Browsing by Author "Querido, Ana Isabel"
Now showing 1 - 6 of 6
Results Per Page
Sort Options
- Addressing spiritual needs, facilities and barriers in portuguese palliative care: a cross-sectional surveyPublication . Laranjeira, Carlos A.; Querido, Ana IsabelBackground: Spiritual care is an essential component of Palliative Care (PC) and a dimension of holistic care that preserves dignity and helps sick people to find meaning in suffering and in life. The knowledge about its implementation is still scarce in the Portuguese context. This study aimed to evaluate the facilities, barriers and needs for spiritual care in PC. Method: We conducted a descriptive cross-sectional survey of 180 health professionals in the period November 2018 to September 2019 at PC units. The data were collected through an online questionnaire published on social networks, after approval by an Ethics Committee. Sociodemographic and professional data, spiritual beliefs and knowledge about the objectives and purposes of PCs were collected. These were evaluated using an instrument consisting of 26 statements of dichotomous response (true/false). Results: The average age of participants was 42.42 years (SD=11.35), most are female (82.2%), nurses (43.9%), and 70% work in the health field. The total sample has worked on average for 15.67 ± 10.28 years and more than half (58.9%) perform functions in palliative care. Most identify with a religious belief (87.8%), attaching great importance to spiritual/religious conviction (45% of participants). The results suggest that empathy and the therapeutic use of silence (82.2%) are facilitators of spiritual care. The key barriers refer to the lack of expert professionals and the organization of care (36.1%). The results also highlight the need for specific training in the area of spirituality, hope and intervention strategies (53.9%). Conclusion: This study has provided insight into spiritual care in PC in Portugal. Future studies are necessary to investigate the effects of spiritual care more fully, and to develop outcome measurements that appropriately capture the effects of the variety of spiritual care practices.
- Assertiveness Training of Novice Psychiatric Nurses: A Necessary ApproachPublication . Laranjeiro, Carlos António; Querido, Ana IsabelThe statement “assertiveness is both a skill and a choice” is a popular expression in nursing. Being assertive is a core communication skill, which can be learned like many other skills. Appropriate communication skills are critical for novice psychiatric nurses, helping them develop competency for acute care and recovery. The notion of assertiveness has been extensively used in the nursing literature and has been established as a key approach for avoiding adverse occurrences in health care, boosting patient safety (Omura, Levett-Jones & Stone, 2019). Lazarus (1973, cited in Pipas & Jaradat, 2010) identified specific classes of assertive responses, namely the ability to deny a client’s requests, to make requests of the client, to express positive and negative feelings, and to initiate and hold a conversation.
- Breaking bad news in complex palliative care situations through role-play simulationPublication . Laranjeira, Carlos; Querido, Ana IsabelBackground: One of the most important components in the repertoire of nursing communication skills is the ability to ‘break bad news’ to patients and families. This article presents a pilot role-play simulation conducted at a Portuguese undergraduate nursing program with senior-level students. Methods: The simulation was designed to aid nursing students to develop communication skills necessary to care for the critically ill patient nearing the EOL. This approach had two main learning outcomes: a) improve students’ ability to break bad news and build their confidence in that ability, and b) assist students to engage in the process of self- and peer reflection. Thirty students were recruited from palliative care nursing course, they had no previous experience with this type of simulation. The simulation took place on three separate theoretical-practical classes with ten students each one. Prior to each role-play, three students were randomly role-played both the nurse, the patient and the relative roles. Students who were not assigned active roles observed the simulation and provided feedback during the debriefing period. Students were encouraged to reflect on issues related to the communication of bad news using the Gibbs´ reflective cycle. Results: Themes of students’ responses during the debriefing included an overall positive feeling about the experience and their performance (n=25), nevertheless, students acknowledged they lacked confidence in their skills to communicate effectively (n=12). They indicated that they felt more prepared to meet the patient‘s physical needs than emotional needs. All students also reported valuing working together as a team as it fostered meaningful sharing of ideas. Conclusions: As a result of this kind of learning, the student develops greater capacity for treating others with the respect and understanding required in palliative care nursing. This may inform his or her understanding and capacity to help the other person.
- 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.
- Revalidação do Holistic Comfort Questionnaire – Family para cuidadores de pessoas com doença crónica avançadaPublication . Marques, Rita Margarida Dourado; Dixe, Maria dos Anjos; Querido, Ana Isabel; Sousa, Patrícia PontificeEnquadramento: O conforto é fundamental na prática de enfermagem pelo que emerge a necessidade de instrumentos úteis e válidos para o avaliar. Objetivos: Determinar as características psicométricas do Holistic Comfort Questionnaire – Family (HCQ-F) para a população Portuguesa e, avaliar o nível de conforto dos cuidadores de pessoas com doença crónica e avançada. Metodologia: Estudo metodológico com uma análise do tipo quantitativo, realizado a 314 cuidadores. Para o estudo das propriedades psicométricas, calculámos medidas descritivas de resumo, correlações de cada item com o total e, o alfa de Cronbach. Para a análise fatorial, utilizámos a rotação ortogonal do tipo varimax e a extração de fatores com valores próprios > 1. Resultados: Da determinação da consistência interna e análise fatorial dos itens do HCQ-F resultou o Holistic Comfort Questionnaire – Cuidadores – Portugal (HCQ-C-PT) com 18 itens que se distribuíram por 3 fatores: alívio, tranquilidade e transcendência (α=0,795). Conclusão: Os resultados sugerem que o HCQ-C-PT apresenta validade e consistência interna adequados para avaliar o conforto em cuidadores de pessoas com doença crónica avançada.