Browsing by Author "Lourenço, Tânia Marlene Gonçalves"
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- Clinical validation of the nanda-i “caregiver role strain” nursing diagnosis in the context of palliative carePublication . Lourenço, Tânia Marlene Gonçalves; Abreu-Figueiredo, Rita Maria de Sousa; Sá, Luís OctávioObjective: to clinically validate the defining characteristics of the “Caregiver Role Strain” Nursing diagnosis for caregivers of people in a palliative care situation. Method: a cross-sectional, quantitative, descriptive and analytical study. It was developed based on Fehring’s Clinical Validation Model and on the diagnostic accuracy measures (sensitivity, specificity, predictive values and Receiver Operating Characteristic curve). The data collection instrument used was a form, applied in 2017 by two nurses to a sample of 111 caregivers of people in a palliative care situation, in Portugal. The caregivers were divided into two groups (with and without the diagnosis), being identified by the simultaneity of three criteria, namely: Zarit Burden Interview values greater than 56; agreement of two nurses about the diagnosis; and caregiver’s perception of the presence of signs and symptoms. The defining characteristics were classified as major, secondary and irrelevant, according to the models used. Results: the prevalence of diagnosis was 42.3%. Of the 29 characteristics subjected to the validation process, 9 were considered major, 13 secondary and 7 irrelevant. Ineffective coping, depressive mood, frustration, worsening of previous diseases, stress and fatigue were the characteristics which proved to be more associated with the diagnosis in both analyses. The overall score of the diagnosis was 0.68. Conclusion: the study results contribute to the improvement of the diagnosis, making it more accurate. In addition, they enable better clinical decision in Nursing, allowing nurses to make a diagnostic judgment supported by scientific evidence.
- Death anxiety in palliative care: validation of the nursing diagnosisPublication . Abreu-Figueiredo, Rita Maria Sousa; Sá, Luís Octávio de; Lourenço, Tânia Marlene Gonçalves; Almeida, Sandra Sofia Barbosa Pinto deObjective: To identify the prevalence of the NANDA-I nursing diagnosis of death anxiety among family caregivers of palliative patients and to validate the associated defining characteristics. Methods: This was a cross-sectional, exploratory, and descriptive study using Fehring's clinical diagnostic validity model in a sample of 111 family caregivers of palliative patients. The sensitivity, specificity, and predictive value of the defining characteristics were calculated. Questions formulated to operationalize the defining characteristics were validated by a panel of experts. Results: The prevalence of the diagnosis was 38.7% in the study sample, and 17 defining characteristics were subjected to clinical validation, of which eight emerged from a previous literature review. Of the 17 defining characteristics, nine were classified as primary and eight as secondary. Conclusion: The diagnosis was validated in family caregivers of palliative patients. The clinical validation of new defining characteristics confirmed the need to review these characteristics to ensure their clinical suitability. The prevalence of the diagnosis in the study sample indicates that death anxiety is a relevant phenomenon among family caregivers of palliative patients that professionals should be particularly aware offing order to implement specific interventions to minimize this condition.
- Hope and psychological well-being during the sanitary crisis by COVID-19: a study with nursing studentsPublication . Lourenço, Tânia Marlene Gonçalves; Charepe, Zaida Borges; Pestana, Cristina Bárbara da Costa Freitas; Rabiais, Isabel Cristina Mascarenhas; Alvarez, Enrique Jesús Sáez; Figueiredo, Rita Maria Sousa Abreu; Fernandes, Sérgio Joaquim DeodatoAim: to analyze the relationship between hope and the psychological well-being of Portuguese nursing students during the COVID-19 pandemic crisis. Method: this is a descriptive-correlational study using an online questionnaire for data collection. 705 nursing students participated, with a mean age of 21.74 years (SD=4.44). The data collection instruments used were the Herth Hope Index (HHI-PT) and the Well-Being Manifestations Measure Scale (WBMMS). Descriptive and inferential statistics were used. Results: in the HHI-PT, the affective-behavioral domain had the highest mean score (3.30; SD=0.45), while in the WBMMS, it was the sociability domain, 3.64 (SD=0.77). There were moderate to strong correlations (0.383 Conclusion and implications for practice: nursing students’ hope and psychological well-being during the pandemic are variables that are positively correlated with each other. Strategies to promote mental health, to be implemented by educational institutions, must consider the association between these two variables.
- Predictive model of the psychological well-being of nursing students during the COVID-19 lockdownPublication . Lourenço, Tânia Marlene Gonçalves; Reis, Ana Catarina Rodrigues da Silva; Alvarez, Enrique Jesús Sáez; Abreu-Figueiredo, Rita Maria Sousa; Charepe, Zaida Borges; Marques, Goreti; Gonçalves, Maria Luísa Vieira FrancoIntroduction: Lockdowns due to the COVID-19 pandemic radically changed nursing education. Along with social isolation, the transition to distance education affected the well-being of students in several countries, particularly Portugal and Spain. Objectives: To identify which variables are predictors of psychological well-being for Portuguese and Spanish nursing students during mandatory lockdowns. Methods: A multicenter, cross-sectional, descriptive, correlational study involving a sample of 1075 students (944 women, mean age 22.46 + /−4.95 years). Data were collected from an online questionnaire which applied the following scales: Perceived Stress Scale (α =.820); Brief COPE-14 Subscales (α =.430 < 0.930); Well-being Manifestations Measure Scale (α =.940); Herth Hope Index (α =.850). A multiple regression model was created to predict the psychological well-being of nursing students. Results: The following predictor variables were identified in the model of the psychological well-being of students during the COVID-19 pandemic: perceived stress (β =.405; p ≤.001); hope (β =.404; p ≤.001); and the mechanisms of active coping (β =.405; p ≤.001), planning (β =.097; p ≤.001), and positive reinterpretation (β =.053; p =.12). These five variables predicted 62.0% of the nursing students’ psychological well-being (R2 =.620; F = 350.82; p ≤.001). Conclusion: Promoting students’ mental health is essential, especially in periods of great adversity, such as a pandemic. Our results lead the way for the design and validation of an intervention program that addresses the five variables identified as predictors of students’ psychological well-being.
- Review of nursing diagnosis validation studies: caregiver role strainPublication . Lourenço, Tânia Marlene Gonçalves; Abreu-Figueiredo, Rita Maria Sousa; Sá, Luís Octávio deObjective: To analyze the nursing diagnosis NANDA-I - Caregiver Role Strain validation studies. Methods: Integrative literature review. Research of studies carried out between 2000 and 2018 with the descriptors: caregivers, nursing diagnosis and validation study in the following databases: Web of Science, EBESCOhost, Scielo Brasil and Portugal, LILACS, RCAAP, CAPES, NANDA-I website, and in the bibliographic references of the articles. Articles in Portuguese, English or Spanish were included. Results: The sample consisted of seven validation studies, with heterogeneity in the methodologies used. The populations where the diagnosis was clinically validated focused on caregivers for the elderly and people with chronic illness. The most prevalent defining characteristics were Stress and Apprehension related to the future. Conclusions: This diagnosis requires further validation studies among different populations in search of greater accuracy and a reduction in the number of defining characteristics, facilitating the use of taxonomy.
- Validação clínica do diagnóstico de enfermagem : sobrecarga do cuidador (Caregiver Role Strain) em cuidadores familiares de doentes paliativosPublication . Lourenço, Tânia Marlene Gonçalves; Sá, Luís Octávio deIntrodução: cuidar de um familiar ou pessoa significativa no final de vida pode acarretar sobrecarga. Vários são os estudos realizados sobre este fenómeno, no entando, escasseia investigação da sobrecarga enquanto diagnóstico de enfermagem, encontrando-se esta, identificada na NANDA-International, como Caregiver Role Strain. Este diagnóstico de enfermagem nunca foi validado clinicamente numa população de cuidadores de doentes paliativos. Objetivo geral: validar clinicamente o diagnóstico de enfermagem Caregiver Role Strain em cuidadores de doentes paliativos. Metodologia: estudo do tipo transversal, de natureza quantitativa, descritivo e analítico, desenvolvido em duas partes. A Parte I – estudo preliminar – compôs-se pela revisão integrativa da literatura, e pela análise de conteúdo por 18 juízes. A Parte II – validação clínica – desenrolou-se ancorada no Modelo de Validação Clínica de Fehring e nas medidas de acurácia diagnóstica (sensibilidade, especificidade, valores preditivos e curva de ROC) para análise das características definidoras; e na estatística descritiva e inferencial para estudo dos fatores relacionados. O instrumento de colheita de dados utilizado foi um formulário o qual foi aplicado a uma amostra não probabilística por conveniência de 111 cuidadores de doentes paliativos. A identificação do diagnóstico foi determinada pela presença de três critérios: Escala de Sobrecarga do Cuidador de Zarit, concordância entre duas investigadoras e perceção do cuidador sobre a presença do diagnóstico. Resultados: através da revisão integrativa da literatura foram identificadas sete novas características definidoras, e 13 novos fatores relacionados. Foram introduzidas alterações no enunciado e na definição do diagnóstico, sendo estas aprovadas pelos juízes. Na validação clínica, foi encontrada uma prevalência do diagnóstico de 42,3%. Das 22 características validadas, nove foram consideradas principais e 13 secundárias, sendo o coping ineficaz, o humor depressivo e a fadiga, das que obtiveram valores mais elevados na área sob a curva de ROC. O score global do diagnóstico foi de 0,68. A idade do cuidador (p=0,033), o grau de parentesco (p=0,004), a perceção de saúde (p≤0,001) ou imprevisibilidade nos cuidados (p=0,003), foram alguns dos fatores associados ao diagnóstico. Em função dos resultados construído um Instrumento Diagnóstico da Sobrecarga do Cuidador em Cuidados Paliativos. Conclusões: os resultados de estudo contribuem para o aprimoramento dos vários componentes do diagnóstico, tornando-o mais acurado. Possibilitam uma melhor decisão clínica em enfermagem, permitindo aos enfermeiros um juízo diagnóstico apoiado em evidências científicas. Este suporte à decisão diagnóstica, através do instrumento que emergiu, facilitará uma intervenção mais sensível, junto dos cuidadores de doentes paliativos.