FCSE - Livros e Partes de Livros / Books and Books Parts
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- Sexualidade e questão de géneroPublication . Raguso, Fabrizia
- The fear of childbirth: a study in the north of PortugalPublication . Prata, Ana Paula; Santos, Célia; Santos, Margarida ReisChildbirth is a universal phenomenon and a meaningful experience that has the potential to trigger developmental transitions, stress, anxiety and/or fear, which, at times, can negatively impact future childbirth experiences. An exploratory and descriptive study was conducted aiming to identify the levels of fear experienced by pregnant women associated with childbirth and their main causes. A convenience sample was selected. Data collection were carried out in an outpatient obstetric hospital in the northern region of Portugal, between July 2010 and July 2012. To evaluate the intensity of fear of childbirth a visual analogic scale of 10 points was applied. Interviews were conducted in order to identify the main causes of fear. Ethical approval and informed consent were obtained. Regarding the level of fear, the majority (98%) of pregnant women had fear of childbirth, 60.2% reported moderate fear and 28% intense fear. Anxiety, primiparity and lack of knowledge related to birthing were also found to increase the fear of childbirth. Some of the main causes of fear identified were: complications during childbirth; pain/suffering; not knowing how to cope with pain; not able to give birth; baby with malformation/disease and/or suffering. Most women feel moderate or intense fear of childbirth and this is associated to well identified causes with high impact on the woman and family. To minimize the effects of fear, an early intervention has to be considered, including childbirth education classes where nurses can address and work women’s fear in order to minimize it and promote a more positive experience.
- Most relevant clinical supervision strategies in nursing practicePublication . Pires, Regina; Santos, Margarida Reis; Pereira, Filipe; Rocha, InêsClinical supervision (CS) is a facilitator of professional development and quality of practice, promoting safety and protection of clients, through the adoption of targeted strategies. Portugal has been developing research aiming to design policies that support the implementation of CS based on partnerships between academic and practice nurses. This strategy empowers professionals with skills essential for professional development. The study aims to identify the most relevant CS strategies according to nurses’ perspective. A quantitative and exploratory study was developed. Data were collected from questionnaires between May and October 2012. The convenience sample included 273 nurses working in hospitals (64.3%) and health care centers (35.7%) in Portugal, 83.2% were females, aged between 24-58 years. Nursing professional experience ranged between 1-36 years. The majority of the participants (87.5%) considered CS important to professional development. CS strategies relevance: reflective practice (45.8%); feedback (45.8%); observation (45.1%); continuing education (44,3%); support (41.8%); demonstration (40.7%); individual sessions (37.4%); self-supervision (37.0%); cases analysis with supervision (31.9%); analysis of nursing documentation (30.8%); group cases analysis (22.7%); group sessions (21.6%), reflexive report (16.5%); distance supervision: e-mail (7.7%), phone (7.7%) and skype® (4.0%). The participation of nurses in the design of CS policies is considered meaningful and highly relevant to nursing practice, empowering nurses with qualified skills and contributing to improve the quality of interventions. This research is a valuable input to the development and innovation in nursing, contributing to the design of CS policies based on strategies that nurses consider more appropriate and relevant to practice and professional development.
- Adaptation and Anxiety Assessment in Undergraduate Nursing StudentsPublication . Costa, Ana; Candeias, Analisa; Ribeiro, Célia; Rodrigues, Herlander; Mesquita, Jorge; Caldas, Luís; Araújo, Beatriz; Araújo, Isabel; Vicente, Henrique; Ribeiro, Jorge; Neves, JoséThe experiences and feelings in a first phase of transition from undergraduate to graduate courses may lead to some kind of anxiety, depression, malaise or loneliness that are not easily overwhelmed, no doubt the educational character of each one comes into play, since the involvement of each student in academic practice depends on his/her openness to the world. In this study it will be analyzed and evaluated the relationships between academic experiences and the correspondent anxiety levels. Indeed, it is important not only a diagnose and evaluation of the students’ needs for pedagogical and educational reorientation, but also an identification of what knowledge and attitudes subsist at different stages of their academic experience. The system envisaged stands for a Hybrid Artificial Intelligence Agency that integrates the phases of data gathering, processing and results’ analysis. It intends to uncover the students’ states of Adaptation, Anxiety and Anxiety Trait in terms of an evaluation of their entropic states, according to the 2nd Law of Thermodynamics, i.e., that energy cannot be created or destroyed; the total quantity of energy in the universe stays the same. The logic procedures are based on a Logic Programming approach to Knowledge Representation and Reasoning complemented with an Artificial Neural Network approach to computing.
- Adaptation and validation of the work-family conflict and family-work conflict scales in portuguese nurses: 10-item versionPublication . Simães, Clara; McIntyre, Scott; McIntyre, TeresaThis study presents the adaptation and validation of a Portuguese version of the Work- Family Conflict and Family-Work Conflict scales for nurses. Participants were 310 female hospital-based nurses, from the northern region of Portugal. The assessment protocol included the Portuguese 10-item Work-Family Conflict and Family-Work Conflict scales to measure the mutual interference of the work and home domains. The Portuguese version resulted from a multi-step adaptation strategy, involving direct-translation, backtranslation and a pre-test. Construct validity was assessed by exploratory principal components factor analysis and confirmatory analysis. The internal consistency reliability was calculated using Cronbach Alpha coefficients. The Cronbach Alpha coefficients for the Work-Family Conflict and Family-Work Conflict (0.91 and 0.85 respectively) indicate good reliability. The factor analysis produced two factors, explaining 69.3% of the variance, replicating the model proposed by the original authors. The confirmatory factor analysis showed a good model fit (NFI, TLI and CFI values >0.950). The RMSEA (<0.05) provided a good measure of the closeness of fit between the model and the data. The Portuguese version of the Work-Family Conflict and Family-Work Conflict scales shows good validity and reliability.
- Três histórias, três memórias: casos clínicos do hospital de alienados do Conde de Ferreira no final do século XIXPublication . Sá, Luís; Candeias, Analisa; Esteves, AlexandraA 24 de março de 1883 foi inaugurado, no Porto, o Hospital de Alienados do Conde de Ferreira, por indicação testamentária de Joaquim Ferreira dos Santos. Este hospital foi o primeiro hospital psiquiátrico a ser construído de raiz em Portugal, encontrando-se na vanguarda da assistência aos alienados, e beneficiou do médico António Maria de Sena como diretor clínico. O objetivo deste trabalho passa por apresentar três casos clínicos de alienadas que foram internadas voluntariamente no Hospital de Alienados do Conde de Ferreira, aquando a sua inauguração. São três histórias e três memórias: Júlia Rosa, de dezassete anos, casada e meretriz; Rosa Corrêa, de cinquenta e dois anos, viúva e natural da Régua; e Francisca Thereza de Jesus, de quarenta e dois anos, solteira e criada de servir. Foram três casos clínicos com diferentes caraterísticas, embora apresentando analogamente sintomatologia de delírio, comum a alguns alienados admitidos à época no Hospital.
- A enfermagem e a inauguração do Hospital de Alienados do Conde de Ferreira (1883)Publication . Candeias, Analisa; Esteves, Alexandra; Sá, Luís
- Palliative care in non-cancer patients: AIDS, critically ill & neurological diseasesPublication . Capelas, Manuel LuísThis is the first of two volumes dedicated to palliative care for patients with non-cancer diseases, to help health professionals, students and society in general, to find strategies to provide better care to these patients. Were invited professionals and researchers of recognized international merit, who have collaborated with the Universidade Católica Portuguesa in the training in palliative care of our students. In this first volume, we will address the interventions among patients with progressive neurological disease, AIDS and the critical patient (emergency and intensive care). In the second issue, we will cover palliative care in patients with chronic heart, respiratory and renal disease. Manuel Luís Capelas, PhD, Assistant Professor at the Institute of Health Sciences of UCP and Codirector of the Portuguese Observatory for Palliative Care Palliative This work is a relevant and timely contribution in strengthening knowledge about Palliative Care in groups of patients traditionally excluded from our services, such as those with non-cancer and degenerative diseases, but including those who use services as diverse as intensive care and emergency services. It is important, on this occasion, to leave a word of deep thanks and appreciation to the experts involved in the preparation of this book.
- Maternidade na adolescênciaPublication . Oliveira, Paula Sarreira deCom este livro, pretendemos contribuir para o aprofundamento do conhecimento sobre as necessidades das mães adolescentes, identificando os conhecimentos que mais valorizam para o desempenho do papel parental e cooperar na obtenção de ganhos em saúde. Definimos como objetivos: Identificar quais as necessidades de aprendizagem prioritárias no pós-parto na perspetiva das mães adolescentes; descrever a associação entre as necessidades de aprendizagem no pós-parto, as caraterísticas sociodemográficas e as caraterísticas obstétricas das mães; aumentar o conhecimento em enfermagem relativamente às necessidades de conhecimentos das mães adolescentes, no seu autocuidado e nos cuidados ao seu filho; apresentar um modelo prescritivo para as práticas de cuidar na maternidade na adolescência.
- Consenso estratégico sobre o valor da imuno-oncologia em PortugalPublication . Costa, Mauro; Domingues, Beatriz; Girão, Adriana; Infante, Cândida; Rebelo, Margarida; Romano, CarolinaEsta é uma altura crítica para se construírem consensos à volta da Imuno-Oncologia em Portugal. Tal como definido pela WHO (World Health Organization), a política de saúde deve ser baseada em consensos que informem a sociedade e permitam definir as prioridades de implementação. Tal envolve decisões difíceis de divisão de recursos, bem como necessidade de remodelações profundas dos sistemas vigentes, o que pode causar resistências que custam vidas.6 É urgente compreendermos e aceitarmos a evidência científica que constitui a Imuno- Oncologia, e encontrarmos os mecanismos para o acesso destas terapêuticas inovadoras a quem delas necessita. Este livro de consensos é um passo importante, que espero tornar-se decisivo, para que os agentes de mudança em Portugal se unam em torno da Imuno-Oncologia com este propósito tão nobre: prolongar a vida humana, melhorando a qualidade de vida.