biomedical in framing and reporting. Future studies should embed and report explicit person-centred processes and broaden outcomes to include patient-reported experience measures.
- Needs and expectations of family caregivers of cancer patients in palliative care : a study protocolPublication . Fernandes, Júlio Belo; Domingos, Josefa; Castro, Cidália; Simões, Aida; Fernandes, Sónia; Almeida, Ana Silva; Bernardes, Catarina; Miranda, Luís; Risso, Sandra; Ferreira, Rogério; Baixinho, Cristina Lavareda; Silvestre, Milene; Godinho, CatarinaCancer has an associated burden that continues to grow, affecting patients, family caregivers, and the individual’s community. The family caregivers’ unmet needs may harmfully jeopardize their well-being and the patient’s health outcomes. Therefore, it is essential to understand the needs and expectations of family caregivers of cancer patients to develop and improve care practices. The present study aims to explore the needs and expectations of family caregivers of cancer patients in palliative care. This qualitative, descriptive exploratory study will use purposive sampling to recruit family caregivers and healthcare professionals from the palliative care units of two hospital centers in Lisbon and Tagus Valley. First, the Focus group will be performed until data saturation occurs. Then, a conventional thematic analysis will be applied to analyze data with the help of the coding software QDA Miner Lite database. This study’s findings will help identify gaps in care and provide data that can support healthcare professionals in providing evidence-based centered care to family caregivers. It can also generate knowledge that may help stakeholders to develop a comprehensive support system for cancer survivors in palliative care and their family caregivers.
- Nurses’ motivations, barriers, and facilitators to engage in a peer review process : a qualitative study protocolPublication . Fernandes, Júlio Belo; Domingos, Josefa; Dean, John; Fernandes, Sónia; Ferreira, Rogério; Baixinho, Cristina Lavareda; Castro, Cidália; Simões, Aida; Bernardes, Catarina; Almeida, Ana Silva; Loureiro, Sónia; Ferreira, Noélia; Santos, Isabel; Godinho, CatarinaPeer review supports the integrity and quality of scientific publishing. However, although it is a fundamental part of the publishing process, peer review can also be challenging for reviewers, editors, and other stakeholders. The present study aims to explore the nurses’ motivations, barriers, and facilitators in engaging in a peer review process. This qualitative, descriptive exploratory study will be developed in partnerships with three research centers. Researchers followed the consolidated criteria for reporting qualitative research (COREQ) checklist to ensure the quality of this study protocol. According to the selection criteria, the purposive sampling will be used to recruit nurse researchers that act as peer reviewers for several scientific journals in various fields of knowledge. Interviews will be conducted until data have been sufficiently consistent with meeting the initial objectives. Researchers will develop a guide comprising a set of open-ended questions to collect participants’ characteristics, descriptive review behavior, and perceptions regarding their motivations, barriers, and facilitators. Researchers will analyze data using an inductive process of content analysis with the help of the QDA Miner Lite database. Findings from this study will generate knowledge that may help stakeholders identify facilitating factors and barriers and guide the development of strategies to remove or minimize these barriers.
- 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.