Browsing by Author "Lopes, Manuel José"
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- Construir laços de confiança e promover o confortoPublication . Oliveira, Célia Simão de; Lopes, Manuel JoséApresenta-se uma revisão dos conceitos confiança e confiar, e uma reflexão sobre o papel destes no trabalho de confortar do enfermeiro, face ao cliente adulto ou idoso hospitalizado. A literatura de enfermagem afirma a confiança como um pré requisito para confortar e para a experiência de conforto pelo cliente. Para além de sustentar esta afirmação, questiona-se se esta é a única associação possível entre estes conceitos: Será a experiência de confiar, em si mesma, confortadora? Será o confortar um meio para construir uma relação de confiança entre enfermeiro e cliente? Construiu-se uma reflexão que procurou cruzar dimensões da teoria e da prática de cuidar sobre estes conceitos. Sustentam-se três asserções: a confiança é necessária ao confortar e à experiência de conforto; o cuidado de conforto poderá alimentar a construção de laços de confiança; e poder confiar no enfermeiro que consistentemente procura confortar, poderá ser, em si mesmo, confortador.
- Cross-cultural validation and psychometric evaluation of the Self-Medication Assessment Tool (SMAT) for assessing and optimizing medication therapy management of older peoplePublication . Advinha, Ana Margarida; Barros, Carla Teixeira de; Guerreiro, Mara Pereira; Nunes, Carla; Lopes, Manuel José; Oliveira-Martins, Sofia deBackground, rationale and objectives: The assessment of medication management ability in the elderly can be performed using specific tools, such as the Self-Medication Assessment Tool, which considers real and simulated regimens. The objective of this study was to perform the linguistic and cultural adaptation of the Self-Medication Assessment Tool to European Portuguese and determine its psychometric properties. Methods: The adaptation commenced with the translation/back translation cycle completed by 4 independent bilingual experts. The cultural component was accomplished through an external expert meeting and a longitudinal screening of concepts and construct. The pilot study was carried out in a sample of 150 Portuguese community-dwelling elders. Descriptive data, correlations, internal reliability, response consistency and exploratory factor analysis was conducted using SPSS Statistics (v22). Results: The pilot study was carried out in a sample of 150 community-dwelling elders: 112 (74.7%) participants were women; mean age was 74.73 ± 6.43 years. The Self-Medication Assessment Tool (Portuguese version) standard regimen (simulated medication regimen) mean scores were 20.92 ± 6.83 in functional ability and 38.75 ± 5.92 in cognitive ability; the real regimen (medication taken by the elderly) mean scores were 83.74 ± 15.86 in medication recall, 96.96 ± 11.39 in adherence self-report and 4.82 ± 10.1 in intentional non-adherence. Cronbach's α were 0.87 (functional ability), 0.84 (cognitive ability), 0.57 (medication recall), 0.94 (adherence self-report) and 0.79 (intentional non-adherence). The response consistency between test and re-test was verified. Conclusions: We have developed the European Portuguese version of the Self-Medication Assessment Tool with acceptable psychometric properties which can now be employed in the study of the elderly in clinical and research contexts.
- Discovery of school nursing adolescents care, by Grounded TheoryPublication . Leal, Paula; Lopes, Manuel José
- Sleep Quality between Nurses and the General Population during the COVID-19 Pandemic in Portugal: What Are the Differences?Publication . Sampaio, Francisco; Gaspar, Susana; Fonseca, César; Lopes, Manuel José; Paiva, Teresa; Guedes de Pinho, LaraAlthough several studies have described the impact of the COVID-19 pandemic, particularly on sleep quality, there are few studies that, in the same time period and using the same assessment tools, compare sleep quality and mental health status between nurses and the general population. Thus, the aim of this study was to (a) examine whether there were differences between nurses and the general population regarding sleep quality and mental health status during the COVID-19 pandemic and (b) identify which factors may explain sleep quality during the COVID-19 pandemic. To do that, we carried out a cross-sectional study in Portugal. Data were collected using an online survey platform during the first COVID-19 wave, from April to August 2020. Nurses presented poorer sleep quality than the general population, as well as higher anxiety levels. Irritability and worries about the future were two of the factors that might explain those differences. Thus, we can conclude that irritability and worries about the future are dimensions of anxiety that were associated with poor sleep quality during the COVID-19 pandemic. Thus, it would be important to adopt regular anxiety and sleep assessments, particularly for nurses, and to implement strategies to reduce this problem.