Percorrer por autor "Cardoso, Maria Filomena Passos Teixeira"
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- Atitudes dos enfermeiros frente à morte no contexto hospitalar: diferenciação por unidades de cuidadosPublication . Cardoso, Maria Filomena Passos Teixeira; Martins, MM; Ribeiro, Olga; Fonseca, Esmeralda FariaObjetivo: identificar a ocorrência da morte nas unidades de cuidados, bem como analisar os registros e as atitudes dos enfermeiros frente à morte no contexto hospitalar. Método: estudo quantitativo, descritivo, transversal, com participação de 900 enfermeiros de um hospital do Norte de Portugal. Com recurso à triangulação de fontes de dados, a coleta realizou-se de fevereiro a março de 2018 através de questionário e observação de registros efetuados pelos enfermeiros. Para análise dos dados, usou-se estatística descritiva e analítica. Resultados: são as unidades de medicina que apresentam maior número de mortes, sendo no turno da noite que se registra um valor mais elevado de ocorrências. Com relação às atitudes dos enfermeiros frente à morte, à exceção do evitamento, todas as outras evidenciam tendência semelhante entre o grupo profissional, independentemente da sua área de atuação. Os registros de enfermagem apresentam maior incidência ao nível da função ao invés de focados no domínio da pessoa. Conclusão e implicações para a prática: além da aquisição de conhecimentos através da participação em formações sobre a morte e o processo de morrer, o acompanhamento e apoio dos profissionais, poderão desempenhar um papel fundamental na preparação dos enfermeiros para cuidar das pessoas em fim de vida.
- Dying in the emergency service: nurses’ attitudes before and after the first critical period of COVID-19Publication . Cardoso, Maria Filomena Passos Teixeira; Martins, MM; Ventura-Silva, João Miguel Almeida; Mota, Paulo Emílio; Costa, Paula Cristina Rodrigues; Ribeiro, OlgaBackground: Death is an increasingly frequent event in hospitals, and nurses are the health professionals who live with this reality the most. The pandemic caused by COVID-19 made this event more present, showing that nurses’ attitudes toward death may influence the care provided to people at the end of life. The objective of this study was to analyze the attitudes of nurses in the emergency service toward death, before and after the first critical period of the pandemic by COVID-19 in Portugal. Methods: A quantitative, comparative, and cross-sectional study was conducted in a hospital in Northern Portugal at 2 different moments: the first in February 2018 and the second in May 2020, after the first critical period of the pandemic by COVID-19. In both moments, data were collected using a self-completion questionnaire, which included the Death Attitude Profile Assessment Scale. Results: The attitudes fear, avoidance, closeness, and escape did not show significant differences. In neutral/neutral acceptance, differences were found between the first and second moments of data collection (P=.01), with a lower mean after the critical period of the pandemic. Conclusions: The results obtained in 2018 and 2020 showed slight changes in attitudes toward death. The need to invest in the training and preparation of nurses who deal directly with death and the dying process was evident. Nurse managers should promote spaces for reflection and team training on death, aiming to reduce the professionals’ suffering and anxiety.
- Environments of professional nursing practice in the context of the COVID-19 pandemicPublication . Ribeiro, Olga; Trindade, Letícia de Lima; Sousa, Clemente Neves; Teles, Paulo João Figueiredo Cabral; Cardoso, Maria Filomena Passos Teixeira; da Rocha, Carla Gomes; Barros, Sónia Cristina Costa; Ventura-Silva, João Miguel AlmeidaBackground: Although COVID-19 attracted attention to the environments of professional nursing practice, triggering a series of responses to address some of the most pressing problems, it is important to identify the size and scope of other weaknesses that have emerged. Methods: In an observational and cross-sectional study, using the Scale for the Evaluation of the Environment of Professional Nursing Practice, 752 nurses from a Portuguese university hospital, provided socio-demographic and professional data about the components structure, process and outcome of their professional nursing environment. Data collection took place from June 1–30, 2020, immediately after the first critical period of the COVID-19 pandemic in Portugal. Results: In the analysed environment of professional nursing practice, Process factors were favourable to the quality of care, while the Structure and Outcome factors had a moderately favourable effect. Structure factors related to work contexts (P<.001) and nursing functions in patient care areas with COVID-19 (P=.001). Process factors related significantly to work contexts (P<.001). A significant association was found between Outcome factors and work contexts (P<.001) and nursing functions in patient care areas with COVID-19 (P=.005). Conclusion: The environments of professional nursing practice in the hospital under study are moderately favourable to the quality of care. However, the need to invest in nurses’ participation, involvement and professional qualification is clear. Maintenance of a sustainable nursing workforce requires attention to be given to ensuring that practice environments are conducive to the quality of care and geared to promoting professional involvement and job satisfaction among nurses.
- Escala de avaliação dos ambientes da prática profissional de enfermagem: construção e validação de conteúdoPublication . Ribeiro, Olga; Vicente, Corália Maria Fortuna de Brito; Martins, MM; Trindade, Letícia De Lima; Sousa, Clemente Neves; Cardoso, Maria Filomena Passos TeixeiraObjective: to construct and validate the content of the Assessment Scale of Nursing Professional Practice Environments. Method: methodological study conducted from January to May 2020. The construction of the Scale after a previous qualitative research and literature review. Content validation was performed by 22 experts. Results: initially, the Scale had 128 items grouped in the dimensions structure, process and outcome. Due to the experts’ evaluation, in the structure dimension, the 65 initial items, 20 were excluded, 10 were reformulated and one, added. In the process dimension, of the 49 initial items, 8 were excluded and 2 were reformulated. In the outcome dimension, of the 14 initial items, 2 were excluded, 2 reformulated and added 1. The final version contained 100 items, in which the Content Validity Index of each item fluctuated between 0.86 and 1. Conclusion: the construction and subsequent validation of the items by the experts was a fundamental step, giving security to the continuity of psychometric procedures.