CIIS - Contribuições em Revistas Científicas / Contribution to Journals
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- Recommendations and best practices for the risk assessment of pressure injuries in adults admitted to intensive care units: a scoping reviewPublication . Picoito, Ricardo; Manuel, Tânia; Vieira, Sofia; Azevedo, Rita; Nunes, Elisabete; Alves, PauloBackground: The prevention of pressure injuries depends on the early and correct assessment of at-risk patients. Since risk assessment involves more than using a risk factor instrument, we intend to map the existing recommendations and statements of good practice for pressure injury risk assessment in adults admitted to intensive care units, as well as identify the strengths of the evidence and recommendations in the literature. Methods: This study is a scoping review, guided by the Joanna Briggs Institute framework. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews was adopted as a guide for writing this study. Results: Searches were carried out in six databases, resulting in 794 studies, of which 15 were included. The recommendations and statements of good practice were grouped into five categories: risk assessment instruments, skin assessment, medical device surveillance, other alternatives to risk assessment, and implementing best practices in clinical settings. The strengths of the evidence and recommendations were identified when available in the literature. Conclusions: The mapping showed that the evidence is sufficient to indicate recommendations and statements of good practice for the risk assessment of pressure injuries in adults admitted to intensive care units. The protocol was retrospectively registered in the Open Science Framework on the 4th of August of 2023.
- A reflection on the use of youtube as a safe sleep promotion resourcePublication . Dias, Ana Patrícia; Loureiro, Fernanda
- A comparative study of short-term social media use with face-to-face interaction in adolescencePublication . Mendonça, Inês; Coelho, Franz; Rando, Belén; Abreu, Ana MariaBackground/Objectives: Previous research suggests that social media use can have immediate cognitive effects, raising concerns about its impact on adolescent cognition. This study aimed to examine the short-term cognitive effects of acute social media exposure and screen time habits by comparing cognitive performance in adolescents (13–15 years old) following 30 min of social media interaction versus face-to-face conversation, according to their screen time habits (more or less time spent in front of a screen). Methods: A total of 66 participants were divided into four groups: a social media group who used to spend less than 540 min per week in front of a screen (n = 19, a social media group with a habit of more than 540 min per week of screen time (n = 14), a face-to-face conversation group with a habit of less screen time per week (n = 15), and a face-to-face conversation group who used to spend more time per week in front of a screen (n = 18). Cognitive performance was assessed through attention (D2 Test), working memory (Corsi Blocks), abstract reasoning (Abstract Reasoning Test Battery), and inhibitory control (Go/No-Go Task). Additionally, mental effort was measured using a Visual Analogue Scale. Results: Contrary to our hypothesis, no significant differences emerged between groups in any cognitive domain or mental effort, with interaction modality and screen time showing no impact on response variables. Also, we found no significant interaction effect between factors. This suggests that a single 30-min session of social media use does not immediately impair cognition, nor does face-to-face interaction enhance it, despite screen time spent per week (when it varies from 135 to 540 min and from more than 540 to 1320 min). Conclusions: The absence of cognitive effects may be explained by excessive screen time as a key factor in cognitive impact and by the cultural integration of social media, creating a “ceiling effect” that minimizes the impact of short-term exposure and resembles addictive behavior. These findings emphasize the importance of a holistic approach involving families, schools, and governments to address both acute and cumulative social media use in adolescents.
- Translation, adaptation and validation of the Toronto Symptom Assessment System for Wounds (TSAS-W) to PortuguesePublication . Vicente, Helena Maria Araujo; Franco, Dora Lisa Rocha; Silva, Cristina Alexandra de Sousa e; Carvalhal, Sara Rodrigues Crespim; Rocha, Ana Maria Neves; Furtado, Katia Augusta Xavier; Deodato, Sérgio Joaquim; Carvalho, Tânia Manuel; Nunes, Elisabete Maria Garcia Teles; Alves, Paulo Jorge PereiraEffective symptom management and patient comfort require a systematic assessment to better control symptoms. The Toronto Symptom Assessment System for Wounds (TSAS-W) is a tool designed to evaluate the complexity and specificity of wounds, focusing not on healing but on the effective control of symptoms. This study aims to translate, adapt and validate the TSAS-W for the Portuguese population and to analyze its feasibility. This is a methodological study involving the cross-cultural adaptation of a quantitative, cross-sectional, observational, and descriptive tool. This resulted in an instrument formed of 10 items. Data collection was conducted in two oncology hospitals and within a Continuing Care Network, between October 2018 and May 2019 encompassing a sample of 90 Individuals with 94 chronic wounds. The tool demonstrated good internal consistency, with a Cronbach's alpha coefficient of 0.827 in the first evaluation and 0.867 in the second evaluation. Observers confirmed the feasibility of the tool in a clinical setting. This validation came to fill the lack of recording instruments for non-healing wounds, and emphasizes patient comfort.
- Necessidades de intervenção de enfermagem nos domínios psicológico e espiritual em cuidadores de pessoas em fim de vida: a scoping reviewPublication . Cunha, Daniela; Alves, José; Monteiro, Ana; Varejão, Filipe; Sousa, MarcoIntrodução: O envelhecimento populacional resulta num aumento de pessoas na fase final da vida, necessitando de uma identificação cuidadosa das necessidades dos cuidadores informais. Esta abordagem é crucial para otimizar recursos de saúde e promover intervenções eficazes. Objetivos: Mapear a literatura relativa às necessidades dos domínios psicológicos e espiritual dos cuidadores informais de pessoas em fim de vida. Material e métodos: Realizou-se uma scoping review segundo a metodologia proposta pelo The Joanna Briggs Institute. Pesquisou-se literatura publicada nas bases de dados eletrónicas CINAHL (EBSCOhost), Medline (EBSCOhost), PubMed e Cochrane Library. Os estudos foram identificados e selecionados por dois revisores de forma independente. Foram incluídos os estudos que abordavam as necessidades dos cuidadores informais de pessoas em fim de vida, adultas, sem limitação relativa ao contexto de cuidados. Os resultados foram analisados descritivamente e sintetizados narrativamente. Resultados: Foram identificados 826 artigos dos quais 25 foram selecionados para inclusão. Da análise dos artigos incluídos resultou a identificação de 10 necessidades no domínio psicológico e 4 no domínio espiritual. Discussão: A análise revelou que as necessidades de apoio psicológico e espiritual dos cuidadores são essenciais, destacando a falta de apoio emocional, afetivo e espiritual, e a necessidade de reforçar a confiança e enfrentar a ansiedade e solidão. Conclusão: Estudar as necessidades dos cuidadores informais é crucial para melhorar a qualidade de vida e a prestação de cuidados. A identificação destas necessidades permite uma abordagem mais eficaz e personalizada, constituindo uma base sólida para futuras investigações.
- European guidelines on treatment and supportive measures in chronic neutropenias: a consensus between the European Hematology Association and the EuNet-INNOCHRON COST Action based on a systematic evidence reviewPublication . Fioredda, Francesca; Spanoudakis, Michail; Skokowa, Julia; Tamary, Hannah; Farruggia, Piero; Almeida, António; Guardo, Daniela; Palmblad, Jan; Höglund, Petter; Touw, Ivo P.; Zeidler, Cornelia; Warren, Alan J.; Csenar, Mario; Skoetz, Nicole; Castagnola, Elio; Ricci, Erica; Dale, David C.; Newburger, Peter E.; Welte, Karl; Papadaki, Helen A.; Dufour, CarloThe treatment of chronic neutropenias and control of neutropenia-related infections remain challenging topics for pediatric and adult hematologists. This article aims to fill the gap in the treatment of neutropenias and, in combination with the previously published European guidelines on diagnosis of neutropenias, gives complete and comprehensive guidance on the whole management of patients with neutropenia. In terms of methodology, an Evidence-Based Medicine team produced an evidence synthesis of the literature on the treatment of neutropenias. Then, according to the robustness of the evidence, consensus recommendations were elaborated and voted by an expert's panel from the Cooperation in Science and Technology European Network for the Innovative Diagnosis and Treatment of Chronic Neutropenias (https://eunet-innochron.eu/) and the Specialized Working Group on Granulocytes and Constitutional Bone Marrow Failure Syndromes of the European Hematology Association. Whenever evidence was not available, recommendations were based on the expert's panel opinion. Consensus-based recommendations are related to granulocyte colony-stimulating factor indications and schedule of administration, indications for hematopoietic stem cell transplantation, supportive treatments and measures, and new treatments that have been evolving over the recent years. These guidelines, rather than a numerical correction of the absolute neutrophil count, suggest a holistic, patient-centered approach aiming at optimizing the management of chronic neutropenic patients and offering valuable and practical guidance to the hematologists for their daily clinical practice.
- The global campaign against headache, aged 21: a critical self-appraisal, and plans for phase 2Publication . Steiner, Timothy J.; Gil-Gouveia, Raquel; Husøy, Andreas K.; Jensen, Rigmor; Katsarava, Zaza; Martelletti, Paolo; Stovner, Lars Jacob; Uluduz, Derya
- Missed nursing care common to emergency and intensive care settings: scoping reviewPublication . Jesus, Francisca; Coutinho, Maria; Afonso, Tânia; Pontífice-Sousa, PatríciaIntroduction: Scientific literature addresses the omission of nursing care in distinct contexts separately. Yet, critically ill patients are found in emergency departments and intensive care units, often moving between both contexts. Thus, to promote care quality and safety, it is vital to identify nursing care omissions common to these settings, their causes, their effects, and possible mitigation strategies. Objetive: To map the available scientific evidence on missed nursing care common to emergency and intensive care settings. Methods: We conducted a scoping review, gathering relevant works from various databases: Scopus, Medline, PubMed, CINAHL, MedicLatina and RCAAP. We included diverse works on missed nursing care in critically ill patients within the target contexts, its causes, its effects, and possible mitigation strategies. We only considered works with free access and written in Portuguese, English, or Spanish. The final sample comprised 14 articles. Results: The sample’s analysis revealed several nursing care omissions common to both contexts (namely related to documentation and to the nurse-patient relationship) and their causes. Still, considerable shared effects/mitigation strategies were not found. Conclusion: In the studied contexts, critically ill patients require highly complex care. This review allowed identifying missed nursing care common to the target settings and its causes. However, substantial shared effects/mitigation strategies were not detected.
- The satisfaction of higher education students with sex education training: a cross-sectional studyPublication . Frias, Ana; Barros, Maria da Luz; Bia, Florbela; Santiago, Conceição; Guerra, Açucena; Gómez-Cantarino, Sagrario; Pereira-Afonso, Monica Raquel; Mecugni, Daniela; Aaberg, Vicki; Frade, FátimaTo maximize the potential of sex education, it is essential to optimize aspects related to the environment, the trainer–trainee interaction, and the quality of training. The objective of the present study was to identify and describe the satisfaction of higher education students with sex education training. An exploratory, descriptive, and cross-sectional study was carried out using the Student Satisfaction with Higher Education questionnaire, which was applied to a sample of 132 higher education students from several countries. In the statistical analysis using the SPSS software version 28, non-parametric tests were used, namely, the Mann–Whitney test and the Kruskal–Wallis test, in addition to Spearman’s correlation coefficient. Overall, the participants considered themselves very satisfied with the sex education training provided (χ = 4.77). The largest contribution to the satisfaction of the higher education students with the sex education training was the “quality of the training organization (environment and content)” (χ = 4.79). Educators and policymakers have the role of designing, implementing, and evaluating programs that satisfy college students and encourage them to strive for more sex education training aimed at promoting well-being, happiness, and sexual health.
- Nursing interventions for people at risk of venous thromboembolism associated with chemotherapy: scoping reviewPublication . Marcelino, Ana Isabel Robalo Lopes; Martins, Patrícia Matos; Frade, Ana Inês Almeida; Miguel, Susana Sofia Abreu; Costa, Maria Alexandra Pinto Santos daIntroduction: Venous thromboembolism is the second leading cause of death in people with cancer. This risk increases in people undergoing chemotherapy. This complication causes physical and emotional suffering, and targeted nursing interventions are essential. Objective: To map the scientific evidence on nursing interventions to prevent and manage venous thromboembolism in people with cancer undergoing chemotherapy. Methods: Scoping Review according to the methodology of the Joanna Briggs Institute. The research was conducted in the MEDLINE® and CINAHL® databases in April 2023. The review followed the PRISMA-ScR EQUATOR checklist. Results: Twenty-six articles published between 2004 and 2023 were included. After analysis, three main dimensions emerged: assessment of the risk of venous thromboembolism, independent interventions, and interdependent interventions. Conclusion: Nurses play a crucial role in preventing and managing venous thromboembolism, using a systematised approach to risk assessment, education, monitoring for signs and/or symptoms of these complications, and implementing targeted interventions.