CIIS - Contribuições em Revistas Científicas / Contribution to Journals
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- Comforting interventions applied to the adult/aged individual at the end of life in a hospital context: integrative reviewPublication . Antunes, Juliana Carlos; Pontífice-Sousa, PatríciaBackground: At the end of life, the adult/aged individual experiences suffering and discomfort, resulting, in most cases, in the need to be hospitalized. Thus, the health care requires a multidisciplinary and individualized approach, centred on the promotion of comfort. Purpose: To identify comforting interventions, in the care of adult/aged individuals at the end of life, considering a hospital context. Methods: According Whittemore&Knafl, an integrative review of the literature was performed, using the EBSCOhost and RCAAP databases, within the period comprised between 2012 and 2018. The data analysis was conducted according to Morse & Field and Amado. Results: Among the various ways and means of comforting, we identified 71 comforting interventions, within all the comforting contexts, which were divided in comfort strategies (? 89%) and personal moments of comfort (? 11%), taking into account the suffering and discomfort of the patient and his/her family. Conclusions: Respecting the individual in his/her uniqueness and globality, the provision of comforting care to the hospitalized adult/aged patient at the end of life is achieved through interventions that try to acknowledge the basic and more complex needs, which presupposes flexibility and intentionality when providing care, especially in the field of nursing.
- A relevância da conferência familiar em contexto hospitalar – revisão integrativaPublication . Santos, Ana; Vieira, Carina; Barreto, Luísa; Costa, Tânia; Sousa, Tiago; Coelho, Patrícia
- Após a catástrofe: a gestão da emergência e socorro no terramoto de 1755Publication . Ferreira, Amélia; Esteves, AlexandraNo terramoto de 1755, Lisboa ficou entregue ao seu fado, pois nunca tinha sido acautelado tudo o que uma calamidade desta natureza podia causar. O Estado assumiu de forma singular a responsabilidade da gestão da emergência e socorro. O cuidado em criar uma cidade mais segura foi precedido da preocupação em salvar os vivos e enterrar os que já tinham falecido. Pretende?se, através de uma abordagem sistemática, por meio de recolha e avaliação crítica da documentação, dar a conhecer o socorro efetuado às vítimas do terramoto. Da análise aos documentos coevos, concluímos que os governantes da época elaboraram e executaram um plano de emergência que, em vários pontos, se assemelha ao que existe nos nossos dias. Assim, pretendemos demonstrar que a resposta de emergência à catástrofe foi pensada de uma forma moderna e racional, não sendo porém evidente que fosse claramente hierarquizada, tal como seria expectável atualmente. O sismo foi enfrentado com a ciência e a técnica da época, tendo sido tomadas medidas imediatas para garantir a saúde, a segurança e o alojamento dos cidadãos.
- Artificial intelligence in wound care education: scoping reviewPublication . Encarnação, Rúben; Alves, José; Marques, Ana; Neves-Amado, João; Alves, PauloBackground: Artificial intelligence is transforming healthcare education, offering innovative teaching and skill development approaches. However, its implementation and effectiveness in wound care education remain unclear. Objective: To map and analyze the available evidence on the potential impact of artificial intelligence in wound care education, identify knowledge gaps, and provide recommendations for future research. Design/methods: This scoping review followed the Joanna Briggs Institute guidelines for scoping reviews and the PRISMA-ScR guidelines. The search was first conducted in December 2023 and updated on 30 November 2024 across the following databases: CINAHL Ultimate, MEDLINE, Cochrane Library, Academic Search Complete, Scientific Electronic Library Online (Scielo), Scopus, and Web of Science. Grey literature was accessed through Scientific Open Access Scientific Repositories of Portugal (RCAAP), ProQuest Dissertations and Theses, OpenAIRE, and Open Dissertations. Additional searches were performed in Google Scholar and specific journals, including the International Wound Journal, Skin Research and Technology, Journal of Wound Care, and Wound Repair and Regeneration. Eligibility criteria encompassed any study design exploring the use of artificial intelligence in wound care education, published in English, Portuguese, or Spanish, with no restrictions on publication date. Results: This review revealed diverse artificial intelligence applications in wound care education, including adaptive e-learning platforms, virtual and augmented reality simulations, generative artificial intelligence for educational content, and diagnostic and treatment tools. These technologies offer personalized learning experiences, real-time feedback, and interactive engagement to enhance clinical skills. Despite their promise, most studies lacked empirical validation, highlighting significant gaps in integrating artificial intelligence into wound care education. Conclusions: This review highlights artificial intelligence’s transformative potential to revolutionize wound care education by fostering interactive and evidence-based learning environments. This work highlights the need for collaboration among educators, policymakers, and researchers. Future research is needed to ensure effective, ethical, and equitable integration of artificial intelligence in wound care education.
- Trends in spirituality and spiritual care in nursing - a discursive paperPublication . Timmins, Fiona; Attard, Josephine; Dobrowolska, Beata; Connolly, Michael; Caldeira, Sílvia; Parissopoulos, Stelios; De Luca, Enrico; Whelan, JacquelineAim This paper outlines key developments, innovations, and milestones in the field of spirituality and spiritual care in nursing. Design A discursive paper. Results Nursing scholars have significantly influenced the profession and contributed to the development of nursing knowledge, particularly in the field of spirituality and spiritual care. Key research has focused on nurses' perceptions and attitudes toward spirituality, clarifying foundational spiritual concepts, and establishing a framework of core spiritual care competencies for the profession. Conclusion Despite these advancements, significant gaps remain in nurses' knowledge, understanding, and experience in providing spiritual care. The development of agreed-upon spiritual care competencies at the European level offers important guidance for the profession, and educational initiatives are underway to support their integration. However, the field remains in an early stage of development, and further research is needed to embed spiritual care competencies into national and international nursing policy and practice. Moreover, continued research is also essential to inform and evaluate current educational programmes and nursing interventions, and to support the translation of evidence-based knowledge into effective spiritual care delivery. Implications for the Profession and/or Patient Care Spiritual support is proven to be an important consideration for many patients and families globally. Imbedding spiritual care education into both undergraduate and postgraduate nursing curricula is essential to prepare nurses to address the spiritual needs of patients in healthcare settings. Structured curricula that provide clear instructions on how to recognise, assess, and respond to spiritual concerns in clinical practice can enhance nurses' competence and confidence. Embedding spiritual care into education and training helps normalise spiritual care as a component of holistic nursing, supporting its inclusion in everyday care rather than treating it as an optional or marginal practice. Such educational integration has the potential to improve the consistency and quality of spiritual care across healthcare settings. Impact Internationally there are evident gaps in the consistent provision of spiritual care to patients and their families. These are being addressed through conceptual clarity, the agreed-upon competencies, and enhanced educational initiatives. It is essential to continue to increase awareness among the nursing profession on the necessity of addressing spiritual care needs, within the context of cultural perspectives to ensure that value is placed on the significance of these issues on a global scale. Patient or Public Contribution There was no patient or publication contribution in this specific commentary.
- A transmissão da informação no cuidado em saúde materno-obstétrica e a multiculturalidade.Publication . Paço, Sandra; Deodato, Sérgio
- Studying end-of-life narratives to understand and integrate forgivenessPublication . Silva, Rita Santos; Bragança, Joana; Caldeira, Sílvia
- Risk management of aggressive behaviors in mental health units for adolescents: a scoping reviewPublication . Ferreira, António; Maravilha, André; Fluttert, Frans; Rosa, Amorim; Sousa, Luís; Tomás, João; Sá, LuísIntroduction: Research on aggressive behaviors (ABs) in adolescent mental healthcare settings remains limited and underexplored. Such behaviors significantly affect staff, patients, and the therapeutic environment, necessitating nursing interventions for effective risk management to reduce their adverse impact on safety and quality of care. Objective: This review aimed to map the existing evidence on nursing interventions for the risk management of AB in adolescent mental health units. Methods: A search strategy was used to identify relevant studies in databases, respecting the Participant/Concept/Context (PCC) question formulation structure. This review covers studies describing nursing risk management strategies for adolescents (10 to 19 years old) with aggression problems and admitted to mental healthcare units. Results: From the 499 records initially identified, 9 articles met the inclusion criteria and were selected for review, in accordance with the Preferred Reporting Items for Systematic Reviews and MetaAnalyses extension for scoping reviews (PRISMA-ScR) and its associated flow diagram. The nursing interventions identified for managing AB in adolescent healthcare settings included risk assessment tools, targeted risk management strategies, evidence-based interventions but also various forms of coercive measures. Conclusions: This review integrates current knowledge on nursing interventions for the risk management of AB in adolescent mental health units. The focus of these interventions is prevention, by early intervention strategies but also intervention programs with improved outcomes for the patient, staff and therapeutic milieu, promoting less coercive interventions and increased care quality and safety.
- Nursing intervention program for intestinal stoma self-care: a focus groupPublication . Soares-Pinto, Igor Emanuel; Queirós, Sílvia Maria Moreira; Silva, Carla Regina Rodrigues da; Alves, Paulo Jorge Pereira; Santos, Célia Samarina Vilaça de Brito; Brito, Maria Alice Correia deBackground: Specific and systematic nursing interventions for self-care promotion positively influence the process of adapting to life with a stoma.Objective: To analyze nurses’ perspectives on a nursing intervention program for promoting self-care in people with an intestinal stoma.Methodology: Qualitative study using focus groups for data collection. A convenience sample of nine participants was used. The COnsolidated criteria for REporting Qualitative research checklist was followed.Results: The participants agreed with the program as a whole, recognizing its systematic organization and its content designed to promote self-care.A subsequent analysis of the focus group meeting revealed four themes that sparked discussion among the participants: organization and resources, criteria for patient inclusion and exclusion, appropriate time of interventions, and content specifications.Conclusion: The findings from this study contribute to the development of a nursing intervention program for promoting stoma self-care.
- A produção científica sobre acesso no âmbito do sistema único de saúde do Brasil: avanços, limites e desafiosPublication . Barbiani, Rosangela; Junges, José Roque; Nora, Carlise Rigon Dalla; Asquidamini, FabianeA importância do acesso aos serviços de saúde para a superação dos impasses no âmbito da gestão do Sistema Único de Saúde (SUS) motivou a sistematização dos seus avanços, limites e desafios por meio de uma revisão da produção científica. Este estudo apresenta os principais resultados das pesquisas sobre acesso, tendo como universo de análise 5 revistas científicas brasileiras de Saúde Coletiva, indexadas internacionalmente e disponibilizadas na Scientific Electronic Library Online (SciELO). Contemplaram os critérios de inclusão 25 artigos envolvendo pesquisas qualitativas e relatos de experiências, escritos em português, espanhol e inglês, publicados de 2002 a 2011. Na análise do campo objetal, os resultados evidenciam a noção de acesso relacionada às seguintes categorias: processos de trabalho; organização da rede de atendimento; sistema e modelo de atenção. Centrados na avaliação das condições de acesso, os estudos direcionam as críticas aos aspectos de esgotamento do sistema, sendo a organização da rede de atendimento o principal alvo das discussões, à luz das representações sociais dos sujeitos envolvidos, em especial dos usuários dos serviços. Limites, avanços e desafios são identifica- dos com ênfase nos níveis da micro e mesogestão, isto é, no âmbito dos processos de trabalho e na organização da rede, ficando em segundo plano a análise da lógica do sistema, definidora do modelo de atenção, que organiza o acesso aos serviços, bem como as respostas às necessidades advindas dos determinantes sociais da saúde, das transições demográficas e epidemiológicas e do papel do controle social na efetivação do direito à saúde.