Browsing by Author "Casaleiro, Tiago"
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- Clinical differential validation of nursing diagnosis using Q methodology: innovative approachPublication . Caldeira, Sílvia; Miguel, Susana; Casaleiro, Tiago; Martins, Helga
- Eficácia das intervenções de enfermagem na sobrecarga da família da pessoa com esquizofrenia: revisão de literaturaPublication . Casaleiro, Tiago; Seabra, Paulo; Caldeira, SílviaIntrodução: A esquizofrenia é uma perturbação mental grave que por estar associada a incapacidades tem impacto na vida das pessoas e dos seus familiares que, frequentemente, assumem o papel de cuidadores informais. Embora a evidência científica seja ainda limitada, cuidar de um familiar com doença mental parece promover a sobrecarga do cuidador. As intervenções familiares podem ajudar a reduzir a sobrecarga do cuidador na fase aguda da doença e interessa conhecer a eficácia das intervenções do enfermeiro especialista em saúde mental nesse contexto. Objetivo: Identificar a eficácia das intervenções do Enfermeiro Especialista em Enfermagem de Saúde Mental, na sobrecarga da família da pessoa com esquizofrenia internada em serviço de agudos, quando comparada com as intervenções dos enfermeiros generalistas. Material e Método: Revisão de literatura baseada em pesquisa de artigos na plataforma EBSCOhost -, nas línguas inglesa e portuguesa, publicados entre 2000 e 2016. Resultados: Estimou-se a eficácia da intervenção familiar na diminuição da sobrecarga objetiva e subjetiva dos familiares da pessoa com esquizofrenia, realizada por enfermeiros especialistas em saúde mental, quando comparadas com intervenções por enfermeiros não especialistas. A intervenção familiar mostra-se uma estratégia eficaz para a diminuição da sobrecarga do cuidador da pessoa com esquizofrenia. Conclusão: A intervenção com foco na família deve incluir uma abordagem educativa e de suporte.
- Longitudinal studies: a step forward diagnosis understanding and developmentPublication . Caldeira, Sílvia; Martins, Helga; Casaleiro, Tiago; Miguel, Susana; Romeiro, Joana; Silva, Rita Santos
- Mapping complex interventions in Portuguese healthcare research: a scoping review protocolPublication . Ventura, Filipa; Araújo, Odete; Casaleiro, Tiago; Morgado, Tânia; Oliveira, CláudiaAlong with the worldwide recognition of the importance of the methodological guidance to the validity and rigour of complex health interventions, this scoping review aims to identify and characterise the scientific evidence on complex health interventions in Portuguese healthcare research. The Joanna Briggs Institute (JBI) guidance for scoping reviews will be followed. The population (P) concept (C) context (C) mnemonic will scaffold the research questions, inclusion and exclusion criteria, and searching strategy. MEDLINE, CINAHL, LILACS, and Open Access Scientific Repository of Portugal (RCAAP) will be searched. Scientific evidence reporting complex health interventions in the Portuguese healthcare context, in Portuguese and English and published from 2008 and onwards will be considered for inclusion. Literature pertaining to complex health interventions outside the Portuguese healthcare context will be excluded. The literature will be screened for eligibility by two independent reviewers first by title and abstract and subsequently by full-text. A data matrix will be used for data-extraction of the included literature. The charted data will be thematically analysed and presented graphically with a narrative description of the literature characteristics. The results from this literature review are expected to provide an overview of the knowledge concerning the characteristics and methodological guidance of Portuguese complex health interventions.
- Promoting spiritual coping of family caregivers of an adult relative with severe mental illness: development and test of a nursing interventionPublication . Casaleiro, Tiago; Martins, Helga; Caldeira, SílviaSevere mental illness disrupts daily functioning, burdening family caregivers, who often adopt spiritual coping strategies. With comprehensive skills, mental health nurses can promote well-being and mental health. The aim is to develop and test the nursing intervention “promoting spiritual coping” in the family caregivers of home-dwelling people with mental illness. This study was conducted in two distinct stages. Initially, the intervention was developed according to the first phase of the Framework for Developing and Evaluating Complex Interventions. Secondly, the intervention protocol was tested in a mixed-method pilot study. An intervention protocol was developed and tested on ten family caregivers. The intervention comprised three sessions, and before-and-after assessments were conducted. Significant improvements were observed in the outcomes, with caregivers expressing that discussing spirituality and religiosity benefited them. This intervention prioritized the therapeutic relationship of the nurses and family caregivers. The intervention “promoting spiritual coping” was created and evaluated as a suitable approach for mental health nurses to use in a psychotherapeutic context with family caregivers of individuals with mental illness.
- Quais as necessidades espirituais que experienciam as pessoas quando passam pelo processo de luto: uma revisão sistemática de estudos qualitativosPublication . Martins, Helga; Casaleiro, Tiago; Romeiro, Joana; Caldeira, Sílvia
- Spiritual aspects of living with spinal cord injury while in rehabilitation: a qualitative reviewPublication . Roldão, Liliana; Romeiro, Joana; Casaleiro, Tiago; Martins, Helga; Caldeira, SílviaBackground According to the World Health Organization, between 250,000 and 500,000 people worldwide sufer a spinal cord injury (SCI) each year, and more than 90% cases are traumatic. These injuries cause profound changes in life and have a negative implication on well-being and quality of life. Spirituality may represent a critical dimension in living and overcoming this condition which usually happens unexpectedly. As so, the healthcare approach considers a holistic paradigm in which individuals are unique and require dignity preserving care. This review aims to identify the spiritual aspects of the experience of adults living with SCI while in the rehabilitation process. Materials and methods This review included qualitative studies focusing on spiritual needs, spiritual responses, or spiritual practices of adults with SCI spinal cord injury while in rehabilitation process. No date limits were be applied. No language restrictions were be applied. The databases searched included CINAHL complete MEDLINE ,PubMed, Nursing and Allied Health Collection, CDSR (Cochrane Database of Systematic Reviews), PsycINFO, MedicLatina, and SciELO – Scientifc Electronic Library Online. The search for unpublished studies will include Open Grey, RCAAP (Portuguese open access scientifc repository), CAPES Brazil – Theses and dissertations. Study selection, critical appraisal, data extraction, and data synthesis were performed by two reviewers, as the review team was organized in each stage to guarantee independent and blind review. The synthesized fndings were graded according to the ConQual approach for establishing confdence in fndings. Software SUMARI was used to all reviewing process. Results Two synthesized fndings emerged: spiritual coping strategies used by patients living in this condition (related to beliefs and values); spiritual needs are expressed by these patients in diferent phases while in the rehabilitations, such as faith, hope, meaning and purpose. Conclusions Spiritual needs have been identifed and spirituality seem a coping mechanism used by these patients. The evidence from this qualitative review may inform new nursing intervention that can be implemented and tested.
- Validation of an instrument to assess the meaning in sufering: a methodological studyPublication . Romeiro, Joana; Martins, Helga; Casaleiro, Tiago; Caldeira, SílviaBackground Sufering is a complex, multidimensional and individual experience extensively described in literature concerning diferent life and health conditions, but often reduced to a physical perspective as a symptom. The relationship between sufering and meaning in life led to the development of measurement tools such as it is the case of the Meaning in Sufering Test (MIST). Additionally, recent studies have awakened the interest in the spiritual dimension and meaning in life lived by people with a reproductive health-condition, such as infertility. As such, there is an urge to study the psychometric properties of the Portuguese version of the Meaning in Sufering Test in the Portuguese context. Up to now, only one Portuguese study aimed to validate such tool in a sample of Portuguese adult patients with chronic rheumatic pain. Materials and methods More studies are needed to support structural validation and testing of the psychometric properties of MIST in diferent sets and samples. The Portuguese version of the Spiritual Wellbeing Questionnaire is a tool that could be used in such validation process. This study was approved by the Ethics Committee of Universidade Católica Portuguesa. It was performed a confrmatory factor analysis with a sample of 104 persons under fertility treatment. Results It was revealed a poor ft of previous structures and as such an exploratory factor analysis provided a fnal version with 16 items with three factors: “Meaning in life and subjective characteristics in the face of sufering”; “Positive responses to sufering”; and “Loss of control over sufering”. Conclusions Further research is necessary to better understand fluctuations in individuals undergoing long-term treatments and test the 16-item and three-factor version as a suitable, valid, and reliable structure for measuring meaning in suffering by nurses providing care to different patients with different health conditions and context.
- Validation of the Brief RCOPE in Portuguese family caregivers of adults with health conditionsPublication . Casaleiro, Tiago; Martins, Helga; Caldeira, SílviaBackground: Coping is a multifactorial and individual process related to responding to stressful situations, such as being a caregiver of a relative with health conditions. Spiritual/religious coping is an important internal resource used by individuals enduring stressful situations. The 14-item Brief RCOPE is a widely used instrument but not available in European Portuguese. Objective: To translate, adapt and validate the 14-item Brief RCOPE in Portuguese caregivers of an adult relative with a health condition. Method: The methodological guideline provided by Sousa and Rojjanasrirat was used to examine the psychometric properties of the Brief RCOPE. Results: The linguistic and conceptual equivalence of the scale was determined. The internal consistency was acceptable (Cronbach’s α = 0.86). The Principal Axis Factor (PAF) analysis with varimax rotation identified two factors made up of 13 items, and one item was excluded from the scale. Conclusion: The European Portuguese version of the Brief RCOPE is a reliable and valid measure for assessing religious coping of family caregivers of adults with health conditions.
- Validation of the European Portuguese version of the Brief RCOPE: methodological studyPublication . Casaleiro, Tiago; Martins, Helga; Romeiro, Joana; Caldeira, SílviaBackground Being a family caregiver often leads to a burden, with an impact on diferent dimensions of life. As so, the caregiver develops coping strategies to deal with stressful situations. Coping is a multifactorial and individual process related to responding to stressful situations, such as being a caregiver of a relative with health conditions. There are diferent coping strategies, such as spiritual/religious coping. The 14-item Brief RCOPE is a widely used instrument to assess spiritual/ religious coping, but it is not available in European Portuguese. This instrument is a short version of RCOPE which has 63 items. The aim was to translate, adapt and validate the 14-item Brief RCOPE in Portuguese caregivers of an adult relative with a health condition, such as dementia, mental illness, disabilities, among other physical illnesses. Materials and methods To examine the psychometric properties of the Brief RCOPE it was used the methodological guideline provided by Sousa and Rojjanasrirat. Results The linguistic and conceptual equivalence of the scale was established. A total of 105 questionnaires were included in this study. The internal consistency was acceptable (Cronbach’s α = 0.86). The Principal Axis Factor (PAF) analysis with varimax rotation identifed two factors made up of 13 items, and one item was excluded from the scale. Conclusion The European Portuguese version of the Brief RCOPE is a reliable and valid measure for assessing the religious coping of family caregivers of adults with health conditions.