Browsing by Author "Caldeira, Sílvia"
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- Adaptation and implementation of the European matrix for teaching spiritual care to nursing studentsPublication . Sitefane, Sara; Afonso, Ana; Rabiais, Isabel; Caldeira, SílviaBackground The World Health Organization’s concept of health currently comprises eight dimensions: emotional, spiritual, intellectual, physical, environmental, fnancial, occupational, and social. Including the spiritual dimension [1] represents an essential milestone in recognizing its positive impact on health, well-being, and quality of life. In this sense, nursing students’ acquisition and development of spiritual care skills are required, particularly in undergraduate nursing degrees. Also, the evidence demonstrates the positive relationship between spiritual education and spiritual competencies, emphasizing the need for spiritual education as an integral and regular part of the undergraduate nursing curriculum. Regardless of this evidence, the educational strategies for improving and developing undergraduate nursing students’ skills and competencies are scarce and should be urgently considered as nurses and midwives still report feeling unprepared for providing spiritual care. Recently, the EPICC project (Nurses’ and Midwives’ Competence in Providing Spiritual Care through Innovative Education and Compassionate Care)[2] has been implemented as a turning point in nursing education for spiritual care and spirituality, through a systematic, consensual, and efective response, by involving multiple partners and experts from diferent European countries. Portugal has been a participant in that Erasmus-funded project. Materials and methods This Ph.D. project concerns the translation, adaptation, and implementation of the EPICC matrix. First, a translation and cultural adaptation process will be conducted according to the core project guidelines [3]. Then the matrix for education and assessing spiritual care competencies will be implemented in a pilot study in a Portuguese nursing school involving undergraduate nursing students. Results The core project guidelines represent V stage of the cross-cultural adaptation process. The preliminary results point to the beginning of stage III with the back translation of the synthesized written version of the EPICC Spiritual Care Education Standard and EPICC Spiritual Care Competency Self-assessment tool. Stage I (initial translation with written reports of each – T1 and T2) and Stage II (synthesis of the translations to version T12) of the translation and cultural adaptation of the EPICC matrix are already concluded. Conclusions This innovative project could help improve Portuguese schools’ nursing curricula from an evidence-based perspective.
- Adaptation and implementation of the European matrix for teaching spiritual care to nursing studentsPublication . Sitefane, Sara; Afonso, Ana; Rabiais, Isabel; Caldeira, Sílvia
- Ameaças ao conforto neonatal durante a crise pandémica COVID-19: implicações éticas numa unidade de cuidados intensivos neonataisPublication . Almeida, Raquel; Mendes, Joana; Charepe, Zaida; Nunes, Elisabete; Lourenço, Margarida; Caldeira, Sílvia
- Avaliação das características definidoras do diagnóstico de enfermagem angústia espiritual em mulheres com cancro de mama: estudo transversalPublication . Martins, Helga; Domingues, Tiago Dias; Vieira, Margarida; Caldeira, Sílvia
- Between spiritual wellbeing and spiritual distress: possible related factors in elderly patients with cancerPublication . Caldeira, Sílvia; Carvalho, Emília Campos de; Vieira, MargaridaObjective: this article describes the assessment of the spiritual wellbeing of elderly patients with cancer submitted to chemotherapy and possible predictive factors of the spiritual distress diagnosis. Methodology: this is a methodological study for clinical validation of a nursing diagnosis, using interviews to assist in completing the form. Results: 45 elderly patients participated in this study, Catholics, mostly female, diagnosed with breast cancer, average age of 70.3 years. The prevalence of spiritual distress was of 42%; 24.4% of the elderly patients were under anti-depressant medication. A significant association was noted between spiritual distress, anti- depressant medication and level of education; an increase (not significant) was acknowledged at the start of the treatment. Conclusion: these results emphasize the relevance of clarifying this diagnosis and the responsibility of nurses to provide spiritual care to patients. Interventions should be planned appropriately every time a nursing diagnosis is identified as a complex answer and for which pharmacological treatment is not sufficient.
- Bringing ‘forgiveness’ into the International Classification for Nursing PracticePublication . Caldeira, Sílvia; Aparício, Maria; Pinto, Sara; Silva, Rita Santos
- Cancer, health literacy and happiness: perspectives from patients under chemotehrapyPublication . Pinto, Sara; Caldeira, Sílvia; Martins, José CarlosCancer is a dreaded disease that affects all dimensions of human life. In this context, issues related to the quality of life—as happiness, perception about health status, or health literacy—are important. This study aims to analyze the following topics the perception: the Portuguese cancer patients have about their health status while undergoing chemotherapy, the satisfaction with the information relating to their health, their level of happiness, and their vision of the future. An observational, cross-sectional, and descriptive study was developed. Data were collected between May and July 2012 in the day hospital of a central hospital in northern Portugal. The sample was composed of 92 cancer patients who were asked to answer a questionnaire during chemotherapy. The results indicate that, despite this life-threatening disease, patients consider themselves fairly happy and have an optimistic view of the future. Information about their health condition and religious beliefs was important coping mechanisms to help dealing with the suffering caused by the disease. The study highlights the importance of providing care in a holistic way. Nurses must be alert and available to listen, answer questions, provide supporting structures, or refer to other professionals when needed.
- Challenges in validating nursing diagnoses using a longitudinal designPublication . Martins, Helga; Caldeira, Sílvia
- Clinical validation of the nursing diagnosis spiritual distress in cancer patients undergoing chemotherapyPublication . Caldeira, Sílvia; Timmins, Fiona; Carvalho, Emília Campos de; Vieira, MargaridaObjective: Validate the nursing diagnosis spiritual distress in cancer patients. Methods: Cross-sectional approach using Richard Fehring's Clinical Diagnostic Validity Model. Findings: The prevalence of diagnosis was 40.8% in a sample of 170 patients. A total of 16 defining characteristics were validated. Expresses suffering had the highest sensitivity value and lack of meaning in life had the highest specificity value. Conclusions: The diagnosis was validated. Cancer patients in spiritual distress are in a state of suffering related to lack of meaning in life. Implications for Practice: Sensitive diagnosis tools and language are required for nurses to make accurate judgments in situations of spiritual distress. Validation in different contexts would increase the clinical evidence of this diagnosis.
- Comfort, well-being and quality of life: discussion of the differences and similarities among the conceptsPublication . Pinto, Sara; Fumincelli, Laís; Mazzo, Alessandra; Caldeira, Sílvia; Martins, José CarlosAim: To analyze the differences and similarities of the concepts of comfort, well-being and quality of life (QoL). Methods: Review of concept analysis research on PubMed, Cinahl (full text) and Scielo, using the search terms “Comfort”, “Well-being”, “Quality of Life” and “Concept Analysis”. Results: Eighteen studies were included. Comfort is a broader holistic concept while well-being is mainly related to psycho-spiritual dimensions. QoL reflects the individual perception of satisfaction with life.Conclusions: The concepts are not surrogate terms, but related concepts sharing common attributes. Caution should be taken in further research, particularly as regards the correct use and framing of the concepts.