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- Perceção dos enfermeiros sobre a comunicação segura na transmissão de informação que garante a continuidade de cuidados na pessoa hemodialisadaPublication . Campos, Catarina Alexandra Ferreira; Mata, Ema Soraia Fazenda
- PROMOÇÃO DA AUTOESTIMA EM UTENTES COM PERTURBAÇÃO DO USO DE ÁLCOOLPublication . Torres, Carla Conceição Dias; Tomás, Catarina CardosoThis report, produced as part of the Master’s and Specialisation programme in Mental Health and Psychiatric Nursing at the School of Health of the Polytechnic Institute of Leiria, aims to outline the competencies developed in order to obtain a Master’s degree in Nursing and the title of Specialist Nurse in Mental Health and Psychiatric Nursing (EEESMP). It is divided into three parts: a description of the learning contexts in Clinical Teaching; a critical-reflective analysis of the activities undertaken to acquire common competencies (Regulation No. 140/2019) and those specific to the EEESMP (Regulation No. 515/2018); and a description of the stages and results achieved in the development of the Continuous Quality Improvement Project in Nursing Care (PMCQCE): Promotion of Self-Esteem in patients with Alcohol Use Disorder (AUD). Self-esteem is linked to addictive behaviours and can act as either a protective or a risk factor (Van den Berg et al., 2026; Khazaee-Pool et al., 2025 & Mann et al., 2004). Low self-esteem increases the likelihood of mental health disorders, social problems and substance abuse. In Portugal, hospital admissions for alcoholrelated problems rose by 20% compared to 2021 (SICAD, 2023). The PMCQCE presented here stems from a problem encountered in clinical practice: low self-esteem among clients with alcohol use disorder (AUD) and the lack of a specialised intervention in Mental Health and Psychiatric Nursing (MHPN) in this area. Thus, this project aims to improve the quality of care provided to this population through the design and implementation of a specialised intervention, and to improve the self-esteem of clients with PUA. Within the framework of this PMCQCE, a quantitative exploratory action research study was developed, conducted with a purposive sample of patients with low self-esteem and a clinical diagnosis of PUA, admitted to the psychiatric ward. The specialised intervention was structured into four individual sessions using a psychotherapeutic approach, based on the helping relationship and utilising artistic-expressive mediation techniques. The sessions focused on the dimensions of self-image, self-confidence and self-acceptance. The results showed that, in the pre-intervention phase, participants exhibited high levels of alcohol consumption and low self-esteem. Following the intervention, improvements in self-esteem were observed in all participants, along with high levels of satisfaction with the intervention. It is suggested that the project be continued in an inpatient setting and during the post-discharge (followup) period, and that it be replicated in other inpatient settings with the same substance use issues.
- Prevenção de quedas num serviço de medicina interna: Projeto de Implementação de EvidênciaPublication . Simões, Maria João Henriques; Costeira, Cristina Raquel BatistaEste relatório, surge no âmbito do Mestrado em Enfermagem Médico-Cirúrgica na Área de Enfermagem à Pessoa em Situação Crítica, da Escola Superior de Saúde do Instituto Politécnico de Leiria, com vista à obtenção do título de Mestre. A primeira parte do relatório pretende descrever e demonstrar o desenvolvimento de competências ao longo dos estágios realizados em três contextos distintos de prática: Serviço de Urgência Médico-Cirúrgica, Pré Hospitalar e Serviço de Medicina Intensiva. Para a sua concretização, recorreu-se a uma metodologia de natureza crítico-reflexiva, através da qual se procedeu à descrição das atividades desenvolvidas, experiências vividas e dificuldades encontradas, tendo em vista a aquisição e consolidação das competências comuns e específicas do Enfermeiro Especialista em Enfermagem Médico-Cirúrgica na Área de Especialização da Pessoa em Situação Crítica. A segunda parte do relatório diz respeito ao desenvolvimento de competências de investigação, e descreve um projeto de implementação de evidência, acerca da Prevenção de Quedas num Serviço de Medicina Interna, um problema identificado pela equipa de enfermagem do serviço alvo de estudo. As quedas são um problema recorrente em contexto hospitalar, cujas consequências podem piorar o prognóstico dos doentes ou até, aumentar o nível de mortalidade. Os objetivos do projeto foram identificar a conformidade com a evidência científica sobre intervenções de prevenção de quedas, através de uma auditoria de baseline; implementar medidas corretivas aos desvios das conformidades encontradas e reavaliar níveis de conformidade, através de auditoria de follow-up. Para a realização do projeto de implementação de evidência foi realizada uma primeira fase de auditoria, seguida de uma formação à equipa de enfermagem com estratégias de melhoria dos resultados obtidos e, por fim, replicada a primeira auditoria para verificar a implementação de estratégias de melhoria, respeitando as etapas dos projetos de implementação de evidência da JBI. Este projeto encontra-se descrito neste documento, em formato de artigo que respeitou as regras de submissão à revista “Pensar Enfermagem”.
- Factors Promoting and Threatening Hope Among Adolescents and Young People Living With HIV in Brazil: A Qualitative StudyPublication . Piran, Camila Moraes Garollo; Laranjeira, Carlos; Mori, Mariana Martire; Cargnin, Alana Vitoria Escritori; Harmuch, Camila; Charepe, Zaida Borges; Furtado, Marcela Demitto; Webel, AllisonThe objective of our study was to explore the factors that promote and threaten hope among adolescents and young adults (AYA) living with HIV from northwestern Paraná, Brazil. A qualitative study was conducted with 22 AYA living with HIV receiving care at the Specialized Care Service located in the Paraná region (Brazil). Data were collected between September and November 2024 through semi-structured interviews based on an adaptation of the Mutual Aid Intervention Model for Promoting Hope. Two categories emerged from the data analysis: (a) “I have a strong will to live, I have a lot to live for”: factors that promote hope; (b) “Society’s prejudice and my own”: factors that threaten hope. Factors that promote hope generate motivation, self-confidence, trust, strength, tranquility, and optimism. Those that threaten hope generate insecurity, anxiety, sadness, shame, guilt, and fear. Therefore, health care professionals should look for strategies to promote hope and thereby increase mental health for AYA living with HIV.
- Food literacy among Portuguese adults with skeletal dysplasia: insights from a cross-sectional studyPublication . Guerra, Beatriz; Alves, Inês; Costa, Ricardo; Dias, Valter; Jesus, Pedro; Pereira, Cidália D.; Soliman, NeveenPurpose Skeletal dysplasias are a heterogeneous group of 771 rare diagnoses, that present short stature as a common feature. Despite the importance of nutrition in health management, food literacy in this population remains largely unexplored. This study aimed to assess the level of food literacy among Portuguese adults with skeletal dysplasia. Methods A cross-sectional observational study was conducted among adults (> 18 years) with skeletal dysplasia (n = 43, 30 female). Data were collected through an online questionnaire comprising two sections: sociodemographic and clinical information and the Portuguese version of the Food Literacy Scale (FLS). The FLS covers three dimensions: literacy about the nutritional composition of food, literacy about labelling and food choices, and literacy about healthy eating practices. Food literacy scores were calculated as percentage indices. Descriptive statistics with 95% confidence intervals and subgroup comparison by sex and age were performed. Results Mean overall food literacy score was 60.8% (CI 95%: 54.7–66.9). Among the three dimensions, the highest mean score was observed for healthy eating practices, 62.0% (CI 95%: 56.4–67.6), and the lowest for labelling and food choices, 59.0% (CI 95%: 51.1–66.9). No statistically significant differences were found in overall food literacy or in any of its dimensions according to sex or age. Participants reported greater difficulty with recommended protein amounts, interpreting and using food labels, adhering to the Mediterranean diet, and recommended portion sizes. Conclusions Adults with skeletal dysplasia in Portugal showed modest food literacy scores, mainly in domains related to food labelling and food choices. Tailored nutrition education strategies and more easily accessible food-related guidance may help address the specific literacy gaps identified in this population.