Browsing by Author "Melo, Elsa"
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- Clinical education reflective ecological model for health science majorsPublication . Mendes, Ana; Martins, Paula; Alarcão, Isabel; Melo, Elsa; Pereira, João C.; Rua, Marília; Brandão, Piedade; Costa, Rui; Sancho, LuísThe clinical education is an integral part of the Health Science majors’ curriculum programs of the University of Aveiro’s School of Health (i.e., Nursing, Physical Therapy, Radiology, Radiotherapy and Speech-Language Pathology) and aims to develop clinical competences in order to generate excellent health care professionals. The organization was based on the Ecological Model of Clinical-Reflective Training, which was characterized by inter-institutional interaction and student’s reflection on actions on a professional setting. This study encompassed two moments of clinical internships in the Nursing, Physical Therapy, Radiology and Radiotherapy majors. The Clinical Internship I provided the 123 students with a global view of the health care professional activities. The Clinical Internship II, with 119 students, developed competences of each health professional. Questionnaires with categorical scales from 1 to 5 evaluated the organization and efficiency of the two internships. The results revealed averages over 3 in all items. In conclusion, the Ecological Model of Clinical-Reflective Training was well accepted by students and clinical supervisors. Applications in the health care area were demonstrated.
- Early Identification of Pre-school Children with Speech-language Disorder in Primary Health Care SettingsPublication . Mendes, Ana; Valente, Ana Rita; Loureiro, Helena; Clemêncio, Graça; Melo, Elsa; Lousada, MarisaSpeech-language disorders in pre-school children is considered a public health problem since its international prevalence is reportedly to be 20%. This study aimed to identify European-Portuguese pre-school children with speech-language disorder through RALF speech-language screening (Rastreio de Linguagem e Fala), in primary health care settings. RALF is a reliable and valid instrument that revealed strong levels of reliability, sensitivity and specificity for European-Portuguese (EP) pre-school children. 10 nurses with more than 6 years of clinical experience in a primary health care centers administered RALF to 37 (5-6 years old) EP children as part of health-child care routine. Results indicate that 21.6% of children did not pass the RALF screen and were referred to an in-depth speech and language assessment. This finding was in agreement with international research and reinforces the need for an early and precocious identification of the speech-language disorder in pre-school children. That is, way before the disorder has installed and has an impact on the academic, social and emotional development. This action-research study also reveals the important of using a valid, reliable, sensitive, and specific, as well as, culturally and linguistically adequate screening instruments by the health professionals as part of health-child care routine in primary health care centers.
- Pressure ulcer (risk) assessment: recommendations to improve nursing practicePublication . Sardo, Pedro; Guedes, Jenifer; Puga Machado, Paulo Alexandre; Melo, Elsa