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- The COVID-19 Pandemic and Professional Nursing Practice in the Context of HospitalsPublication . Ribeiro, Olga; Trindade, Letícia de Lima; Pinto Novo, André Filipe Morais Pinto; da Rocha, Carla Gomes da; Sousa, Clemente Neves; Cabral Teles, Paulo João Figueiredo Cabral; Reis, Ana Catarina Rodrigues da Silva; Perondi, Alessandro Rodrigues; Andrigue, Karen Cristina Kades; Pereira, Soraia Cristina de Abreu; Leite, Paula Cristina da Silva; Ventura-Silva, João Miguel AlmeidaThe COVID-19 pandemic has imposed challenges to health systems and institutions, which had to quickly create conditions to meet the growing health needs of the population. Thus, this study aimed to assess the impact of COVID-19 on professional nursing practice environments and to identify the variables that affected their quality. Quantitative, observational study, conducted in 16 Portuguese hospitals, with 1575 nurses. Data were collected using a questionnaire and participants responded to two different moments in time: the pre-pandemic period and after the fourth critical period of COVID-19. The pandemic had a positive impact on the Structure and Outcome components, and a negative trend in the Process component. The variables associated with the qualification of the components and their dimensions were predominantly: work context, the exercise of functions in areas of assistance to COVID-19 patients, length of professional experience and length of experience in the service. The investment in professional practice environments impacted the improvement of organizational factors, supporting the development of nurses’ work towards the quality of care. However, it is necessary to invest in nurses’ participation, involvement and professional qualifications, which are aspects strongly dependent on the institutions’ management strategies
- Radio‐cephalic fistula recovered with drainage to median basilic vein by straightening of the forearm cephalic vein: A case reportPublication . Costa, Luísa Lemos; Matos, António Norton; Almeida, Paulo; Teles, Paulo; Loureiro, Luís; Campos, Luís; Delgado, Elisabete; Oliveira, Debora; Campos, Tiago; Inácio, Marta; Fernandes, Filipa; Coutinho, Sara; Ventura, Ana; Pereira, Susana; Castro, Ana; Xavier, Eva; Sousa, Clemente NevesThe distal arteriovenous fistula (AVF) has less complications and better patency than the proximal fistula, when it works properly. The complications of outflow of the fistula are complex, and it is necessary to analyze all solutions to solve the problem. We introduce a novel approach to solve outflow problems of a radio-cephalic AVF by straightening of the forearm cephalic vein with drainage into the median basilic vein.
- Impact of COVID‐19 on professional nursing practice environments and patient safety culturePublication . Ribeiro, Olga; de Lima Trindade, Letícia; Silva Fassarella, Cintia; de Abreu Pereira, Soraia Cristina; Figueiredo Cabral Teles, Paulo João; Gomes da Rocha, Carla; da Silva Leite, Paula Cristina; Almeida Ventura‐Silva, João Miguel; Sousa, Clemente NevesAim: To analyse the impact of COVID-19 on professional nursing practice environments and patient safety culture. Background: The relationship between work environments and patient safety has been internationally recognized. In 2020, the pandemic imposed enormous challenges, yet the impact on these variables remains unknown. Method: This is a quantitative observational study, conducted in a Portuguese hospital, with 403 registered nurses. A self-completion questionnaire was used. Results: The impact on the Structure and Outcome components of nursing professional practice environments was positive. Although the Process component remained favourable to quality of care, a negative trend was confirmed in almost all dimensions. The results regarding safety culture showed weaknesses; ‘teamwork within units’ was the only dimension that maintained a positive culture. Conclusion: Positive responses regarding patient safety were significantly associated with the quality of the nursing professional practice environment. The need to invest in all dimensions of safety culture emerges to promote positive professional environments. Implications for nursing management: Improving professional nursing practice environments can be achieved through managers’ investment in the participation and involvement of nurses in the policies and functioning of institutions, as well as promoting an open, fair and participatory safety culture that encourages reporting events and provides adequate support for professionals.
- Scale of Assessment of Self-Care Behaviors with Arteriovenous Fistula in Hemodialysis: A Psychometric Study in BrazilPublication . Lira, Marta Nunes; Sousa, Clemente Neves; Wanderley, Maria Carolina Medeiros; Pessoa, Natália Ramos Costa; Lemos, Kelly Cristiane Rocha; Manzini, Carlene Souza Silva; Nicole, Andressa Garcia; Morais, Sheila Coelho Ramalho Vasconcelos; Frazão, Cecília Maria Farias de Queiroz; Ramos, Vânia Pinheiro; Teles, Paulo; Ribeiro, Olga; Dias, Vanessa Filipa Ferreira; de Souza, Lara Helk; Ribeiro, Rita Cássia Helú Mendonça; Magalhães, Anna Luiza Pereira; de Sá Basílio Lins, Silvia Maria; Pressi, Maira Maria Trevisan; Dourado, Polyana Bezerra Mendonça; Delgado, Millena Freire; Mendonça, Ana Elza Oliveira; Pinheiro, Jacielly Andes Araújo; Ozen, NurtenThe purpose of this study was to evaluate the psychometric properties of the Brazilian Scale for the Assessment of Self-Care Behaviors with Arteriovenous Fistula in Hemodialysis. Cross-sectional validation study, followed the recommendation provided by Sousa and Rojjanasrirat. Content validity, explanatory and confirmatory factor analyses used to check validity and Cronbach's alpha was the reliability measure. Three hundred hemodialysis patients with arteriovenous fistula were included in the study. The expert committee assessed the content validity. Exploratory factor analysis confirmed the same two-factor structure found for the original scale, explaining 60.10% of the variance. Such solution was checked by confirmatory factor analysis with Cronbach's alpha equal to 0.920, 0.810, and 0.884 for the overall scale, the self-care in management of signs and symptoms and the self-care in prevention of complications subscales respectively. The scale has good psychometric properties to assess self-care behaviors and can be used with Brazilian patients on hemodialysis with arteriovenous fistula.
- Effects of demographic and clinical character on differences in self‐care behavior levels with arteriovenous fistula by hemodialysis patients: An ordinal logistic regression approachPublication . Sousa, Clemente Neves; Teles, Paulo; Paquete, Ana Rita Cabral; Dias, Vanessa Filipa Ferreira; Manzini, Carlene Souza Silva; Nicole, Andressa Garcia; Sousa, Rui André Saldanha Santos; de Souza, Lara Helk; Ribeiro, Olga; Lira, Marta Nunes; de Queiroz Frazão, Cecília Maria Farias; Ramos, Vânia Pinheiro; Leal, Luciana; Ribeiro, Rita Cássia Helú Mendonça; Magalhães, Anna Luiza Pereira; de Sá Basílio Lins, Sílvia Maria; Mendonça, Ana Elza Oliveira; Delgado, Millena Freire; Pressi, Maira Maria Trevisan; Pressi, Nicole Trevisan; Campos, Luís; Campos, Tiago; Gonçalves, Diana; Ribeiro, Edgar; Ozen, NurtenIntroduction: Hemodialysis (HD) patients should be trained to develop selfcare behaviors in order to prevent and preserve their arteriovenous fistula (AVF). The aim of this study was identifying the factors that affect the levels of self-care behavior with AVF by HD patients. Methods: A cross-sectional study was conducted involving 89 patients. Results: Self-care levels were negatively affected by patients' location (Azores) and positively affected by marital status, education, employment, AVF duration, and absence of complications with the AVF. Concerning the management of signs and symptoms, self-care levels were negatively affected by patients' location. Regarding prevention of complications, self-care levels were negatively affected by age and marital status and positively affected by marital status, employment, chronic kidney disease etiology, AVF duration, and previous AVF. Conclusion: Further studies are required in order to confirm whether the considered factors affect levels of self-care behaviors with AVF, or whether other factors are needed as well.
- Noise levels in the dialysis unit and its relationship with sleep quality and anxiety in patients receiving HD: A pilot studyPublication . Ok, Elif; Aydin Sayilan, Aylin; Sayilan, Samet; Sousa, Clemente Neves; Ozen, NurtenIntroduction: HD unit is a noisy environment for patients, and noise can affect anxiety levels and sleep quality. Methods: The aim of the study is to determine noise level, the relationship between noise levels, and sleep quality and anxiety in patients in HD unit. A descriptive and observational study design was used. Three Benetech GM1351 manual sound-level meters were used to measure noise. A patient information form, the State Anxiety Inventory, and the modified Post-Sleep Inventory were used for data collection. Results: The noise range detected in the HD unit ranges from 48.40 to 72 dB (A). Our findings show that patients in the HD unit are exposed to high noise levels and the noise significantly negatively impacts quality of sleep and anxiety level of the patients. Conclusions: It is important to be aware that HD patients are constantly exposed to high levels of noise and to plan nursing interventions to reduce this noise level.
- Escala de avaliação dos ambientes da prática profissional de enfermagem: construção e validação de conteúdoPublication . Ribeiro, Olga; Vicente, Corália Maria Fortuna de Brito; Martins, MM; Trindade, Letícia De Lima; Sousa, Clemente Neves; Cardoso, Maria Filomena Passos TeixeiraObjective: to construct and validate the content of the Assessment Scale of Nursing Professional Practice Environments. Method: methodological study conducted from January to May 2020. The construction of the Scale after a previous qualitative research and literature review. Content validation was performed by 22 experts. Results: initially, the Scale had 128 items grouped in the dimensions structure, process and outcome. Due to the experts’ evaluation, in the structure dimension, the 65 initial items, 20 were excluded, 10 were reformulated and one, added. In the process dimension, of the 49 initial items, 8 were excluded and 2 were reformulated. In the outcome dimension, of the 14 initial items, 2 were excluded, 2 reformulated and added 1. The final version contained 100 items, in which the Content Validity Index of each item fluctuated between 0.86 and 1. Conclusion: the construction and subsequent validation of the items by the experts was a fundamental step, giving security to the continuity of psychometric procedures.
- Autogestão da doença crónica: dos modelos aos programas de intervençãoPublication . Sousa, Maria Rui; Vilar, Ana Isabel; Sousa, Clemente Neves; Bastos, Fernanda
- Medidas de avaliação do autocuidadoPublication . Sousa, Clemente Neves; Peixoto, Maria José; Pinto Martins Salazar Almeida, Berta Maria
- Ruptured arteriovenous fistula pseudoaneurysm treatment by balloon‐assisted direct percutaneous thrombin injectionPublication . Loureiro, Luís; Mendes, Daniel; Sousa, Clemente Neves; Almeida, Paulo; Norton de Matos, António; Teles, Paulo; Rego, Duarte; Teixeira, Gabriela; Teixeira, Sérgio; Antunes, Inês; Costa, Luísa Lemos
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