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- Validation of the Portuguese version of the Evidence-Based Practice QuestionnairePublication . Pereira, Rui Pedro Gomes; Guerra, Ana Cristina Pinheiro; Peixoto, Maria José; Martins, Teresa; Barbieri-Figueiredo, MC; Carneiro, António Cândido Vazto describe the process of translation and linguistic and cultural validation of the Evidence Based Practice Questionnaire for the Portuguese context: Questionário de Eficácia Clínica e Prática Baseada em Evidências (QECPBE).
- Nurse safety culture in the services of a university hospitalPublication . Fassarella, Cintia Silva; Silva, Lolita Dopico da; Camerini, Flavia Giron; Barbieri-Figueiredo, MCTo evaluate nurse safety culture in a teaching hospital, as well as to verify differences in the safety culture dimensions between services.
- Compliance with the “Baby‐friendly Hospital Initiative for Neonatal Wards” in 36 countriesPublication . Maastrup, Ragnhild; Haiek, Laura N.; Lubbe, Welma; Meerkin, Deena Yael; Wolff, Leslie; Hatasaki, Kiyoshi; Alsumaie, Mona A.; De Leon‐Mendoza, Socorro; Ng, Yvonne P.M.; Shorey, Shefaly; Conti, Roxana; Leme, Taynara; Rossetto, Edilaine Giovanini; Acosta, Andrea Aldana; Nuñez, Ana Esther Ortiz; Toala, Esther; Gonzalez, Mirian Elizabeth Ortigoza; Berger, Angelika; Hennequin, Yves; Bosnjak, Anita Pavicic; Niela‐Vilén, Hannakaisa; Laurent, Claire; Rousseau, Sylvaine; Jonsdottir, Rakel; Chapin, Elise M.; Smildzere, Amanda; Tamelienėd, Rasa; Žemaitienė, Raminta; Arendt, Maryse; Hansen, Mette Ness; Huitfeldt, Anette Schaumburg; Bernatowicz‐ Łojko, Urszula; Barbieri-Figueiredo, MC; França, Ana Paula; Abolyan, Liubov; Pastbina, Irina; Pallás‐Alonso, Carmen; Moral‐Pumarega, Maria Teresa; Eriksson, Mats; Flacking, Renée; Johnson, Emily; Anderson, Shannon; Berkman, Jola; Boswall, Diane; Brown, Donna; Emberley, Julie; LeDrew, Michelle; Scringer‐Wilkes, Maxine; Semenic, Sonia; Perriman, Nicole; O'Donoghue, DebbieIn 2012, the Baby-friendly Hospital Initiative for Neonatal Wards (Neo-BFHI) began providing recommendations to improve breastfeeding support for preterm and ill infants. This cross-sectional survey aimed to measure compliance on a global level with the Neo-BFHI's expanded Ten Steps to successful breastfeeding and three Guiding Principles in neonatal wards. In 2017, the Neo-BFHI Self-Assessment questionnaire was used in 15 languages to collect data from neonatal wards of all levels of care. Answers were summarized into compliance scores ranging from 0 to 100 at the ward, country, and international levels. A total of 917 neonatal wards from 36 low-, middle-, and high-income countries from all continents participated. The median international overall score was 77, and median country overall scores ranged from 52 to 91. Guiding Principle 1 (respect for mothers), Step 5 (breastfeeding initiation and support), and Step 6 (human milk use) had the highest scores, 100, 88, and 88, respectively. Step 3 (antenatal information) and Step 7 (rooming-in) had the lowest scores, 63 and 67, respectively. High-income countries had significantly higher scores for Guiding Principles 2 (family-centered care), Step 4 (skin-to-skin contact), and Step 5. Neonatal wards in hospitals ever-designated Baby-friendly had significantly higher scores than those never designated. Sixty percent of managers stated they would like to obtain Neo-BFHI designation. Currently, Neo-BFHI recommendations are partly implemented in many countries. The high number of participating wards indicates international readiness to expand Baby-friendly standards to neonatal settings. Hospitals and governments should increase their efforts to better support breastfeeding in neonatal wards.
- A systematic review of nurse‐led weaning protocol for mechanically ventilated adult patientsPublication . Hirzallah, Fatima Mohammad; Alkaissi, Aidah; Barbieri-Figueiredo, MCObjectives: The aim of this systematic review is to synthesize the current best evidence for the effectiveness of weaning protocols led by nurses compared with usual physician-led care. Background: Protocol-directed weaning has been shown to reduce the duration of mechanical ventilation. Studies have reported that a weaning protocol administered by nurses leads to a reduction in the duration of mechanical ventilation and has a major effect on weaning outcomes. This can have especially positive consequences for critically ill patients. Study design: Systematic review with meta-analysis. Search strategy: The databases CINAHL, PubMed, Scopus, and the Cochrane Central Register of Controlled Trials were searched from as far back as the database allowed until January 2016. Inclusion and exclusion criteria: Searches were performed to identify the best available evidence including quantitative studies of nurse-led weaning protocols formechanically ventilated adult patients. We excluded all studies of weaning protocols implemented by non-nurses and non-invasive mechanical ventilation and studies that addressed patient populations younger than 18 years of age. Results: The database searches resulted in retrieving 369 articles. Three eligible studies with a total of 532 patients were included in the final review. Pooled data showed a statistically significant difference in favour of the nurse-led weaning protocol for reducing the duration of mechanical ventilation (mean differences=−1.69 days, 95% confidence interval =−3.23 to 0.16), intensive care unit length of stay (mean differences=−2.04 days, 95% confidence interval=−2.57 to −1.52, I2 =18%, and p=0.00001); and hospital length of stay (mean differences=−2.9 days, 95% confidence interval=−4.24 to −1.56, I2 =0%, and p=0.00001). Conclusion: There is evidence that the use of nurse-led weaning protocols for mechanically ventilated adult patients has a positive impact on weaning outcomes and patient safety. Relevance to clinical practice: This review provides evidence supporting intensive care unit nurses’ crucial role and abilities to lead weaning from mechanical ventilation.
- Patterns of Response in Parents of Children With Cancer: An Integrative ReviewPublication . Cerqueira, Carla; Pereira, Filipe Miguel Soares; Barbieri-Figueiredo, MCTo identify patterns of response of parents in relation to taking care of their child with cancer. .