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- Effects of music therapy in intensive care patientsPublication . Alves, Ana Isabel; Rabiais, Isabel Cristina; Pestana, Laurindo; Rodrigues, Miguel; Ávila, Hugo; Câmara, Rosália; Viríssimo, Michelle; Faia, IsabelIntroduction: The practice of music therapy to improve physical and mental welfare is used since ancient times. This reaction becomes a valued instrument in taking care of patients, in hospital environments, becoming decisive in Intensive Care Units. Objective: The aim of this study is to clarify the importance of music therapy in intensive care patients. Material and Methods: A systematic review of the literature by mobilizing the descriptors “Music Therapy”, “Critical Patients” and “Nursing care”, use the method peak. We have selected ten databases imaginable, in-between 2011 and 2016, included for analysis nine articles. Results and Discussion: It was found that most of studies consider music therapy effective on clients by decreasing pain, anxiety, regulating blond pressure, cardiac and respiratory frequencies. It also allows to lower sedation and analgesic levels, in patients. The key to implement this therapy is to educate the health teams about the impact and benefits of music therapy in patients. Conclusion: It can be concluded that music therapy can be used like a non-pharmacologic therapeutic instrument to improve relaxing and reduce anxiety in clients in intensive care, promoting their recuperation
- Cidadania e construção cívica revisitando adultos: um processo de capacitação na terceira idadePublication . Figueiredo, Amélia Simões; Rabiais, IsabelO principal objetivo da educação de adultos para a cidadania é proporcionar a aquisição de competências que propiciem a inserção responsável através do desenvolvimento social e humano em projetos, considerando que a lógica do desenvolvimento local se estrutura em torno da intencionalidade das orientações da ação formativa, na promoção de valores comunitários. Neste enquadramento, surge o projeto “Capacitar para salvar”, no âmbito da missão da Universidade Católica Portuguesa, que se expande agora aos estudantes da Universidade sénior. Assumimos como objetivos caracterizar os atores no que concerne ao género, idade; divulgar os indicadores de avaliação de processo e reforçar a importância da formação de adultos na promoção de valores. Metodologicamente estamos perante um estudo de abordagem quali-quantitativo, com recurso à análise de conteúdo e ao tratamento estatístico dos dados, resultantes da aplicação de questionários a estudantes de uma universidade sénior numa Junta de Freguesia da cidade de Lisboa. Os resultados apontam uma intencionalidade da ação dos atores, movida e assente na racionalidade de procedimentos ensinados, instruídos e treinados sobre suporte básico de vida. As conclusões sugerem a capacitação dos atores, numa perspetiva de cidadania e saúde que anuncia a (re)construção identitária e o desenvolvimento de uma consciência cívica visada.
- Need of surgical dressing in postoperative surgicalPublication . Alves, Ana Isabel Gomes; Rabiais, Isabel Cristina Mascarenhas; Fernandes, Sérgio Joaquim Deodato; Ribeiro, Rita Luzia MoraisSurgical procedures are frequent these days, as well as the search for appropriate and safe procedures for patients, requiring more research and optimize nursing care. The correct procedures in the surgical dressing are also important to the success of the intervention. Purpose: To identify the need for surgical dressing in postoperative. Methods: A study has been carried out which consists in systematic literature revision and it has taken place where seven items were selected. Results: The results of the analyzed studies on the subject, showed themselves to be quite different on the need for care/aseptic environment in the surgical wound in the immediate postoperative period and in use of surgical dressing. Conclusions: It can be concluded that a majority of studies have shown that the occlusive surgical dressing, immediate after surgery with washing and disinfection standard, does not necessarily decrease the prevalence of surgical wound infection. Although some authors consider very important the realization of occlusive dressing in the first 48 hours after surgery
- Undergraduate nursing students’ competencies in disaster scenarios: from educational needs to curricula regulationPublication . Santos, Paulo Alexandre Figueiredo dos; Rabiais, Isabel Cristina Mascarenhas; Berenguer, Sílvia Maria Alves Caldeira; Amendoeira, José Joaquim PenedosBackground: Nurses play a central role in disaster preparedness, so appropriate disaster-related education is essential. However, almost all Portuguese undergraduate nursing curricula do not address disaster situations. Objective: To understand nursing schools’ contribution to developing undergraduate students’ knowledge and skills in disaster scenarios and the existing constraints on integrating this content into undergraduate nursing curricula. Methodology: A qualitative study with methodological triangulation, including interviews and focus group, was carried out to explore the perceptions of 35 nurse teachers and 6 nurses with experience in health care provision in disaster scenarios, about integrating disaster-related content into nursing curricula. Results: The study reveals that disaster management and preparedness should be integrated into undergraduate nursing education to guarantee the effective development and more objective regulation of students’ skills in this area. Conclusion: Portuguese nursing schools need to promote and develop undergraduate training in disaster preparedness and a more inclusive and objective regulation of this area.
- Processos de aprendizagem de cuidar dos estudantes de enfermagemPublication . Rabiais, Isabel Cristina Mascarenhas; Amendoeira, JoséConsiderando a centralidade do estudante na construção do processo ensinoaprendizagem, assumindo a sua participação com responsabilidade, incentivando a utilização do pensamento crítico e partindo da questão central da investigação: Como é que o estudante de enfermagem vive a sua experiência emocional de cuidar, bem como qual a natureza da interação entre o estudante de enfermagem, o professor e o orientador face à experiência emocional de cuidar, assumimos a importância de compreender a aprendizagem do estudante, através da sua própria experiência, da forma como a vive e como reflete acerca dela, considerando questões teóricas e práticas, no sentido de contribuir para a construção de conhecimento e para o desenvolvimento científico da enfermagem. Analisámos o particular num ambiente controlado e contextual, para atingir um nível de universalização nos contextos estudados, centrados nas dimensões que se constituem como uma teoria explicativa do processo de aprendizagem de cuidar. O estudante consciencializa através de vivências reais significativas, em contexto da prática clínica, pensamentos, valores, motivações, sentimentos e emoções pela tomada de consciência de si mesmo, mediada pela capacidade de equacionar a pessoa que é, determinando o potencial para a melhoria do auto conhecimento e do auto conceito, condição essencial para a compreensão de si mesmo e consequentemente para a compreensão do Outro. Suportado pelo quadro conceptual e configurando um estudo que se prende com a visão antropocêntrica da relação pedagógica, preocupamo-nos em deixar emergir o que deve ser identificado e relevado no âmbito da competência emocional do estudante que permita estudar a experiência vivida, enquadrando-se a estratégia de investigação no paradigma qualitativo, num formato de estudo de caso único. Recorremos à análise documental, análise do registo dos incidentes críticos de 252 estudantes, bem como à realização de entrevistas a 8 estudantes, 8 enfermeiros orientadores e 8 professores, desde o primeiro ensino clínico até ao final do curso O tratamento dos dados suportou-se como estratégia principal na análise de conteúdo dos discursos, no entanto considerando que a triangulação de métodos pode tornar a investigação mais consistente, enriquecendo a compreensão do objeto em estudo, optámos também por uma análise quantitativa dos dados. Os três eixos de análise reconstituíram um processo dialógico entre indução e dedução: Ser eu próprio na compreensão do outro, Centrado na interação rumo à competência para cuidar do outro, A aprendizagem do processo de cuidados centrada em si e no outro. Encetada a rutura epistemológica, no confronto com as teorias e com a realidade, sustentamos a tese de que a aprendizagem em contexto de ensino clínico é um momento fundamental para o estudante de enfermagem, na compreensão sobre a forma como se desenvolve o processo de aprendizagem de cuidar, tendo como foco de atenção a individualidade do estudante, os contextos onde aprendeu e aprende, e o envolvimento emocional e social da aprendizagem, considerando que a conceção e a organização do ensino de enfermagem tem evoluído para um paradigma de educação reflexiva. A tese evidencia a operacionalização do currículo por via dos sujeitos, num processo de interação que concorre para a aprendizagem de cuidar. Consolida estratégias de tutoria e orientação pela importância da promoção de ambientes facilitadores da aprendizagem clínica, para que o estudante se sinta confiante e competente entre uma reflexividade da interação estruturada, ora em torno da ação comprometida, ora em torno da ação experienciada, num continuum que conduz a uma forma única e singular de ser enfermeiro e ser pessoa.
- Users of the Public Bathhouse of Alcântara: health profile diagnosisPublication . Figueiredo, Amélia Simões; Resende, Ana; Ferrito, Cândida; Rabiais, Isabel; Caldeira, SílviaBackground: The community outreach project of the Universidade Católica Portuguesa, which involves the public bathhouse of Alcântara, started out of the need to identify its users. Objectives: To characterize the users’ socio-demographic and health profile and describe their use of social and health resources. Methodology: A cross-sectional descriptive study, of quantitative nature, was conducted with the application of a questionnaire to a sample of 145 participants. Results: The typical user is male, single, aged 25-35 years and lives alone (21%). This user goes to the public bathhouse two to three times per week. Most of the users (58.3%) have no bathroom, 29.7% are homeless, 35.2% are not registered in any health care center, and 24.8% have mental disorders. Conclusion: The typical bathhouse user is of working age, was born in Lisbon and in the Portuguese-speaking African Countries, and has no source of income. The main reasons leading to the use of the public bathhouse are the economic difficulties, the homeless condition, and the lack of sanitary conditions.
- Factors that interfere with the response of nurses in the monitoring of clinical alarmsPublication . Dinis, Sónia Margarida Meireles; Rabiais, Isabel Cristina MascarenhasObjective:: The objective of the present study was to identify and synthesize the best empirical evidence found on factors that influence the response of nurses regarding clinical alarms. Method:: An integrative literature review was conducted with searches undertaken in ten electronic databases restricted to the period from 2005 to 2016. Results:: Eight articles were included by cross-checking the descriptors selected. Conclusion:: In the analysis of the studies, the following possible factors that might interfere with the response of nurses in the monitoring of clinical alarms were found: high number of false alarms, inaudibility of alarms due to the competition of sounds, difficulty in distinguishing the urgency of alarms, and increase in noise caused by the raise in the number of alarms.
- Empowering to savePublication . Rabiais, Isabel; Figueiredo, Amélia Simões; Deodato, SérgioIntroduction: The 2012-2016 National Health Plan emphasizes the importance of gains in health “through the alignment around common goals, the integration of sustained efforts from all sectors of society, and the implementation of strategies focused on citizenship, on equality and access, on quality and on healthy policies”. Based on the Universidade Católica Portuguesa’s mission of “generating and sharing critical, innovative and socially relevant knowledge to the service of integral development of the person and the common good”, and considering that the human being is conceptualized as a person who materializes in a health project, taking care of herself, others, things and the surrounding world, arises, the training project in basic life support in secondary schools. This project aims to empower the students for a civic intervention, as health promoting agents, preventing disease and building a healthy society. Methods: Qualitative/quantitative study, using content analysis and statistic treatment of questionnaires of students in a sample of 10 schools. Results: Regarding the adressed subject and content, most of the students, consider them very important. They argue that the project motivates and empowers them for a safer intervention for emergency situations. They feel directly involved for being able to save lives, assuming that this responsibility not only belongs to doctors and nurses, but to everyone. Conclusions: The results higlight the importance of strengthening these intervention projects within the educational community, by empowering the interveners, in a perspective of citizenship and health as integrative concepts in society.
- Prevention and control of infection: an advanced nursing practicePublication . Alves, Ana Isabel Gomes; Rabiais, Isabel Cristina Mascarenhas; Viveiros, Abel Mendoça; Freitas, Carlos Manuel RebeloIntroduction: The infection associated to health care, assume a worrying dimension with repercussions at several levels. The prevention and control of infections are structural components of quality, determinants in the security context of the patient, however, it is recognized that the beliefs, skills and work dynamics of health professionals, especially nurses, influences the adherence to the recommended practices.Objective: The aim of this study is to clarify the importance of the prevention and control of infection in nursing practice. Material and Methods: A systematic review of the literature by mobilising the descriptors "Hospital Infection", "Prevention and Control" and "Nurs"; using the method peak. Were selected ten databases imaginable, between 2008-2016, included for analysis ten articles.Results and Discussion: It was found that the nurses assume a major responsibility in the implementation of good practices. Many are the factors that influence the accession procedures to implement. The great majority of professionals takes a positive attitude toward the guidelines for a given intervention.Conclusion:It can be concluded that the way each professional understands the guidelines should be analyzed, which justifies the implementation of audits to practices, to optimize and achieve the desired objective, promoting a quality care practice.
- Checklist for a safe intra-hospital transport of critically ill patients: a scoping reviewPublication . Canellas, Madalena; Palma, Isabel; Pontífice-Sousa, Patrícia; Rabiais, IsabelTransporting critically ill patients is has a set of risks that may jeopardize their safety. Knowing the risks associated with intrahospitalar transport of critically ill patients is essential to improving patient safety. For the sake of improving patient safety, was chosen to approach it as an intrahospitalar transport checklist, as the literature describes it as a practical and simple way to increase safety. Objective: Map available scientific evidence regarding aspects of a checklist that ensure the safety of critically ill patients in intrahospitalar transport. Material and Method: A scoping review was performed following the methodology proposed by The Joanna Briggs Institute in databases using the EBSCOhost and B-on search engines. Conducted research in Portuguese, English, and Spanish. Selected free full text articles, with no time limit. Inclusion criteria: adult/elderly critically ill patient, intrahospital transport, a checklist and patient safety. Results: Included 7 articles for analysis. Most verification requests that ensure the safety of critical patients on intrahospitalar transport concern the transport preparation phase, in which patient is monitored was the most mentioned aspect. From the post-transportation phase, checklist aspects are only available in 3 of 7 articles Conclusion: All studies address aspects that improve the safety of critically ill patients in intrahospitalar transport and are likely to be included in the checklist. There is no unanimity as to which aspects to include in the checklist.