Publications by authors named "Paulino Sousa"

Background: Using virtual patients integrated in simulators expands students' training opportunities in healthcare. However, little is known about the usability perceived by students and the factors/determinants that predict the acceptance and use of clinical virtual simulation in nursing education.

Objectives: To identify the factors/determinants that predict the acceptance and use of clinical virtual simulation in learning in nursing education.

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Article Synopsis
  • * Bedside ultrasound (US) can effectively assess serious conditions like necrotizing enterocolitis, malrotation, and complicated hernias in neonates.
  • * High-resolution ultrasound technology enhances the detection of intestinal abnormalities, while color Doppler US aids in assessing bowel vascularity essential for treating these patients.
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  • The COVID-19 pandemic has significantly impacted healthcare systems globally, leading to changes in interventional cardiology practices, particularly in Portugal.
  • A study analyzed data from the Portuguese Registry on Interventional Cardiology to compare the volume of percutaneous coronary interventions (PCIs) performed during the initial outbreak from March to May 2020 against data from the same period in the past three years (2017-2019).
  • Results indicated a 36% decrease in total PCI procedures during the first COVID-19 wave, with notable reductions of 25% for STEMI, 20% for NSTE-ACS, and 59% for chronic coronary syndromes.
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Objective: To construct and validate a specialized nursing terminology for the care of newborns with peripherally inserted central venous catheters (PICC), based on the Betty Neuman Systems Model.

Methods: Methodological study, carried out in a public maternity hospital, operationalized by the steps: extraction of terms from medical records of neonates using PICC; normalization; cross-mapping with the 2019/2020 version of ICNP®; organization in the Seven Axes; and content validation with nurses using content validity index and kappa coefficient.

Results: 1,718 terms were extracted, and 372 relevant terms were normalized, with 265 constants and 107 non-constants.

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This study describes the eHealth4all@eu course development pipeline that builds upon the TIGER educational recommendations and allows a systematic development grounded on scientific and field requirements of competencies, a case/problem-based pedagogical approach and finally results in the syllabus and the course content. The pipeline is exemplified by the course Learning Healthcare in Action: Clinical Data Analytics.

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Objective: This review aims to continuously map the nursing knowledge about people with paresis of voluntary muscles in any context of care.

Introduction: Muscle paresis is a condition that significantly impacts quality of life. Nurses have a crucial role in managing this condition, particularly paresis of voluntary movement muscles.

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The omphalomesenteric duct is an embryologic structure that connects the yolk sac with the primitive midgut of the developing fetus. Omphalomesenteric duct anomalies include a group of entities that result from failed resorption of the omphalomesenteric duct. These anomalies include Meckel diverticulum, omphalomesenteric fistula, fibrous bands, cysts, and umbilical polyps.

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Objective: To develop and validate a terminological subset of the International Classification for Nursing Practice for COVID-19 patients in critical care.

Method: This is a methodological study, which followed the guidelines of the Brazilian method, using the Basic Human Needs as a theoretical model. Content validation was performed by 25 specialist nurses using the Delphi technique.

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Objective: To develop and validate Nursing Diagnoses statements of the International Classification for Nursing Practice (ICNP®) aimed at the care of people with chronic kidney conditions undergoing conservative treatment.

Method: This is a methodological research structured in sequenced construction stages, cross-mapping, content validation by the Delphi Technique by specialist nurses, and categorization of Nursing Diagnoses.

Results: Forty-two specialist nurses participated in the first round and 34 in the second.

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Objective: To develop a proposal of a terminological subset of the International Classification for Nursing Practice for burned patients.

Method: This is a methodological study following the steps: identification of clinical findings; mapping of terms; construction of statements of diagnoses/results and nursing interventions; content validation of statements; and structuring of the subset with the theoretical model of Basic Human Needs. Content validation was performed by 26 specialist nurses, through the Content Validity Index, with statements ≥ 0.

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Objective: This review aims to continuously map the nursing knowledge on skin ulcer healing in any context of care.

Introduction: Chronic wounds are an increasing concern for society and health care providers. Pressure ulcers and venous ulcers, among others, have devastating effects on morbidity and quality of life and require a systematic approach.

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Objectives: to identify and confirm the priority nursing diagnosis of International Classification for Nursing Practice® for home nursing consultation to adults in Primary Health Care.

Methods: qualitative study, of methodological and validation type. The 5-point Likert scale was used, with a minimum Content Validity Index of 80% consensus among judges.

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Objective: The study aimed to represent the content of nursing diagnosis and interventions in the openEHR standard.

Methods: This is a developmental study with the models developed according to ISO 18104: 2014. The Ocean Archetype Editor tool from the openEHR Foundation was used.

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Objectives: to describe the development of an ICNP® terminology subset for Nursing Consultation to infants in Primary Health Care.

Methods: a methodological study, described in five stages, carried out from May to September 2018 with 15 nurses who identified diagnoses, results, interventions, and validated the subset content.

Results: the subset developed consists of 86 nursing diagnoses and results and 178 interventions, organized in the fields of Theory of Basic Human Needs.

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Background: The clinical decision-making process in pressure ulcer management is complex, and its quality depends on both the nurse's experience and the availability of scientific knowledge. This process should follow evidence-based practices incorporating health information technologies to assist health care professionals, such as the use of clinical decision support systems. These systems, in addition to increasing the quality of care provided, can reduce errors and costs in health care.

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Chronic wound assessment and wound healing are important for diagnostic, follow up and wound treatment. However, this growing disease affecting nearly 2 thousand million and 5.7 million people in the USA and Europe, costing around $20 billion and $8 thousand million USD per year, still relies on subjective human assessment of wounds.

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Cerebrovascular accident is a serious public health problem and requires the attention of professionals who can detect, diagnose, and provide care in a timely fashion. A quantitative quasi-experimental study was conducted using a mobile app called mSmartAVC for clinical evaluation of nursing care at the bedside. The study aimed at measuring the knowledge of nurses and nursing students in the detection and care of cerebrovascular accident.

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Introduction: Coronary intravascular ultrasound (IVUS) is increasingly important in catheterization laboratories due to its positive prognostic impact. This study aims to characterize the use of IVUS in percutaneous coronary intervention (PCI) in Portugal.

Methods: A retrospective observational study was performed based on the Portuguese Registry on Interventional Cardiology of the Portuguese Society of Cardiology.

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Although most congenital coronary artery anomalies have no prognostic implications, associations with sudden cardiac death have been described, particularly in the young. We report an exercise-associated collapse in an otherwise asymptomatic middle-aged female marathoner. The aborted sudden cardiac death approach revealed an unexpected initial presentation of a malignant anomalous left main coronary artery origin, with ostial stenosis and interarterial course.

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Background: We aimed to evaluate the impact of thrombus aspiration (TA) during primary percutaneous coronary intervention (P-PCI) in 'real-world' settings.

Methods: We performed a retrospective study, using data from the National Registry of Interventional Cardiology (RNCI 2006-2012, Portugal) with ST-elevation myocardial infarction (STEMI) patients treated with P-PCI. The primary outcome, in-hospital mortality, was analysed through adjusted odds ratio (aOR) and 95% confidence intervals (95%CI).

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The objective of this scoping review is to comprehensively identify and examine the available literature on computerized clinical decision support systems utilized in nursing. The following focus questions will be used as an initial starting point in order to map and discuss important characteristics of the work done in this field.

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Article Synopsis
  • The text discusses various research studies focusing on health topics, including health literacy in adolescents and the impact of walking programs on individuals with schizophrenia.
  • It also covers innovative medical practices, safety culture in patient care, and the psychological effects experienced by emergency crews after disasters.
  • Additionally, it highlights issues such as musculoskeletal disorders in midwives, negative childhood experiences affecting adolescent mental health, and studies on vaccination timing and assessments in elderly care.
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Introduction And Objectives: The aim of the present paper was to report trends in coronary angioplasty for the treatment of ST-elevation myocardial infarction (STEMI) in Portugal.

Methods: Prospective multicenter data from the Portuguese National Registry of Interventional Cardiology (RNCI) and official data from the Directorate-General for Health (DGS) were studied to analyze percutaneous coronary intervention (PCI) procedures for STEMI from 2002 to 2013.

Results: In 2013, 3524 primary percutaneous coronary intervention (p-PCI) procedures were performed (25% of all procedures), an increase of 315% in comparison to 2002 (16% of all interventions).

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The use of technology to support information produced by nurses, especially information and communication technologies, is a current reality, but the proliferation of different statements of nursing diagnosis has made it more difficult for the production of indicators, hindering semantic interoperability of data. This study analyzed all statements of diagnosis focused on the management of medication regimen, customized to the Nursing Practice Support System (SAPE®) that was being used in Portugal in 2013. A total of 598 statements of nursing diagnoses about the phenomenon under study were analyzed, through an a priori analysis model - the ISO 18104 standard: 2003.

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