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- Self‐care nursing interventions: A qualitative study into electronic health records’ contentsPublication . Queirós, Carmen; Silva, Maria Antónia; Gomes, João; Neves, Hugo; Cruz, Inês; Brito, Alice; Cardoso, Alexandrina; Pereira, Filipe Miguel SoaresAims:This study aims to (1) analyse all self-care–related interventions Portuguesenurses documented, (2) determine potential issues that may impair semantic interoper-ability and (3) propose a new set of interventions representing nursing actions regardingself-care that may integrate any HER application.Background:As populations age and chronic diseases increase, self-care concerns rise.Individuals who seek healthcare, regardless of context, need prompt access to accuratehealth information. Healthcare professionals need to understand the information in allplaces where care is provided, creating the need for semantic interoperability withinelectronic health records.Methods:A qualitative descriptive and exploratory study was conducted in two phases:(1) a content analysis of nursing interventions e-documentation and (2) a focusgroup with fifteen registered nurses exploring latent criteria or insights gleaned fromthe findings of content analysis. The COREQ statement was used to guide researchreporting.Results:We extracted 1529 nursing intervention sentences from the electronic healthrecords and created 209 intervention categories. We identified the main issues withsemantic interoperability in nursing intervention identification.Conclusion:According to the findings, nurses cooperate with clients, offering phys-ical aid and encouraging them to overcome functional limitations to self-care taskshampered by their conditions.Implications for nursing policy and health policy:This article provides evidence towarn policy makers against decisions to use locally customised electronic health records,as well as evidence on the importance of policy promoting the adoption of a nursingontologyforelectronichealthrecords.And,asaresult,theharmonisationandeffec-tive provision of high-quality nursing care and the reduction of healthcare costs acrossnations.
- Data, diagnoses, and nursing interventions focused on a person living with an ostomy: scoping review protocolPublication . Silva, Carla; Brito, Alice; Paiva, Abel; Queiros, Carmen; Morais, Ernesto; Bastos, FernandaIntroduction: The building of an ostomy generates changes that trigger a health/disease transition. Nurses play a major role in adapting to the new condition. It is important to formalize nursing knowledge that supports nurses’ decision-making in order to incorporate it into information systems that promote evidence-based nursing practice. Objetive: Continuously map the nursing knowledge involved in the process of care planning, focusing on the person living with an ostomy. Methods: Joanna Briggs Institute's scoping review guidance and, the Cochrane Collaboration's guidance on living systematic reviews will be followed to meet the review's objective. Two independent reviewers will evaluate the relevance of the articles, the extraction and synthesis of the data. Studies published in English, Spanish and Portuguese from 2009 onwards, searched in MEDLINE (PubMed), CINAHL (EBSCO), Scopus, JBI Library of Systematic Reviews and Cochrane Central Register of Controlled Trials, OpenGrey, RCAAP and Dart-Europa will be included. Results: It is expected to map the data, diagnoses and nursing interventions centered on the person living with an ostomy, allowing the formalization of the knowledge involved in the design of nursing care for this population group. Conclusion: This scope review will show trends that will support nurses' decision making in order to improve the quality of clinical practice.
- Validation of a form to assess the self-care competence of the person with ventilation ostomyPublication . Pereira, Brizida; Queirós, Sílvia; Brito, Alice; Santos, CéliaIntroduction: Self-care competence can improve health outcomes in people with a tracheostomy. The use of an instrument to assess the self-care competence of the person with an ostomy allows for organized and complete data collection, facilitating the identification of nursing care needs. In Portugal there is no validated instrument that allows the assessment of self-care competence of the person with a tracheostomy. Objetives: To assess the psychometric and clinimetric properties of the form to assess self-care competence of the person with a tracheostomy. Methods: Methodological study in a non-probability sample of 195 participants. Results: The form presented high internal consistency values, being greater than 0.90 in all domains. Inter-judge reliability, the Wilcoxon test, and the two-half test showed very similar values in the evaluation performed between evaluators. Regarding its validity, a positive interdomain correlation and good relation between clinical variables were demonstrated. Conclusion: The instrument demonstrated good psychometric and clinimetric properties, however further studies are needed to assess reliability and validity.
- Nursing Interventions to Promote Self-Care in a Candidate for a Bowel Elimination Ostomy: Scoping ReviewPublication . Soares-Pinto, Igor; Queirós, Sílvia; Alves, Paulo; Manuel, Tânia; Santos, Célia; Brito, AliceObjectives: To identify nursing interventions, their characteristics, and outcomes for promoting self-care in candidates for a bowel elimination ostomy. Materials and methods: A scoping review was carried out based on the Joanna Briggs Institute’s recommendations. For this, studies published in Portuguese, English, and Spanish on the Web of Science, CINAHL, and Scopus databases and without a time limit were selected on November 9, 2020. Results: Of 2248 articles identified, 41 were included in this review. We identified 20 nursing interventions associated with the self-care of patients with an ostomy; most of them have gaps in their content, method, and frequency or dosing. More than 30 indicators were identified to assess the impact of nursing interventions; however, most of them were indirect assessments. Conclusion: There is scarce evidence regarding the different aspects that must be involved in nursing interventions for patients with a stoma. Moreover, there is no standardization in methods, frequency, or dosing of intervention. It is urgent to define the content, method, and frequency of nursing interventions necessary to promote self-care in patients with a bowel elimination ostomy and to use assessment tools that directly measure stoma self-care competence
- Self-care competence of patients with an intestinal stoma in the preoperative fasePublication . Silva, Carla; Santos, Célia; Brito, Alice; Cardoso, Teresa; Lopes, JoanaBackground: Patients undergoing intestinal stoma formation need to develop their stoma self-care competence. This competence should start being developed during the preoperative phase. Objective: To identify patients’ stoma self-care competence in the preoperative phase, particularly on the day before ostomy surgery. Methodology: Quantitative, descriptive, and cross-sectional study. Non-probability sampling technique with 50 participants. Data were collected using the assessment form of the Self-Care Competence of the Person with an Intestinal Stoma (CAO-EI: ESEP). Results: The level of knowledge represents the self-care competence of patients with an intestinal stoma in the preoperative phase of an ostomy surgery. Conclusion: The multidimensional nature of the self-care competence of patients with intestinal stoma justifies exploring other domains of this competence besides knowledge in the preoperative phase given the identified benefits on the process of adaptation after surgery
- 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
- Representação do conhecimento em enfermagem do trabalho: dados relevantes face à saúde individual do trabalhador sob influência do ambiente laboralPublication . Bastos, Fernanda; Morais, Ernesto; Joana Campos, Maria; Brito, Alice; Cardoso, Alexandrina; Sousa, P.Introduction: Occupational health presents itself as a whole area to ensure healthy work environments and a better quality of life for workers. In the information systems in use, it was found that this area was missing, and a representation of existing knowledge in occupational nursing is urgent, particularly concerning the data that allow the characterization of health needs in a work environment. Objectives: Formally represent the available knowledge related to data relating to the assessment of the client under the influence of the work environment, which represent the first element of the planning and description of the nursing care process, thus constituting a fundamental resource for the design of clinical decision support systems. Methodology: This work derives from a global project developed by the Center for Research and Development of Information Systems at the Porto School of Nursing, in collaboration with the Ordem dos Enfermeiros, which consolidated itself in the construction of a Nursing Ontology. A qualitative study of inferential nature was carried out for its conception, with content analysis to national parameterization and literature review. For content validation, a focus group was used. Results: Nineteen assessment data were identified, most of which could generate sensitive indicators for nursing care, organized into three domains: i) data related to the characterization of the work activity, its context and physical intensity; ii) data related to occupational exposure potentially leading to changes in bodily and psychological processes; and iii) data that characterize aspects related to health-seeking behaviours related to the adaptive process (transition) of the client in the work context, such as knowledge and awareness. Conclusions: The identification of data is decisive for the diagnostic process, with centrality in the characterization of the data centred on physical intensity and exposure to risk factors in the work activity and the adaptive process related to areas that will influence the choice of health-promoting behaviours.
- Representação do conhecimento em enfermagem – a família como clientePublication . Bastos, Fernanda; Cruz, Inês; Joana Campos, Maria; Brito, Alice; Parente, Paulo; Morais, ErnestoEnquadramento: a família é o contexto privilegiado de cuidados de suporte à vida e saúde dos indivíduos. A abordagem sistémica da família tem, conceptualmente vindo a ganhar projeção. A Ontologia de Enfermagem, propõe uma estrutura onde os conceitos da disciplina e as suas relações são especificados, descrevendo uma representação formal do conhecimento de enfermagem. Objetivos: representar o conhecimento em enfermagem sobre a família como cliente dos cuidados, em três classes de itens de informação: dados, diagnósticos e intervenções. Metodologia: estudo qualitativo inferencial; realizada análise documental à parametrização do Sistema de Apoio à Prática de Enfermagem - SAPE®, revisão da literatura e focus group. Resultados: na parametrização nacional constatou-se pouca visibilidade da família como unidade de cuidados bem como a ausência de representação dos modelos concetuais que suportam o conhecimento disciplinar. Na Ontologia de Enfermagem, o processo familiar engloba: organização do funcionamento da casa e edifício residencial; preparação da família para integrar um familiar dependente no autocuidado; preparação da família para a chegada do recém-nascido; e, planeamento familiar. Para cada domínio foram especificadas três classes de informações de enfermagem. Conclusão: Este estudo apresenta-se como um contributo para a formalização do conhecimento de enfermagem no domínio do Processo Familiar.
- Psychometric Properties of the Form Development of Self-Care Competence of the Person with a Bowel Elimination OstomyPublication . Pinto, Igor; Santos, Célia; Brito, Alice; Queirós, SílviaBackground: The use of an instrument to assess the self-care competence in patients with bowel elimination ostomy allows for the systematic identification of their specific needs, ensuring the continuity of nursing care. Although an instrument that assesses the domains that integrate this competence has been developed in Portugal, it has not yet been validated. Objectives: To assess the psychometric properties of the form Development of Self-Care Competence of the Person with a Bowel Elimination Ostomy. Methodology: Methodological study aimed at analyzing the psychometric properties of a measurement instrument, written in Portuguese. Results: The Cronbach’s alpha was 0.95 and the inter-rater reliability showed a correlation greater than or equal to 0.98. A statistically significant correlation was found in the split-half test, as well as in the clinical sensitivity analysis. Conclusion: The form presented good psychometric indicators, which suggests that it is a useful tool to be used in the nursing diagnosis process, thus contributing to the optimization of nursing care.
- Development of a Form to Assess the Self-Care Competence of the Person with a TracheostomyPublication . Queirós, Sílvia; Santos, Célia; Brito, Alice; Pinto, IgorBackground: The development of the self-care competence in the person with a tracheostomy is described as a key driver for a healthy transition to life with a tracheostomy. An instrument for assessing the self-care competence of the person with a tracheostomy contributes to nurses’ decision-making and promotes the quality of care. Objectives: To develop a tool for assessing the self-care competence of the person with a tracheostomy. Methodology: A methodological study was conducted. Content validity was obtained through the judgment of experts, with a focus group methodology. Reliability was assessed using Cronbach’s alpha coefficient. The instrument was applied to a sample of 80 participants, using a non-probability convenience sampling technique. Results: The study resulted in a form with 39 indicators, divided into 6 areas, which showed good internal consistency (alpha = 0.89) and recognised content validity. Conclusion: The final version of the form is applicable, and has the potential to be used in future studies on its validity.
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