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- The family as the focus of nursing care in the hospital environment: an educational programPublication . Martins, MM; Fernandes, Carla Sílvia; Gonçalves, Lucia Hisako TakaseThis paper reports an educational program experience for nurses on caring for the family, at the hospital environment. The objective was to train nurses for the care of the family. The strategies adopted for teaching/learning focused on the Calgary Model of Assessment and Family Intervention, with a group of nurses from a general hospital located in the north of Portugal. In the subjective evaluation of the participants, the pedagogic experience was useful because they could recognize the need for a change on nursing care, and move towards an integrated approach to the family attention.
- Interventions to promote self-care of people with arteriovenous fistulaPublication . Sousa, Clemente Neves; Apóstolo, João Luís; Figueiredo, Maria; Martins, MM; Dias, Vanessa FThe literature shows many self-care behaviours related to people with end-stage renal disease (ESRD). Our aim is to identify interventions within the 'teaching' that promote self-care (behaviour) with arteriovenous fistula (AVF).
- Physical examination of arteriovenous fistula: The influence of professional experience in the detection of complicationsPublication . Sousa, Clemente Neves; Teles, Paulo; Dias, Vanessa Filipa Ferreira; Apóstolo, João Luís Alves; Figueiredo, Maria; Martins, MMVascular access is one of the leading causes of mobilization of financial resources in health systems for people with chronic kidney disease on hemodialysis. Physical examination of the arteriovenous fistula (AVF) has demonstrated its effectiveness in identifying complications. We decided to evaluate the influence of nurses' professional experience in the detection of complications of the AVF (venous stenosis and steal syndrome). The study took place in eight hemodialysis centers between May and September of 2011 in the north of Portugal. Sample was constituted by registered nurses. The nurses involved in the experiment were divided in two groups: those who had more than 5 years of experience and those who had less than 5 years of experience. Ninety-two nurses participated in the study: 34 nurses had less than 5 years of professional experience and 58 had more than 5 years of professional experience. In the practices considered by nurses in the detection of venous stenosis, there were no differences observed between the groups (P > 0.05). In steal syndrome, there were no differences observed between the groups in the practices of the nurses in the detection of this complication of the AVF (P > 0.05). We concluded that professional experience does not influence the detection of venous stenosis and steal syndrome.
- Elderly residents in the community: gaining knowledge to support a rehabilitation nursing programPublication . Faria, Ana da Conceição Alves; Martins, MM; Ribeiro, Olga; Gomes, Bárbara; Fernandes, Carla SílviaTo analyze the socio-demographic and health conditions of the elderly living in the community and describe the pillars for the design of a rehabilitation nursing program in the community.
- Influências capitalistas na produção do conhecimento em enfermagemPublication . Lino, Monica Motta; Backes, Vânia Marli Schubert; Costa, Maria Arminda da Silva Mendes Carneiro da; Martins, MM; Lino, Murielk MottaTo understand the capitalist influence over the production of nursing knowledge according to Brazilian and Portuguese researchers.
- Protocol for a scoping review of skin self-care of people with spinal cord injuryPublication . Lima, Daniella Karine Souza; Schoeller, Soraia Dornelles; Knihs, Neide da Silva; Vargas, Caroline Porcelis; Tholl, Adriana Dutra; Lopes, Soraia Geraldo Rozza; Martins, MM; Hammerschmidt, Karina Silveira de AlmeidaIn recent years, increasing methodological references have been used in scientific research; these are points of support in the search for evidence, formulation and elaboration of instruments, scales, guideline and protocols. However, significant variability currently exists in scoping review conduct and reporting, thus limiting the potential of the methodology to advance research and practice about skin self-care of people with spinal cord injury (SCI). Our objective was to perform a scoping review protocol within the health rehabilitation context of people with SCI, focusing on skin self-care.
- The informal caregiver's socioeconomic prism and its implications on state of mindPublication . André, Suzana; Cunha, Madalena; Martins, MM; Rodrigues, VítorIntroduction: The act of caring for a dependent elderly victim of cerebrovascular accident exerts different impacts on caregivers. Knowledge of their socioeconomic level by health professionals supports the planning and implementation of actions appropriate to the reality of the elderly and their caregivers. Objective: To determine whether socioeconomic status predicts informal caregivers’ state of mind (depression). Design: Cross-sectional, descriptive study in the Dão Lafões sub-region. Participants: Non-probabilistic sample of 636 informal caregivers, aged 17-85 years (mean = 50.19 ± 14.30). Measuring instruments: The Beck Depression Inventory and the Graffar Socioeconomic Level Scale. Results: We found class III (middle class family/reasonable socioeconomic status) was the most common (40.4%), class IV (upper lower class family/low socioeconomic level) with 37.7%. A majority of the sample (62.9%) does not have depressive symptoms, with their presence observed in 37.1% of informal caregivers, in which 24.3% are men and 39.6% women. The results sustain that socioeconomic level (P = .004) in the total sample predicts state of mind, inferring that caregivers with poorer socioeconomic status have a worse state of mind. Conclusions: The evidence found from the research show that informal caregivers with depressive symptoms have a poorer socioeconomic status, so that it is compulsory to consider these variables when planning interventions whose primary focus of attention is aimed at caregivers and elderly cerebrovascular accident victims experiencing situations of transition
- Prevalence and determinants in cytology testing for cervical cancer screening in Spain (2006–14)Publication . Cobo-Cuenca, Ana; Rodríguez-Borrego, María-Aurora; Hidalgo-Lópezosa, Pedro; Rodríguez-Muñoz, Pedro M; Martins, MM; Carmona-Torres, Juan MBackground: Cervical cancer has decreased in developed countries thanks to cytology screening programmes. The aims of this study were To analyse the frequency and evolution of performing cytology tests and to determine the variables that influence their use. Methods: Cross-sectional study of non-institutionalized women who participated in the national health survey (2006, 2011/12) and the European Health Survey in Spain (2009, 2014). Study variables: cytology-testing, time since last cytology-test, reason for performing the test, age, nationality, marital status, social status, education level and place of residence. Results: The study evaluated 53 628 women in Spain over 15 years old, with a mean age of 52.68 (SD 19.12). About 94.1% were Spanish, 49.2% were married and 77.2% lived with a partner. In 2014, 72% had a cytology test, a number that increased significantly. Women aged 25–65 were 5.13 times more likely to undergo a cytology test than those aged 15–24 years old (odds ratio (OR): 5.13; P < 0.001); women with university educations were 9.23 times more likely to undergo a cytology test than those without university educations (P > 0.001); those of social classes I and II (high) were 1.2 more likely to undergo a cytology test than those of low social class (P = 0.026); and Spanish women were 1.74 times more likely to undergo a cytology test than foreigners living in Spain (P < 0.001). Conclusion: Frequency of cytology testing has increased in the last few years. Screening for cervical cancer is associated with higher social status, education level, age, and not being foreign.
- Adaptation and validation of the Instrumental Expressive Social Support Scale in Portuguese older individualsPublication . Lima, Ligia; Santos, Célia; Bastos, Celeste; Guerra, Marina; Martins, MM; Costa, Patrícioto adapt and validate the Instrumental Expressive Social Support Scale (IESS) in a sample of older people.
- Bath for dependent patients: theorizing aspects of nursing care in rehabilitationPublication . Prado, Athaynne Ramos de Aguiar; Ramos, Ricardo Luiz; Ribeiro, Olga; Figueiredo, Nébia Maria Almeida de; Martins, MM; Machado, Wiliam César Alvesto produce a reflective essay on what has been produced in relation to bath as a procedure related to nursing care and diagnosis for dependent patients undergoing mediate and immediate rehabilitation processes after a traumatic event.