ESS (DCETS) - Artigos em Revistas Científicas Internacionais com Arbitragem Científica
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- Burnout in palliative care settings compared with other settingsPublication . Parola, Vítor; Coelho, Adriana; Cardoso, Daniela; Sandgren, Anna; Apóstolo, JoãoA systematic review, using the guideline of the Joanna Briggs Institute, was conducted to explore the effect of working in palliative care settings, compared with other settings, on burnout among health care professionals. Multiple databases were searchedVCINAHL, PubMed, Scopus, and SciELOVas well as gray literature for studies published since 1975 that compared health professionals caring for patients older than 18 years in specialized palliative care settings (palliative care units, home care, or hospices) with health professionals working in other settings. Of the 539 studies retrieved, 7 cross-sectional studies were included in this review. Of these, six were conducted with nurses, and six used theMaslach Burnout Inventory.Working in palliative care (palliative care unit or hospices) was associated with lower levels of emotional exhaustion and depersonalization, as well as higher levels of personal accomplishment, compared with working in other settings. Evidence indicates that burnout levels seem to be lower among professionalsworking in palliative care compared with professionals working in other settings. Further research is needed to explore the strategies used by nurses working in palliative care that help them deal with burnout and to apply these same strategies to professionals working in other settings.
- Caring in palliative care - a phenomenological study of nurses’ lived experiencesPublication . Parola, Vítor; Coelho, Adriana; Sandgren, Anna; Fernandes, Olga; Apóstolo, JoãoProviding palliative care involves serious challenges for nurses, such as end-of-life decisions, contact with people's suffering and dying, and increased risk of burnout. However, studies have revealed that the burnout level of health professionals working in palliative care is lower than that of health professionals working in other settings. This study aimed to describe the lived experiences of nurses caring in a palliative care unit. A phenomenological descriptive study was undertaken. Nine nurses were recruited from a palliative care unit in Portugal. Data were collected using individual interviews and analyzed following the method of Giorgi. Five themes reflect the essence of the lived experience: (1) experience centered on the relationship with the other (ie, the patient and the family), (2) experience centered on the relationship with one's own self, (3) exhausting experience, (4) rewarding experience, and (5) the team as a pillar. These findings can be valuable for understanding the challenges and strategies experienced by nurses caring in palliative care and for designing interventions that focus on reducing the risk of burnout among nurses-not only those working in palliative care but also those working in other contexts who experience regular contact with suffering and death.
- Comfort experience in palliative care: a phenomenological studyPublication . Coelho, Adriana; Parola, Vítor; Escobar-Bravo, Miguel; Apóstolo, JoãoPalliative care aims to provide maximum comfort to the patient. However it is unknown what factors facilitate or hinder the experience of comfort, from the perspective of inpatients of palliative care units. This lack of knowledge hinders the development of comfort interventions adjusted to these patients. The aim of this research is to describe the comfort and discomfort experienced by inpatients at palliative care units.
- Development of a guided imagery program for patients admitted to palliative care unitsPublication . Coelho, Adriana; Parola, Vítor; Fernandes, Olga; Querido, Ana; Apóstolo, JoãoBackground: Guided imagery (GI) is being increasingly used as a non-pharmacological intervention in different clinical settings. However, GI intervention programs have not yet been developed and adapted to patients admitted to palliative care units, which impedes their implementation. Thus, the need emerges to develop and validate a GI program. Objective: To develop and validate a GI program. Methodology: A descriptive study was conducted following the guidelines of the Medical Research Council for the development of complex interventions in 3 phases: identifying the evidence base, identifying/developing appropriate theory, modelling process and outcomes. Results: The development process resulted in a program consisting of 2 GI sessions to be implemented in the same week. Preliminary results on the implementation of a GI session suggest that the intervention is effective in increasing comfort. Conclusion: The characteristics of the GI program proved to be adjusted to the context and target population. The effectiveness of the GI program will be tested in a quasi-experimental study.
- Efficacy of reminiscence in cognition, depressive symptoms and quality of life in institutionalized elderly: a systematic reviewPublication . Gil, Isabel; Costa, Paulo; Parola, Vítor; Cardoso, Daniela; Almeida, Maria; Apóstolo, JoãoObjective: To identify the best available evidence on the efficacy of Reminiscence Therapy in cognition, depressive symptoms and quality of life in elderly individuals with cognitive impairment. Method: The methodology proposed by the Joanna Briggs Institute was used. Studies focused on group Reminiscence Therapy aimed at institutionalized elderly people with cognitive impairment aged 65 or over were considered. The critical analysis, extraction and synthesis of results was performed by two independent researchers. Results: Four randomized clinical trials and two quasi-experimental studies (n=296) were included. Given the heterogeneous characteristics of studies found, it was impossible to perform a meta-analysis. Of the six studies included, two presented statistically significant results for efficacy in cognition, and three for efficacy in reducing depressive symptoms. In none of the studies was evaluated the elderly’s quality of life. Conclusion: Reminiscence Therapy has potential efficacy for maintaining cognition and decrease of depressive symptomatology in the target population.
- Eficácia da reminiscência na cognição, sintomas depressivos e qualidade de vida em idosos na comunidade: revisão sistemáticaPublication . Gil, Isabel; Costa, Paulo; Cardoso, Daniela; Parola, Vítor; Bobrowicz-Campos, Elzbieta; de Almeida, Maria de Lurdes; Apóstolo, JoãoContexto: Na literatura, a terapia de reminiscência (TR) destaca-se enquanto intervenção não-farmacológica comummente implementada em grupos de idosos com compromisso cognitivo. Objetivo: Identificar a melhor evidência disponível sobre a eficácia da TR na cognição, sintomas depressivos e qualidade de vida em idosos que frequentam estruturas de apoio comunitário. Método de revisão: Seguiu-se a metodologia proposta pelo Joanna Briggs Institute. Foram considerados estudos centrados na TR em grupo, que incluíram idosos (≥ 65 anos) com compromisso cognitivo, a frequentar estruturas de apoio comunitário. A análise crítica, extração e síntese de resultados foram desenvolvidas por 2 investigadores independentes. Apresentação e interpretação dos resultados: Incluídos 2 ensaios clínicos randomizados e 2 estudos quase-experimentais (n = 502); as características heterogéneas dos estudos impossibilitaram meta-análise. Dois estudos evidenciaram os benefícios da TR na cognição. Nenhum dos estudos demonstrou o impacto positivo da intervenção relativamente à sintomatologia depressiva. Na qualidade de vida, os resultados revelaram-se inconsistentes. Conclusão: A TR parece ter um efeito benéfico na melhoria da cognição em idosos com compromisso cognitivoem contexto comunitário.
- Prevalence of burnout in health professionals working in palliative care: a systematic reviewPublication . Parola, Vítor; Coelho, Adriana; Cardoso, Daniela; Sandgren, Anna; Apóstolo, JoãoMore than ever, the current increasing need for palliative care leads to health professionals providing this type of care which further leads to multiple challenges, and stressful and demanding situations. The multiple challenges of working in palliative care put health professionals working in this context at the risk of burnout.
- The effects of guided imagery on comfort in palliative carePublication . Coelho, Adriana; Parola, Vítor; Sandgren, Anna; Fernandes, Olga; Kolcaba, Katharine; Apóstolo, JoãoGuided imagery (GI) is a nonpharmacological intervention that is increasingly implemented in different clinical contexts. However, there have been no studies on the effect of GI on the comfort of inpatients of palliative care (PC) units. Therefore, the aim of this study was to evaluate the effects of GI on the comfort of patients in PC. A 1-group, pretest-posttest, pre-experimental design was used to measure differences in heart rate, respiratory rate, pain, and comfort in patients (n = 26) before and after a 2-session GI program. The intervention featuring GI increased comfort, measured by an Abbreviated Holistic Comfort Scale and the visual analog comfort scale (P < .001), and decreased heart rate (P < .001), respiratory rate (P < .001), and pain, as measured by the (numerical) visual analog pain scale (P < .001). This study demonstrates that the use of an intervention featuring GI increases the comfort of oncology patients admitted to a PC unit. The use of GI by nurses is inexpensive, straightforward to implement, and readily available and may result in the provision of comfort care.
- The prevalence of burnout in health professionals working in palliative carePublication . Parola, Vítor; Coelho, Adriana; Cardoso, Daniela; Gea-Sanchez, Montserrat; Blanco-Blanco, Joan; Apóstolo, JoãoThe objective of this review is to examine the evidence on the prevalence of burnout among health professionals working in palliative care.More specifically, the review focuses on the following questions: What is the prevalence of burnout among health professionals working in palliative care? Is there a difference in the prevalence of burnout in different subgroups of health professionals working in palliative care (such as, but not limited to, nurses, physicians, social workers, psychologists)? Is there a difference in the prevalence of burnout among health professionals working in different contexts of palliative care (palliative care units, home care, hospices)?
- The use of non-pharmacological interventions for the comfort of patients in palliative care: a scoping review protocolPublication . Coelho, Adriana; Parola, Vítor; Cardoso, Daniela; Escobar, Miguel; Apóstolo, JoãoThe objective of this scoping review is to examine and map the non-pharmacological interventions implemented and evaluated to provide comfort in palliative care. More specifically, the review will focus on the following questions: 1. What non-pharmacological interventions have been implemented and evaluated to provide comfort in patients with incurable and advanced diseases? 2. What are the characteristics (duration, dose and frequency) of these interventions? 3. In what contexts (home care, palliative care unit or hospice) are the non-pharmacological interventions implemented and evaluated? 4. In which populations (cancer and non-cancer patients) are the non-pharmacological interventions implemented and evaluated?