Browsing by Author "Coelho, Joana"
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- Construction and Validation of the Positive Mental Health Literacy Assessment Scale in AdultsPublication . Chaves, Cláudia; Duarte, João; Sampaio, Francisco; Coelho, Joana; Gonçalves, Amadeu; Santos, Vanda; Sequeira, CarlosLow mental health literacy levels have a profound negative effect on healthcare outcomes, usage of healthcare services and healthcare expenditure. To date, there is little research and a lack of instruments available to address and assess positive mental health literacy levels in community-dwelling adults. Thus, this study sought to develop an instrument to assess positive mental health literacy in adults and to evaluate its psychometric properties. A scale developed in European Portuguese and composed of 32 items was designed to assess positive mental health literacy among community-dwelling adults and was validated using exploratory factor analysis. Five latent factors were identified (decision making, prosocial attitudes, perception of resources, community involvement, and problem solving), whose hypothesised structure was confirmed by confirmatory factor analysis using structural equation modelling. Evidence showed that the scale’s factor structure is reliable and valid and adequately represents the theorised constructs. Thus, this may be a useful assessment tool for clinical practice since it will allow a more rigorous assessment of positive mental health literacy and better mental health promotion interventions in the population.
- Patient Safety Training Programs for Health Care Professionals: A Scoping ReviewPublication . Amaral, Catarina; Sequeira, Carlos; Albacar-Riobóo, Núria; Coelho, Joana; Pinho, Lara Guedes; Ferré-Grau, CarmeObjective This study aimed to map the evidence available on patient safety training programs for health professionals. Methods A scoping review was carried out. Several studies published between January 2010 and March 2020 in the following databases were investigated: CINAHL; MEDLINE; Nursing & Allied Health Collection: Comprehensive; Cochrane Central Register of Controlled Trials; Cochrane Database of Systematic Reviews; Cochrane; MedicLatina, via EBSCOhost; World Health Organization; Google Scholar; BVS—Biblioteca Virtual da Saúde; PubMed; B-On; and RCAAP—Repositórios Científicos de Acesso Aberto de Portugal. Results A total of 2841 articles were found, 7 were included. Most studies report that the development of patient safety programs for health care professionals provides them with tools and techniques to recognize adverse incidents induced by the professional system/practice; recognize human factors related to patient safety, such as nontechnical skills or tiredness; understand high-risk clinical processes; develop strategies that influence and enhance patient safety culture; promote communication, teamwork, and organizational culture concerning patient safety; analyze other characteristic and emerging topics in patient safety; and develop project proposals to improve patient safety, allowing health care professionals to consolidate their knowledge, leading initiatives to improve patient safety. Conclusions There are still few studies that test patient safety training programs, which is a concern given the importance of implementing safe practices. The existing evidence proves the efficacy of the training programs in improving patient safety, although there are some gaps.
- Perspectives of adult patients with mental health disorders on the relationship with nurses: a focus group studyPublication . Coelho, Joana; Moreno Poyato, Antonio; Roldán Merino, Juan; Sequeira, Carlos; Sampaio, FranciscoBackground The relationship between the nurse and the patient with mental health disorder is crucial to the recovery process. Thus, patients with mental health disorders should be active subjects in this relationship by having autonomy and self-determination. Methods This study aimed to explore the perspectives of adult patients with mental health disorders on the relationship with nurses. A qualitative, descriptive, and exploratory study was conducted in March 2023, using focus group meetings in an association to support patients with severe mental health disorders in the Northern region of Portugal. The study followed the Consolidated Criteria for Reporting Qualitative Research (COREQ). A total of 8 patients participated in the study. Two focus group meetings were conducted. The inductive method was used, and content analysis of the transcripts was performed. The QDA Miner Lite 4.0 and Microsoft Excel were used for content analysis. Results Participants considered the relationship with nurses important for their recovery and expected nurses to provide support and help, being able to identify their needs, thus personalising their care. Attitudinal and communication aspects were also considered crucial for establishing a solid, trusting, and meaningful relationship. Conclusion According to the findings nursing care is expected to focus on the patient, his/her preferences, expectations, and the uniqueness of each individual. The results of this study may be useful for the reflection and improvement of nurses in their relational and communication skills and the driving force for nursing students’ awareness of the perspective of the relationship with patients with mental health disorder and its relevance.
- The effectiveness of positive mental health programs in young's and adults: A systematic reviewPublication . Teixeira, Sónia; Coelho, Joana; Sequeira, Carlos; Lluch-Canut, M. T.; Ferré-Grau, Carme
- The structure and contents of the helping relationship as a nursing psychotherapeutic intervention: A modified e‐Delphi studyPublication . Coelho, Joana; Sampaio, Francisco; Sequeira, Carlos; Lleixà Fortuño, Mar; Roldán Merino, JuanPurpose: The aim of this study is to evaluate the content validity of the helping relationship as a nursing psychotherapeutic intervention. Design and Methods: The present research work is a modified e‐Delphi study. A total of 205 experts were identified between January and May 2018, and a questionnaire was sent to all of them in different rounds. Findings: The nurse must have specific knowledge (self‐knowledge and knowledge about the person) and attitudes (empathy and respect) to be able to carry out the intervention. The helping relationship can address different nursing diagnoses, such as anxiety or depressed mood, and it can be developed in a set of sessions with specific objectives and contents. Practice Implications: The systematization of the helping relationship creates the conditions for its implementation in clinical practice enabling an evidence‐based practice that results in the improvement of care.
- Transcultural adaptation and psychometric properties of the spanish version of the therapeutic relationship Assessment Scale-NursePublication . Roldán Merino, Juan; Coelho, Joana; Sampaio, Francisco; Agüera, Zaida; Puig Llobet, Montserrat; Lluch Canut, Teresa; Rodriguez Nogueira, Oscar; Ventosa Ruiz, Ana; Sequeira, Carlos; Moreno Poyato, Antonio R.Background The nurse-patient therapeutic relationship is considered a pillar of mental health nursing, contributing to improved person-centered care and shared decision making with the patient. Given the importance of the nurse-patient therapeutic relationship, appropriate evaluation instruments are required to assess its quality. The aim of this study was to adapt and validate the Spanish version of the Therapeutic Relationship Assessment Scale-Nurse. Methods A translation and back-translation of the scale was carried out. To analyze the psychometric properties, the scale was administered to 213 nurses working in the field of mental health care. Temporal stability or test-retest was examined by means of the intraclass correlation coefficient (ICC) in a sample of 100 nurses. Results Confirmatory Factor Analysis revealed a four-factor structure identical to the original version, with some poor model fit indices. The ordinal alpha values for the total scale and the four factors were 0.939, 0.654, 0.798, 0.801, and 0.866, respectively. The intraclass correlation coefficient was 0.928 (95% CI: 0.893–0.952). Conclusions The results show that the Spanish version of the Therapeutic Relationship Assessment Scale-Nurse is reliable for determining the quality of the therapeutic relationship that mental health nurses can establish with their patients. However, more studies are needed to analyse the model fit of the instrument’s factor structure in the Spanish population.
- Translation, Adaptation and Assessment of the Psychometric Properties of the Mental Health Knowledge Questionnaire in a Sample of Higher Education Students in PortugalPublication . Chaves, Cláudia; Duarte, João; Sampaio, Francisco; Coelho, Joana; Sequeira, CarlosA significant part of the worldwide population is affected by some mental disorder. Previous research conducted with the general population has revealed poor knowledge when it comes to mental health. Therefore, it is imperative to assess mental health literacy using robust assessment tools. Thus, this study aimed to translate, adapt and assess the psychometric properties of the Mental Health Knowledge Questionnaire in a sample of higher education students in Portugal. This study used a sample consisting of 2887 participants. Internal consistency for the psychometric study was estimated using Cronbach’s alpha coefficient. Construct validity was tested using exploratory and confirmatory factor analysis, convergent validity, and discriminant validity. After data analysis, the final Portuguese version of the Mental Health Knowledge Questionnaire was composed of 14 items. The goodness-of-fit indices were adequate, confirming the quality of the model’s fit to the empirical data (χ²/df = 2.459, GFI = 0.983, CFI = 0.969, RMSEA = 0.032, RMR = 0.023, SRMR = 0.032). This assessment tool is valid and reliable to assess higher education students’ mental health literacy in Portugal. Analyses to confirm the scale’s external validity, measurement equivalence and replicability are still required.