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- Treino de AssertividadePublication . Querido, Ana; Tomás, Catarina; Laranjeira, Carlos; Carvalho, Daniel; Valentim, Olga
- Treino de Comunicação, observação e registo do exame mentalPublication . Querido, Ana; Tomás, Catarina; Laranjeira, Carlos; Carvalho, Daniel; Valentim, Olga
- “Looking beyond Mental Health Stigma”: An Online Focus Group Study among Senior Undergraduate Nursing StudentsPublication . Valentim, Olga; Moutinho, Lídia; Laranjeira, Carlos; Querido, Ana; Tomás, Catarina; Longo, João; Carvalho, Daniel; Gomes, João; Morgado, Tânia; Correia, TâniaEvidence highlights the need for professionals to be aware of their stigmatizing attitudes and discriminatory practices in order to minimize the negative impact on the people they take care of. However, nursing students’ perceptions of these issues have been poorly studied. This study explores the perspective of senior undergraduate nursing students on mental health and the stigma around it, by considering a simulated case vignette of a person with a mental health problem. A descriptive qualitative approach was chosen and involved three online focus group discussions. The findings show various manifestations of stigma, both at an individual and collective level, which indicates that it is an obstacle to the wellbeing of people with mental illness. Individual manifestations of stigma concern its effect on the person with mental illness, while at the collective level they concern the family or society in general. Stigma is a multifactorial, multidimensional, and complex concept, in terms of identifying and fighting it. Thus, the strategies identified involve multiple approaches at the individual level, aimed at the patient and family, namely through education/training, communication, and relationship strategies. At the collective level, to intervene with the general population and specific groups, such as groups of young people, strategies suggested include education/training, use of the media, and contact with people with mental disorders as ways to fight stigma.
- Impacto de uma intervenção no estigma em saúde mental e ansiedade intergrupalPublication . Querido, Ana; Tomás, Catarina Cardoso; Carvalho, Daniel; Gomes, João; Cordeiro, MarinaObjetivo: Avaliar a efi cácia de uma intervenção na redução das atitudes estigmatizantes e ansiedade perante o doente mental em estudantes de enfermagem. Métodos: Estudo quase experimental, realizado com uma amostra intencional de 99 estudantes de enfermagem de um instituto universitário da região centro de Portugal. No grupo de controlo, os estudantes desenvolveram o plano de ensino clínico em Enfermagem de saúde mental e psiquiátrica em serviços de psiquiatria, conforme o plano de estudos (n=50). No grupo de teste, além de cumprirem o plano de estudos, os estudantes participaram de um programa psicoeducativo dirigido ao estigma (n=49). Utilizaram-se as versões portuguesas da Mental Illness: Clinicians’ Attitudes Scale (MICA-4) e AQ27 para avaliação do estigma e a Intergroup Anxiety Scale (EAI) para medir a ansiedade intergrupal. Resultados: A amostra apresenta homogeneidade de variáveis no momento inicial (p>0,05), com melhorias estatisticamente signifi cativas das atitudes estigmatizantes e redução da ansiedade perante o doente mental em ambos os grupos (p<0,005). O impacto da intervenção não foi signifi cativo, tendo o grupo de teste melhorado as atitudes estigmatizantes de medo (p=0,03) e piorado relativamente à ajuda (p= 0,04). Conclusão: Verifi cou-se um impacto positivo do ensino clínico na redução da ansiedade perante o doente mental, conduzindo a uma redução do estigma em saúde mental. A intervenção dirigida ao estigma não revelou efeitos signifi cativos no estigma global nem na ansiedade intergrupal o que aponta para a necessidade futura da sua reformulação e comparação com amostras de estudantes de outras instituições de ensino de enfermagem.
- Development and psychometric validation of a multidimensional scale on the self-care needs of dependent peoplePublication . Dixe, Maria dos Anjos; Soares, Elsa; Gomes, José Carlos; Pereira, Cidália; Carvalho, Daniel; Teixeira, Liliana; Sousa, Pedro Miguel Lopes; Amado, Sandra Cristina Fernandes; Peralta, Teresa de Jesus de Almeida; Lopes, Paulo; Querido, AnaObjectives: To develop and validate an interprofessional, multidimensional self-care needs scale of dependent people. Methodology: After a literature search, 61 items were identified and divided into nine self-care dimensions. The items were then reviewed by an expert panel (N = 11) to confirm the content validity of the scale. Refined items were pilot-tested in 12 patients, using a 5-point Likert-type scale. A final version was generated and psychometrically tested in 143 dependent men and women aged 37–102 (80.7 ± 10.1) years. Results: The nine multidimensional self-care needs scales were developed on a broad theoretical and empirical basis. The scales showed very good psychometric properties, having adequate characteristics, satisfactory reliability, and good validity. Conclusions: The scales have good psychometric properties, with minor differential item functioning. The scales can be used by health professional and policy makers to measure dependent people’s self-care needs. Nevertheless, it is necessary to perform further psychometric validations using a larger sample. This is an appropriate tool for application in clinical and research settings to assess patients’ self-care needs.
- Therapeutic Adherence of People with Mental Disorders: An Evolutionary Concept AnalysisPublication . Laranjeira, Carlos; Carvalho, Daniel; Valentim, Olga; Moutinho, Lídia; Morgado, Tânia; Tomás, Catarina; Gomes, João; Querido, AnaPatient therapeutic adherence lies at the core of mental health care. Health Care professionals and organizations play a major role in promoting adherence among people with mental disorders. However, defining therapeutic adherence remains complex. We used Rodgers’ evolutionary concept analysis to explore the concept of therapeutic adherence in the context of mental health. We conducted a systematic literature search on Medline/PubMed and CINAHL for works published between January 2012 and December 2022. The concept analysis showed that major attributes of therapeutic adherence include patient, microsystem and meso/exosystem-level factors. Antecedents are those related to patients, such as their background, beliefs and attitudes, and acceptance of mental illness–and those related to patient-HCP therapeutic engagement. Lastly, three different consequences of the concept emerged: an improvement in clinical and social outcomes, commitment to treatment, and the quality of healthcare delivery. We discuss an operational definition that emerged from the concept analysis approach. However, considering the concept has undergone evolutionary changes, further research related to patient adherence experiences in an ecological stance is needed.