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- Nursing epidemiological approach of hypertension management in a Public Health Service from the Northern Region of PortugalPublication . Melo, Pedro; Miranda, Dário; Santos, Sandra; Sousa, Sérgio; Cardoso, Teresa; Pereira, AlexandraBackground: Epidemiological surveillance of a nursing diagnosis is an approach anchored in a post-modern epidemiology focused on a person’s health disease responses. Regarding public health priorities, the population where our study occurred had as a priority problem arterial hypertension. Related to this chronic disease, nursing diagnoses about health disease responses in primary healthcare has, as a major focus, Therapeutic Regimen Management. Our aim was to study the nursing diagnosis in this issue from an epidemiological approach. Methods: A descriptive study from an epidemiological approach was developed, analyzing nursing diagnoses in hypertensive patients. Results: We found 17.7% of undiagnosed patients and better diagnoses in patients with complications than in those without complications. Conclusions: Nursing records need to be improved in order to promote more robust studies in the post-modern epidemiology for the future.
- Assessing community empowerment for an innovative epidemiologic approachPublication . Melo, Pedro; Neves-Amado, João; Pereira, Alexandra; Maciel, Cândida; Vieira Pinto, Tiago; Cardoso, TeresaCommunity empowerment can be a process, but also the result of nursing care. To analyze it as a result there is an instrument that allows to quantify its level in nine domains. According to Melo (2020), health centers can be considered communities, becoming the potential target of community and public health nurses care, especially in the public health unit. One of the main functions of a public health unit is the epidemiological surveillance of the population’s health state. However, traditional epidemiological surveillance is focused on diseases and Melo (2020) proposes a new approach for epidemiology focused on people in what concerns nursing diagnosis. The aim of this research is to identify the level of empowerment of four Portuguese primary healthcare structures, named as ACeS, so as to improve the epidemiological surveillance of nursing diagnoses. As methodology, we developed four focus group with all nursing leaders from all primary care units of the four ACeS, using the Portuguese version of the empowerment assessment rating scale. The results present the level of community empowerment of each ACeS according to the nine domains of the scale. The needs of intervention to improve the ACeS empowerment were also identified in order to develop the epidemiological surveillance of nursing
- Tradução para português e validação cultural da Empowerment Assessment Rating ScalePublication . Melo, Pedro; Teixeira, Maria Alice; Fernandes, Catarina; Ferreira, Luísa; Santos, Sandra; Sousa, Maria Isabel Costa de; Pereira, Alexandra; Ferreira, Maria Amélia; Maciel, Cândida; Pinto, Dulce; Pinto, Carlos; Sousa, Sérgio; Cardoso, Teresa; Freitas, Cláudia Telles de; Dimande, Matilde MabuiIntroduction | To assess the level of community empowerment, Laverack proposes an instrument called the Empowerment Assessment Rating Scale (EARS), which has nine assessment domains related to community empowerment. Objectives | Translate to Portuguese and culturally validate the EARS for an ACeS community, a hospital community, a business community, and a school community. A review of the Portuguese translation was developed, a review group was set up to analyze the resulting document, by consensus a new scale called the Escala de Avaliação do Empoderamento Comunitário (EAvEC) was developed, and the retroversion was developed. Same review group conducted a new evaluation of the resulting version, comparing them with the original in English. The study was carried out at a Hospital in the Azores Archipelago, three Health Centers Organizations in the North of Portugal, an Education-oriented Company in Greater Porto and a School Communityin Mozambique, where the focus group scale was applied based on a problematic chosen for intervention. Results | EVaECretained the nine evaluation domains of the original scale and its translated version did not change after its cultural adaptation. The level of community empowerment was identified in each of the communities, analyzed in the form of a radar chart, with the clustered image of all domains. Discussion / Conclusions | EVaEC is a useful tool for community intervention and is being used to assess community empowerment in the MAIEC project of theCentre for Interdisciplinary Research in Health at Universidade Católica Portuguesa.
- O refugiado climático - uma nova categoria político-jurídicaPublication . Pereira, AlexandraClimate change has given rise to increasing phenomena involving the displacement of affected people or groups across different regions or countries around the world. Climate displacement accompanies global inequalities. However, the concept of climate refugees corresponds to a status of legal-political protection that has not been internationally recognized yet. Based on a systematic literature review comparing definitions of the category of “climate refugees” proposed by different authors, as well as based on online media data, I propose a broader and more humanistic definition for the concept of “climate refugees”. Desirably, contributing to the societal debate on the harmonized international legal framework required for the recognition of such legal protection status and juridical-political category. Thus, I open the way to a definition of “climate refugees” within the framework of integral human development and its correlative concept of integral ecology.
- Fake news e polarização política no Brasil: o antibolsonarismo no twitter desde a pandemia Covid-19 até às eleições presidenciais de 2022Publication . Pereira, Alexandra“Fake news” include a diverse mesh of false information, defamation and slander – disseminated in an organized and strategic way, or through organic networks (Zhuravskaya et al, 2020). This is a qualitative investigation, combining participant observation with data collected through a prolonged online ethnography, carried out between the Spring of 2020 (beginning of the pandemic crisis), through the CPI of Covid in the Brazilian Senate (April-October 2021), and until to Autumn of 2022 (Brazilian presidential elections). It was carried out through the social network Twitter, and data were analyzed by using NVivo 11. The results allow the analysis of the typical modus operandi of both Bolsonarism and anti-Bolsonarism, including the graphs shared by data analysts (Barciela and Malini, 2020-2022). They will be particularly relevant to European sociologists who are interested in the American influence on Brazilian politics and on the ways how new media influence and interact with political events.