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- Religious commitment in cancer patients: a cross- sectional studyPublication . Martins, Elga; Domingues, Tiago Dias; Vieira, Margarida; Caldeira, Sílvia
- Spiritual distress in women with breast cancer: a cross-sectional studyPublication . Martins, Elga; Domingues, Tiago Dias; Vieira, Margarida; Caldeira, Sílvia
- Peripheral venipuncture in elderly patients: is near-infrared light technology an option to avoid vein depletion?Publication . Santos-Costa, Paulo; Sousa, Liliana B.; Serambeque, Beatriz; Bernardes, Rafael; Parreira, Pedro; Salgueiro-Oliveira, Anabela; Vieira, Margarida; Graveto, JoãoBackground: Peripheral venipuncture is the minimal invasive procedure most commonly performed in acute settings. However, several publications report that health professionals perform multiple puncture attempts until a successful catheterization or blood draw is achieved. Among the patients most affected by this reality are the elderly patients, who often display a number of factors that increase difficulty. In recent years, several recent technological aids, such as the Near-Infrared Light, have emerged in the medical devices market as potential facilitators of vein selection and puncture. However, while Near-Infrared Light devices are widely studied in pediatric settings, there are no known reviews of its use and applicability with elderly patients. Methods: A scoping review of the literature was conducted following the Joanna Briggs Institute method. Study relevance, data extraction, and synthesis were performed by two independent reviewers. Results: Three studies were included in this review. The use of NIR technology may improve the number of peripheral veins located in elderly patients, as well as reduce hematoma development and patient anxiety before, during and after the procedure. Moreover, one study briefly explored health professionals’ usability and technology acceptance related outcomes. Conclusions: While peripheral venipuncture of elderly patients assisted by NIR devices is still an understudied area, the studies found indicated results favorable to its clinical application. However, such results should be carefully analyzed, since potential bias and lack of larger study samples may prevent the generalization of the results.
- Spiritual needs of Brazilian children and adolescents with chronic illnesses: a thematic analysisPublication . Alvarenga, Willyane de Andrade; Machado, Júlia Rezende; Leite, Ana Carolina Andrade Biaggi; Caldeira, Sílvia; Vieira, Margarida; Rocha, Silvana Santiago da; Nascimento, Lucila CastanheiraPurpose: To identify the spiritual needs of children and adolescents with chronic illnesses and how these needs are met by health professionals during hospitalization. Design and methods: A qualitative descriptive study was developed with 35 children and adolescents, between 7 and 18 years old, diagnosed with cancer, cystic fibrosis, and type 1 diabetes. Interviews with photo-elicitation were conducted during the hospitalization at a Brazilian public pediatric hospital. Findings were treated using thematic analysis, and the Consolidated Criteria for Reporting Qualitative Research (COREQ) was followed for quality reporting. This research was approved by a research committee. Results: Two themes emerged. The first, entitled ‘Spiritual needs’, encompasses five types of needs: (1) need to integrate meaning and purpose in life; (2) need to sustain hope; (3) need for expression of faith and to follow religious practices; (4) need for comfort at the end of life; and (5) need to connect with family and friends. The second theme was the ‘Definition of spiritual care’. Conclusions: Children and adolescents with chronic illnesses have spiritual needs while in hospital. Meeting these needs is essential for finding meaning, purpose and hope in the experience of living with chronic illnesses and at the end of life, based on their faith, beliefs and interpersonal relationships. But, these needs have not been fully addressed during hospitalization. Practice implications: These results emphasize the need to implement spiritual care when caring for hospitalized pediatric patients, which includes addressing spiritual needs.
- Improving peripheral venous catheterization-related outcomes in oncology patients: an action research study in PortugalPublication . Santos-Costa, Paulo; Sousa, Liliana B.; Costeira, Cristina; Santos, Filipe; Salgueiro-Oliveira, Anabela; Parreira, Pedro; Vieira, Margarida; Graveto, João
- Studies carried out in Portugal in the area of peripheral venous catheterization: scoping review protocolPublication . Santos-Costa, Paulo Jorge dos; Sousa, Liliana Baptista; Marques, Inês Alexandra Figueira; Salgueiro-Oliveira, Anabela de Sousa; Parreira, Pedro Miguel Dinis; Vieira, Margarida Maria da Silva; Graveto, João Manuel Garcia do NascimentoBackground: Despite its ubiquitous nature, the practice of peripheral venous catheterization is not homogeneous among international clinical contexts. In Portugal, the information regarding the practice of peripheral venous catheterization is scattered in the literature, hindering efforts of a comprehensive analysis of its nature and implications. Objective: To map the studies developed in Portugal in the field of peripheral venous catheterization. Review method: Scoping review methodology proposed by the Joanna Briggs Institute. An adequate protocol was established for each base/repository to identify studies that meet the criteria outlined. The analysis of data relevance, extraction, and synthesis will be performed by independent reviewers. Presentation and interpretation of results: The mapping of the studies carried out in Portugal in this area will contribute to the identification of the main structure, process, and outcome indicators described in national studies. Conclusion: It is expected that this review will support the development of future interventions and systematic reviews that enhance the efficacy/safety of the care provided to patients with a peripheral catheter.
- A commentary on spiritual leadership and workplace spirituality in nursing managementPublication . Ribeiro, Mónica; Caldeira, Sílvia; Nunes, Elisabete; Vieira, MargaridaAim: Bring to discussion how spiritual leadership and workplace spirituality, on a health care system that faces constant challenges and seeks constant adaptations, as a way to guarantee nurses’ well-being and quality of care Background: The work environment has shown to have impact on staff well-being. Workplace spirituality relates to sense of belonging, motivation and commitment. A spiritual leadership is fundamental to develop workplace spirituality. Evaluation: Starting from literature, a reflection on the theme was carried out based on the results of the development of spiritual leadership and workplace spirituality in health care institutions, in professionals and in patients. Key issues: Nurses have spiritual needs which need to be also addressed in order to promote the sense of identification with the institutions vision and goals. A relation between spiritual leadership, workplace spirituality and subjective well-being is often found in literature, and this is critical evidence towards new management and leadership dynamics and models in health care institutions, that should integrate workplace spirituality. Conclusion: Nursing leaders are responsible for workplace spirituality facilitation. Nursing leadership and workplace spirituality seem both an answer and way to the change of health institutions management paradigm, but more studies are needed to inform this change in practice.
- Translation and validation of the modified A-DIVA scale to european portuguese: dicult intravenous access scale for adult patientsPublication . Santos-Costa, Paulo; Sousa, Liliana B.; Loon, Fredericus H.J. van; Salgueiro-Oliveira, Anabela; Parreira, Pedro; Vieira, Margarida; Graveto, JoãoAbstract: (1) Background: In Portugal, no accurate and reliable predictive instruments are known that could assist healthcare professionals in recognizing patients with diffcult venous access. Thus, this study aimed to translate and validate the Modified A-DIVA scale to European Portuguese. (2) Methods: A methodological and cross-sectional study was conducted in two phases: translation of the Modified A-DIVA scale to European Portuguese following six stages proposed by Beaton and collaborators, and assessment of its psychometric properties in a non-probability sample of 100 patients who required peripheral intravenous catheterization in a Portuguese hospital. (3) Results: The European version of the Modified A-DIVA scale (A-DM scale) showed excellent inter-rater accordance scores, k = 0.593 (95% CI, 0.847 to 0.970), p < 0.0005. The A-DM scale’s criterion and construct validity was assessed through predictive, convergent, and correlational analysis with variables identified in the literature as associated with diffcult peripheral intravenous access, with moderate to large magnitudes and statistical significance. (4) Conclusions: The A-DM scale is a reliable and valid instrument that can support healthcare professionals and researchers in the early identification of patients at risk of diffcult peripheral intravenous access. Future validation studies are needed to test the A-DM scale’s applicability across clinical settings and in different patient cohorts.
- Validation of the Belief Into Action Scale (BIAC) in Portuguese cancer patients receiving chemotherapyPublication . Martins, Helga; Caldeira, Sílvia; Domingues, Tiago Dias; Vieira, Margarida; Koenig, Harold G.Background: A large proportion of the world's population have religious beliefs, with 84.0% indicating an affiliation with a specific religious group. Few comprehensive measures to assess religious involvement currently exist in Portugal, particularly for the assessment of religiosity in cancer patients. Objective: To translate, adapt, and validate the 10-item Belief Into Action Scale (BIAC) in Portuguese cancer patients undergoing chemotherapy. Method: The methodological guidelines provided by Sousa and Rojjanasrirat were used to examine the psychometric properties of the BIAC. Results: The linguistic and conceptual equivalence of the scale was determined. The internal consistency was acceptable (Cronbach's alpha = .86). Varimax rotation with Kaiser normalization identified two factors made up of nine items. Conclusion: The European Portuguese version of the BIAC is a reliable and valid measure for assessing religiosity in cancer patients receiving chemotherapy to provide holistic care.
- Validation of the Duke University Religion Index (DUREL) in Portuguese Cancer Patients Undergoing ChemotherapyPublication . Martins, Helga; Caldeira, Sílvia; Dias Domingues, Tiago; Vieira, Margarida; Koenig, Harold G.Religion is one of the strategies used to cope with life stressful events, particularly in cancer patients. This study aimed to translate, adapt and validate the 5-item Duke University Religion Index (DUREL) into European Portuguese. This is a crosssectional study in a sample of cancer patients receiving chemotherapy. Data were collected in July–October 2018, and the study was approved by the ethics committee of the institution. A sample of 150 participants was included (64.7% female and 35.3% male), aged 35–83 years, and mainly Catholic (86.7%). Participants who were females, older, had lower education and from evangelical religious traditions scored higher on the total score. The Cronbach’s alpha was 0.89. Factor analysis revealed a one-factor solution. Convergent validity was achieved between DUREL and BIAC (r=0.78; p<0.01). The DUREL European Portuguese version is a valid and reliable tool for measuring religious commitment in cancer patients undergoing chemotherapy