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Millenium : Journal of Education, Technologies, and Health
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  This is an Open Access Journal Open Access journal
ISSN (Print) 1647-662X - ISSN (Online) 0873-3015
Published by Instituto Polit├ęcnico de Viseu (IPV) Homepage  [1 journal]
  • A brief history of the evolution of wound care

    • Authors: Eduardo Santos, Madalena Cunha
      Pages: 9 - 11
      Abstract: The use of dressing material and the options in wound management and treatment are far from a recent reality as they date back
      to antiquity (Shah, 2011; Jones, 2015). Several Egyptian manuscripts dating back to 3000-2500 BC already mentioned dressings
      based on honey, grease, linen threads, bandages, and various types of excreta (Queen et al., 2004; Shah, 2011; Jones, 2015).
      Hippocrates (400 BC) recommended that wounds should be cleansed and dried. Cleansing with warm water, wine and vinegar
      was a common practice (Elias et al., 2009; Afonso et al., 2014).
      PubDate: 2022-07-29
      DOI: 10.29352/mill0210e.27313
      Issue No: Vol. 2, No. 10e (2022)
  • A Seniors’ perspective on social networks, perceived stress and
           quality of life

    • Authors: Sónia Ferreira, Francisco Regalado, Ana Veloso
      Pages: 15 - 25
      Abstract: Introduction: The study of initiatives that promote active ageing is crucial given the global population demography. Objetive: To study the social support networks, stress, and quality of life of participants in the SEDUCE 2.0 project. Methods: Cross-sectional descriptive research, quantitative and qualitative. Data were collected through: Questionnaire Survey for participants’ characterization; Portuguese versions of the constructs Lubben’s Brief Social Network Scale; Perceived Stress Scale; WHOQOL-BREF; and a logbook to record the co-design sessions for miOne community development. The study included 31 participants from two Universities of The Third Age, aged between 56 and 86 years (M= 69.90; SD=7.04). Results: Participants revealed a relevant social support network. The network with whom they feel close enough to call and ask for help, and to talk about personal matters is smaller. The analysis of perceived stress reveals positive results, apart from who felt worried/nervous/stressed. All items of the perceived stress analysis showed positive results, except when a higher percentage reported feeling worried/nervous/stressed. Participants showed a good perception towards all items of the quality of life scale, except for the last question where they reported that they sometimes perceived negative feelings. Conclusion: The participants show a good social support network, good quality of life and low stress levels. The results cannot begeneralised, but it leaves interesting and relevant clues about the older population.
      PubDate: 2022-07-29
      DOI: 10.29352/mill0210e.26586
      Issue No: Vol. 2, No. 10e (2022)
  • Maximization and optimization in sports organizations

    • Authors: António Azevedo, Paulo Eira
      Pages: 27 - 36
      Abstract: Introduction: The importance of the study of organizations as social entities of human development and as fundamental agents of change and evolution, that is, as true institutions, leads to the need for their research in the context of Sport. Objetive: This study aims to analyze the appreciation that sports organizations attribute to the principles of Maximization and Optimization. Methods: Azevedo's institutional analysis questionnaire (2014) was used to assess the degree of agreement of sports communities, and organizations were later characterized in typological quadrants according to Figueiredo's mesoscopic analysis model (2006). The study included 154 respondents, belonging to and distributed by the 24 local sports organizations of Viseu’s district and with different positions in their hierarchical structures. Results: The results reveal significant differences in the valuation attributed to both the Maximize pole and the Optimization pole, as well as the integration of organizations into typologies from 1st to 4th quadrants, according to their preferences. Conclusion: The intentions of sports communities aim to regulate and provide stability to organizational social and sports behavior, so as to be accepted and recognized by their peers.
      PubDate: 2022-07-29
      DOI: 10.29352/mill0210e.26185
      Issue No: Vol. 2, No. 10e (2022)
  • Health literacy in higher education students

    • Authors: Sofia Campos, Manuela Ferreira, Ana Paula Cardoso, Raquel Guiné, Graça Aparício, Paula Nelas
      Pages: 37 - 45
      Abstract: Introduction: Health literacy is defined as the ability to obtain, read, understand and use health information to make informed decisions throughout life, an important social determinant of health equity. Objective: To identify the levels of literacy in the domains of sexuality and addictive behaviors (tobacco and alcohol) among students in higher education. Methods: We developed a quantitative, cross-sectional and descriptive study with a sample of 924 Polytechnic Higher Education students. Results: The students had a mean age of 22 years, 79.8% were female, 89.5% were single and 96.0% were of Portuguese nationality. Of the sample, 76.9% were undergraduate students and 58% were away from their usual residence. Regarding consumption, 74.7% had never smoked. Regarding alcohol consumption, 73.9% had consumed or consume alcohol. About the impact of computer/Internet use on health and well-being, 51.9% reported it sometimes, and 11.3% often. 92.7% stated that they use contraception. Conclusion: The results obtained allow a diagnosis of the training needs of students in the area of sexuality and addictive behaviors, as well as the preparation of a support manual to be made available in open access. It is expected to contribute to improving the levels of health literacy, disseminating materials that can be used to enable and empower students to make decisions and promote health-promoting behaviors.
      PubDate: 2022-07-29
      DOI: 10.29352/mill0210e.25529
      Issue No: Vol. 2, No. 10e (2022)
  • Experiences of medicine and nursing students with the problematization

    • Authors: Joyce Fernanda Soares Albino Ghezzi, Alessandra Minervina dos Santos Lopes, Elza de Fátima Ribeiro Higa, Monike Alves Lemes, Carlos Alberto Lazarini, Maria José Sanches Marin
      Pages: 47 - 55
      Abstract: Introduction: Seeking to meet the assumptions of the National Curriculum Guidelines, active learning methodologies are proposed, since they place students as a central figure in the learning process while the teacher assumes the role of mediator and encourager. Objective: To describe the experiences of Medicine and Nursing students inserted in professional practice under the logic of problematization. Methods: Qualitative research carried out through semi-structured interviews with students of Medicine and Nursing of an HEI, in the year 2018. Data were analyzed using the technique of content analysis in the thematic modality and discussed in the light of the problematization. Results: Data were categorized into three themes: problematization in the professional practice scenario; the influence of the facilitator on the applicability of the problematization; fragilities of problematization in the scenario of professional practices. Conclusion: According to the students, the articulation between theory and practice is favored by the practical scenario. However, the facilitator and the link with the health unit significantly influence student performance.seeking to meet the assumptions of the National Curriculum Guidelines, active learning methodologies are proposed for such, as they place students as a central figure in the learning process and the teacher assumes the role of mediator and encourager.
      PubDate: 2022-07-29
      DOI: 10.29352/mill0210e.26086
      Issue No: Vol. 2, No. 10e (2022)
  • Risk management in the local housing strategy

    • Authors: Sónia Palmeirão Bidarra, Rute Abreu, Cecília Rosa
      Pages: 59 - 67
      Abstract: Introduction: In Portugal, local housing strategies (LHS) have a municipal framework, with different levels of application of urban, territorial, social, and economic policy instruments and, thus, the answer is holistic in view of the housing problems of households, specifically, conditioned by poverty, aging, social exclusion, unemployment, and abandonment of territories. Objective: Study the application of the LHS, identifying the management of risks that must be mitigated in order to allow citizens access to decent housing Methods: A theoretical analysis focused on the review of literature associated with LHS, legislation and regulations, in Portugal and in the European Union and an empirical analysis focused on an exploratory descriptive analysis of the statistics associated with the citizen's “financial need situation”. Results: They highlight the risks inherent in HLT, which citizens face in order to enjoy decent housing. Conclusion: Risk management within LHS present good practices developed, often applied in strict compliance with the law, regulations, and standards, demonstrate that the stakeholders promote true social responsibility strategies, undoubtedly recognized as crucial to promote economic success, social innovation, well-being, and the quality of life of the citizen.
      PubDate: 2022-07-29
      DOI: 10.29352/mill0210e.23914
      Issue No: Vol. 2, No. 10e (2022)
  • Evolution of land use environmental impact of eucalyptus globulus in the
           context of life cycle assessment

    • Authors: José Vicente Ferreira, Bruno Esteves, Idalina Domingos
      Pages: 69 - 75
      Abstract: Introduction: The eucalyptus globulus forest area in Continental Portugal has shown a systematic increase over the last 50 years. In 20015 it was the species with the highest forest land occupation representing 26.2% of the total Portuguese forest area. Although between 2005 and 2015 the occupation of the soil by eucalyptus globulus had grown about 7.5%, the existing volume increased slightly 0.2%. The wildfires had a strong impact on this with a total burnt area of 1.1 million hectares during this period. Objective: Due to its economic value (national leader in exports of high added value) and social (contributes to the generation of thousands of jobs) this study aims to assess the evolution of the environmental impact of eucalyptus globulus on the land use between 2005 and 2015. Methods: The life cycle assessment methodology is followed and the ILCD 2011 Midpoint+ method available in the SimaPro software was chosen to assess the land use environmental impact. Results: Land use impact category of 1 m3 of eucalyptus globulus trees, standing, in forest, was 21832 Kg C deficit in 2005 and 23430 Kg c deficit in 2015 that means an increased about 7.3% during this period. Conclusion: Transformation to forest road (from natural forest) is the process that most contributes for the land use impact with approximately 78%. Forest occupation is the second most important process representing about 19.5% of the total impact category and forest road occupation represents only 3%.
      PubDate: 2022-07-29
      DOI: 10.29352/mill0210e.24485
      Issue No: Vol. 2, No. 10e (2022)
  • Nanoparticles for the treatment of the alzheimer’s disease

    • Authors: Luísa Cruz Lopes, Ana Lopes, Maria Escudeiro, Cláudia Duarte, Rafaela Ferreira, Francisco Graça, Isaura Silva, Bruno Esteves
      Pages: 77 - 92
      Abstract: Introduction: Alzheimer's Disease is a primary neurodegenerative pathology of unknown etiology and influenced by several factors with characteristic neuropathological and neurochemical features. Currently, drugs approved for the treatment of this disease only allow to relieve symptoms and are accompanied by several side effects. Nanotechnology appears as an alternative for the treatment of Alzheimer's, as it offers many advantages to modern medicine allowing a non-invasive and targeted diagnosis and treatment, reducing adverse reactions and systemic effects. Objective: The article aims to recognize the potential of using nanoparticles in the treatment of Alzheimer's Disease, identifying the most promising treatments and their possible side effects. Methods: A narrative bibliographic review based on consulting databases such as Science Direct, Web of Science, PubMed and Scielo. Results: Gold nanoparticles are capable of crossing BHE, carrying essential drugs to inhibit the aggregation of Aβ peptides, as well as dissolve pre-existing fibrilla. Biodegradable and biocompatible polymers, such as polyglycolic polylactide (PLGA), are a promising and safe approach and have been widely used. The best techniques are those that guarantee that nanoparticles are capable of crossing the BHE, reach their therapeutic target, as well as guarantee that these particles do not induce toxic effects in the body. Although nanoparticles are able to treat some diseases efficiently, little is known about their side effects, they may or may not be more harmful to the body than the disease they intended to treat. Conclusion: There are several promising therapeutic approaches, but none has yet been approved, since it is difficult to maintain adequate drug concentrations in the intraneuronal space. Establishing the toxic dose is necessary for the approved use of a nanoparticle in a treatment, but it is almost impossible to predict its cytotoxic effects in extraneuronal regions.
      PubDate: 2022-07-29
      DOI: 10.29352/mill0210e.26245
      Issue No: Vol. 2, No. 10e (2022)
  • Environmental impact assessment of the waste management in a countertop
           production based on LCA approach

    • Authors: Luiza Fernandes Carneiro da Silva, Maria Silva, Isabel Brás, Idalina Domingos, Dulcineia Wessel, José Ferreira
      Pages: 93 - 100
      Abstract: Introduction: Consumerism has led to an increase in environmental problems, and for this reason, sustainable solutions must be the priority when designing new products or services. Life Cycle Assessment (LCA) is one of the most important analytical tools available for choosing the best decision when it comes to sustainability. Objective: The focus of this study was to apply an LCA to the management of wastes from a kitchen/bathroom countertop production. The waste management scenarios studied were landfill (current practice) and waste recycling. The panel consists of a ceramic layer on a lamellar panel substrate, formed by glassliner and PVC, which is intended to be resistant to water, scratches and impacts. The residues generated from the panel production are glassliner and PVC plastics and ceramics. Methods: The LCA methodology was followed and the EPD 2018 method available in the SimaPro software was chosen to quantify the environmental impacts of waste management. The environmental impact categories studied were eutrophication, global warming, photochemical oxidation, ozone layer depletion, abiotic depletion and acidification. Results: The results showed that the two plastic wastes are the main contributors to acidification, eutrophication and global warming. However, for photochemical oxidation and water scarcity, the ceramic component residue is the main contributor. Comparing the two scenarios, waste recycling reduces the impacts in all environmental impact categories, in comparison with landfill. Conclusion: Recycling the residues from the production of panels brings improvements in environmental impacts in all categories analyzed.
      PubDate: 2022-07-29
      DOI: 10.29352/mill0210e.25165
      Issue No: Vol. 2, No. 10e (2022)
  • Specific instruments for measuring the person's quality of life after
           acute myocardial infarction

    • Authors: Ricardo Loureiro, Joana Bernardo, Hugo Loureiro, Elaine Santana, Rosa Silva
      Pages: 103 - 109
      Abstract: Introduction: Considering the growing importance of the person's quality of life, the scientific community is incessantly focusing on the best measurement instruments. In this regard, one of the points of current research is in cardiovascular diseases, where we include acute myocardial infarction. Objective: With this investigation, we aim to map the specific instruments for measuring and evaluating quality of life and the dimensions integrated into them, aimed at the person diagnosed with an acute myocardial infarction, constituting the purpose of this scoping review protocol. Methods: A scoping review will be prepared according to the methodology proposed by the Joanna Briggs Institute. In parallel, the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for scoping reviews) methodology will be used. The research strategy will aim to integrate published and unpublished studies. Results: Data will be extracted by two independent reviewers, using a pre-defined instrument, which can be adapted during the process. The research will be carried out without establishing any time horizon and will include publications in Portuguese, Spanish and English, regardless of the geographic area where they were developed. Conclusion: It is essential to map specific instruments for measuring the person's quality of life after acute myocardial infarction, given the complexity of care instituted by the multidisciplinary team, and the specific care that this pathology demands.
      PubDate: 2022-07-29
      DOI: 10.29352/mill0210e.27103
      Issue No: Vol. 2, No. 10e (2022)
  • E-learning training in communication skills in physical therapy students

    • Authors: Leonor Almeida Santos, Rute Meneses, Germano Couto, Cristina Costa Santos
      Pages: 111 - 121
      Abstract: Introduction: The therapeutic process requires from the physiotherapist skills beyond those of technical mastery. Health communication skills, proven to be in continuous development since the initial stage of training, determine the importance of their pre-graduate teaching. Objetive: To evaluate the effectiveness of a health communication skills training program for physical therapy students. Methods: Quasi-experimental study. Thirty-four physiotherapy students from Escola Superior de Saúde- Fernando Pessoa participated. Application of the scales Interpersonal Reactivity Index (IRI) and Patient-Practioner Orientation Scale (PPOS) pre and post intervention; e-learning training, structured in eight modules in asynchronous and synchronous sessions, a total of 16 hours. Results: There was a statistically significant increase in the Sharing component of the PPOS in female participants. There was a decrease in the total IRI, with an increase in cognitive empathy and affective empathy, as well as an increase in the total PPOS and in both subscales (Sharing and Caring), although without statistical significance. The use of the Moodle® platform was considered "very easy" by 79% of the participants and 50% considered that the online format "totally" facilitated learning. Conclusion: The search for alternatives to avoid the decrease of empathic communication is urgent. The difficulty of the practical components suggests that a mixed model, in b-learning format, may be an option to e-learning in the teaching of clinical/health communication skills in physiotherapy students.
      PubDate: 2022-07-29
      DOI: 10.29352/mill0210e.26913
      Issue No: Vol. 2, No. 10e (2022)
  • Knowledge of the person with Inflammatory Bowel Disease (IBD)

    • Authors: Dília Lopes, Manuela Peralta, Marta Vidal, Abel Cavaco, Andréa Marques
      Pages: 123 - 129
      Abstract: Introduction: The person with chronic disease is challenged to a continuum of adaptation to the new health-illness condition. The lack of knowledge is a barrier to the incorporation of therapeutic regimes, often complex ones, in their daily lives, and nurses play a facilitating role in the transition process Objetive: Assessing knowledge about the pathology in people with IBD. Methods: This is a descriptive, correlational and cross-sectional study, with a quantitative approach and convenience sampling. As a data collection method, we used an inventory entitled "Inflammatory Bowel Disease Knowledge (IBD-KNOW)", after translation and adaptation to Portuguese. Data analysis was performed using the SPSS® version 23 operating system. Results: The average correct response rate to the IBD-KNOW was 57.1%. In the reproduction" and "function" obtained the lowest values of correct answers, respectively 25.4% and 32.4%. correct answers, respectively 25.4% and 32.4%. There was a strong positive correlation between knowledge of IBD and age at diagnosis (r=0.717, p<0,02), a moderate negative correlation moderate negative correlation between IBD knowledge and education level (r= -0.513, p<0,01) and a weak negative correlation between the degree of knowledge and the age of people with IBD (r=-0.201, p<0,017). Male persons have lower knowledge about IBD (H=1936, p<0,017), employment status has no influence on the level of knowledge about IBD (p>0,7). Conclusion: Most patients do not demonstrate knowledge about IBD, nor do they show adherence behaviors. It is becoming urgent to empower patients for therapeutic self-care with the implementation of the Nursing Consultation
      PubDate: 2022-07-29
      DOI: 10.29352/mill0210e.26626
      Issue No: Vol. 2, No. 10e (2022)
  • Health and environment in the academic scenario from the teenagers’

    • Authors: Sabrina Alaide Amorim Alves, Italla Maria Pinheiro Bezerra, Edilma Gomes Rocha Cavalcante, Grayce Alencar Alburquerque, Maria do Socorro Vieira Lopes
      Pages: 131 - 139
      Abstract: Introduction: Discussions around the relationship between health and the environment in the school context open spaces to sensitize the adolescent population regarding the development of educational actions aimed at prevention and health promotion that reinforce their socio-environmental commitment. Objetive: To know the perception of adolescents about the relationship between health and the environment in the school environment. Methods: Descriptive study, with a qualitative approach, carried out with adolescents from a high school in the state of Ceará. Thirteen adolescents participated, data were collected through semi-structured interviews and analyzed using the content technique. Results: Three thematic categories were originated related to the adolescents' perception of the discussed theme, the relationship between health and the environment, themes, Environmental Health in the school context. Approach to health and environment education practices, valuing issues related to pollution, deforestation, climate change and urbanization. Conclusion: It encourages the need to include the theme of environmental health in educational practices, allowing the expansion of reflections that can make the adolescent autonomous in terms of carrying out behaviors that minimize the risk to health and favor actions to promote health.
      PubDate: 2022-07-29
      DOI: 10.29352/mill0210e.26068
      Issue No: Vol. 2, No. 10e (2022)
  • Advantages of a shared nursing information system

    • Authors: Ana Monteiro, Filipa Costa, Helena Soares, Manuela Cardoso, Sandra Pereira
      Pages: 141 - 149
      Abstract: Introduction: Information systems are increasing prominent in institutions, as they become a primary resource in the management of health services and action strategies. One of the main goals of health information systems is to promote continuity of care, for which it is necessary to fulfill the requirements and the contents that enables its interoperability between the various intervening. Objetive: Understand the existing evidence regarding the advantages of a shared information system in nursing. Methods: A literature review was carried out, using the platform EBSCOhost with the search for the keywords “shar* information” present in the title AND “nursing” present in the abstract. Results: The existence of a shared information system has advantages to the patient, to the caregiver and to health professional, which includes improving communication between health professionals and patients/caregivers and the possibility of keeping them informed about their condition, promoting their literacy and ability to adhere to the treatment plan, as well as the adherence to healthy behaviours. Conclusion: The existence of a quality information system, made available in a simple, uniform and secure way, allows access to health data in a controlled manner, both by health professionals and citizens, facilitating the monitoring of health status.
      PubDate: 2022-07-29
      DOI: 10.29352/mill0210e.25290
      Issue No: Vol. 2, No. 10e (2022)
  • Nursing care during inter-hospital transport of the critically ill patient

    • Authors: Elisabete Fernandes, João Infante, Mauro Mota, Olivério Ribeiro
      Pages: 151 - 167
      Abstract: Introduction: The inter-hospital transport of the critically ill patient is one of the most delicate care moments, during which it is necessary to maintain the support of vital functions, which begins with its preparation, until the moment the patient reaches the final destination. Objective: To identify the nurses' role and map the autonomous and/or interdependent interventions performed by nurses in the inter-hospital transport of critically ill patients. We also intend to identify the specific training that nurses have which enables them to perform inter-hospital transport. Methods: This Scoping Review followed the Joanna Briggs Institute’s methodology and intended to list published and unpublished studies on inter-hospital transport of critically ill patients, from 2001 in English, Portuguese, French and Spanish. The analysis of the studies was made by two independent reviewers. Results: The results of the research were grouped and explore the following data: author; year of publication; country; objectives of the studies; methods; population studied; training of nurses; administered interventions; nurses' skills and outcomes. Conclusion: The role of nurses in the inter-hospital transport of critically ill patients goes beyond the application of nursing techniques; their greatest contribution is related to the management of the clinical process, applying their technical knowledge, but also their personal skills are important to ensure the care and well-being of the patient.
      PubDate: 2022-07-29
      DOI: 10.29352/mill0210e.27052
      Issue No: Vol. 2, No. 10e (2022)
  • Case study on complex wound (Vasculitis)

    • Authors: Maria Clara Lourenço, Eulália Sofia Ferreira Dias, Jacinto Marques Costa, Sandra Conceição Reis Pádua Cruz, Idália Maria Monteiro Silva
      Pages: 169 - 175
      Abstract: Introduction: Vasculitis are vascular inflammatory processes that determine functional and structural damage to the vessel wall. Wounds associated with vasculitis are complex (CF) and arise with inflammatory involvement of blood vessels or by immunosuppression Objective: This case study was intended to understand the evolution of this CF Methods: Descriptive and observational study of an 82-year-old female patient with CF as a secondary alteration of vasculitis. It was an intentional convenience sampling based on a structured interview and direct observation. Monitoring of the clinical situation at different times of outpatient treatment was performed using the EQ5D5L and RESVECH 2.0 scales. Results: Through the analysis of the EQ-5D-5L scale, we found that during the application of the TLC-NOSF healing matrix, the patient reported a decrease in pain, being able to start the usual activities such as walking, taking a shower, reading, making lace, and watching TV. Improved QOL in General was demonstrated, especially in the Pain and Malaise dimension, with a decrease in the score (EQ5D5L) from 18 to 5. We can prove by analyzing the RESVECH 2.0 scale applied in five moments that the wound evolved favorably. It is also noteworthy that the signs of infection significantly reduce within 15 days. There is total healing at 58 days with a decrease in the score from 26 to 2. Conclusion: We conclude that a CF with an area of 20 cm healed completely after 58 days, and the patient remained pain free during treatment. More studies are needed, with the mobilization of sensitive assessment instruments and a larger number of participants for more robust results.
      PubDate: 2022-07-29
      DOI: 10.29352/mill0210e.25025
      Issue No: Vol. 2, No. 10e (2022)
  • Satisfaction with life perceived by the elderly

    • Authors: Eunice Nogueira, Rosa Martins, Nélia Carvalho, Susana Batista
      Pages: 177 - 184
      Abstract: Introduction: Successful aging has been shown to be strongly associated with life satisfaction perceived by the elderly. Objective: To identify levels of satisfaction with life in the elderly (institutionalized and domiciled) and to analyze factors associated with this satisfaction. Methods: Quantitative, descriptive and correlational study. It involved a non-probabilistic convenience sample, consisting of 126 elderly people (65 residents at home and 61 institutionalized). A questionnaire was used that included: sociodemographic and contextual data, the Family Attachment scales and the Satisfaction with Life scale. Results: The sample was mostly female, with an average age of 75.29 years, with a marital status of widowhood and with low educational qualifications. They were mostly retired and had limited economic resources. Life satisfaction was high for 41.6%, low for 32.0% and moderate for 26.4%. The most satisfied elderly with life live in their own home, resorted to religious practices, practiced regular physical activity and perceived functional families. On the other hand, gender, age, marital status, education, economic status and the amount of the pension were independent of that satisfaction. Conclusion: This study reinforces the assumption that life satisfaction in most elderly people ranges from moderate to high and is correlated with some psychosocial variables. Thus, it is imperative that Nurses develop therapeutic and educational intervention programs aimed at promoting life satisfaction for the Elderly.
      PubDate: 2022-07-29
      DOI: 10.29352/mill0210e.26873
      Issue No: Vol. 2, No. 10e (2022)
  • A nursing case management program in liver transplant – the
           screening criteria

    • Authors: Liliana Mota, Fernanda Bastos, Alice Brito
      Pages: 185 - 192
      Abstract: Introduction: Liver transplant is the last treatment in a situation of liver disease at an advanced stage. The case management is an important program in the promotion of the success of the liver transplant. Objective: To define the criteria of the screening phase for inclusion of a nursing case management program in patients who underwent a liver transplant. Methods: Longitudinal qualitative study via multi-case studies. We include six patients who underwent a liver transplant. Four participants are male, with an average age of 45 years. Data were collected through document analysis of the clinical process, participant observation and non-structured interviews. The data analysis was based on Strauss and Corbin’s Grounded Theory. Results: We identified nine criteria of the screening phase: problematic or difficult experiences during the health/disease transition, lack of confidence in providers, socioeconomic problems, prolonged hospitalization, previous history of non-adherent therapeutic regime, excess or lack of health services’ use, lower family support, psychiatric disease and symptoms of the disease. Conclusion: With the identification of these criteria, we may include the patients in a case management program and implement nursing therapeutics in response to their specific needs. This study is an important contribution to the clinical practice of nurses because it allows identifying the cases that are especially vulnerable, anticipating the patient’s needs/difficulties in the health/disease transition process, and implementing therapeutics in response to the patients’ real needs.
      PubDate: 2022-07-29
      DOI: 10.29352/mill0210e.25961
      Issue No: Vol. 2, No. 10e (2022)
  • Nursing interventions implemented in the emergency department for acute
           stroke victims

    • Authors: Ana Catarina Ferreira, Inês Filipa Silva , Mauro Mota, Olivério Ribeiro
      Pages: 193 - 210
      Abstract: Introduction: The cerebrovascular accident (CVA) is a medical emergency with a negative impact on people's lives. Interventions administered in the Emergency Service, in addition to being decisive to minimize late complications resulting from stroke, favor the quality of care provided to the person in the most acute phase of the clinical condition. Objective: To map the nursing technologies implemented for adult victims of acute stroke, in the context of the Emergency Service. Methods: A Scope Review was carried out according to the Joanna Briggs Institute methodology. Search strategy defined in PubMed, CINAHL, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, JBI Database of Systematic Reviews and Reports, SciELO, LILACS and BDENF – Nursing databases. Two independent researchers performed a selection of studies, extraction and data synthesis, based on the objectives and defined research questions. The results are found using a diagram (PRISMA flow diagram), evidence tables and a narrative. Results: Articles with defined eligibility criteria, published between 2011 and 2021, were included. They resulted from quantitative and qualitative studies, literature reviews and scientific statements based on guidelines. Effective nursing actions implemented for the victim of acute stroke in the context of the Emergency Service were mapped. Initial, screening, activation of rapid response stroke protocols, stroke risk assessment, stabilization, monitoring, invasive nursing procedures, administration of intravenous treatment, preparation and follow-up to carry out assessment of invasive medical tests and procedures, detection early complications, transfer/transfer of care, collaboration in the distance care service, and interventions in the domain of quality, as being nursing practices implemented in the Emergency Service for the victim of acute stroke. The nursing team plays a preponderant role in the care of people with acute stroke in the context of the Emergency Service. The early recognition of stroke signs and symptoms is crucial for assistance, prompt and adequate treatment and, consequently, the survival of the person victim of an acute stroke. Conclusion: Continuing education, implementation of protocols based on scientific guidelines and research studies will contribute to a better nursing practice in the care of acute stroke victims in the Emergency Service.
      PubDate: 2022-07-29
      DOI: 10.29352/mill0210e.25885
      Issue No: Vol. 2, No. 10e (2022)
  • Clinical supervision of nursing students in nursing homes

    • Authors: Sofia Peixoto, Ana Paula Ferreira, Andreia Dias, Margarida Reis Santos
      Pages: 211 - 221
      Abstract: Introduction: The global demographic aging will determine an increasing number of people with long-term care needs, particularly in nursing homes. It's hard and re contextters for these. It is important for nurses' supervisors to have competences in gerontogeriatric nursing, to be a positive influence on nursing students. Objective: To analyze the teaching factors, the teaching practices of clinical teaching in relatives of the elderly to contribute to the improvement of the quality of supervision practices in these environments. Methods: An integrative literature review, carried out in the content aggregator of the Virtual Library of the Escola Superior de Enfermagem do Porto and in the Trip Medical Database, in a temporal strategy between 2014 and October 2021. Data were extracted using a table, which helped in the content analysis. Results: Of the 53 articles identified, 9 studies were included in this review. From the data synthesis, the following factors emerged: the student's characteristics, the teaching-learning context, the supervisory relationship and the clinical teaching equipment. Conclusion: Initial training is maximized as learning experiences in this sector, due to the recognized potential of these environments, with a view to a personal description of the qualified contexts for this sector.
      PubDate: 2022-07-29
      DOI: 10.29352/mill0210e.26603
      Issue No: Vol. 2, No. 10e (2022)
  • Health benefits for pregnant women followed by nurse-midwives versus
           family doctors

    • Authors: Germano Couto, Carolina Ferreira, Isabel Oliveira
      Pages: 223 - 231
      Abstract: Introduction: Pregnancy is a time of great emotions and new challenges that all women go through differently. Women choose different health care professionals to monitor their pregnancy. Therefore, it is essential to explore the benefits of monitoring the pregnancy by a nurse-midwife, promoting adherence to this follow-up model. Objective: To identify the benefits of monitoring pregnancy by nurse-midwives compared with family doctors. Methods: Integrative literature review in which six articles were included and thoroughly analyzed to respond to the outlined objective. The initial search covered the period from 2015 to 2021 and used the keywords ‘Prenatal care’, ‘nurse-midwives’, and ‘childbirth’. 393 articles were retrieved and reduced to six considering inclusion criteria. The integrative review was descriptive and focused on extracting the findings that answered the research question. Results: Several benefits of monitoring pregnancy by a nurse-midwife compared to the same monitoring by a family doctor have been identified were identified: a decrease in the rate of cesarean sections, an increase in spontaneous vaginal births, a reduction in premature births, a reduction in interventions performed during childbirth, and an improvement in the emotional health of pregnant women. Conclusion: These results identify the potential benefits of physiological pregnancy monitoring by obstetric nurses compared with family physicians, which can help pregnant women make an informed and conscious decision about following their pregnancy, taking into account the gains for their health and their newborn. Health managers can also use these results to improve human resource management.
      PubDate: 2022-07-29
      DOI: 10.29352/mill0210e.26395
      Issue No: Vol. 2, No. 10e (2022)
  • Hemostasis of the radial artery after coronary angiography

    • Authors: David Rodrigues, César Teixeira, Vitor Parola, Paulo Marques
      Pages: 223 - 231
      Abstract: Introduction: Nowadays, a great number of interventional cardiology procedures are made via radial artery, which has increased the variability of hemostasis methods, devices, and protocols. Objective: The focus of this scoping review is to map the literature on hemostasis of the radial artery after coronary angiography. To date, no previous reviews addressing this purpose have been found. Methods: This review follows the Joanna Briggs Institute methodology for scoping reviews. Two reviewers will independently perform the study selection regarding their eligibility. Data extraction will be accomplished using a researcher's developed tool to address the objectives and reviews questions. Any disagreements arisen between the reviewers will be resolved by discussion or consulting a third reviewer. Data synthesis will be presented in tabular form and a narrative summary that align with the review's objective. Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension to scoping reviews guidelines will be used to report the results. A set of relevant electronic databases and grey literature will be searched. Results: Mapping the evidence will contribute to identifying the focus of the study, the hemostasis of the radial artery after coronary angiography. Conclusion: It is expected that this review serves as a support to the development of future studies that will improve daily practice.
      PubDate: 2022-07-29
      DOI: 10.29352/mill0210e.26518
      Issue No: Vol. 2, No. 10e (2022)
School of Mathematical and Computer Sciences
Heriot-Watt University
Edinburgh, EH14 4AS, UK
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