Browsing by Author "Sequeira, Carlos"
Now showing 1 - 10 of 37
Results Per Page
Sort Options
- Affectivity in schizophrenia: Its relations with functioning, quality of life, and social support satisfactionPublication . Pinho, Lara Guedes de; Pereira, Anabela Maria Sousa; Chaves, Claudia; Sequeira, Carlos; Sampaio, Francisco; Correia, Tânia Sofia Pereira; Gonçalves, Amadeu; Ferré-Grau, CarmeObjective: To evaluate the relationship between affectivity and sociodemographic and clinical characteristics, quality of life, functioning, and social support satisfaction in schizophrenia. Method: Cross‐sectional study of a sample of 282 schizophrenic patients. An interview was performed using a sociodemographic and clinical questionnaire and scales to evaluate positive and negative affect, quality of life, social support satisfaction, and functioning. Results: Participants' employment status, gender, whether they smoked, hospitalization in the last year, antidepressant medication and benzodiazepines, quality of life, functioning, and satisfaction with social support had relationships with positive or negative affect. Conclusion: This study provides further understanding of the factors related to affectivity in schizophrenia. More studies are needed to prove these relations and their effects on rehabilitation in people with schizophrenia.
- Assessing the efficacy and feasibility of providing metacognitive training for patients with schizophrenia by mental health nurses: a randomized controlled trialPublication . Pinho, Lara Guedes de; Sequeira, Carlos; Sampaio, Francisco; Rocha, Nuno; OZASLAN, ZEYNEP; Ferre‐Grau, CarmeAim: To evaluate the efficacy of metacognitive group training in reducing psychotic symptoms and improving cognitive insight and functions in people with schizophrenia.Design: Randomized controlled trial. It was carried out between July 2019-February 2020. Methods: Fifty-six patients with schizophrenia were enrolled and randomly as- signed to either a control group (N = 29) or a metacognitive training group (N = 27). Blinded assessments were made at baseline, 1-week post-treatment and at follow-up 3 months after treatment. The primary outcome measure was psychotic symptoms based on the Psychotic Symptom Rating Scales (PSYRATS). Secondary outcomes were assessed by the Beck Cognitive Insight Scale (BCIS), the Personal and Social Performance (PSP) scale and the World Health Organization Disability Assessment Schedule (WHODAS). Results: Completion at follow-up was high (92.86%). The intention-to-treat analy- ses demonstrated that patients in the metacognitive training group had significantly greater improvements of the Psychotic Symptom Rating Scales delusion score and total score and the Personal and Social Performance Scale, after 3 months, compared with the control group. The effect size was medium to large. The intention-to-treat analyses also demonstrated that patients in the metacognitive training group had significantly greater reductions of the Psychotic Symptom Rating Scales hallucination score and Beck Cognitive Insight Scale self-certainty score post-treatment, compared with the control group. The effect size was medium to large. Conclusion: The metacognitive training administered by psychiatric and mental health nurses was effective in ameliorating delusions and social functioning over time and it immediately reduced hallucinations post-treatment. Impact: Metacognitive training for treating psychosis in patients with schizophrenia is efficacious and administration is clinically feasible in the Portuguese context.
- Climate anxiety: trigger or threat for mental disorders?Publication . Sampaio, Francisco; Sequeira, Carlos
- Cognitive insight in psychotic patients institutionalized and living in the community: an examination using the Beck Cognitive Insight ScalePublication . Pinho, Lara Guedes de; Sampaio, Francisco; Sequeira, Carlos; Martins, Teresa; Ferré-Grau, CarmeImproving cognitive insight can reduce delusions in patients with psychotic disorders. Although institutionalized patients usually have more severe delusions than outpatients, little is known about the differences in cognitive insight between these two groups. In this study, we evaluated the psychometric properties of the Beck Cognitive Insight Scale (BCIS) for a sample of Portuguese patients with psychotic disorders and compared the cognitive insight of institutionalized patients with patients living in the community. Participants in this study were 150 patients diagnosed with psychotic disorder (78 institutionalized patients and 72 outpatients). The tested model of the BCIS was a very good fit. Our study shows that patients living in the community showed higher levels of cognitive insight (total BCIS and self-reflectiveness) than institutionalized patients. Future studies assessing cognitive insight should take into account differences between the cognitive insights of institutionalized psychotic patients and psychotic patients living in the community.
- Content Validity of a Psychotherapeutic Intervention Model in Nursing: A Modified e-Delphi StudyPublication . Sampaio, Francisco Miguel Correia; Sequeira, Carlos; Lluch-Canut, TeresaAIM: To estimate the content validity of a psychotherapeutic intervention model in nursing. BACKGROUND: Mental health nurses encounter great extrinsic difficulties when it comes to providing psychotherapeutic interventions due to the fact that they are not allowed to perform such practice in some countries. In this light, the pursuit of a psychotherapeutic intervention model in nursing seems germane to guide the professionals' psychotherapeutic practice, contributing hereof to increase mental health nurses' professional autonomy. DESIGN: Modified e-Delphi. METHODS: Data were collected from October 2015 to January 2016 by means of three rounds of online questionnaires. The initial questionnaire was structured into five sections: general structure of the model, patients' exclusion criteria, assessment framework, nursing diagnoses, and nursing psychotherapeutic interventions. From the 42 experts invited, at least twenty (20) participated in each round. RESULTS: The experts achieved consensus with regard to the conclusion that nursing psychotherapeutic interventions should always seek to address a nursing diagnosis. These defined furthermore that a psychotherapeutic intervention model in nursing should be exercised by means of 3 to 12 sessions using Nursing Interventions Classification (NIC) as a resource. Finally, experts deemed that the model should follow the principles of integrative psychotherapy, so that techniques from different schools of psychotherapy could therefore be used in conjunction to promote the resolution of a nursing diagnosis. CONCLUSION: Achieving consensus about the structure of a psychotherapeutic intervention model in nursing is imperative to guide nurses in the provision of nursing psychotherapeutic interventions and to enable an effective evaluation of the health gains associated with its implementation.
- Contributes for the development of a psychotherapeutic intervention model in nursing: A focus group study in Portugal and SpainPublication . Sampaio, Francisco; Sequeira, Carlos; Lluch-Canut, TeresaPurpose To explore the aspects set forth as the minimum set of features that should integrate a psychotherapeutic intervention model in nursing. Design and Methods Two focus groups were conducted, with the participation of 15 nursing professionals. Data were analysed thematically. Findings Five topics previously identified were analysed: theoretical conceptualization, structure, patients’ inclusion and exclusion criteria, operationalization, and evaluation of the intervention(s) effectiveness. Theoretical conceptualization has been mainly grounded on Peplau's theory. Moreover, participants believe that standardized nursing language and nursing process should be the presumptions of the model. Practice Implications This study allowed the identification of a minimum set of features that should integrate a psychotherapeutic intervention model in nursing, about which consensus must be reached with a view to its further development.
- Cultural adaptation and psychometric properties assessment of the NOC outcome “Cognition” in a sample of Portuguese adults with mental illnessPublication . Ferreira Coelho, Joana Catarina; Ribeiro, Ana Rita Martins; Sampaio, Francisco; Sequeira, Carlos; Lleixá-Fortuño, Mar; Roldan-Merino, JuanPurpose: Cultural adaptation and psychometric properties assessment of the Nursing Outcomes Classification (NOC) outcome “Cognition” in a sample of Portuguese adults with mental illness. Methods: Methodological study. Findings: The final European Portuguese version of the NOC outcome “Cognition”, consisting of 13 items, showed good psychometric properties. An exploratory factor analysis was performed from which only one factor was established. Conclusions: The European Portuguese version of the NOC outcome “Cognition” seems to gather very satisfactory psychometric properties for assessing cognition in the Portuguese population. Implications for Nursing Practice: This study contributed to advance the nursing body of knowledge and to better assess cognition in a clinical context.
- Data, diagnoses, and interventions addressing the nursing focus “delusion”: A scoping reviewPublication . Gonçalves, Patrícia; Sampaio, Francisco; Sequeira, Carlos; Paiva, Maria AntóniaPurpose To explore and synthesize literature related to the nursing process addressing the focus “Delusion”. Design and Methods This literature review is integrated with a scoping study framework. From the total 252 papers found, 39 were selected. Findings Relevant data and diagnostic activities, hypothetic nursing diagnoses, and interventions addressing the focus “Delusion” were identified. Practice Implications This literature review allowed the development of a clinical data model addressing the focus “Delusion”, based on the steps of the nursing process identified. This clinical data model may contribute towards improving nursing clinical decision‐making and nursing care quality in relation to a client suffering from delusion as well as producing more reliable nursing‐sensitive indicators.
- Development and psychometric properties of the Therapeutic Relationship Assessment Scale‐NursePublication . Ferreira Coelho, Joana Catarina; Sampaio, Francisco; Nogueira, Maria José Carvalho; Sequeira, Carlos; Lleixá-Fortuño, Mar; Roldan-Merino, JuanIntroduction: The therapeutic relationship (TR) is essential to providing psychiatric and mental health nursing care. Nevertheless, no assessment tools exclusive for assessing nursing TR were found in the literature. Aim: To describe and evaluate the psychometric properties (reliability and construct validity) of a scale that allows assessing the quality of TR established between the nurse and the patient. Method: A survey method was adopted, using a convenience sample of 356 mental health nurses. Internal consistency was assessed by Cronbach's alpha and Omega index. Results: A total of 221 mental health nurses participated in the study (response rate = 62.08%). The scale's final structure has 25 items. Cronbach's alpha was 0.93, ranging from 0.78 to 0.88 for each of the factors. The cumulative variance explained in a four-factor structure was 71.12%. Discussion: The Therapeutic Relationship Assessment Scale (TRAS)-Nurse presents good psychometric properties. In the light of Benner's theory, it can be an useful tool for novice nurses to better understand what aspects they should pay attention to for establishing a successful TR. Implications for Practice: Mental health nurses can use the TRAS-Nurse, thus having a scale available that allows them to self-assess the quality of TR they establish with their patients.
- Development of a clinical data model addressing the nursing focus “anxiety”: a consensus development studyPublication . Sampaio, Francisco; Gonçalves, Patrícia; P., Vieira-Marques; Sequeira, Carlos; Lluch-Canut, TeresaAnxiety disorders are among the most prevalent mental disorders worldwide. However, anxiety is not exclusive to anxiety disorders. In fact, the nursing discipline approaches anxiety as a human response to health conditions/life processes. Health information systems should primarily contribute to improving the quality of care, patient safety, and the effectiveness of care delivery. Nevertheless, nursing information systems still fail to incorporate evidence-based clinical data models addressing the nursing focus “anxiety.” Thus, this study aimed to obtain consensus on the data to be included in a clinical data model addressing the nursing focus “anxiety,” its organization, and its interrelationships by using a brainstorming session and a modified e-Delphi technique with a panel of nurse experts from across Portugal. Eight experts participated in the brainstorming session. A total of 59 and 54 participants completed the survey in e-Delphi rounds 1 and 2, respectively. Consensus was achieved to all data presented to the participants, and these data were later included in the clinical data model. This evidence-based clinical data model, grounded on a nursing theory and with standardized nursing language, will substantially contribute to nursing documentation and, consequently, to nursing care targeted at patients with anxiety.