CIIS - Contribuições em Revistas Científicas / Contribution to Journals
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- Clinical supervision in the integration of nursing students in paediatric clinical education: an experience reportPublication . Albuquerque, Diana; Condeço, LuísIntroduction: To ensure a positive and enriching clinical experience for nursing students, it is essential to reflect on how to make their integration into practice more welcoming and educational. Objective: To reflect on the clinical supervision practices used during the integration of students in a paediatric setting, aiming to identify facilitating factors and areas for improvement. Methods: Experience report based on Donald Schön’s reflective concepts. A nurse specialised in child health supervised students in a paediatric hospital unit, collecting and analysing data through a supervision diary. Results: Facilitating factors included the presence and support of teachers and clinical supervisors, clear communication, defined expectations, and a welcoming, well-organised physical environment. Opportunities for improvement included the need for greater emotional preparation, more effective communication strategies, and stronger orientation during the first days of the placement. Conclusion: Based on the barriers and facilitating factors identified through reflective analysis, the implementation of a structured clinical supervision programme is recommended. This should include clear objectives, individualised support, and continuous feedback to enhance student integration into paediatric clinical education. Although this report reflects a single supervisory context, the insights gained may inform future improvements in supervision strategies and contribute to the development of safe, competent, and emotionally prepared nursing professionals.
- Cuidados de enfermagem promotores do conforto à pessoa em situação paliativa: protocolo de scoping reviewPublication . Ramos, Olga Alexandra Moura; Sá, José Alberto Fernandes Traila Monteiro de; Figuerola, Marta Millan; Augusto, Maria Cristina Bompastor; Gomes, Maria José Almendra RodriguesIntrodução: O conforto é sensível aos cuidados de enfermagem e resulta da satisfação da necessidade de alívio, tranquilidade e transcendência, nas dimensões física, psicoespiritual, social e ambiental. Objetivo: Mapear a evidência científica disponível sobre os cuidados de enfermagem que promovem o conforto na pessoa em situação paliativa. Critérios de inclusão: Estudos primários que relatem os cuidados de enfermagem na promoção doconforto à pessoa em situação paliativa. Métodos: Protocolo de scoping reviewsegundo as recomendações do Joanna Briggs Institute. Estudos publicados e não publicados, com abordagem quantitativa, qualitativa ou de métodos mistos. Pesquisa completa nas bases de dados MEDLINE Complete, CINAHL Complete, Scopus, Web of Science, RCAAP e OpenGrey. Triagem dos estudos realizada pelo título e resumo, com posterior análise do texto integral por dois revisores independentes que farão a extração e categorização dos dados em função do conteúdo. Protocolo de pesquisa registado na Open Science Framework (DOI 10.17605/OSF.IO/CN258). Conclusões: Espera-se contribuir para a clarificação de conceitos e para a definição de um quadro teórico que fundamente a intervenção de enfermagem na promoção do conforto à pessoa em situação paliativa.
- The CHANT's conceptual and psychometric validity in Switzerland: a descriptive three-round multicentre e-Delphi studyPublication . Santos, Omar Portela Dos; Alves, Paulo Jorge Pereira; Verloo, HenkTo effectively mitigate the health impacts of climate change, future nurses must be equipped with the requisite knowledge and competencies. Knowing their levels of ecoliteracy would help to make them more effective. Background/Objectives: This descriptive study will use a three-round, multicentre, modified e-Delphi survey to establish an expert panel’s consensus on the Climate, Health, and Nursing Tool’s (CHANT) item-level and scale-level content validity indices. It will also examine potential associations between the expert panel members’ sociodemographic and professional characteristics and their content validity index assessments of the CHANT. Methods: The study will be conducted in the French-speaking regions of Switzerland, running its three-round e-Delphi survey between January and April 2025. After each round, the CHANT’s overall scale-level and individual item-level content validity indices will be computed. Comparisons between different types of healthcare professionals’ profiles will also be conducted. Results: The three-round modified e-Delphi survey should allow the expert panel to reach a consensus on the CHANT’s overall content validity index. The tool should then be considered suitable for pilot testing. The first round brought together 16 experts from different regions, namely French-speaking Switzerland, France, and Belgium. Conclusions: To ensure that the nursing discipline is well positioned to meet future challenges, the development of ecoliteracy must be integrated into nursing education. Ensuring the CHANT’s conceptual and psychometric validity will be essential in strengthening nursing competencies in and knowledge about planetary health and in implementing future educational interventions.
- Compassion – an imperative for nursing education and practicePublication . Condeço, Luís
- Influence of clinical leadership in nursing on quality and safety of care: scoping reviewPublication . Ramos, Olga Alexandra Moura; Sá, José Alberto Fernandes Traila Monteiro de; Oliveira, Ana Rita Capela; Gomes, Maria José Almendra Rodrigues; Augusto, Maria Cristina BompastorObjective: to map the available scientific evidence on the influence of clinical nursing leadership on the quality and safety of care in hospital health organizations. Method: scoping review according to the recommendations of the Joanna Briggs Institute and PRISMA-ScR. Search in three stages, in the MEDLINE Complete, CINHAL Complete, Web of Science, Scopus, ProQuest Dissertations and Theses and OpenGrey databases. Results: Most studies show the positive effect of clinical leadership in nursing on the quality of care. The strategies that promote clinical leadership are related to the training of nurses to perform the role. The clinical nurse leader is a model for peers, demonstrates communication skills, mentoring and the ability to influence others. Conclusion: clinical leadership has an impact on the patients, the nurses and the organization. Strategies that enable clinical leadership development should underpin leadership programs in healthcare organizations that aim for safe and quality care.
- Teaching spiritual care in Portuguese nursing schoolsPublication . Afonso, Ana; Sitefane, Sara; Rabiais, Isabel; Caldeira, SílviaSpiritual care is an essential dimension of holistic care. Organizations, such as the International Council of Nurses, mention the importance of spirituality for health and the urgency of nurses providing spiritual care. At the same time, studies show that spirituality brings benefts at the level of coping strategies both in crisis or struggling experiences, greater gratitude, facilitating forgiveness and meaning of life. However, spirituality and spiritual care seem to have been neglected and, among other factors, the lack of training in the nursing degree has been described as critical. The undergraduate nursing degree in Portugal should ensure scientifc, technical, human, and cultural training for of providing and managing general nursing care. As so, the undergraduate degree should provide the conditions to learn about spiritual care based on a holistic approach to patients, families, and communities. The school curriculum and respective syllabuses are not random, and the choice of diferent curricular units results from refexive and intentional processes in each institution. Materials and methods An exploratory study was conducted to map the explicit reference of spiritual care in the undergraduate nursing degree in all nursing schools in Portugal. Data were collected in September 2022 by searching for the spiritual* research term in the designation of the undergraduate nursing degree curricular units as displayed on the websites of the higher education institutions (HEI). Results Of the 36 HEI, none had curricular units entitled with spirituality or spiritual care. Conclusions Although it cannot be inferred that spiritual care is not addressed in the undergraduate nursing degree, as the curriculum is a form of social visibility of a discipline and a profession, these data should lead us to refect on the (in)visibility that is given to the spiritual dimension. So further studies are needed to disclose and understand how students are prepared to attend to patients in a holistic paradigm that includes attention to the spiritual dimension of health.
- Adaptation and implementation of the European matrix for teaching spiritual care to nursing studentsPublication . Sitefane, Sara; Afonso, Ana; Rabiais, Isabel; Caldeira, SílviaBackground The World Health Organization’s concept of health currently comprises eight dimensions: emotional, spiritual, intellectual, physical, environmental, fnancial, occupational, and social. Including the spiritual dimension [1] represents an essential milestone in recognizing its positive impact on health, well-being, and quality of life. In this sense, nursing students’ acquisition and development of spiritual care skills are required, particularly in undergraduate nursing degrees. Also, the evidence demonstrates the positive relationship between spiritual education and spiritual competencies, emphasizing the need for spiritual education as an integral and regular part of the undergraduate nursing curriculum. Regardless of this evidence, the educational strategies for improving and developing undergraduate nursing students’ skills and competencies are scarce and should be urgently considered as nurses and midwives still report feeling unprepared for providing spiritual care. Recently, the EPICC project (Nurses’ and Midwives’ Competence in Providing Spiritual Care through Innovative Education and Compassionate Care)[2] has been implemented as a turning point in nursing education for spiritual care and spirituality, through a systematic, consensual, and efective response, by involving multiple partners and experts from diferent European countries. Portugal has been a participant in that Erasmus-funded project. Materials and methods This Ph.D. project concerns the translation, adaptation, and implementation of the EPICC matrix. First, a translation and cultural adaptation process will be conducted according to the core project guidelines [3]. Then the matrix for education and assessing spiritual care competencies will be implemented in a pilot study in a Portuguese nursing school involving undergraduate nursing students. Results The core project guidelines represent V stage of the cross-cultural adaptation process. The preliminary results point to the beginning of stage III with the back translation of the synthesized written version of the EPICC Spiritual Care Education Standard and EPICC Spiritual Care Competency Self-assessment tool. Stage I (initial translation with written reports of each – T1 and T2) and Stage II (synthesis of the translations to version T12) of the translation and cultural adaptation of the EPICC matrix are already concluded. Conclusions This innovative project could help improve Portuguese schools’ nursing curricula from an evidence-based perspective.
- Fatores de risco associados à incontinência urinária pós prostatectomia: protocolo de estudo de scoping reviewPublication . Pereira, Ana; Nogueira, Nilza; Alves, PauloIntrodução: A incontinência urinária masculina é uma das principais complicações pós prostatectomia. Contudo, as suas causas ainda não estão totalmente esclarecidas, na medida em que esta pode dever-se à conjugação vários fatores tais como técnica cirúrgica e/ou antecedentes/condições clínicas do próprio doente. Objetivo: Examinar e mapear os fatores de risco associados à incontinência urinária pós-prostatectomia. Material e Métodos: Scoping review baseada na metodologia proposta pelo Joanna Briggs Institute. Foi construído o protocolo de scoping review tendo em conta os critérios definidos e a adequação às bases/repositórios propostos. A análise de relevância dos artigos, a extração e síntese dos dados será realizada por dois revisores independentes. Apresentação e interpretação dos resultados: Os resultados serão apresentados de forma descritiva, com recurso a tabelas, tendo em conta o objetivo e o foco da scoping review. Para além disso, será elaborado também um resumo narrativo onde se agregará e fará uma análise critico-reflexiva da informação obtida. Conclusões: Espera-se que esta scoping review permita a análise e sistematização dos estudos referentes aos fatores de risco associados ao desenvolvimento da incontinência urinária pós prostatectomia. Prevê-se assim que esta revisão constitua um ponto de partida para a análise e sistematização dos cuidados pós prostatectomia, contribuindo não só para a otimização das intervenções nesta população, mas também para a investigação científica nesta temática.
- Incidence of symptoms of musculoskeletal disorders among health professionals in a Portuguese emergency service: a correlational studyPublication . Castanheira, Joana Antunes; Duarte, Hugo Miguel Santos; Pereira, Ana Sofia Ferreira; Pragosa, Ângela Marina da Costa; Santos, Edna Tatiana Prazeres; Ventura, Maria Clara Amado ApóstoloBackground: Health professionals working in an emergency setting are vulnerable to the development of musculoskeletal disorders. These conditions reduce productivity and increase costs for healthcare institutions. Objective: To determine the incidence of symptoms of musculoskeletal disorders among health professionals in a Portuguese emergency service. Methodology: A quantitative, descriptive, and correlational study was conducted with a sample of 109 participants, through the self-administration of the Nordic Musculoskeletal Questionnaire. The instrument collected data on the sample’s personal, educational, and professional description, perceptions of general health status, and symptoms of musculoskeletal disorders. Results: The results showed that 84.40% of health professionals reported having symptoms of muscu-loskeletal disorders, with the lower back being the most commonly identified body region, and nurses being the professional group with the highest percentage (41.18%). Conclusion: The high incidence of health professionals with symptoms of musculoskeletal disorders indicates a need for interventions by nurse specialists in rehabilitation nursing.
- EditorialPublication . Afonso, Tânia