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Percorrer ESSa - Artigos em Revistas Indexados à WoS/Scopus por Objetivos de Desenvolvimento Sustentável (ODS) "04:Educação de Qualidade"
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- Effect of mobility at ICU discharge on mortality and length of post-ICU stay: a retrospective analysisPublication . Mendes, Roberto Gonçalves; Nunes, Manuel Lourenço; Branco, Miguel Castelo; Novo, AndréAdmission to intensive care can be accompanied by significant adverse effects for patients, which last beyond their stay in the unit. Early mobilisation is part of a set of a bundle to minimise these effects and is now unanimously considered to be safe and beneficial. It is therefore important to understand how it is being implemented in practice and what its real benefits are. Aim/Objective To characterise mobility in the ICU and correlate the level of mobility at discharge from the ICU with the results of post-intensive care, namely: length of stay after intensive care and hospital mortality. Methods This was an observational, retrospective study carried out in the Intensive Care Department of a Local Health Unit located in the Portuguese countryside. A quantitative research methodology was used. Results Of the 244 patients included in the sample, 54.5% achieved orthostatism during the ICU stay and 36.5% achieved deambulation. The average length of stay between leaving the ICU and hospital discharge was 8.0 ± 7.5 days. Patients who remained at bed rest at discharge had longer hospital stays than patients who were ambulating (p = 0.014); and patients who performed activities in bed also had longer hospital stays than those who were orthostatic or ambulating (p = 0.026 and 0.002 respectively). Post-ICU mortality was 5.7%, and there was a strong correlation with mobility on discharge from the ICU (p < 0.001), with less mobile patients having a higher mortality rate than expected (odds ratio = 5.13). Conclusions The mobility levels founded in this study are in line with international reality. Patients who achieve higher levels of mobility during their stay in intensive care have shorter hospital stays and lower mortality.
- Nursing degree curriculum: differences and similarities between 15 european countriesPublication . Antão, Celeste; Santos, Bruna; Santos, Nelson; Fernandes, Hélder; Barroso, Bárbara; Mǎrginean, Cristina Oana; Pimentel, Maria HelenaThis study explores the curriculum of Nursing Bachelor’s degrees across 15 European countries, aiming to describe nursing course curricula and admission requirements and to identify differences and similarities in the implementation of the Bologna Process. The research employs a qualitative and documentary methodology, analyzing curricula from selected higher education institutions involved in the Erasmus+ “Innovative Skills for Nurses” project. The findings reveal variations in the duration of training, with some countries adopting 3-year (180 ECTS) programs, while others require 4-year (240 ECTS) programs. Furthermore, discrepancies were found in the balance between theoretical and clinical education, as well as the availability of optional subjects. Countries with longer training programs tend to offer more consolidated practices and greater alignment with Bologna’s principles, fostering better professional outcomes. The study highlights the challenges posed by non-standardized training durations and their impact on mobility and employability of nursing professionals. These findings may inform future discussions on harmonizing nursing education across Europe to ensure consistency in quality and professional competencies.
- Produção científica em enfermagem de reabilitação e exercício físico em Portugal: revisão bibliométricaPublication . Novo, André; Parola, Vítor; Mendes, Eugénia; Preto, Leonel; Martins, Maria Manuela; Schoeller, Soraia DornellesMapear a enfermagem de reabilitação e o exercício físico. Estudo bibliométrico realizado nas bases SCOPUS, MEDLINE (via PubMed) Web of Science e Repositório Científico de Acesso Aberto de Portugal, com utilização do software VOSviewer. Foram aplicadas técnicas de coocorrência de palavras-chave, títulos, análise de coautoria, agrupamento por modularidade e aplicação de leis para validação. Foram analisadas 96 publicações, com 153 autores e 44 colaborações em coautoria. Autores como André Novo, Bruno Delgado e Eugénia Mendes foram os mais produtivos nessa temática. A produção científica aumentou significativamente após 2020. A Revista Portuguesa de Enfermagem de Reabilitação, a Escola Superior de Enfermagem de Coimbra e o Instituto Politécnico de Bragança concentram a maior parte da produção científica. As palavras-chave evoluíram de enfoques clínicos para abordagens integradas de promoção da funcionalidade e autonomia. Foram identificados quatro clusters temáticos. O exercício físico é uma ferramenta central no cuidado de Enfermagem de Reabilitação. Cada vez mais publicações em Enfermagem de Reabilitação colocam-no como estratégia predominante de cuidado. Contribuição para a prática: valorização da prescrição de exercício baseada em evidências científicas por enfermeiros de reabilitação.
- Proposal of preliminary quality Indicators for long-term care institutions: a study in PortugalPublication . Abrunhosa, Susete Coelho; Fernandes, Hélder; Martin, José IgnácioThis study, based on the Donabedian’s model (JAMA, 260(12), 1743–1748, 1988), indentify professionals who spend the most time in care activities and proposes quality indicators for long-term care institutions in Portugal. The increasing complexity of long-term care in Portugal calls for an evaluation system tailored to the country’s clinical, social organizational context. Existing European indicators, developed for different settings, fail to fully capture national specificities. The indicators proposed in this study, incorporating care time, professional roles, and resident profiles, enable a more accurate assessment, support continuous improvement, and guide evidence-based public policies. Indicators were validated through literature review, Delphi consensus, and analysis of residents’ records using descriptive statistics and multiple linear and logistic regressions models (Stepwise and Forward). Structure, presence of an interdisciplinary team, an Individual Intervention Plan and case manager, Nursing Assistant hours and psychosocial care. Process: rate of dependency, use of anti-infective drugs, for the central nervous and cardiovascular systems, and prevalence of pressure ulcers. Outcome: rate of falls, deaths, hospitalizations, bedridden individuals, incontinence and incidence of pressure ulcers. This preliminary study based on Donabedian's model identifies structure, process and outcome indicators to evaluate long-term integrated care. The time spent caring for dependent users, especially in Long Duration and Maintenance Unit, reveals greater complexity. Despite the broad sample and interdisciplinary approach, methodological limitations require further research to validate and adapt the indicators to the portuguese context
- “Sit-to-stand test to assess muscle strength after intradialytic exercises in chronic kidney disease patients: A systematic review with meta-analysis”Publication . Almeida, Klebson da Silva; Costa, Natália Silva; Lima, Bráulio Nascimento; Neves, José Leonardo Dos Reis; Barreto, Luiz Gustavo Pereira; Freitas, Luana de Jesus; Silva, Monique Mesquita; Maneschy, Mariela de Santana; Novo, André; Chiavegato, Luciana DiasChronic kidney patients undergoing hemodialysis (HD) experience a decline in muscle strength and functionality, as musculoskeletal disorders affect both strength and functional capacity. This study aims to evaluate the influence of intradialytic (ID) exercise on the strength and functionality of chronic kidney patients, as assessed by sit-to-stand test, and to identify the most commonly used sit-to-stand protocol. Methods: A search was conducted across eight databases to identify relevant studies published before March 29, 2024. Clinical trials investigating intradialytic exercises and utilizing the sit-to-stand test as an assessment tool were eligible. The risk of bias in individual studies was assessed using the Physiotherapy Evidence Database (PEDro) scale. Mean differences (MD) and 95 % confidence intervals were calculated and pooled in metaanalyses. The quality of meta-analyses was assessed using the Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) approach. Results: A total of 6717 studies were initially identified. After screening,17 articles involving 870 participants, met the inclusion criteria demonstrating acceptable methodological quality, with a mean PEDro scale of 5,23 (+/- 1,56). Despite the lack of robust evidence, this review suggests that the ID exercise improves strength and functionality. Among the various sit-to-stand test subtypes, the 10-repetition sit-to-stand test was found to be the most effective. Conclusion: Despite the low quality of studies, the 10-repetition sit-to-stand test (10-STS) seems to be the most effective for evaluating muscle strength of lower limbs and functionality. ID exercise seems to positively impact muscle strength and, consequently, the functionality of chronic kidney disease patients undergoing HD.
- Volume of exercise performed by heart failure inpatients undergoing cardiac rehabilitation – a quasi-experimental studyPublication . Delgado, Bruno; Lopes, Ivo; Rodrigues, Fátima; Neto, Célia; Pereira, Ana; Novo, AndréHeart Failure inpatients have a significant functional dependence, impairment of performance in activities of daily living and low exercise tolerance... The amount of Exercise is directly related to its benefits and the volume of exercise performed must be adjusted to safety issues. The aim of this study is to evaluate the volume of exercise performed and it’s relation with functional capacity and find a baseline volume level safe and effective. METHODS: Quasi-experimental study involving 72 inpatients who performed an aerobic exercise training program. Volume of exercise was registered in terms of number of cycloergometer turns, meters walked, steps climbed and the total time exercising. Subjective perception of exertion was evaluated in every training session at beginning and in the end. Patients performed two 6-minute walking tests (6MWT). RESULTS: 987 exercise sessions were performed. The majority of the patients were significant impaired: 81.9% are NYHA III and 73.6% present HFrEF. Patients achieved lower levels of perceived exertion throughout the inhospital stay: 6 (±3) (admission) and 2(±2) (discharge). Patients who performed more volume of exercise walked a higher distance in the discharge 6MWT. CONCLUSION: A bigger volume of aerobic exercise is related to a better improvement on functional outcomes. An average of more than 10 minutes per session seems to be more effective in terms of improvement of the functional capacity.