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- Lacunas de conhecimentos e habilidades de mães portuguesas associados à saúde do recém-nascidoPublication . Cardoso, Alexandrina; Marín, Heimar de FátimaObjetivos: Caracterizar o nível de conhecimentos e habilidades associadas à competência parental: promover e vigiar a saúde da criança, até aos seis meses de idade e, caracterizar o perfil das mães mais bem preparadas. Método: estudo transversal, realizado em três centros de saúde de uma Unidade Local de Saúde do Norte de Portugal. Para a seleção de dados foi realizada entrevista clínica a mulheres grávidas ou cujo filho tivesse até seis meses. O instrumento foi constituído por 21 indicadores relacionados com a promoção e a vigilância da saúde da criança, nos momentos – gravidez, 1ª-2ª semana, 1º-2º, 3º-4º e 5º-6º mês. Resultados: foram avaliados os conhecimentos e as habilidades de 629 mulheres. Foram identificadas necessidades de aprendizagem em todos os indicadores avaliados. As mães bem preparadas tinham maior nível de escolaridade; coabitavam com o pai do filho; já tinham outros filhos; a gravidez foi planejada e tinham intenção de amamentar. Conclusões: nos momentos em que foram avaliadas, as mães demonstraram falta de conhecimentos e de habilidades. Pode ser considerado um grupo vulnerável, as mães: solteiras, primíparas, cuja gravidez não foi planeada e sem preparação prévia
- 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
- Representação do conhecimento em enfermagem do trabalho: dados relevantes face à saúde individual do trabalhador sob influência do ambiente laboralPublication . Bastos, Fernanda; Morais, Ernesto; Joana Campos, Maria; Brito, Alice; Cardoso, Alexandrina; Sousa, P.Introduction: Occupational health presents itself as a whole area to ensure healthy work environments and a better quality of life for workers. In the information systems in use, it was found that this area was missing, and a representation of existing knowledge in occupational nursing is urgent, particularly concerning the data that allow the characterization of health needs in a work environment. Objectives: Formally represent the available knowledge related to data relating to the assessment of the client under the influence of the work environment, which represent the first element of the planning and description of the nursing care process, thus constituting a fundamental resource for the design of clinical decision support systems. Methodology: This work derives from a global project developed by the Center for Research and Development of Information Systems at the Porto School of Nursing, in collaboration with the Ordem dos Enfermeiros, which consolidated itself in the construction of a Nursing Ontology. A qualitative study of inferential nature was carried out for its conception, with content analysis to national parameterization and literature review. For content validation, a focus group was used. Results: Nineteen assessment data were identified, most of which could generate sensitive indicators for nursing care, organized into three domains: i) data related to the characterization of the work activity, its context and physical intensity; ii) data related to occupational exposure potentially leading to changes in bodily and psychological processes; and iii) data that characterize aspects related to health-seeking behaviours related to the adaptive process (transition) of the client in the work context, such as knowledge and awareness. Conclusions: The identification of data is decisive for the diagnostic process, with centrality in the characterization of the data centred on physical intensity and exposure to risk factors in the work activity and the adaptive process related to areas that will influence the choice of health-promoting behaviours.
- Challenges of motherhood in the voice of primiparous mothers: Initial difficultiesPublication . Carvalho, Júlia; Gaspar, Maria; Cardoso, AlexandrinaObjective. To identify the main difficulties first-time mothers experience in the postpartum period, during the first six months of the baby’s life. Methods. Level I qualitative, exploratory-descriptive study. The sample consisted of 11 first-time mothers of full-term healthy newborns. The data were collected through the “focus group” method. The mothers’ discourse was subject to content analysis, categorizing the registry units. Results. Three categories emerged from the data analyzed that indicate the mothers’ main difficulties in this period: postpartum recovery; baby care; marital relationship. Conclusion. The results indicate that, although motherhood is an event marked by positive emotions, the difficulties that emerge in the mothers’ daily life can interfere negatively in the quality of parenthood. In this scenario, the nurses play a determinant role in the enhancement of interventions that are sensitive to these needs and that, at the same time, favor these mothers and their families’ empowerment, thus optimizing the children’s development trajectories.
- Nursing knowledge on skin ulcer healing: a living scoping review protocolPublication . Gomes, João; Sousa, P.; Pereira, Filipe Miguel Soares; Queirós, Carmen; Neves, Hugo; Silva, Catarina; Silva, Abel; Parente, Paulo; Sousa, Paula Cristina; Brito, Alice; Silva, Maria Antónia; Morais, Ernesto; Cardoso, Alexandrina; Cruz, Inês; Machado, Natália; Oliveira, Manuel Fernando; Bastos, Fernanda; Prata, Ana Paula; Sequeira, CarlosObjective: This review aims to continuously map the nursing knowledge on skin ulcer healing in any context of care. Introduction: Chronic wounds are an increasing concern for society and health care providers. Pressure ulcers and venous ulcers, among others, have devastating effects on morbidity and quality of life and require a systematic approach. The nursing process is an important method that allows a better organization and overall care quality for a systematic and continuous professional approach to nursing management of skin ulcers. The integration of this nursing knowledge in informatics systems creates an opportunity to embed decision-support models in clinical activity, promoting evidence-based practice. Inclusion criteria: This scoping review will consider articles on nursing data, diagnosis, interventions, and outcomes focused on people with skin ulcers in all contexts of care. This review will include quantitative, qualitative, and mixed methods study designs as well as systematic reviews and dissertations. Methods: JBI’s scoping review guidance, as well as the Cochrane Collaboration’s guidance on living reviews, will be followed to meet the review’s objective. Screening of new literature will be performed regularly, with the review updated according to new findings. The search strategy will map published and unpublished studies. The databases to be searched include MEDLINE, CINAHL, Scopus, JBI Evidence Synthesis, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, and PEDro. Searches for unpublished studies will include OpenGrey and Reposito´ rios Cientı´ficos de Acesso Aberto de Portugal. Studies published in English and Portuguese since 2010 will be considered for inclusion.
- Potencialidades e limitações da atuação do enfermeiro no Centro Parto NormalPublication . Ferreira Júnior, Antonio Rodrigues; Brandão, Luciana Camila dos Santos; Teixeira, Ana Carolina de Melo Farias; Cardoso, AlexandrinaObjective: To know the potentialities and limitations of the nurse’s performance in the Center for Normal Birth (CPN). Method: Qualitative approach, exploratory-descriptive type, carried out in 2018, with six nurses working in public intra-hospital CPN in the metropolitan region of Fortaleza, Ceará, Brazil. The collection of information occurred through individual interview, with analysis from the assumptions of the sociology of professions, focusing on the themes: knowledge and autonomy; credentialism; division of labor; labor market and value chart. Result: The nurse’s performance in the Center for Normal Birth (CPN)enhances good practices for childbirth and birth, as well as increases the importance and visibility of this professional in maternal and child care. Clinical care and management emerge as the focus of the nurse’s action in the CPN. However, even with the induction of the State to this action, there is still the need for recognition of the competencies and autonomy of the nurse in obstetric care by other professionals. Conclusion and implications for practice: There are challenges that need to be overcome such as the expansion of autonomy and respect for the accreditation of the nurse to work in the CPN and the harmonization between the management of the work process and management of clinical care by this professional.
- Nursing knowledge of people with paresis of voluntary muscles: a living scoping review protocolPublication . Neves, Hugo; Parente, Paulo; Gomes, João; Queirós, Carmen; Sousa, Joana; Parola, Vítor; Sousa, Paula Cristina; Brito, Alice; Silva, Maria Antónia; Morais, Ernesto; Cardoso, Alexandrina; Cruz, Inês; Machado, Natália; Oliveira, Manuel Fernando; Bastos, Fernanda; Pereira, Filipe Miguel Soares; Prata, Ana Paula; Silva, Abel; Sequeira, Carlos; Sousa, P.Objective: This review aims to continuously map the nursing knowledge about people with paresis of voluntary muscles in any context of care. Introduction: Muscle paresis is a condition that significantly impacts quality of life. Nurses have a crucial role in managing this condition, particularly paresis of voluntary movement muscles. However, nursing knowledge about patients with paresis of voluntary muscles is dispersed, hampering the integration of evidence within the structure of information systems. Mapping how the nursing process components are identified is the first step in creating a Nursing Clinical Information Model for this condition, capable of integrating evidence into information systems. Inclusion criteria: This scoping review will consider studies focusing on the nursing process regarding people with paresis of voluntary muscles in all care contexts. The review will include quantitative, qualitative, and mixed-methods study designs, systematic reviews, clinical guidelines, dissertations, and theses. Methods: The review process will follow JBI's scoping review guidance, as well as the Cochrane Collaboration's guidance on living reviews. Screening of new literature will be performed regularly, with the review being updated according to new findings. The search strategy will map published and unpublished studies. The databases to be searched will include MEDLINE, CINAHL, Scopus, JBI Evidence Synthesis, and the Cochrane Central Register of Controlled Trials. Searches for unpublished studies will include OpenGrey and Repositorios Cientificos de Acesso Aberto de Portugal. Studies published in English and Portuguese from 1975 will be considered for inclusion.
- Nursing diagnoses focused on universal self-care requisitesPublication . Queirós, Carmen; Silva, Maria Antónia; Cruz, Inês; Cardoso, Alexandrina; Morais, ErnestoAims: (1) To identify and analyse diagnoses documented by nurses in Portugal within the scope of universal self-care requisites; (2) to determine the main problems with nursing diagnoses syntaxes for semantic interoperability purposes; and (3) to suggest unified nursing diagnoses syntaxes within the scope of universal self-care requisites. Background/Introduction: Ageing societies and the increase in chronic diseases have led to significant concern regarding individuals’ dependence to ensure self-care. ICNP is widely used by Portuguese nurses in electronic health records for documentation of nursing diagnoses and interventions. Methods: A qualitative study using inductive content analysis and focus group: 1. nursing e-documentation content analysis and 2. focus group to explore implicit criteria or insights from content analysis results. Results: From a corpus of analysis with 1793 nursing diagnoses, 432 nursing diagnoses centred on universal self-care requisites emerged from the content analysis. One hundred ten nursing diagnoses resulted from the application of new encoding criteria that emerged after a focus group meeting. Conclusion: Results reveal that nursing diagnoses related to universal self-care requisites can emphasize the impairment or potentialities of the individuals performing self-care. It also shows a lack of consensus on nominating the nursing diagnoses of people with a deficit in universal self-care requisites, resulting in different diagnoses to express the same needs. Implications for nursing practice: Representation of most relevant nursing diagnoses within the scope of universal self-care requisites. Implications for health policy: Incorporating standardized language into electronic health records is not enough for improving quality and continuity of care and semantic interoperability achievement. Electronic health records need to work with a nursing ontology in the backend to meet these requirements.
- Representação do conhecimento em enfermagem do trabalho: dados relevantes face à saúde individual do trabalhador sob influência do ambiente laboralPublication . Bastos, Fernanda; Morais, Ernesto; Joana Campos, Maria; Brito, Alice; Cardoso, Alexandrina; Sousa, Paula Cristina
- Sociodemographic and obstetric factors associated with health‐related quality of life of high‐risk pregnant womenPublication . Gadelha, Ivyna P.; Barros, Maria A. R.; de Freitas, Bruna B.; de Lima Mesquita, Annita; Sales, Nirvana M.; Alexandre, Camila E. C.; de Oliveira, Camila A. N.; Cardoso, Alexandrina; Biazus Dalcin, Camila; de S. Aquino, PriscilaObjective To evaluate the association between sociodemographic and obstetric factors and the health-related quality of life of pregnant women in high-risk prenatal care. Methods A cross-sectional study of women in high-risk prenatal care in Ceara, Brazil. The investigated outcomes were health-related quality of life, using the Medical Outcomes Study 36-item short-form health survey; the investigated covariates were sociodemographic and obstetric data. Associative analyses were performed using the Jamovi® software version 0.9. Results Of the 276 women included in the study, women with the following characteristics presented a better quality of life in some domain of the scale: age equal to or greater than 35 years, higher income per dependent, religious, living with three or fewer persons, with their own home, in primigestation, nulliparous, with no history of previous abortion, and with up to two living children. The regression model showed an association between the total scale score, which means a higher quality of life in women with age equal to or greater than 35 years and a higher income per dependent. Conclusion The study identified sociodemographic and obstetric factors that may affect the quality of life of high-risk pregnant women, providing subsidies to health providers so that they can promote better prenatal care.