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- Implementação de um Modelo de Supervisão Clínica em Enfermagem - Manual PráticoPublication . Carvalho, António Luís; Barroso, Cristina; Pereira, Maria Aurora; Teixeira, Ana Paula; Pinho, Fátima; Osório, Maria
- II Congresso Internacional de Supervisão Clínica: Livro de comunicações e conferênciasPublication . França, Ana Paula; Ribeiro, Carla Inês; Barroso, Cristina; Segadães Moreira, Maria De Fátima; Carvalho, António Luís; Reis Santos, Margarida; Fernandes, Olga; Cruz, Sandra; Lopes, Sara; Abreu, Wilson
- Impact of clinical supervision on job satisfaction and emotional competence of nursesPublication . Rocha, Inês Alves da Rocha e Silva; Barroso, Cristina; Carvalho, António LuísObjective: To evaluate the impact of implementing the SafeCare clinical supervision model on nurses’ job satisfaction and emotional competence profile. Methods: This is a quasi-experimental study, with a sample of 28 nurses from a hospital in northern Portugal. A self-administered questionnaire was applied, used as pre and post-test, which included: sociodemographic and professional characterization; “Job Satisfaction Scale”; and “Veiga Emotional Competence Scale”. We conducted descriptive statistical analysis and the Wilcoxon Test. Results: A significant decrease in the nurses’ satisfaction with hierarchical superior was observed in the post-test. No significant differences were found in the nurses’ job satisfaction and emotional competence after the implementation of the SafeCare Model. Conclusion: The SafeCare Model needs improvement, suggesting increasing the amount of training time administered to nurses and strengthening the healthcare institution’s link to the Model.
- Impact of a model of clinical supervision over the emotional intelligence capacities of nursesPublication . Augusto, Maria Cristina Bompastor; Oliveira, Karine Sobral de; Carvalho, António Luís; Barroso, Cristina; Teixeira, Ana Isabel Carvalho; Teixeira, Leonor OlímpiaObjective: to analyze the impact of the implementation of a model of clinical supervision over the emotional intelligence capacities of nurses. Methods: mixed methods study. Quantitative data were collected before and after the implementation of the Model, using the scale of Emotional Intelligence Capacities of Nurses; analyses were carried out using descriptive statistics and paired samples were analyzed using the t-test. 47 nurses from one hospital participated. Qualitative data were obtained from the analysis of the discourses of the nurses in a public presentation, using thematic/ categorizing content analysis. The findings were integrated at the end to generate the results. Results: no statistically significant differences were found with the implementation of the Model. However, the nurses involved recognized the positive impact of the SafeCare Model in the development of emotional competences. Conclusion: the study contributed for clinical supervision and for the development of emotional competences
- Impacto da supervisão clínica em enfermagem na avaliação e intervenção no autocuidadoPublication . Rocha, Inês; Carvalho, António Luís; Barroso, Cristina; Rodrigues, Agostinho; Rocha, VâniaObjective: to assess the agreement between researcher, nurses and medical records in relation to self-care dependency levels before and after the implementation of the SafeCare Model and to evaluate the nursing interventions related to self-care provided before and after the implementation of the SafeCare Model. Method: quasi-experimental study. For data collection, in 2017 and 2019, a self-care assessment instrument was used before and after the implementation of the model of clinical supervision in nursing (SafeCare). Results: 216 patients participated in the study. Agreement between researcher and nurses increased from pre-test to post-test in hygiene (k=0.79), self-feeding (k=0.73) and self-transferring (k=0.79). In nursing interventions, there was agreement between all evaluators in the post-test, unlike the pre-test, when there was no agreement between researcher and nurses/medical records in the intervention “promoting self-care: hygiene. Conclusion: the agreement between forms filled out individually by the groups increased significantly in most of the self-care measures assessed and, in the interventions, provided after the implementation of the SafeCare Model.
- Supervision in Clinical Practice Indicator: Analysis of the Evaluation of Pain in the Context of Ambulatory SurgeryPublication . Teixeira, Leonor Olímpia; Augusto, Cristina; Barroso, Cristina; Carvalho, António LuísClinical supervision, as a formal process of monitoring professional practice, aims to improve decision-making to contribute to safety and quality of care through reflection processes and analysis of clinical practice. This study aimed to compare the postoperative pain evaluation and clinical recording procedures performed by nursing staff and clinical supervisors in ambulatory surgery patients. The study was integrated into the research project “SAFECARE”. It was developed a descriptive cross-sectional quantitative study in an ambulatory surgery unit of a University Hospital in Oporto, Portugal. The study population was the nursing staff with an intentional nonprobabilistic sampling method. A questionnaire was constructed and evaluation of postoperative pain, patient clinical and demographic variables was included. This instrument was applied in 116 patients matched by 12 surgical specialties. Results were compared between nursing staff, clinical supervisors and electronic nursing records. Patients had an average age of 48.6 years, being mostly female. Regarding pain evaluation, the scale most used by nurses (62.1%) and clinical supervisors (67.2%) was the “Numerical Scale”. Postoperative pain evaluation scores ranged from 0 to 7, with score 0 (no pain) presenting more frequently by nurses, electronic nursing records and clinical supervisors. 34.5% of results were not documented in electronic nursing records. These findings support the importance of an intervention of clinical supervision in the indicator “pain” for the outpatient surgery setting. Local protocols of clinical supervision practice would contribute to improve postoperative pain evaluation, as well as standardization and optimization of nursing records, thus ensuring quality care.
- Intervenções de enfermagem na pessoa em cuidados paliativos com fadiga: Uma scoping reviewPublication . Cunha, Sara; Jasmins, Conceição; Barroso, Cristina; Almeida Reis, Laura MariaIntrodução: A fadiga é um dos sintomas mais comuns na pessoa em situação paliativa que afeta a sua qualidade de vida e, cuja gestão permanece um desafio. Objetivo: Mapear as intervenções de enfermagem utilizadas no controlo da fadiga na pessoa em situação paliativa. Métodos: Scoping Review de acordo com a metodologia do Joanna Briggs Institute. Dois investigadores independentes realizaram a análise, extração e síntese dos resultados. Resultados: Intervenções de enfermagem como Intervenção Psicossocial, Massagem Aromática, Cuidados paliativos standard, Intervenção colaborativa Online, Terapia Cognitivo Comportamental, Exercício físico e acupuntura foram identificadas. Conclusão: Os estudos apontam para intervenções multidisciplinares multimodais, onde o enfermeiro tem um papel primordial. No entanto, não há estudos em pessoas numa fase terminal da sua doença, ou seja, nos últimos meses ou dias de vida, pelo que se sugerem novas investigações sobre a eficácia das intervenções no controlo da fadiga da pessoa em cuidados paliativos e a adoção de estratégias que permitam melhorar o conhecimento dos profissionais de saúde sobre o impacto da fadiga.
- Supervision of clinical practice indicators: evidence-based practice in the context of the surgical patientPublication . Teixeira, Leonor Olímpia; Barroso, Cristina; Carvalho, António Luís; Carvalho Teixeira, Ana Isabel; Bompastor Augusto, Maria CristinaIntrodução: A supervisão clínica e a Prática Baseada na Evidência (PBE) devem ser entendidas como complementares e indissociáveis pelos resultados positivos que produzem na qualidade em saúde. Objetivos: Avaliar a predisposição do enfermeiro para incorporar a PBE nos cuidados e identificar barreiras à implementação da PBE no seu local de trabalho. Material e Métodos: Estudo exploratório-descritivo, realizado numa unidade de cirurgia de ambulatório de um Hospital Universitário do Porto, Portugal. Na colheita de dados foi usado o Questionário de Eficácia Clínica e Prática Baseada em Evidências (QECPBE-20), sendo a amostra, não probabilística intencional, constituída por quarenta e nove enfermeiros. Resultados: Os enfermeiros são favoráveis à PBE na dimensão “Atitudes” (M = 5,36) atingindo a maior pontuação média, seguida de “Conhecimentos, Habilidades e Competências” (M = 5,08) e, finalmente, a dimensão “Práticas” (M = 4,89). Os participantes com treino em Supervisão Clínica apresentam valores mais altos na dimensão “Conhecimentos, Habilidades e Competências” do que os participantes sem treino em Supervisão Clínica e os enfermeiros com especialidade apresentam valores mais altos na dimensão “Atitudes”. As barreiras identificadas pelos enfermeiros resumem-se em quatro níveis: organizacional, profissional, liderança e evidência. Conclusões:Os enfermeiros apresentam conhecimentos e uma atitude positiva em relação à PBE, contudo mostram uma baixa taxa de utilização da PBE na sua prática diária. A falta de tempo, processos de gestão não facilitadores por parte das chefias e a dificuldade no acesso à evidência científica são algumas das dificuldades identificadas pelos participantes. A supervisão clínica apresenta-se como um fator-chave para o desenvolvimento da competência em PBE.
- Implementação do modelo safecarePublication . Teixeira, Ana; Barandas, Vanda; Carvalho, António Luís; Barroso, Cristina
- Avaliação dos resultadosPublication . Augusto, Cristina; Carvalho, António Luís; Barroso, Cristina