Browsing by Author "Cardoso, Daniela"
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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.
- 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 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?
- The use of the aged simulation suit in nursing students:a scoping reviewPublication . Coelho, Adriana; Parola, Vítor; Cardoso, Daniela; Duarte, Susana; Almeida, Maria; Apóstolo, JoãoBackground: The use of simulation in nurses’ training has increased over the past decades and provided the acquisition and development of several skills. However, data on the specific use of the aged simulation suit are scattered in the literature. Objective: To map interventions implemented in nursing students using the aged simulation suit. Review Method: Scoping review following the Joanna Briggs Institute methodology. Two independent reviewers analyzed the relevance of the studies and extracted and synthesized data. Presentation and interpretation of results: Two studies were included in the review. Each intervention consisted of using the complete simulation suit and only some restrictors and lasted 1 to 3 hours. Instruments were used to measure empathy and learning efficacy. Both studies were implemented in 2nd-year students of the bachelor of science in nursing. Conclusion: The characteristics and the duration of each intervention, as well as the assessment instruments differed between studies. Further studies should be carried out to determine the effect/experiences of using the aged simulation suit in the acquisition and development of skills.
- Translation and cross-cultural adaptation of evidence-based practice instruments for Portuguese nursing studentsPublication . Cardoso, Daniela; Coelho, Adriana; Louçano, Cristina; Parola, Vítor; Rodrigues, Manuel; Fineout-Overholt, Ellen; Apóstolo, JoãoBackground: The implementation of evidence-based practice (EBP) in clinical contexts is recommended due to its positive impact on health, but it remains under the desirable. The training of undergraduate nursing students in the use of EBP is crucial, and, for that, there must be valid and reliable measures of EBP learning. Objective: To translate and to cross-cultural adapt into European Portuguese of the EBP Beliefs Scale (EBPB), EBP Implementa- tion Scale for Students (EBPI-S), and Organizational Culture & Readiness for School-wide Integration of Evidence-based Practice Survey for Students (OCRSIEP-ES). Methodology: Translation and cross-cultural adaptation according to international recommendations. Preliminary validation in Portuguese undergraduate nursing students from nine institutions. Results: In the pre-final versions of the instruments, the participants suggested including the optional answer “I do not have sufficient knowledge to be able to answer” and increasing the recall period in the EBPI-S instrument. Phase 2 included 167 participants. The α for EBPB, EBPI-S, and OCRSIEP-ES was 0.854, 0.943, and 0.970, respectively. Conclusion: Preliminary results showed good internal consistency. Further validation studies with robust samples are required to test the reliability and validity of the instruments.
- Use of non-pharmacological interventions for comforting patients in palliative carePublication . Coelho, Adriana; Parola, Vítor; Cardoso, Daniela; Bravo, Miguel Escobar; Apóstolo, JoãoPalliative care aims to provide the maximum possible comfort to people with advanced and incurable diseases. The use of non-pharmacological interventions to promote comfort in palliative care settings has been increasing.However, information on implemented and evaluated interventions, their characteristics, contexts of application, and population is scattered in the literature, hampering the formulation of accurate questions on the effectiveness of those interventions and, consequently, the development of a systematic review.