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- The strength of hope: a qualitative exploration of pregnant women’s experiences after prenatal diagnosis of congenital anomaliesPublication . Antunes, Mónica; Palma, Sara; Roquette-Viana, Clara; Charepe, ZaidaBACKGROUND: Pregnancy often embodies expectations, dreams and emotional investment. A prenatal diagnosis of a congenital anomaly disrupts this trajectory, triggering complex emotional responses. Hope plays a critical role in adapting to this new reality, yet the specific processes through which it is sustained remain underexplored. OBJECTIVES: To explore how women experience and sustain hope after a prenatal diagnosis of congenital anomalies; to identify facilitating and hindering factors; and to analyse coping strategies throughout the pregnancy. METHODS: This ongoing qualitative study applies a Grounded Theory approach. Participants are pregnant women with a confirmed diagnosis of fetal anomaly, recruited from hospitals in Portugal. Semi-structured interviews are being conducted and analysed using MAXQDA, guided by Charmaz’s coding method. Ethical approval was obtained and informed consent secured. RESULTS: Preliminary findings reveal that hope coexists with profound emotional ambivalence. Women often describe a period of emotional shock followed by mourning the loss of the “idealised baby”. This grieving process is not always acknowledged by healthcare professionals, intensifying feelings of isolation. However, hope gradually re-emerges through moments of connection, empathetic communication, and emotional validation. Participants highlight the importance of being treated as mothers and not only as patients facing a diagnosis. Focusing on the present, maintaining daily routines, and visualising positive outcomes help sustain hope. The presence and attitude of midwives are described as decisive in helping women navigate between grief and resilience. CONCLUSIONS: Hope is a dynamic and relational process, profoundly shaped by how women are supported emotionally and how grief is acknowledged. Recognising the mourning for the idealised baby is essential in midwifery care. Promoting hope can enhance emotional well-being and foster meaningful adaptation during high-risk pregnancies. KEY MESSAGE Midwives can play a key role in balancing hope and grief by validating emotions and providing humanised, relational care.
- Reformulation of the intra-vitreal injection protocol for Noa+ at ULS Almada Seixal, based on recent best practice studies: a cohort studyPublication . Duarte, Cátia Isabel Marranita dos Santos; Mesquita, IsabelPurpose: The objective of this study is to validate the best practices currently in use following the reformulation of the intra-vitreal injection protocol at the Ophthalmology CRI of ULS Almada-Seixal, starting in 2025. This protocol is based on the most recent studies in the field and aims to assess the outcomes resulting from this change in clinical practice by comparing the first half of 2025 with retrospective data from 2022 to 2024 regarding the incidence of endophthalmitis. Setting: NOA+ Clínic from ULS Almada-Seixal. Methods: For the completion of this study, a retrospective cohort study was conducted, analyzing data from the years 2022, 2023, and 2024, followed by a prospective phase beginning in January 2025, after the reformulation of the intra-vitreal injection procedure guidelines. Results The results will enable a comparison of the incidence of endophthalmitis before and after the introduction of the new procedure guidelines, providing valuable support for the clinical best practices associated with this procedure. Conclusions: As nurses, collaborating in the standardization of procedures and ensuring patient safety through the proper implementation of best clinical practices is essential. Staying abreast of new scientific evidence allows for improvements in the quality of care provided to patients, reduces complications associated with the procedure, and promotes patient satisfaction.
- Improving quality of care in outpatient surgery - prems and proms as vectors of value-based healthcarePublication . Duarte, Cátia Isabel Marranita dos Santos; Mesquita, IsabelPurpose: This work focuses on the quality of care provided and will assess the PREMs and PROMs indicators in the area of Ophthalmology Outpatient Surgery, with the aim of understanding from the patients' perspective: What are the gains in visual health acquired in cataract surgery; To what extent these gains have had an impact on patients' activities of daily living; What their opinion is of the experience and involvement in their health process. Setting: The project to improve quality in cataract outpatient surgery is being designed so that it can be applied across the board in ophthalmology outpatient surgery units. Methods: The methodology used is based on the application of the Catquest 9SF and AIVD scales in the preoperative period and the Catquest 9SF and OEQ scales in the postoperative period. Results: As PROMs, the aim is to understand what visual gains were made as a result of cataract surgery and what impact these had on performing instrumental activities of daily living. As PREMS outcomes, the aim is to understand the patient's satisfaction with the health gains made, their involvement in the treatment process and the experience they had. Conclusions: This project will make it possible to collect data by showing what is really important to the patient, enabling an improvement in the quality of care centered on their real needs. It will also make it possible to measure the real gains in visual health and quality of daily life.
- Awareness and perspectives of the core curriculum for cardiovascular nurses and allied professionalsPublication . Delgado, B.; Klompstra, L.; Kato, N.; Pedrosa, R.; Thomet, C.; Ross, C.
- Enhancing functional vision in cataract patients: a necessity with a direct impact on quality of lifePublication . Duarte, Cátia Isabel Marranita dos SantosPurpose: The subject of functional vision has received increasing attention from ophthalmologists. Therefore, as nursing is also focused on meeting the needs of patients and preserving their autonomy and improving their quality of life, this also becomes a sensitive area for the profession. The importance of vision is reported by the WHO, and there are also studies in geriatrics and psychiatry that demonstrate the negative impact of visual deficits on patients' mental health and reduced autonomy. Nursing's role in meeting patients' visual needs can thus play a major role in the early diagnosis of each patient's needs in accordance with their activities of daily living, with a consequent direct impact on an active and healthy lifestyle. Setting: Hospitals and Clinics with Perioperative Nursing consultation. Methods: To carry out this work, a literature review was carried out on the impact of visual impairment in patients with cataract pathology on the patient's quality of life and satisfaction of their needs, the Definition of Nursing in the light of Virginia Henderson's Theory and the Role of Nursing in the promotion of functional vision in patients with cataracts. Results: Although there are there are not many studies that demonstrate the importance of the nurse's role in promoting functional vision in cataract patients, it is a fact that perioperative ophthalmology nursing consultations are an autonomous area of the profession, where it is possible to make nursing diagnoses, carry out a survey of patients' needs, which can be used/discussed by the multidisciplinary team and with the patient, and carry out patient training. Conclusions: Nursing has a leading role to play in assessing and diagnosing patients' needs and in teaching and empowering patients. As a profession that is part of a multidisciplinary team, understanding the visual needs of patients in order to promote an autonomous and quality lifestyle and making data measurable through the use of scales, allows to ensure that patient data are recorded and available for future therapeutic decision by the clinician.
- Comunicar enfermagem em cuidados paliativosPublication . Afonso, Tânia dos Santos; Martins, Maria de Lurdes dos Santos; Cardoso, Maria Helena
- Artificial intelligence-mediated clinical judgement in nursing: a sequential multimethod experimental study on pressure injury prevention in intensive carePublication . Alves, José; Pais-Vieira, Carla; Alves, PauloBackground: Pressure injuries (PIs) remain a frequent and largely preventable complication in intensive care units, where prevention relies on nurses’ clinical judgement under conditions of uncertainty, time pressure and high cognitive load. While artificial intelligence (AI) has been extensively studied for risk prediction, critical gaps remain in understanding how AI-mediated information shapes nurses’ reasoning processes, confidence and cognitive workload during preventive decision-making. Current research predominantly evaluates decision outputs or algorithmic accuracy, overlooking the cognitive and judgement-related mechanisms through which AI may support, or inadvertently disrupt, clinical practice in wound care. Aim: To examine how AI-mediated informational support influences nurses’ clinical judgement processes, decision quality, confidence and cognitive workload during PI prevention in intensive care. Methods & Current Status: This PhD adopts a sequential multimethod design. Phase 1 (completed) comprised two scoping reviews on AI-based PI prediction and AI support for clinical judgement in nursing. Phase 2 (ongoing) focuses on the development and content validation of realistic intensive care PI prevention vignettes. Phase 3 will analyse nurses’ questions during interaction with a clinical chatbot to identify cognitive support needs and develop a taxonomy of judgement-related informational demands. Phase 4 involves a controlled pilot simulation study in which nurses assess clinical vignettes with and without standardised AI support. Outcomes will include judgement quality, decision confidence and objective neurocognitive indicators of cognitive workload derived from electroencephalography. Anticipated Impact: By shifting focus from algorithmic performance to nurses’ clinical judgement processes, this project will generate practice-oriented evidence to inform the design of cognitively aligned, ethically grounded and clinically usable AI decision-support systems for PI prevention. Findings will identify what information, when, and in which format AI support most effectively strengthens nurses’ judgement under high cognitive load. The project is expected to reduce unwarranted variability in preventive decision-making, enhance patient safety, and support responsible AI integration into wound care practice, professional education and evidence-informed clinical guidelines. Ethics: Ethical approval and informed consent will be obtained prior to data collection. All procedures will comply with data protection regulations, including secure handling of neurophysiological, simulation and interaction data.
- Inteligência artificial no ensino em feridasPublication . Encarnação, R.; Neves-Amado, J.; Alves, P.Os cuidados a feridas são essenciais para promover uma cicatrização eficaz e prevenir complicações, como infeções e amputações, representando um elevado custo para os sistemas de saúde e qualidade de vida dos doentes. A complexidade dos cuidados de saúde nesta área exige, dos profissionais de saúde, conhecimentos sólidos e competências práticas. Nos últimos anos, tecnologias como a realidade virtual e a simulação de alta fidelidade demonstraram melhorar o conhecimento, o raciocínio clínico e a autoconfiança dos estudantes (MacLean et al., 2024). A inteligência artificial (IA) surge como ferramenta inovadora na educação em saúde, contudo no ensino em feridas a evidência empírica ainda é escassa. O objetivo desta revisão é mapear a utilização de IA na educação em feridas, identificar desafios e orientar futuras investigações.
- Artificial intelligence in wound care education: scoping reviewPublication . Encarnação, Rúben; Alves, José; Marques, Ana; Neves-Amado, João; Alves, Paulo
- Abordagem multidisciplinar e terapias avançadas no tratamento de úlcera por pressão: estudo de casoPublication . Santos, Rita Peixoto; Miranda, Liliana Grilo; Carvalho, Águeda Sena; Rodrigues, TâniaIntrodução: As Úlceras por Pressão (UPP) são lesões associadas à imobilidade e comprometimento da integridade cutânea, constituindo um dos principais indicadores da qualidade dos cuidados de saúde. A sua abordagem exige competências técnicas e ações centradas na pessoa e baseadas na evidência. A enfermagem assume um papel fundamental, através da implementação de intervenções preventivas e terapêuticas ajustadas às necessidades da pessoa (Oliveira et al., 2019). A articulação com a equipa multidisciplinar é essencial para garantir cuidados integrados e eficazes (Monteiro et al., 2024). Objetivos: Analisar a abordagem do enfermeiro com competências em viabilidade tecidular e feridas, e da equipa multidisciplinar, na promoção de um cuidado holístico à pessoa com UPP. Metodologia: Estudo de caso baseado na guideline CARE, aprovado pela Comissão de Ética e autorizado pela respetiva instituição, referente a uma doente de 72 anos com síndrome de Ogilvie e UPP de categoria IV. A colheita de dados foi realizada em novembro de 2024, com recurso a registo fotográfico e às escalas: numérica da dor, Braden e PUSH. Resultados: Durante o internamento, foi identificada uma UPP de grau II na região sacrococcígea, que evoluiu para grau IV, com tecido necrótico e exsudado purulento. A situação clínica exigiu a intervenção de várias especialidades, nomeadamente Unidade de Dor Crónica, Cirurgia Plástica, Nutrição e Enfermagem com Competências em Viabilidade Tecidular e Feridas. Foram aplicadas terapias avançadas, como a Terapia por Pressão Negativa com instilação (TPN- ci) e a Terapia por Pressão Negativa incisional (TPN-i), em preparação para cirurgia de retalho miocutâneo. Esta abordagem assegurou cuidados integrais, prevenindo novas UPP e favorecendo a cicatrização. As práticas adotadas alinharam-se com diretrizes internacionais (EPUAP et al., 2019), reforçando a importância da adaptação dos cuidados à pessoa. Conclusões: O cuidado à pessoa com UPP vai além da cicatrização, exigindo uma abordagem holística e humanizada. A integração da equipa multidisciplinar, com terapias avançadas como a TPN, é essencial para otimizar os resultados e promover ganhos em saúde, qualidade de vida e dignidade para a pessoa cuidada.