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- Administração de medicação intravenosa nos hospitais: contributos para uma prática segura baseada na evidênciaPublication . Bastos, Celeste; Barbieri-Figueiredo, MCIntrodução: A administração de medicação intravenosa pode associar-se a riscos, nomeadamente riscos de infeção, justificando-se a implementação de práticas seguras. Objetivos: Divulgar as orientações relativas à preparação e administração de medicação intravenosa, em contexto hospitalar; Divulgar as orientações relativas à inserção e manutenção de cateter venoso periférico, em contexto hospitalar; Divulgar a evidência que fundamenta uma prática segura na preparação/administração de medicação intravenosa; Sensibilizar os enfermeiros para uma prática baseada em evidência. Métodos: Análise de: Recomendações internacionais com foco na preparação/administração de medicação intravenosa e inserção/manutenção de cateter venoso periférico; Desvios à prática segura; Resultados: Existe evidência que suporta as orientações para a preparação e administração de medicação intravenosa através de cateter venoso periférico, no entanto, vários estudos relatam desvios a essas orientações. Conclusões: Identificou-se a necessidade de análise das práticas instituídas, a fim de se encontrar estratégias promotoras de mudança, as quais garantam a implementação de práticas seguras na preparação e administração da terapia intravenosa.
- Diabetes Mellitus Family Assessment Instruments: A Systematic Review of Measurement PropertiesPublication . Soares, Vânia Lídia; Lemos, Sara; Barbieri-Figueiredo, MC; Morais, Maria Carminda Soares; Sequeira, CarlosAlthough many instruments are used to assess the families of people with diabetes, their measurement properties have not been systematically reviewed. We aimed to identify and evaluate the psychometric properties of the instruments used to assess family functioning in adults with diabetes. Methods: A systematic literature review, according to the JBI systematic reviews of measurement properties, was conducted using different databases, including gray literature. PROSPERO registration number: CRD42021239733. Two independent reviewers searched, screened, and assessed the risk of bias among the articles according to the COSMIN methodology. The quality of each included instrument was assessed using the updated criteria for good measurement properties. Results: Eighty-one studies were included, and thirty-one eligible instruments were identified. The psychometric properties frequently assessed were structural validity, internal consistency, and construct validity. Conclusions: Although 31 instruments were included, none of their psychometric properties were scored as “very good”. From the instruments scored as adequate on development and content validity, five stood out for their quality appraisal.. The development of new instruments is not recommended. More studies should be conducted on the existing instruments to assess the less commonly evaluated psychometric properties. Using valid instruments to develop and evaluate interventions is essential to promote health literacy and the effectiveness of diabetes management.
- Psychometric Properties of the Portuguese Version of the Iceland-Family Perceived Support Questionnaire in Parents of Children and Adolescents with Chronic ConditionPublication . Lemos, Sara; Andrade, Luísa; Barbieri-Figueiredo, MC; Martins, Teresa; Lima, LigiaAbstract: The support from nurses perceived by family members of children with chronic conditions has been shown to be a protective factor at different levels in a family’s health. As such, nurses need to have instruments that assess this perception to increase the quality of the care provided to those families. This methodological study aimed to analyze the psychometric properties of the Portuguese translation of the Iceland-Family Perceived Support Questionnaire (ICE-FPSQ) in parents of children/adolescents with chronic conditions. The ICE-FPSQ was administered to 237 parents recruited from the day hospital and outpatient services of four hospitals in Northern Portugal. Cronbach’s alpha reliability coefficients for the Total Scale, Cognitive Support, and Emotional Support subscales were excellent (α = 0.96, α = 0.93, α = 0.96, respectively). Reasonable fit indexes were found by confirmatory factor analysis (χ 2/df = 2.799; CFI = 0.960; PCFI = 0.791, and RMSEA = 0.087), indicating a good model fit to the original structure. The ICE-FPSQ is a valid and reliable instrument to measure perceived support.
- Academic-professional mobility and internationalization of nursing: contributions of the Bologna processPublication . Lino, Murielk Motta; Martini, Jussara Gue; Barbieri-Figueiredo, MCObjective: to understand the contributions of the Bologna Process to academic-professional mobility of Nursing. Method: a descriptive exploratory qualitative research. Open interviews were conducted with six PhD nurses, nursing professors, with more than 20 years of experience and who experienced the changes that occurred in higher education in post-Bologna nursing. The interviews took place in the Health or Nursing Schools of the north, center and south regions of Portugal, between January and March 2019, until saturation occurred by repetition. Content analysis was performed. Results: three perspectives are presented: 1) Mobility and internationalization as presuppositions to the strengthening of the economic bloc; 2) Mobility and internationalization contribute to the consolidation of a European identity; and 3) Diploma Supplement: fundamental aspect of academic-professional mobility. Conclusion: education proved to be a valid instrument for the construction of a common professional identity, considered indispensable for the strengthening of the block, with regard to the production of knowledge. The guidelines for the harmonization of university systems and the Diploma Supplement promoted scientific and cultural exchange through academic-professional mobility and intensified the dialogue between nations, which reverberate in social practices.
- Quality of life and family management of paediatric chronic condition amidst the COVID-19 pandemicPublication . Andrade, Luísa; Lemos, Sara Raquel Machado; Barbieri-Figueiredo, MC; Lima, LigiaPurpose: This study aimed to describe the perception of parents of children/adolescents with chronic conditions of their quality of life and family functioning during the COVID-19 pandemic and explore how the COVID-19 pandemic affected family management of children/adolescents' chronic conditions. Design and methods: A total of 237 parents of children/adolescents with chronic conditions participated in this cross-sectional study. Data were collected through an online questionnaire using the Paediatric Quality of Life Inventory™ Family Impact Module and an open-ended question about the impact of the pandemic on the family management of the paediatric chronic condition. Results: The Total Score of PedsQL™ FIM was slightly higher than the midpoint of the scale (M = 60.27; SD = 19.04), and the impact of the pandemic on the family's management of the chronic condition was perceived by 30% of parents as high or moderate. Statistically significant differences were found between parents who reported a high or moderate impact of the pandemic and those reporting little or no impact of the pandemic regarding parental quality of life and family functioning (t (233) = 8.13, p = .00, Cohen's d = 1.14). Two themes emerged from the analysis of the open-ended question: Impact on the child/adolescent and Impact on the family. Conclusions: Parents of children/adolescents with chronic conditions reported an average quality of life, and the COVID-19 pandemic significantly impacted the family management of chronic conditions. Practice implications: These results highlight the importance of developing interventions to support families in complex situations and contexts, targeting family functioning, family quality of life, and emotional management.