Percorrer por autor "Teixeira, Carla"
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- Burnout in intensive care units - a consideration of the possible prevalence and frequency of new risk factors: a descriptive correlational multicentre studyPublication . Teixeira, Carla; Ribeiro, Orquídea; Fonseca, António Manuel; Carvalho, Ana SofiaBackground: The provision of Intensive Care (IC) can lead to a health care provider's physical, psychological and emotional exhaustion, which may develop into burnout. We notice the absence of specific studies regarding this syndrome in Portuguese Intensive Care Units (ICUs). Our main objective is to study the incidence and risk factors of burnout in Portuguese ICUs. Methods: A self-fulfilment questionnaire containing 3 items: (i) socio-demographic data of the study population; (ii) experiences in the workplace; (iii) Maslach Burnout Inventory (MBI) - was applied to evaluate the influence of distinct factors on the prevalence of burnout among physicians and nurses working in ICUs. Results: Three hundred professionals (82 physicians and 218 nurses) from ten ICUs were included in the study, out of a total of 445 who were eligible. There was a high rate of burnout among professionals working in Portuguese ICUs, with 31% having a high level of burnout. However, when burnout levels among nurses and physicians were compared, no significant difference was found. Using multivariate analysis, we identified gender as being a risk factor, where female status increases the risk of burnout. In addition, higher levels of burnout were associated with conflicts and ethical decision making regarding withdrawing treatments. Having a temporary work contract was also identified as a risk factor. Conversely, working for another service of the same health care institution acts as a protective factor. Conclusions: A high rate of burnout was identified among professionals working in Portuguese ICUs. This study highlights some new risk factors for burnout (ethical decision making, temporary work contracts), and also protective ones (maintaining activity in other settings outside the ICU) that were not previously reported. Preventive and interventive programmes to avoid and reduce burnout syndrome are of paramount importance in the future organization of ICUs and should take the above results into account.
- Ethical decision making in intensive care units: a burnout risk factor? Results from a multicentre study conducted with physicians and nursesPublication . Teixeira, Carla; Ribeiro, Orquídea; Fonseca, António M; Carvalho, Ana SofiaEthical decision making in intensive care is a demanding task. The need to proceed to ethical decision is considered to be a stress factor that may lead to burnout. The aim of this study is to explore the ethical problems that may increase burnout levels among physicians and nurses working in Portuguese intensive care units (ICUs). A quantitative, multicentre, correlational study was conducted among 300 professionals.
- Foods with microalgae and seaweeds fostering consumers health: a review on scientific and market innovationsPublication . Nova, Paulo; Martins, Ana Pimenta; Teixeira, Carla; Abreu, Helena; Silva, Joana Gabriela; Silva, Ana Machado; Freitas, Ana Cristina; Gomes, Ana MariaNutrition plays a crucial role in health promotion and disease prevention, and dietary-related factors are, in many cases, the leading risks for worldwide mortality and morbidity. Nowadays, consumer awareness of this fact has led to an increasing interest in food products that couple both these dimensions to an imperative third overall factor of interest—sustainability. Microalgae and seaweeds have in their composition a wide range of important multifunctional bioactive compounds which may possess cardiovascular protective, anti-inflammatory, anti-hypertensive, antioxidant, anti-coagulant, anti-proliferative, and/or antidiabetic activities. In addition, they can constitute excellent ingredients for the food industry to be used in the development of value-added food products. This review provides an overview on the current scientific and industrial developments regarding food products incorporating microalgae and seaweeds. Furthermore, technological, nutritional, sustainability, and health benefits resulting from their incorporation in different food matrixes are also explored
- Integrating palliative care and Intensive care: a spectrum of ethical issuesPublication . Pereira, Sandra Martins; Teixeira, Carla; Carvalho, Ana Sofia; Hernández-Marrero, PabloBackground: The integration of palliative care (PC) in intensive care (IC) can be framed ethically. By integrating the core principles of PC in IC, the ethical principles of autonomy, beneficence, non-maleficence and justice are fostered together with the ethical principles of dignity, integrity and vulnerability. Several organizational initiatives have been described worldwide on integration. Little is known on the ethical principles supporting this integration. Aims: To ethically frame and understand healthcare professionals’ perspectives about integrating PC and IC. Methods: A qualitative study, using in-depth interviews to collect data from healthcare professionals working in Portuguese PC and IC units. Data is being analysed using a thematic analysis approach. A snowball sampling procedure is being applied until reaching theoretical saturation. Up-to-date, 22 professionals (8 physicians and 14 nurses) across settings and cities were interviewed. Results: Participants understand the integration of PC in IC as a way of improving end of life care and end of life decision-making processes. In their speech, an early integration of PC is needed, particularly in other settings (e.g., medical and surgical) in order to prevent invasive interventions and admissions in IC units. This is linked to the application of the ethical principles of beneficence, non-maleficence and justice into practice. Professionals also consider that the integration of PC in IC may foster patient autonomy, by allowing patients to be cared for and die in their place of preference, and integrity, through a holistic approach. Patients in IC are particularly vulnerable; integrating the principles of PC can protect them of any further harm. While professionals working in PC consider that integration should be promoted by implementing a mixed-organizational model, professionals from IC units defend an educational model, which should be promoted during medical specialty training as intensivists, PC being part of this education programme. Conclusions: This is the first study addressing the integration of PC in IC in Portugal, following an ethical frame. Professionals working in PC and IC seem to have different perspectives on how the integration model should be. Findings show the potential for a successful integration; more research is needed to develop an effective, sustainable and ethically sound integration model. Acknowledgments: Fundação Grünenthal and Fundação Merck, Sharp and Dohme.
- Reduzir o risco de lesões resultantes de quedas em doentes admitidos em contexto de serviço de urgênciaPublication . Teixeira, Carla; Oliveira, Irene
- Resuscitation (incl. DNR)Publication . Jácomo, António; Teixeira, Carla; Carvalho, Ana Sofiahis entry underlines the enormous importance of ethical decision making in order to draw attention to the need to establish an appropriate balance between autonomy and self/other-oriented responsibilities in the cardiopulmonary resuscitation (CPR) context.