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- Statement of Peer ReviewPublication . Sequeira, Carlos; Ribeiro, Olga; Sampaio, Francisco; Abreu, WilsonIn submitting conference proceedings to Medical Sciences Forum, the volume editors of the proceedings certify to the publisher that all papers published in this volume have been subjected to peer review as administered by the volume editors. Reviews were conducted by expert referees to meet the professional and scientific standard that is expected of a proceedings journal.
- Impact of a rehabilitation program on the urinary management of patients affected by cerebrovascular accidentPublication . Chiado, Andreia Patrícia Azevedo; Ferreira, Maria Salomé Martins; Ribeiro, Olga; Gomes, Bárbara; Martins, MMObjective: to assess the effect of a Nursing Rehabilitation program on the urinary incontinence management of women after a CVA. Method: quantitative, quasi-experimental, and longitudinal study conducted in a convalescence unit in the Viana do Castelo district, Portugal, between September 2018 and March 2019. The sample included women (n=30) aged between 45 and 90, experiencing urinary incontinence after a CVA, assigned to two groups: experimental group (n=15) and control group (n=15). The functional rehabilitation program was applied to the experimental group for 4 weeks. The program comprises behavioral changes and an exercise plan to strengthen pelvic floor muscles, and the impact of urinary incontinence was assessed before and after the intervention. Results: a statistically significant correlation was found between the level of functional disability and the impact of urinary incontinence (r=-0.499; p=0.005). Hence, the level of functional disability influences the impact of urinary incontinence on quality of life. The functional rehabilitation program implemented in the experimental group obtained positive results and decreased the frequency (t=6.985, p=0.000) and amount (Z=-2.762, p=0.006) of urine loss. Conclusion: the functional rehabilitation program positively impacted and decreased the frequency and amount of urine loss.
- Oxigenoterapia de alto fluxo por traqueostomia no desmame ventilatório : scoping reviewPublication . Neiva, Sandrine; Maia, Diana; Pacheco, Artur; Marques, Fernanda; Ribeiro, Olga; Oliveira, João Pedrontrodução: A ventilação mecânica invasiva prolongada acarreta custos e tem complicaçõesassociadas. Um desmame ventilatório precoce com sucesso, assume cada vez mais importância,pretendendo-se neste estudo descrever as evidências acerca da utilização da Oxigenoterapia de AltoFluxo por Traqueostomia neste processo.Metodologia: Scoping Review segundo a metodologia do Joanna Briggs Institute®, com pesquisaefetuada nas bases de dados: CINHAL, PubMed e LILACS.Resultados: Incluíram-se quatro estudos: um estudo de caso e três estudos controlados randomizados.Relativamente aos protocolos utilizados na implementação da oxigenoterapia de alto fluxo portraqueostomia, eles variaram entre diferentes fluxos, tempo de utilização e combinação com outrosmodos ventilatórios. Os principais parâmetros monitorizados foram: frequência respiratória, FiO2,SpO2, PaO2, PaCO2 e a relação PaO2/FiO2.Discussão: A utilização de oxigenoterapia de alto fluxo por traqueostomia apresenta vantagens face àutilização de outros modos ventilatórios durante o processo de desmame ventilatório. Esta estratégiarepercute-se na melhoria dos parâmetros monitorizados e na diminuição do tempo de desmame.Conclusão: As principais contribuições da oxigenoterapia de alto fluxo por traqueostomia no desmameventilatório são: melhoria da oxigenação, diminuição do esforço respiratório, aumento do volumecorrente, diminuição do tempo de desmame e melhoria da eficácia da limpeza das vias aéreas.
- O contributo dos enfermeiros especialistas em enfermagem de reabilitação para a qualidade dos cuidadosPublication . Martins, MM; Ribeiro, Olga; Ventura, JoãoObjetivo: Compreender a perceção dos enfermeiros especialistas em enfermagem de reabilitação, quanto à concretização dos padrões de qualidade no contexto hospitalar. Método: Estudo quantitativo, descritivo-exploratório, realizado em 36 instituições hospitalares, com a participação de 306 enfermeiros. Para a colheita de dados utilizouse um questionário de autopreenchimento. Resultados: A maioria dos participantes concretiza às vezes e sempre as atividades que contribuem para a qualidade dos cuidados. Da análise efetuada, as atividades das dimensões prevenção de complicações, bem-estar e autocuidado, readaptação funcional e responsabilidade e rigor são aquelas que os enfermeiros percecionam como mais executadas. Por outro lado, as atividades menos concretizadas, referem-se às incluídas nas dimensões satisfação do cliente, organização dos cuidados de enfermagem e, essencialmente, promoção da saúde. Conclusão: Os dados deixaram claro que o contributo dos enfermeiros especialistas em enfermagem de reabilitação para a qualidade dos cuidados está especificamente centrado nos enunciados descritivos bem-estar e autocuidado e readaptação funcional.
- The COVID-19 Pandemic and Professional Nursing Practice in the Context of HospitalsPublication . Ribeiro, Olga; Trindade, Letícia de Lima; Pinto Novo, André Filipe Morais Pinto; da Rocha, Carla Gomes da; Sousa, Clemente Neves; Cabral Teles, Paulo João Figueiredo Cabral; Reis, Ana Catarina Rodrigues da Silva; Perondi, Alessandro Rodrigues; Andrigue, Karen Cristina Kades; Pereira, Soraia Cristina de Abreu; Leite, Paula Cristina da Silva; Ventura-Silva, João Miguel AlmeidaThe COVID-19 pandemic has imposed challenges to health systems and institutions, which had to quickly create conditions to meet the growing health needs of the population. Thus, this study aimed to assess the impact of COVID-19 on professional nursing practice environments and to identify the variables that affected their quality. Quantitative, observational study, conducted in 16 Portuguese hospitals, with 1575 nurses. Data were collected using a questionnaire and participants responded to two different moments in time: the pre-pandemic period and after the fourth critical period of COVID-19. The pandemic had a positive impact on the Structure and Outcome components, and a negative trend in the Process component. The variables associated with the qualification of the components and their dimensions were predominantly: work context, the exercise of functions in areas of assistance to COVID-19 patients, length of professional experience and length of experience in the service. The investment in professional practice environments impacted the improvement of organizational factors, supporting the development of nurses’ work towards the quality of care. However, it is necessary to invest in nurses’ participation, involvement and professional qualifications, which are aspects strongly dependent on the institutions’ management strategies
- Nursing care quality: a study carried out in Portuguese hospitalsPublication . Ribeiro, Olga; Martins, MM; Tronchin, DaisyBackground: In a constant pursuit for professional excellence, nurses are required to comply with the quality standards of nursing care. Thus, it is essential to understand this phenomenon in the hospital setting. Objectives: To analyze nurses’ perception of the implementation of quality standards in nursing care. Methodology: A quantitative, descriptive-exploratory study was conducted in 36 public hospital institutions located in mainland Portugal, involving a total of 3.451 nurses. Data were collected using a questionnaire. Results: Most nurses often or always performed activities that enhance the quality of nursing care. This analysis showed that nurses perceive activities related to Health Promotion, Well-being and Self-care, and Functional Readaptation as less implemented. On the other hand, activities related to Responsibility and Rigor and Prevention of Complications are implemented most often. Conclusion: The findings suggest that nursing practices should be redesigned and adjusted based on the activities that are less often implemented.
- Impact of COVID‐19 on professional nursing practice environments and patient safety culturePublication . Ribeiro, Olga; de Lima Trindade, Letícia; Silva Fassarella, Cintia; de Abreu Pereira, Soraia Cristina; Figueiredo Cabral Teles, Paulo João; Gomes da Rocha, Carla; da Silva Leite, Paula Cristina; Almeida Ventura‐Silva, João Miguel; Sousa, Clemente NevesAim: To analyse the impact of COVID-19 on professional nursing practice environments and patient safety culture. Background: The relationship between work environments and patient safety has been internationally recognized. In 2020, the pandemic imposed enormous challenges, yet the impact on these variables remains unknown. Method: This is a quantitative observational study, conducted in a Portuguese hospital, with 403 registered nurses. A self-completion questionnaire was used. Results: The impact on the Structure and Outcome components of nursing professional practice environments was positive. Although the Process component remained favourable to quality of care, a negative trend was confirmed in almost all dimensions. The results regarding safety culture showed weaknesses; ‘teamwork within units’ was the only dimension that maintained a positive culture. Conclusion: Positive responses regarding patient safety were significantly associated with the quality of the nursing professional practice environment. The need to invest in all dimensions of safety culture emerges to promote positive professional environments. Implications for nursing management: Improving professional nursing practice environments can be achieved through managers’ investment in the participation and involvement of nurses in the policies and functioning of institutions, as well as promoting an open, fair and participatory safety culture that encourages reporting events and provides adequate support for professionals.
- 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.
- Sintomatologia musculoesquelética dos enfermeiros no contexto hospitalar: contributo do enfermeiro de reabilitaçãoPublication . Moura, Maria; Martins, MM; Ribeiro, OlgaBackground: Nurses make up the major professional category in the National Health Service, and their work a"ects their musculoskeletal well-being. Objective: To determine the prevalence of musculoskeletal symptoms of nurses and identify their risk factors. Methodology: A quantitative, descriptive, and correlational study, conducted in a Portuguese hospital center, used a non-probabilistic sample by convenience of 260 nurses. A questionnaire was used as data collection instrument, divided into two parts (sociodemographic and professional data/Nordic Musculoskeletal Questionnaire). Results: #e majority of nurses (65.1%) manifests musculoskeletal symptoms, the lumbar spine being the most a"ected body segment. #e female gender, aging, body mass index, time of professional experience, and workload are related to the worsening of symptoms. Conclusion: #e results point out the need to raise awareness of the risk factors among nurses, as well as to promote the adoption of strategies, like workplace gymnastics, to minimize musculoskeletal symptoms.
- A hermenêutica como método numa pesquisa sobre erros de enfermagem na mídiaPublication . Forte, Elaine; Pires, Denise; Trigo, Salvato; Martins, MM; Ribeiro, OlgaO objetivo deste artigo é relatar como as concepções da hermenêutica de Paul Ricoeur utilizadas como referencial metodológico em uma tese de doutorado, contribuíram para a compreensão do fenômeno - erro de enfermagem na comunicação social. O referencial adotado se revelou coerente, com a proposta da pesquisa de abordagem qualitativa, documental, por proporcionar a interpretação de textos escritos pela mídia e suas interfaces diante do fenômeno “erro”. Destaca-se a importância do referencial para pesquisas na enfermagem, pelo diálogo que proporciona com o destinatário do trabalho da profissão - os seres humanos - e pelas possibilidades de interpretação do que é dito e escrito sobre a profissão, quando não há um desfecho favorável de sua práxis.