CIIS - Contribuições em Revistas Científicas / Contribution to Journals
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- Perceção do cuidar de um grupo de estudantes finalistas de enfermagemPublication . Correia, Maria Amélia Meireles Lima da Costa Peres; Costa, Maria Arminda MendesO presente estudo enquadra-se no âmbito do ensino em enfermagem, incidindo sobre o processo ensino/aprendizagem do cuidar. Ao longo do percurso formativo os estudantes adquirem uma conceção do cuidar, que importa seja reveladora de uma posição harmoniosa entre as diferentes dimensões que o cuidar encerra. Foi nosso objetivo - conhecer a perceção do cuidar de um grupo de estudantes finalistas de enfermagem. É um estudo exploratório – descritivo de natureza quantitativa. A colheita de dados foi efetuada através da aplicação da Escala de avaliação do Significado de Cuidar – EASC da autoria de Bison (2003, p. 26-28). A amostra é constituída por 197 estudantes finalistas de uma Escola Superior de Enfermagem Portuguesa. Os resultados evidenciam que os estudantes em fase de conclusão do curso, valorizam mais o cuidar enquanto interação interpessoal e como intervenção terapêutica, sendo o cuidar como afeto e o cuidar como imperativo moral ou ideal as dimensões menos valorizadas. Os resultados parecem orientar para a necessidade de uma avaliação sistemática dos resultados obtidos ao longo e no final do processo ensino/aprendizagem de modo a que o processo formativo culmine numa aprendizagem global onde o cuidar seja o resultado da valoração harmonizada das diferentes dimensões que o compõem.
- Content validity of the CHANT’s French-language translation and cultural adaptation: a modified e-Delphi studyPublication . Santos, Omar Portela dos; Hepcée, Fanny de; Alves, Paulo Jorge Pereira; Verloo, HenkBackground/Objectives: Climate change is a major global health challenge with direct implications for public health. As frontline health professionals and agents of change, nurses must develop competencies to address climate-related health issues and implement sustainable practices. This study aimed to translate and culturally adapt the Climate, Health, and Nursing Tool (CHANT) into French and to assess its content validity using item-level and scale-level content validity indices (I-CVI and S-CVI, respectively). The CHANT evaluates nurses’ awareness, motivations, concerns and self-reported behaviours related to climate change. A secondary objective was to examine potential associations between experts’ sociodemographic and professional characteristics and their CVI ratings. Methods: A descriptive international study using a three-round modified e-Delphi approach was conducted between January and June 2025 in French-speaking regions of Switzerland, France and Belgium. A multidisciplinary panel of experts in nursing, planetary health and environmental sciences evaluated the relevance, clarity and comprehensiveness of each item and response option, enabling iterative refinement. Results: The original 12-item CHANT was evaluated by 17 experts in Round 1. Following expert recommendations, one additional item was incorporated, resulting in a 13-item version, which was subsequently evaluated by 15 experts in Round 2 and 25 experts in Round 3. Across the three Delphi rounds, 57 completed expert evaluations contributed to the iterative refinement of the instrument. Round 1 I-CVI ranged from 0.79 to 1.0, and S-CVI reached 0.935, with full consensus. Round 2 I-CVI ranged from 0.71 to 1.0, and S-CVI was 0.91 (92% consensus), with one item not meeting the predefined threshold. Round 3 I-CVI ranged from 0.82 to 1.0, and S-CVI returned to 0.935, confirming consensus. A final linguistic, semantic and cultural review conducted by the research team ensured the conceptual consistency and cultural appropriateness of the translated instrument. Conclusions: The French-language version of the CHANT demonstrated satisfactory content validity and provides a culturally adapted instrument to assess climate-related competencies and eco-literacy in nursing education and practice. Further psychometric evaluation is warranted.
- EditorialPublication . Pinto, Sara; Sousa, Patrícia Pontífice
- Obstacles and strategies in nursing care for migrant, asylum-seeking, and refugee children: a scoping reviewPublication . Marcelino, Carolina; Marcelino, Tânia; Ramos, Sílvia; Romeiro, Joana; Caldeira, SílviaIntroduction:The migratory phenomenon is reaching record levels, with children as a vulnerable group, facing challenges during travel and adaptation. This review aims to map the obstacles and strategies in the provision of nursing care to migrant, asylum-seeking, and refugee children. Methods:This is a scoping review according to JBI guidelines; searches were conducted in June – July 2024 and updated in May 2026 in MEDLINE Complete, PubMed, CINAHL Complete, and Web of Science. Inclusion criteria were language (Portuguese, English, or Spanish), population (migrant children), and various settings. Results:Ten studies identified several obstacles to nursing care, including cultural barriers, communication difficulties, nurses’ attitudes, inadequate translation services, and limited knowledge of the health care system. Discussion:Culturally congruent nursing care is essential for improving outcomes for vulnerable children. This review emphasizes the need for inclusive health policies and ongoing training to promote cultural competence among nurses.
- Conforto: contributo teórico para a enfermagemPublication . Martins, Ana Gonçalves; Sousa, Patrícia Pontífice; Marques, Rita MargaridaObjetivo: o objetivo do estudo é compreender de que forma a Teoria do Conforto de Kolcaba influenciou a investigação e a prática clínica em enfermagem através da evolução do conceito. Desenvolvimento: trata-se de um estudo de natureza teórica, resultante da leitura, análise e reflexão de diferentes estudos obtidos por meio da revisão de literatura realizada em dezembro de 2021 em Lisboa, Portugal. A literatura evidencia a presença do construto integrante de várias taxonomias de enfermagem ao longo dos tempos, e mais recentemente, em várias teorias de enfermagem. Da análise conceitual, qualquer que seja a perspectiva teórica, reafirma-se tratar de um fenômeno de interesse, complexo e multifacetado. Conclusão: entende-se que esta reflexão permite compreender o fenômeno do conforto e a forma como este conceito tem vindo a ser estudado e clarificado, afirmando a sua importância para a qualidade dos cuidados em enfermagem
- Health profiles of families with young children: observational studyPublication . Fonseca, Inês; Monteiro, Vanessa; Madureira, Jóni; Dantas, Jacinta; Reduto, José; Charepe, Zaida; Figueiredo, HenriquetaIntroduction: Family health, influenced by sociodemographic determinants and health status, plays a crucial role in the well-being and quality of life of its members, making it essential to understand the health profiles of families with young children for the development of effective interventions. Objective: To characterize the health profiles of families with young children and analyze the relationship between these profiles and sociodemographic and health determinants. Methods: A quantitative, observational, descriptive, and cross-sectional study was conducted with 474 families attending Child and Youth Health consultations. Participants were selected by convenience, and data were collected through a self-administered questionnaire. The analysis included cluster formation based on the "Total Family Functioning Ratio" and employed descriptive and inferential statistical techniques. Results: Five clusters of families were identified, ranging from a more balanced family functioning in cluster 1 to a less balanced functioning in cluster 4, which exhibited the poorest health outcomes, including lower education levels, higher unemployment rates, and worse health perceptions. Conclusion: The study revealed that single-parent families and those with lower educational qualifications experience poorer health outcomes. Perceived social support and family functioning are significant determinants. It is recommended to implement intervention strategies aimed at improving the well-being and health of families based on the identified profiles.
- Funções e condições de trabalho de um enfermeiro no Hospital de S. José (meados do século XIX)Publication . Subtil, Carlos Lousada; Vieira, Margarida Maria da SilvaOs enfermeiros portugueses possuem hoje diversos instrumentos e meios que regulam o exercício profissional. Todavia, a consolidação do processo identitário obriga a um esforço de clarificação das práticas e dos contextos da profissão em períodos históricos anteriores, nomeadamente no período da monarquia constitucional. Pretende-se contribuir para o esclarecimento do estatuto profissional e social do enfermeiro contido no Regulamento do Hospital de S. José, de 21 de janeiro de 1851. Procedeu-se à consulta e análise daquele regulamento e da Coleção de Orçamentos de Estado (1836-1862), segundo a metodologia da análise histórica. Apresentam-se aspetos do ambiente físico e económico do hospital, a posição do grupo dos enfermeiros em relação aos outros empregados, a organização do dia-a-dia nas enfermarias e as funções dos diferentes empregados. Os empregados formavam dois grupos: os empregados maiores e os empregados menores onde se incluíam os enfermeiros. O enfermeiro - figura central nas rotinas e gestão da enfermaria, tinha funções de supervisão dos ajudantes e moços. Os ajudantes eram quem realizava os cuidados aos doentes. Seria útil prosseguir este estudo em períodos subsequentes ou fazer um estudo comparativo com o Hospital Termal das Caldas ou um hospital sob a tutela das Misericórdias.
- Reframing evidence-based practice competence in nursing: insights from a concept analysis using Walker and Avant's methodPublication . Furtado, Luís; Ferrito, CândidaThis study refines the concept of evidence-based practice (EBP) competence in nursing by providing an updated operational definition grounded in contemporary educational and clinical contexts. A comprehensive literature review (2013-2023) was conducted across PubMed, CINAHL, Web of Science, and MEDLINE, supplemented by grey literature and regulatory documents, yielding 39 included publications. Using Walker and Avant's concept analysis method, key defining attributes were identified: a spirit of inquiry; the ability to formulate structured clinical questions; skills in searching for, appraising, and integrating evidence; the capacity to evaluate outcomes; and competence in disseminating findings. Antecedents included research literacy, professional experience, and organisational support, while consequences encompassed improved decision-making, professional development, and enhanced team communication. Model, borderline, and contrary cases were developed to illustrate application across clinical contexts. The refined operational definition conceptualises EBP competence as the attitudes, knowledge, and skills that enable nurses to question practice, acquire and critically appraise evidence, integrate it with clinical expertise and patient preferences, evaluate outcomes, and disseminate learning. This analysis offers a conceptual foundation to inform assessment tool development and support alignment of nursing curricula with core EBP competencies, strengthening conditions that facilitate EBP implementation across healthcare settings.
- Refining and looking for gaps: a study of adaptability in preclinical medical studentsPublication . Theys, M.; Brouwer, E. E.; Meneres, S.; Teunissen, P. W.; Verstegen, D. M. L.Adaptability is an essential element of professional healthcare practice, yet little is known about how medical students understand and engage with adaptability during their preclinical training. Insight into these early experiences can help uncover the fundamentals of later adaptive expertise. This study explored how preclinical medical students perceive their own adaptability in the context of their academic work. From December 2024 to January 2025, seventeen third-year medical students from three universities in Belgium, the Netherlands, and Portugal participated in semi-structured interviews. We conducted interviews in person or online and recorded, transcribed verbatim, and analyzed them using thematic analysis. A constructivist orientation informed the approach to data collection and interpretation. Coding was iterative and supported by regular team discussions and memo writing. Students described adaptability in two distinct but related ways. The first theme, refining, occurred in situations that were different but came with clear expectations, such as examinations, course structures, or explicit or inferred teacher requirements. In these situations, students described adaptability as adjusting established study strategies and seeking guidance from peers to meet goals they could define clearly. Their actions were cautious and deliberate, influenced by a desire to avoid failure and remain within a context that felt manageable. The second theme, looking for gaps, reflected experiences in situations that were unfamiliar or ambiguous, including early clinical encounters or unexpected challenges. In these situations, students realized their usual strategies were insufficient and described adaptability as stepping back, observing before acting, and asking targeted questions to understand how to proceed. Although these situations often prompted significant learning, students also reported discomfort, uncertainty, and vulnerability, which sometimes led to hesitation or avoidance. These findings highlight the importance of educational environments that acknowledge adaptability as part of learning and provide structured support to help students navigate less predictable situations. Such environments may encourage students to move beyond optimizing familiar strategies and toward the forms of adaptability that underpin the development of adaptive expertise.
- Association of periodontitis with ambulatory blood pressure, salt intake, and neutrophil-lymphocyte ratio in high-risk hypertensive patientsPublication . Pinto-Ribeiro, Tiago; Faria-Almeida, Ricardo; Monteiro, Ana; Souza, Júlio César Matias; Felino, António; Polónia, JorgeObjective: Periodontitis and cardiovascular disease are prevalent entities that often coexist, with a common pro-inflammatory pathway. The objective of this study was to evaluate the association between periodontitis and cardiovascular pro-inflammatory parameters rarely considered within risk factors. Methods: Forty-three participants aged between 38-82 years were examined. An association between mean probing depth (MPD), mean attachment loss (MAL), bleeding on probing (BOP), and periodontal inflamed surface area (PISA) was correlated with the following cardiovascular disease factors and inflammatory promoters: neutrophil-to-lymphocyte ratio (NLR), 24h ambulatory blood pressure, global cardiovascular risk, daily salt intake, night-time systolic blood pressure (nSBP), and pulse wave velocity (PWV). A two-way ANOVA and multiple comparison tests were performed using SPSS statistics software. Results: A highly significant correlation (plog odds of developing BOP. Conclusions: Several periodontal disease parameters are linked to cardiovascular risk factors such as hypertension, neutrophil-to-lymphocyte ratio, daily salt intake and night-time systolic blood pressure.