Browsing by Author "Silva, Mafalda"
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- COVID-19 pandemic and its psychological impact among healthy Portuguese and Spanish nursing studentsPublication . Laranjeira, Carlos; Querido, Ana; Marques, Goreti; Silva, Mafalda; Simões, Daniela; Gonçalves, Luísa; Abreu-Figueiredo, Rita
- Exergames for rehabilitation in stroke survivors: Umbrella review of meta-analysesPublication . Fernandes, Carla Sílvia; Magalhães, Bruno; Gonçalves, Filipe; Lima, Andreia; Silva, Mafalda; Moreira, Maria Teresa; Santos, Célia; Ferreira, SaloméBackground: It is essential to explore alternative methods to motivate stroke survivors throughout their lengthy rehabilitation journey. Exergames have emerged as promising tools for rehabilitating this demographic. Objective: We aimed to synthesize the combined evidence from meta-analyses that assessed the effects of exergames in the rehabilitation of stroke survivors. Methods: The umbrella review was conducted utilizing several databases, including MEDLINE® (Medical Literature Analysis and Retrieval System Online), CINAHL® (Cumulative Index to Nursing and Allied Health Literature), the Psychology and Behavioral Sciences Collection, SPORTDiscus®, and Scopus®. It included studies published until December 2023 without any restrictions based on publication date. Results: The analysis included 11 meta-analyses involving approximately 9,615 patients, reflecting a growing adoption of exergames in post-stroke rehabilitation since 2015, focusing on using Nintendo Wii. The analyzed studies varied widely in intervention duration (from 1 to 16 weeks) and were applied across different phases of post-stroke rehabilitation, from the acute to the chronic phase. Significant improvements were observed in balance and upper limb functionality, although there was notable methodological heterogeneity and variability in the results. Conclusions: This study highlights the value of exergames in the rehabilitation of stroke survivors and recommends future research that adopts rigorous methodological designs with clearly specified intervention stages. It underscores the importance of additional qualitative studies to explore the perspectives of patients and healthcare professionals regarding exergames, aiming to refine rehabilitation strategies and enhance the clinical benefits achieved.
- Impact of Exergames on the Mental Health of Older Adults: A Systematic Review and GRADE Evidence SynthesisPublication . Fernandes, Carla Sílvia; Magalhães, Bruno; Lima, Andreia; Nóbrega, Perpétua; Silva, Mafalda; Santos, CéliaExergames, which combine digital games and physical exercise, have become a popular alternative to traditional exercise programs and are increasingly used in the health domains. This study aimed to provide a systematic review to synthesize existing studies on the use of exergames for the mental wellbeing of healthy older adults, aggregating the collected data to identify effect size. We performed a Systematic Review and Grading of Recommendations, Assessment, Development, and Assessment (GRADE) evidence synthesis. We performed the search in the following databases: MEDLINE®, CINAHL®, SPORTDiscus, SCOPUS, SciELO, Psychology and Behavioral Sciences Collection, and Cochrane® Central Register of Controlled Trials from the first record until October 2021. Randomized controlled trials using exergames as an intervention were included. A total of 10 articles published between 2009 and 2021 were selected. Most studies used the Nintendo Wii® as the exergame in the intervention program. Interventions ranged from 6 to 12 weeks, with 8-week programs being most frequent. It was possible to observe a positive effect on mood, the reduction of apathy, anxiety and depression, self-esteem, and affection.
- O papel da comissão coordenadora dos núcleos académicos na valorização do Ensino Superior no espaço lusófono: um trabalho em articulação com os núcleos académicosPublication . Ruivo, Maria Alice Gois; Gonçalves, Daniela; Brito, Elisabete; Miguel, Flávio; Silva, Mafalda; Rosa, Marlene; Silveira, Silvana
- Relatório de trabalho de projeto: avaliação da dor em cuidados intensivosPublication . Silva, Mafalda; Ruivo, Maria AliceEste relatório traduz o percurso efetuado desde os Cursos de Pós Graduação em Enfermagem Médico-Cirúrgica, Pós Licenciatura de Especialização em Enfermagem Médico-Cirúrgica e Mestrado em Enfermagem Médico-Cirúrgica da Escola Superior de Saúde do Instituto Politécnico de Setúbal (ESS/IPS), tendo como referencial as competências comuns e específicas do enfermeiro especialista em enfermagem em pessoa em situação crítica e, as competências de mestre em enfermagem médico-cirúrgica da ESS/IPS, desenvolvidas em contexto de estágio, tendo como objetivo, contribuir, suportados na evidência, para o desenvolvimento dos saberes teóricos e práxicos da enfermagem nesta área. No enquadramento conceptual, fazemos referência ao modelo de sinergia e à teoria da incerteza na doença, abordamos a dor como foco de atenção e a sua avaliação, e fazemos uma revisão alargada da literatura sobre o tema. Explicitamos o projeto de intervenção em serviço, onde utilizámos a metodologia de projecto. O problema que identificamos foca o incumprimento da norma de procedimento sobre a avaliação da dor numa unidade de cuidados intensivos. Os resultados do trabalho demonstraram que os enfermeiros avaliavam a dor, mas não de forma sistemática e a escala utilizada não era adequada aos clientes dos cuidados intensivos. Baseamo-nos na evidência dos resultados do plano nacional de avaliação da dor, tendo como implicação prática deste trabalho a alteração da utilização da escala de avaliação da dor na unidade.
- The Burnout of Nurses in Intensive Care Units and the Impact of the SARS-CoV-2 Pandemic: A Scoping ReviewPublication . Lima, Andreia; Moreira, Maria Teresa; Fernandes, Carla Sílvia; Ferreira, Maria Salomé; Ferreira, Margarida; Teixeira, Joana; Silva, Mafalda; Parola, Vítor; Coelho, AdrianaBackground: The world’s population changed with the emergence of the SARS-CoV-2 pandemic. Burnout arises due to overwork, prolonged work periods, a lack of human and material resources, etc. Several studies have reported the incidence of burnout syndrome in nurses that work in intensive care units (ICUs). The aim was to map the scientific evidence related to nurses’ burnout in the ICU, namely the repercussions of SARS-CoV-2 in terms of burnout among nurses. Methods: A scoping review followed the Joanna Briggs Institute methodology guidelines to search for and synthesise studies published between 2019 and 2022. The databases searched were MEDLINE, CINAHL, LILACS, SCOPUS, PsycINFO and OPEN GREY. A total of fourteen articles were eligible to be included. Results: A content analysis of the selected articles was carried out, and three categories emerged that corresponded to the dimensions of burnout according to Maslach and Leiter: emotional exhaustion, depersonalisation dimension and a lack of personal accomplishment. It was evident that nurses who worked in the ICU during the pandemic showed high levels of burnout. Conclusions: It is recommended that hospital administrations hire health professionals, namely nurses, as a strategic and operational management strategy to reduce the risk of increased burnout during pandemic outbreaks.