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- Strategical Pedagogy for the Development of Socio-Emotional Competences in Nursing StudentsPublication . Andrian Leal, Laura; Cassiano, Carolina; J. M. Cruchinho, Paulo; Nunes, Elisabete; Lucas, P.; Teixeira, Gisela; Henriques, Silvia HelenaSocio-emotional competencies (SECs) are essential for the quality of nursing practice. This study aimed to understand the pedagogical strategies provided by universities for the development of SECs in Brazil, as perceived by nursing students. This is a descriptive, exploratory study with a qualitative approach involving 57 nursing students from a public Higher Education Institution in Brazil. Data collection was conducted through focus groups, and interpretation was carried out using inductive thematic analysis. The pedagogical strategies identified were categorized as follows: those offered by the curriculum matrix, those provided by the Nursing course department, those made available by the university as a whole (involving all courses and students), and the challenges related to the development of socio-emotional competencies. This study revealed a deficit in the integration of SECs in the curriculum, highlighting the need for curricular restructuring and discussions on this topic. Equipping students with socio-emotional competencies during their training can help address these gaps, fostering greater resilience and self-care capabilities among nursing professionals.
- Translation, cross-cultural adaptation, and validation of measurement instruments :Publication . J. M. Cruchinho, Paulo; López-Franco, María-Dolores; Capelas, ML; Almeida, Sofia; Bennett, Phillippa May; Miranda da Silva, Marcelle; Teixeira, Gisela; Nunes, Elisabete; Lucas, P.; Mendes Gaspar, Maria FilomenaCross-cultural validation of self-reported measurement instruments for research is a long and complex process, which involves specific risks of bias that could affect the research process and results. Furthermore, it requires researchers to have a wide range of technical knowledge about the translation, adaptation and pre-test aspects, their purposes and options, about the different psychometric properties, and the required evidence for their assessment and knowledge about the quantitative data processing and analysis using statistical software. This article aimed: 1) identify all guidelines and recommendations for translation, cross-cultural adaptation, and validation within the healthcare sciences; 2) describe the methodological approaches established in these guidelines for conducting translation, adaptation, and cross-cultural validation; and 3) provide a practical guideline featuring various methodological options for novice researchers involved in translating, adapting, and validating measurement instruments. Forty-two guidelines on translation, adaptation, or cross-cultural validation of measurement instruments were obtained from “CINAHL with Full Text” (via EBSCO) and “MEDLINE with Full Text”. A content analysis was conducted to identify the similarities and differences in the methodological approaches recommended. Bases on these similarities and differences, we proposed an eight-step guideline that includes: a) forward translation; 2) synthesis of translations; 3) back translation; 4) harmonization; 5) pre-testing; 6) field testing; 7) psychometric validation, and 8) analysis of psychometric properties. It is a practical guideline because it provides extensive and comprehensive information on the methodological approaches available to researchers. This is the first methodological literature review carried out in the healthcare sciences regarding the methodological approaches recommended by existing guidelines.
- Evaluating the Methodological Approaches of Cross-Cultural Adaptation of the Bedside Handover Attitudes and Behaviours Questionnaire into PortuguesePublication . Cruchinho, Paulo J. M.; Teixeira, Gisela; Lucas, P.; Mendes Gaspar, Maria FilomenaAbstract: Nurse managers need culturally adapted assessment instruments to support the implementation of change to Nursing Bedside Handover (NBH) in healthcare institutions. This study aimed to cross-culturally adapt the Bedside Handover Attitudes and Behaviours (BHAB) questionnaire to the Portuguese context and evaluate the methodological approaches used for this purpose. To guide this study, we followed a guideline for cross-cultural translation and adaptation measurement instruments in healthcare. The results of the content validity testing suggested that the BHAB questionnaire is a valid instrument for use in the Portuguese context. To obtain these results we showed 1) using of a new methodological approach, the dual focus, to resolve the divergences and ambiguities in the translators’ committee and the multi-professional committee; 2) the lack of a conceptual definition of the construct of the instrument as a requirement to retain items with I-CVI <0.70 after validity relevance pretesting and 3) the cognitive debriefing and relevance pretesting as methodological approaches which can be used alone or together to reinforce the evaluation of cultural relevance of the items. We concluded there is a need for guidelines to support the decision-making process of healthcare researchers with comprehensive information about the different methodological approaches they can follow.
- Liderança Transcultural em Enfermagem: IntroduçãoPublication . Teixeira, Gisela; Mendes Gaspar, Maria Filomena; Nunes, Elisabete; Cruchinho, Paulo J. M.; Quaresma, Graça; Figueiredo, Rita; Ribeiro, Susana; Nogueira, Mariana; Costa, Patricia; Dias, Luisa; Inácio, Mafalda; Lucas, P.
- Evaluating the methodological approaches of cross-cultural adaptation of the bedside handover attitudes and behaviours questionnaire into portuguesePublication . Cruchinho, Paulo J. M.; Lucas, P.; Mendes Gaspar, Maria Filomena; Teixeira, GiselaNurse managers need culturally adapted assessment instruments to support the implementation of change to Nursing Bedside Handover (NBH) in healthcare institutions. This study aimed to cross-culturally adapt the Bedside Handover Attitudes and Behaviours (BHAB) questionnaire to the Portuguese context and evaluate the methodological approaches used for this purpose. To guide this study, we followed a guideline for cross-cultural translation and adaptation measurement instruments in healthcare. The results of the content validity testing suggested that the BHAB questionnaire is a valid instrument for use in the Portuguese context. To obtain these results we showed 1) using of a new methodological approach, the dual focus, to resolve the divergences and ambiguities in the translators’ committee and the multi-professional committee; 2) the lack of a conceptual definition of the construct of the instrument as a requirement to retain items with I-CVI <0.70 after validity relevance pretesting and 3) the cognitive debriefing and relevance pretesting as methodological approaches which can be used alone or together to reinforce the evaluation of cultural relevance of the items. We concluded there is a need for guidelines to support the decision-making process of healthcare researchers with comprehensive information about the different methodological approaches they can follow.
- Liderança Transcultural em Enfermagem: Expectativas em relação à liderança e ao cuidadoPublication . Teixeira, Gisela; Mendes Gaspar, Maria Filomena; Nunes, Elisabete; Cruchinho, Paulo J. M.; Quaresma, Graça; Figueiredo, Rita; Ribeiro, Susana; Nogueira, Mariana; Costa, Patricia; Dias, Luisa; Inácio, Mafalda; Lucas, P.
- Liderança Transcultural em Enfermagem: Papel do Enfermeiro GestorPublication . Teixeira, Gisela; Mendes Gaspar, Maria Filomena; Nunes, Elisabete; Cruchinho, Paulo J. M.; Quaresma, Graça; Figueiredo, Rita; Ribeiro, Susana; Nogueira, Mariana; Costa, Patricia; Dias, Luisa; Inácio, Mafalda; Lucas, P.
- Bedside Handover Attitudes and Behaviours questionnaire (BHAB-PT):Publication . Cruchinho, Paulo J. M.; Lopez-Franco, Maria Dolores; Teixeira, Gisela; Lucas, P.; Mendes Gaspar, Maria FilomenaO BHAB-PT é um questionário de autopreenchimento adaptado e validado para Portugal por Cruchinho et al. (2025), a partir do instrumento original de Slade et al. (2019). Tem como finalidade avaliar a consistência da prática dos enfermeiros durante a passagem de turno junto das pessoas internadas (Passagem de Turno Centrada no Cliente). É um instrumento de avaliação adequado para ser aplicado em Portugal em todos os contextos de cuidados de saúde. Tem como população-alvo os enfermeiros portugueses e envolve aproximadamente 5 minutos a preencher. Integra 18 itens distribuídos por quatro dimensões: a) o Envolvimento Direto; b) a Interação Pessoal; c) a partilha de Informação e a d) a Abordagem Individualizada. Tem um formato de resposta de tipo Likert de sete pontos sem ponto médio e com um item “não aplicável” (de “discordo totalmente” a “concordo totalmente”. A pontuação varia entre 6 e 108 pontos e quanto menor for a pontuação, menor será a consistência da prática dos enfermeiros durante a passagem de turno junto das pessoas internadas. Apresentou uma consistência interna de .79 para o instrumento total avaliada pelo Alfa de Cronbach.
- Padrões de Qualidade dos Cuidados de EnfermagemPublication . Ribeiro, Susana; Figueiredo, Rita; Teixeira, Gisela; Nogueira, Mariana; Mendes Gaspar, Maria Filomena; Nunes, Elisabete; Cruchinho, Paulo J. M.; Quaresma, Graça; Costa, Patricia; Dias, Luisa; Inácio, Mafalda; Lucas, P.
- Influencing Factors of Nurses’ Practice during the Bedside Handover:Publication . Cruchinho, Paulo J. M.; Teixeira, Gisela; Lucas, P.; Mendes Gaspar, Maria FilomenaNursing Bedside Handover (NBH) is acknowledged as a nursing practice implemented at the patient’s bedside to improve communication safety during the shift change, but it is vulnerable due to inconsistent application among nurses. This synthesis of qualitative evidence aims to review and synthesize the perceptions and experiences of nurses regarding the factors that, in their perspective, influence NBH practice. We will follow the thematic synthesis methodology of Thomas and Harden and the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) Statement guidelines. A search will be conducted through the databases of MEDLINE, CINAHL, Web of Science, and Scopus, and we will follow the three-step search process to identify primary studies with qualitative or mixed-method research designs and projects of quality improvement. The screening and selection of the studies will be carried out by two independent reviewers. We will use the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) to report the screening, search, and selection of studies. To assess its methodological quality, two reviewers will independently use the CASM Tool. The extracted data will be reviewed, categorized, and summarized in tabular and narrative formats. The findings obtained will allow us to inform future research and change management led by nurse managers.