Percorrer por autor "Baixinho, Cristina Lavareda"
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- Algorithm for transitional care for caregivers of dependent older adults: A validation studyPublication . Gomes, Thawanna Jeremias Barbosa; Ferreira, Bruna Alexandra da Silva; Baixinho, Cristina Lavareda; Ferreira, ÓscarTo construct and validate an algorithm for transitional care for caregivers of dependent older adults. Method: This was a methodological study developed in three phases: a literature review, designing an algorithm, and its validation by a peer panel with twentyseven experts selected according to pre-defined inclusion criteria. Results: The algorithm predicted interventions in transitional care (hospital stay, at discharge, and 30 days at home post-discharge) aimed at the exercise of the caregiver role; needs assessment; training in care management of dependent older adults and management of self-care, and ensuring continuity of care (of older adults and caregivers). Conclusion: Agreement between expert raters and a reliability test of 0.92 indicate that the algorithm can be used by professionals to decide the transitional care interventions to be administered to the caregivers of dependent older adults. Future studies should be conducted to perform its clinical validation.
- Aspects of qualitative research in times of pandemicPublication . Oliveira, Ellen Synthia Fernandes de; Presado, Maria Helena; Baixinho, Cristina LavaredaIntroduction The SARS-CoV-2 pandemic has posed complex challenges for researchers, not only because of the emergence of a new disease, with an atypical epidemiological behavior, but also because of the implicit challenge to train the population for prevention and mitigation measures. It is worth mentioning that some aspects related to research have also been noticed in this pandemic period, mainly in epidemiological and experimental studies, which have proved to be fruitful. In the same way, it happens with research on people’s experience, in their different life contexts, which leads, in addition to transformations in areas such as (tele) work, online education, social isolation, among others. In this sense, we note as a positive point the growing appreciation of qualitative studies that allow researchers, with a more focused praxis, an understanding of a person’s experience and the uniqueness of their needs(1-2). This change was possible because the researchers were able to adapt their qualitative research, from the study design to the introduction of the results in the clinic(2), to this ‘new reality’.
- AUTOPERCEPÇÃO DOS ESTUDANTES SOBRE A PARTICIPAÇÃO EM ATIVIDADES EXTRACURRICULARES DE TRANSFERÊNCIA DE CONHECIMENTO: O EXEMPLO DA TRANSIÇÃO SEGURAPublication . Baixinho, Cristina Lavareda; Ferreira, Óscar; Cardoso, Mário; Nascimento, Patrícia; Pedrosa, Rita; Gonçalves, PauloA emergência de um novo paradigma na formação na área dasaúde apela ao aumento dascompetências associadas à ciência, para que os futuros profissionais tenhamconhecimento sobre métodos e técnicasde investigaçãoe utilizem a literacia científica como uma ferramenta de trabalho.
- ¿Cuáles son las prácticas y comportamientos de los mayores institucionalizados para prevenir las caídas?Publication . Baixinho, Cristina Lavareda; Dixe, Maria dos AnjosObjetivos: describir las prácticas y los comportamientos de los mayores para prevenir las caídas;; identificar prácticas de comunicación de los mayores para la prevención de caídas y asociar las prácticas y comportamientos de prevención de caídas con la edad, sexo, tiempo de institucionalización, grado de dependencia y utilización de medios auxiliares de marcha. Metodología: La muestra fue de 156 personas mayores de ambos sexos de seis residencias de ancianos que autorizaron la realización del estudio. El instrumento utilizado fue la Escala de prácticas y comportamientos de los ancianos para prevenir las caídas (α=0,881). Resultados: los ancianos son poco perseverantes en la elección de los zapatos cerrados y con suelas antideslizantes. Los hombres valoran más las prácticas y comportamientos seguros (p=0,045) que las mujeres. Los ancianos más dependientes revelan peores prácticas y comportamientos de prevención. Los mayores que utilizan auxiliares de marcha revelan mejores prácticas de comunicación (p=0,019) y mejores prácticas y comportamientos relacionados con la accesibilidad al espacio físico (p=0,012). Conclusiones: Estudios futuros deben asociar el predominio de caídas a las prácticas y comportamientos de los ancianos.
- Evaluation of the effectiveness of an intervention in a health team to prevent falls in hospitalized elderly peoplePublication . Cunha, Luís Filipe Correia da; Baixinho, Cristina Lavareda; Henriques, Maria Adriana; Sousa, Luís Manuel Mota; Dixe, Maria dos AnjosTo evaluate the effectiveness of an intervention program in practices and behaviors of a health team to prevent falls in hos pitalized elderly people. Method: This was an action, mixed-methods, and longitudinal study that applied an intervention based on TeamSTEPPS® , and organized into five domains: team training, communication, leadership, monitoring, and mutual support. The population was nurses and nursing aides who worked at the medical service of a Portuguese hospital center. Data were obtained by consulting process records and interviews, and by applying the Scale of Practices and Behaviors of Teams for Fall Prevention. Results: There was improvement in all indicators of the scale, with evident progress in discussion of risk factors and preventive measures to be implemented. Conclusion: This intervention promoted decision-making regarding the preventive measures to be applied to each elderly person and improved communication and the interest in identifying the causes of falls to prevent their recurrence.
- Factors Associated With Transition of Care in Patients With Chronic Non‐Communicable Diseases: Cross‐Sectional StudyPublication . Seidler, Mardhjorie dos Santos; Trindade, Letícia Flores; Berghetti, Larissa; Castro, Letícia Y.; Rodrigues, Francini de Oliveira; Baixinho, Cristina Lavareda; Romero, Manuel Portela; Rosa, Amanda Caroline Mélo da; Kolankiewicz, Adriane Cristina BernatAim: To assess the relationship between sociodemographic and clinical characteristics and the quality of care transitions among individuals with chronic non- communicable diseases after hospital discharge. Design: Cross- sectional, single- centre study. Method: Participants were people with chronic diseases who underwent clinical or surgical treatment and were discharged from a hospital in southern Brazil. Data were collected from March to July 2021. The study used clinical and sociodemographic characterisation instruments at the bedside; after hospital discharge, the care transitions measure- 15 (CTM- 15) was conducted by telephone. Descriptive and inferential statistical analyses were applied. Results: A total of 487 participants were included, with a mean age of 60.6 years; 67.4% were classified as having satisfactory care transitions. In the adjusted model, a higher likelihood of satisfactory transitions was observed among individuals who underwent surgical treatment (OR = 2.974; p < 0.001), those without family income (OR = 2.546; p < 0.001), White individuals (OR = 1.705; p = 0.027), and women (OR = 1.589; p = 0.042). Discharge with clinical devices was also associated with satisfactory transitions (OR = 1.245; p = 0.043). Conversely, individuals with family income between R$1100 and R$3299 showed a lower likelihood of satisfactory transitions, although this association was not statistically significant (OR = 0.724; p = 0.066). Conclusion: Clinical and sociodemographic characteristics significantly influence the quality of care transitions. The results highlight social and contextual factors and show that effective transitions require strategies that integrate clinical needs with the social determinants shaping the care experience. Transition practices that are sensitive to patients' social, cultural and economic contexts may help strengthen equity and safety in post- discharge continuity of care. Implications for the Profession and/or Patient Care: These findings reinforce the need for individualised discharge planning, clear interprofessional communication and health education adapted to patients' literacy levels and social conditions. Such measures can improve safety, autonomy and treatment continuity for patients with chronic conditions and support professionals in developing context- responsive care transition strategies. Reporting Method: This study followed the STROBE checklist for cross- sectional studies. Patient or Public Contribution: Patients participated in the data collection by answering the care transitions measure- 15 after hospital discharge, directly contributing to the interpretation of the care transitions data.
- Fall Prevention and Geriatric NursingPublication . Baixinho, Cristina Lavareda; Henriques, Maria; Costa, Andreia1. Introduction Falls among older people remain one of the most pressing and persistent public health challenges worldwide [1]. Given the increased life expectancy, and prevalence of disability, dependency, and comorbidities in this ageing population, there is a high risk that this will become a pandemic. On the other hand, as populations age the consequences of falls increase, ranging from physical injury and loss of functional independence to psychological distress, fear of falling, social isolation, and increased mortality, posing significant challenges not only to individuals and families but also to healthcare systems and societies [2,3]. Falls are a leading cause of injury-related hospitalizations among older persons and contribute substantially to escalating healthcare costs, long-term care admissions, and diminished quality of life [2]. The growing proportion of older adults, many living with multimorbidity, frailty, cognitive impairment, and social vulnerability, demands a critical rethinking of health, social, and urban policies to support healthy ageing [2,3,4]. While fall prevention is often framed as an individual responsibility, this perspective risks overlooking structural, educational, and systemic barriers that limit older adults’ capacity to engage in effective prevention strategies, such as low health literacy, unequal access to preventive services, and environments that are not age-friendly [4].
- Fall Risk Management in Nursing Homes: A Scoping ReviewPublication . Gaspar, Cecília; Pedreira, Larissa; Reis, Neuza; Costa, Andreia; Ferreira, Ricardo; Henriques, Maria; Baixinho, Cristina LavaredaBackground: Population aging represents a growing public health challenge, with falls being one of the leading causes of morbidity, mortality, and loss of autonomy among older adults. In nursing homes, the risk is exacerbated by physical, cognitive, and environmental factors, yet which interventions are most actionable in nursing homes remains unclear, requiring effective and evidence-based prevention strategies. Objective: We aimed to map the evidence on interventions in fall risk management among institutionalized older adults, highlighting assessment, exercise, environmental, and educational strategies. Methods: A scoping review was conducted according to JBI guidelines. The search was carried out in MEDLINE, CINAHL, Scopus, Cochrane, and Web of Science. The review included studies, published between 2019 and 2024, involving older adults (≥65 years) in nursing homes, focusing on nursing interventions for fall risk management. Results: The initial search identified 1146 records across electronic databases and gray literature sources. After removing duplicates and screening titles, abstracts, and full texts, 18 studies met the inclusion criteria and were included in this scoping review. The inclusion criteria were as follows: (i) fall risk assessment, using functional and clinical scales such as the Timed Up and Go (TUG), Berg Balance Scale (BBS), Morse Fall Scale, to identify predisposing factors; (ii) exercise programs, such as the Otago Exercise Program and multicomponent training, which demonstrated benefits in strength, balance, and mobility; (iii) environmental modifications, aimed at reducing extrinsic risks and promoting safer surroundings; and (iv) educational programs, targeting professionals, residents, and families, with positive effects on adherence to preventive practices and on strengthening the safety culture. Conclusions: Effective fall risk management in nursing homes requires an integrated, multidisciplinary, and person-centered approach, with nurses playing a central role in assessment, coordination, and implementation of interventions. However, gaps remain regarding standardization, validation of assessment tools specific to the institutional context, and evaluation of long-term outcomes.
- Falls and Preventive Practices among Institutionalized Older PeoplePublication . Baixinho, Cristina Lavareda; Madeira, Carla; Alves, Silvia; Henriques, Maria Adriana; Dixe, Maria dos AnjosThe present study about falls among the older adult population essentially explores biophysiological factors. In light of the complexity of the factors that cause these accidents, it is important to identify the safety and self-care practices of institutionalized older adults and their relationship with falls in order to introduce prevention measures and personalized cognitive–behavioral strategies. The objective of this study was to: (a) determine the frequency of falls and their recurrence among institutionalized older adults, and (b) to associate the occurrence of falls among institutionalized adults with or without cognitive impairment to communication and safety practices. This was a quantitative, correlational, and longitudinal study with 204 institutionalized older adults living in two long-term care facilities in Portugal. The Scale of Practices and Behaviors for Institutionalized Elderly to Prevent Falls was administered to the sample. The prevalence of falls at a 12-month follow-up was 41.6%, of which 38.3% were recurring episodes. Older adults with cognitive decline showed lower mean scores for safety practices. Further research with larger samples should explore the relationships between communication and safety practices and falls, their recurrence, and fear of new falls.
- Falls in institutionalized elderly with and without cognitive decline A study of some factorsPublication . Baixinho, Cristina Lavareda; Dixe, Maria dos Anjos; Madeira, Carla; Alves, Sílvia; Henriques, Maria AdrianaFalls in long-stay institutions for elderly people have a high prevalence, contributing to the physical and mental deterioration of institutionalized elderly.