Browsing by Author "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.
- 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.
- 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.
- From Evidence Synthesis to Transfer: Results from a Qualitative Case Study with the Perspectives of ParticipantsPublication . Baixinho, Cristina Lavareda; Ferreira, Óscar; Medeiros, Marcelo; Oliveira, Ellen Synthia Fernandes deThe increase in health research brings challenges to the production, synthesis, and use of research findings in clinical practice. In the case of undergraduate training in nursing, it is necessary to think about the curricular contents and create opportunities to develop skills for learning evidencebased practice. The objective of this study was to analyze nurses’ perspectives regarding the effects of their participation in a project of translation of knowledge into clinical practice during undergraduate nursing education, specifically involving knowledge, attitudes, and competencies related to the use of evidence. This is a qualitative case study grounded in the knowledge-to-action theoretical framework. The participants were 13 nurses who were involved in a project about the translation of knowledge into clinical practice during the last term of their undergraduate course. The data were collected by applying interviews between December 2020 and April 2021. Content analysis was carried out by using the qualitative data analysis software tool webQDA®. The following categories emerged from the content analysis carried out on the material gathered during the interviews: understanding evidence; learning how to use evidence; transferring evidence; adjusting to the context; and observing the advantages of evidence-based practice. Extracurricular activities were perceived as an opportunity to understand what evidence is and observe in loco the advantages of health care for clients, teams, and services. During the project, the participants developed crosssectional competencies and envisaged changes to their professional activity as a result of changes in their attitude regarding evidence and its use. We concluded that the opportunity to develop evidence-related activities allows for the development of skills and influences the attitude towards evidence-based practice and knowledge use.
- Gait Ability and Muscle Strength in Institutionalized Older Persons with and without Cognitive Decline and Association with FallsPublication . Dixe, Maria dos Anjos; Madeira, Carla; Alves, Silvia; Henriques, Maria Adriana; Baixinho, Cristina LavaredaFalls are a complex problem, given their multifactorial nature, the comorbidities involved, and due to the dependency of older persons living in nursing homes. Risk, fear of falling, falls themselves, and their recurrence are the main factors behind fragility fractures, lack of independence, and increases in pain prevalence, and other comorbidities in older populations. The objectives of the present quantitative and longitudinal study were: (a) to characterize the cognitive state and fall frequency of older persons living in nursing homes; (b) to analyze the relationship between cognitive status and some fall risk factors; and (c) to associate cognitive decline, gait ability, and muscle strength of the examined institutionalized older persons with fall occurrence and recurrence over 12 months. The participants were 204 older persons who lived in Portuguese nursing homes, and data were collected from January 2019 to February 2020 by consulting medical records and applying the following instruments: the Mini-Mental State Examination, Timed Up and Go Test, and Medical Research Council Manual Muscle Testing Scale. Fall prevalence, assessed in two periods, 12 months apart, was similar in both samples (with and without cognitive decline) and close to 42%, and the annual recurrence rate was 38.3%. Older persons with no cognitive decline showed an association between gait speed and occurrence of first fall and recurrent fall (p < 0.05). Muscle strength and use of gait aid devices were not related to falls and their recurrence, regardless of mental state.
- Gestionar el ambiente para prevenir la caída en los ancianos institucionalizados: validación de protocoloPublication . Baixinho, Cristina Lavareda; Dixe, Maria dos Anjos; Henriques, Maria AdrianaObjetivo: validar el contenido de un protocolo con las intervenciones de enfermería para la gestión del riesgo de caída asociado al ambiente en Residencias de Larga Perma nencia para Ancianos. Método: estudio metodológico, de abordaje cuantitativo, que usa la técnica de Delphi para obtener consenso. La revisión de la literatura y la observación en contextos de práctica clínica hizo posible la construcción de un instrumento con 40 indicadores, el cual fue enviado por vía electrónica a un grupo de expertos (14), quienes respetaban los criterios de inclusión definidos y quienes aceptaron participar libremente en el estudio. Les fue garantizada la confidencialidad de los datos. Resultados: los indi cadores del protocolo están organizados en tres dimensiones: 1) Gestionar la seguridad del anciano (IRA=,8); 2) Gestionar el espacio físico (IRA=,1); y 3) Monitorizar y comu nicar cambios (IRA=,88) con un CVI=,96. Estas dimensiones representan en el protoco lo las intervenciones de enfermería para el control de los factores ambientales de riesgo de caída. Conclusiones: los resultados de la prueba de fiabilidad (>0,8) garantizan que las intervenciones de enfermería planteadas para la gestión del ambiente son válidas y deben ser implementadas en las residencias de larga permanencia para ancianos con el fin de prevenir la caída de ancianos institucionalizados.
- Health Promotion and Disease Prevention in the Elderly: The Perspective of Nursing StudentsPublication . Ferreira, Rogério; Baixinho, Cristina Lavareda; Ferreira, Óscar Ramos; Nunes, Ana Clara; Mestre, Teresa; Sousa, LuísHealth promotion and disease prevention are closely linked to health literacy. Therefore, intervention to increase individuals’ knowledge is essential if action is to be taken to promote a healthy lifestyle with support from health professionals for decision making on choices leading to behavioral change. Taking into account the growing aging population, nurses and nursing students have to develop interventions to promote health and prevent disease in these people, in order to keep them healthy and with quality of life. This study aims to understand how nursing students’ experiences in a clinical teaching context contributed to the development of their competencies in the promotion of health and prevention of disease in the elderly. Method: Qualitative, exploratory, and descriptive study carried out with ten students about to finish a graduate nursing course in a higher education institution in the South of Portugal. This study was carried out through narratives, one of the most common data collection procedures in social and health investigations. The content analysistechnique, more specifically the thematic categorical analysis, was used for data analysis. The study received authorization from the Ethics Committee of the institution where it took place. Results: Three categories were found: “Strategies to promote health and prevent disease in the elderly”, “Health improvements from the implementation of the strategies to promote health and prevent disease in the elderly”, and “The impact your participation in these strategies to promote health and prevent disease in the elderly had on your formative process”. Conclusion: The students developed competencies during their clinical teaching experiences through the implementation of strategies of health promotion and disease prevention adapted to/focused on the needs of the elderly.
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