Percorrer por autor "Gaspar, Maria Filomena"
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- Instruments and indicators for the assessment of oral skills in preterm newborns to begin oral feeding: A scoping reviewPublication . Brantes, Ana Lúcia Gonçalves; Curado, Maria Alice dos Santos; Figueiredo, Inês Carnall; Maroco, J.; Gaspar, Maria FilomenaIntroduction: The present scoping review was conducted with the objective of identifying and mapping in the scientific literature instruments or indicators that evaluate oral competencies for the beginning of oral feeding in preterm newborns hospitalized in neonatal units. Method: ology: The present scoping review followed PRISMA-ScR guidelines. The PCC question structure was used to determine the eligibility of the included studies. Results: 13 studies were included, with 3 articles addressing indicators for food readiness and 10 referring to assessment instruments. Two assessment instruments were identified to evaluate oral feeding readiness in preterm infants: the Preterm Oral Feeding Readiness Scale (POFRAS) and the Oral Feeding Readiness Assessment in Premature Infants. The main indicators were non-nutritive sucking, behavioral conditions, swallowing and hemodynamic stability. Conclusion: It is essential to invest in further research aimed at the development of an instrument based on scientific evidence and for clinical use to assess skills related to oral feeding readiness in preterm newborns.
- Stress assessment instruments for hospitalized preterm newborns : scoping reviewPublication . Costa, Mónica; Gaspar, Maria Filomena; Curado, Maria Alice; Brantes, AnaBackground: The highly technological environment existing in intensive care units, essential for the survival of the newborn, contributes with a potentially devastating and traumatic effect, especially in preterm newborns and in their future lives, due to the early and frequent exposure to multiple stressors. The preterm newborn must be observed in a systematic and structured way, before, during and after any intervention, aiming at the correct assessment and interpretation of his behaviour and signs of stress, and at the timely planning of interventions that minimize and prevent stress. The objective of this review is to identify and map the instruments for assessing stress in preterm newborns admitted to neonatal units in scientific evidence. Methods: A scoping review was carried out using the methodology presented by The Joanna Briggs Institute (JBI) and the PRISMA ScR model (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extended for Scoping Reviews) for structuring the collected information. The research was carried out in three distinct phases supported by the Medline, CINALH databases through the EBSCO, Scielo and PubMed platform. Two reviewers screened all citations, abstract data and full-text articles, independently. Results: Ten articles were selected, all primary studies. Seven different scales were identified in the studies. Discussion: This review highlights the limited availability of instruments exclusively designed to assess neonatal stress in neonatology. While most tools, like the Newborn Comfort Behavior Scale and ALPS-Neo, focus on pain and stress together, the NISS and NSS provide valuable insights despite limitations in capturing individualized stress responses. Differentiating stress from pain is crucial for implementing targeted, neuroprotective interventions. Adapting neonatology environments and care practices to minimize stressors is essential for promoting newborns' well-being and long-term development. Conclusion: The findings underscore the critical need for stress-specific assessment tools in NICUs to differentiate between pain and stress. Existing instruments offer valuable insights but have notable limitations. Expanding validated tools and prioritizing individualized, neuroprotective care are essential for improving outcomes. Adapting neonatology practices to reduce stressors and implement family-centered care will support the holistic needs of newborns, fostering their development, physiological stability, and overall well-being.