A carregar...
105 resultados
Resultados da pesquisa
A mostrar 1 - 10 de 105
- Pré-natal coletivo mediado por tecnologia educativa: percepção de gestantesPublication . Backes, Dirce Stein; Medeiros, Leandro da Silva de; Veiga, Andressa Caetano da; Colomé, Juliana Silveira; Backes, Marli Terezinha Stein; Reis Santos, Margarida; Zamberlan, ClaudiaThis article aims to explore the perception of pregnant women regarding collective prenatal care facilitated by educational technology, in the light of complexity thinking. Qualitative, exploratory and descriptive study conducted between August and November 2022. The participants were 19 pregnant women from a Family Health Strategy in the central region of the State of Rio Grande do Sul. Data were collected through individual interviews following prenatal meetings and analyzed using thematic analysis. The analysis of the data revealed three thematic axes: Prenatal care: the necessary reconnection of knowledge; Collective prenatal care: collaborative (re)construction of experiences and practices; and Educational technology: tool to foster self-reflection and self-knowledge. Collective prenatal care, facilitated by educational technology, can promote better practices in the pregnancy-postpartum journey by creating collaborative and shared environments for knowledge construction and enabling autonomous and informed decision-making
- Unravelling Uncertainty Inception: When We Really Know That We Don't Know?Publication . Cunha, Lara Daniela Matos; Ventura, Filipa; PestanaâSantos, MĂĄrcia; Lomba, Lurdes; Reis Santos, MargaridaThrough technical rationality, healthcare professionals address instrumental problems by applying the theory and technique arising from scientific knowledge. Nevertheless, the divergent situations of practice characterised by uncertainty, instability, and uniqueness place nurses in a positivist epistemological dilemma. Decisionâmaking under uncertainty is a challenge that nurses face in clinical practice daily. Nurses anticipate critical events based on the interaction between (un)known factors of clinical reasoning, putting uncertainty tolerance into perspective. With undeniable epistemological relevance, few nursing researchers have addressed this issue. Based on the insights garnered from the panel held at the 26th International Nursing Philosophy Conference, this discussion paper examines the inception of uncertainty within nursing reasoning, intertwining introspection, abstraction, and the rich discussions from the conference. Accordingly, the philosophical underpinnings of the perceived experience of uncertainty will be briefly addressed, while framing the decisionâmaking challenges faced by nurses. A compelling dimension of nursing care emerges when we delve into the inception of uncertainty, prompting a deeper examination of the interplay between its perception and consciousness in clinical practice, and the gravitation of uncertainty in the process of empirical reasoning. Navigating uncertainty involves varying individual responses, influenced by tolerance levels. Moral appropriateness is determined by their adaptability rather than solely their positivity or logical consistency, highlighting constancy as a quality demanding alignment with an understanding of challenges.
- Effectiveness of perioperative family-centered educational interventions in the anxiety, pain and behaviors of children/adolescents and their parents: Systematic Review ProtocolPublication . Martins Esteves, Ines; Coelho, MĂĄrcia Silva; Cardoso, Daniela; Prata, Ana Paula; Pestana-Santos, Marcia; Reis Santos, MargaridaIntroduction: Every year, millions of children and adolescents undergo surgery, 50%-75% of them experience fear and anxiety. Children are particularly susceptible to stress and anxiety surrounding surgery as a result of their cognitive development, previous experiences, and knowledge about healthcare;this leads to additional interventions to prevent and reduce these symptoms.Objective: To evaluate the effectiveness of family-centered educational interventions in the childrenâs and adolescentsâ anxiety, pain,and behaviors and their parentsâ anxiety during the perioperative period. Methods: This review will follow the Joanna Briggs Institute guidelines for systematic reviews of effectiveness and will consider those studies (experimental and quasi-experimental) in which perioperative educational interventions have been applied to children and adolescents and their parents; these studies measuredchildren and adolescentsâ pain, anxiety,and behaviors, as well astheirparentâs anxiety.An initial search of MEDLINE and CINAHLwill be followed by a second search for published and unpublished studies from January 2007 on, available in English, Spanish and Portuguese. After all full texts are retrieved, the methodological quality assessment and data extraction will be independently and critically evaluated by two reviewers, and the data will then be presented in a tabular format. An explanatorysynthesis will accompany the results. Wheneverpossible, a meta-analysis will be performed, and a Grading of Recommendations, Assessment, Development,and Evaluation Summary of Findings will be presented. Expected Results: This review will provideguidance on how family-centred educational interventions can be used as a resource to manage anxiety, pain, and behavior in children, adolescents and their relatives during the perioperative processes.
- Fatores facilitadores e dificultadores da integração de enfermeiros recĂ©m-formadosPublication . Reis Santos, Margarida; Pires, ReginaO perĂodo de integração dos enfermeiros recĂ©m-formados Ă vida profissional Ă© uma etapa crucial, pois envolve um processo de transição do papel de estudante para o papel de profissional. Este Ă© um espaço temporal determinante para a socialização profissional em que novos enfermeiros adquirem conhecimentos, desenvolvem aprendizagens tĂ©cnicas e habilidades, e apropriam-se dos valores e cultura da profissĂŁo. O Modelo de ProficiĂȘncia de Patricia Benner (2001), advoga que o enfermeiro recĂ©m-formado que inicia funçÔes num serviço estĂĄ no nĂvel de iniciado, sem experiĂȘncia das situaçÔes que enfrenta na prĂĄtica clĂnica, desconhece ou nĂŁo se encontra familiarizado com os objetivos, processos de trabalho e rotinas inerentes Ă prestação de cuidados, tem dificuldade em diferenciar os aspetos relevantes dos acessĂłrios inerentes Ă s situaçÔes, e de transferir as aprendizagens teĂłricas para a prĂĄtica clĂnica.
- Parental Knowledge on Breastfeeding: Contributions to a Clinical Supervision Model in NursingPublication . Reis Santos, Margarida; França, Ana Paula; fernandes, olga; Cruz, LauraAbstractâParental 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 nursesâ 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 parentâs capacity, security, trust and satisfaction, which regards breastfeeding.
- Non-pharmacological interventions used during the perioperative period to prevent anxiety in adolescentsPublication . Pestana-Santos, Marcia; Reis Santos, Margarida; Cardoso, Daniela; Lomba, LurdesObjective: The objective of this review is to map the range of non-pharmacological interventions used during the perioperative period to prevent anxiety in adolescents. Introduction: Evidence shows that 80% of adolescents report having experienced significant anxiety in the perioperative period. Non-pharmacological interventions implemented in the perioperative period are recommended as a resource to help to control anticipatory, separation and perioperative anxiety and fear related to surgical procedures in adolescents. Inclusion criteria: This review will consider studies that focus on adolescents aged 10 to 19 who have undergone a surgical procedure, regardless of the type of surgery, and participated in non-pharmacological interventions aimed to prevent anxiety in the perioperative period. The intervention may be provided by any healthcare professional. Studies related to non-pharmacological interventions associated with hospitalization in a non-surgical context will be excluded. Methods: The methodology will follow the JBI recommendations for scoping reviews. Any published and unpublished sources of information will be considered. Studies published in English, Spanish and Portuguese will be included, with no geographical or cultural limitations. Duplicates will be removed and two independent reviewers will screen the abstracts and assess the full text of selected studies, based on the inclusion criteria. The results of study selection will be presented in a Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flow diagram for scoping reviews. Data synthesis will be presented in a narrative summary to provide a description of the existing evidence.
- Supervision and mentoring in higher education: Dynamics of successPublication . Cunha, Madalena; Silva, Daniel; Reis Santos, Margarida; Albuquerque, CarlosINTRODUCTION. Based on the inherent benchmark of mentoring and perceptoring, and conscious of the challenge of reducing the estimated school dropout rate of 12% for the Polytechnic Institute of Viseu (IPV), the main aim of the project Supervision and Mentoring in Higher Education: Dynamics of Success (SuperES) is to promote the development of pedagogical supervision skills with focus on teacher â student dyads, and thus enhance the quality of teaching in the IPV. The direct bene*ciaries are the IPV assistants, and subsequently the students, who will bene*t from a pedagogical didactic literacy program (Cunha et al., 2017). OBJECTIVE. To promote the pedagogical supervision skills of the IPV assistants, which can reduce failure and school dropouts. METHODS. The sample will consist of approximately 210 assistants and 900 students. The methodology is based on an experimental research with two groups: the experimental group, which will receive training, and the control group. To monitor the e+ectiveness of the program, a battery of questionnaires will be applied before and after its implementation. RESULTS AND DISCUSSION. Of the 17 activities executed, the evaluation of the pedagogical supervision skills is highlighted. They are: (i) the construction/implementation/ evaluation of the SuperES Program; (ii) the construction of a computer platform/ website â Didactics & School Supervision: Caixa Geral de Ajudas; (iii) the creation of a tool, âSupervision +â, used for the self-monitoring of pedagogical skills. CONCLUSIONS. The SuperES program integrates a research action that aims to implement/ test training and research tools on the process of pedagogical supervision
- Knowledge of good nutrition, physical activity and sleeping habits in pre-schoolersPublication . Ferreira, Joana Filipa; Reis Santos, Margarida; Sousa, Carla MariaChildrenâs knowledge about food and nutrition is very important for the development of appropriate patterns of eating behaviour. Nowadays, because childrenâs input is becoming to get more importance in parentsâ decisions about nutritional choices it is important to contribute for their knowledge development regarding not only nutrition or food but also healthy habits regarding sleeping and physical activities. The purpose of this study was to contribute for the assessment of nutrition/food preferences in pre-schoolers and the contribution of gaming for nutrition/food knowledge evaluation. It also intended to establish a relation between childrenâs BMI and the knowledge of nutrition/food and good sleep and physical activities habits. An observational, cross-sectional, quantitative study was conducted with 364 childrenâs attending preschool from a metropolitan area of the norther region of Portugal and their parents. Food preferences varied from pasta (13.4%) to meat (8.8%) or tomatoes (6.3%) and undesired foods were, among others, *sh (16.2%), soup (13.2%), tomatoes (12.6%) and onions (10.7%). Preschoolers showed high levels of knowledge regarding food categorization (92.3%), good sleeping habits (90.1%) and good physical activities habits (94.0%). Results showed signi*cant di+erences for sleeping habits knowledge with lower BMI (kg/m2) for children that gave correct answers (M = 16.35, SD = 2.04 vs. M = 17.62, SD = 2.37). Children with increased BMI showed more risk of poor knowledge regarding good sleeping habits (aOR = 1.33, 95% CI = [1.07-1.69]). Parentâs low education was found to be a risk factor for childrenâs poor knowledge of good sleeping habits (OR = 8.21, 95% CI = [1.85-35.55]).
- Atitudes dos enfermeiros face Ă famĂlia: validação da escala Familiesâ Importance in Nursing Care - Nurses AttitudesPublication . Oliveira, Palmira; Fernandes, Ilda; Vilar, Ana Isabel; Figueiredo, Maria; Reis Santos, Margarida; Martinho, JĂșlia; Barbieri-Figueiredo, MC; Andrade, LuĂsa; Carvalho, JosĂ© Carlos; Martins, MMAs atitudes que os enfermeiros adotam em relação Ă famĂlia condicionam o processo de cuidar. Nosso propĂłsito com este estudo foi nesse senti do: dispor de um instrumento que nos permitisse conhecer esta variĂĄvel. Assim, nossa proposta foi efetuar a adaptação transcultural e avaliar as propriedades psicomĂ©tricas da versĂŁo portuguesa do instrumento Familiesâ Importance in Nursing Care â Nurses Atitudes (FINC-NA), que visa avaliar as atitudes dos enfermeiros acerca da importĂąncia de envolver a famĂlia nos cuidados de enfermagem. Foi seguido o mĂ©todo preconizado pela literatura. A amostra foi consti tuĂda por 136 enfermeiros dos Cuidados de SaĂșde PrimĂĄrios. Os resultados obti dos nos testes de confi abilidade revelam uma boa consistĂȘncia interna para o total dos itens (Alpha de Cronbach = 0,87). O estudo psicomĂ©trico permite- -nos afi rmar que a versĂŁo em portuguĂȘs da FINC-NA, que denominamos A importĂąncia das famĂlias nos cuidados de enfermagem â ati tudes dos enfermeiros (IFCE-AE), Ă© um instrumento fi dedigno e vĂĄlido.
- EficĂĄcia da intervenção da enfermagem prĂ©-hospitalar na estabilização das vĂtimas de traumaPublication . Mota, Mauro; Cunha, Madalena; Santos, Eduardo; Figueiredo, Ăndrea; Silva, MĂĄrcio; Campos, Rui; Reis Santos, MargaridaAbstract Background: Trauma is a public health issue with a significant social and economic impact. However, national data on its characterization and the role of nursing in its management is still scarce. Objective: To assess the effectiveness of prehospital nursing interventions in stabilizing trauma victims provided by nurses of Immediate Life Support Ambulances in Portugal. Methodology: Observational, prospective, and descriptive-correlational study. Data were collected by nurses of the Immediate Life Support Ambulances in mainland Portugal, from 01/03/2019 to 30/04/2020, and the Azores, from 01/10/2019 to 30/04/2020. Trauma severity indices were assessed before and after the nursing interventions. Results: This study included 606 cases (79.4% blunt trauma; 40.8% road accidents) reported by 171 nurses. Nurses performed mostly interventions for hemodynamic support (88.9%) and non-pharmacological pain control (90.6%) of trauma victims. The nursing interventions improved the Revised Trauma Score and the Shock Index (p<0.001). Conclusion: Prehospital nursing interventions improve trauma victimsâ clinical status.