Browsing by Author "Santos, Eduardo"
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- A Comunicação de Más Notícias perspetivada segundo Meleis e Watson: uma Revisão NarrativaPublication . Malta, Hélène Ferreira; Fernandes, Isabel Maria; Santos, Eduardo; Baptista, Rui; Pereira, Maria Aurora; Parente, PauloIntrodução – A comunicação de más noticias (CMN) em contexto de urgência e emergência pode revelar-se uma tarefa difícil e exigente para os profissionais de saúde, não sendo os enfermeiros exceção. Objetivos – Sistematizar o conhecimento existente quanto ao papel dos enfermeiros na Comunicação de Más Notícias, à luz das teorias de Meleis e Watson. Métodos – Trata-se de um estudo de revisão narrativa da literatura, realizado através de pesquisa em bases de dados científicas (MEDLINE, CINAHL e Google Scholar). Para identificar os estudos foram utilizados e conjugados os seguintes termos: “health communication, truth disclosure, nurses, nursing research, nursing, nursing theory, breaking bad news, delivery bad news, Meleis theory, Watson theory, Meleis, Watson”. Para a seleção dos estudos foi utilizado o gestor EndNote X9. A extração e síntese narrativa de dados foi realizada por um revisor. Principais resultados – Dos treze artigos selecionados, quatro abordam o tema da CMN utilizando a teoria de Meleis e nove de Watson. Verifica-se que a gestão da CMN, por parte do enfermeiro, implica o cumprimento de três etapas: auto-preparação, preparação do ambiente e a preparação da família. Conclusões – A partir da análise das teorias de Meleis e de Watson verifica-se que estas permitem a elaboração de um modelo explicativo do que se espera ser o papel do enfermeiro durante a CMN no contexto extra-hospitalar. Neste contexto, permitem facilitar as transições vivenciadas tendo por base a manifestação de sensibilidade, empatia e outros valores e contribuindo para a minimização do sofrimento do outro a curto prazo, a gestão do processo de luto e a própria reorganização pessoal, familiar e social.
- Effectiveness of non-pharmacological and non-surgical interventions on the impact of rheumatoid arthritisPublication . Santos, Eduardo; Duarte, Cátia; Marques, Andréa; Cardoso, Daniela; Apóstolo, João; Silva, José A. P.; Barbieri-Figueiredo, MCReview question: The questions of this review are: i) What is the effectiveness of non-pharmacological and non-surgical interventions on pain, functional disability, fatigue, emotional wellbeing, sleep, coping and physical wellbeing of patients with rheumatoid arthritis (RA)? ii) What is the effectiveness of non-pharmacological and non-surgical interventions on the improvement of RA and quality of life for patients with RA?
- Eficácia da intervenção da enfermagem pré-hospitalar na estabilização das vítimas de traumaPublication . Mota, Mauro; Cunha, Madalena; Santos, Eduardo; Figueiredo, Ândrea; Silva, Márcio; Campos, Rui; Reis Santos, MargaridaAbstract Background: Trauma is a public health issue with a significant social and economic impact. However, national data on its characterization and the role of nursing in its management is still scarce. Objective: To assess the effectiveness of prehospital nursing interventions in stabilizing trauma victims provided by nurses of Immediate Life Support Ambulances in Portugal. Methodology: Observational, prospective, and descriptive-correlational study. Data were collected by nurses of the Immediate Life Support Ambulances in mainland Portugal, from 01/03/2019 to 30/04/2020, and the Azores, from 01/10/2019 to 30/04/2020. Trauma severity indices were assessed before and after the nursing interventions. Results: This study included 606 cases (79.4% blunt trauma; 40.8% road accidents) reported by 171 nurses. Nurses performed mostly interventions for hemodynamic support (88.9%) and non-pharmacological pain control (90.6%) of trauma victims. The nursing interventions improved the Revised Trauma Score and the Shock Index (p<0.001). Conclusion: Prehospital nursing interventions improve trauma victims’ clinical status.
- A identidade corporativa no contexto museológico um projeto de identidade visual corporativa para o museu nacional do azulejoPublication . Santos, EduardoA identidade estabelece um fundamental complemento para o indivíduo enquanto agente participativo num contexto social. A sua crescente valorização a nível corporativo também se reflete nos dias de hoje pela relevância que um sistema de representação visual pode ter na atribuição de valores de distinção, em relação à concorrência. Perante a importância evidenciada motiva-nos dar início a uma investigação sobre esta área do design de comunicação, através de uma proposta de desenho para a identidade do Museu Nacional do Azulejo, onde encontramos espaço para melhorar os artefactos que constituem a sua comunicação institucional. Sobre o projeto proposto perspetivamos desenvolver um estudo que contextualize a disciplina da identidade corporativa, falando da sua origem, da sua importância no quadro corporativo e museológico e dos conceitos adjacentes relacionados com a marca. Motiva-nos também estudar o azulejo, sendo o conteúdo expositivo, importante para a definição da identidade museológica e sendo também uma peça tão representativa da cultura portuguesa, rica de expressão, tradição e valor cultural. Assim, levamos em conta esta realidade para a resolução das insígnias do Museu Nacional do Azulejo e por conseguinte transformar este sistema de comunicação num vínculo para divulgar esta instituição e a sua arte azulejar, tão relevante para Portugal.
- Jovens Solistas da MetropolitanaPublication . Reis, Gonçalo; Tomás, Salomé; Rocha, Sara; Rosado, Bárbara; Branco, Ivan; Carvalho, Maria Eduarda; Silva, Diogo; Soares, Eduarda; Faria, Eduardo; Santos, Eduardo; Bento, Duarte Gouveia; Esteves, Diana; Marques, Inês; Pires, Pedro; Mirra, TiagoBrochura de sala do concerto realizado pelos Jovens Solistas da Metropolitana a 30 de Março de 2023 no MUSEU NACIONAL DA MÚSICA em Lisboa no âmbito da Temporada 2022/2023 da Metropolitana. O programa do concerto foi preenchido com obras de Nielsen, Muczynski, Milhaud e Haydn. Desenvolvendo uma ponte pedagógica inédita entre a prática e o ensino musical, a ANSO é a única escola do país que forma maestros, instrumentistas de orquestra e pianistas vocacionados para música de câmara. Ao longo dos seus quase 30 anos, mudou o panorama cultural em Portugal, sendo muitos os seus alunos a entrar nas mais exigentes instituições de ensino e formações internacionais. Mais premiada escola nacional desta área, as novas gerações de intérpretes e diretores musicais que lança são reconhecidas pela qualidade. A música de câmara é uma das vertentes fundamentais da Academia Nacional Superior de Orquestra, que todos os anos apresenta o ciclo Jovens Solistas da Metropolitana.
- Non-pharmacological interventions for pain management in adult victims of traumaPublication . Mota, Mauro; Cunha, Madalena; Reis Santos, Margarida; Silva, Dulce; Santos, EduardoThis scoping review aims to map non-pharmacological interventions for reducing acute pain for adult victims of trauma. Introduction: Acute pain, as a consequence of either a pathological or traumatic event or even due to invasive and non-invasive healthcare procedures, is highly prevalent in critically ill patients. However, specific acute pain as a direct consequence of trauma is one of the least studied areas of acute pain. Inclusion criteria: This scoping review will consider studies on adult victims of trauma, aged 18 years or over, in prehospital emergency care, emergency departments and trauma centers. All studies that focus on non-pharmacological interventions designed to reduce acute pain, implemented and evaluated by health professionals in any form, duration, frequency and intensity, will be considered. Methods: An initial search of PubMed and CINAHL will be undertaken, followed by a second search for published and unpublished studies from 2000 to the present in major healthcare related electronic databases. Studies in English, French, Spanish and Portuguese will be included. Data extraction will be performed independently by two reviewers in tabular form and include details about the interventions, populations, study methods and outcomes of interest. A narrative synthesis will accompany the results and will describe how they relate to the review objectives
- Pre-hospital treatment of acute trauma pain: an observational studyPublication . Mota, Mauro; Reis Santos, Margarida; Santos, Eduardo; Henriques, Carla; Matos, Ana; Cunha, MadalenaObjective: To describe and analyze the effectiveness of nurses’ interventions in pain reduction among patients with traumatic injury. Methods: Prospective cohort study conducted in the Immediate Life Support Ambulances in Portugal from March 1, 2019 to April 30, 2020. We have collected data on the kind of interventions implemented and the time elapsed during rescue procedures. To investigate the course of acute trauma pain, a 11-point Numeric Rating Scale was used. Changes in the level of pain registered throughout the three assessment moments were studied using linear mixed-effects models with random intercepts to account for the repeated measurements conducted on the same patient. These changes were assessed before and after the administration of the pain relief interventions. Results: 596 patients were included in this study. Most of them were male (65.9%) and had a mean age of 53.05±19.72 years. There was a reduction in the average pain intensity of 2.44 points (p<0.005), between the beginning and end of the assessment, and a reduction of 39.62% among the patients who were experiencing a level of pain equal to or greater than 7 (46.7% vs 7.08%, p<0.05). Measures involving the use of morphine, cryotherapy and relationship-based measures have proven to be effective. Comfort measures as a whole do not seem to have a significant impact on pain relief. Conclusion: Pre-hospital pharmacological and non-pharmacological nurses’ interventions have proven to be effective in reducing pain. Comfort measures have not been proved to be effective, so their potential must be rethought and enhanced.
- Prehospital interventions to prevent hypothermia in trauma patients: a scoping reviewPublication . Mota, Mauro; Cunha, Madalena; Reis Santos, Margarida; Santos, Eduardo; Melo, Filipe; Abrantes, Tito; Santa, AnaObjective: The aim of this review is to map the prehospital rewarming measures used to prevent hypothermia among trauma victims. Background: Hypothermia is responsible for an increase of the mortality and morbidity in trauma victims and its recognition and early treatment are crucial for the victim’s haemodynamic stabilisation. Prehospital interventions are particularly important, especially those that target bleeding control, haemodynamic stability, and safe body temperature. Registered nurses may be pivotal to prevention and minimisation of the dangerous effects of hypothermia. Study design and methods: A scoping review was used to identify articles from several online databases from 2010 to 2018. Studies in English, Spanish, and Portuguese were included. Two reviewers performed data extractions independently. Results: Seven studies were considered eligible for this review: two quantitative research studies, one qualitative research study, and four literature reviews. Rewarming measures can be divided into two main groups: passive rewarming, which includes the use of blankets, positioning the response unit to act as a windbreak, removing the patients’ wet clothes, drying the patient’s body, and increasing the ambient temperature; and active rewarming which includes the use of heating pads, heated oxygen, warmed intravenous fluids, peritoneal irrigation, arteriovenous rewarming, and haemodialysis. Discussion: Active measures reported by the included studies were always used as a complement to the passive measures. Active rewarming produced an increase in core temperature, and passive rewarming was responsible for intrinsic heat-generating mechanisms that will counteract heat loss. Patients receiving passive warming in addition to active warming measures presented a statistically significant increase in body core temperature as well as an improvement in the discomfort caused by cold. Conclusion: Rewarming measures seem to be essential for the prevention of hypothermia and to minimise the discomfort felt by the patient. In many countries registered nurses can play important roles in the prehospital context of trauma victim’s assistance. Greater understanding of these roles is necessary to the development of better practice.
- Prehospital interventions to reduce discomfort caused by immobilization in adult trauma victims: a scoping review protocolPublication . Mota, Mauro; Cunha, Madalena; Santos, Eduardo; Abrantes, Tito; Melo, Filipe; Monteiro, Mariana; Reis Santos, MargaridaObjective: The objective of this review is to identify the level of discomfort caused by immobilization as reported by trauma victims, and to map all the interventions in the prehospital context where they have been implemented and evaluated in order to reduce discomfort in adult victims of trauma. Introduction: Immobilization is a cause of discomfort for trauma victims, which has important implications for the deterioration of vital signs and quality of life. However, discomfort caused by immobilization remains an underexplored topic by the scientific community. Inclusion criteria: This scoping review will consider studies of adult victims of trauma, aged 18 years or over, in prehospital emergency care. Studies that focus on interventions designed to reduce immobilization discomfort, implemented and evaluated by health professionals, of any form, duration, frequency, and dose will be considered. Methods: An initial search of PubMed and CINAHL will be undertaken, followed by a second search for published and unpublished studies without time restrictions, in major health care–related electronic databases. Studies in English, French, Spanish, and Portuguese will be included. Data extraction will be performed independently by 2 reviewers in a tabular format and will include details about the level of discomfort, interventions, populations, study methods, and outcomes of interest. A narrative synthesis will accompany the results and will describe how they relate to the review objectives.