CIIS - Contribuições em Revistas Científicas / Contribution to Journals
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- Estratégias de gestão do stresse utilizadas pelo enfermeiro no cuidado ao doente crítico: scoping reviewPublication . Almeida, Filipa Maria Fernandes; Nogueira, Inês; Pontífice-Sousa, Patrícia; Marques, Ritantrodução: Durante os cuidados ao doente crítico e à sua família, o enfermeiro vivencia inúmeras situações geradoras de stresse, que influenciam o seu conforto e, consequente-mente, a qualidade dos cuidados prestados. Para lidar com esta realidade, é essencial que o enfermeiro desenvolva e adote estratégias eficazes de gestão do stresse, que potenciem as suas intervenções e, simultaneamente, promovam o seu próprio conforto.Objetivo: Mapear, na evidência científica, estratégias de gestão do stresse utilizadas pelo enfermeiro no cuidado ao doente crítico e família.Materiais e métodos:Scoping review, segundo a metodologia Joanna Briggs Institute, adotando a estratégia Participantes, Conceito e Contexto (PCC). Recorreu-se às bases de dados CINAHL Complete, MEDLINE Complete, PubMed, Cochrane Library, Scopus e o Repositório Científico de Acesso Aberto de Portugal (RCAAP). Incluíram-se estudos publicados entre 2013-2025; em português, inglês e espanhol; que evidenciam estratégias de gestão do stresse utilizadas pelo enfermeiro na prestação de cuidados ao doente crítico com idade superior a 18 anos; disponíveis em texto integral. Resultados: Os 21 artigos analisados destacam que os fatores de stresse resultam de aspetos institucionais e das exigências técnicas, emocionais e relacionais. Foram identificadas diversas estratégias de gestão de stresse, agrupadas em categorias psicossociais, profissionais/organizacionais e de autocuidado, distribuídas pelos momentos pré, durante e pós evento stressante. Entre estas incluem-se o planeamento, a formação, o suporte entre colegas, o debriefing, técnicas de relaxamento, espiritualidade e humor, cuja articulação parece favorecer maior conforto emocional e psicológico dos enfermeiros. Conclusão: A gestão do stresse dos enfermeiros no cuidado ao doente crítico é um processo complexo e dinâmico que resulta de fatores institucionais e das exigências do cuidado, o que afeta o seu conforto. As estratégias identificadas apontam para a necessidade de abordagens integradas de gestão de stresse, articuladas entre o nível individual e organizacional. As lacunas encontradas reforçam a importância de fortalecer condições de apoio e formação, bem como de aprofundar a investigação sobre a aplicação e os efeitos dessas estratégias no conforto dos profissionais.
- Needs of informal caregivers in end-of-life situations: a scoping reviewPublication . Cunha, Daniela; Monteiro, Ana Carolina; Varejão, Filipe; Alves, José; Sousa, MarcoBackground: he aging population has led to a significant increase in the number of people at the end of life, making it essential to thoroughly identify the specific needs of informal caregivers. Objective: to map the literature relating to the needs of informal caregivers of people at the end of life. Methods: a scoping review was conducted using CINAHL Complete (via EBSCOHost), Medline Complete (via EBSCOHost), PubMed, Cochrane Library, and Scopus. The data extraction tool was developed based on the model proposed by the Joanna Briggs Institute. Results: a direct search in the databases resulted in 826 articles, of which 30 were included in the study. The data were organized into six main categories: physiological and physical health needs, informational needs and decision-making, emotional and psychological support, cultural, spiritual, and religious needs, social and community support, and self-care and quality of life; these categories address the study's objective. Conclusion: this research is crucial for improving the quality of life and personalizing care. The study provides a solid foundation for future research and interventions, highlighting the importance of an integrated and multidisciplinary approach.
- O papel da simulação clínica na formação em enfermagem perioperatória na maximização da segurança do doente cirúrgico: scoping reviewPublication . Moura, Carina Liliana C.; Castro, Danielle Dias de; Fonseca, Maria Manuela da C.Introdução: A enfermagem perioperatória é cada vez mais complexa e reconhecida, não só pelas competências que lhe são atribuídas, mas também como uma disciplina reconhecida com um domínio próprio. O doente cirúrgico é um indivíduo, sujeito a uma grande vulnerabilidade e risco, devido ao contexto em que se insere. Pelo que, a maximização da sua segurança é um foco fulcral na qualidade dos cuidados de saúde. Assim, a implementação de estratégias para minimizar ou evitar a ocorrência de situações adversas é uma meta em saúde. A simulação clínica é vista como ferramenta na formação, educação e capacitação dos enfermeiros, surgindo assim, a necessidade de sintetizar a evidência científica sobre este tema. A scoping review foi realizada atendendo as recomendações do Joanna Briggs Institute (JBI). Objetivo: Mapear a evidência científica sobre o uso da simulação clínica na formação em enfermagem perioperatória na maxi- mização da segurança do doente cirúrgico. Materiais e métodos: Optou-se pela metodologia do JBI. Para definir os critérios de inclusão utilizámos a mnemónica “PCC”, de acordo com as recomendações do JBI para as revisões scoping, correspondendo à população, conceito e contexto. A população abrangeu os enfermeiros perioperatórios e enfermeiros em formação na área perioperatória, o conceito incluiu estudos que retrataram a simulação clínica como uma estratégia na formação do enfermeiro perioperatório e o contexto envolveu o ambiente perioperatório que compreendeu todos os estudos em cuidados pré, intra e pós-operatórios. Atendendo aos critérios de inclusão, todos os estudos que não cumpriram os critérios foram excluídos. A pesquisa realizou-se recorrendo às bases de dados: CINAHL Complete (via EBSCO), MEDLINE (via PUBMED), COCHRANE, Scopus e Web of Science; e literatura cinzenta será pesquisada em Opengrey e RCAAP. A pesquisa, a análise da relevância dos estudos e a extração e síntese dos dados, foi realizada por dois revisores independentes. Na pesquisa inicial selecionou-se 79 artigos que após a sua análise, sendo sete incluídos no estudo. Resultados: Este estudo mapeia as evidências sobre a aplicação da simulação clínica na formação de enfermagem perioperatória, visando melhorar a segurança do doente cirúrgico. A simulação clínica contribui para aprimorar competências técnicas e não técnicas, facilita a integração dos profissionais na prática dos cuidados, minimiza erros e fortalece a confiança dos enfermeiros perioperatórios. No entanto, ainda se enfrentam alguns desafios na sua implementação, no que se refere a custos e exigências operacionais. A simulação é amplamente reconhecida como uma ferramenta fundamental para a formação e segurança do doente no contexto perioperatório. Conclusão: Esta revisão permitiu identificar o impacto da simulação clínica na formação e capacitação dos enfermeiros perioperatórios. E que seja, subsequente, a base para a produção de outros estudos neste âmbito, nomeadamente estudos nacionais.
- Physical activity in nursing curricula: a multicenter cross-sectional studyPublication . Cruz, Arménio; Novo, André; Queirós, Carmen; Viana, Maria Clara; Veríssimo, Cristina; Petronilho, Fernando; Couto, Germano; Sousa, Luís; Ferreira, Maria Salomé; Souto, Nisa; Azevedo, Paulo; Ferreira, Paulo; Queiroz, Sandra; Gonçalves, Rodrigo; Pinto, VandaBackground: regular physical activity is essential for health promotion, disease prevention, and individual rehabilitation. As health professionals involved in combating physical inactivity, nurses benefit from academic curricula enriched with content on physical activity and exercise in order to enhance the population’s physical literacy. Objective: to map course units and programmatic content related to physical activity and exercise in nursing curricula in Portugal. Methodology: a multicentre cross-sectional study with a convenience sample of 15 schools (8 public; 7 private), analyzing 2023–2024 study plans and extracting data using peer-validated grids. Results: no course units exclusively dedicated to physical activity or exercise were identified, except for elective modules offered in master’s programmes in Rehabilitation Nursing (n = 4; 14.8%). A scattered integration of these topics was observed throughout the study cycles, with greater emphasis in the second cycle compared to the first (52.5%). Conclusion: these findings highlight the need to update curricula (mandatory modules on physical activity and exercise), strengthen pedagogical development for faculty, and promote research and continuing education to improve the assessment, counselling, and effective prescription of physical activity in healthcare practice.
- Photodynamic inactivation mediated by TMPyP and potassium iodide: a promising strategy for Vibrio anguillarum control in aquaculturePublication . Vieira, Cátia; Bartolomeu, Maria; Gallego, Pedro P.; Neves, M. Graça P. M. S.; Romalde, Jesús L.; Faustino, M. Amparo F.; Almeida, AdelaideVibrio anguillarum is a pathogenic bacterium associated with high mortality rates and economic losses in the aquaculture sector. This bacterium is often found in brine shrimp nauplii, a common live food for fish, making it a notable vector for pathogen transmission. This study aimed to evaluate the potential of antimicrobial photodynamic inactivation (aPDI) as a proof-of concept approach for decontamination and prophylactic control of V. anguillarum infections in aquaculture. To accomplish this, the efficiency of aPDI was assessed in: i) photoinactivating V. anguillarum in seawater; ii) decontaminating brine shrimp nauplii (Artemia franciscana) contaminated with V. anguillarum; and iii) preventing infections in turbot (Scophthalmus maximus L.) pre-challenged with V. anguillarum. These experiments employed the tetracationic photosensitizer 5,10,15,20-tetrakis(1-methylpyridinium-4-yl)porphyrin (TMPyP; 5.0 μM), combined with the well-known aPDI adjuvant potassium iodide (KI, 10-100 mM), under white light irradiation (100 mW cm–2). For the in vivo assays, treatment conditions were selected through toxicity assays and then applied to brine shrimp nauplii and turbot juveniles artificially contaminated with V. anguillarum. The results showed that aPDI mediated by TMPyP + KI efficiently reduced V. anguillarum concentration in seawater to undetectable levels in less than 10 min. Toxicity assays confirmed that TMPyP (5.0 μM) + KI (10 mM) did not induce detectable adverse effects in turbot and brine shrimp under the tested conditions. This combination also significantly reduced bacterial loads on brine shrimp nauplii (>3 log CFU mL-1) after 30 min. In turbot trials, a 5-min treatment was associated with an attenuation of disease symptoms but did not result in a statistically significant reduction in mortality. Overall, aPDI showed strong potential for reducing V. anguillarum contamination in seawater and live food, supporting its applicability as an environmental decontamination and prophylactic strategy. However, its effectiveness in directly preventing an stablished fish infection appears limited under the tested conditions and may require an earlier or repeated application. Further studies should focus on optimizing timing, dosage, and delivery protocols to improve in vivo protection prophylactic efficacy.
- Profile of sports nurses in Portugal: a cross-sectional studyPublication . Antunes, Nuno; Esperto, José Pena; Martins, Susana Rafaela; Mâncio, Pedro; Caldas, Artur; Santos, João Gonçalves; Fernandes, Rúben DuarteBackground: The pursuit of maximum sports performance, together with the need to prevent injuries and complications, has increased the demand for highly specialized health professionals. However, the profile and perceptions of sports nurses in Portugal remain insufficiently explored. Objective: To characterize the profile of sports nurses in Portugal. Methodology: A cross-sectional study was conducted with 129 nurses using an online questionnaire addressing sociodemographic characteristics, education, professional experience, satisfaction, perspectives, and professional practice in sports settings. Results: Participants were predominantly male (64.3%), with complementary training and varied professional experience (mean of 14 years). Despite contractual challenges, nurses reported moderate levels of professional satisfaction. Multidisciplinary work, diversity of roles, and the need for professional recognition stand out. Conclusion: The broad scope of practice of sports nurses is crucial in supporting athletes’ health, although greater academic and professional recognition is still required. This study contributes to the knowledge in this field and suggests future research to optimize practice.
- EditorialPublication . Nunes, Maria Vânia
- Adaptation and validation of the caregiver health engagement scale for the Portuguese cultural contextPublication . Leão, André Manuel Pacheco Barbosa; Vieira, Margarida Maria Silva; Machado, Paulo Alexandre PugaBackground: Assuming the role of family caregiver is a complex process that requires engagement, negotiation, and resolution among all involved. Promoting caregiver engagement fosters a more active approach to caregiving. Using instruments to measure engagement enables the guidance of nursing interventions and improves the health and quality of life of family caregivers and the people they care for. Objective: To translate, adapt, and validate the Caregiver Health Engagement Scale for the Portuguese language and culture. Methodology: Methodological study with content, linguistic, and conceptual validation. Reliability was assessed using Cronbach’s alpha, and construct validity was evaluated through exploratory factor analysis with Varimax rotation. Results: The sample comprised 91 caregivers, predominantly women (82.4%), with a median age of 65 years; 46.2% were caring for a parent, and 30.8% were spouses of the care recipient. The scale demonstrated good internal reliability (α = 0.825), a clear unifactorial structure, and satisfactory convergent and divergent validity. Conclusion: The Portuguese version of the Caregiver Health Engagement Scale is psychometrically robust and culturally appropriate and can be integrated into assessment protocols for family caregivers.
- Novel potential risk loci for migraine in the Portuguese populationPublication . Marco, Rodrigo De; Pucci, Kevin; Santos, Mariana; Gil-Gouveia, Raquel; Cavadas, Bruno; Sousa, Alda; Alves-Ferreira, Miguel; Azevedo, Luísa; Lemos, Carolina; Dias, AndreiaCommon forms of migraine are complex disorders characterized by significant clinical diversity. Their genetic basis has been extensively studied but remains unclear. This study represents the first pilot genome-wide association study (GWAS) integrating a polygenic risk score (PRS) in the Portuguese population, designed to identify migraine susceptibility loci through a case–control study and unravel population-specific variants. Genotyping data was acquired with Applied Biosystems Axiom™ PMDA array, producing 12,035,248 singlenucleotide polymorphisms (SNPs) post-imputation, providing a comprehensive scope for GWAS analysis. PRS models were created and tested using a k-folds cross-validation framework and the optimal significance threshold was assessed. We detected 12 potential risk loci corresponding to 12 lead SNPs (RP11-204N11.2, CTA-481E9.4/CTA-481E9.3, RAP1A, TIGD4, CADPS2, RP11-46E17.6, RP4-569D19.5, RP11-398K14.1, PCBP1-AS1, TCF15, IL6R and UNC13A). The top three variants (RP11-204N11.2, CTA-481E9.4/CTA-481E9.3 and RAP1A) were also supported by the PRS model. We highlight that several variants present putative biological relevance to migraine pathophysiology, reinforcing the importance of neurotransmitter release, synaptic transmission and the involvement of vascular components in migraine pathophysiology.
- Therapeutic potential of phenolic acids in bone tissue healing and regeneration: a scoping reviewPublication . Peres, Geórgia Rondó; Nunes, Gabriel Pereira; Alves, Renata de Oliveira; Martins, Tamires Passadori; Toledo, Priscila Toninatto Alves de; Horta, Haylla de Faria; Duque, CristianeThis scoping review evaluated the effects of dietary phenolic acids on bone healing and regeneration, focusing on their osteogenic and antiresorptive properties. The review followed the PRISMA-ScR guidelines. A comprehensive search was conducted in PubMed, Scopus, Web of Science, Embase, and Cochrane Library. Eligible studies included in vitro and in vivo investigations assessing the effects of phenolic acids on bone tissue. Two reviewers independently screened studies, extracted data, and synthesized the findings. Of 1053 records identified, 49 studies were included. Phenolic acids, naturally found in fruits, vegetables, coffee, tea, cereals, and other plant-derived foods, demonstrated osteoprotective effects in experimental models. Caffeic acid (CAPE), chlorogenic acid, and ferulic acid stimulated osteoblast proliferation and differentiation, enhanced mineralization and osteogenic gene expression, and inhibited osteoclastogenesis and inflammatory pathways. Other compounds, including cinnamic and gallic acids, also exhibited anabolic and antiresorptive effects. In animal models, CAPE and chlorogenic acid prevented bone loss, whereas ferulic acid promoted bone repair and regeneration. Overall, phenolic acids demonstrated multifunctional properties related to osteogenesis, modulation of bone metabolism, and inhibition of bone resorption, thereby contributing to bone regeneration and homeostasis. However, current evidence remains predominantly preclinical, and translation to humans may be influenced by factors such as dietary intake, bioavailability, metabolism, and long-term exposure. Therefore, well-designed clinical and nutritional studies are needed to validate their efficacy and translational applicability in human bone health.