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- 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
- Dados valorizados pelo Enfermeiro Especialista em Enfermagem de Reabilitação para a prescrição de cinesiterapia respiratória napessoa com DPOCPublication . Silva, Rui Pedro; Fernandes, Olga; Padilha, José Miguel Santos Castro
- Travelbee’s Theory: Human-to-Human Relationship Model - its suitability for palliative nursing carePublication . Parola, Vítor; Coelho, Adriana; Fernandes, Olga; Apóstolo, JoãoBackground: Travelbee’s theoretical model has significantly influenced the palliative care movement. According to Travelbee, the Human-to-Human Relationship is the means through which the purpose of nursing is fulfilled. us, nurses are challenged to implement a more reflective practice based on compassion and sympathy. Objective: To describe Travelbee’s Human-to-Human Relationship Model and provide an adequate conceptual framework for palliative nursing care. Main topics under analysis: To frame Travelbee’s theory. To describe the suitability of the theory for palliative care. To reflect on Travelbee’s view of nursing. To analyze its relevance in the nursing context. Conclusion: Travelbee’s Human-to-Human Relationship Model is in line with the philosophy of palliative care, being an interpersonal process in which nurses intervene in the suffering process but also in its prevention.
- Nonpharmacological Clinical Effective Interventions in Constipation: A Systematic ReviewPublication . Carvalho Pinto, Cristina; Oliveira, Palmira; Fernandes, Olga; Padilha, José Miguel Santos Castro; Machado, Paulo Alexandre Puga; Ribeiro, Ana; Ramos, JoséPurpose: To identify nonpharmacological clinically effective interventions for constipation in adults. Methods: A systematic review of experimental studies of nonpharmacological interventions addressing participants’ management of constipation using samples of adults over 18 years of age was conducted. In evaluating the methodological quality of the eligible studies, we used the assumptions of the Cochrane Collaboration, and for the reporting of items in the systematic review we used the Model of Preferential Reporting Items for Systematic Reviews and Meta-Analyses. The protocol of this review was recorded in the International Prospective Register of Systematic Reviews of the University of York under number 43693. Results: This review included 12 randomized controlled trials. Nonpharmacological effective interventions for the resolution of constipation were identified: individualized intervention based on the participant’s modifiable risk factors of constipation promoting literacy in health; educational measures in dietary modification and lifestyle; and abdominal massage. Conclusions: Specific nonpharmacological interventions are crucial for nurses’ clinical practice and of major importance for clients and families. Evidence on these interventions in resolving constipation is still scarce and fails to provide evidence-based data to support nursing clinical practice. Clinical Relevance: Personal lifestyles, comorbidities, medication, and sedentary habits are likely to be risk factors in constipation. Thus, it is important to invest in nonpharmacological interventions that promote changes in behavior regarding prevention or resolution of constipation. Moreover, nursing researchers worldwide should conduct research for clinical practice regarding the fundamentals of care.
- The effectiveness of negative pressure therapy for the treatment of diabetic foot wound: an umbrella studyPublication . Fernandes, Olga; Oliveira, Palmira; Carvalho Pinto, CristinaIntroduction and objectives: Diabetic foot is one of the disabling complications of diabetes affecting more than one million people in Portugal. Negative pressure therapy is relatively recent, describing itself as facilitating wound bed preparation and inducing granulation and angiogenesis. It is our goal to provide an overview of available evidence on the clinical efficacy of negative pressure in the treatment of diabetic foot in adults. Methodology: This is an umbrella review, with research in Scopus, Web of Science and Ebsco (Cinahl Complete and Medline), with the time limit (2014-2019), English and Spanish language, after defining the PICO review question, descriptors and inclusion and exclusion criteria. Two investigators performed methodological quality assessment, independently using JBI Critical Assessment Instrument. Results and discussion: 14 systematic reviews were identified, 3 were duplicated, 9 were eliminated after application of the inclusion criteria. Two articles were included, one with meta-analysis. The reviews included 23 studies indicating that negative pressure therapy is effective and safe, generally reflecting greater amounts of granulation tissue and shorter healing time. The existence of few randomized controlled trials and small samples are some of the limitations mentioned. Conclusions: The availability of evidence synthesized with this review may support clinical decision-making leading to an improvement in the quality of health care provided to people with diabetic foot injury.
- Parental knowledge on breastfeeding: Contributions to a clinical supervision model in nursingPublication . Reis Santos, Margarida; França, Ana Paula; Fernandes, Olga; Cruz, LauraParental skills development in breastfeeding, not only eases the bonding and the maintenance of the process, but also, mirrors the excellence of nursing care. The study aims to assess parental knowledge concerning breastfeeding, in order to bring forth contributions for a clinical supervision model, which promotes the development of nursing skills. A quantitative and cross sectional study was conducted on a non-probability sample consisting of 135 recent mothers. The enquiry form applied allowed the assessment of parental skills on breastfeeding and in determining the conditions for the development of these skills. Most women (63%) provided information on the benefits of breastfeeding, 75% of the mothers did not show familiarity with strategies on how to continue breastfeeding. The study pointed to the existence of practices that impair the progress of acknowledgement on breastfeeding and contribute to early withdrawal, such as: delay in breastfeeding initiation, early introduction to infant formula, lack of nurses’ guidance and support on breastfeeding, during the post-partum period. Clinical supervision can be a means for the development of nursing skills allowing a widespread improvement of practices and rates (exclusivity and duration) of breastfeeding, boosting parent’s capacity, security, trust and satisfaction, which regards breastfeeding.
- Intervenções não farmacológicas na resolução da obstipação em adultos : resultados preliminares de uma revisão sistemática da literaturaPublication . Carvalho Pinto, Cristina; Oliveira, Palmira; Fernandes, Olga
- Certificação de competências e acreditação de contextosPublication . Fernandes, OlgaA certificação de competências profissionais em contextos clínicos com idoneidade formativa acreditada tem sido discutida em Portugal desde 2009, no âmbito do modelo de desenvolvimento profissional, proposto pela Ordem dos Enfermeiros. O Projeto [C-S2SAFECARE] apresentado neste congresso aposta no valor da dinâmica da supervisão clínica assumindo neste projeto que os enfermeiros das unidades de saúde, onde está a ser implementado, participem e demonstrem o desenvolvimento da qualidade dos cuidados, através da competência, com consequente melhoria efetiva de um conjunto de indicadores em saúde, utilizados pela instituição e que constituem referenciais da qualidade para a Direção Geral da Saúde em Portugal. Para o efeito propôs como método o acompanhamento das práticas clínicas por supervisores que designa por supervisão clínica de pares. Aborda-se, do ponto de vista da literatura, os argumentos que validem a relação entre a certificação de competências profissionais e o benefício decorrente do facto de esta certificação suceder em contextos clínicos com idoneidade formativa acreditada.