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- Cultural adaptation and content validation of the RAC (Rodríguez-Almeida-Cañon) adult infection risk assessment scale for portuguese from PortugalPublication . Martins, Mónica; Paiva-Santos, Filipe; Bom, Luís Todo; Dixe, Maria dos Anjos; Costeira, CristinaIntroduction: Healthcare-Associated Infections (HAIs) have been a concern in the healthcare field due to their impact on public health. Therefore, risk stratification of hospitalized populations, using validated instruments, is essential for implementing effective measures to prevent HAIs. Objective: Aimed to culturally adapt the RAC Infection Risk Assessment Scale (Rodríguez-Almeida-Cañon) for adult patients. This article describes the following steps: preparation, preliminary translation, back-translation, review of the back-translation, and content validation through a panel of experts. Methods: After translating and back-translating the scale using bilingual translators, content validation was carried out through a Delphi panel involving 11 experts in the field of HAIs, of both sexes, with clinical experience and/or previous involvement in infection prevention and control research. The items of the RAC scale were evaluated for clarity, theoretical relevance, and practical pertinence. La validez de contenido se determinó mediante el índice de validez de contenido. Results: Based on the feedback from the experts, there was consensus to retain the 15 assessment items, grouped into intrinsic and extrinsic factors. The Portuguese (Portugal) version of the scale achieved a 95% agreement level. Conclusion: The RAC scale proved to be valid in terms of content. The use of infection risk assessment instruments is essential for infection prevention, contributing to improved quality of care and guiding healthcare professionals’ interventions. To ensure the validity of the scale, a psychometric validation will also be conducted.
- Teleconsulta de Enfermagem como Estratégia de Follow-up em Utentes com Ferida Traumática: Estudo ComparativoPublication . Rosa, Cátia de Sousa; Bom, Luís Filipe Pereira Todo; Costeira, Cristina Raquel BatistaBackground: Follow-up telenursing is recommended as an effective strategy for reducing hospital admissions and associated costs. A telenursing service was implemented in an outpatient clinic to monitor patients with traumatic wounds. Objective: To compare satisfaction and healthcare utilization among patients with traumatic wounds who received follow-up telenursing and those who did not. Methodology: A descriptive-comparative study was conducted. The experimental group (n = 33) received follow-up telenursing in addition to conventional care, while the control group (n = 35) received conventional care only. The study was conducted between May and July 2022, with data collected via questionnaire and analyzed using SPSS® software. Ethical standards were observed. Results: Males predominated in both groups, with a mean age of 40 years. The experimental group reported higher satisfaction with nursing care and lower use of in-person services (p ≤ 0.05). Conclusion: Telenursing contributed to health improvements, supporting its potential as an effective tool for monitoring patients with traumatic wounds.
- Mapping the Second Victim Experience Among Western Nurses: A Scoping ReviewPublication . Costeira, Cristina; Junqueira, Helena; Quintas, Pedro; Pragosa, Ângela; Mata, Ema; Duarte, Hugo; Bom, Luís; Pais, NelsonBackground/Objectives: The second victim phenomenon is increasingly recognized as a significant issue affecting nurses involved in adverse events resulting from clinical decisions or interventions. Although patients and families, considered the first victims, are directly impacted, nurses often undergo challenges as second victims. With the growing awareness of these effects, this study aimed to map recent evidence on the second victim phenomenon among nurses in Western countries. Methodology: A Scoping Review was conducted following the Joanna Briggs Institute methodology in September 2024 and updated in November 2025. Eligibility criteria were defined using the PCC (Population, Concept, Context) framework. Searches were performed in PubMed, CINAHL, SciELO, and Scopus. Two independent reviewers carried out study selection, data extraction, and synthesis. Rayyan® supported screening, performed in two phases: title/abstract review and full-text analysis. Data extraction was conducted in Excel®, and data were analyzed using descriptive statistics and categorized into thematic areas. The review followed PRISMA-ScR guidelines and was registered in the Open Science Framework. Results: Of the 111 articles retrieved, 39 met the inclusion criteria. Evidence shows that although several support programs exist for nurses as second victims, they are often perceived as inadequate or inconsistently implemented. Second victim experience is associated with physical (e.g., sleep disturbances), emotional (e.g., fear), and psychological (e.g., distress) symptoms, with consequences such as absenteeism, professional dissatisfaction, loss of meaning in life, and even suicide. Conclusion: Findings highlight the need for more comprehensive, accessible, and consistently implemented support strategies to meet the complex needs of nurses affected by the second victim phenomenon.