ESSa - Artigos em Revistas Indexados à WoS/Scopus
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- Satisfação no trabalho e intenção de abandono em enfermagem: a influência do empoderamento profissionalPublication . Gomes, Jacinta; Galvão, Ana Maria; Gomes, Maria José; Moura Ramos, OlgaA satisfação profissional e a intenção de abandono em enfermagem estão fortemente relacionadas com as políticas organizacionais promotoras do empoderamento estrutural e do capital psicológico dos trabalhadores. Avaliar a satisfação no trabalho, a intenção de abandono e o empoderamento profissional em enfermeiros na prática clínica em organizações de saúde; avaliar a associação entre o empoderamento profissional, a satisfação no trabalho e a intenção de abandono dos enfermeiros. Estudo observacional, transversal e correlacional, com abordagem quantitativa. Amostra por conveniência constituída por 308 enfermeiros na prática clínica. Instrumento de recolha de dados constituído por questionário de caraterização sociodemográfica e profissional, Job Satisfaction Survey, Antecipated Turnover Scale, Conditions for Workplace Effectiveness Questionnaire II e Psychological Empowerment Instrument. Participaram no estudo enfermeiros com média de idade de 40,15 anos (±9,38) e que exercem prática clínica há 16,19 anos (±9,30). Aferiu-se uma relação positiva significativa entre a satisfação no trabalho e todas as dimensões do empoderamento profissional (0,2550,088). Para a intenção de abandono, obtiveram-se relações negativas com todas as dimensões do empoderamento estrutural e psicológico (-0,352
- Machine learning classification of consumption habits of creatine supplements in gym goersPublication . Magalhães, Patrícia C.; Encarnação, Samuel; Forte, Pedro; Teixeira, José Eduardo; Monteiro, A. M.; Barbosa, Tiago M.; Pereira, Ana Maria Geraldes Rodrigues; Schneider, AndréThe aim is to identify usage patterns and the main factors that influence creatine supplementation, providing a basis for future educational interventions and recommendations for safe and effective use. The study was applied to gym goers in Bragança, where a QR code for a survey was released. 158 people participated, 65 non-consumers of creatine supplementation (37.34% men; 22.78% women) and 95 consumers (15.19% men; 24.68% women). Five machine learning algorithms were implemented to classify creatine consumption in gym goers: Logistic Regression, Gradient Boosting Classifier, Ada Boost Classifier, Xgboost Classifier. K-folds cross-validation was implemented to validate the machine learning performance. There was an increased proportion of females with considered themselves not sufficiently informed about the creatine effects/side effects (22.2%) in comparison to males (8.47%), p=0.03. The AdaBoost classifier exposed the best overall performance (86%) in classifying overuse of creatine in gym goers based on their Smoke habits (r = 0.33), grams of creatine used per day (r = 0.50) and lack information about the side effects of creatine intake (r = -0.33). The K-folds method validates the results with very good performance (86%). In conclusion, the five machine learning methods employed well characterized the overuse of creatine in gym goers based on smoke habits, grams of creatine per day, and lack information about the side effects of creatine intake.
- Influência do estilo de liderança no empoderamento estrutural de enfermeiros: um estudo transversalPublication . Ramos, Olga Moura; Sá, José Alberto Fernandes Traila Monteiro de; Gomes, Jacinta Maria Pisco Alves; Galvão, Ana Maria; Gomes, Maria JoséAvaliar os estilos de liderança em enfermagem, o empoderamento estrutural de enfermeiros na prática clínica e a associação entre os estilos de liderança e o empoderamento estrutural dos enfermeiros. Método: estudo observacional e correlacional, realizado entre dezembro de 2023 e fevereiro de 2024. Trezentos e oito enfermeiros de organizações de saúde de Portugal responderam à Escala de Avaliação do Estilo Gerencial e ao Conditions of Workplace Effectiveness Questionnaire II. Análise de dados com estatística descritiva e inferencial. Resultados: reportado nível moderado de empoderamento estrutural (16,66±3,88). O estilo de liderança mais pontuado foi o direcionado para as relações (32,31±9,24). Há correlações positivas entre os diferentes estilos de liderança e o nível de empoderamento estrutural. A liderança direcionada para as relações é a que apresenta a correlação mais forte (r=0,446; p=0,000). Conclusão: os estilos de liderança em enfermagem são determinantes na construção de ambientes de prática que facilitam o acesso às estruturas de capacitação.
- 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.
- Validation of the collett-lester fear of death scale with portuguese studentsPublication . Alves Neto, Alexandra Marisa Maia; Félix, Neto; Patrício, Costa; Gomes, Maria JoséThe Collett-Lester Fear of Death Scale (CL-FODS) is a 28-item multidimensional measure assessing fear of death and dying of self and others. This study evaluated the psychometric properties and dimensionality of the Portuguese version in two phases. Phase 1 (P1; December 2018–February 2019) involved 312 students and used Exploratory Structural Equation Modeling (ESEM) to assess validity. Phase 2 (P2; January–March 2024) tested construct reproducibility with 470 students. Participants completed the Portuguese CL-FODS alongside the Social Desirability Scale, Social Anxiety Scale, Loneliness Assessment, and the Depression, Anxiety, and Stress Scales (DASS-21). An abbreviated version (AB-CLFODS) was developed by removing 12 items across subscales: fear of death of self (Items 1, 2, and 4; e.g., "Short life"), dying of self (Items 1, 5, and 7; e.g., "Physical degradation that occurs"), fear of death of others (Items 1, 2, and 3; e.g., "Loss of a loved one"), and dying of others (Items 1, 2, and 7; e.g., "Having to be with someone who is dying"). The AB-CLFODS demonstrated strong reliability, with Cronbach’s Alpha and McDonald’s ω values of .89 in P1 and .90 in P2. Subscale reliabilities ranged from .75 to .87 in P1 and .79 to .85 in P2. In P1, the scale correlated significantly with social desirability (p = .003), stress (p = .031), and social anxiety (p = .017). P2 confirmed significant correlations with all external measures, including loneliness and DASS-21 scores. Construct validity was further supported in P2 by acceptable fit indices, such as normed chi-square, CFI, and RMSEA values. These findings establish the Portuguese AB-CLFODS as a reliable and valid instrument for assessing fear of death and dying, with consistent psychometric properties and construct validity across time, making it suitable for research and clinical applications.
- Determinants of adolescent pregnancy in the municipality of Malanje, Angola: a case-control studyPublication . Aragão, Kalonesse; Sacomboio, Euclides; Teixeira, Cristina; Van-Dúnem, Joaquim; Campos, PauloAdolescent pregnancy is a global public health problem, with some of the highest rates observed in Sub-Saharan Africa. This phenomenon contributes to maternal and neonatal mortality and may result in diverse economic and psychological consequences. Knowledge of its determinants can help decision-makers to design local policies of sexual and reproductive health. Therefore, the aim of this study was to analyze the determinant factors of adolescent pregnancy in the municipality of Malanje, Angola. Methods: A case-control study was conducted from August to October, 2022. A sample of 411 adolescent women (137 pregnant and 274 non-pregnant) was compared in terms of socio-demographic, behavioral, family, and extra-family factors. Descriptive statistics, binary univariate and multivariate logistic analysis were applied, with p-values ≤ 0.05 indicating statistical significance. Adjusted odds ratio (AOR) and the respective 95% confidence interval (95% CI) were obtained. Results: The multivariable analysis showed that a higher risk of adolescent pregnancy was associated with living in a de facto union or being married (AOR = 10.37; 95% CI = 1.05 - 102.83), having 0 - 4 (AOR = 7.40; 95% CI = 1.25 - 43.77) or 5 - 8 years of schooling (AOR = 5.21; 95% CI = 1.25 - 21.77), and a lower risk was related with having a family history of adolescent pregnancy (AOR = 0.30; 95% CI = 0.11 - 0.80) for women aged 15 - 17. For those aged 18 - 19, a higher risk of pregnancy was associated with early sex initiation (AOR = 3.75; 95% CI = 1.05 - 13.43), having multiple sexual partners (AOR = 3.02; 95% CI = 1.23 - 7.44), while a lower risk was related with peer pressure (AOR = 0.35; 95% CI = 0.15 - 0.82). In both groups, the likelihood of pregnancy was significantly increased for irregular or non-use of contraceptive methods. Conclusion: In Malanje, adolescent pregnancy is a multifactorial phenomenon, and preventive strategies must consider the adolescents’ age. Among adolescents aged 15 - 17, early marriages, should be reduced, through the promotion of education and the creation of specific laws. For older adolescents, preventive strategies should be focused on avoiding risky behaviors such as early initiation of sexual activity and multiple sexual partners. Comprehensive sexual education, including knowledge about contraceptive methods should be promoted.
- Efeitos da fisioterapia na função pélvica e qualidade de vida em mulheres com incontinência urinária – uma revisão sistemáticaPublication . Matos, Elisabete; Pires, T; Santos, Fátima; Pires, Patrícia Maria Rodrigues Pereira; Viana, Sara; Viana, RuiIn recent years, pelvic floor physiotherapy, namely pelvic floor muscle training (PFMT) has shown a high importance in women with urinary incontinence (UI), optimizing pelvic function and quality of life (QoL). Objective: Evaluate the effects of pelvic floor physiotherapy on pelvic function and QoL in women with UI. Methods: Computerized search in the databases Pubmed, Scopus, and Web of Science, using the combination of keywords: Physiotherapy; Urinary Incontinence; QoL,in accordance with PRISMA guidelines. The methodological quality was analysed using the Physiotherapy Evidence Database (PEDro) scale. Results: Nineteen articles meeting the eligibility criteria were included with a total of 2253 participants and an arithmetic mean of 8.4/10 on the PEDro scale. PFMT interventions showed positive effects on QoL, as well as in decreasing involuntary urine loss and increasing pelvic floor muscle strength. In addition, PFMT combined with biofeedback, electrotherapy or Pilates training seemed to reveal significant effects. Conclusions: PFMT is an effective treatment for UI in women. PFMT significantly improves QoL in women with UI, a determinant factor for physical, mental, and social conditions.
- Relation between covid-19 infection and vaccine and menstrual cycle changes of portuguese adolescents in higher educationPublication . Anastácio, Zélia; Fernandes, Sara Cerejeira; Alves, Regina; Antão, Celeste; Carvalho, Paula; Ferreira, Silvana Margarida Benevides; Condessa, Maria Isabel CabritaIn a period globally known as long COVID, several post-acute infection sequelae and vaccination effects have been discussed. Objectives: This study aimed to identify the effects of COVID-19 infection and vaccines on the menstrual cycle of adolescents attending higher education and to verify the association between personal health factors and changes in their menstrual cycle after contact with the virus SARS-CoV-2 via infection or via the vaccine. Methods: A cross-sectional study was conducted using a questionnaire for data collection, applied online to Portuguese higher education adolescents aged between 18 and 24. The sample included 401 individuals. The statistical analysis of data was performed using SPSS. Results: More than half of the sample had a COVID-19 infection only once and took two doses of the vaccine. The mRNA Comirnaty 30 μg BioNTech vaccine was administered to 73.1%. The most common menstrual changes were an increase in blood clots, the blood becoming darker, shorter menstrual cycles, scarcer blood flow, and more irregular cycles. Menstrual changes correlated significantly with vaccination but not with infection. Conclusions: This study showed a lower percentage of women affected than other studies carried out closer to the pandemic period, which could mean that the effects are diminishing over time. Thus, adolescents’ menstrual health should be monitored.
- Psychological impact of the Sars-Cov-2 pandemic in university students: a systematic reviewPublication . Ala, Sílvia Maria Fernandes; Campos, Francisco Ramos; Relva, Inês CarvalhoThe objective of this research is to point out studies that describe variables that are associated with the impact of contingency measures resulting from the pandemic on the mental health of university students. A systematic review was carried out, following the PRISMA-P guidelines and PECO approach, the review protocol was registered in INPLASTY. The search was carried out in five databases, from December 2019 to December 2022. A selection process was carried out by title, abstract and full text, according to the inclusion and exclusion criteria. Initially, 27,458 articles were identified, and after eliminating duplicates, applying the inclusion criteria and critical analysis, 11 original articles were selected for qualitative analysis. The sample size was 47,552 participants, the majority of whom were women (68.07%) with an average age of 21.07 years. It was concluded that contingency measures (social isolation, quarantine, distancing) as a measure to prevent the spread of the pandemic had a negative impact on the psychological well-being of university students. Adequate support and research into which interventions can mitigate these risks are essential. We suggest the implementation of psychological interventions, which should be promoted proactively, to minimize negative impacts.
- Envolvimento dos enfermeiros no stewardship antimicrobiano: práticas e experiênciasPublication . Linhares, Sandra Maria Carneiro Delgado; Baptista, GoreteO stewardship antimicrobiano envolve estratégias (plano de ação geral) e intervenções (ações específicas a implementar), com o objetivo de otimizar a prescrição e os resultados clínicos dos antimicrobianos, bem como minimizar efeitos indesejados, como a resistência. A participação dos enfermeiros é crucial neste processo, embora a sua contribuição na gestão antimicrobiana ainda seja limitada. Objetivo: Analisar as práticas de stewardship antimicrobiano realizadas por enfermeiros e identificar fatores que influenciam essas práticas. Métodos: Estudo analítico transversal realizado numa amostra de 182 enfermeiros dos serviços de medicina interna, medicina intensiva e serviços cirúrgicos. Foi aplicado um questionário construído com base em Padigos et al. (2022). Cumpridos os pressupostos éticos. A análise dos dados foi realizada no IBM SPSS Statistics 24.0. Resultados: As práticas mais frequentes entre os enfermeiros incluíram a verificação da duração dos tratamentos antimicrobianos (40,9%), a consulta dos resultados microbiológicos (34,3%) e a discussão com a equipa sobre a mudança do antimicrobiano da via endovenosa para oral (35,6%). A consulta das orientações antimicrobianas do hospital foi realizada algumas vezes pelos enfermeiros (35,5%), assim como a “discussão” com o prescritor para rever a prescrição antimicrobiana (27,1%) e o questionamento sobre a necessidade do antibiótico (31,1%). Os enfermeiros do serviço de medicina interna, nomeadamente os enfermeiros homens, apresentaram uma maior frequência de práticas de stewardship antimicrobiano (p value <0,05). Conclusão: O estudo destaca a necessidade de maior envolvimento dos enfermeiros na gestão de antimicrobianos, sugerindo a criação de protocolos específicos e a