Browsing by Author "Marques, Rita"
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- Applicability of the scientific method of the phenomenology of the practice of oncologic nursingPublication . Bacalhau, Lúcia; Pontífice-Sousa, Patrícia; Marques, RitaBACKGROUND: The phenomenology deals with the practice of a qualitative scientific method,endorsed by van Manen who aims to analyse the phenomenon associated with what is experiencedby the person. The hermeneutic phenomenology of van Manen has been particularly influent in theinvestigation of the experience lived associated in situations of health/disease. This method articulatesthe phenomenology, hermeneutics, semiotics, using a process of research which incorporates aconsideration of what is experienced, that values and improves the understanding of the humanexperience[1]. It is a scientific and rigorous method to analyse phenomenological data collected fromvarious sources[2]. The bibliometry concept is co-substantiated in the use of the statistical andmathematical methods, that is, quantitative methods, from the original items available in thedatabases[3,4]. OBJECTIVE: This research aims to identify in the scientific literature, the applicability ofthe scientific method of phenomenology in oncologic nursing practice through a bibliometric research.METHODS: As a method a bibliometric review was used, using bibliometric indicators, setting up aquantitative and objective consideration. RESULTS: We gathered 19 items to analyse, being that, 73%of the items have as a target population the oncologic patient. In this population the predominanttopic is the experiencing of the disease and the specific treatment procedures. The rest of the itemsare directed at the parents of the oncologic patient and the care giving nurses in this field. The reviewsare published in magazines with an average impact factor of 1,337 and with a maximum of 54registered citations. Based on the observation of the bibliometric map we are able to confirm theassociation of the terms experience, study and cancer, besides this, these stand out more, whichmeans that these are the terms which had a greater number of citations. The words patient andmeaning are emphasised in a strong correlation. CONCLUSIONS: The application of the scientificmethod of phenomenology of the oncologic nursing practice is important for the understanding of themeaning of the life experience in the process of the oncologic disease, because it allows for theunderstanding of the needs, emotions, the care which has consequences in the provision of care.
- Comfort-promoting interventions for the elderly in hospital settingsPublication . Marques, Rita; Dixe, Maria dos Anjos; Sousa, Patrícia PontíficeBackground: The comfort of the elderly in hospital settings requires special attention from the health care professionals involved, particularly nurses, since hospitalization often generates suffering and discomfort. In such contexts, it is essential to consider the specific characteristics of the elderly, taking into account their life experiences and their needs, to promote the health, well-being, and comfort of this population. Hence, the present work aimed to explore the nursing interventions that promote comfort among the elderly in hospital settings. Methods: A mixed descriptive exploratory study was conducted through the application of a questionnaire, using intentional non-probabilistic sampling. The study encompassed 55 elderly individuals hospitalized in the medical service of a public hospital located in Lisbon. Results: The results show that the participants perceived a reasonable level of comfort (5.65 ± 6.46). The following categories emerged from the content analysis: (1) physical interventions; (2) psycho-spiritual interventions; (3) socio-cultural interventions; and (4) environmental interventions. Conclusions: These findings help to understand comfort-promoting nursing interventions in the studied population. It was concluded that, to improve care quality, comforting interventions should focus on the elderly patient’s individuality, through support activities, empowerment, and the preservation/correction of the surrounding environment. Additionally, the provided care should be based on the real needs, expectations, preferences, and values of the elderly individual.
- O conforto em processos de transição na família em situação crítica: scoping reviewPublication . Vaz, Inês; Pontífice-Sousa, Patrícia; Marques, Rita
- Cuidados de enfermagem podológicos promotores de conforto ao idoso: uma revisão integrativaPublication . Jorge, Maria Helena Alves; Pontífice-Sousa, Patrícia; Marques, RitaIntrodução: Os cuidados podológicos referem-se aos cuidados com as extremidades dos membros inferiores e pés, nomeadamente na avaliação dos pés da pessoa, higiene e intervenções que abordam problemas com a manutenção ou recuperação de problemas minor das unhas e pés. Envolvem um conjunto de intervenções não invasivas que protegem a saúde dos pés e que devem constituir um foco de atenção/intervenção dos enfermeiros. Objetivo: Identificar na literatura científica as alterações que ocorrem nos pés dos idosos e conhecer os cuidados de Enfermagem podológicos promotores de conforto ao idoso. Materiais e Métodos: Trata-se de uma revisão integrativa da literatura realizada em fevereiro de 2020 nas bases de dados científicas: CINAHL; MEDLINE Cochrane e Mediclatina, no período amostral de janeiro 2009 a dezembro 2019. Resultados: Nos 27 artigos encontrados foram selecionados 5, que evidenciaram as alterações que ocorrem nos pés dos idosos e respetivos cuidados de enfermagem podológicos. Estes cuidados devem, para além de confortadores, avaliar e identificar os problemas, evitar as incapacidades e as complicações, reabilitar as incapacidades detetadas e promover a independência funcional, o autocuidado e a autoestima, levando a uma melhor qualidade de vida do idoso. Conclusão: A prevalência de problemas nos pés dos idosos é uma realidade. Foram apresentadas as alterações que ocorrem nos pés dos idosos, bem como as intervenções de enfermagem que respondem às necessidades podológicas e de conforto.
- Development and validation of a comfort-measuring scale for elderly individuals with chronic conditionsPublication . Marques, Rita; Veludo, Filipa; Sousa, Patrícia Pontífice; Dixe, Maria dos AnjosBackground: Ageing is associated with chronic diseases and successive losses, which affect the comfort experienced by the elderly. Hence, in that population, comfort must be viewed as a need, and health care professionals (particularly nurses) should promote it through their interventions. This work aimed at developing a scale to assess comfort in elderly individuals with chronic conditions and determining the aforesaid scale’s psychometric characteristics (validity and reliability), while ascertaining the comfort levels experienced by the participants. Methods: Our sample comprised 454 chronically ill elderly individuals, either hospitalized, or in residential care/at home. As regards descriptive statistics, we calculated various summary measures. Validity was appraised via exploratory factor analysis, considering the main components. We performed varimax rotation and factor extraction (in which factors with eigenvalues > 1 were extracted). Reliability was established by calculating internal consistency, using Cronbach’s alpha. For each scale item, we examined the corrected item-test correlation. Additionally, we calculated skewness and kurtosis, also carrying out a confirmatory factor analysis. Results: The exploratory factor analysis produced a scale with 38 items and five factors, which fitted the data and explained a variance of 61.355%. The values of the Kaiser-Meyer-Olkin test and the Bartlett’s test (sphericity) were 0.943 and 12055.962, respectively (both with p < 0.001). Our model was substantiated by the confirmatory factor analysis (χ² = 2884.242; df = 660; RMSEA = 0.086; CFI = 0.811; TLI = 0.798; SRMR = 0.066) and the Cronbach’s alpha coefficient was 0.959. The summary measures showed that, overall, the participants experienced good comfort levels (Mean = 3.64; SD = ±0.676), revealing higher comfort levels in the “Spirituality and meaning of life” dimension (Mean = 3.79; SD = ±0.742) and lower comfort levels in the “Normality of life” dimension (Mean = 3.39; SD = ±0.922). Conclusion: The scale demonstrated suitable psychometric properties, ensuring its validity and reliability in assessing comfort in elderly individuals with chronic conditions. Its five-factor structure enables a comprehensive evaluation, highlighting key comfort dimensions. These findings support targeted interventions, aiding healthcare professionals in improving care and informing evidence-based practices and health policies to enhance well-being. Implications for nursing and health policy: By measuring comfort levels in chronically ill elderly individuals, it is possible to plan/improve the comforting care provided by the involved professionals (namely nurses). Clinical trial number: Not applicable.
- Experiências da família da pessoa em situação crítica: uma revisão sistemática da literatura de evidência de significadoPublication . Pimenta, Inês; Pontífice-Sousa, Patrícia; Marques, Rita
- Exploring bioactivities and peptide content of body mucus from the lusitanian toadfish Halobatrachus didactylusPublication . Cunha, Marta Fernandez; Coscueta, Ezequiel R.; Brassesco, María Emilia; Marques, Rita; Neto, José; Almada, Frederico; Gonçalves, David; Pintado, ManuelaIdentifying bioactive molecules from marine organisms is still vastly understudied. Fish remain an untapped source of bioactive molecules, even when considering species whose toxicity to other fish species has been noticed before. We assessed potential applications of crude body mucus of the Lusitanian toadfish (Halobratachus didactylus) and characterized its peptide fraction composition. Mucus samples from three individuals (two wild and one captive) revealed potential antioxidant, antihypertensive, and antimicrobial activities. For antioxidant activity, the best results of 2371 ± 97 µmol Trolox Equivalent/g protein for ORAC and 154 ± 6 µmol Trolox Equivalent/g protein for ABTS were obtained. For antihypertensive activity, the relevant inhibitory activity of ACE resulted in IC50 of 60 ± 7 µg protein/mL. Antimicrobial activity was also identified against the pathogenic bacteria Escherichia coli and Listeria monocytogenes. The peptide profile of the crude body mucus was obtained through size exclusion chromatography, with a conspicuous peak at ca. 800 Da. LC-MS/MS allowed the detection of the most probable peptide sequences of this dominant peptide. This is the first study where the bioactive potential of mucus from the Lusitanian toadfish is demonstrated. Peptides with such properties can be applied in the food and pharmaceutical industries.
- Fatores que influenciam a adesão dos profissionais de saúde (médicos e enfermeiros) às boas práticas clínicas: uma scoping reviewPublication . Santos, Ana Luisa; Sousa, Liliana; Ildefonso, Tatiana; Veludo, Filipa; Sousa, Patrícia Pontífice; Marques, Rita
- Fatores que influenciam a satisfação do cliente crítico com o cuidado de enfermagem: scoping reviewPublication . Andrez, Susana; Sousa, Patrícia Pontífice; Marques, Rita
- O handover/handoff perante a pessoa em situação crítica no serviço de urgência: uma revisão integrativa da literaturaPublication . Lopes, José; Marques, Rita; Sousa, Patrícia PontíficeIntrodução: O handover / Handoff consiste no processo de transferência da responsabilidade ou seja, a transmissão de informação especifica acerca de um doente, de um prestador de cuidados para outro ou dos prestadores de cuidados para o doente e família, de forma a permitir uma continuidade de cuidados e com vista a segurança do doente. O serviço de urgência (SU), como recetor do doente crítico, tem particularidades que dificultam uma comunicação eficaz pelo que, torna-se fundamental a existência de um handover minucioso, de forma a melhorar a qualidade e a segurança do doente dentro do sistema de saúde. Deste modo optámos por realizar uma revisão integrativa de literatura. Objetivos: Identificar os fatores promotores e inibidores do handover do doente critico no SU, conhecer o conteúdo a transmitir no handover do doente critico no SU e identificar ferramentas de apoio ao handover. Material e métodos: Realizou-se uma revisão integrativa, seguindo a metodologia proposta por Joanna Briggs Institute, através da conjugação de termos MesH recorrendo à base de dados EBSCO host – Research Databases, nas bases de dados CINAHL complete, MEDLINE complete, Cochrane Central Register Of Controlled Trials, Cochrane Database of Systematic Reviews, Cochrane Methodology Register, nos idiomas português e inglês e na janela temporal de 2010 a 2020. Resultados: A amostra foi constituída por sete estudos em que se identificaram cinco categorias, nomeadamente, fatores promotores e fatores inibidores do handover, conteúdo do handover, ferramentas de handover, e recomendações para uma melhoria do handover. Conclusões: A pesquisa realizada revelou a importância do handover no serviço de urgência. Uma aposta na sua qualidade promove uma transição de cuidados segura. O uso de ferramentas padronizadas, uma linguagem estruturada e equipas especializadas aumentam a qualidade dos cuidados e os resultados dos doentes, com menor morbilidade. É fundamental investir na formação interdisciplinar e interinstitucional nesta área pois, o handover adequado traz benefícios para os doentes, profissionais e sistema de saúde.