Browsing by Author "Cotrim, Hortense"
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- Ganhos na qualidade alimentar dos lanches escolares das crianças do ensino primárioPublication . Ferreira, Maria; Oliveira, Ana Maria; Coelho, Lotário; Cotrim, Hortense; Guedes, Virgínia; Figueiredo, MariaA idade escolar representa uma janela de oportunidade para se adquirirem hábitos alimentares saudáveis. A escola é uma instituição fundamental na formação destes hábitos, nomeadamente os lanches escolares, na medida em que proporciona uma aprendizagem formal colaborativa com a família. Pretendeu-se caracterizar a qualidade alimentar dos lanches escolares das crianças do 1º Ciclo do Ensino Básico e os seus determinantes individuais e sociais de saúde; avaliar os ganhos na qualidade alimentar dos lanches escolares das crianças do 1º Ciclo do Ensino Básico, sensíveis ao projeto “Lanches saudáveis”. Estudo quantitativo, quase-experimental sem grupo de controlo. Participaram no estudo 753 crianças do 1º CEB de um Concelho da Região Centro de Portugal no ano letivo 2018/2019 (amostra de base populacional). A intervenção consistiu na realização de sessões de educação para a saúde e ensinos adaptados a cada criança, no início do projeto e aquando da avaliação cega dos lanches escolares. Os registos da qualidade alimentar dos lanches foram feitos, através de grelha criada para o efeito, pelos professores após treinamento dos critérios de classificação dos lanches. A avaliação foi cega realizada durante 5 semanas do 2º e 3º período. Ao longo do desenvolvimento do projeto verificou-se uma melhoria continua e gradual da qualidade alimentar dos lanches escolares por parte dos participantes. As meninas apresentaram melhor qualidade alimentar dos lanches escolares que os meninos. A intervenção realizada foi eficaz na melhoria da qualidade alimentar dos lanches escolares das crianças com resultados estatísticos 42Pensar Enfermagem | Vol. 25 | N.º 1 | 1º Semestre de 2021 ABSTRACT: School age represents a window of opportunity to acquire healthy eating habits. The school is a fundamental institution in the formation of these habits, namely school snacks, insofar as it provides formal collaborative learning with the family. It was intended to characterize the food quality of school meals for children in the 1st Cycle Basic Education and their individual and social health determinants; to evaluate the gains in food quality of school meals for children in the 1st Cycle Basic Education, sensitive to the “Healthy snacks” project. Quantitative study, quasi-experimental study without a control group. 753 children from the 1st CEB of a municipality in the Central Region of Portugal participated in the study year 2018/2019 (population-based sample). The intervention consisted of health education sessions and lessons adapted to each child, at the beginning of the project and when blindly evaluating school snacks. The records of the food quality of the snacks were made, through a grid created for the purpose, by the teachers after training the classification criteria of the snacks. The evaluation was performed blindly during 5 weeks of the 2nd and 3rd periods. During the development of the project, there was a continuous and gradual improvement in the food quality of school snacks by the participants. Girls showed better food quality in school snacks than boys. The intervention performed was effective in improving the food quality of children's school snacks with highly significant statistical results. The project to promote healthy eating resulted in improving the food quality of children's school snacks. The results suggest the need to expand the project's implementation to other children from a health perspective in all policies and collaborative work to promote the exercise of parenting and children's health.altamente significativos. O projeto de promoção da alimentação saudável traduziu-se na melhoria da qualidade alimentar dos lanches escolares das crianças. Os resultados sugerem a necessidade ampliar a implementação do projeto a outras crianças numa perspetiva de saúde em todas as políticas e de um trabalho colaborativo para promover o exercício da parentalidade e a saúde das crianças.
- A perceção dos enfermeiros face à identificação da necessidade de cuidados de enfermagem nas famílias reconstruídas, com filhos adolescentesPublication . Cotrim, Hortense; Figueiredo, Maria; Guedes, Virgínia; Ferreira, ManuelaThe Perception of Nurses to Identify the Need for Nursing Care in Reconstituted Families with Adolescent Children. Abstract: Family health nursing aims to promote the empowerment of families in the development of competencies, fostering a healthy living of their processes of change, throughout the life cycle. With respect to these families, dysfunctions can occur due to family coexistence and overlapping of parental roles over the adolescent. In this context the MDAIF arises, aiming to guide the action of nurses, proposing diagnoses and interventions, from the needs identified. The aim was to analyze nurses’ perception of the need for nursing care in reconstituted families with adolescent children. Descriptive and exploratory study, of a qualitative nature, whose participants were nurses who perform functions in primary health care. A questionnaire was used, applied in 2018, with an open question in which the participants were asked to describe strategies for identifying nursing care needs in rebuilt families with adolescent children. For data analysis, content analysis was used, and three categories emerged: “Family Assessment”, focused essentially on observation, interviewing and data collection; the “Context of the evaluation”, predominating the functional unit, within the scope of the nursing consultation; and “Referential”, the MDAIF being the theoretical and operative support for clinical decision making. In the identification of nursing care needs, the family assessment stands out as a methodology valued by nurses. These results may contribute to the development of formative processes, within the framework of family assessment, leading to the improvement of the quality of care.
- A perceção dos enfermeiros relativamente ao seu grau de competência para a prestação de cuidados de enfermagem às famílias reconstruídas, com filhos adolescentes, na área de atenção satisfação conjugalPublication . Cotrim, Hortense; Figueiredo, Maria; Guedes, VirgíniaThe Perception of Nurses Regarding their Degree of Competence to Provide Nursing Care to Reconstituted Families, with Adolescent Children, in the Area of Attention “Conjugal Satisfaction”. Abstract: The family has undergone numerous modifications and adaptations, with the formation of new family identities, which require nurses to identify possible problems. The aim of this study was to analyse nurses’ perceptions regarding the degree of competence to provide nursing care to reconstituted families, with adolescent children, in the area of attention marital satisfaction. Descriptive and exploratory study, of a quantitative nature. 25 primary care nurses participated. An online questionnaire was used, Lickert type, where the participan-ts were asked to indicate their perception about the level of competence to provide nursing care in these families, in the domain of conjugal satisfaction. Of the 25 nurses, 15 considered themselves competent to carry out the identification of needs, formulate diagnoses and plan nursing interventions, 8 are between incompetent and poorly qualified; in the implementation of interventions, 14 considered competent and 9 incompetent or have little competence; regarding to the evaluation of the interventions, 13 consider themselves competent and 10, incompetent or not competent. Thus, 35% of the sample considered not to have the necessary skills to provide care in the context of marital satisfaction, which indicates the need for greater investment in the development of formative processes in the context of marital satisfaction, leading to the improvement of the quality of care and the development of research to identify health gains arising from nurses’ interventions.
- Perspetiva da família sobre as implicações do uso de ventilação mecânica não-invasiva em casaPublication . Guedes, Virgínia; Figueiredo, Maria; Novais, Rui; Cotrim, HortenseSeveral studies have demonstrated that non-invasive home mechanical ventilation is a therapy that brings benefits to people with type 2 respiratory failure and their family. The objective of this study is to explore the implications of non-invasive home ventilation for the user’s family. An exploratory desc riptive study with quantitative qualitative nature in 10 families using noninvasive home ventilation. Mainly, they are nuclear families (8) belonging to the middle class (7). The data were collected through a semi-structured interview, with a data collection instrument that integrated sociodemographic issues and two open questions related to the participants’ perspective on the implications of non-invasive home ventilation for the family. They were processed with descriptive statistics and content analysis. From the narratives, three categories emerged: maladjustment, benefits and family process. They are divided into eight subcategories that describe the issues related to the use of non-invasive home ventilation: discomfort, sleep impairment, silence, crisis reduction, role interaction, dynamic relationship, coping and communication. The results demonstrate that non-invasive mechanical ventilation has implications for the users´ families, can be a stress cause, bring benefits and cause changes in the family process.
- Practice-driven restructuring of the pharmacy curricula: focus on advanced servicesPublication . Costa, Filipa Alves da; Cotrim, Hortense; Faria, Flávio; Bruno, Andreia; Gomes, Perpétua