Browsing by Author "Alves, Paulo"
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- Abdominal wounds, stomas and fistulas: assessment and impaired healingPublication . Alves, Paulo
- Abordagem à pessoa com lesões de pele associadas à humidadePublication . Almeida, Armando; Sousa, Filomena; Grilo, Liliana; Alves, Paulo; Ramos, PauloA preservação da integridade cutânea está considerada, à luz dos conhecimentos atuais, como um forte indicador da qualidade dos cuidados de saúde prestados, nomeadamente ao nível da prevenção de lesões. As Lesões de Pele Associadas à Humidade (LPAH) são causadas pela prolongada exposição da pele a fluidos e seus constituintes, de várias fontes. Existe um conjunto de mecanismos que interagem entre si, de forma a manter a homeostasia cutânea, impedindo a sua lesão. Contudo, em situações agudas ou crónicas, este equilíbrio fica comprometido e é necessária a intervenção externa para a prevenção e tratamento das lesões cutâneas. A APTFeridas elaborou este documento, com o apoio da 3M, como guia de orientação para as melhores práticas de prevenção e tratamento de Lesões Associadas à Humidade da Pele. Neste documento, para além de uma revisão da literatura, também encontrará instrumentos que ajudam na prática clínica, constituindo uma mais valia para a melhoria dos cuidados prestados à pessoa em risco ou com lesão de pele associada à humidade.
- Abordagem da pessoa com feridas - Perspectivando a transdisciplinaridade nas equipas de saúdePublication . Malta, Domingos; Alves, Paulo
- Amputação abomino-perineal: uso de terapia de pressão negativa na ferida perinealPublication . Miranda, Liliana; Carvalho, Ângela; Costa, Sandra; Martins, Mónica; Amado, João; Alves, PauloA Amputação Abdomino-Perineal (AAP) é a técnica mais eficaz no tratamento da neoplasia do reto baixo e do tumor do canal anal. Sendo uma cirurgia de grande excisão tecidular, associada a grande parte das vezes a radioterapia (RT) prévia à cirurgia, compromete a cicatrização da ferida perineal, que se traduz numa elevada taxa de complicações no pós-operatório imediato (entre 14% a 60%), nomeadamente infeção da ferida operatória e consequente deiscência. A Terapia de Pressão Negativa (TPN) tem surgido como uma opção no tratamento de complicações da ferida cirúrgica, bem como na prevenção das mesmas.
- An international consensus on device-related pressure ulcers: SECURE preventionPublication . Gefen, Amit; Alves, Paulo; Ciprandi, Guido; Coyer, Fiona; Milne, Catherine; Ousey, Karen; Ohura, Norihiko; Waters, Nicola; Worsley, Peter
- Artificial intelligence ethics and challenges in healthcare applications: a comprehensive review in the context of the European GDPR mandatePublication . Amini, Mohammad Mohammad; Jesus, Marcia; Sheikholeslami, Davood Fanaei; Alves, Paulo; Benam, Aliakbar Hassanzadeh; Hariri, FatemehThis study examines the ethical issues surrounding the use of Artificial Intelligence (AI) in healthcare, specifically nursing, under the European General Data Protection Regulation (GDPR). The analysis delves into how GDPR applies to healthcare AI projects, encompassing data collection and decision-making stages, to reveal the ethical implications at each step. A comprehensive review of the literature categorizes research investigations into three main categories: Ethical Considerations in AI; Practical Challenges and Solutions in AI Integration; and Legal and Policy Implications in AI. The analysis uncovers a significant research deficit in this field, with a particular focus on data owner rights and AI ethics within GDPR compliance. To address this gap, the study proposes new case studies that emphasize the importance of comprehending data owner rights and establishing ethical norms for AI use in medical applications, especially in nursing. This review makes a valuable contribution to the AI ethics debate and assists nursing and healthcare professionals in developing ethical AI practices. The insights provided help stakeholders navigate the intricate terrain of data protection, ethical considerations, and regulatory compliance in AI-driven healthcare. Lastly, the study introduces a case study of a real AI health-tech project named SENSOMATT, spotlighting GDPR and privacy issues.
- Artificial intelligence in wound care education: protocol for a scoping reviewPublication . Encarnação, Rúben; Manuel, Tânia; Palheira, Hélder; Neves-Amado, João; Alves, PauloAs healthcare continues evolving in the age of digital technology, the integration of artificial intelligence has emerged as a powerful force, particularly in wound care. The education of healthcare professionals in wound care is crucial for ensuring they acquire the necessary knowledge and skills, optimizing patient outcomes. This paper outlines the protocol for a scoping review with the goal of mapping and analyzing the current scientific evidence regarding the potential impact of artificial intelligence in wound care education. The current protocol follows the JBI methodological framework. The search was conducted in December 2023 in the following databases: CINAHL Complete (via EBSCOhost), MEDLINE (via PubMed), Cochrane Library, Academic Search Complete, Scientific Electronic Library Online (Scielo), Scopus, and Web of Science. Electronics searches were conducted in the Scientific Open Access Scientific Repositories of Portugal (RCAAP) and ProQuest Dissertations and Theses, OpenAIRE, and Open Dissertations databases to access gray literature. Additionally, searches were performed on Google Scholar and specific journals such as the International Wound Journal, Skin Research and Technology, Journal of Wound Care, and Wound Repair and Regeneration. The initial database searches retrieved a total of 11,323 studies. After removing duplicates, a total of 6450 studies were submitted for screening. Currently, 15 studies are included in this review, and data charting and analysis are underway. The findings of this scoping review will likely provide insights into the application of artificial intelligence in wound care education.
- Artificial intelligence in wound care education: scoping reviewPublication . Encarnação, Rúben; Alves, José; Marques, Ana; Neves-Amado, João; Alves, PauloBackground: Artificial intelligence is transforming healthcare education, offering innovative teaching and skill development approaches. However, its implementation and effectiveness in wound care education remain unclear. Objective: To map and analyze the available evidence on the potential impact of artificial intelligence in wound care education, identify knowledge gaps, and provide recommendations for future research. Design/methods: This scoping review followed the Joanna Briggs Institute guidelines for scoping reviews and the PRISMA-ScR guidelines. The search was first conducted in December 2023 and updated on 30 November 2024 across the following databases: CINAHL Ultimate, MEDLINE, Cochrane Library, Academic Search Complete, Scientific Electronic Library Online (Scielo), Scopus, and Web of Science. Grey literature was accessed through Scientific Open Access Scientific Repositories of Portugal (RCAAP), ProQuest Dissertations and Theses, OpenAIRE, and Open Dissertations. Additional searches were performed in Google Scholar and specific journals, including the International Wound Journal, Skin Research and Technology, Journal of Wound Care, and Wound Repair and Regeneration. Eligibility criteria encompassed any study design exploring the use of artificial intelligence in wound care education, published in English, Portuguese, or Spanish, with no restrictions on publication date. Results: This review revealed diverse artificial intelligence applications in wound care education, including adaptive e-learning platforms, virtual and augmented reality simulations, generative artificial intelligence for educational content, and diagnostic and treatment tools. These technologies offer personalized learning experiences, real-time feedback, and interactive engagement to enhance clinical skills. Despite their promise, most studies lacked empirical validation, highlighting significant gaps in integrating artificial intelligence into wound care education. Conclusions: This review highlights artificial intelligence’s transformative potential to revolutionize wound care education by fostering interactive and evidence-based learning environments. This work highlights the need for collaboration among educators, policymakers, and researchers. Future research is needed to ensure effective, ethical, and equitable integration of artificial intelligence in wound care education.
- Attitude Towards Pressure Ulcers Instrument: validação e adaptação transcultural para a população portuguesa de enfermeirosPublication . Batista, Margarida; Dixe, Maria dos Anjos; Alves, PauloContexto/objetivos: A investigação e a prática têm evidenciado a importância das atitudes dos enfermeiros na prevenção das úlceras de pressão e a necessidade da elaboração de instrumentos de medida válidos e fiáveis para a sua avaliação. Respondendo a esta necessidade, procedemos à validação transcultural do Attitude Towards Pressure Ulcers Instrument (APU) para a população portuguesa. Metodologia: Realizou-se um estudo metodológico numa amostra não-probabilística de estudantes de enfermagem (n=147) e enfermeiros (n=155). Foi utilizada a metodologia usada no estudo de validação original. Resultados: A tradução-retrotradução com a participação de um painel de peritos garantiu a equivalência semântica e conceptual. A análise fatorial determinou que os 22 itens se organizam em 5 fatores (importância, responsabilidade, obstáculos/barreiras, confiança na eficácia e competências pessoais), explicando 53,6% da variância total. Obteve-se um poder descriminante da escala em alguns dos grupos comparados. O coeficiente a Cronbach total=0,847 garantiu a consistência interna da escala e a confiabilidade teste-reteste revelou coeficientes de correlação r=0,883 comprovando a sua estabilidade temporal. Enfermeiros e estudantes revelaram uma atitude positiva acerca dos itens da escala, sem diferença estatisticamente significativa entre estes (t=0,567; p>;0,05). Conclusão: A escala APu-PT evidenciou ser fiável e válida para a prática, ensino e investigação.
- Avaliação do risco de úlcera de pressão no doente com queimaduraPublication . Miranda, Fernando; Nobre, Andreia; Alves, Paulo; Oliveira, Irene