CIIS - Contribuições em Revistas Científicas / Contribution to Journals
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- Nurses’ perceptions of therapeutic futility in adult patients admitted to a general intensive care unitPublication . Branco, Catarina; Monteiro, Emérico Luís Matos; Sousa, Patricia Pontifice; Marques, RitaBackground: Situations of therapeutic futility (TF) in intensive care units (ICUs) present challenges for nurses.Objective: To explore nurses’ perceptions of TF in adult patients in a general ICU.Methodology: A descriptive, exploratory study with a qualitative approach was conducted with a purposive sample of 19 nurses. Data were collected using a questionnaire with both closed- and open-ended questions and analyzed according to Bardin’s content analysis method. All ethical and formal requirements were met.Results: Nurses associated TF with diagnostic testing, invasive procedures, and intensive pharmacolog-ical interventions, which elicited feelings of anger and frustration. They identified the need to enhance communication, involve nurses in decision-making, develop protocols, and increase training in ICUs.Conclusion: Negative emotions triggered by TF affect nurses’ experience of care management. To better manage these situations, this study presents strategies for improving ICU patients’ quality of life.
- Pain management by emergency room nurses: a scoping review protocolPublication . Franco, Filipe Vieira; Sousa, Patrícia Pontífice; Pereira, Maria Aurora GonçalvesIntroduction: Pain is a major public health problem, indicative of tissue damage or multi-organ dysfunction, and is the symptom most commonly reported by patients who go to the emergency room. Objectives: to map and summarize the scientific evidence on pain management by emergency room nurses. Methodology: scoping review methodology proposed by the Joanna Briggs Institute. The protocol was defined taking into account the criteria defined and the suitability of the proposed databases/repositories (Joanna Briggs Institute Database of Systematic Reviews and Implementation Reports; the Cochrane Database of Systematic Reviews; MEDLINE via PubMed; CINHAL via EBSCO). The process of data analysis, extraction and synthesis will be carried out by independent reviewers. Registered with Open Science Framework with DOI:10.17605/OSF.IO/RWN5U. Results: will be presented in descriptive form, using tables, taking into account the objective and focus of the scoping review. Conclusion: It is hoped that this scoping review will provide an analysis and overview of pain management strategies used by emergency room nurses, highlighting current practices, barriers and facilitating factors, as well as gaps in the scientific evidence.
- O cuidar em humanitude: uma perspetiva confortadoraPublication . Batista , Sónia Cristina Teixeira; Capaz, Joana Nogueira Gameiro; Ribeiro, Patrícia Cruz Pontífice Sousa ValenteObjetivo: Sintetizar o conhecimento científico sobre o método de cuidados de humanitude no cuidar à pessoa idosa.Método: Revisão integrativa da literatura disponível nas bases de dados CINAHL, LILACS e SciELO, por meio de descritores: Humanitude, Cuidado, Enfermagem, ligados pelo operador booleano and, em português, espanhol e inglês, publicados no período de 2006 a 2017. Totalizando sete estudos selecionados, seguindo critérios de inclusão e exclusão. Resultados:Da análise emergiram três eixos temáticos sobre o método de cuidados de humanitude: Importância que os enfermeiros conferem ao método; Aplicação do método nos cuidados de enfermagem; e Formação do método de cuidados de humanitude nos profissionais de saúde.Conclusões: Nesse sentido, este estudo poderá contribuir para uma reflexão e mudança de prática dos profissionais de enfermagem frente à necessidade do respeito e da preservação da autonomia do idoso, bem como reestruturação de programas de ensino e formação nas instituições.
- Do ser à compreensão da existência: o que é o homem?Publication . Freitas, Mara de SousaA brief critical interpretation of the author's throught is presented, whith incidence on two of his most brilliant works “Cuerpo y alma” and “Idea del hombre?” However, considering the complexity of both of them, the approach will deal more closely with the analysis of the concepts of ultimate causes an penultimate causes, here considered as a petition principi” with the problem of wait and hope also with the understanding of biological personalism present in Pedro Laín Entralgo, as counterpart to a more sociological personalism present in Emmanuel Mounier. A study of the contributes of these approches for a better understanding of the person, of what is man, resource of his intrinsecal oppeness to transcendence, will ensue. For a better undersatanding of his throught, a brieft overview of his biography, the socio-politcal and cultural context at the time of his literary production is fundamental. Epistemological influences (sources, disciples, schools) lead us to understand the meaning of his interpretations, as also the somewhat difficult conciliation of science and faith, through the too narrow definitions of scientific truth. The author’s bioethical scrutiny will be disclosed by the discussion of the fundamental issues about man (body/soul/conscience/faith/science) as a safeguard of human dignity, of justice and above all of the greatest good for the person. Some contact with Portuguese author’s such as António Damásio, Anselmo Borges, Daniel Serrão, Fernando Pessoa poetry and foreign authors such as David Abram, Immanuel Kant, Emmanuel Mounier, Elkhonon Goldberg is found, contributing to the reflection that this essay seeks to achieve.
- Justiça: perspectiva filosófica e bioética na esteira de RawlsPublication . Freitas, Mara de SousaJohn Rawls é hoje considerado um dos mais conceituados filósofos do direito, da segunda metade do séc. XX. Trata a justiça como tema principal das suas obras. Tendo influências sobretudo de Kant, a filosofia rawlsiana tem como método o equilíbrio reflexivo, propondo uma interpretação do seu pensamento a partir da ênfase no político restrito à estrutura básica da sociedade aos bens primários. Rawls, partindo de Kant, estabelece uma teoria da justiça social que integra, a seu modo, as liberdades civis e políticas com os direitos económicos, sociais e culturais, e concede prioridade estrutural às primeiras sobre os segundos. Tal facto caracteriza-o como representante de atitudes social-democratas. Entre o puro “liberalismo” e o puro “igualitarismo”, propõe uma doutrina intermédia, a da justiça como “equidade” (fairness).
- Health needs: a developing concept according to Rodgers' evolutionary approachPublication . Almeida, António; Mestre, Ricardo; Severino, Sandy; Valido, Susana; João, Ana; Rabiais, Isabel; Sousa, Luís; José, Helena; Sousa, Patrícia PontíficeIntroduction: the study of human needs by Aristotle, Freud and Murray reveals their importance in shaping personality. Aristotle sees need as something inevitable, while Freud links it to the basic impulses of the id. Murray distinguishes between primary and secondary needs, which are essential for psychological well-being. Understanding these needs is crucial for human development. The aim of this study is to analyze the concept of health needs in nursing doctoral theses using Rodgers’ evolutionary method.Method: conceptual analysis based on Rodgers’ Evolutionary Model. Data collection in the Portuguese Open Access Scientific Repository with descriptor “Health Needs” and subject “Nursing”. Applied to doctoral theses with open access. The year of publication, country of origin, concept, attributes, antecedents, consequents, substitute terms and related concepts were evaluated. Results: seven theses were selected. They address the concept of Health Needs presented in two pillars: 1) health strategies in a relationship of reciprocity between the health professional and the approximation of the care expected with that provided; 2) the dimensions of health gains (other concepts have emerged such as practice directed towards equity and family support). Conclusions: health needs is a dynamic concept that is an integral part of the process of theoretical development in nursing and a central focus in determining care for the person being cared for or their family.
- Spirituality in children with life-limiting, life-threatening and/or complex chronic conditions: a scoping reviewPublication . Ferreira, Mónica Santos; Pereira, Diana Gomes; Caldeira, SílviaPurpose: To map available knowledge about spirituality in children with life-limiting, life-threatening and/or complex chronic conditions. Methods: This review followed the Joanna Briggs Institute methodology for scoping reviews. Registration was done with the Open Science Framework. The searches were conducted in PubMed, CINAHL Complete, Psychology & Behavioral Sciences Collection, via EBSCOhost, and in the Portuguese Open Access Scientific Repository, in September 2024. The sample was composed of 48 studies. Results: The concept of spirituality is represented by the relationship established with oneself, with the world, and the notion of transcendence. Spiritual needs relate to developmental stage, relationships, sense of normalcy, meaning, and purpose. The relationship established between spirituality and illness is bidirectional, represented by beliefs, practices, and mechanisms of spiritual adaptation. Spiritual care is about supporting children with insights about beliefs, values and behaviours, addressing needs inherent in the developmental process, setting achievable goals that can support a meaningful life and legacy, fostering connections, mediating communication, improving spiritual coping, alleviating spiritual suffering, managing losses, and redefining hope. Conclusions: This review underlines the complexity, variability, and importance of spirituality while living within a complex, life-threatening or life-limiting paediatric context. However, there is still an urgent need to develop studies on the concept in specific subgroups of this paediatric population. Clinical implications: Spirituality has an undeniable and aggregating role throughout the course of a life-limiting, life-threatening and/or complex chronic condition. Spiritual care and nurturing should be prioritised in care plans within these complex paediatric contexts.
- Playing solo, against rivals, or in a team? Exploring individual, competitive, and cooperative dynamics in gamified digital educationPublication . Coelho, Franz; Rando, Belén; Bernardes, Rafael; Pontífice-Sousa, Patrícia; Gonçalves, Daniel; Abreu, Ana MariaWhile gamification is increasingly applied in education, research rarely compares distinct social dynamics and evaluates their cognitive, emotional, and motivational impact in a learning context. This study examines the effects of social gamification in education using a digital learning platform and a randomized controlled trial (RCT). Following research standards (CONSORT, Cochrane Collaboration, EVAT©), we compared individual, competitive, and cooperative gamification modes to assess the impact of social dynamics on nursing undergraduate students (n?=?42). We analyzed participant characteristics (sociodemographics, gaming habits, player traits) alongside cognitive (learning, engagement, eye-tracking visual attention), emotional (facial emotion recognition), and motivational (intrinsic motivation) outcomes. Participants in the individual mode showed significantly higher eye-tracking visual attention than those in competition or cooperation modes. Social gamification appeared to reduce attention, likely due to cognitive overload from digital multitasking and distractions. Given the rise of the attention economy, individual gamified sessions may better sustain focus, aligning with trends toward personalized digital learning. Digital social gamification may not mirror the benefits of in-person interaction. The absence of significant differences in outcomes beyond visual attention may stem from contextual factors—such as weak social traits, low gaming interest, and health-related backgrounds—suggesting effective gamified strategies must align with learner profiles and context.
- Effect of increasing gentamicin concentrations on Listeria monocytogenes cells viabilityPublication . Sousa, Pedro; Marques, Rafaela; Calvinho, Rita; Magalhães, Rui; Teixeira, PaulaIntroduction: Listeria monocytogenes is a notorious foodborne pathogen responsible for listeriosis, a severe bacterial infection primarily affecting individuals with weakened immune systems, including pregnant women, elderly and other immunocompromised persons. Because of its ability to survive harsh environmental conditions, such as refrigeration temperatures and disinfection processes, it can persist in food processing environments, posing a major challenge to the food industry. One possible mechanisms used by L. monocytogenes to endure such hostile conditions is formation of persister cells, a subpopulation of cells capable of transiently tolerating bactericidal levels of antimicrobial agents. This tolerant state can be induced by exposing to elevated concentrations of stress-inducing compounds (e.g., antibiotics). When favorable conditions are restored, these cells restore normal metabolic activity. Objectives: This study aimed to investigate the impact of gentamicin on the viability of four L. monocytogenes strains: Lm 462, Lm 1108, and Lm 1117 (isolated from food products), and Lm 2542 (of clinical origin). All strains used for this work were supplied by the GenoPhenoTraits4Persistence project culture collection. Conclusions: Among the strains tested, Lm 2542 and Lm 462 showed the greatest tolerance to gentamicin, maintaining counts of 8.03 ± 0.30 and 7.01 ± 0.32 Log (CFU/mL), respectively, at the highest concentration. Interestingly, Lm 2542 was linked to a cheese-associated outbreak in Portugal [1] and Lm 462 is known to carry an efflux-pump system [2] ; these characteristics might be related to the strains' apparent tolerance. In contrast, gentamicin markedly reduced viability of Lm 1108 and Lm 1117, which fell to 4.52 ± 0.12 and 4.71 ± 0.57 Log (CFU/mL) at the same concentration, respectively. A biphasic killing curve, a typical pattern of L. monocytogenes persister cells selection [3], was observed in both tolerant and susceptible strains following antibiotic exposure. To confirm the formation of this persister sub-population, these strains should be exposed and re-exposed to the highest gentamicin concentration used in this study for prolonged periods. Future studies should include a larger, more diverse panel of L. monocytogenes strains to determine whether the observed resilience reflects strain-specific phenotypic traits or is influenced by the strains’ isolation environment.
- Foot-to-forearm tactile feedback for lower-limb exoskeleton control: a pilot benchmarking study in healthy adultsPublication . Aguiar, Mafalda; Pais-Vieira, Carla; Matos, Demétrio; Perrotta, André; Kreynin, Peter; Pais-Vieira, MiguelReal-time tactile feedback has been applied in exoskeleton-based neurorehabilitation, particularly in spinal cord injury, through Foot-to-Forearm Feedback (FFF) at ground contact. Its effects on healthy individuals across varied terrains remain less understood. This pilot study investigated seven healthy participants controlling a lower-limb exoskeleton under two conditions (with and without FFF) across five scenarios: Flat, M-Shape, A-Shape, V-Shape, and Random. Objective measures included step count, sacroiliac joint (SIJ) segment length, and SIJ angle. Subjective experience was assessed by overall preference and a Global Experience Index (GEI) derived from questionnaire ratings. Analyses showed no consistent differences in step count, SIJ length, or SIJ angle between Control and FFF. In three runs, technical issues occurred (e.g., a loose cable). Subjective data showed that five of seven participants (71.4%) preferred FFF, one reported no difference, and one preferred the Control condition. Scenario-specific analyses indicated a preference for FFF in Flat (5/7 = 71.4%), but a lower preference in Random (2/6 = 33.3%). GEI scores decreased under A-Shape and Random conditions, though FFF partially mitigated the reduction in A-Shape. These preliminary findings suggest that FFF may influence subjective experience in healthy users, but confirmation will require larger samples and further investigation across scenarios.