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- Impact of a model of clinical supervision over the emotional intelligence capacities of nursesPublication . Augusto, Maria Cristina Bompastor; Oliveira, Karine Sobral de; Carvalho, António Luís; Barroso, Cristina; Teixeira, Ana Isabel Carvalho; Teixeira, Leonor OlímpiaObjective: to analyze the impact of the implementation of a model of clinical supervision over the emotional intelligence capacities of nurses. Methods: mixed methods study. Quantitative data were collected before and after the implementation of the Model, using the scale of Emotional Intelligence Capacities of Nurses; analyses were carried out using descriptive statistics and paired samples were analyzed using the t-test. 47 nurses from one hospital participated. Qualitative data were obtained from the analysis of the discourses of the nurses in a public presentation, using thematic/ categorizing content analysis. The findings were integrated at the end to generate the results. Results: no statistically significant differences were found with the implementation of the Model. However, the nurses involved recognized the positive impact of the SafeCare Model in the development of emotional competences. Conclusion: the study contributed for clinical supervision and for the development of emotional competences
- Supervision in Clinical Practice Indicator: Analysis of the Evaluation of Pain in the Context of Ambulatory SurgeryPublication . Teixeira, Leonor Olímpia; Augusto, Cristina; Barroso, Cristina; Carvalho, António LuísClinical supervision, as a formal process of monitoring professional practice, aims to improve decision-making to contribute to safety and quality of care through reflection processes and analysis of clinical practice. This study aimed to compare the postoperative pain evaluation and clinical recording procedures performed by nursing staff and clinical supervisors in ambulatory surgery patients. The study was integrated into the research project “SAFECARE”. It was developed a descriptive cross-sectional quantitative study in an ambulatory surgery unit of a University Hospital in Oporto, Portugal. The study population was the nursing staff with an intentional nonprobabilistic sampling method. A questionnaire was constructed and evaluation of postoperative pain, patient clinical and demographic variables was included. This instrument was applied in 116 patients matched by 12 surgical specialties. Results were compared between nursing staff, clinical supervisors and electronic nursing records. Patients had an average age of 48.6 years, being mostly female. Regarding pain evaluation, the scale most used by nurses (62.1%) and clinical supervisors (67.2%) was the “Numerical Scale”. Postoperative pain evaluation scores ranged from 0 to 7, with score 0 (no pain) presenting more frequently by nurses, electronic nursing records and clinical supervisors. 34.5% of results were not documented in electronic nursing records. These findings support the importance of an intervention of clinical supervision in the indicator “pain” for the outpatient surgery setting. Local protocols of clinical supervision practice would contribute to improve postoperative pain evaluation, as well as standardization and optimization of nursing records, thus ensuring quality care.
- Supervision of clinical practice indicators: evidence-based practice in the context of the surgical patientPublication . Teixeira, Leonor Olímpia; Barroso, Cristina; Carvalho, António Luís; Carvalho Teixeira, Ana Isabel; Bompastor Augusto, Maria CristinaIntrodução: A supervisão clínica e a Prática Baseada na Evidência (PBE) devem ser entendidas como complementares e indissociáveis pelos resultados positivos que produzem na qualidade em saúde. Objetivos: Avaliar a predisposição do enfermeiro para incorporar a PBE nos cuidados e identificar barreiras à implementação da PBE no seu local de trabalho. Material e Métodos: Estudo exploratório-descritivo, realizado numa unidade de cirurgia de ambulatório de um Hospital Universitário do Porto, Portugal. Na colheita de dados foi usado o Questionário de Eficácia Clínica e Prática Baseada em Evidências (QECPBE-20), sendo a amostra, não probabilística intencional, constituída por quarenta e nove enfermeiros. Resultados: Os enfermeiros são favoráveis à PBE na dimensão “Atitudes” (M = 5,36) atingindo a maior pontuação média, seguida de “Conhecimentos, Habilidades e Competências” (M = 5,08) e, finalmente, a dimensão “Práticas” (M = 4,89). Os participantes com treino em Supervisão Clínica apresentam valores mais altos na dimensão “Conhecimentos, Habilidades e Competências” do que os participantes sem treino em Supervisão Clínica e os enfermeiros com especialidade apresentam valores mais altos na dimensão “Atitudes”. As barreiras identificadas pelos enfermeiros resumem-se em quatro níveis: organizacional, profissional, liderança e evidência. Conclusões:Os enfermeiros apresentam conhecimentos e uma atitude positiva em relação à PBE, contudo mostram uma baixa taxa de utilização da PBE na sua prática diária. A falta de tempo, processos de gestão não facilitadores por parte das chefias e a dificuldade no acesso à evidência científica são algumas das dificuldades identificadas pelos participantes. A supervisão clínica apresenta-se como um fator-chave para o desenvolvimento da competência em PBE.
- Diagnóstico de situaçãoPublication . Teixeira, Leonor Olímpia; Carvalho, António Luís; Barroso, Cristina
- Supervision in Clinical Practice Indicator: Evidence Based Practice in the Context of Outpatient SurgeryPublication . Teixeira, Leonor Olímpia; Teixeira, Ana; Barroso, Cristina; Carvalho, António LuísClinical supervision and evidence-based practice in nursing should be understood as complementary and indissociable as they go hand in hand towards the same objectives. Therefore, the supervising process should boost the evidence-based practice in order to promote better nursing care. The purpose of this study was to evaluate nurse’s predisposition to incorporate evidence-based practice into their care and to identify barriers to its application with the purpose of proposing contributions for the implementation of a nursing clinical supervision model that encourages the use of the best evidence available into the daily practice. The study is integrated into the research project “SAFECARE – Supervisão Clínica para a segurança e qualidade dos cuidados”. It was developed as an exploratory-descriptive study in an ambulatory surgery unit of a University Hospital in Porto, Portugal. It had a target population of 59 nurses, and it was used the “Evidence-Based Practice Questionnaire” as a method of collecting data. From the 49 questionnaires collected, we find that the subscale “Practices” has an average score of 4.89, the subscale “Attitudes” 5.36 and the subscale “knowledge/skills and competences” 5.08. These results showed that nurses have a low use of evidence-based practice when compared with the level of knowledge, skills and competences shown, although they seem to have a positive attitude towards this subject. These results can be partially explained by the overburden felt by the n urses, which identified the lack of time and motivation, but also inappropriate training and scarcity of team meetings and proper tools in the workplace as barriers
- A prática baseada na evidencia como indicador da supervisão clínica em enfermagem no contexto de cirurgia de ambulatórioPublication . Teixeira, Leonor Olímpia; Silva, Miguel; Varandas, Banda; Teixeira, Ana; Barroso, Cristina; Carvalho, António LuísClinical supervision and evidence-based practice in nursing should be understood as complementary and indissociable as they go hand in hand towards the same objectives. Therefore, the supervising process, should boost the evidence-based practice in order to promote better nursing care. The purpose of this study is to evaluate nurse’s predisposition to incorporate evidence-based practice into their care and to identify barriers to its application with the purpose of propose contributions for the implementation of a nursing clinical supervision model that encourages the use of the best evidence available into the daily practice. The study is integrated into the research project “SAFECARE – Supervisão Clínica para a segurança e qualidade dos cuidados”. It was developed an exploratory-descriptive study in an ambulatory surgery unit of a University Hospital in Porto, Portugal. It had a target population of 59 nurses, and it was used the “Evidence-Based Practice Questionnaire” as a method of collecting data. From the 49 questionnaires collected, we find that the subscale “Practices” has an average score of 4.89, the subscale “Attitudes” 5.36 and the subscale “knowledge/skills and competences” 5.08. These results showed that nurses have a low use of evidence-based practice when compared with the level of knowledge, skills and competences shown, although they seem to have a positive attitude towards this subject. These results can be partially explained by the overburden felt by the nurses, which identified the lack of time and motivation, but also inappropriate training and scarcity of team meetings and proper tools in the workplace as barriers.
- Development of nurses' evidence-based practice skills: contributions of clinical supervisionPublication . Teixeira, Ana Isabel Carvalho; Teixeira, Leonor Olímpia; Pereira, Rui Pedro Gomes; Barroso, Cristina; Carvalho, António Luís; Püschel, Vilanice Alves de AraújoObjective: to evaluate the impact of the implementation of the SafeCare Model on the evidence-based practice competencies of nurses. Methods: mixed method characterized by concomitant triangulation. Quantitative data were collected before and after the implementation of the Model, by means of the Clinical Effectiveness and Evidence-Based Practice Questionnaire, with descriptive statistical analysis. Evidence values were obtained using the Wilcoxon test. Thirteen nurses participated. Qualitative data were obtained from interviews with 11 nurses from a public hospital and analyzed using the Content Analysis technique. Results: there were no statistically significant differences with the implementation of the model. However, nurses identified increased competencies in evidence-based practice with the recognition of advantages in their professional development, organization, and patient care. Conclusion: the implementation of the model has been shown to have contributed to the development of competencies in evidence-based practice.
- Supervisão clínica: análise da avaliação da dor pós-operatória em cirurgia de ambulatórioPublication . Teixeira, Leonor Olímpia; Santos, Rui; Augusto, Cristina; Barroso, Cristina; Carvalho, António LuísClinical supervision, as a formal process of monitoring professional practice, aims to improve decision-making to contribute to safety and quality of care through reflection processes and analysis of clinical practice. This study aimed to compare the postoperative pain evaluation and clinical recording procedures performed by nursing staff and clinical supervisors in ambulatory surgery patients. The study was integrated into the research project “SAFECARE”. It was developed a descriptive cross-sectional quantitative study in an ambulatory surgery unit of a University Hospital in Oporto, Portugal. The study population was the nursing staff with an intentional non-probabilistic sampling method. A questionnaire was constructed and evaluation of postoperative pain, patient clinical and demographic variables was included. This instrument was applied in 116 patients matched by 12 surgical specialties. Results were compared between nursing staff, clinical supervisors and electronic nursing records. Patients had an average age of 48.6 years, being mostly female. Regarding pain evaluation, the scale most used by nurses (62.1%) and clinical supervisors (67.2%) was the “Numerical Scale”. Postoperative pain evaluation scores ranged from 0 to 7, with score 0 (no pain) presenting more frequently by nurses, electronic nursing records and clinical supervisors. 34.5% of results were not documented in electronic nursing records. These findings support the importance of an intervention of clinical supervision in the indicator “pain” for the outpatient surgery setting. Local protocols of clinical supervision practice would contribute to improve postoperative pain evaluation, as well as standardization and optimization of nursing records, thus ensuring quality care.
- Implementação de um modelo de supervisão clínica em enfermagem – modelo SAFECAREPublication . Barroso, Cristina; Carvalho, António Luís; Augusto, Cristina; Teixeira, Leonor Olímpia; Teixeira, Ana; Rocha, InêsThe actual context, marked by the high cost of health care associated with technological advances, the increase in the workload of health professionals and the aging of the population with multiple chronic diseases. There are concerns raised by health organizations regarding the quality of care, with emphasis on actions aimed to the continuous quality improvement. The effects of clinical supervision on quality of care defined as a target area by the World Health Organization are a key aspect in improving quality. The literature shows that there is no model of nursing clinical supervision capable to respond to the actual context needs. The objective of this exploratory, descriptive and longitudinal study was to implement a contextualized nursing clinical supervision model, SafeCare model, in order to identify the contributions of its implementation in the indicators sensitive to nursing clinical supervision. The study was conducted in the surgery department of a health care institution and the nurses of the surgery department composed the sample. With this article we intend to disseminate the results of the implementation of the SafeCare model and to prove that the implementation of a contextualized Nursing clinical supervision model based on nurses’ needs, SafeCare Model, has contributed to obtaining higher quality and safer care for clients.
- Dor e Ferida cirúrgica: indicadores sensíveis em supervisão clínica em enfermagem no contexto de cirurgia em ambulatórioPublication . Teixeira, Leonor Olímpia; Santos, Rui; Barroso, Cristina; Carvalho, António Luís