Through technical rationality, healthcare professionals address instrumental problems by applying the theory and technique arising from scientific knowledge. Nevertheless, the divergent situations of practice characterised by uncertainty, instability, and uniqueness place nurses in a positivist epistemological dilemma. Decision-making under uncertainty is a challenge that nurses face in clinical practice daily.
View Article and Find Full Text PDFBackground: Immobilization is an intervention widely administered to trauma victims and aims to reduce the victim's movements, ensuring the alignment of anatomical structures suspected of being injured. Despite the benefits of immobilization, it is responsible for the occurrence of pressure injuries, increases in intercranial pressure, pain, and discomfort.
Aim: To develop an instrument to assess the discomfort caused by immobilization in trauma victims - Discomfort Assessment Scale for Immobilized Trauma Victims (DASITV).
Background: Continuing education is important for the quality of clinical practice because it complements it and focuses primarily on producing qualified pre-hospital nurses with operationally defined competence in nursing standards. The objective of this study was to assess pre-hospital nurses' opinion of the impact of professional development sessions on their clinical practice.
Method: A descriptive and quantitative study was carried out involving Portuguese pre-hospital nurses.
To create and evaluate a digital educational game (DEG) for preschool children for the prevention of iron deficiency and iron deficiency anemia. The DEG software was developed by a multidisciplinary team, according to Chandler's methodology, in Engine Unity. The game is a 2D platformer, for Android, with three different phases.
View Article and Find Full Text PDFPurpose: To explore the experiences of uncertainty in the clinical reasoning of nurses in the postanesthesia care unit (PACU).
Design: A phenomenological descriptive design, following Colaizzi's analysis.
Methods: Semistructured interviews were conducted with 14 nurses from a PACU on their experience of uncertainty in clinical reasoning.
Rev Bras Enferm
November 2023
Objective: to identify toddlers' eating habits.
Method: a cross-sectional study of quantitative analysis, with a sample of 808 toddlers who attended day care centers in the district of Viseu, Portugal, between November 2018 and September 2019. Data were collected using a questionnaire directed at parents.
Objective: The objective of this review is to identify the level of discomfort caused by immobilization as reported by trauma victims, and to map all the interventions in the prehospital context where they have been implemented and evaluated in order to reduce discomfort in adult victims of trauma.
Introduction: Immobilization is a cause of discomfort for trauma victims, which has important implications for the deterioration of vital signs and quality of life. However, discomfort caused by immobilization remains an under-explored topic by the scientific community.
Purpose: To describe the nurses' views for consideration when designing a program to prevent adolescents' anxiety in the perioperative period.
Design: A qualitative descriptive case study using focus group and thematic analysis was conducted.
Methods: Three face-to-face focus group interviews were conducted in October and November 2019 in the pediatric department of a university hospital.
Background: Perioperative experience can be very distressing in adolescence if not managed properly by healthcare professionals. In the clinical context, the emotional expression of the adolescent is less spontaneous, which makes the assessment of anxiety, pain or even the desire to be involved in the perioperative process, difficult. Listening to their perioperative experiences will permit an understanding of their difficulties and expectations, regardless of the surgical intervention undergone.
View Article and Find Full Text PDFObjective: This review aims to evaluate the effectiveness of non-pharmacological interventions to manage anxiety in adolescents in the perioperative period.
Introduction: Adolescents undergoing surgery suffer considerable levels of anxiety and distress before surgery, which are maintained beyond the procedure. Although the benefit of non-pharmacological interventions in this area is significant, their efficacy is still under-studied.
Objective: This scoping review aimed to map non-pharmacological interventions to reduce acute pain in adult trauma victims.
Introduction: Acute pain is a consequence of a pathological or traumatic event, and a result of invasive or non-invasive health care procedures. Acute trauma pain, as well as its treatment, is one of the least-studied areas of acute pain.
Objective: The objective of this scoping review was to examine and map the range of nonpharmacological interventions used in the perioperative period to prevent anxiety in adolescents.
Introduction: Undergoing surgery involves experiencing fears and uncertainties that lead to an increase in anxiety levels. The interventions used to prevent anxiety in the perioperative period in adolescents must be appropriate to their developmental stage.
Background: Hypothermia in trauma patients causes increased morbidity and mortality. Swift recognition and treatment are important to prevent any further heat loss. In addition, patient discomfort from cold decreases satisfaction with care.
View Article and Find Full Text PDFObjective: To reflect on the contributions of the clinical supervision and preceptorship/tutorship as means to approach and engage nurses of healthcare services in activities related to the Supervised Curricular Internship, discussing conceptual, theoretical, and practical approaches for higher education in nursing.
Method: This is a reflection based on the discursive formulation concerning clinical supervision and preceptorship/tutorship.
Results: Clinical supervision has been widely used by international healthcare institutions to qualify the work processes of nurses, supporting their self-development.
JBI Database System Rev Implement Rep
December 2019
Objective: This scoping review aims to map non-pharmacological interventions for reducing acute pain for adult victims of trauma.
Introduction: Acute pain, as a consequence of either a pathological or traumatic event or even due to invasive and non-invasive healthcare procedures, is highly prevalent in critically ill patients. However, specific acute pain as a direct consequence of trauma is one of the least studied areas of acute pain.
JBI Database System Rev Implement Rep
September 2019
Objective: The objective of this review is to map the range of non-pharmacological interventions used during the perioperative period to prevent anxiety in adolescents.
Introduction: Evidence shows that 80% of adolescents report having experienced significant anxiety in the perioperative period. Non-pharmacological interventions implemented in the perioperative period are recommended as a resource to help to control anticipatory, separation and perioperative anxiety and fear related to surgical procedures in adolescents.
Objective: to characterize the interventions of health promotion programs implemented in Health Promoting Universities; to analyze the results of the interventions of health promotion programs.
Method: integrative review carried out in EBSCO, PubMed, SciELO, Scopus and Web of Science. Articles published between 2000 and 2014 were selected, with evidence of health promotion intervention programs and evaluation of results.
Objectives: Ankylosing spondylitis (AS) is the most prevalent form of spondyloarthritis, with a known genetic association with the HLA-B27 molecule. The aim of this study was to assess the contribution of the HLA-G, HLA-E and HLA-F to AS susceptibility/protection in Portuguese patients with HLA-B27 AS and HLA-B27 unaffected controls.
Methods: High-resolution typing of , and was performed in 228 patients with HLA-B27 AS and 244 HLA-B27 unaffected controls.
Unlabelled: Theme: Parenting/parenthood.
Introduction: Due to lack of information, the fever in the child brings anxiety and fear to their parents.
Objectives: To identify parents' knowledge towards the child with fever and the sources of information they have used.
Nurs Child Young People
May 2016
Unlabelled: Theme: Professional issues Aim: To understand nurses' perspective about the presence and participation of parents/caregivers during child's hospitalization.
Method: Quantitative, descriptive and exploratory study. Data collection in 2011 through questionnaire.
Nurs Child Young People
May 2016
Unlabelled: Theme: School health.
Aims: To characterize the adolescents' habits of smoking in a Portuguese School; to identify if the adolescents have information on the harmful effects of tobacco and their health education needs.
Methods: Quantitative, exploratory and descriptive study.
One hundred and thirty unrelated Azorean individuals were randomly selected to study the frequencies of high-resolution HLA alleles and haplotypes in the Azorean (Terceira) population. HLA-A, -B, -Cw, -DRB1, -DQA1 and -DQB1 high-resolution genotyping was performed by polymerase chain reaction using commercial kits. HLA-E, -F and -G alleles, were genotyped by sequence-based typing.
View Article and Find Full Text PDFObjective To describe the experience of planning and developing online refresher courses in nursing management for nurses in the contexts of Brazil and Portugal. Method The instructional design was based on meaningful learning theory, andragogy, and dialectical methodology, so it valued interaction between the actors, emphasizing the scenarios of practice and applying the concepts covered. The course structure is divided into nine theoretical units, four case studies, and an essay exam.
View Article and Find Full Text PDFThe assessment of well-being can be an important parameter in monitoring the process of mourning. In this study we sought to assess the applicability of the W-BQ12 - Well-Being Questionnaire - in a sample consisting of 74 women between four and six weeks following their respective pregnancy losses, analyzing its measurement capabilities. As proposed by the author, the analysis of the scale's primary components and the discriminating convergent validity confirmed the dimensional structure of three subscales.
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