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- Concept of unbearable suffering needs to be better understood by nursesPublication . Pinto, SaraThe study starts with the discussion about the legalisation of euthanasia in Spain, and aims to analyse the concept of U-Suffering as a foundation for the development of a new nursing diagnosis.1 Suffering is deeply connected with human existence, and its relief is a pivotal outcome for nurses and other healthcare providers. However, the assessment of a patient’s suffering (and whether it is unbearable) is one of the most difficult requirements to form a judgement on.
- Spiritual comfort, spiritual support, and spiritual care: A simultaneous concept analysisPublication . Tavares, Ana Patrícia; Martins, Helga; Pinto, Sara; Caldeira, Sílvia; Pontífice Sousa, Patrícia; Rodgers, Bethackground:Spirituality is a dimension of life and the human being that should beincluded in holistic healthcare. One major barrier often described by nurses onimplementing spirituality in practice relates to perceiving the concept of spiritualityas subjective and sharing confounding similarities with other concepts. In this sense,the concepts of spiritual comfort, spiritual care, and spiritual support may requiremore distinct theoretical definitions aimed at clear and effective nursing interven-tions within spiritual care.Aim:To provide a definition of spiritual comfort, spiritual support, and spiritualcare.Methods:Simultaneous concept analysis (SCA) of three concepts according to Haaseet al., which is grounded on Rodgers' evolutionary view. The method was based on aliterature review with the search of electronic databases on May 2020. Search andanalysis have been blinded conducted by two reviewers.Results:One hundred thirty‐six studies were included in the SCA. Findings suggestthat spiritual comfort is an immediate state and an outcome. Spiritual support isrelated with an intimate and positive relationship with God. Spiritual care is definedas a complex and interactive process. Both spiritual support and spiritual care aregrounded in a therapeutic context.Conclusion:This SCA allowed the attributes of each concept to be identified andprovides definitions that may facilitate the understanding of these concepts andpromote the implementation of spirituality in nursing practice, but which has also ledto future research on this topic
- Preferences about place of end-of-life care and death of patients with life-threatening illnesses and their families: a protocol for an umbrella reviewPublication . Pinto, Sara; Lopes, Silvia; Bruno de Sousa, Andrea; Gomes, Barbarantroduction For most of history, the majority of people died at home surrounded by family. However, the global scenario has progressively changed towards hospital death and more recently in some countries back again towards home, with indication that COVID-19 may have further increased the number of home deaths. It is therefore timely to establish the state-of-the-art about people’s preferences for place of end-of-life care and death, to understand the full spectrum of preferences, nuances and commonalities worldwide. This protocol describes the methods for an umbrella review which aims to examine and synthesise the available evidence regarding preferences about place of end-of-life care and death of patients with life-threatening illnesses and their families. Methods and analysis We will search for relevant systematic reviews (quantitative and/or qualitative) in six databases from inception without language restrictions: PsycINFO, MEDLINE, EMBASE, CINAHL, PROSPERO and Epistemonikos. Following the Joanna Briggs Institute (JBI) methodology for umbrella reviews, eligibility screening, data extraction and quality assessment (using the JBI Critical Appraisal Checklist) will be done by two independent reviewers. We will report the screening process using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses flow diagram. Study double-counting will be reported using the Graphical Representation of Overlap for OVErviews tool. A narrative synthesis will include ‘Summary of Evidence’ tables to address five review questions (distribution of preferences and reasons, influencing variables, place of care vs place of death, changes over time, congruence between preferred and actual places), grading the evidence on each question using Grading of Recommendations Assessment, Development and Evaluation (GRADE) and/or GRADE-Confidence in the Evidence from Reviews of Qualitative research. Ethics and dissemination This review does not require ethical approval. The results will be presented at conferences and published in a peer-reviewed journal.