CIIS - Documentos de Conferências / Conference Objects
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- University students' perceptions of the impact of service-learning on the final beneficiariesPublication . Ribeiro, Luísa Mota; Miranda, Francisca; Oliveira, Ana; Correia, Maria; Ribeiro, Célia; Peixoto, Ricardo; Dias, Paulo César; Themudo, Carmo; Costa, Helena Gil da; Costa, Joana Cunha e; Silva, Marta; Pona, Rita Paiva eService-learning (SL) is a methodology that contributes to outcomes in students' academic learning, civic participation, and personal growth (Bringle & Clayton, 2021). There are several studies that analyze the impact of SL on university students (e.g., Allen et al., 2021; Fong et al., 2021; Samino García, 2023; Smith et al., 2021). However, research focused on the impact of SL on final beneficiaries is still scarce. The present study aimed to analyze university students’ perceptions regarding the perceived impact of SL experiences on the final beneficiaries. It may be challenging to directly access the final beneficiaries to assess the impact or there might be ethical restrictions on collecting sensitive data from them. We believe that students’ perceptions can provide valuable insights into the perceived impact on the final beneficiaries, considering their direct involvement in the activities and their deeper understanding of the changes and benefits they observe. Moreover, adopting this research approach allow us to give voice to university students, recognizing the significance of their perceptions and interpretations as active and reflective participants. This study involved 58 students from Universidade Católica Portuguesa, mostly female (77.6%) and aged between 19 and 61 years (M = 24.11; SD = 8.55). Students were enrolled in different programs (management, nursing, psychology, and social work) and were involved in 9 different SL projects. Most of the students developed SL projects in elderly care home/day care center, but there were also SL projects in daycare/kindergarten/school, institution that supports vulnerable families, community intervention project, foster home, and institution that supports social reinsertion. Thus, the final beneficiaries of the SL projects included elderly people (mostly), children and/or youth, homeless people, vulnerable families, and people with addiction problems. After the conclusion of the SL projects, students were asked to complete an online questionnaire that included an open-ended item about the impact of the projects on the final beneficiaries (“Analyze how the service developed had an impact on the community/final beneficiaries (group of people addressed by the project)”). Data were analyzed using NVIVO. The results point to a perceived positive impact of the SL projects on the final beneficiaries, in several domains, such as: high satisfaction/enthusiasm, improved quality of life, improved health, higher self-esteem, reintegration into society, development of knowledge (e.g., about managing emotions). The results contribute to understand the perceived impact of the SL methodology on the final beneficiaries, a topic that has been understudied in the literature. Practical implications will be discussed, considering practical guidelines for the design and improvement of future SL projects.
- Salivary protein profile as a tool for patient stratification in peri-implantitisPublication . Saavedra, M.; Sousa, S.; Silva, A.; Martins, J. E.; Esteves, E.; Fernandes, M.; Rosa, N.; Correia, M. J.; Barros, M.
- 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.