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- Mental health first aid programs: a scoping review protocolPublication . Costa, Tiago; Sampaio, Francisco; Sequeira, Carlos; Ribeiro, Isilda; Parola, VítorObjective: This review aims to map mental health first aid programs and identify the characteristics and participants of such programs and the contexts of their implementation. Introduction: Mental health first aid is the help provided to a person developing a mental health problem or undergoing a mental health crisis. The first aid is provided until professional help is accessed or the crisis is resolved. Inclusion criteria: This scoping review will address programs that provide basic mental health first aid skills, with no exclusion criteria in terms of participants or contexts. Methods: English, Portuguese and Spanish published studies and unpublished papers, from 2009 to 2019, will be considered. A scoping review will be conducted following the guidelines of JBI and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews. The search will be carried out in databases, scientific repositories and reference lists. Duplicates will be removed and two independent reviewers will screen the titles, abstracts and full-text of the selected studies. Data collection will be performed with a tool developed by the researchers, based on JBI's model instrument for extracting study details, characteristics and results. A summary of the results will be presented in visual representations, narratives and tables.
- Nurses’ perception regarding the promotion of older people's autonomy at covid-19: a descriptive correlational studyPublication . Lima, Andreia Maria Novo; Martins, Maria Manuela; Ferreira, Salomé; Sampaio, Francisco; Schoeller, Soraia; Parola, VítorObjective: To identify and compare the perception of general care nurses and specialist nurses about the development of interventions promoting older people’s autonomy. Method: Descriptive-correlational, cross-sectional study. The Self-Assessment Scale for the Promotion of Older People’s Autonomy was applied to Portuguese nurses in September/October 2020. Results: The sample consisted of 356 nurses, specialists and general practitioners. All nurses had the perception of promoting older people’s autonomy, with less visibility in the development of interventions involving instrumental activities of daily living. Specialist nurses have a perception of more promotion of autonomy to older people through the development of physical and cognitive interventions (p<0.01), of interventions of instrumental activities of daily living (p<0.05), and in the training of the caregiver (p<0.05). Conclusion: This study allowed emphasizing the potential relevance of developing interventions that promote older people’s autonomy, as well as the importance of raising nurses’ awareness to carry them out.
- Validation of the self-assessment Scale of Autonomy Promotion in Older Adults (EAPAI) by nursesPublication . Lima, Andreia Maria Novo; Martins, Maria Manuela; Ferreira, Salomé; Schoeller, Soraia; Sampaio, Francisco; Neves, H.L.; Parola, VítorBackground: The promotion of older adults’ autonomy is particularly relevant in nursing care. However, no instruments were found in the literature that allowed the self-assessment of autonomy promotion in older adults. Objective: To evaluate the psychometric properties of a self-assessment scale of autonomy promotion in older adults. Methodology: This is a methodological study that included the assessment of the scale’s psychometric properties, using a sample of 360 nurses. The scale’s reliability was assessed through internal consistency and construct validity using an exploratory factor analysis (varimax rotation). Results: The total internal consistency (Cronbach’s alpha) was 0.983, ranging from 0.955 to 0.990 across the six factors identified. Conclusion: The scale presents good psychometric properties and consists of an instrument for nurses to self-assess autonomy promotion in older adults. This instrument can potentially increase nurses’ awareness in this area.
- 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?
- Review of mental health first aid programsPublication . Costa, Tiago; Sampaio, Francisco; Sequeira, Carlos; Ribeiro, Isilda; Parola, VítorMental health first aid programs are interventions to empower the community to help people with mental health problems/ crises. A review of these programs was conducted in accordance with the guidelines of the Joanna Briggs Institute. Published and unpublished works from 2009 to 2019 were considered. The review included 252 studies. Several Mental Health First Aid programs were identified, with varying characteristics, participants, and contexts of implementation. These group interventions were carried out among lay people to health professionals, and in adolescents to the elderly. Additionally, they were conducted in-person and/or virtually, using psychoeducational methods and informational materials. The programs ranged from 30 minutes to 24 hours. These interventions can address nursing foci, and the characteristics of the facilitators are similar to those of mental health nurses. Therefore, this review highlighted the opportunity for nurses to explore Mental Health First Aid programs.
- 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.
- Inovar a praxe: integração numa escola de enfermagem promotora de saúde – Escola Superior de Enfermagem de Coimbra. In I. Brito (Cood), Pesquisa-Ação Participativa na Co-Criação de Instituições de Ensino Superior Promotoras de Saúde.Publication . Pedroso, R; Perdigão, A; Armando, S; Brito, I; Paiva, L; Simões, M; Simões, C; Margalho, M; Neves, M; Cristina, R; Lopes, R; Coutinho, V; Parola, Vítor
- 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.
- Rehabilitation nursing: differentiation in promoting the autonomy of the elderlyPublication . Lima, Andreia Maria Novo; Martins, Maria Manuela; Ferreira; Sampaio, Francisco; Schoeller, Soraia Dornelles; Parola, VítorIntrodução: A promoção da autonomia, através do recurso a intervenções de enfermagem que promovem a capacidade física, cognitiva e de integração social, são competências acrescidas dos enfermeiros especialistas em enfermagem de reabilitação, pelo que importa perceber se nas suas práticas estes profissionais, investem nesta promoção. Objetivos: Identificar e comparar a perceção dos enfermeiros especialistas em enfermagem de reabilitação e enfermeiros especialistas de outras áreas de especialidade. Metodologia: Estudo descrito-correlacional, transversal, quantitativo e com amostragem não probabilística em bola de neve. Para a colheita de dados foi utilizado a Escala de Autoavaliação da Autonomia dos Idosos, entre setembro e outubro de 2020. Resultados: Trata-se de uma amostra de 151 enfermeiros especialistas, 72 especialistas em enfermagem de reabilitação e 79 especialistas de outras áreas de especialidade. Todos os enfermeiros especialistas promovem a autonomia dos idosos, contudo, com menos visibilidade no desenvolvimento de intervenções de atividades instrumentais de vida diárias. Os enfermeiros especialistas em enfermagem de reabilitação percecionam promover mais a autonomia dos idosos no total da escala (p<0,05), verificando-se uma diferença maior em relação ao desenvolvimento de intervenções físicas e cognitivas (<0,001). Conclusão: Todos os enfermeiros especialistas percebem que promovem a autonomia do idoso, mas apresentam fragilidades em termos de intervenções que promovam atividades instrumentais de vida diária. Os enfermeiros especialistas em enfermagem de reabilitação percebem que promovem mais a autonomia dos idosos, provavelmente devido à implementação de programas de reabilitação voltados para essa promoção.
- 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.
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