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- 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
- 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.
- 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.