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- Revisões da literatura científica: tipos, métodos e aplicações em enfermagemPublication . Sousa, Luís Manuel Mota de; Firmino, Cristiana Furtado; Marques-Vieira, Cristina Maria Alves; Severino, Sandy Silva Pedro; Pestana, Helena Castelão Figueira CarlosIntrodução:O interesse da Enfermagem pela metodologia de revisões da literatura tem vindo a aumentar, constituindo-se métodos que permitem uma prática baseada na evidência científica.Objetivo:Caracterizar os diferentes tipos de revisões da literatura e descrever etapas principais de uma revisão sistemática da literatura.Material e métodos:Revisão narrativa da literatura. Pesquisa em bases de dados nas seguintes plataformas Google Académico, Scientific Electronic Library Online (SciELO), EBSCO Host, e Biblioteca Virtual em Saúde (BVS). As palavras-chave: metanálise; medicina baseada em evidências; literatura de revisão como assunto; metodologia, nos idiomas inglês e português.Resultados: Foram descritas 14 tipos de revisões e analisadas de acordo com o tipo de pesquisa, avaliação da qualidade metodológica dos artigos incluídos, síntese da informação colhida e análise global dos dados. Foram apresentadas as vantagens e desvantagens de cada tipo e descritos os principais passos de uma revisão sistemática da literatura. Conclusões:A revisão sistemática da literatura é um dos alicerces para prática baseada em evidência, uma vez que agrega uma grande quantidade de informações num único estudo.
- Validación del índice de bien-estar personal en personas con enfermedad renal crónicaPublication . Sousa, Luís Manuel Mota de; Marques-Vieira, Cristina María Alves; Severino, Sandy Silva Pedro; Rosado, Juan Luis Pozo; José, Helena Maria GuerreiroObjective: to verify the psychometric properties of the Personal Wellbeing Index (PWI) in people with chronic kidney disease on hemodialysis. Method: This is a methodological study. A random sample consisted of 171 people with Chronic Kidney Disease (CKD) who underwent hemodialysis in two clinics in the region of Lisbon, Portugal. Data collection was conducted from May to June 2015. The psychometric properties were evaluated: Validity (construct, convergent predictive and discriminative), reliability through internal consistency (Cronbach α) and stability (Spearman-Brown correlation coefficient and intraclass correlation coefficient (ICC)). Results: PWI has a dimension adjusted to the data set. Satisfaction with health is the largest contributor to the PWI. It shows convergent validity with Subjective Happiness and Positive Affect and Negative Affect. It has discriminative power of nationality. The Cronbach α was 0,82. Retest test for the questionnai re 0, 92 and ICC = 0,95, for the interview 0,85 and ICC = 0,89. Conclusions: The Portuguese version of PWI is valid and reproducible in people with CKD, both by questionnaire and by interview.
- Validation of the positive and negative affect schedule in people with chronic kidney diseasePublication . Sousa, Luís Manuel Mota de; Marques-Vieira, Cristina Maria Alves; Severino, Sandy Silva Pedro; Rosado, Juan Luis Pozo; José, Helena Maria GuerreiroAim: to analyze the psychometric properties of the Portuguese version of the Positive and Negative Affect Schedule scale in people with chronic kidney disease on hemodialysis. Method: this was a methodological study. A random sample of 171 people chronic kidney disease who receive hemodialysis in two clinics in the region of Lisbon, Portugal. Data was collected from May to June 2015. The psychometric properties were evaluated: Validity (construct, convergent and predictive), reliability (Cronbach’s α) and stability (test-retest). Results: showed that the Positive and Negative Affect Schedule scale has two distinct dimensions of positive and negative affect, reliable and stable both when obtained by interview or by questionnaire. Conclusion: the validity and reproducibility of the Portuguese version of the Positive and Negative Affect Schedule scale in people with chronic kidney disease are consistent with the original version and the English version of this scale.
- The fear of falls in the caregivers of institutionalized eldersPublication . Baixinho, Cristina Lavareda; Dixe, Maria dos Anjos; Henriques, Maria Adriana; Marques-Vieira, Cristina; Sousa, LuísAIMS: To understand how the fear of falls emerges and manifests itself in caregivers of institutionalized elders. METHOD: It is a qualitative study, based on the Grounded Theory and carried out with 24 informal caregivers, 5 nurses, 2 physicians and 2 directors of two Portuguese nursing homes. Data collection took place through interviews, participant observation, and documentation analysis, between October 2016 and January 2018. Data was collected and analyzed simultaneously, following the stages of open, axial, and selective coding. RESULTS: The comparative analysis of the findings identified the conceptual category "Fear of falls in the caregivers of institutionalized elders". The main category is associated with the categories: maintaining safety, hidden fear of falls, the perceived self-efficacy in the prevention of falls, falls and interpersonal relations, previous experiences, and team support. CONCLUSIONS: The fear has an influence on the self-efficacy perceived in the prevention of falls; the quality of the teamwork, in turn, is affected by previous negative experiences and by the support of the team.
- Validation of the falls efficacy scale - international in a sample of Portuguese elderlyPublication . Marques-Vieira, Cristina Maria Alves; Sousa, Luís Manuel Mota de; Sousa, Lisete Maria Ribeiro de; Berenguer, Sílvia Maria Alves CaldeiraOBJECTIVE: to translate and adapt Falls Efficacy Scale - International (FES-I). To analyze the psychometric properties of the FES-I Portugal version. METHOD: psychometric study. Sample consisting of 170 elderly people residing in the Autonomous Region of Madeira. A two- part form was used (sociodemographic characterization and FES-I Portugal). The cross-cultural adaptation was performed and the following psychometric properties were evaluated: validity (construct, predictive, and discriminant), reliability (Cronbach's alpha), and inter-rater reliability. RESULTS: the results allow us to verify a dimension of less demanding physical activities and another of more demanding physical activities. The inter-rater reliability study was 0.62, with an interclass correlation coefficient of 0.859, for a 95% confidence interval. The internal consistency of the Portuguese version was 0.962. CONCLUSION: the validity and reliability of the FES-I Portugal are consistent with the original version and proved to be appropriate instruments for evaluating the "impaired walking" and "risk of falls" nursing diagnoses in the older people.
- Effect of humor intervention on well-being, depression, and sense of humor in hemodialysis patientsPublication . Sousa, Luís Manuel Mota; Antunes, Ana Vanessa; Marques-Vieira, Cristina Maria Alves; Silva, Paulo César Lopes; Severino, Sandy Silva Pedro; José, Helena Maria GuerreiroObjective: To evaluate whether visualization of humor movies during hemodialysis sessions improves subjective well-being and sense of humor, while decreasing stress / anxiety and depression levels, in hemodialysis patients. Material and Method: A pre-test / post-test design study with a non-equivalent control group was carried out in patients with chronic kidney disease undergoing hemodialysis, in two hemodialysis units of Diaverum Clinics. The study included 34 patients in the intervention group and 33 patients in the control group.The intervention consisted in the visualization of humor movies during hemodialysis sessions for ten sessions over a four-week period. The control group watched neutral movies. Data were collected using a sociodemographic and health information questionnaire (age, gender, nationality, education, occupation, marital status, dialysis session length, presence of hypertension and diabetes); the Subjective Happiness Scale; the satisfaction with life in general; the Depression Anxiety Stress Scale 21, and the Multidimensional Sense of Humor Scale. Student t-tests and t-tests for paired samples were performed. The response to change was evaluated using: the percentage of change, ceiling effect and floor effect, effect size, and the standardized response mean. Results: The levels of subjective happiness and sense of humor increased in the intervention group, but there were no significant increases in satisfaction with life in general. Only depression levels decreased significantly in the intervention group. Conclusions: The visualization of humor movies as a nursing intervention improved the levels of subjective happiness and sense of humor, while decreasing the perception of depressive symptoms.
- Subjective wellbeing, sense of humor and psychological health in hemodialysis patientsPublication . Sousa, Luís Manuel Mota; Antunes, Ana Vanessa; Marques-Vieira, Cristina Maria Alves; Silva, Paulo César Lopes; Valentim, Olga Maria Martins de Sousa; José, Helena Maria GuerreiroObjective: To investigate the relationship between satisfaction with life in general, sense of humor, and anxiety, depression and stress with subjective happiness in chronic kidney disease patients undergoing hemodialysis. Material and Methods: A cross-sectional and correlational study was developed in two units of the Diaverum dialysis clinic and one hospital unit, with 183 chronic kidney disease patients undergoing hemodialysis. An instrument was used to characterize the sociodemographic and clinical profile of the sample (age, gender, nationality, education, occupation, marital status, dialysis sessions length, presence of hypertension and diabetes): the subjective happiness scale; the satisfaction with life in general; depression, anxiety and stress scale 21; and multidimensional sense of humor scale. Inferential procedures included Spearman correlation coefficients, and multiple linear regression adjusting to age, marital status, professional activity and diabetes. Results: Subjective Happiness was positively correlated with satisfaction with life in general, and the three dimensions of Sense of Humor. Nevertheless, subjective happiness was negatively correlated with stress / anxiety and depression. Satisfaction with life in general, humor production and social use of humor, and attitude towards humor had a positive relationship with subjective happiness. However, depression had a negative relationship with subjective happiness. Conclusions: Higher levels of subjective happiness were associated with higher levels of satisfaction with life in general, and sense of humor, however they were also associated with lower levels of depression in patients undergoing hemodialysis.
- Humor intervention in the nurse-patient interactionPublication . Sousa, Luís Manuel Mota; Marques-Vieira, Cristina Maria Alves; Antunes, Ana Vanessa; Frade, Maria de Fátima Graça; Severino, Sandy Pedro Silva; Valentim, Olga SousaOBJECTIVE: To describe the factors influencing the use of humor in nursing care, its applicability and benefits. METHOD: A scoping review was performed using the Arksey and O'Mally methodology. A search for articles published between 2008 and 2018 was performed using the platforms EBSCO Host, Virtual Health Library and Google Scholar. RESULTS: From the initial 465 articles found, 17 were included for final revision. Data allowed to retrieve information on humor definition; its applicability as a nursing intervention; humor as a tool to improve nurse-patient communication and relationship; influence factors; type of humor interventions; humor benefits in health care context and; limitations and precautions of humor intervention. CONCLUSION: The use of humor promotes both communication and human interaction; it promotes well-being; helps deal/cope with difficult and unpleasant situations, reduces tension, discomfort and stress; and strengthens the immune system. This intervention should be used with caution.
- The nursing diagnosis ‘impaired walking’ in elderly: systematic literature reviewPublication . Marques-Vieira, Cristina Maria Alves; Sousa, Luís Manuel Mota de; Sousa, Lisete Maria Ribeiro de; Caldeira, SílviaWalk is an activity that requires different skills and can be highly complex particularly for the elderly. The aim was to identify the defined characteristics and related factors of the nursing diagnosis impaired walking in elderly. A Systematic literature review, based on a search done between January and March 2014, in the electronic platforms EBSCO Host®, SCOPUS and ISI, and using the search strategy walk* OR gait AND Nurs*. A sample of 36 studies was obtained. A total of 17 defined characteristics and 34 related factors were identified. Among all, nine defined characteristics and 20 related factors are not listed in the diagnosis of NANDA International. This research identified new defined characteristics and related factors not listed in NANDA International. This study is a contribution to the development of the taxonomy of NANDA International, which should represent nursing knowledge, and this highlights some implications for clinical practice, education and further research.
- Validation of the international 7-item falls efficacy scale in portuguese community-dwelling older adultsPublication . Marques-Vieira, Cristina Maria Alves; Sousa, Luís Manuel Mota de; Baixinho, Cristina Rosa Soares Lavareda; Reis, Maria Gorete Mendonça dos; Pérez-Rivas, Francisco Javier; Sousa, Lisete Maria Ribeiro deObjective: to determine the psychometric properties of the international 7-item Falls Efficacy Scale. Method: a psychometric study. Convenience sample consisting of 170 older adults living in the Madeira Autonomous Region, Portugal. A two-part instrument was used (sociodemographic characterization and the Falls Efficacy Scale-International-Portugal). The starting point was the translation and transcultural adaptation already carried out for the Falls Efficacy Scale – International (16 items). Construct validity (factorial analysis and discriminant validity) and the reliability (Cronbach’s α) of the 7-item scale were evaluated. Previous authorization was obtained from the Ethics Commission and from the people involved. Results: in the exploratory factorial analysis, the International 7-item Falls Efficacy Scale presents an explained variance of 65.8%. The Spearman’s correlation between the score obtained based on the 7 items and the score obtained based on the 16 items is significant and very strong (r=0.987, p<0.0001). Internal consistency was 0.958. Conclusion: the validity and reliability study of the International 7-item Falls Efficacy Scale revealed that it is an adequate scale for the evaluation of the fear of falling in the community-dwelling older adults.