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- Religiosity index and quality of life in the search for better blood pressure controlPublication . Guerra, Grazia Maria; Oliveira, Jefferson Carlos de; Fistarol, Isabela Ribeiro Braga; Vieira, Margarida; Deodato, Sérgio; Tsunemi, Miriam Harume; Bortolotto, Luiz AparecidoSystemic arterial hypertension (SAH) is a chronic non-communicable disease, and currently the relationships between religiosity, physical and mental health have been investigated. The objective of this study was to verify the association of the religiosity index through the DUREL scale with the best control of blood pressure (SBP ≤ 120 and DBP ≤ 80) and quality of life in hypertensive patients. A prospective longitudinal study was conducted with 56 hypertensive patients, who were followed up for 120 days and underwent a 20-day interval nursing visit, in which a counseling program was developed. The instrument for quality of life, the DUREL Religiosity Scale, was applied and Ambulatory Blood Pressure Monitor (ABPM) was performed at the beginning and end of the study. The study involved 30 women (55.6%) and 26 men (44.4%), mean age of 53.9 ± 10 years, mean BMI of 30.3±5 kg/m2, waist circumference (WC)=99.7±5cm; PAS=153.6±28mmHg; DBP=91.6±17mmHg and Heart Rate (HR)=69±13bpm. Regarding BP control (SBP ≤ 120 and DBP ≤ 80), at the end of 120 days, it was observed that only 4 (7.14%) patients controlled their BP by the clinic’s measurement and 25 patients by the measurement of the ABPM, those being 7 (12.5%) in the wake period and 18 (32.1%) in the sleep period. However, there was no association with the Index of Religiosity and quality of life when compared to the control variable of blood pressure. Given the data, it was determined that the religiosity index was not sensitive enough to identify patients with a better control of BP after 120 days of follow-up.
- Production of nursing thesis and dissertations in Portugal, 2000-2010: a bibliometric studyPublication . Baggio, Maria Aparecida; Rodrigues, Manuel Alves; Erdmann, Alacoque Lorenzini; Figueiredo, Maria do Céu Aguiar Barbieri; Vieira, MargaridaThe study identifies Portuguese nursing research, produced in the period 2000 – 2010, published via Master’s dissertations and doctoral theses, analyzed according to the following variables: institution training masters and doctors, studies’ distribution by institution, study supervisors and co-supervisors with their respective titles, supervisors’ productions, keywords/descriptors, topics studied, theoretical framework, methodological framework, subjects, data collection and data analysis. In this exploratory, descriptive and bibliometric study, dissertations from the Catholic University of Portugal and the Institute of Biomedical Sciences of the University of Porto were collected, as were doctoral theses from both these institutions and the University of Lisbon, totalling 41 theses and 273 dissertations. The results describe the theoretical, methodological and bibliometric aspects of the strictu sensu scientific production of Portuguese nursing. It is concluded that nurse researchers, in having knowledge of the specific areas of the studies, can improve them to achieve quality and excellence of the training of Master’s and doctoral students.
- A relevância da ACEPS no percurso histórico da EnfermagemPublication . Vieira, Margarida
- O Bem-Estar Espiritual dos Professores de Medicina e de EnfermagemPublication . Ermel, Regina Célia; Vieira, Margarida; Tavares, Thaís Ferrarini; Furuta, Pricilla Midori; Zutin, Teresa Laís; Caramelo, Ana CristinaObjetivo: avaliar o bem-estar espiritual dos professores de Medicina e de Enfermagem na Universidade de Marília.Método: estudo descritivo, exploratório, de abordagem quantitativa. A população foi constituída por uma amostra de 49 professores e a escolha foi aleatória. Utilizou-se a “Escala de Avaliação Espiritual”. A coleta de dados foi realizada em fevereiro e março de 2012, analisados pelo Programa SPSS 20.0. O projeto de pesquisa foi aprovado pelo Comitê de Ética em Pesquisa, CAAE n. 25000.113733/2010-14. Resultados: os professores dos cursos de Medicina e Enfermagem apresentaram escores positivos em todos os termos/conceitos comedidos: Fé Pessoal 90%, Prática Religiosa 74% e Paz Espiritual 88%. Conclusão:em sua maioria, os professores desta Universidade têm fé, prática religiosa e apresentam paz espiritual.
- Percepção sobre qualidade de vida dos idosos de Portugal e do BrasilPublication . Ermel, Regina Célia; Caremelo, Ana Cristina; Fracolli, Lislaine Aparecida; Ortiz, Flavia Vilas Boas Carli; Zutin, Teresa Lais Menegucci; Gianini, Silvia Helena Soares; Silva, Ligia Morelatto Pieri da; Cardin, Márcia Abusio; Guimarães, Eleny Rosa; Zutin, Paula; Dorvalino, Joselaine dos Santos; Vieira, MargaridaEste estudo objetivou avaliar a percepção sobre qualidade de vida dos idosos de Portugal e do Brasile identificar a faceta do instrumento Whoqol-Old com maior escore avaliativo.Método:O estudo foi realizado com 508 idosos de Portugal e 349 idosos do Brasil. Para avaliação da qualidade de vida utilizou-se o instrumentoWhoqol-Old da OMS. Resultados:Identificou-se que as facetas com melhores escores avaliativos foram Família/Vida Familiar(74,05) para os idosos de Portugal e Morte e Morrer (75,37) para os idosos do Brasil.Conclusão:Os idosos que participaram deste estudo, tanto em Portugal quanto no Brasil, percepcionaram positivamente a sua qualidade de vida.
- Elements and strategies for ethical decision-making in nursingPublication . Nora, Carlise Rigon Dalla; Deodato, Sérgio; Vieira, Margarida; Zoboli, ElmaThis study aimed to identify the elements and strategies that facilitate the ethical decision-making of nurses faced with ethical problems, from publications on the theme. An integrative literature review was carried out. Data collection was performed between the months of April and May 2014, in the databases: SciELO, CINAHL, LILACS and MEDLINE. Original, theoretical and case study articles, with a health team that included nurses, published in Portuguese, English and Spanish were included. A total of 19 studies were selected, the analysis of which resulted in three categories: external factors of ethical decision-making in nursing, individual factors of ethical decision-making in nursing and facilitating strategies of ethical decision-making in nursing. It was concluded that nurses need to use strategies that develop sensitivity, ability and ethical competence, in order to make prudent ethical decisions, contributing to the quality of health care.
- À procura do significado de abandono para as pessoas muito idosas clientes de cuidados de enfermagemPublication . Marques, Gina; Amendoeira, José; Vieira, MargaridaNeste artigo descreve-se uma perspetiva de interesse de estudo do significado de abandono para as pessoas muito idosas, clientes de cuidados de enfermagem. A metodologia usada é a revisão de literatura e pesquisa bibliográfica aberta, pelas quais se inferiu que o significado de abandono para as pessoas muito idosas clientes de cuidados de enfermagem, se encontra pouco desenvolvido na literatura de enfermagem, não havendo unificação da linguagem relativamente ao seu significado. O abandono enquanto fenómeno decorrente de experiências de saúde encontra-se associado a uma dimensão de sofrimento subjetivo, nem sempre resultante de uma forma de abandono físico. É neste sentido que se argumenta que o desenvolvimento de um trabalho metodológico de análise do conceito de abandono para as pessoas muito idosas, ajudará a clarificar o mesmo e contribuir para o desenvolvimento conhecimento da disciplina.
- A espiritualidade nos cuidados de enfermagem: revisão da divulgação científica em PortugalPublication . Caldeira, Sílvia; Castelo Branco, Zita; Vieira, MargaridaContexto: a investigação e divulgação no panorama científico internacional acerca da espiritualidade e saúde têm vindo a desenhar um movimento crescente desde a década de 90, em particular, nos cuidados de enfermagem. Objetivos: Identificar e analisar a produção científica publicada em revistas portuguesas de enfermagem, bioética e saúde, desde 1990 até julho de 2010. Método: optou-se pelo método de pesquisa manual e eletrónica nas revistas portuguesas de enfermagem, nos Cadernos de Bioética e nos Cadernos de Saúde, num total de 21 títulos. Resultados: a amostra é constituída por 17 artigos selecionados de 1217 números pesquisados. Nove artigos de revisão de conceitos, quatro artigos de investigação, dois artigos de reflexão pessoal e duas revisões sistemáticas de literatura. A análise permitiu categorizar a espiritualidade em duas dimensões – dimensão humana da pessoa sã ou doente e dimensão do cuidar. Conclusões: a produção científica sobre a espiritualidade nos cuidados de enfermagem divulgada em Portugal é representada, na sua maioria, por artigos de reflexão e de revisão teórica. É menor o número de estudos empíricos. É importante que, além do desenvolvimento da investigação nesta área, a sua divulgação seja feita de preferência nas publicações nacionais, para uma efetiva divulgação do conhecimento produzido.
- Competência ética como recurso de enfrentamento do sofrimento moral em enfermagemPublication . Schaefer, Rafaela; Vieira, MargaridaThe study's objectives were: to seek evidence on ethical situations experienced by nurses in the health services; to identify the coping resources which they use; and to ascertain the role of ethical competence in coping with moral distress. The integrative literature review was used as the method. The search was made in the LILACS, IBECS, MEDLINE, SciELO, CINAHL, PubMed, RCAAP and BDTD databases. A total of 23 studies was selected, based on previously established inclusion and exclusion criteria. The results indicate ethical questions experienced by the nurses in their relations with patients and family members, the team and the health system. Coping resources used by the professionals and implemented by the researchers are described. It may be concluded that the ethical challenges and moral distress are present in the nurses' work context, and the strategies aimed at promoting ethical competence, have positive consequences in coping with, and in reducing, levels of moral distress.
- Validation of a Brazilian version of the moral sensitivity questionnairePublication . Dalla Nora, Carlise R.; Zoboli, Elma L. C. P.; Vieira, MargaridaBackground: Moral sensitivity has been identified as a foundational component of ethical action. Diminished or absent moral sensitivity can result in deficient care. In this context, assessing moral sensitivity is imperative for designing interventions to facilitate ethical practice and ensure that nurses make appropriate decisions. Objective: The main purpose of this study was to validate a scale for examining the moral sensitivity of Brazilian nurses. Research design: A pre-existing scale, the Moral Sensitivity Questionnaire, which was developed by Lützén, was used after the deletion of three items. The reliability and validity of the scale were examined using Cronbach’s alpha and factor analysis, respectively. Participants and research context: Overall, 316 nurses from Rio Grande do Sul, Brazil, participated in the study. Ethical considerations: This study was approved by the Ethics Committee of Research of the Nursing School of the University of São Paulo. Findings: The Moral Sensitivity Questionnaire contained 27 items that were distributed across four dimensions: interpersonal orientation, professional knowledge, moral conflict and moral meaning. The questionnaire accounted for 55.8% of the total variance, with Cronbach’s alpha of 0.82. The mean score for moral sensitivity was 4.45 (out of 7). Discussion and conclusion: The results of this study were compared with studies from other countries to examine the structure and implications of the moral sensitivity of nurses in Brazil. The Moral Sensitivity Questionnaire is an appropriate tool for examining the moral sensitivity of Brazilian nurses.
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