Percorrer por autor "Fernandes, Rita"
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- Dinâmicas, transições identitárias e desenvolvimento profissional de enfermeiros na mercantilização da saúdePublication . Fernandes, Rita; Araujo, Beatriz; Pereira, FátimaObjetivo: conhecer as identidades profissionais de enfermeiros portugueses e os sentidos das transições em curso, para fornecer os suportes necessários aos desafios identitários profissionais. Materiais e método: investigação de abordagem mista realizada entre 2016 e 2017. Utilizou-se como instrumento de recolha de dados um Inventário de Identidade Psicossocial de Zavalloni e Louis-Guérin, junto duma amostra de 102 enfermeiros, dos quais 19 foram posteriormente entrevistados. Resultados: analisaram-se alguns dados que correspondiam aos possíveis selves e à identificação do núcleo central e dos elementos periféricos da identidade profissional, tais como as condicionantes profissionais. Verificou-se a existência de um grupo dominante de enfermeiros numa dualidade identitária entre o enfoque nos cuidados e na autonomia profissional e o enfoque nas exigências institucionais, com o receio de despersonalização dos cuidados. Também se identificou um outro grupo profissional, mais relacionado com o cuidar, que não apresenta marcas dessa institucionalização, mas que deseja um maior desenvolvimento das relações humanas e do conhecimento científico. Conclusões: as possíveis transições identitárias identificadas podem ocorrer conforme os reforços e os reconhecimentos oferecidos, ora com correspondência a fatores de mercado e consequente despersonalização do cuidar, ora com a conquista da autonomia e resgate do cuidar, assentem na cientificidade profissional.
- Estudos sobre a liderança na enfermagem em PortugalPublication . Fernandes, Rita; Vieira, Margarida
- Excess perigestational folic acid exposure induces metabolic dysfunction in post-natal lifePublication . Keating, Elisa; Correia-Branco, Ana; Araújo, João R,; Meireles, Manuela; Fernandes, Rita; Guardão, Luísa; Guimarães, João T.; Martel, Fátima; Calhau, ConceiçãoThe aim of this study was to understand whether high folic acid (HFA) exposure during the perigestational period induces metabolic dysfunction in the offspring, later in life. To do this, female Sprague-Dawley rats (G0) were administered a dose of folic acid (FA) recommended for pregnancy (control, C, 2 mg FA/kg of diet, n=5) or a high dose of FA (HFA, 40 mg FA/kg of diet, n=5). Supplementation began at mating and lasted throughout pregnancy and lactation. Body weight and food and fluid intake were monitored in G0 and their offspring (G1) till G1 were 13 months of age. Metabolic blood profiles were assessed in G1 at 3 and 13 months of age (3M and 13M respectively). Both G0 and G1 HFA females had increased body weight gain when compared with controls, particularly 22 (G0) and 10 (G1) weeks after FA supplementation had been stopped. G1 female offspring of HFA mothers had increased glycemia at 3M, and both female and male G1 offspring of HFA mothers had decreased glucose tolerance at 13M, when compared with matched controls. At 13M, G1 female offspring of HFA mothers had increased insulin and decreased adiponectin levels, and G1 male offspring of HFA mothers had increased levels of leptin, when compared with matched controls. In addition, feeding of fructose to adult offspring revealed that perigestational exposure to HFA renders female progeny more susceptible to developing metabolic unbalance upon such a challenge. The results of this work indicate that perigestational HFA exposure the affects long-term metabolic phenotype of the offspring, predisposing them to an insulin-resistant state.
- Formação e transições laborais em enfermagem: efeitos na identidade e no desenvolvimento profissionalPublication . Fernandes, Rita; Araújo, Beatriz; Pereira, FátimaThe changes in society are reflected in the training, the profession and the work of the nurses, giving rise to new professionalism. In this study, a qualitative paradigm was intended to know the implications of training in transitions in the world of work, in the identity and professional development of nurses. The Psychosocial Identity Inventory was applied. In this study, a qualitative paradigm was intended to know the implications of training in transitions in the world of work, in the identity and professional development of nurses. The Psychosocial Identity Inventory was applied. The valorisation of formal and informal training in work transitions allows the (re)construction of identities based on scientific practicality, on the evolution of knowledge, integrated into professional projects, on the sharing of knowledge and experiences among peers and interprofessionals, and on the establishment of references for the development and improvement of nursing care.
- Formação e transições no mundo do trabalho em enfermagem: efeitos na identidade e no desenvolvimento profissional de enfermeirosPublication . Fernandes, Rita; Araujo, Beatriz; Pereira, Fátima
- Nursing management and leadership approaches from the perspective of registered nurses in PortugalPublication . Fernandes, Rita; Araujo, Beatriz; Pereira, FátimaBackground: The leadership role in nursing reflects the complexity and rapid transformations which take place in healthcare. The influences of this catalyst of change are important for nurses’ identity and professional development, as well as for evolving and innovating nursing practices. Objective: This study is part of a larger research project on doctoral Leadership in Nursing, aims to identify nurses’ perceptions regarding their similarities and differences compared to nurses in manager roles, in order to understand and recognise the influences and barriers to leadership in the nursing hierarchy. Methods: A descriptive cross-sectional study of a qualitative nature, involved the participation of 19 registered nurses (RNs), based on the Zavalloni Ego-Ecological Theory. Results: From the dimension of identification emerged two major themes - the vision of the profession and the competency skills required. The major theme of competency skills includes subthemes of relational, technical/scientific, leadership and management competencies. From the dimension of differentiation emerged two major themes - the vision of the profession and the competency skills. The major theme competency skills included two subthemes - the deficit of relational and management competency skills. Conclusions: Nurse-managers may choose to distance or influence nurses; influence can be achieved through not only a combination of leadership and management competencies but also on the nurse-managers’ evidence-based expertise and relational skills alongside a vision to support team unity in order to create a positive environment which encourages the nurses to be involved in high quality and innovative practices. Implications for nursing management: This study may help to understand the approaches undertaken by leaders in nursing and subsequently enhance their performance. It may also inform future leadership training for nurses.