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- Análise do uso de suportes tecnológicos e conteúdos informacionais pelos pacientes com doença pulmonar obstrutiva crónicaPublication . Padilha, José Miguel Santos Castro; Sousa, P.; Pereira, Filipe Miguel SoaresObjetivo: Identificar tipos de suportes tecnológicos e conteúdos informacionais utilizados na promoção da gestão do regime terapêutico em pacientes com DPOC. Métodos: Estudo de abordagem quantitativa, exploratório transversal e descritivo, tendo como recurso um questionário baseado no modelo de aceitação da tecnologia, no modelo teórico dos determinantes da percepção da facilidade de utilização da mesma e na revisão da literatura. Resultados: Os pacientes com DPOC referiram maior necessidade de informação relacionada com as atividades do dia-a-dia e com os exercícios respiratórios. Pacientes com maior literacia e maior literacia tecnológica referem maior utilidade das tecnologias Web-based; pacientes com menor literacia e menor literacia tecnológica referem maior utilidade, intenção e facilidade para a utilização do telemóvel, livros e vídeos no acesso à informação. Conclusão: Os recursos informacionais podem adotar diferentes suportes tecnológicos, desde que disponibilizados em função da literacia e literacia tecnológica e adequados às necessidades informacionais dos pacientes.
- Congresso Internacional de Informação em Saúde: Livro de resumosPublication . Sousa, P.; Silva, Abel; Pereira, Filipe Miguel Soares; Filipe, Margarida; Osório, Conceição; Moreira, Sandra
- 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
- Nursing clinical practice changes to improve self-management in chronic obstructive pulmonary diseasePublication . Padilha, José Miguel Santos Castro; Sousa, P.; Pereira, Filipe Miguel SoaresAim: To propose nursing clinical practice changes to improve the development of patient self-management. Background: Chronic obstructive pulmonary disease is one of the main causes of chronic morbidity, loss of quality of life and high mortality rates. Introduction: Control of the disease’s progression, the preservation of autonomy in self-care and maintenance of quality of life are extremely challenging for patients to execute in their daily living. However, there is still little evidence to support nursing clinical practice changes to improve the development of self-management. Methods: A participatory action research study was performed in a medicine inpatient department and the outpatient unit of a Portuguese hospital. The sample comprised 52 nurses and 99 patients. For data collection, we used interviews, participant observation and content analysis. Results: The main elements of nursing clinical practice that were identified as a focus for improvement measures were the healthcare model, the organization of healthcare and the documentation of a support decision-making process. The specific guidelines, the provision of material to support decision-making and the optimization of information sharing between professionals positively influenced the change process. This change improved the development of self-management skills related to the awareness of the need for ‘change’, hope, involvement, knowledge and abilities. Discussion: The implemented changes have improved health-related behaviours and clinical outcomes. Conclusion: To support self-management development skills, an effective nursing clinical practice change is needed. This study has demonstrated the relevance of a portfolio of techniques and tools to help patients adopt healthy behaviours.
- Nursing knowledge on skin ulcer healing: a living scoping review protocolPublication . Gomes, João; Sousa, P.; Pereira, Filipe Miguel Soares; Queirós, Carmen; Neves, Hugo; Silva, Catarina; Silva, Abel; Parente, Paulo; Sousa, Paula Cristina; Brito, Alice; Silva, Maria Antónia; Morais, Ernesto; Cardoso, Alexandrina; Cruz, Inês; Machado, Natália; Oliveira, Manuel Fernando; Bastos, Fernanda; Prata, Ana Paula; Sequeira, CarlosObjective: This review aims to continuously map the nursing knowledge on skin ulcer healing in any context of care. Introduction: Chronic wounds are an increasing concern for society and health care providers. Pressure ulcers and venous ulcers, among others, have devastating effects on morbidity and quality of life and require a systematic approach. The nursing process is an important method that allows a better organization and overall care quality for a systematic and continuous professional approach to nursing management of skin ulcers. The integration of this nursing knowledge in informatics systems creates an opportunity to embed decision-support models in clinical activity, promoting evidence-based practice. Inclusion criteria: This scoping review will consider articles on nursing data, diagnosis, interventions, and outcomes focused on people with skin ulcers in all contexts of care. This review will include quantitative, qualitative, and mixed methods study designs as well as systematic reviews and dissertations. Methods: JBI’s scoping review guidance, as well as the Cochrane Collaboration’s guidance on living reviews, will be followed to meet the review’s objective. Screening of new literature will be performed regularly, with the review updated according to new findings. The search strategy will map published and unpublished studies. The databases to be searched include MEDLINE, CINAHL, Scopus, JBI Evidence Synthesis, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, and PEDro. Searches for unpublished studies will include OpenGrey and Reposito´ rios Cientı´ficos de Acesso Aberto de Portugal. Studies published in English and Portuguese since 2010 will be considered for inclusion.
- Analysis of the Nursing Documentation in Use in Portugal - Building a Clinical Data Model of Nursing Centered on the Management of Treatment RegimenPublication . Cruz, Inês; Bastos, Fernanda; Pereira, Filipe Miguel Soares; Silva, Abel; Sousa, P.The use of technology to support information produced by nurses, especially information and communication technologies, is a current reality, but the proliferation of different statements of nursing diagnosis has made it more difficult for the production of indicators, hindering semantic interoperability of data. This study analyzed all statements of diagnosis focused on the management of medication regimen, customized to the Nursing Practice Support System (SAPE®) that was being used in Portugal in 2013. A total of 598 statements of nursing diagnoses about the phenomenon under study were analyzed, through an a priori analysis model - the ISO 18104 standard: 2003. The purpose was to identify terms used by nurses to describe the range of diagnoses, thus avoiding conceptual redundancy. After a content analysis process conducted by researchers and a broader group of experts, and when excluded all conceptual redundancy, 30 statements of nursing diagnosis were identified.
- Participatory action research: A strategy for improving self-care management in chronic obstructive pulmonary disease patientsPublication . Padilha, José Miguel Santos Castro; Sousa, P.; Pereira, Filipe Miguel SoaresParticipatory action research (PAR) facilitates the change process in clinical practice and promotes knowledge development. This paper highlights the potential of PAR to implement changes in healthcare oriented for the development of self-care management skills in patients with chronic obstructive pulmonary disease (COPD). In COPD patients, the preservation of self-care autonomy and quality of life depends on the patients’ ability to adopt pharmacological treatments and behavioural changes. In a Portuguese central hospital nurses (n¼52) have identified a gap between the nursing care and the perceived needs of the patients, and developed a healthcare solution based on a PAR methodology supported by an overlapping cycle of action and research. The PAR took place during 14 months. The PAR allowed the change in the care model in use, in the organization and the nursing care documentation. This change was focused on the development of self-care management skills, responding to the needs and expectations of those involved. The PAR proved to be an appropriate methodology to identify and implement changes that contribute to the safety, quality and access to healthcare.
- Nursing knowledge of people with paresis of voluntary muscles: a living scoping review protocolPublication . Neves, Hugo; Parente, Paulo; Gomes, João; Queirós, Carmen; Sousa, Joana; Parola, Vítor; Sousa, Paula Cristina; Brito, Alice; Silva, Maria Antónia; Morais, Ernesto; Cardoso, Alexandrina; Cruz, Inês; Machado, Natália; Oliveira, Manuel Fernando; Bastos, Fernanda; Pereira, Filipe Miguel Soares; Prata, Ana Paula; Silva, Abel; Sequeira, Carlos; Sousa, P.Objective: This review aims to continuously map the nursing knowledge about people with paresis of voluntary muscles in any context of care. Introduction: Muscle paresis is a condition that significantly impacts quality of life. Nurses have a crucial role in managing this condition, particularly paresis of voluntary movement muscles. However, nursing knowledge about patients with paresis of voluntary muscles is dispersed, hampering the integration of evidence within the structure of information systems. Mapping how the nursing process components are identified is the first step in creating a Nursing Clinical Information Model for this condition, capable of integrating evidence into information systems. Inclusion criteria: This scoping review will consider studies focusing on the nursing process regarding people with paresis of voluntary muscles in all care contexts. The review will include quantitative, qualitative, and mixed-methods study designs, systematic reviews, clinical guidelines, dissertations, and theses. Methods: The review process will follow JBI's scoping review guidance, as well as the Cochrane Collaboration's guidance on living reviews. Screening of new literature will be performed regularly, with the review being updated according to new findings. The search strategy will map published and unpublished studies. The databases to be searched will include MEDLINE, CINAHL, Scopus, JBI Evidence Synthesis, and the Cochrane Central Register of Controlled Trials. Searches for unpublished studies will include OpenGrey and Repositorios Cientificos de Acesso Aberto de Portugal. Studies published in English and Portuguese from 1975 will be considered for inclusion.
- Exploring the family caregiving phenomenon in nursing documentationPublication . Oliveira, Manuel Fernando; Joana Campos, Maria; Padilha, José Miguel Santos Castro; Pereira, Filipe Miguel Soares; Sousa, P.Background: Today, an increasing number of family members assume a great responsibility for taking care of a dependent person at home. Nurses must prepare the family caregiver for this transition—to be a caregiver, by providing the best solution for each case. Taking care of a dependent person is not an easy task; it involves cognitive and instrumental skills to perform this role. Aim: We intend to study the types and frequencies of nursing diagnosis related to the family caregiver, documented in the Nursing Information System (NIS) in use, in a District Hospital in Portugal. Method: The data were extracted from the Nursing Information System to a new database, and, after codification, we analyzed the nursing diagnosis related to the family caregiver. ICNP ® (International Classification for Nursing Practice) was used as referential terminology in data analysis. Findings: The analysis shows that more than 40% of patients admitted with nursing diagnosis are related to the family caregiver, even in readmissions cases. These nursing diagnoses are centered on the prevention of patient’s complications, such as pressure ulcer, replacement in self-care activities, i.e., feeding, optimization of the family caregiver role, and in the promotion of the therapeutic regimen management. The major skills that we found in diagnosis related to the family caregiver were associated with knowledge acquisition. Conclusion: We conclude that, in many readmissions cases, family caregivers continue to have many weaknesses, specifically related to their level of knowledge and skills learning. This finding opens a window of opportunity to develop solutions that will help these families take care of a dependent person at home, including web-based solutions that can be a tool to promote the continuity of care.
- Sistemas de Informação de Enfermagem: exploração da informação partilhada com os médicosPublication . Mota, Liliana; Pereira, Filipe Miguel Soares; Sousa, P.Enquadramento: Ao longo dos anos foram-se verificando alterações substanciais ao nível da documentação em enfermagem resultantes da utilização de tecnologias da informação na atividade diária dos profissionais de saúde. Os médicos são os maiores consumidores da informação recolhida, processada e documentada pelos enfermeiros, dada a relevância dessa informação no seu processo de tomada de decisão clínica. Objetivos: Identificar e descrever a informação recolhida, processada e documentada pelos enfermeiros que é mais relevante para atividade profissional dos médicos. Metodologia: Estudo qualitativo e exploratório com recurso à observação participante (98 horas) e entrevistas semi-estruturadas (3) com informantes-chave, realizado em contexto hospitalar. Foi realizada a análise indutiva de conteúdo das notas de campo e entrevistas. Resultados: A informação mais relevante para os médicos depende do contexto dos sujeitos, da ação e das profissões, e foi agregada em três categorias: «parâmetros de vigilância»; «medicação e atitudes terapêuticas»; e «dados intercorrentes». Conclusão: As estratégias de recolha de dados mostraram-se capazes de gerar dados válidos para a identificação das categorias de informação mais relevantes para os médicos («parâmetros de vigilância», «medicação e atitudes terapêuticas» e «dados intercorrentes»). A informação relevante para os médicos não é influenciada por quem toma a decisão de prescrição da colheita dos dados.