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- E-Book do Webinar do Departamento de Enfermagem Médico-Cirúrgica / Adulto e Idoso da ESELPublication . Gomes, Delfina; Sá, Eunice; Sá, FlorindaO Departamento de Enfermagem Médico-Cirúrgica / Adulto e Idoso da Escola Superior de Enfermagem de Lisboa (ESEL) organizou dia 10 de novembro de 2021 o primeiro Webinar intitulado “Formação, Investigação e Exercício Clínico”, que teve como finalidade pensar a Enfermagem Médico-cirúrgica a inovação e o desenvolvimento das práticas de formação e de cuidados aos 3 níveis de formação da ESEL. Este Webinar teve a participação de preletores Internacionais do College of Nursing da Florida Atlantic University, em Boca Raton, Florida (USA) e da Universidade Estatal de Natchez, Mississippi (USA), num painel intitulado Nursing as Caring e preletores nacionais nas mesas subordinadas aos temas: Formar para cuidar da pessoa e família em transição de doença aguda/crónica e situação paliativa; Investigação e prática clínica no cuidado à pessoa e família em situação de doença crónica e paliativa; Investigação e prática clínica nos cuidados à pessoa adulta e idosa e família em situação de doença crítica no contexto da pandemia. Este encontro constituiu-se como um momento único para os estudantes, professores, investigadores e enfermeiros da prática clínica partilharem projetos desenvolvidos na área da Enfermagem Médico-cirúrgica/Adulto e idoso tendo em conta as áreas de intervenção especificas da ESEL. Pretende-se que este Webinar venha a ser um encontro científico anual distinguido como um espaço de reflexão que deverá permitir pensar a Enfermagem Médico cirúrgica/ Adulto e Idoso. Os enfermeiros na área da Enfermagem Médico-cirúrgica têm que se tornar cada vez mais visíveis, mostrando o que já fazem e o que falta fazer, bem como o investimento que é necessário privilegiar para melhorar a saúde das pessoas e famílias em situação critica, situação crónica e em situação paliativa, uma vez que o exercício do cuidado de enfermagem tem que ter reflexos na sociedade e trazer soluções para resolver os seus problemas de saúde/doença. Por conseguinte, a Formação, a Investigação e o Exercício Clínico, têm que estar profundamente articuladas, contribuindo desta forma para a valorização da profissão e da sociedade em geral e para melhorar a saúde das populações e potenciar melhores níveis de bem-estar. Este é o caminho que precisamos continuar a percorrer. Os trabalhos apresentados pelos palestrantes convidados, os resumos aceites para comunicação oral e pósteres foram compilados em suporte digital de modo a puderem ser partilhados. Agradecemos a todos aqueles que com a sua presença neste evento contribuíram para a reflexão em torno da área disciplinar da Enfermagem Médico cirúrgica/Adulto e Idoso e todo o apoio logístico dado pelos profissionais da ESEL
- E-Book do 2º Webinar do Departamento de Enfermagem Médico-Cirúrgica / Adulto e Idoso da ESEL :Publication . Gomes, Delfina; Sá, Eunice; Sá, Florinda; Neves, Sandra Cristina da Silva
- Contributions of the Communication and Management of Bad News in Nursing to the Readaptation Process in Palliative Care: A Scoping ReviewPublication . Moura, Teresa; Ramos, Ana; Sá, Eunice; Pinho, Lara; Fonseca, CésarBackground: Delivering bad news is a sensitive and challenging aspect of nursing healthcare, requiring a holistic approach that respects patients’ preferences, cultural values, and religious beliefs to promote adaptation to the person’s state of health. Aim: We aim to map the evidence of the dimensions present in the communication and management of bad news by nurses to a person in a palliative situation, their caregivers, and their family members. Methods: Based on the Joanna Briggs Institute methodology, the search was conducted through MEDLINE Complete (EBSCOhost), CINAHL Complete (EBSCOhost), SciELO, and the Open Access Scientific Repository in Portugal. From a total of 756 articles, 14 were included, published between 2018 and 2023. Results: Structure components in bad news are influenced by the characteristics of the palliative patients, their caregivers, their family members, the nurses, and the organizational environment. Promoting the quality of the communication process is desirable through continuous and advanced training in end-of-life care, training in bad news, religiously and culturally sensitive nursing interventions centered on hope and maintaining faith, emotional management, and the utilization of a checklist protocol. Conclusions: Honest communication allows people to actively participate in the decision-making process and in the trajectory of the care plan that is focused on themselves and their preferences, which has outcomes in functional capacities and readaptation.
- A Cross-Sectional Study of the Perception of Individualized Nursing Care Among Nurses in Acute Medical and Perioperative SettingsPublication . Ramos, Ana; Pires, Sara; Sá, Eunice; Gomes, Idalina; Alves, Elisabete; Fonseca, César; Coelho, Anabela; Coelho, AnabelaIndividualized nursing care allows for systematic assessment and intervention; considers a patient’s preferences, values, and context; and contributes to a positive care trajectory. However, its operationalization has proven to be challenging. This research aimed to evaluate nurses’ perceptions of individualized care and analyze their relationship with sociodemographic variables. Methods: A cross-sectional study was conducted on 122 eligible and registered nurses at a Hospital Center, in the Ophthalmology (operating room and inpatient ward) service, the Cardiology service, the Internal Medicine service, and the Medical Emergency Unit, for adults/older adults in Portugal. The nursing version of the Individualized Care Scale (ICS-Nurse) was used for the assessment, including three sub-dimensions: clinical situation, personal life situation, and decisional control over care-related decisions. Cronbach’s alpha and principal component analysis were used for the data analysis. The STROBE checklist was used to report this study. Results: No statistically significant differences were found based on the age, gender, level of education, or years of professional experience of the nurses within the sub-dimensions of individualization. The nurses overall had a good perception of the importance of individualized care (4.06 ± 0.46 ICS-A-NURSE) but faced difficulties in its implementation during the last shift they worked (3.97 ± 0.49 ICS-B-NURSE). Conclusions: The items considered to be of greatest importance were the response to the physical and emotional needs arising from illness and assistance in decision-making through educational instructions. Aspects related to the personal lives of patients, such as family inclusion in an individual’s care plan, everyday habits, and previous experiences of hospitalization, received the lowest scores. Recognizing priority areas for improvement in the individualization of nursing care can contribute to developing training programs and policies that promote a holistic approach. Future studies should consider patient outcomes related to their needs for individualization.
- Factors influencing individualized nursing care in acute medical and perioperative settings: A scoping reviewPublication . Ramos, Ana; Sá, Eunice; Pombo, Delmira; Sá, Florinda; Ramos, Filipe; Bernardo, Fernanda; Mira, Helena; Lopes, Hélder; Marcão, Regina; Gomes, IdalinaIndividualized nursing care addresses the needs, experiences, behaviors, feelings, and perceptions of patients and families, but its implementation in clinical practice contexts remains challenging. This review aims to map the factors that interfere with the individualization of nursing care, in acute medical and perioperative settings. Scoping review was conducted according to the Joanna Briggs Institute guidelines. The MEDLINE, CINAHL, Cochrane, SciELO, Scientific Repository of Open Access, and LILACS databases were searched for publications from January 2017 up to March 2023. Of the 124 articles selected, 17 met the inclusion criteria. The individualization of nursing care is complex and shaped by multiple variables in the care environment, nursing, and patient characteristics. The institutional organization, the nurses’ expertise, and the patient’s attributes were identified as variables that interfere with the individualization of nursing care. Individualized nursing care is responsible for better quality of care and health outcomes. The identification of the variables that affect individualized care contributes to planning programs to improve individualization, during hospitalization and the discharge.