Browsing by Author "Amendoeira, J."
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- Adolescents and harmful consumptions: what do they know? A scoping reviewPublication . Correia, C.; Fernandes, F.; Correia, M.; Dias, H.; Amendoeira, J.; Silva, M.Introduction Adolescence is highly marked by the experiencing of numerous conducts of experimentation, being the most common the use of legal or illegal substances that most of the times translates to an unweight decision-making, mostly due to peer pressure or for recreative purposes. Objectives To understand the dynamic between adolescents’ harmful consumptions and their sexuality experience. Methods It was developed a scoping review from the following review question: ‘‘do adolescents’ harmful consumptions influence their experience of sexuality?’’ using Joanna Briggs Institute’s Protocol. Alcohol drinking, health literacy, tobacco use, selfinjurious behaviour and sexuality were defined as mesh descriptors, which lead to the following search expression (health literacy OR alcohol drinking AND tobacco use OR selfinjurious behaviour AND sexuality). There were used two data bases, PubMed and ProQuest, and established a few research limiters, such as free full text, a time period since 21/03/2014 up until 21/03/2019 and adolescent (13 to 18) in both data bases. Results Most adolescents consume alcohol, tobacco and drugs in schools by the age of 14/15. The first contact with these substances occurs through their friends. This can be translated not only by the lack of information of adolescents, but also by not knowing where to find it, which suggests a lack of health literacy in this subject and possible influence in decision making, especially in the experience of sexuality. Conclusions The early experience of harmful consumption in adolescence causes problems that can affect health in general and in particular, the expression of sexuality through the adoption of unsafe behaviours. Nurses need to be attentive to the needs of young people to intervene according to their needs, increasing their health literacy.
- Here4You-Footsteps... building the future: an action research project to prevent tobacco consumption in the 3rd CyclePublication . André, C.; Amendoeira, J.; Figueiredo, M. C.; Martins, M. R.; Pinto, C.; Nunes, M.; Rainha, L.; Godinho, A.; Ferreira, M.; Pintor, M.; Oliveira, M.Introduction Tobacco is the first preventable cause of morbidity and mortality, and should be targeted at younger age groups, with the school being considered as a privileged space for this intervention. The project “ Here4You - Footsteps…Building the future – Health Promoting School “ aims to enable 3rd cycle students to make responsible decision making in the prevention of tobacco consumption by building knowledge, attitudes, skills regarding healthy lifestyles, and behaviours related to risk factors associated with tobacco use. Objectives To disclose the gains from the development of the project. Methods Project developed in partnership between the School of Health of Santarém, as Health Promotion School - Health Indicators Monitoring Unit, and the Community Care Unit of Chamusca/Golegã. It is inserted in the methodology of Action Research: Diagnosis, Planning, Intervention and Evaluation, in the 7th and 8th years, from 2015/2016 until 2018/2019. The Global Youth Tobacco Survey, Portuguese version, was used at the beginning (7th year) and at the end of the intervention (8th year). Results 460 students were interviewed, with 279 sessions of health education in the classroom context. All the sessions were evaluated, using a questionnaire that integrates questions related to the contents and a grid of opinion about the session, constituted by 5 items, with scores between [5; 25]. In the last edition of the project, 13% of 7th graders said they had already smoked and, in the previous one, 10% of the students said they smoked, the lowest value found. Conclusions In order to foster complementarity and convergence solutions to generate positive synergies, the intervention occurred in the classroom in the different disciplines. Obtaining health outcomes implies a consistent and continuous intervention that accompanies the students throughout their formative course. With the GYTS it has been possible to evaluate the impact of the developed intervention.
- Impact evaluation of literacy on health in school from the third cycle of basic education: a scoping reviewPublication . Figueiredo, M. C.; Dias, H.; Amendoeira, J.; Spínola, A.; André, C.; Godinho, C.; Duarte, A.; Pintor, M.; Ferreira, M.
- Instruments to evaluate alcohol consumption in the pregnant women: a scoping reviewPublication . Cândido, A.; André, C.; Carreira, T.; Dias, H.; Santiago, C.; Cruz, O.; Amendoeira, J.Introduction The consumption of alcohol by the pregnant woman is particularly relevant as it is associated with serious consequences for the fetus. However, studies on alcohol consumption during pregnancy and its consequences; using instruments that allow the characterization of the consumption are rare in Portugal. Question Which instruments allow the characterization of alcohol consumption in pregnant women? Objectives To identify instruments for the characterization of alcohol consumption in pregnant women. Methods Population: pregnant women; Concepts: pregnancy, alcohol consumption and assessment instruments; Context: nursing interventions provided to pregnant women. Type of studies: quantitative, qualitative and mixed. Search term: conjugates the descriptors MeSH: Pregnant Women OR Pregnancy AND Alcohol Drinking AND Weight and Measures. Search for articles published in the ProQuest and PubMed databases and on the EBSCOhost platform: CINAHL Complete, MEDLINE Complete and Mediclatina, with the limiters: full text, published from 1/1/2014 to 5/31/2018, human and age group-Adults (19-44 years). Data was extracted using the Joanna Briggs Institute Instrument. Results To evaluate the methodological quality, PRISMA flowchart 2009 was used. Four studies were included, three with quantitative design and one qualitative design. The instruments identified that allow the characterization of alcohol consumption in pregnant women are Green Page; T-ACE; CAGE; TWEAK; in addition to questions adapted from other questionnaires. Two studies identify predictors of alcohol consumption in pregnant women. Conclusions The scoping review allowed us to reach the objectives outlined; identifying studies whose instruments used were reliable for the characterization of alcohol consumption in pregnant women, as well as the identification of predictors associated with alcohol consumption.
- Prevention of alcohol consumption among young people: a contribution to health literacyPublication . Andre, C.; Candido, A.; Carreira, T.; Santiago, C.; Cruz, O.; Amendoeira, J.Introduction The consumption of alcoholic beverages assumes great expression in the young population. Currently, alcohol is the most consumed psychoactive substance in Portugal at this stage of life. As a Health Promoting School, the School of Health of Santare´m, in the context of community outreach activities, has developed of health education sessions aimed at empowering young people to adopt responsible behaviours towards the consumption of alcoholic beverages. Objectives Empowering young people to make informed decisions in alcohol consumption prevention. Methods Development of health education sessions, using active methodologies, in class context, in the 3rd Cycle - 9th year, in two school groups of the area of influence of the School of Health of Santare´m, in the 2017/18 and 2018/19 school years. The sessions focused on the effects of alcohol consumption on the human body, particularly at the central level, in the liver and other organs. Sessions evaluated using a questionnaire, a question addressed to the evaluation of contents and a grid of evaluation of students’ opinion on the session, integrating 5 items, with scores between [5; 25]. Results 11 sessions of health education in a class context were performed, covering a total of 209 students. 188 (98%) students identified at least one harmful effect of alcohol on the liver. 117 (60%) students presented a score between [20; 25] in the opinion evaluation grid on the session. Conclusions The adoption of responsible behaviours in relation to alcohol consumption by young people has been a challenge in health literacy, which is considered to be won by the increased motivation in acquiring an awareness of healthy habits and decision-making in the prevention of alcohol consumption.
- Sexuality experiences in youth of the 3rd cycle: a scoping reviewPublication . Neves, C.; Figueiredo, R.; David, R.; Dias, H.; Amendoeira, J.; Silva, M.Introduction: Adolescence is characterized by a period of change towards autonomy. The need of assessment of sexuality is essential to promote healthy sexual health. The intervention of the nurse is to evaluate the needs and behaviours of adolescents, related to sexuality, with the aim of promoting healthy sexual health. Objective: Intends to map the adolescents’ needs, related to sexuality and sexual health. Methods: Scoping review based on the methodology of Joanna Briggs Institute. A review question was created, which guided the work and helped to establish the inclusion criteria: population (adolescents of the 3rd cycle [aged between 13 and 15 years]), concepts (sexuality, adolescent, needs assessment and sexual health), and context (adolescence). PubMed and ProQuest were used as databases, with a chronological drawing of 5 years (January 2014-2019), among other limiters. The search expression was ‘‘Sexuality AND Adolescent OR Needs Assessment AND Sexual Health. Two qualitative studies were selected for analysis. The evaluation of the methodological quality was done through PRISMA flowchart 2009. Results: The first article sought to build a contextual development framework that could be used to identify, understand and respond to adolescents’ sexual behaviours. The second article investigated the adolescents’ needs and hopes about sex education. The adolescents identify as their sexuality needs that the approaches in the sexual education sessions are not only focused on the biological aspect, but also on the emotional and affective dimensions, leaving aside more conservative and risky views. It showed that they prefer when teachers speak this topic at home by family members or, in school environment. Conclusion: The articles were conducted regarding adolescents’ development, health and sexual safety, and their needs about sex education, as well as exploring the role of health and education sectors.
- The child/family. The centrality of carePublication . Ferreira, R.; Goncalves, J.; Sousa, H.; Amendoeira, J.; Silva, M.Introduction The centrality of health care to the child emerges in the family. Decision-making results from this partnership, with results in health promotion and disease prevention. The nurse identifies a set of resources and strategies that constitute literacy and health gains. Objectives Map evidence related to nurses’ strategies in child/family care delivery. Methods Development of Scoping review according to Joanna Briggs Institute (JBI) with the question: "What strategies do nurses use in child care?’’ The population selected, children up to 18 years of age; concepts: nursing, patient-centred care, outcome assessment and family nursing; context: where the child / family is located. The search expression: "Patient-centered care" AND "family nursing" OR "Outcome assessment". All MeSH descriptors. Research on the EBSCOhost platform (CINAHL, MedicLatina, Medline and Nursing & Allied Health Database) and in the database: PubMed. 5-year chronological drawing (2014-2018). With PRISMA (JBI), we have included 12 articles. We mobilized the Data Extraction to systematize the results with methodological quality, ensuring their congruence with the revision question. Results The centrality of care in the family promotes literacy. Strategies included the presence, participation, collaborative work, evaluation and empowerment of the family/child, with results centered on health literacy. The promotion of sleep quality/ mood of the parents; systematic evaluation for individualized family/quality of life interventions; strengthening of coping mechanisms; family uniqueness; parental involvement in care; involvement and identification by the family/child promotes their literacy. Conclusions Understanding and identifying nursing strategies in childcare highlights the centrality of care in the family and their participation and the promotion of health literacy.
- The influence of alcohol in the practice of safe sex in adolescencePublication . Abreu, A.; Matos, B.; Silva, C.; Silva, M. C.; Dias, H.; Amendoeira, J.; Silva, M.Introduction Currently, the consumption of alcohol in adolescent population is associated with the practice of risk behaviour. It was considered suitable to carry out a scoping review, considering as starting question: "the consumption of alcohol affects decision-making, in adolescence, in the experience of safe sex?". Objective To identify the influence of alcohol in the decision-making on a practice of safe sex in adolescents. Methods Scoping review using the Protocol of Joanna Briggs Institute. The Mesh descriptors defined led to the following search expression: ‘‘alcohol drinking AND decision-making AND adolescent OR safe sex’’. There was consulted two scientific databases ProQuest and PubMed, considering the following criteria for inclusion: articles in academic and specialized magazines, with date of publication for a period of 5 years. In order to perform the step in the "Study Selection" it was used the PRISM 2009 flowchart to ease the methodological quality assessment of articles to be included in the meta-analysis. Results Six studies were included. Evidence shows that excessive alcohol consumption makes people more uninhibited and exhibits behaviours that are socially inadequate and lack selfcontrol. Therefore, alcohol affects the decision making of the adolescent, becoming more susceptible to the practice of unsafe sex. However, the practice of safe sex is also influenced by the lack of knowledge of both parents and adolescents. Conclusion The role of the nurse is to alert parents so that they get closer to their children and respond to their needs. It consists also in trying to approach to the reality of young people, identifying the problem and develop prevention and treatment programs for alcohol use, in order to prevent early and continuous behaviours congruent with a healthy life.
- The influence of peers on the experience of sexuality in adolescence: a scoping reviewPublication . Dias, H.; Amendoeira, J.; Silva, M.; Cruz, O.Introduction In adolescence, the interaction of young people with their peers has been identified as an influencing factor in responsibility, maturity and healthy development, and in particular experience of sexuality, which can lead to risky behaviours. We try to answer the following question: How does peer influence reflect in the experience of sexuality in adolescence? Objetives To identify peer influence in the experience of sexuality in adolescence. Methods Conducted a scoping review in ProQuest and PubMed using the search expression ‘‘Peer Influence And Adolescent And Sexuality Or Sexual Behaviour’’. Inclusion criteria: Population (the adolescents), concept (Peer influence and Sexuality) and context (adolescence). Types of studies: qualitative and quantitative. Used a 5-year chronological frieze (January 2014-2019). For the evaluation of the methodological quality, the PRISMA flowchart 2009 was used. There were six articles for analysis. Results There is great vulnerability in adolescents; they are in a phase of social, emotional and cognitive development. They make inappropriate decisions that increase sexual risky behaviour. Their behaviours are to satisfy their sexual partners, sacrificing their wants in order to keep their partners interested. The most popular young people have a significant influence on the behaviour of the outer adolescents. Adolescents refer that the discipline of Sexual Education in schools is beneficial. Conclusion Adolescents are influenced by their peers in decision making to romantic/sexual relationships. Peers are the main source of information about sexual health, which means they are possibly getting ‘‘not trustworthy’’ information. It is important to perceive their necessities so that the interventions made in the sexual education programs are adequate, so that adolescents become more resistant to peer pressure. Thus, the nurse is central to the changes in the adolescents’ lifestyle through empowerment strategies that promote health.
- The school as a personal construction space: how to prevent bullying?Publication . Carreira, T.; André, C.; Cândido, A.; Santiago, C.; Cruz, O.; Amendoeira, J.Introduction The school has now the mission of contributing to the personal and social construction of each student at all levels, particularly in the prevention of behaviours associated with bullying. Therefore, there are many aspects of personal and social development that need to be worked on and discussed throughout each young person’s growth and development. The School of Health of Santarém of the IPSantarém, as a Health Promoting School, has carried out a series of health education sessions with the aim of preventing bullying in the school environment among students in the 1st and 2nd cycle of basic education. Objectives Explain the path taken in the area of personal and social development of students in school context in the prevention of behaviours associated with bullying. Methods Sessions of health education, in class context, using interactive methodologies, namely group work with broad discussion. The discussion comprised the concepts of bullying, aggressor, victim and witnesses. These sessions are developed in basic education, from the 3rd year of the 1st cycle and continuing until the 6th year of the 2nd cycle, in two school groups, from the area of influence of the School of Health of Santarém, beginning in the school year 2009/2010 until the present. Results 90 sessions of health education were developed, with the participation of 1769 students, being verified their interest and involvement, demonstrated by the attention and discussion of the subjects worked in group and framed in the thematic. Having said that, these sessions have been being promoters of health literacy among young people. Conclusions The sessions promoted the open and enlightened debate with the involvement of all, perceiving the awareness to the theme which contributes to promote the health literacy among this population, as well as to the personal and social development of students and consequently to the prevention of behaviours associated with bullying in school.