Browsing by Author "Severino, Sandy"
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- Análise fatorial confirmatória da Depression Anxiety Stress Scale em pessoas com doença renal crónicaPublication . Sousa, Luís; Marques-Vieira, Cristina; Severino, Sandy; Gomes, José Carlos; José, Helena Maria GuerreiroCONTEXTO: A Depression Anxiety Stress Scale (DASS) foi desenvolvida por Lovibond e Lovibond, em 1995, para avaliar os sintomas da ansiedade e da depressão. A versão portuguesa da DASS com 21 itens (DASS-21) confirmou ter propriedades idênticas às da versão original. OBJETIVO: Confirmar a estrutura da DASS-21 em pessoas com doença renal crónica em programa de hemodiálise. MÉTODO: Estudo metodológico. Foi obtida uma amostra representativa de 159 pessoas com doença renal cónica, em programa de hemodiálise, em duas clínicas e num serviço de nefrologia de um Centro Hospitalar, todos em Lisboa, Portugal. Foi realizada colheita de dados de maio a junho de 2015. Desenvolveu-se uma análise fatorial confirmatória com recurso ao software AMOS. Utilizaramse os seguintes parâmetros: rácio entre o Qui quadrado e os graus de liberdade (Χ2/g.l), goodness-of-fit index (GFI), comparative fit index (CFI), Tucker-Lewis index (TLI) e root mean square error of approximation (RMSEA). RESULTADOS: Obteve-se Χ2/g.l=1,980, GFI=0,84, CFI=0,87, TLI=0,85 e RMSEA=0,08, o que demostra ser um bom ajustamento para a hipótese da solução de dois fatores. Não se confirma a solução proposta na versão original e na versão portuguesa (três fatores). CONCLUSÕES: A versão portuguesa da DASS-21 apresenta dois fatores, e é válida para medir stresse/ansiedade e depressão, em pessoas com doença renal crónica.
- Cross-cultural validation of the falls efficacy scale international in elderly: systematic literature reviewPublication . Marques-Vieira, Cristina Maria Alves; Sousa, Luís Manuel Mota; Severino, Sandy; Sousa, Lisete; Caldeira, SílviaThe aim of this study is to describe the psychometric properties of cultural adaptations of the Falls Efficacy Scale International (FES-I) in the elderly dwelling in the community. A systematic literature review was performed according to the research question: What are the psychometric properties of the FES-I in the elderly dwelling in the community in different cultural backgrounds? The Population, Interest, Context (PICo) strategy was used for inclusion criteria—Population: elderly; Interest area/intervention: psychometric properties of the FES-I; Context: dwelling in the community in various cultural settings. The sample was made up of 10 articles. Metric properties have been evaluated by the criteria of validity, reproducibility, reliability, and responsiveness. The FES-I is considered acceptable, understandable to measure the fear of falling in the elderly, valid, reliable, and comparable cross-culturally, so it is recommended in rehabilitation research, clinical trials, clinical practice, and in fall-prevention programs in elderly.
- A Depression Anxiety Stress Scale em pessoas com doença renal crónicaPublication . Sousa, Luís; Marques-Vieira, Cristina; Severino, Sandy; Correo, Juan; Gomes, José; José, HelenaRESUMO CONTEXTO: A pessoa com doença crónica está sujeita a estresse, ansiedade e depressão. A Depression Anxiety Stress Scale-21 está validada em Portugal, mas não em pessoas com doença renal crónica. OBJETIVO: Verificar as propriedades psicométricas da versão portuguesa Depression Anxiety Stress Scale-21, em pessoas com doença renal crónica submetidas a programa de hemodiálise. MÉTODO: Estudo metodológico. Foi obtida uma amostra representativa de 171 pessoas com doença renal crónica submetidas a hemodiálise em duas clinicas na região de Lisboa, Portugal. Foi realizada colheita de dados de maio a junho de 2015. Foram avaliadas as propriedades psicométricas: validade (constructo, convergente e discriminativa), confiabilidade (α de Cronbach) e estabilidade (teste-reteste). RESULTADOS: O modelo dos três fatores da Depression Anxiety Stress Scale-21 não está completamente ajustado às pessoas com doença renal crónica, no entanto o modelo bidimensional “Depressão” e “Estresse/Ansiedade” ajusta-se, o que permite obter medidas confiáveis e estáveis. CONCLUSÕES: As medidas de “Depressão” e “Estresse/Ansiedade” obtidas a partir da Depression Anxiety Stress Scale-21 são válidas e reprodutíveis em pessoas com doença renal crónica, quando se utiliza questionário e entrevista.
- Health needs: a developing concept according to Rodgers' evolutionary approachPublication . Almeida, António; Mestre, Ricardo; Severino, Sandy; Valido, Susana; João, Ana; Rabiais, Isabel; Sousa, Luís; José, Helena; Sousa, Patrícia PontíficeIntroduction: the study of human needs by Aristotle, Freud and Murray reveals their importance in shaping personality. Aristotle sees need as something inevitable, while Freud links it to the basic impulses of the id. Murray distinguishes between primary and secondary needs, which are essential for psychological well-being. Understanding these needs is crucial for human development. The aim of this study is to analyze the concept of health needs in nursing doctoral theses using Rodgers’ evolutionary method.Method: conceptual analysis based on Rodgers’ Evolutionary Model. Data collection in the Portuguese Open Access Scientific Repository with descriptor “Health Needs” and subject “Nursing”. Applied to doctoral theses with open access. The year of publication, country of origin, concept, attributes, antecedents, consequents, substitute terms and related concepts were evaluated. Results: seven theses were selected. They address the concept of Health Needs presented in two pillars: 1) health strategies in a relationship of reciprocity between the health professional and the approximation of the care expected with that provided; 2) the dimensions of health gains (other concepts have emerged such as practice directed towards equity and family support). Conclusions: health needs is a dynamic concept that is an integral part of the process of theoretical development in nursing and a central focus in determining care for the person being cared for or their family.
- Presenteeism and burnout in nurses: a review of the literaturePublication . Vaz, Ana Catarina; Vermelho, Maria; Silva, Miriam; Costa, Pedro; Dinis, Sónia Margarida; Severino, Sandy; Tomás, João; Rabiais, Isabel; Sousa, LuísPresenteeism, characterized by going to work sick, has become increasingly prevalent in nursing, a profession with high social and interpersonal demands. It is associated with a deterioration of the health of nurses, a reduction in the excellence of care, and a decrease in safety for users. Burnout is related to stress and mental overload and is characterized by exhaustion and fatigue. Objective: To map the evidence on the relationship between presenteeism and burnout in nurses. Methods: A literature review was carried out using the EBSCOHost Research search engine in various databases. Eight studies were selected and analyzed. Results: The studies identify a consistent relationship between burnout and presenteeism in nurses. Emotional exhaustion, resulting from burnout, can lead nurses to go to work despite being ill, due to a sense of responsibility, ethical duty, or organizational pressures. Most studies are cross-sectional, which limits the ability to establish causal relationships and identify specific interventions to reduce burnout-related presenteeism in nursing. Conclusions: It is essential to invest in health management policies for nurses to reduce burnout and minimize the consequences of presenteeism.
- Strategies for preventing presenteeism in nursingPublication . Sousa, Luís; Mestre, Ricardo; Tomás, João; Severino, Sandy; Guerra, Nelson; José, HelenaIntroduction: presenteeism in nursing refers to physical presence at work with physical and mental limitations, even when the professional has physical or mental limitations that compromise their performance. This phenomenon has significant repercussions on productivity, professional well-being and patient safety, highlighting the need for effective strategies to mitigate it. Objective: to summarize the main intervention strategies aimed at reducing the effects of presenteeism among nurses, analysing their causes, consequences and effectiveness. Method: a critical narrative analysis was carried out, based on studies selected from a search of databases such as CINAHL® Plus and MEDLINE®. Articles published in the last 10 years in Portuguese, English and Spanish were included. Results: the causes of presenteeism include organizational, psychosocial, physical and mental factors. The consequences include loss of productivity, risks to patient safety and worsening of the worker’s health. Effective interventions include physical activity programs, mindfulness, cognitive-behavioral therapy, auricular acupressure, multi-component workplace health promotion programmes, competency-based education and management of musculoskeletal disorders. Positive effects were observed in symptom reduction, increased productivity, well-being, safety and reduced organizational costs. Conclusion: integrated strategies that combine organizational and individual approaches, show the best results, promoting the health and well-being of nurses, improving patient safety and reducing organizational costs.