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- Translation and adaptation of the Spirituality and Spiritual Care Rating Scale in portuguese palliative care nursesPublication . Martins, Andreia Raquel; Pinto, Sara; Caldeira, Sílvia; Pimentel, FranciscoTheoretical framework: The knowledge on spirituality in Nursing has increased in Portugal, but there is still low evidence on the nurses’ perception of this dimension of care, as well as limited instruments in portuguese which allow measuring related phenomena. The Spirituality and Spiritual Care Rating Scale (SSCRS) allows assessing the nurses’ perception of spirituality and spiritual care. Objectives: To translate, adapt and validate the SSCRS into portuguese in a sample of portuguese palliative care nurses. Methodology: Methodological study using a sample composed of 94 palliative care nurses. Results: The original structure of the 17-item scale was maintained during the scale validation process. A Cronbach’s alpha between 0.59 and 0.69 in the subscales and 0.76 in the total scale was obtained. These values are indicators of the scale’s reasonable reliability to be used in the population under study. Conclusion: The portuguese version of the SSCRS proved to be a reliable scale with content validity to assess the nurses’ perception of spirituality and spiritual care.
- Clinical validation of the nursing diagnosis spiritual distress in cancer patients undergoing chemotherapyPublication . Caldeira, Sílvia; Timmins, Fiona; Carvalho, Emília Campos de; Vieira, MargaridaObjective: Validate the nursing diagnosis spiritual distress in cancer patients. Methods: Cross-sectional approach using Richard Fehring's Clinical Diagnostic Validity Model. Findings: The prevalence of diagnosis was 40.8% in a sample of 170 patients. A total of 16 defining characteristics were validated. Expresses suffering had the highest sensitivity value and lack of meaning in life had the highest specificity value. Conclusions: The diagnosis was validated. Cancer patients in spiritual distress are in a state of suffering related to lack of meaning in life. Implications for Practice: Sensitive diagnosis tools and language are required for nurses to make accurate judgments in situations of spiritual distress. Validation in different contexts would increase the clinical evidence of this diagnosis.
- A liderança de enfermagem em cuidados paliativosPublication . Aparício, Maria; Caldeira, SílviaObjectivo principal: Em cuidados paliativos o trabalho em equipa é fundamental assim como uma liderança eficaz, pelo que nos propusemos identificar e analisar a produção científica relacionada com a liderança de enfermagem em cuidados paliativos. Metodologia: Realizou-se uma revisão integrativa da literatura em bases de dados internacionais. Resultados principais: Identificaram-se 56 resultados e, após aplicação dos critérios, obteve-se uma amostra de 10 publicações. Escritas em inglês, publicadas em revistas científicas de enfermagem, maioritariamente originárias dos Estados Unidos da América e Reino Unido e com data de publicação posterior a 2000. O nível de evidência é baixo, pois são publicações do tipo notícias informativas ou artigos de opinião. Conclusão principal: A análise dos resultados destaca os enfermeiros como líderes de projetos de cuidados paliativos, agentes de mudança com uma função particular no seio das equipas.
- Between spiritual wellbeing and spiritual distress: possible related factors in elderly patients with cancerPublication . Caldeira, Sílvia; Carvalho, Emília Campos de; Vieira, MargaridaObjective: this article describes the assessment of the spiritual wellbeing of elderly patients with cancer submitted to chemotherapy and possible predictive factors of the spiritual distress diagnosis. Methodology: this is a methodological study for clinical validation of a nursing diagnosis, using interviews to assist in completing the form. Results: 45 elderly patients participated in this study, Catholics, mostly female, diagnosed with breast cancer, average age of 70.3 years. The prevalence of spiritual distress was of 42%; 24.4% of the elderly patients were under anti-depressant medication. A significant association was noted between spiritual distress, anti- depressant medication and level of education; an increase (not significant) was acknowledged at the start of the treatment. Conclusion: these results emphasize the relevance of clarifying this diagnosis and the responsibility of nurses to provide spiritual care to patients. Interventions should be planned appropriately every time a nursing diagnosis is identified as a complex answer and for which pharmacological treatment is not sufficient.
- Uma visão geral dos estudos longitudinais na investigação em enfermagem: revisão da literaturaPublication . Martins, Helga; Miguel, Susana; Romeiro, Joana; Santos, Ana Rita; Caldeira, Sílvia