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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.