Browsing by Author "Laranjeira, Carlos António"
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- A commentary on Işık & Ergün (2020) “Hope and belonging in patients with schizophrenia: A phenomenological study”Publication . Laranjeira, Carlos António; Querido, Ana Isabel
- Effect of hope-based program on the hope of people with palliative needs: a RCT pilot study in PortugalPublication . Querido, Ana Isabel; Laranjeira, Carlos AntónioBackground: Some studies have demonstrated the effectiveness of interventions in the levels of hope, however the relationship between these interventions and the results is still limited. The aim of the study was to evaluate the efficacy of a hopebased program in nursing on Portuguese adult outpatients with advanced and progressive chronic illness. Methods: A single-blind RCT was conducted to test the hypothesis that outpatients in the intervention group, who participated in the Hope Promotion Program (HPP), have higher levels of hope than those who did not participate in the program. Participants were recruited from Day Hospitals of two medical institutions. Following the individuals’ agreement to participate, they were thoroughly screened for eligibility by the main researcher. Inclusion criteria: (1) adults diagnosed with advanced and progressive chronic disease; (2) accompanied by a health care team; and (3) ability to speak and comprehend Portuguese. Hope is measured by the Portuguese version of Herth Hope Index for chronic conditions. The time frames for assessment were at baseline (T1), follow-up (T2 15 days after) and post-test (T3 30 days after). Results: A total of 56 patients were enrolled in the study. They were randomized assigned to either the intervention group [IG] (n=28) or to control group [CG] (n=28). Over time the hope indexes in the IG compared to the CG, suggest a positive effect of HPP in the increase of hope over time. The most expressive effect was observed in the total hope level and in the gains in positive interior disposition and expectations, with significant differences in each of the data collection points in time. Conclusions: Further research should create training programs for nurses and nursing students within the scope of the promotion of hope, in order to promote the development of personal and professional skills.
- Hope in a depression therapeutic group: A qualitative case studyPublication . Querido, Ana Isabel Fernandes; Laranjeira, Carlos António; Dixe, Maria dos Anjos Coelho RodriguesTo understand the perceptions of hope for people with depression in the context of a therapy group. Methods: using a qualitative case study approach, a semi-structured in-depth interview and a self-report questionnaire were conducted with seven women with depression integrated in a therapy group at a Portuguese day-care psychiatric unit. Data collection and analysis used triangulation of sources. Results: the participants evidenced hope founded on the positive experiences of the past with a strong affiliation component. Hope management is done fundamentally through the interpersonal relationships established between the members of the group, based on communicational patterns that are established on a regular basis, mediated by the group therapist. Conclusion: the therapy group functioned towards the reinforcement of hope in people who experience depression, and it works as a motivation to manage the implications of illness in the participants’ life and health project. Descriptors: Case Study; Depression; Hope; Interpersonal Relations; Self-Help Groups.
- Hope, comfort and quality of life of palliative patients: correlation to the place of carePublication . Querido, Ana; Laranjeira, Carlos AntónioBackground: Maintaining hope has been referred to as a way to endure suffering among people living with a life-limiting disease. Reports about comfort and well-being in palliative care have indicated that hope is an indicator of the quality of life (QoL)and the quality of dying. This study aimed to characterise hope, comfort and QoL of palliative patients, and correlate these variables to the place of care. Methods: A cross-sectional observational study was conducted to test the hypothesis that hope is positively correlated to comfort and QoL and that patients in palliative care units had higher levels of hope, comfort, and QoL than other settings. Participants were recruited from daycare hospital, palliative care units and communitary palliative care in Portugal. Patients answered the Portuguese versions of Herth Hope Index, McGill Quality of Life Questionnaire and Hospice Comfort Questionnaire, a VAS for pain, two-item screening for depression and socio-demographic information. All ethical procedures were considered according to the Helsinki declaration. Results: A total of 205 palliative patients participated in the study (mean age 64.5, range 28–89). Most patients were diagnosed with metastatic cancer (85.4%). Palliative care patients in the sample experienced good level of hope, comfort and QoL. A strong correlation was noted between hope and QoL (0.65; p<0.001) and hope and comfort (0.58; p<0.001). QoL of patients attending daycare unit were higher compared to other settings (p<0.05). Patients experienced higher comfort at home (p<0.05). There were no differences in hope regarding the place of care. Conclusions: Palliative patients reported good levels of hope, comfort and QoL. As hope is dynamic and correlated to comfort and QoL, hope fostering interventions should be implemented in palliative care settings to increase the QoL and quality of death. Further research should address the causative relations among these variables.
- Hope-based interventions in chronic disease: an integrative review in the light of NightingalePublication . Laranjeira, Carlos António; Querido, Ana Isabel Fernandes; Charepe, Zaida Borges; Dixe, Maria dos Anjos Coelho RodriguesObjective: To identify the available evidence in the scientific literature about the strategies or interventions used to promote hope in people with chronic diseases. Method: An integrative literature review of literature published between 2009-2019, which was conducted in online browsers/databases: b-On, EBSCO, PubMed, Medline, ISI, SciELO, PsycINFO, Google Scholar. Forty-one studies were found, of which eight met the inclusion criteria. Results: Most studies used a quantitative approach. There was a predominance of studies from Asia and America, addressing patients with multiple sclerosis, diabetes, congestive heart failure, and cancer. Hope-based interventions were categorized by the hope attributes: experiential process, spiritual/transcendence process, rational thought process, and relational process. Conclusion: Hope-based interventions, in its essence, are good clinical practices in the physical, psychological, social and spiritual domains. This is congruent with the vision of nursing, first proposed by Florence Nightingale. There seem to be gaps in the literature regarding specific hope promoting interventions.
- Qualidade de vida e saúde em uma perspectiva interdisciplinarPublication . Missias-Moreira, Ramon; Patiño, Donovan Casas; Laranjeira, Carlos AntónioO conceito e a aplicabilidade de qualidade de vida têm evoluído no cenário mundial a partir da década de sessenta, através de diferentes instrumentos de medida. Destaca-se na área das ciências o maior impulso, que se deu na década de noventa, quando a qualidade de vida relacionada à saúde ganhou mais visibilidade, a começar pelos grandes estudos de especialistas referenciados pela Organização Mundial da Saúde. Frente a isso, a incorporação de parâmetros de avaliação da qualidade de vida, considerada um indicador multidimensional num marco social e cultural determinado, passou a constituir importante elemento para a tomada de decisão e avaliação do setor. Nesta coleção, intitulada “Qualidade de vida e Saúde em uma perspectiva interdisciplinar”, são discutidas temáticas que abordam a singularidade do indivíduo e se estendem até as políticas públicas em diferentes contextos de saúde-doença e suas interações. É sob essa perspectiva que os capítulos aqui expostos descrevem o percurso histórico do entendimento da saúde da população brasileira em diferentes condições de doenças e agravos que abarcam desde processos fisiológicos, como o envelhecimento, até condições de enfermidades de interesse público em sua interface com a qualidade de vida. Essas obras são continuação e ampliação das discussões iniciadas na coleção anterior “Qualidade de vida e condições de saúde de diversas populações”, que fora idealizada pelo Prof. Dr. Ramon Missias-Moreira. O trabalho minucioso e delicado, refletido na maneira como os organizadores e autores descrevem suas experiências em grupos e em pesquisas, favorece uma leitura prazerosa que incita à reflexão acerca da abordagem multiprofissional, interdisciplinar e do enfoque operacional para o campo de suas práticas.
- The multidimensional model of hope as a recovery-focused practice in mental health nursingPublication . Laranjeira, Carlos António; Querido, Ana Isabel FernandesObjective: To analyze the theoretical dimensions of hope as a recovery-oriented practice in mental health nursing. Method: This is a reflective and discursive study based on theoretical and experiential aspects of hope in the recovery process of people facing mental health disorders. Results: Maintaining hope in adverse situations, especially while facing mental suffering, requires skills to manage the factors that promote and inhibit hope. This balance can be tricky to reach without the presence of high-skilled professionals. The study presents the concept of hope-inspiring competence and its main dimensions. The nurse’s hope-inspiring competence is recognized as a crucial advanced practice that optimizes mental health by providing motivational resources. Final Considerations: Hope-inspiring competence should be a core principle for recovery-oriented mental health professionals. Despite this recognition, the promotion of hope in mental health nursing specialized practice lacks evidence and visibility