Olga Valentim

Objetivo: avaliar a QV dos estudantes de enfermagem em escolas superiores de enfermagem portuguesas. Método: estudo descritivo, transversal. A amostra deste estudo foi composta por 204 estudantes de ambos os sexos, matriculados nos 4 anos do curso de licenciatura em enfermagem. Recorreu-se ao instrumento SF-36 v2 para medição da qualidade de vida. Resultados: Os domínios da QV com maior pontuação foram a função física e desempenho físico. As pontuações mais baixas foram encontradas na vitalidade e saúde mental. A componente física da QV está sobretudo associada a níveis mais elevados de desempenho físico e função física. Uma pontuação mais elevada na componente mental da QV está associada a níveis mais elevados de saúde mental, desempenho emocional, vitalidade e função social. Os estudantes mais novos apresentaram uma pontuação mais alta na função física. Os estudantes casados apresentaram maior pontuação no domínio do desempenho emocional. Os estudantes sem filhos apresentam uma ma...

ABSTRACT Purpose The revised Illness Perception Questionnaire (IPQ-R) is an instrument used to evaluate illness perceptions. The IPQ-R uses components of Leventhal’s self-regulatory model of illness representation. It has been used broadly in different contexts and cultures, presenting variable psychometric properties. The purpose of this study was to evaluate the reliability and validity of the Portuguese version of the IPQ-R in patients with Alcohol Use Disorder (AUD). Methods Methodological study. The sample consisted of 304 inpatients with AUD. Data collection took place from February 2018 to January 2019. The validity and reliability of the instrument were evaluated using exploratory factor analysis and Cronbach’s alpha coefficient. Results Cronbach’s α values were consistently higher than 0.57. Factor analysis of the IPQ‐R items revealed that the Portuguese version reflects the original structure. The seven-factor construct explained 68.56% of the total variance. Conclusion The IPQ-R showed statistically satisfactory levels of reliability and validity. In psychiatric and mental health nursing, the use of the IPQ-R can be suggested for planning personalized care, which involves recognizing and addressing illness perceptions among people with AUD. Further work is needed to develop the confirmatory factor analysis of the IPQ-R.

Objective: to evaluate the psychometric properties of the Social Support Satisfaction Scale in people with schizophrenia. Methods : psychometric study, with a convenience sample, consisting of 282 people diagnosed with schizophrenia. The psychometric properties: validity (construct, criterion) and reliability (Cronbach's α) of the Social Support Satisfaction Scale in people with schizophrenia were evaluated. WHOQOL-Bref was used for criterion validity. Results: the Social Support Satisfaction Scale presented four distinct dimensions of satisfaction with friends (α=0.88), satisfaction with family (α=0.89), intimacy (α=0.72) and social activities (α=0.77), being associated with health-related quality of life. Conclusions: the scale of satisfaction with social support has similar psychometric properties to the original, being valid and reliable when applied in people with schizophrenia. Thus, it is valid for use in this population both in the clinical context and research. Keywords: social support; schizophrenia; validation studies; psychometrics; nursing.

Introdução: Com o crescimento da população reclusa nos estabelecimentos prisionais, e a consequente, privação destes ao mundo exterior deve existir uma preocupação acerca da sua saúde mental. Os problemas de saúde mental em contexto prisional resultam em catalisadores de forte perturbação do enquadramento institucional. A reclusão parece levar ao aumento dos níveis de stresse e ansiedade, dado que o recluso se depara com um conjunto de potenciais stressores, designadamente: a privação de liberdade, a pressão e interação exercida pelos pares no contexto prisional, a falta de suporte social, a escassez de estratégias adaptativas ao novo contexto e ainda a diminuição da qualidade de vida relacionada com a saúde. Os objetivos: foram: a) avaliar o status de saúde mental e os níveis de coping resiliente das pessoas em reclusão; b) analisar a qualidade de vida relacionada com a saúde; e c) estabelecer a relação entre o status de saúde mental e o coping resiliente. Metodologia: Estudo descr...

Background: Person- and family-centered care is one of the recommendations to achieve quality of care and patient safety. However, many health professionals associate the family with insecurity in care. Objective: To analyze, based on nurses’ statements, the advantages and disadvantages of the family’s presence in hospitals for the safety of hospitalized patients. Methods: This was a qualitative interpretative study based on James Reason’s risk model, conducted through semi-structured interviews with 10 nurses selected by convenience. A content analysis was performed using Bardin’s methodology and MAXQDA Plus 2022 software. Results: We identified 17 categories grouped according to the representation of the family in patient safety: The family as a Potentiator of Security Failures (7) and Family as a Safety Barrier (10). Conclusions: The higher number of categories identified under Family as a Safety Barrier shows that nurses see strong potential in the family’s involvement in patien...

Evidence 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 te...

Resumo Introdução: O consumo de substâncias psicoativas pelos jovens tornou-se uma questão inquietante para a enfermagem. Sabendo que a Literacia em Saúde (LS) é a capacidade das pessoas adquirirem conhecimento de modo a tomarem decisões relativamente à prevenção da doença e promoção de saúde, surgiu a questão: qual a relação entre a LS e o consumo de substâncias psicoativas nos jovens? Objetivos: Caracterizar a LS, o consumo de substâncias psicoativas e a sua relação. Metodologia: Estudo exploratório, descritivo e correlacional. Amostra de conveniência com 103 jovens. Instrumentos: Questionário sociodemográfico, Escala de Literacia em Saúde e Alcohol, Smoking and Substance Involvement Screening Test. O tratamento de dados foi realizado através do SPSS 25. Resultados e discussão: Amostra maioritariamente do sexo feminino (82,5%) e estudantes (62,1%), cuja média de idades é 21,05 anos. As substâncias mais consumidas são o álcool (75%), o tabaco (50,5%), a cannabis (35%) e as benzodia...

Background: Person and Family Centered Care (PFCC) has demonstrated important contributions to health care outcomes. However, in response to the need for safety due to the pandemic COVID-19, measures were taken to restrict hospital visits. So, the aim of this study was to understand the healthcare experience of family members of patients hospitalized during the pandemic period regarding safety and person- and family-centered care. Methods: Qualitative interpretative study, conducted through semi-structured interviews with six family members of people hospitalized during the pandemic period. Content analysis was performed using Atlas.ti software version 22 (Berlin, Germany) and Bardin’s methodology. Results and Conclusions: Restrictions on hospital visits due to the pandemic of COVID-19 have led to a distancing of families from the hospital setting and influenced healthcare practice, making it difficult to involve families in the care process. In some cases, healthcare professionals ...

INTRODUÇÃO: O sentido de humor tem sido estudado como uma estratégia para lidar com adversidade, sendo considerado um importante mecanismo de coping, utilizado em situações de stress. OBJETIVO: Verificar a relação entre sentido de humor, o bem-estar subjetivo e as competências de coping desportivo num grupo de atletas. MÉTODOS: Estudo transversal e correlacional, realizado numa amostra não probabilística de 47 atletas de triatlo e mountain Bike. Os instrumentos utilizados foram: Athletic Coping Skills Inventory-28, Multidimensional Sense of Humor Scale (versão portuguesa), Escala de Felicidade Subjectiva de Lyubomirsky e Lepper e Positive and Negative Affect Schedule. Utilizou-se estatística descritiva e coeficiente de correlação de Spearman e o nível de significância adotado foi p<0,05. RESULTADOS: Produção e Uso Social do Humor e Apreciação do Humor estão positivamente correlacionadas com a Felicidade Subjetiva. O Humor Adaptativo e a Produção e Uso Social do Humor estão positi...

Healthy lifestyles are commonly associated with improved physical and mental health. Sleep patterns, nutrition, physical exercise, consumption of psychoactive substances, among others, can strongly influence positive mental health. The aims are: characterize lifestyles based on positive mental health clusters, considering the cross-sectional cohort sample of higher education students, and analyse the lifestyles associated with positive mental health. A cross-sectional, descriptive, correlational and multicentric study of quantitative approach was conducted. The Positive Mental Health Questionnaire was applied. Through the k-means method, four clusters were obtained based on positive mental health levels. The sample of 3647 higher education students was mostly female (78.8%), single (89.5%), with an average age of 23 years (SD = 6.68). Differences were found between clusters based on the sociodemographic characteristics and lifestyles. Findings in Cluster 1 were highlighted because t...

Background: In response to the COVID-19 pandemic, several measures were taken to prevent the transmission of infection in the hospital environment, including the restriction of visits. Little is known about the consequences of these directives, but it is expected that they will have various implications. Thus, this study aimed to understand the consequences of measures to restrict visits to hospitalized individuals. Methods: A qualitative interpretive study was conducted through semistructured interviews with 10 nurses chosen by convenience. Content analysis was performed using Atlas.ti software, version 22 (Berlin, Germany). Results: Twenty-two categories and eight subcategories were identified and grouped according to their scope: implications for the patient, implications for the family, and implications for care practice. Conclusions: The identified categories of implications of restricting hospital visits (implications for patients, relatives, and care practices) are incomparab...

BackgroundThe positive component of Mental Health Literacy (PMeHL) refers to a person’s awareness of how to achieve and maintain good mental health. Although explored recently, the term still lacks a clear definition among healthcare practitioners.AimTo identify the attributes and characteristics of PMeHL, as well as its theoretical and practical applications.MethodsLiterature search (using the Medline and CINAHL databases) and review, covering the last 21 years, followed by concept analysis according to the steps described by Walker and Avant approach.ResultsPositive component of Mental Health Literacy is considered one component of MHL, integrating positive mental health. The concept’s attributes include: (a) competence in problem-solving and self-actualization; (b) personal satisfaction; (c) autonomy; (d) relatedness and interpersonal relationship skills; (e) self-control; and (f) prosocial attitude. Four case scenarios (model, borderline, related and contrary cases) were used to...

IntroductionWeb Journal Club as a collaborative learning method, is an effective method to enhance the knowledge base of nursing students, their presentation skills, problem-solving skills and ability to critically appraise literature.ObjectivesTo describe the experience of a online journal club on education of MHN undergraduate students.MethodsWe implemented a journal club in the online classroom with a total of 24 portuguese undergraduate students enrolled in clinical training of MHN (sixth semester). Over a two-week period, five 2-hour online journal club sessions were conducted in April 2020. During each session, five journal articles were presented synchronously to a live online audience via the Zoom Classroom technology. After all sessions, students were invited by e-mail to complete an anonymous and voluntary online questionnaire via Google Forms.ResultsAll students were all very positive about the journal club sessions and found the opportunity to discuss and reflect on prac...

Our study examined the psychometric properties and factor structure of an instrument to assess emotional climate during the COVID-19 pandemic using a sample of 601 Portuguese individuals. Two sub-samples were created, one to perform an exploratory factor analysis (EFA), composed of 300 participants, and the other to conduct a confirmatory factor analysis (CFA), composed of 301 individuals. Two factors were found: positive and negative emotional climate. In the EFA, both factors established a negative and significant correlation. However, the CFA presented a better fit with two independent factors. Reliability analysis indicated acceptable values for both dimensions. There was also evidence of discriminant, convergent, and criterion validity. More negative emotions were perceived regarding the social climate. Results were discussed in the frame of different positive and negative psychosocial variables related to positive and negative emotional climates, as well as positive emotional ...

BACKGROUND: The demands of the Nursing degree and the experience of undergraduate nursing students lead to the occurrence of stress, anxiety and depression AIM: To determine the prevalence of stress, anxiety and depression amongst Portuguese undergraduate nursing students. METHODS: A cross-sectional and descriptive study. Two hundred and fifty-three nursing students from two private schools and two public schools participated in this study. The data collection instrument consisted of sociodemographic and health behavior variables as well as, the Depression Anxiety and Stress Scale (DASS-21)-Short Form. The cut-off scores have been developed for defining mild/moderate/severe/extremely severe scores for each DASS21 scale. The sociodemographic variables were analyzed using Pearson chi-

Nursing knowledge has been accompanied by the evolution of nursing standardized language systems (SLS) that can help nurses to systematize nursing care. We analyzed referential integrity (diagnosis, results, interventions) of substance related problems in Nursing SLS through documentary analysis: ICNP®, NANDA-I, Nursing Intervention Classification (NIC), Nursing Outcome Classification (NOC), NANDA NIC NOC (NNN). ICNP® has a definition of "substance abuse" but there are no clinical indicators or related factors to help formulate a diagnosis. NANDA-I does not define any related diagnosis, although it appears as related to or as a risk factor in 36 diagnoses. In NIC and NOC there are interventions and outcomes related. The phenomenon is omitted in NANDA-I and treated in a stigmatized manner by ICNP. Clear clinical indicators may be needed to help nursing diagnosis and to lead clinical reasoning.

O interesse na avaliação da Qualidade de Vida (QV) tem crescido substancialmente nos últimos anos. A Síndrome de Dependência do Álcool (SDA) e as suas consequências constituem um sério problema para a saúde pública, representando um alto custo social e comprometendo diversas áreas da saúde e da QV da pessoa com SDA e dos familiares, havendo poucos estudos de enfermagem nesta área. Objetivos: Com este estudo pretendeu-se analisar as inter-relações entre alguns fatores determinantes da QV, tais como a Representação Cognitiva e Emocional da Doença (RCED), a Satisfação com o Suporte Social (SSS) e a Vulnerabilidade ao Stresse (VS), em pessoas com SDA e em familiares, com vista a fornecer algumas diretrizes para o desenvolvimento de um modelo de intervenção em enfermagem. Método: Tratou-se de um estudo quantitativo, do tipo descritivo, transversal e correlacional. As duas amostras de conveniência foram constituídas por 444 pessoas com SDA e 200 familiares, tendo sido utilizados, como instrumentos, o questionário sociodemográfico e clínico, o Revised Illness Perception Questionnaire (IPQ-R), a Escala de Satisfação com o Suporte Social (ESSS), o Questionário de Vulnerabilidade ao Stresse (23QVS) e a Escala de Perceção do Estado de Saúde (SF-36v2) para avaliar a QV. Resultados: A perceção de QV das pessoas com SDA foi globalmente mais baixa do que a dos familiares. Os resultados apontaram para uma relação entre as variáveis estudadas, confirmando-se a importância destas para a QV das pessoas com SDA e dos familiares. Mostraram ainda que, em geral, a perceção cognitiva e emocional da SDA, assim como a satisfação com o suporte social e a vulnerabilidade ao stresse, devem ser tidas em consideração no desenho de estratégias de intervenção em enfermagem, com o objetivo fundamental de manter ou melhorar a QV. Procurou-se também explicar o comportamento em saúde, na SDA, com base no modelo de autorregulação do comportamento de Leventhal. Conclusões: O estudo das determinantes da QV das pessoas com SDA e dos familiares demonstrou a complexidade das intervenções que são necessárias para manter e/ou melhorar a sua QV. Foi ainda evidente a influência da família na QV dos indivíduos com SDA, sendo, por isso, importante sustentar as intervenções numa abordagem sistémica, com um enquadramento multidimensional e multidisciplinar. Apresentaram-se também alguns contributos para o desenvolvimento de um modelo de intervenção em enfermagem e propostos alguns trabalhos de investigação futura.The interest in evaluating Quality of Life (QL) has grown substantially in the last few years. Alcohol Dependence Syndrome (ADS) and its consequences constitute a serious public health problem, representing a high social cost and compromising several areas of health and the QL of the person with ADS and their family members, with few nursing studies in this area. Goals: The aim of this study was to analyse the inter-relationships among some determining factors of QL, such as Cognitive and Emotional Representation of the Illness (CERI), Satisfaction with Social Support (SSS) and Vulnerability to Stress (VS), in persons with ADS and family members, aimed at supplying some directives for the development of a model for nursing intervention. Method: This was a quantitative, descriptive, transversal and corelational study. The two convenience samples consisted of 444 persons with ADS and 200 family members, using as instruments the socio-demographic and clinical questionnaire, the Revised Illness Perception Questionnaire (IPQ-R), the Scale of Satisfaction with Social Support (SSSS), the Stress Vulnerability Questionnaire (23QLS) and the Scale of Perception of the Status of Health (SF-36v2) to evaluate the QL. Results: The perception of the QL of persons with ADS was universally lower than that of their family members. The results point to a relationship among the variables studies, confirming their importance for the QL of persons with ADS and their family members. They also showed that, generally, the cognitive and emotional perception of ADS, as well as satisfaction with social support and vulnerability to stress, should be considered in designing intervention strategies in nursing, with the objective of maintaining or improving QL. There was also an attempt to explain the health behaviour, in ADS, based on the model of behavioural self-regulation by Leventhal. Conclusions: The study of the determining factors of the QL of persons with ADS and their family members showed the complexity of the interventions needed to maintain and/or improve their QL. The influence of the family on the QL of individuals with ADS was also evident. Thus, it is important to sustain interventions in a systemic approach, within a multidimensional and multi-disciplinary framework. Also presented were come contributions to the development of a model of nursing intervention and some proposals were made for future research work

Introdução: Os enfermeiros de saúde mental precisam de um solido corpo de conhecimentos e habilidades específicas para atender efetivamente às necessidades dos clientes numa perspetiva holísticas. A simulação tem acompanhado o ensino de enfermagem ao longo dos tempos, sendo uma estratégia de aprendizagem e treino que concorre para o desenvolvimento de competências na prática de enfermagem de saúde mental e psiquiátrica, nomeadamente na aquisição e consolidação da autoconfiança e segurança para realizar procedimentos de enfermagem. Objetivos: A Simulação Clínica é um método de ensino que se tem salientado nos cursos na área da saúde. Pretende-se com este estudo Identificar os tipos e as finalidades da simulação no ensino/aprendizagem em enfermagem de saúde mental e psiquiátrica. Metodologia: Procedeu-se à revisão integrativa da literatura. Foram usadas as bases de dados CINAHL, Medline e Nursing & Allied Health Collection, delimitando-se como período temporal os anos 2011-2016. Foram...

AIM This study aimed to evaluate the effectiveness of pedagogical training program for the prevention of musculoskeletal symptoms in affectivity of nursing students. METHOD A quantitative, longitudinal, and quasi-experimental study, which included a pre-test, intervention, and a later test was conducted in a convenience sample of 21 students from the 4th year nursing degree at a private university in the region of Lisboa e Vale do Tejo. A total of 11 students were included in the experimental group and 10 were included in the control group. A multidisciplinary team conducted the musculoskeletal symptoms prevention program to the experimental group. Participants completed the Positive and Negative Affect Schedule Scale before and after attending each of the 6 program sessions that took place between February and April 2019. Each session lasted for about 120 minutes. RESULTS Before implementing the program, the groups did not reveal any statistically significant differences in positive and negative affectivities. However, after the program, there were statistically significant differences observed in positive affectivity, showing gains in the experimental group, and a decrease in negative affectivity was observed in the experimental group. A significant increase in positive affectivity was observed in psychotherapeutic techniques. CONCLUSION Is essential the nursing schools provide learning experiences with an impact on students’ affectivity to allow a better and more effective integration of knowledge and skills in their training path.

Objective: To describe the factors influencing the use of humor in nursing care, its applicability and benefits. Method: A scoping review was performed using the Arksey and O’Mally methodology. A search for articles published between 2008 and 2018 was performed using the platforms EBSCO Host, Virtual Health Library and Google Scholar. Results: From the initial 465 articles found, 17 were included for final revision. Data allowed to retrieve information on humor definition; its applicability as a nursing intervention; humor as a tool to improve nurse-patient communication and relationship; influence factors; type of humor interventions; humor benefits in health care context and; limitations and precautions of humor intervention. Conclusion: The use of humor promotes both communication and human interaction; it promotes well-being; helps deal/cope with difficult and unpleasant situations, reduces tension, discomfort and stress; and strengthens the immune system. This intervention shou...

Background: In previous studies, it was found that the confinement to which the population was subjected during the quarantine of the COVID-19 pandemic increased the risk of anxiety and depression. Objective: to analyze the levels of anxiety and depression symptoms in Portugal residents during the quarantine of the COVID-19 pandemic. Methods: This is a descriptive, transversal, and exploratory study of non-probabilistic sampling. Data collection was carried out between 6th and 31st of May 2020. Sociodemographic and health questionnaires PHQ-9 and GAD-7 were used. Results: The sample consisted of 920 individuals. The prevalence for depressive symptoms (PHQ-9 ≥ 5) was 68.2% and (PHQ-9 ≥ 10) was 34.8%, and for anxiety symptoms (GAD-7 ≥ 5) was 60.4% and (GAD-7 ≥ 10) was 20%. Depressive symptoms were moderately severe for 8.9% of the individuals, and 4.8% presented severe depression. Regarding the generalized anxiety disorder, we found that 11.6% of individuals present moderate symptoms,...

Patient 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 deli...

IntroductionThe ongoing COVID-19 pandemic is inducing fear, and a timely understanding of mental health status is urgently needed for society. Previous research has revealed a profound and wide range of psychosocial impacts on people at the individual, community, and international levels. On an individual level, people are likely to experience fear of falling sick or dying themselves, feelings of helplessness, and stigma. Currently, there is little understanding of mental well-being assessment under scenarios of pandemics that oblige to social isolation and quarantine.ObjectivesThis study aims to: a) establish the prevalence of psychiatric symptoms; b) identify risk and protective factors contributing to psychological stress; and c) identify coping strategies to promote better adjustment during and after the pandemic crisis.MethodsWe will adopt a mixed-method approach, firstly with a cross-sectional survey design (in both Portugal and Swiss context) to assess the higher education st...