Browsing by Author "Sousa, P."
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- Análise da parametrização nacional do Sistema de Apoio à Prática de Enfermagem - SAPEPublication . Silva, Abel; Cardoso, Alexandrina; Sequeira, Carlos; Morais, Ernesto; Bastos, Fernanda; Pereira, Filipe Miguel Soares; Padilha, José Miguel Santos Castro; Cruz, Inês; Oliveira, Manuel Fernando; Brito, Alice; Silva, Maria Antónia; Machado, Natália; Sousa, Paula Cristina; Sousa, P.; Marques, Paulo
- Análise do uso de suportes tecnológicos e conteúdos informacionais pelos pacientes com doença pulmonar obstrutiva crónicaPublication . Padilha, José Miguel Santos Castro; Sousa, P.; Pereira, Filipe Miguel SoaresObjetivo: Identificar tipos de suportes tecnológicos e conteúdos informacionais utilizados na promoção da gestão do regime terapêutico em pacientes com DPOC. Métodos: Estudo de abordagem quantitativa, exploratório transversal e descritivo, tendo como recurso um questionário baseado no modelo de aceitação da tecnologia, no modelo teórico dos determinantes da percepção da facilidade de utilização da mesma e na revisão da literatura. Resultados: Os pacientes com DPOC referiram maior necessidade de informação relacionada com as atividades do dia-a-dia e com os exercícios respiratórios. Pacientes com maior literacia e maior literacia tecnológica referem maior utilidade das tecnologias Web-based; pacientes com menor literacia e menor literacia tecnológica referem maior utilidade, intenção e facilidade para a utilização do telemóvel, livros e vídeos no acesso à informação. Conclusão: Os recursos informacionais podem adotar diferentes suportes tecnológicos, desde que disponibilizados em função da literacia e literacia tecnológica e adequados às necessidades informacionais dos pacientes.
- Analysis of the Nursing Documentation in Use in Portugal - Building a Clinical Data Model of Nursing Centered on the Management of Treatment RegimenPublication . Cruz, Inês; Bastos, Fernanda; Pereira, Filipe Miguel Soares; Silva, Abel; Sousa, P.The use of technology to support information produced by nurses, especially information and communication technologies, is a current reality, but the proliferation of different statements of nursing diagnosis has made it more difficult for the production of indicators, hindering semantic interoperability of data. This study analyzed all statements of diagnosis focused on the management of medication regimen, customized to the Nursing Practice Support System (SAPE®) that was being used in Portugal in 2013. A total of 598 statements of nursing diagnoses about the phenomenon under study were analyzed, through an a priori analysis model - the ISO 18104 standard: 2003. The purpose was to identify terms used by nurses to describe the range of diagnoses, thus avoiding conceptual redundancy. After a content analysis process conducted by researchers and a broader group of experts, and when excluded all conceptual redundancy, 30 statements of nursing diagnosis were identified.
- O autocuidado na insuficiência cardíaca à luz dos conceitos de literacia em saúdePublication . Pereira, Fernanda; Padilha, José Miguel Santos Castro; Sousa, P.
- Clinical Decision Support Systems for Pressure Ulcer Management: Systematic ReviewPublication . Sousa, P.; Araújo, Sabrina Magalhães; Dutra, InêsBackground: The clinical decision-making process in pressure ulcer management is complex, and its quality depends on both the nurse's experience and the availability of scientific knowledge. This process should follow evidence-based practices incorporating health information technologies to assist health care professionals, such as the use of clinical decision support systems. These systems, in addition to increasing the quality of care provided, can reduce errors and costs in health care. However, the widespread use of clinical decision support systems still has limited evidence, indicating the need to identify and evaluate its effects on nursing clinical practice. Objective: The goal of the review was to identify the effects of nurses using clinical decision support systems on clinical decision making for pressure ulcer management. Methods: The systematic review was conducted in accordance with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) recommendations. The search was conducted in April 2019 on 5 electronic databases: MEDLINE, SCOPUS, Web of Science, Cochrane, and CINAHL, without publication date or study design restrictions. Articles that addressed the use of computerized clinical decision support systems in pressure ulcer care applied in clinical practice were included. The reference lists of eligible articles were searched manually. The Mixed Methods Appraisal Tool was used to assess the methodological quality of the studies. Results: The search strategy resulted in 998 articles, 16 of which were included. The year of publication ranged from 1995 to 2017, with 45% of studies conducted in the United States. Most addressed the use of clinical decision support systems by nurses in pressure ulcers prevention in inpatient units. All studies described knowledge-based systems that assessed the effects on clinical decision making, clinical effects secondary to clinical decision support system use, or factors that influenced the use or intention to use clinical decision support systems by health professionals and the success of their implementation in nursing practice. Conclusions: The evidence in the available literature about the effects of clinical decision support systems (used by nurses) on decision making for pressure ulcer prevention and treatment is still insufficient. No significant effects were found on nurses' knowledge following the integration of clinical decision support systems into the workflow, with assessments made for a brief period of up to 6 months. Clinical effects, such as outcomes in the incidence and prevalence of pressure ulcers, remain limited in the studies, and most found clinically but nonstatistically significant results in decreasing pressure ulcers. It is necessary to carry out studies that prioritize better adoption and interaction of nurses with clinical decision support systems, as well as studies with a representative sample of health care professionals, randomized study designs, and application of assessment instruments appropriate to the professional and institutional profile. In addition, long-term follow-up is necessary to assess the effects of clinical decision support systems that can demonstrate a more real, measurable, and significant effect on clinical decision making.
- Clinical Supervision and Emotional Intelligence Capabilities: E Excellence in Clinical PracticePublication . Cruz, Sandra; Carvalho, António Luís; Sousa, P.We carried out a study to relate the implementation of a clinical supervision (CS) model with the supervised nurses’ emotional intelligence capabilities. 38 paired questionnaires with the Portuguese version of the Manchester Clinical Supervision Scale© (MCSS©) and the Veiga Branco Emotional Intelligence Capabilities Scale (VBEICS©) were obtained. SPSS© version 18.0 was used to treat data. We verified a significant weak correlation between the ‘self-motivation’ subscale of the VBEICS© and the ‘personal issues’ subscale of the MCSS© (-0,386). Our study pointed out that when the supervised nurses were more self-motivated they discussed less personal issues.
- Clinical Supervision in Nursing: the (un)Known PhenomenonPublication . Cruz, Sandra; Carvalho, António Luís; Sousa, P.To implement a clinical supervision model in nursing, we carry out an exploratory, descriptive and longitudinal study. We aim to publicize the results of its first phase which was focused on the chief nurses’ opinion on the clinical supervision on nursing (CSN) phenomenon. Interviews to all chief nurses (18) were conducted. Content analysis was used to data analysis. Themes and categories were found such as perspectives, relevance, conditions to CSN, among others. Results suggested that chief nurses need to improve their knowledge on CSN. However, it was clear what CSN is not or should not be to some of them.
- Clinical Supervision: Priority Strategy to a Better HealthPublication . Cruz, Sandra; Carvalho, António Luís; Sousa, P.We carried out a study with the aim to relate the implementation of a clinical supervision (CS) model with the supervised nurses’ answers to stress and the coping resources they use. 38 paired questionnaires with the Portuguese versions of the Manchester Clinical Supervision Scale© (MCSS©) and the Brief Personal Survey© (BPS©) were obtained. SPSS© version 18.0 was used to treat data. MCSS© Cronbach's alpha value for the total score was 0,938 and BPS’© was 0,60. Several correlations were found. Our study pointed out that CS can optimize the nurses’ coping resources and help them to answer to stress.
- Computerized clinical decision support system utilization in nursingPublication . Ortiz, Dóris Ribeiro; Maia, Flávia de Oliveira Motta; Ortiz, Diley Cardoso Franco; Peres, Heloísa Helena Ciqueto; Sousa, P.Review question/objective: The objective of this scoping review is to comprehensively identify and examine the available literature on computerized clinical decision support systems utilized in nursing. The following focus questions will be used as an initial starting point in order to map and discuss important characteristics of the work done in this field: i) What is the nature of computerized clinical decision support systems (CCDSSs) utilized in nursing? ii) What is the nature of the research conducted on CCDSSs utilized in nursing, particularly, how has the research been conducted, what topics/aspects have been investigated, and what topics/aspects represent knowledge gaps? iii) What impact/outcomes have been reported through the use of CCDSSs utilized in nursing?
- Confusão Aguda no idoso: dados para a decisão do enfermeiroPublication . Marques, Paulo; Sousa, P.; Silva, AbelContexto: a Confusão Aguda é um problema comum nos doentes idosos hospitalizados, estando associado a complicações graves, mortalidade, institucionalização e reinternamentos, persistindo dificuldades no seu reconhecimento e gestão por parte dos enfermeiros. Objetivo: nesta pesquisa pretendeu-se identificar os dados dos doentes com Confusão Aguda que relevam para a prática clínica de enfermagem e a partir daí construir um algoritmo de suporte à decisão do enfermeiro. Metodologia: do ponto de vista metodológico tratou-se de um estudo exploratório e descritivo, de perfil qualitativo, tendose recorrido à análise constante, comparativa e iterativa dos dados das entrevistas aos enfermeiros proposta por Strauss e Corbin. Resultados: os resultados apontam para a importância da conjugação da Confusão Aguda com as Respostas Comportamentais e o Status Funcional, que interligados permitem ganhos na assistência de enfermagem. Conclusão: a estrutura de apoio à decisão que emergiu é conhecimento novo e pode permitir avanços significativos para a ciência e prática clínica de enfermagem.