Percorrer por autor "Veludo, Filipa"
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- O ambiente de prática de enfermagem em contexto de unidade de cuidados intensivos: protocolo de scoping reviewPublication . Melgueira, Isabel; Veludo, Filipa
- Competências do enfermeiro gestor de feridas na equipa de saúdePublication . Silva, Raquel Marques; Veludo, Filipa
- Conforto nos diagnósticos de enfermagem - características definidoras de conforto prejudicado: revisão integrativa da literaturaPublication . Sousa, Ana Rita Correia de; Veludo, FilipaEnquadramento: O conforto tem sido considerado um conceito importante, fundamental e intimamente ligado à prática de enfermagem, assumindo-se como um resultado desejado para a prestação de cuidados. Objetivo: Identificar, sintetizar e analisar o conhecimento existente acerca das características associadas ao conforto prejudicado. Metodologia: Revisão integrativa da literatura assente na metodologia PICo. A pesquisa foi realizada no motor de busca EBSCO, no Repositório Científico de Acesso Aberto de Portugal e nas bases de dados SciELO e SciELO Portugal, com o friso temporal de 2009 a 2017. Resultados: Foram selecionados quatro artigos que envolveram pessoas e familiares a quem foram prestados cuidados de enfermagem. Os resultados evidenciaram como características de conforto prejudicado a dor, a privação do sono, o medo, o cansaço, a sede, a fome, a anorexia, a astenia, a ansiedade, a incerteza da recuperação, o défice de confiança nos profissionais, a prática religiosa diminuída, as mudanças no ambiente familiar, social e profissional, a dependência nas atividades de vida diária e a presença de dispositivos médicos invasivos e não invasivos. Conclusão: Comparativamente com as características que definem o diagnóstico de conforto prejudicado da classificação NANDA, existem outras expressas na literatura que não são incluídas nesta nomenclatura.
- Conhecimento especializado de enfermagem para a fraternidade socialPublication . Barata, Catarina; Arsénio, Marta; Deodato, Sérgio; Veludo, Filipa
- Critical patient’s comfort: strategies to reduce environmental noise levelsPublication . Ramos, Telma; Veludo, FilipaBackground: Noise may have harmful effects. For critically ill patients, highlights have main consequences cardiovascular disorders, reduction of arterial oxygen saturation, increase in gastric secretion, stimulation of the pituitary gland, sleep disturbance, immunosuppression and reduction of the cicatrisation process [1]. Noise has an overall negative impact on patients’ recovery. Identification and dissemination of strategies to reduce environmental noise empowers nurses towards changes in their professional practice. Objective: Identify evidence in Literature of nursing care strategies to reduce environmental noise in critical patient care. Methods: This research was conducted in two phases. 1st Phase: Mediated by an integrative literature review (16/04/2017) we carried out data-base research through the Academic Search Complete; Complementary Index; CINAHL Plus with Full Text; Directory of Open Access Journals; Supplemental Index; Psychology and Behavioural; Sciences Collection; SPORTDiscus with Full Text; RCAAP; SciELO; Europeana; Business Source Complete; Education Source; IEEE Xplore Digital Library; MedicLatina; JSTOR Journals; PsycARTICLES; ScienceDirect. Descriptors: (TI (Noise*or sleep*) AND (Nurs*) AND (intervention or care or patient care or care plan* or critical care), non-temporal. Inclusion criteria: Primary, secondary, opinion/reflexion studies. Exclusion Criteria: Paediatrics context, REM, pharmacological intervention. From the initially 441 articles obtained, we excluded 391 by reading abstracts, 22 by summary and 15 by the complete text, concluding with 13 articles as final sample. 2nd Phase: Content analysis according to [2] in order to categorize results. Results: We have identified 6 feasible categories for environmental noise reduction, which we present as main strategies: Behavioural changes (creation of awareness to the importance of the tone of voice and silent handling of equipment and materials); Material and Equipment management (mobile phones, televisions and radios volume configuration; determination of correct parameters for alarm configuration); Management of silence promotion care (implementation of periods of silence, avoid noisy tasks); Training in environmental noise (behavioural change programs and health education about negative effects of noise); Care quality control (usage of ear plugs); Others (infrastructural adaptations, encourage suppliers to produce more silent products). Conclusions: This study systematizes strategies to be implemented by nursing professionals in order to reduce environmental noise within health structures and improve patient comfort. The implementation of a silence culture enables an adequate and essential physical environment to patient recovery [3]. Empower nurses with the identified strategies allows the improvement of people’s quality of life. The shortage of published research reflects the need of forward research.
- Cuidado especializado à pessoa em situação crítica: um estudo de casoPublication . Gonçalves, Marlene; Veludo, Filipa
- O debriefing e performance da equipa multidisciplinar em situação de emergência: scoping reviewPublication . Algarvio, Andreia; Alves, Telma; Veludo, Filipa; Afonso, Tânia dos Santos
- 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.
- End of life person’s evaluation criteria in the decision making regarding artificial nutritionPublication . Afonso, Tânia; Veludo, Filipa; Sousa, Patrícia P.; Santos, SóniaBackground: Artificial nutrition at the end of life is assumed as a medical intervention, however for a large percentage of person’s and families is considered as basic care [1]. Thinking about artificial nutrition and the end of life person, such as the person with advanced, incurable and progressive disease, with a survival expectancy between 3 to 6 months [2] is often reflected on a set of issues. This is a controversial discussion, about the quality of life resulting of one of these means and ethical questioning [3]. It’s relevant to look to the user/family as one, which motivates the urgent intervention of the nurses in decision-making support. Objective: Identify scientific evidence regarding the end-of-life evaluation criteria, to be considered in the nurses’ decision-making about artificial nutrition. Methods: Literature Review (15-06-2017) with PRISMA guidelines for reviews [4] in Academic Search Complete, Complementary Index, CINAHL Plus with Full Text®, Psychology and Behavioural Sciences Collection, ScieELO, MEDLINE®, Directory of Open Access Journals, Supplemental Index, ScienceDirect, Education Source, Business Source Complete and MedicLatina. Inclusion/exclusion criteria: nurses who care for adult/elderly persons at the end of life, excluding nurses who care for children; articles about nurses’ intervention in nutrition care to the person at the end of life and the person’s evaluation criteria; full text; in French/Spanish/English/Portuguese; peer-reviewed; published between 2000-2017. A sample of 11 articles was selected. Results: The evaluation criteria to be considered when making decisions on artificial nutrition are: the evaluation of symptoms/problems; emotional value of food; the meaning of the diet for the person at the end of life and definition of prognosis [3,5-6]. In every decision-making, it should be considered the existence of a clinical indication/treatment, a therapeutic objective and the informed consent of a user or legal guardian. Conclusions: It is concluded that the decision on artificial nutrition should integrate the person at the end of life and family, be taken by an interdisciplinary team, considering the definition of the prognosis and the effectiveness of the treatment applied [3]. The intervention of the nurse is understood as a primordial one, based on the best evidence, in relation of proximity [5] considered, simultaneously, the principle of autonomy, beneficence, non-maleficence and justice. There is little evidence of end-of-life nutrition and new studies on the role of nurses within the interdisciplinary team are suggested.
- End of life person’s evaluation criteria in the decision making regarding artificial nutritionPublication . Afonso, Tânia dos Santos; Veludo, Filipa; Sousa, Patrícia Pontífice; Santos, Sónia