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.
- 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.