Browsing by Author "Silva, Rosa"
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- Atividades de extensão em enfermagem: Medidas excecionais em tempos de pandemia por COVID-19Publication . Sá, Maria; Santana, Elaine; Apóstolo, João; Queirós, Paulo; Silva, RosaEnquadramento: A Escola Superior de Enfermagem de Coimbra, ciente do valor das unidades de extensão na articulação do tripé Ensino-Investigação-Extensão tem na sua estrutura a Unidade de Prestação de Serviços à Comunidade e Coordenação das Atividades de Extensão na Comunidade (UPSCCAEC). Objetivo: Descrever o trabalho desenvolvido pela UPSCCAEC em 2019 e 2020, destacando a sua capacidade adaptativa mediante a pandemia pela COVID-19. Principais tópicos em análise: Utilizaram-se como fonte de dados os relatórios de atividades realizadas no contexto da UPSCCAEC nos anos civis de 2019 e 2020, e realizou-se a comparação com achados nos dois anos, os quais foram discutidos à luz do referencial teórico disponível, considerando a pandemia COVID-19 e o impacte a nível das Instituições do Ensino Superior (IES) em seus processos formativos, de investigação e extensão. Conclusão: A atividade da UPSCCAEC nos referidos anos contribuiu para a afirmação da instituição, do desenvolvimento académico, e constituiu recurso de excelência na resposta aos atuais desafio da sociedade, particularmente num período caracterizado por enorme turbulência resultante da pandemia COVID-19.
- A case study on experiences with integrated technologies in a care home for older adultsPublication . Jøranson, Nina; Zechner, Minna; Silva, Rosa; Yaylagul, Nilufer Korkmaz; Thygesen, HildeTo facilitate independent living for the growing population of older adults, innovative housing solutions such as novel concepts of care homes with integrated technologies have been developed. This case study exposes a significant gap between the intended goal of fostering independence in older adults and the actual impact of technology on their daily lives. The study explored perceptions, experiences, and needs regarding residents' use of integrated technologies along with the technologies' contribution to handling their everyday life in a Care+ home. Data were analyzed through qualitative content analysis. The key finding is that one size does not ‘fit’ all, indicating that the standardized technology installed in the apartments often fails to meet the users’ individual needs. This research identifies a critical gap in tailoring technologies to the unique needs of older users. Aligning technological solutions with aging-in-place policies focused on autonomy and well-being is essential for enhancing care environments.
- Challenges for palliative care in times of COVID-19: a scoping review protocolPublication . Lourenço, Marisa; Gomes, Tânia; Araujo, Fátima; Ventura, Filipa; Silva, RosaIntroduction: The COVID-19 Pandemic had a major impact on health personnel, families and the person receiving palliative and end-of-life care. Global measures to reduce contamination have forced a change in the practice. The fear of getting infected, restricted visits and the use of personal protective equipment challenged communication between the multidisciplinary team and the person and family in palliative and end-of-life care. The suffering of an end-of-life experience was compounded by long periods of loneliness. Synthesizing evidence from these experiences can inform decision-making and health policy for future global pandemics. Objectives: To map the experience of health personnel, the person and the family in palliative and end-of-life care, during the COVID-19 pandemic. Methods: This scope review will follow the JBI methodology for scoping reviews. Two independent reviewers will evaluate the articles and extract and synthesize the data. It will include studies published in Spanish, English and Portuguese, since March 2020. The following electronic databases will be searched: CINAHL Complete, MEDLINE, Scopus, SciELO, Psychology and Behavioral Sciences, MEDIClatina Cochrane Central Register of Controlled Trials and Access Scientific Repository, opened in Portugal. Results: This scoping review is expected to include studies that address the experience of health personnel, the person and the family in the context of palliative and end-of-life care during the COVID-19 pandemic. Conclusion: This scoping review will analyze and synthesize the available scientific evidence on the experiences of health personnel with people and families in palliative care during COVID-19. It can also be the basis for a systematic review and/or help identify gaps where it may be important to invest in the future. The protocol for this revision is registered with OSF under number OSFHOME-z6agy-v1.
- Ciência Aberta em Enfermagem de Saúde Mental: transparência, reprodutibilidade, cooperação e acessibilidadePublication . Silva, Rosa; Rodrigues, Diana; Lopes, Mafalda
- Citizen sciencePublication . Silva, Rosa; Santana, Elaine Santos
- Comunicação de más notícias à família do doente crítico em contexto de Unidade de Cuidados IntensivosPublication . Silva, Rosa; Santiago, Maria DulceComunicar más notícias à família do doente crítico internado numa unidade de cuidados intensivos é uma tarefa complexa, mas essencial, quando se pretende o bem-estar do doente e família. Sendo uma prática que pode ter impacto negativo quer no enfermeiro que tem de comunicar a informação, quer na família que a recebe, é fundamental identificar e desenvolver estratégias facilitadoras do processo para os envolvidos. Desta forma, durante o Estágio final deste mestrado, foi desenvolvida uma intervenção major centrada nesta temática, com vista a promover a segurança e qualidade dos cuidados prestados ao doente crítico e família a vivenciar uma situação complexa, onde as más notícias são uma realidade constante e imprevisível. Este relatório destaca essa intervenção, integrando também uma análise reflexiva e fundamentada sobre o processo de aquisição e desenvolvimento de competências comuns e específicas do Enfermeiro Especialista em Enfermagem em Pessoa em Situação Crítica, e Mestre em Enfermagem
- Difficulties in Caring for the Older Adults: Perspective of Brazilian and Portuguese CaregiversPublication . Santana, Elaine; Mendes, Felismina; Bernardo, Joana; Silva, Rosa; Melo, Pedro; Lima, Pollyanna; Oliveira, Alessandra; Reis, LucianaThis study aims to understand the difficulties in caring for the older adults with functional dependence from the perspective of Brazilian and Portuguese caregivers. This is a study based on the Theory of Social Representations, based on the Thematic Content Analysis proposed by Bardin, carried out with 21 informal caregivers of older adults in Brazil and 11 informal caregivers of older adults in Portugal. The instrument consisted of a questionnaire with sociodemographic data and data on health conditions along with an open interview with guiding questions on the theme of care. Data were analyzed using the Content Analysis technique proposed by Bardin, with the help of the QRS NVivo® Version 11 software (QSR International, Burlington, MA, USA). Three categories emerged from the speeches: “Caregiver burden”, “Caregiver support network” and “Older adults resistance”. The main difficulties mentioned by caregivers were associated with family articulation in meeting the needs of their older adults, whether due to the excessive demand of tasks, which results in overloading the caregiver, or the behaviors of the older adults themselves, or even the availability of a truly supportive and effective network.
- Effectiveness of Caregiver-Provided Individual Cognitive Interventions in Older Adults with DementiaPublication . Silva, Rosa; Bobrowicz-Campos, Elzbieta; Santos-Costa, Paulo; Cardoso, Remy; Bernardo, Joana; Santana, Elaine; Almeida, Inês; Loureiro, Ricardo; Cardoso, Daniela; Apóstolo, JoãoBackground: In a society increasingly committed to promoting an active life in the community, new resources are needed to respond to the needs of citizens with Alzheimer’s disease and other forms of dementia. The potential of several individual cognitive interventions to be provided by caregivers has been explored in the literature. Objective: To synthesize the best available evidence on the effectiveness of caregiver-provided individual cognitive interventions in older adults with dementia. Methods: Systematic review of experimental studies on individual cognitive interventions for older adults with dementia. An initial search of MEDLINE and CINAHL was undertaken. Another search for published and unpublished studies was performed on major healthcare-related online databases in March 2018 and updated in August 2022. This review considered studies that included older adults with dementia, aged 60 years and over. All studies that met the inclusion criteria were assessed for methodological quality using a JBI standardized critical appraisal checklist. Data were extracted using a JBI data extraction form for experimental studies. Results: Eleven studies were included: eight randomized controlled trials and three quasi-experimental studies. Caregiver-provided individual cognitive interventions had several beneficial effects in cognitive domains, including memory, verbal fluency, attention, problem-solving, and autonomy in activities of daily living. Conclusion: These interventions were associated with moderate improvements in cognitive performance and benefits in activities of daily living. The findings highlight the potential of caregiver-provided individual cognitive interventions for older adults with dementia.
- Experienced barriers in the use of ICT for social interaction in older adults ageing in place: a qualitative systematic review protocol (SYSR-D-22–00848)Publication . Jøranson, Nina; Zechner, Minna; Yaylagul, Nilufer Korkmaz; Efthymiou4, Areti; Silva, RosaBackground Several information and communication technologies (ICT) have been developed to enhance social connectedness of older adults aging in place, although they are not accessible for all. Barriers in using ICT might for example relate to health issues, sensory loss, lack of technical skills, or reluctance to use technologies. Though knowledge on these barriers is crucial for the development and implementation of ICT for older adults, no systematic review was found on this subject. The proposed qualitative systematic review aims to explore barriers experienced by older adults aging in place in using ICT for social interaction. Methods The review will be conducted in accordance with the JBI methodology. Databases for search will include MEDLINE (via PubMed), CINAHL (via EBSCO), and Web of Science (ISI), among others. Included studies focus on older adults ageing in place 60 years or older. Pairs of authors will independently, by following agreed guidelines, assess the eligibility of studies, and extract data. The testing of eligibility criteria and screening of titles, abstracts, and full texts will be performed. The findings will describe for example populations, context, culture, and the phenomena of interest. Qualitative research findings will, where possible, be pooled by using JBI SUMARI for the meta-aggregation approach. Discussion The mapping of published studies has the potential to identify research gaps in the existing literature, which again may inform developers and stakeholders in designing more user-friendly and adaptive ICT solutions for older people ageing in place.
- Experiences with remote communication in adult intensive care units during the COVID-19 pandemic: a systematic review protocolPublication . Cardoso, Ana Filipa; Pires, Miguel Grilo; Cioga, Elisabete; Abalroado, Inês; Santos, Diana; Duque, Filipa Margarida; Loureiro, Ricardo; Felizardo, Helena; Fernandes, António Manuel; Silva, Rosa; Ventura, Filipa; Santana, Elaine; Cardoso, Daniela; Loureiro, LuísObjective: The objective of this review is to explore the lived experiences of critically ill adults, their families, or health care professionals with remote communication in intensive care units (ICUs) during the COVID-19 pandemic. Introduction: Family visiting restrictions in ICUs during the COVID-19 pandemic imposed significant challenges to communication between critically ill adults, their families, and the health care team. Evidence shows that several communication strategies were developed and implemented in ICUs during the COVID-19 pandemic to promote family engagement; however, the experiences of critically ill adults, their families, and health care professionals with these strategies are scattered across primary qualitative studies. Inclusion criteria: This review will consider qualitative studies that include critically ill adults, their families, or health care professionals, focusing on their experiences with remote communication strategies in ICUs during the COVID-19 pandemic. Methods: This review will be conducted in accordance with JBI methodology. The search strategy will aim to locate both published and unpublished qualitative studies in English, Spanish, and Portuguese. Studies published after January 2020 will be included. Study selection, critical appraisal, and data extraction will be performed independently by 2 reviewers. Data will be presented in narrative format and synthesized using the JBI meta-aggregation process. A ConQual Summary of Findings will be presented