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- Transitional care model :Publication . NASCIMENTO, TIAGO; Varandas, Maria de LourdesAs admissĂ”es hospitalares tĂȘm aumentado, sendo que a taxa de reinternamento hospitalar aumentou aproximadamente 8%. Ă fundamental adotar medidas que visem diminuir estes valores e consolidem uma transição efetiva entre cuidados de saĂșde primĂĄrios e hospitalares. Este artigo tem como objetivo demonstrar uma ferramenta para reduzir os reinternamentos hospitalares dos utentes com fragilidade, em contexto domiciliĂĄrio, com recurso ao Transitional Care Model (TCM). O trabalho Ă© de natureza quantitativa, descritiva e exploratĂłria, segundo a metodologia do processo de planeamento em saĂșde, aplicação no domicĂlio da Edmonton Frail Scale, Escala de Quedas de Morse e ainda a aplicação de questionĂĄrio sociodemogrĂĄfico. A amostra Ă© constituĂda por 37 utentes, 78,4% mulheres, 100% reformados, 67,6% de classe baixa, 91,8% tiveram, pelo menos, uma ida ao serviço de urgĂȘncia hospitalar, 97,3% apresentam mĂ©dio a elevado risco de queda, 63% com fragilidade moderada a severa. Considerando a elevada fragilidade do idoso no domicĂlio, a aplicação deste modelo permitirĂĄ reduzir as barreiras existentes entre os nĂveis de cuidados, com ganhos em saĂșde bem como custo-efetividade pela redução do nĂșmero de dias de internamento. Teremos, assim, a prevenção de complicaçÔes e melhoria da gestĂŁo da doença crĂŽnica atravĂ©s da aplicação de um novo modelo de gestĂŁo de cuidados.
- Monitorização do stress no local de trabalho:Publication . NASCIMENTO, TIAGO; Pestana, Gabriel
- Improving efficiency in organizations by monitoring stress and promoting awareness and wellbeing at the workplacePublication . NASCIMENTO, TIAGO; Pestana, GabrielStress at the workplace has been associated with an increase in absenteeism and presenteeism in organisations, with a high impact regarding productivity and co-worker's wellbeing at the workplace. The paper addresses such concerns by considering an approach that can act preventively by implementing a framework for early detection of stressing symptoms. The aim is to provide the organisation with a situational-awareness tool to keep the decision-maker well informed about any suspicious situation requiring the user attention, providing insights based on the co-worker wellness and specific needs, prompting in this way a healthy policy environment at the workplace. The research challenge addresses observing coworkers based on parameters associated with health indicators and understands how their physical and mental behaviour at the workplace can be affected by stress levels, including studying the impact derived from the conditions provided at the workplace environment. The paper presents an ongoing research work for early recognition of the identified risk factors, and to engage the workers in becoming proactive in their workplace. The primary goal of this model is to monitor the risk factors with impact on managing stress at the workplace. From a management viewpoint, the proposed model addresses the general theory of systems, as each variable in a system interacts with other variables so completely that cause and effect cannot be separated, as the workplace and the collaborators are linked together in order to maintain an equilibrium as is the best efficiency and efficacy at organizations. We expect to develop an integrated, systematic and dynamic model to support decision-makers (e.g., health supervisor) with the embedded knowledge required to choose the best possible intervention for the maximum benefit of the client (i.e., co-worker). The Boyd Cycle complements the decision-making process in order for health professionals to make more informed decisions in useful time. The Boyd Cycle assumes the existence of constant feedback and reorientation based on existing information and intuition, promoting the management of the workers and environment information, leading to adjustments in the workplace in real-time. The research will adopt the Design Science Research Methodology (DSRM) approach, where each informational artefact is generated to address the challenges identified for the target group. The study object for the proposed model is the health sciences with a focus on the nursing discipline and will be validated using interviews, panels of experts and later with the use of simulations.
- Healthy places:Publication . CARDOSO, MĂRIO; Presado, Maria Helena; NASCIMENTO, TIAGOObjective: To identify the contributions that the nursing profession can make to the architecture of the health spaces in order to make them the most appropriate and sustainable as possible. Methods: Systematic review of the literature. Used the Nursing & Allied Health Collection databases: Comprehensive, CINAHL Complete, Library, Information Science & Technology Abstracts; & MedicLatina. The articles were selected with the following criteria: 1. Full-text articles; 2. Peer-reviewed articles. 3. Articles published between 1994 to 2014. We selected 10 of the 117 articles presented. Results: Nurses can provide valuable contributions in accordance with its practice and holistic view of the patient that may lead to health outcomes, not only for patients and their families but also for multidisciplinary teams working in the various contexts of care such as acute care, primary care and long-term care, improving the work satisfaction and reducing the turnover. Healthy healthcare environments are associated not only with better health outcomes but also with better management of human and financial resources. Conclusions: it should be promoted a partnership and coordination between architecture and nursing, to promote healthy environments for patients and professionals, working together to eliminate architectural barriers and investing in financial and ecological sustainability of spaces. Further studies are needed to support this evidence.
- Conhecimento na clĂnica em saĂșde:Publication . Baixinho, Cristina Lavareda; Ferreira, Ăscar Manuel Ramos; Marques, Maria de FĂĄtima Mendes; Presado, Maria Helena; CARDOSO, MĂRIO; Sousa, Armando David; NASCIMENTO, TIAGOA produção de investigação e a utilização dos seus resultados nĂŁo tĂȘm evoluĂdo da mesma forma. O crescimento exponencial de estudos na ĂĄrea da saĂșde tem possibilitado o aumento da evidĂȘncia para sustentar uma prĂĄtica clĂnica de qualidade e segura. A revisĂŁo da literatura e a experiĂȘncia do grupo de investigadores demonstram que a transferĂȘncia do conhecimento para a clĂnica Ă© mais lenta, com implicaçÔes na prĂĄxis e impacto negativo nos sistemas de saĂșde e nos custos associados. O grupo tem trabalhado aspetos relacionados com a transferĂȘncia do conhecimento para a prĂĄtica clĂnica e advoga que, desde o desenho do projeto de investigação Ă obtenção dos achados, importa prever a utilização do novo conhecimento. Evidenciar os melhores resultados e indicadores de saĂșde, atravĂ©s de cuidados centrados na pessoa, pode influenciar as polĂticas e os decisores polĂticos, contribuindo para um sistema mais equitativo e sustentĂĄvel, com participação e envolvimento dos profissionais.
- Os desafios dos sistemas de informação em enfermagem:Publication . NASCIMENTO, TIAGO; Frade, Ana; Miguel, Susana Sofia Abreu; Presado, Maria Helena; CARDOSO, MĂRIO
- Gerir o risco de queda:Publication . Baixinho, Cristina Lavareda; Marques-Vieira, Cristina; Agostinho, InĂȘs; NASCIMENTO, TIAGO