Browsing by Author "Pinto, Igor Emanuel Soares"
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- Development of a form to assess the self-care competence of the person with a tracheostomyPublication . Queirós, Sílvia Maria Moreira; Santos, Célia Samarina Vilaça de Brito; Brito, Maria Alice Correia de; Pinto, Igor Emanuel SoaresBackground: The development of the self-care competence in the person with a tracheostomy is described as a key driver for a healthy transition to life with a tracheostomy. An instrument for assessing the self-care competence of the person with a tracheostomy contributes to nurses’ decision-making and promotes the quality of care. Objectives: To develop a tool for assessing the self-care competence of the person with a tracheostomy. Methodology: A methodological study was conducted. Content validity was obtained through the judgment of experts, with a focus group methodology. Reliability was assessed using Cronbach’s alpha coefficient. The instrument was applied to a sample of 80 participants, using a non-probability convenience sampling technique. Results: The study resulted in a form with 39 indicators, divided into 6 areas, which showed good internal consistency (alpha = 0.89) and recognised content validity. Conclusion: The final version of the form is applicable, and has the potential to be used in future studies on its validity.
- Fatores de risco associados ao desenvolvimento de complicações do estoma de eliminação e da pele periestomalPublication . Pinto, Igor Emanuel Soares; Queirós, Sílvia Maria Moreira; Queirós, Cármen Dolores Ribeiro; Silva, Carla Regina Rodrigues da; Santos, Célia Samarina Vilaça de Brito; Brito, Maria Alice Correia deEnquadramento: A confeção de um estoma constitui-se como um evento gerador de mudanças influenciado por diversos fatores, nomeadamente a presença de complicações do estoma e/ou pele periestomal. Estima-se que 80% das pessoas com ostomia experienciam, pelo menos, uma complicação relacionada com o estoma ao longo da sua vida. Objetivos: Identificar os fatores de risco associados ao desenvolvimento de complicações do estoma de eliminação e da pele periestomal. Metodologia: Revisão da literatura, com base na estratégia metodológica do Instituto Joanna Briggs para Scoping Reviews. Foram identificados 1492 artigos, sendo incluídos para análise 22.Resultados: A maioria dos fatores de risco para o desenvolvimento de complicações não é modificável. Dos sensíveis à intervenção do enfermeiro evidenciam-se a educação pré e pós-operatória, a marcação do local do estoma e o acompanhamento após a alta hospitalar. Conclusão: O reconhecimento de fatores de risco associados ao desenvolvimento de complicações do estoma permite ao enfermeiro, por um lado, identificar precocemente indicadores de vulnerabilidade nos seus clientes e, por outro lado, intervir de forma mais efetiva.
- Promotion of tracheostomy self-care: a qualitative study based on the nurses’ perspectivePublication . Queirós, Sílvia Maria Moreira; Pinto, Igor Emanuel Soares; Correia de Brito, Maria Alice; Vilaça de Brito Santos, Célia SamarinaAim: To describe nurses’ perspectives on promoting tracheostomy self-care. There is little information on the nurses’ perspective as care providers with knowledge of clinical contexts. Design: A qualitative descriptive study was conducted. Methods: A purposeful sample of nurses was selected from eight Portuguese hospitals. Recruitment ended once data saturation was reached (n = 12). Data were collected using semi-structured interviews and analysed through content analysis. Results: The nurses described the most important aspects to promote tracheostomy self-care, namely the objectives, the contents to be addressed, the methods and resources to be used, the appropriate moment to intervene, the necessary conditions to promote self-care, the way to ensure the standardisation of interventions among nurses, and the level of tailored planned interventions. Conclusion: From the nurses’ perspective, promoting tracheostomy self-care is critical for regaining autonomy. Therefore, it is crucial to establish an intervention plan sensitive to individual needs and preferences. These results can help elucidate the aspects considered by nurses when promoting tracheostomy self-care so that more meaningful and feasible care models can be designed.
- Psychometric properties of the form development of self-care competence of the person with a bowel elimination ostomyPublication . Pinto, Igor Emanuel Soares; Santos, Célia Samarina Vilaça de Brito; Brito, Maria Alice Correia de; Queirós, Sílvia Maria MoreiraBackground: The use of an instrument to assess the self-care competence in patients with bowel elimination ostomy allows for the systematic identification of their specific needs, ensuring the continuity of nursing care. Although an instrument that assesses the domains that integrate this competence has been developed in Portugal, it has not yet been validated. Objectives: To assess the psychometric properties of the form Development of Self-Care Competence of the Person with a Bowel Elimination Ostomy. Methodology: Methodological study aimed at analyzing the psychometric properties of a measurement instrument, written in Portuguese. Results: The Cronbach’s alpha was 0.95 and the inter-rater reliability showed a correlation greater than or equal to 0.98. A statistically significant correlation was found in the split-half test, as well as in the clinical sensitivity analysis. Conclusion: The form presented good psychometric indicators, which suggests that it is a useful tool to be used in the nursing diagnosis process, thus contributing to the optimization of nursing care.