Browsing by Author "Martins, Helga"
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- 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
- Challenges in validating nursing diagnoses using a longitudinal designPublication . Martins, Helga; Caldeira, Sílvia
- A Commentary on Narayan and Mallinson's (2022) "Transcultural nurse views on culture-sensitive/patient-centered assessment and care planning: a descriptive study"Publication . Martins, Helga; Shapira, Revital; Caldeira, Sílvia
- A desesperança e a angústia espiritual: estudo de acurácia em pessoas com cancro em quimioterapiaPublication . Martins, Helga; Caldeira, Sílvia
- Hopelessness a predictor of spiritual distress nursing diagnosis in cancer patients: a follow-up studyPublication . Martins, Helga; Romeiro, Joana; Caldeira, SílviaBackground Spiritual distress is defned as a lack of meaning in life, disconnection, sufering and anger at God. Also, spiritual distress, is a nursing diagnosis according to NANDA-International, Inc, which hopelessness is one of the defning characteristics. The aim of this study was to assess hopelessness as a predictor of in spiritual distress nursing diagnosis in cancer patients during chemotherapy treatment. Materials and methods A quantitative, observational and follow up study. It was comprised 322 outpatients with cancer followed at an Oncology Unit, randomly selected. The data was collected when patients were initiating chemotherapy and then quarterly until completing one year of chemotherapy. In addition, data collection occurred between February 2019 and May 2015, and was applied a questionnaire. The data was analyzed statistically through the program SPSS version 21. This study, was approved by the hospital´s Ethics Committee where the study was conducted. Results The initial sample embraced 188 females and 144 males. The dropout rate of this study reached 17,5% after twelve months. The age range was between 22 to 83 years old. Most of the patients had breast cancer (n=27.70%), colorectal cancer (n=23.7%) and lung cancer (n=14.8%). The frequency of hopelessness during the chemotherapy increased its value, such as before chemotherapy (n=55, 10.5%), after three months (n= 40, 12.7%), after six months (n= 41, 13.5%), after nine months (n= 40, 14.0%) and after twelve months (n= 42, 15.3%). Hopelessness was a predictor of spiritual distress after nine (ꞵ=3.254, p=0.029) and twelve months (ꞵ=3.461, p=0.019) since the beginning of chemotherapy. Conclusions At the end of nine months after the start of chemotherapy, hopelessness appears as a predictive variable for the diagnosis of spiritual distress, therefore nurses can anticipate autonomous nursing interventions with the purpose for the readiness for enhanced hope in cancer patients.
- Longitudinal studies: a step forward diagnosis understanding and developmentPublication . Caldeira, Sílvia; Martins, Helga; Casaleiro, Tiago; Miguel, Susana; Romeiro, Joana; Silva, Rita Santos
- 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
- Quais as necessidades espirituais que experienciam as pessoas quando passam pelo processo de luto: uma revisão sistemática de estudos qualitativosPublication . Martins, Helga; Casaleiro, Tiago Filipe Cardoso de Oliveira; Romeiro, Joana; Caldeira, Sílvia
- Quais as necessidades espirituais que experienciam as pessoas quando passam pelo processo de luto: uma revisão sistemática de estudos qualitativosPublication . Martins, Helga; Casaleiro, Tiago Filipe Cardoso de Oliveira; Romeiro, Joana; Caldeira, SílviaIntrodução O luto é evento comum e inevitável da vida pessoas e que deixa marcas profundas (Palmer, 2018). Em momentos particularmente difíceis da vida das pessoas a espiritualidade assume e desempenha um papel preponderante (Caldeira et al., 2013). O caminho e a experiência espiritual daqueles que vivem uma jornada de luto ainda é pouco conhecida, sendo necessário perceber quais as necessidades espirituais durante o processo de luto. Objetivos Sintetizar as necessidades espirituais das pessoas que vivem uma situação de luto em estudos qualitativos primários. Metodologia Revisão sistemática de estudos qualitativos segundo metodologia de Saini e Shlonsky (2012). Foi conduzida em março de 2019, uma pesquisa eletrónica nas bases de dados online: MEDLINE, PsycINFO, MedicLatina, LILACS, SciELO, Academic Search Complete e ATLA Religion Database®, com a estratégia de pesquisa: “(spiritual* AND (bereave* OR death OR grief OR loss OR mourn* OR sorrow)”, no campo do resumo. Como critérios de inclusão foram considerados artigos referentes a estudos qualitativos originais e publicados em inglês, português, francês ou espanhol. Resultados Foram identificadas 12432 citações e, depois a remoção de duplicados e a análise independente pelos autores considerando aos critérios de inclusão, foram incluídos 24 artigos. Na descrição dos estudos incluídos, podemos constatar que a nível metodológico os estudos de natureza qualitativa são: fenomenológicos (n=12), descritivos e narrativos (n=6), grounded theory (n=3), etnográficos e um estudo de caso (n=1). Em relação às necessidades espirituais no luto foram identificadas as seguintes: conexão; perdão; esperança e força; amor e relacionamentos harmoniosos; significado e propósito de vida; crenças pessoais e valores; práticas espirituais, relação com Deus ou divindade e confiança. Conclusões Os resultados de estudos qualitativos permitem identificar as necessidades espirituais das pessoas que experienciam um processo de luto. Os profissionais de saúde devem de ter a sensibilidade em relação às necessidades espirituais das pessoas que atravessam um processo de luto, de modo a prestar cuidados holísticos na sua prática clínica.