Percorrer por autor "Hall, Steven"
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- Assessing the magnitude of burnout among emergency nurses in PortugalPublication . Fernandes, Júlio Belo; Antunes, Ricardo; Ivanel, Maria; Lucas, Mariana; Oliveira, Ricardo; Bico, Wilson; Simões, Aida; Vareta, Diana; Bernardes, Catarina; Vaz, Célia; Hall, Steven; Fernandes, Sónia; Castro, CidáliaBackground: Burnout is a health condition associated with chronic work-related stress. Nurses working in hospital emergency rooms are particularly susceptible to experiencing burnout. It is crucial to understand the phenomena of burnout among emergency room nurses, particularly in light of the COVID-19 pandemic that healthcare professionals have confronted. This study aims to evaluate burnout among nurses working in emergency rooms while examining the relationship between burnout and sociodemographic and occupational variables. Methods: This descriptive, observational, and cross-sectional study utilized a web-based survey administered to 112 nurses from eight hospital emergency rooms in the Lisbon metropolitan area between November 2022 and February 2023. Burnout was measured using the Portuguese version of the Maslach Burnout Inventory (MBI), which assessed three subscales: Emotional Exhaustion (EE), Depersonalization (DP), and Personal Accomplishment (PA). The relationship between burnout and sociodemographic and professional characteristics of nurses in emergency rooms was analyzed using Chi-square tests and one-way ANOVA. Results: The prevalence of burnout was 56.6%, with 27.4% experiencing severe burnout. The three subscales of the MBI showed high prevalence rates: 49.1% for EE, 44.6% for DP, and 38.4% for low PA. Severe burnout and high EE were associated with younger age, being single, not having children, having less professional experience, less graduate training, and having more precarious employment contracts. Conclusions: Three years after the onset of the COVID-19 pandemic, the results highlight the ongoing critical situation arising from the cumulative effects of the crisis on the Portuguese healthcare system, leading to high rates of burnout and EE among emergency room nurses.
- Exploring person-centredness in technology-based gait rehabilitation after stroke : a scoping review framework analysisPublication . Fernandes, Júlio Belo; Vareta, Diana; Fernandes, Sónia; Chalaça, Ana; Almeida, Ana Silva; Maia, Ana Catarina; Magsi, Faiza; Hall, Steven; McCormack, BrendanBackground: Technology-based gait rehabilitation after stroke is expanding, however the extent to which interventions embody person-centred care remains unclear. Aims: The objective of this review is to explore the extent to which technology-based interventions for gait rehabilitation in stroke survivors reflect the principles of person-centred practice. Methods: A scoping review was conducted following the Arksey and O’Malley methodological framework and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. A comprehensive search was performed in MEDLINE Complete, CINAHL Complete, Nursing & Allied Health Collection: Comprehensive, and the Cochrane Central Register of Controlled Trials, with the last search update on September 1, 2025. Data charting was aligned with the domains of the PCPF, enabling the identification of person-centredness indicators both explicitly stated in the texts and inferred from their context. Results: The search identified 1,460 records; after screening, 21 randomised controlled trials were included. Extracted data were mapped to PCPF domains to identify explicit and implicit indicators of person-centredness. Representation was variable: Prerequisites, Practice Environment, Person-Centred Processes, and Outcomes appeared across studies, while Macro Context was absent. Alignment was evident via practitioner expertise and responsive parameter adjustments (Prerequisites), specialised, well-resourced settings (Practice Environment), and personalised goal setting, real-time feedback, and preference-sensitive features (Processes). Regarding outcomes, all studies reported performance-based measures (motor performance); one included biomarker outcomes and two used Patient-Reported Outcome Measures (quality of life). No Patient-Reported Experience Measures were reported. Conclusion: Technology-focused gait trials remain predominantly biomedical in framing and reporting. Future studies should embed and report explicit person-centred processes and broaden outcomes to include patient-reported experience measures.
- Exploring senior nursing students’ perspectives on humanizing care for patients in isolation : a qualitative studyPublication . Fernandes, Júlio Belo; Castro, Cidália; Simões, Aida; Vareta, Diana; Barros, Inês; Benatti, Luiza; Hall, Steven; Fernandes, SóniaBackground: Isolation units play a vital role in controlling disease transmission and ensuring the safety of both patients and healthcare professionals. However, the experience of isolation can lead to feelings of loneliness and anxiety that negatively affect patients’ wellbeing and recovery. Given this, making care more humanized in these settings should be a key priority in healthcare. This study explores nursing students’ perspectives on interventions that contribute to humanizing care for patients in isolation units. Methods: A theory-informed qualitative descriptive study was conducted with 19 senior nursing students completing clinical placements in isolation units across five hospitals. Interviews were transcribed and analyzed using Braun and Clarke’s six-step thematic analysis. Watson’s Theory of Human Caring was used as a sensitizing framework to support data interpretation. Results: The study identified several nursing interventions that enhance the humanization of patient care in isolation units. These interventions were classified into two main dimensions based on Watson’s theory. The instrumental dimension included interventions focused on symptom management, physical comfort, infection prevention and control, continuity of care, and discharge planning. The expressive dimension encompassed strategies directed at establishing a therapeutic relationship, individualized care planning, emotional and psychosocial support, relaxation and entertainment, patient empowerment, and family involvement. Conclusion: Categorizing these interventions within the framework of the Theory of Human Caring provides valuable insight into various approaches to humanizing care in isolation units. These findings can contribute to the development of patient-centered care models, encouraging healthcare professionals to deliver more comprehensive and compassionate care that addresses the holistic needs of isolated patients.
- Prehabilitation : preoperative rehabilitation interventions for lung cancer – a scoping reviewPublication . Colaço, Ana Jesus; Castro, Cidália; Hall, Steven; Fernandes, Júlio BeloBackground: Individuals undergoing lung cancer surgery often face significant postoperative challenges, underscoring the importance of identifying effective preoperative rehabilitation strategies to support recovery. Aim: To identify rehabilitation interventions that can be implemented during the preoperative period for individuals with lung cancer undergoing thoracic surgery. Design: Scoping review guided by the Arksey and O'Malley methodological framework. Methods: The research question guiding this review was “What rehabilitation interventions should be implemented in the preoperative period for individuals with lung cancer undergoing surgery?” A comprehensive search was performed across five databases: MEDLINE, Cochrane Central, CINAHL, ScienceDirect, and PubMed. The review included studies that addressed rehabilitation interventions before thoracic surgery for individuals with lung cancer. Results: A total of 19 articles met the inclusion criteria. The findings indicate that combining aerobic endurance, resistance, and respiratory training with preoperative education improves outcomes. In addition, nutritional counseling and brief relaxation/emotion-regulation strategies appear to be valuable components of multimodal prehabilitation programs, though evidence is limited. Conclusion: Preoperative rehabilitation interventions have the potential to enhance functional reserve, reduce postoperative complications, and accelerate recovery in individuals undergoing lung resection for lung cancer.
- Strategies for person-centred AI integration : a study protocolPublication . Fernandes, Júlio Belo; Vareta, Diana; Fernandes, Sónia; Castro, Cidália; Hall, Steven; Baixinho, Cristina; Costa, Andreia; Godinho, Catarina; Brederode, Constança; Mateus, Jéssica; McCormack, BrendanBackground: The integration of Artificial Intelligence in healthcare is transforming care delivery. While Artificial Intelligence offers efficiency and precision, it also raises ethical concerns about the potential for dehumanization. Maintaining person-centred care, with its emphasis on human dignity, empathy, and relationships, becomes essential in this evolving context. This study aims to identify practical strategies that can help ensure the humanization of care is not compromised amid the ongoing technological transformation. Methods: A qualitative study will be conducted with healthcare professionals, managers, and Artificial Intelligence experts. Participants will be recruited through purposive sampling and invited via digital platforms and academic networks. Semi-structured interviews will be held online, guided by five dimensions of a Person-Centred Practice Framework. Interviews will be audio-recorded, transcribed, and thematically analysed using Braun and Clarke’s method, supported by QDA Miner Lite. Conclusion: By examining diverse perspectives, this study aims to identify strategies for upholding person-centred care in Artificial Intelligence -driven contexts. The findings can support the implementation of ethically responsible Artificial Intelligence that reinforces, rather than diminishes the human aspects of care.