Biblioteca Digital do IPB
Repositório de Publicações do Instituto Politécnico de Bragança
Entradas recentes
Assertiveness in family nurses
Publication . Machado, Dora; Almeida, Assunção; Brás, Manuel Alberto; Vilela, António Carlos Lopes
Assertiveness is a crucial social skill for effective and efficient communication in nursing (Montezeli et al., 2018). At the professional level, its lack can generate conflicts, frustrations and loss of essential information, compromising the care process (Silva, 2018). In contrast, becoming more assertive contributes to the success of the therapeutic relationship with users and families, by promoting: greater recognition and respect for the nurse as a person and professional; greater satisfaction in the performance of tasks and in the relationship with the team and the user; and also greater security for the user (Haladin et al., 2015; Nakamura et al., 2017; Omura et al., 2017). In addition, it can protect nurses from the daily pressure to which they are exposed and from situations that trigger stress and depression (Alves, 2016).
The World Health Organization (WHO, 2016) recognizes assertive communication as essential in the global challenge for patient safety.
Factors associated with adherence to medication regimens in older adults in northern Portugal
Publication . Brás, Manuel Alberto; Magalhães, Carlos Pires; Machado, Dora; Paradinha, Fernanda maria Rodrigues Afonso
The World Health Organization defines older adults as individuals aged 65 and over. This demographic
often faces significant challenges in adhering to their therapeutic regimens due to an increase in health
problems and subsequent polypharmacy. This observational, descriptive, analytical, cross-sectional
cohort study, employing a quantitative paradigm, assessed medication regimen adherence in 400 older
adults from a municipality in Northern Portugal. It also explored the relationship between adherence,
their degree of dependency, and various sociodemographic and clinical variables. Data were collected
using a questionnaire that included sociodemographic and clinical questions, the Medication Adherence
Scale (MAT), and the Barthel Index. With an average age of 75.33±7.34 years and a female majority, the
results showed that 82.75% of participants adhered to their therapeutic regimen. A statistically significant
association was found between adherence and educational qualifications, with lower adherence observed
among illiterate individuals. The need for constant guidance in preparing medication and the substitution
of prescribed drugs were also significantly associated with lower adherence. While a trend of decreasing
adherence with increasing age and number of diseases/medications was noted, these associations were
not statistically significant. Additionally, it was found that non-adherent individuals had, on average, a
lower functional (Barthel) index. We conclude that therapeutic adherence in older adults is a complex,
multidimensional issue. It requires an integrated approach involving healthcare professionals, family
members, and caregivers to foster effective adherence and enhance quality of life. Intervention strategies
must be tailored to the specific needs of this population.
Níveis de atividade física de crianças de um meio rural do Nordeste de Portugal: comparação entre dias da semana e fim de semana
Publication . Sampaio, Tatiana; Teixeira, José Eduardo; Magalhães, Pedro; Vasques, Catarina; Sá, César
A atividade física (AF) e o comportamento sedentário (CS) são componentes críticos para a saúde e bem-estar de crianças e adolescentes. Globalmente, há uma crescente preocupação com a diminuição dos níveis de AF e o aumento dos estilos de vida sedentários entre os jovens, levando a riscos para a saúde como obesidade, doenças cardiovasculares e problemas de saúde mental. O objetivo deste estudo foi analisar os níveis de AF de crianças (9 a 11 anos) e adolescentes (12 a 15 anos) de uma área rural no nordeste de Portugal, examinando especificamente as diferenças entre os dias de semana e os fins de semana na prática de AF. A recolha de dados ocorreu entre setembro de 2022 e janeiro de 2023, utilizando um desenho transversal. Os dados diários foram recolhidos durante sete dias consecutivos usando acelerómetros (ActiGraph®, GT3X ou GT1M). A amostra consistiu em 84 participantes com idades entre 9-15 anos, sendo 39 raparigas e 45 rapazes. Os participantes eram de Alfândega da Fé, um município altamente rural no distrito de Bragança, ideal para abordar a lacuna rural-urbana na investigação sobre AF. As crianças usaram um acelerómetro num cinto elástico durante sete dias consecutivos (incluindo fins de semana). Verificaram-se diferenças significativas entre os dias de semana e os fins de semana para todos os níveis de intensidade (t = -41,07 a 0,40, p<0,001, d = -0,35 a 0,54), exceto para AF leve. AFMV total e média por hora foram significativamente diferentes entre os dias de semana e os fins de semana (t=5,22, p<0,001, d=0,37). As contagens de passos também mostraram diferenças significativas (t=5,22, p<0,001, d=0,37). Os dias de semana estavam consistentemente associados a níveis mais elevados de AF em comparação com os fins de semana. Estes resultados são particularmente relevantes em contextos rurais, onde os fins de semana oferecem menos oportunidades organizadas de AF.
Emotional intelligence as a cornerstone of palliative care: a narrative review
Publication . Brás, Manuel Alberto; Machado, Dora; Curopos, Lília; Ferreira, Marisa; Beirão, Pedro
Emotional Intelligence (EI) refers to the capacity to recognize and regulate emotions,
both in oneself and in interactions with others, emphasizing self-awareness and subsequently
social awareness, with an emphasis on responsibility, empathy, and compassion [1].
Emotional competence becomes particularly salient within the healthcare context, a field
encompassing the physical, emotional, and social dimensions of the human being. EI plays
a central role in the overall well-being and performance of healthcare professionals, directly
influencing the quality of care delivered. Salovey & Mayer [2] pioneered the concept of EI as
the ability to monitor and regulate emotions to guide thoughts and actions. This competency
is widely acknowledged as essential for effective communication, clinical decision-making,
and the promotion of well-being for both patients and professionals [3-5]. It also serves as a
protective factor against burnout [6,7]. Clinical communication models incorporate emotional
competencies [8] highlight EI’s role in mediating interactions among professionals, patients,
and families in end-of-life care.
Emotional intelligence; Palliative care; Empathy; Professional burnout; Health care providers
Inclusão da pessoa com demência na estrutura residencial para pessoas idosas (ERPI)
Publication . Lourenço, Maria de Fátima Santo; Fernandes, Hélder; Fernandez, Roberto Fernandez; Ana; Ana Isabel
A tendência para o crescimento da população idosa é um dos traços mais salientes da sociedade portuguesa atual. Estima-se que em 2080 o número de pessoas (65 e mais anos) passará de 2,2 para 3,0 milhões, e o índice de envelhecimento em Portugal quase duplicará, passando de 159 para 300 pessoas, por cada 100 jovens, resultado do decréscimo da população jovem e do aumento da população idosa (INE, 2020).
Em Portugal, prevê-se que as demências estejam presentes em dois terços das pessoas mais velhas das estruturas residenciais (Figueiredo, 2016). Este dado é ainda mais relevante se considerarmos que em Portugal as políticas de saúde não têm privilegiado os problemas do envelhecimento, e em particular as questões relativas à saúde mental (Leuschener, 2005).