Loading...
23 results
Search Results
Now showing 1 - 10 of 23
- Análise do uso de suportes tecnológicos e conteúdos informacionais pelos pacientes com doença pulmonar obstrutiva crónicaPublication . Padilha, José Miguel Santos Castro; Sousa, P.; Pereira, Filipe Miguel SoaresObjetivo: Identificar tipos de suportes tecnológicos e conteúdos informacionais utilizados na promoção da gestão do regime terapêutico em pacientes com DPOC. Métodos: Estudo de abordagem quantitativa, exploratório transversal e descritivo, tendo como recurso um questionário baseado no modelo de aceitação da tecnologia, no modelo teórico dos determinantes da percepção da facilidade de utilização da mesma e na revisão da literatura. Resultados: Os pacientes com DPOC referiram maior necessidade de informação relacionada com as atividades do dia-a-dia e com os exercícios respiratórios. Pacientes com maior literacia e maior literacia tecnológica referem maior utilidade das tecnologias Web-based; pacientes com menor literacia e menor literacia tecnológica referem maior utilidade, intenção e facilidade para a utilização do telemóvel, livros e vídeos no acesso à informação. Conclusão: Os recursos informacionais podem adotar diferentes suportes tecnológicos, desde que disponibilizados em função da literacia e literacia tecnológica e adequados às necessidades informacionais dos pacientes.
- Análise da parametrização nacional do Sistema de Apoio à Prática de Enfermagem - SAPEPublication . Silva, Abel; Cardoso, Alexandrina; Sequeira, Carlos; Morais, Ernesto; Bastos, Fernanda; Pereira, Filipe Miguel Soares; Padilha, José Miguel Santos Castro; Cruz, Inês; Oliveira, Manuel Fernando; Brito, Alice; Silva, Maria Antónia; Machado, Natália; Sousa, Paula Cristina; Sousa, P.; Marques, Paulo
- 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
- Need and baseline for harmonising nursing education in respiratory care: preliminary results of a global surveyPublication . Šajnić, Andreja; Kelly, Carol; Smith, Sheree; Heslop-Marshall, Karen; Axelsson, Malin; Padilha, José Miguel Santos Castro; Roberts, Nicola; Hernández, Carmen; Murray, Bridget; Poot, Betty; Narsavage, GeorgiaBackground The COVID-19 pandemic confirmed that respiratory nurses are critical healthcare providers. Limited knowledge is available about appropriate education to prepare nurses to deliver high-quality respiratory care. A survey was developed by the International Coalition for Respiratory Nursing (ICRN) group to identify the need for a respiratory nursing core curriculum. Method A 39-item survey was distributed to 33 respiratory nursing experts in 27 countries. Questions asked about current roles, perception of need, expectations for a core curriculum project and respiratory content in nursing education in their countries. Results 30 responses from 25 countries were analysed; participants predominantly worked in academia (53.3%, 16/30) and clinical practice (40%, 12/30). In total, 97% (29/30) confirmed a need for a core respiratory nursing curriculum. Post-registration nursing programmes at bachelor (83.3%, 25/30) and masters (63.3%, 19/30) levels include internal/medical nursing care; less than half identified separate respiratory nursing content. The core educational programme developed should include knowledge (70%, 21/30), skills (60%, 18/30), and competencies (50%, 15/30), with separate paediatric and adult content. Conclusion Survey results confirm a wide variation in nursing education and respiratory nursing education across the world, with many countries lacking any formal educational programmes to prepare nurses capable of providing enhanced quality respiratory care. These findings support the need for a core respiratory curriculum. To advance this significant work the ICRN group plans to conduct a Delphi study to identify core curriculum requirements for respiratory nursing education at pre-registration and advanced educational levels to flexibly meet each country's specific educational requirements for recognition of respiratory nursing speciality practice.
- 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.
- Nursing clinical practice changes to improve self-management in chronic obstructive pulmonary diseasePublication . Padilha, José Miguel Santos Castro; Sousa, P.; Pereira, Filipe Miguel SoaresAim: To propose nursing clinical practice changes to improve the development of patient self-management. Background: Chronic obstructive pulmonary disease is one of the main causes of chronic morbidity, loss of quality of life and high mortality rates. Introduction: Control of the disease’s progression, the preservation of autonomy in self-care and maintenance of quality of life are extremely challenging for patients to execute in their daily living. However, there is still little evidence to support nursing clinical practice changes to improve the development of self-management. Methods: A participatory action research study was performed in a medicine inpatient department and the outpatient unit of a Portuguese hospital. The sample comprised 52 nurses and 99 patients. For data collection, we used interviews, participant observation and content analysis. Results: The main elements of nursing clinical practice that were identified as a focus for improvement measures were the healthcare model, the organization of healthcare and the documentation of a support decision-making process. The specific guidelines, the provision of material to support decision-making and the optimization of information sharing between professionals positively influenced the change process. This change improved the development of self-management skills related to the awareness of the need for ‘change’, hope, involvement, knowledge and abilities. Discussion: The implemented changes have improved health-related behaviours and clinical outcomes. Conclusion: To support self-management development skills, an effective nursing clinical practice change is needed. This study has demonstrated the relevance of a portfolio of techniques and tools to help patients adopt healthy behaviours.
- Revisão integrativa da literatura sobre gestão do regime terapêutico em pacientes com doença pulmonar obstrutiva crônicaPublication . Padilha, José Miguel Santos Castro; Oliveira, Manuel Fernando; Campos, Maria JoanaCom este estudo pretende-se identificar qual a melhor estratégia de intervenção de enfermagem na promoção da gestão do regime terapêutico em pacientes com Doença Pulmonar Obstrutiva Crônica no ambiente hospitalar. Realizamos uma revisão integrativa da literatura dos anos 2006 a 2009. A partir da análise dos dados, constatamos que os estudos utilizam diferentes elementos e diferentes indicadores de efetividade para avaliarem as estratégias de intervenção utilizadas. Baseando-se nas evidências disponíveis, não é possível identificar qual a melhor estratégia. Desta revisão emerge a definição dos indicadores de resultado mais consensuais na avaliação da efetividade das estratégias de intervenção. Torna-se agora necessário desenvolver, implementar e avaliar a efetividade das estratégias de intervenção de enfermagem, recorrendo a estes indicadores, para definir qual a melhor estratégia de intervenção, baseada na evidência.
- O treino de exercício em pessoas com doença respiratória crónica estabilizada : uma Scoping ReviewPublication . Gaspar, Luís; Ferreira, Dulce; Vieira, Francisco; Machado, Paulo Alexandre Puga; Padilha, José Miguel Santos CastroIntrodução: A Reabilitação Respiratória (RR) integra a componente não farmacológica das principais guidelines clínicas para o controlo e tratamento das doenças respiratórias crónicas. O Enfermeiro de Reabilitação (ER), integrado numa equipa multidisciplinar, concebe, implementa e monitoriza programas de RR onde se inclui o treino do exercício. Sendo o conhecimento disciplinar de enfermagem um dos pilares da decisão clínica e a garantia da qualidade e segurança dos cuidados de enfermagem torna-se relevante conhecer o impacte destes programas, conduzidos por ER, de forma a melhorar a prática clinica. Objetivo: Conhecer o impacte dos programas de RR, conduzidos por enfermeiros, nas pessoas com doença respiratória crónica. Metodologia: Scoping review com metodologia do Joanna Briggs Institute® com recurso a dois revisores independentes. Resultados: incluímos 10 estudos que revelaram que programas de RR conduzidos por enfermeiros de reabilitação aumentam a tolerância ao exercício, a qualidade de vida, a independência funcional e reduzem a dispneia e a ansiedade. Conclusão: A RR realizada por ER em pessoas com doença respiratória crónica é sobreponível à mais recente evidência.
- Participatory action research: A strategy for improving self-care management in chronic obstructive pulmonary disease patientsPublication . Padilha, José Miguel Santos Castro; Sousa, P.; Pereira, Filipe Miguel SoaresParticipatory action research (PAR) facilitates the change process in clinical practice and promotes knowledge development. This paper highlights the potential of PAR to implement changes in healthcare oriented for the development of self-care management skills in patients with chronic obstructive pulmonary disease (COPD). In COPD patients, the preservation of self-care autonomy and quality of life depends on the patients’ ability to adopt pharmacological treatments and behavioural changes. In a Portuguese central hospital nurses (n¼52) have identified a gap between the nursing care and the perceived needs of the patients, and developed a healthcare solution based on a PAR methodology supported by an overlapping cycle of action and research. The PAR took place during 14 months. The PAR allowed the change in the care model in use, in the organization and the nursing care documentation. This change was focused on the development of self-care management skills, responding to the needs and expectations of those involved. The PAR proved to be an appropriate methodology to identify and implement changes that contribute to the safety, quality and access to healthcare.
- Clinical Virtual Simulation in Nursing Education: Randomized Controlled TrialPublication . Padilha, José Miguel Santos Castro; Machado, Paulo Alexandre Puga; Ribeiro, Ana; Ramos, José; Costa, PatrícioIn the field of health care, knowledge and clinical reasoning are key with regard to quality and confidence in decision making. The development of knowledge and clinical reasoning is influenced not only by students' intrinsic factors but also by extrinsic factors such as satisfaction with taught content, pedagogic resources and pedagogic methods, and the nature of the objectives and challenges proposed. Nowadays, professors play the role of learning facilitators rather than simple "lecturers" and face students as active learners who are capable of attributing individual meanings to their personal goals, challenges, and experiences to build their own knowledge over time. Innovations in health simulation technologies have led to clinical virtual simulation. Clinical virtual simulation is the recreation of reality depicted on a computer screen and involves real people operating simulated systems. It is a type of simulation that places people in a central role through their exercising of motor control skills, decision skills, and communication skills using virtual patients in a variety of clinical settings. Clinical virtual simulation can provide a pedagogical strategy and can act as a facilitator of knowledge retention, clinical reasoning, improved satisfaction with learning, and finally, improved self-efficacy. However, little is known about its effectiveness with regard to satisfaction, self-efficacy, knowledge retention, and clinical reasoning.
- «
- 1 (current)
- 2
- 3
- »