ESS (DCETS) - Artigos em Revistas Científicas Internacionais com Arbitragem Científica
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- 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.
- An aging simulation game’s impact on the attitudes of Nursing studentsPublication . Fernandes, Carla Sílvia Neves da Nova; Couto, Germano; Afonso, AndreiaBackground & Aim: The aging of the population poses new challenges, among others, a greater concern with the teaching of geriatrics and gerontology, especially to future health professionals. The simulation game "Aging Nursing Game" ® was used with the objective of evaluating the impact of an aging simulation game on nursing students' attitudes towards the elderly. Methods & Materials: A pre-test and post-test type quasi-experimental study was performed, without control group. The research was developed between February and July 2018. The subjects of this study were second-year undergraduate nursing students. A game was used as an intervention. To measure the effectiveness of the game, a questionnaire was applied before and after the intervention. The data collection instrument consisted of a questionnaire composed of two parts, the first part for sociodemographic characterization, and another consisting of the Portuguese version of the Kogan Scale (KAOP). Results: The sample consisted of 45 undergraduate nursing students from the 2nd year corresponding to 75% of the population. The attitude towards the elderly person improved significantly before and after the intervention. Of the 34 items on the Kogan Scale (KAOP), 21 improved significantly. Conclusion: The simulation game has proven to be effective in teaching students changing attitudes towards the elderly (p <0.05).
- 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.
- Atitudes dos estudantes de enfermagem em relação à pessoa idosa: Nursing students’ attitudes toward older peoplePublication . Fernandes, Carla Sílvia Neves da Nova; Afonso, Andreia; Couto, GermanoOBJECTIVE: To identify nursing students’ attitudes toward older people. METHOD: Second-year undergraduate nursing students were invited to complete a questionnaire at the beginning of the geriatric nursing curricular unit. A quantitative study was conducted by administering the validated Portuguese version of Kogan’s attitudes toward old people scale (KOAP). RESULTS: The sample included 39 students who answered the data collection instrument. The mean KOAP score was 135.56, which was slightly above the median value (119). No statistically significant relationships were found between any of the variables: gender, age, experience with older people, and living with older people. CONCLUSIONS: The nursing students’ mean score for attitude toward older people was slightly positive, which could serve as a starting point for the development of an intervention to modify their attitudes with respect to aging.
- 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.
- 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.
- 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.
- 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.