Browsing by Author "Duarte, João Carvalho"
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- Domestic violence in pregnancy: prevalence and characteristics of the pregnant womanPublication . Almeida, Fátima Susana Jesus; Coutinho, Emília Carvalho; Duarte, João Carvalho; Chaves, Cláudia Margarida Balula; Nelas, Paula Alexandra Batista; Amaral, Odete Pereira; Parreira, Maria Vitoria Barros De CastroAims and objectives. To determine the prevalence of domestic violence (physical, psychological or sexual) during pregnancy and to characterise these women. Background. Pregnant women are not immune to domestic violence and therefore may be subject to any form of physical, psychological or sexual violence by partners. Health professionals’ knowledge and awareness are important in the identification and intervention of pregnant women who experience domestic violence. Methods. Quantitative, descriptive, correlational study, using a nonprobabilistic convenience sample consisting of a total of 852 postpartum women, of whom 370 were experiencing domestic violence according to the criteria adopted through the modified scale of prevalence, applied between February–June 2012 in two Portuguese public health institutions. Authorisation was given by the Ethics Committees/Administration Councils of both institutions involved and the National Committee of Data Protection. Results. The prevalence of DV during pregnancy was 43 4% (physical violence – 21 9%; psychological violence – 43 2%; and sexual violence – 19 6%). These women had the following profile: immigrant (OR = 5 70; IC95% 3 32–9 78), non-Caucasian (OR = 6 27; IC95% 3 76–10 46), single/divorced/widowed (OR = 2 28; IC95% 1 70–3 05), academic qualifications up to year 9 (OR = 4 94; IC95% 3 31–7 37); between 10–12 years of schooling (OR = 2 36; IC95% 1 70–3 29); unemployed (OR = 2 01; IC95% 1 50–2 69); and with a monthly income <1000 euros (OR = 1 90; IC95% 1 44–2 50). Through logistic regression, the following protective factors have been identified: nationality (Portuguese), race (Caucasian) and place of residence (city). Conclusions. Almost half of the sample had experienced some form of domestic violence. This is associated with certain sociodemographic factors identified in the study. Psychological violence was the most prevalent during pregnancy.
- Patient safety culture in nurses’ clinical practicePublication . Brás, Cláudia Patrícia da Costa; Ferreira, Manuela Maria Conceição; Barbieri-Figueiredo, M, C.; Duarte, João CarvalhoObjective: to assess the psychometric characteristics of the Hospital Survey on Patient Safety Culture, to characterize the patient safety culture, and to assess the influence of the sociodemographic and professional variables on the safety culture dimensions. Method: a methodological, observational, analytical and cross-sectional study conducted with 360 nurses in which the Hospital Survey on Patient Safety Culture questionnaire was used. The data were submitted to descriptive and inferential analysis, as well as to feasibility and validity studies. Results: the nurses’ mean age is 42 years old, their mean time of professional experience is 19 years, and they are mostly female. Good internal consistency was obtained (Cronbach’s alpha: 0.83), as well as acceptable model fit quality indices. Teamwork within units, Supervisor expectations and Feedback and communication about errors were the dimensions that obtained scores above 60%. Non-punitive response to error, Frequency of events reported, Support for patient safety and Staffing presented scores below 40%. These dimensions are influenced by age, schooling level and professional experience. Conclusion: the psychometric properties of the questionnaire certify its good quality. Teamwork can be considered as an enhancing factor for the safety culture. Assessing the safety culture allowed identifying problematic dimensions, thus enabling planning of future interventions.
- Trabalho Livre nº 14 - A Influência da Dor na Qualidade de Vida do Doente com Ferida Crónica nos Membros InferioresPublication . Costa, Isabel Alves; Duarte, João Carvalho; Amaral, Maria Odete PereiraDos sintomas associados à presença da ferida crónica a dor é o mais comum e emergente. A sua presença está associada a um aumento da procura dos cuidados de saúde com repercussões na qualidade de vida (QV) do doente.