Papers by Cristina Costeira
Coaching as a Model for Facilitating the Performance, Learning, and Development of Palliative Care Nurses
SAGE Open Nursing
Palliative care nurses experience huge pressures, which only increased with coronavirus disease 2... more Palliative care nurses experience huge pressures, which only increased with coronavirus disease 2019 (COVID-19). A reflection on the new demands for nursing care should include an evaluation of which evidence-based practices should be implemented in clinical settings. This paper discusses the impacts and challenges of incorporating coaching strategies into palliative care nursing. Evidence suggests that coaching strategies can foster emotional self-management and self-adjustment to daily life among nurses. The current challenge is incorporating this expanded knowledge into nurses’ coping strategies. Coaching strategies can contribute to nurses’ well-being, empower them, and consequently bring clinical benefits to patients, through humanized care focused on the particularities of end-of-life patients and their families.
Nursing Reports
Telehealth is increasingly taking place to support the transition of care and self-management of ... more Telehealth is increasingly taking place to support the transition of care and self-management of people living with cancer in outpatient oncology settings. Despite its recognised value, the scientific evidence points to disparities with regard to implementation of telehealth that might compromise the equity of access. Following the Joanna Briggs Institute (JBI) implementation approach, this project aims to promote the implementation of best practice recommendations for telehealth adoption in an outpatient oncology setting. Assisted by the Practical Application of Clinical Evidence System (PACES), the implementation process comprises three phases of (i) a baseline audit, (ii) feedback to the healthcare team and establishment of implementation strategies with the Getting Research into Practice (GRiP) tool, and (iii) a follow-up audit. The project is expected to allow the identification of barriers and facilitators for the implementation of telehealth in outpatient oncology and develop...
Nursing Reports
Background: The use of a peripheral intravenous catheters (PIVC) is a common invasive practice in... more Background: The use of a peripheral intravenous catheters (PIVC) is a common invasive practice in healthcare settings. It is estimated that about 70% of people with PIVCs will develop associated complications, such as infections. It is the consensus that best practices could reduce the appearance of such complications and reduce the length of stay in hospital. Methods: A project will be applied to implement the best approach in peripheral venous catheterization, provided by clinical nurses from an inland hospital in Portugal. The Joanna Briggs Institute methodology will be used on evidence implementation projects, which will be developed in three phases. First, a baseline audit will be performed. The second phase implements corrective measures, and the third phase is a follow-up audit. Conclusions: This project will improve the practice of the nursing team on peripheral venous catheterization nursing cares, positively influencing the quality of nursing care and patient safety. The i...
Trabalho Livre nº 15 - Qualidade de Vida de Doente Oncológico de Tecidos Moles em Tratamento à Ferida Cirúrgica com Processo de Cicatrização por Segunda Intenção
A avaliação da Qualidade de Vida (QV) é utilizada como indicador de resposta ao tratamento das pe... more A avaliação da Qualidade de Vida (QV) é utilizada como indicador de resposta ao tratamento das pessoas com feridas, em que são analisados os aspectos físicos, psicológicos, sociais, o estado funcional e a visão da vida. Pessoas com feridas com cicatrização demorada enfrentam alterações na imagem corporal, prejuízos na mobilidade, deficit no auto-cuidado, incapacidade para a realização das atividades de vida diária, presença de dor e de desconforto que acarretam impactos negativos na QV, devendo ser uma preocupação do enfermeiro.N/
Nursing Reports
Background: In palliative care, symptoms are multiple and combined, evolving and changing, with a... more Background: In palliative care, symptoms are multiple and combined, evolving and changing, with a multidimensional character and multifactorial causes, and a high prevalence, negatively influencing the patient’s and family’s quality of life. Nurses who provide palliative care need to recognize and respond effectively to their patients’ symptoms. Methods: A project will be applied to implement the best practice in monitoring and managing palliative care patients’ symptoms. The Joanna Briggs Institute Practical Application of Clinical Evidence System (JBI PACES) and Getting Research into Practice (GRiP) audit and feedback tool will be used. The JBI PACES and GRiP framework for promoting evidence-based healthcare involves three phases of activity. First, a baseline audit. In a second phase, feedback will be given to the project team after the conclusion of the baseline audit report. Then, a third phase will be conducted as a follow-up audit. Conclusions: This project will improve the p...
Emoções e Sentimentos De Enfermeiros Perante a Morte: Análise De Escrita Expressiva
Saberes, estratégias e ideologias de enfermagem 3, Mar 30, 2022
Nursing Reports, 2022
Recognizing the importance of the international advancements on person-centered practice (PCP) wi... more Recognizing the importance of the international advancements on person-centered practice (PCP) with positive implementation outcomes at the varied levels of healthcare systems, this scoping review will examine the PCP in Portuguese healthcare services. The Joanna Briggs Institute (JBI) guidance for scoping reviews will be followed. The Population (P) Concept (C) Context (C) mnemonic will scaffold research questions, the inclusion and exclusion criteria, and the searching strategy. Literature reporting on person-centeredness domains at the macro-, meso-, and micro levels applied to Portuguese healthcare services in Portuguese and English will be considered for inclusion. Accordingly, MEDLINE, CINAHL, SCOPUS, LILACS, SCIELO, Open Access Scientific Repository of Portugal (RCAAP), and Open gray will be searched. The literature will be screened for eligibility by two independent reviewers, first by title and abstract and subsequently by full text. A data extraction matrix designed to ans...
A2 -PROMOÇÃO DE SAÚDE E EDUCAÇÃO PARA A SAÚDE Efeito da puntura do Yintang em Indicadores de Saúde
International Journal of Developmental and Educational Psychology: INFAD. Revista de Psicología, 2010
EnglishThis study aims to determine the influence of Therapeutic Massage in Health indicators (vi... more EnglishThis study aims to determine the influence of Therapeutic Massage in Health indicators (vital signs, oxygen saturation) in order to understand its effectiveness as a coping strategy. For that reason it was made a clinic study, which evaluated a female participant of 38 years old, randomly selected among 15 other participants in a nursing home on the outskirts of Coimbra. It was made a session during 45 min- utes, where were measured health indicators in two moments: before and after Massage application. We used 23 QVS scale from Teacher/ Doctor Vaz Serra to assess the stress vulnerability. The results emphasize that the application of Therapeutic Massage influenced the results of the Health Indicators, despite the participant does not display a value that classify her as a stress vulnerable person. In her opinion Therapeutic Massage is an appropriate strategy to relieve stress, but the price to pay for one Massage are prohibitive to make that practice it often. portuguesO pre...
International Journal of Developmental and Educational Psychology: INFAD. Revista de Psicología, 2011
EnglishThis study aims to verify the effects of therapeutic massage in a cancer patient with unco... more EnglishThis study aims to verify the effects of therapeutic massage in a cancer patient with uncontrolled pain, at the level of vital signs and general sensations reported after sessions. It was selected, a participant, who experience for the first time massage therapy applied by therapeutic massage group from IPOFG of Coimbra- Portugal, in the time period from February to March 2011. This was realized a development a scientific study of case that assessed the vital signs in three sessions spaced one week between them, on two occasions: before the application of massage therapy and after applying it. The assessment allowed made a cross-sectional comparison, which analyzes the results of comparison between sessions, and it was possible, too, the evaluation of longitudinal comparison, which was allowed analysing the results obtained on the two moments of evaluation along three sessions. It was concluded that there were more obvious differences between the first session and third sessi...
International Journal of Developmental and Educational Psychology: INFAD. Revista de Psicología, 2011
Esta investigacion, cuyo tema y objetivo es verificar si las terapias de toque influyen en indica... more Esta investigacion, cuyo tema y objetivo es verificar si las terapias de toque influyen en indicadores de salud (IS), a traves de comparaciones longitudinales (dentro del mismo grupo, en tres momentos distintos) y comparaciones trasversales (entre los cinco grupos). Las terapias utilizadas han sido el masaje terapeutico (MT), el reiki, y el toque terapeutico (TT). La presion arterial, la frecuencia cardiaca y respiratoria, la temperatura (T), la saturacion del oxigeno capilar (SPO2), el indice de masa corporal (IMC), han sido los IS estudiados, tal y como la evaluacion de vulnerabilidad al estres y manifestaciones de bienestar en cada voluntario, a traves de escalas 23 cuestiones de evaluacion de la vulnerabilidad al estres y escala de medida de bienestar psicologico, respectivamente. Se ha elaborado un estudio comparativo y experimental con 500 voluntarios, cuyas edades estaban comprendidas entre los 18 y los 65 anos, incluso, aptos a comprender y rellenar la parte I del instrument...
Chronic pain management in cancer patients through acupuncture therapy - Integrative review
Efeitos De Terapias/Intervenções Não Farmacológicas Em Doentes Oncológicos Com Dor
Saberes, estratégias e ideologias de enfermagem 2, 2021
Revista de Enfermagem Referência, 2020
A morte é uma realidade frequente, em contexto hospitalar, exigindo aos enfermeiros a apropriação... more A morte é uma realidade frequente, em contexto hospitalar, exigindo aos enfermeiros a apropriação de estratégias eficazes de gestão das emoções. Objetivos: Avaliar a efetividade de um programa de formação (PF) na gestão emocional em enfermeiros perante a morte do doente. Metodologia: Estudo pré-experimental de grupo único com avaliação pré e pós intervenção, realizado numa amostra de 20 enfermeiros de serviços de internamentos de oncologia. O instrumento de colheita de dados foi o questionário. Este integrava Escala de Avaliação do Perfil de Atitudes acerca da Morte (EAPAM), Escala de Coping com a Morte (ECM) e Escala de Avaliação de Implementação de Programas (EAIP), aplicado em três momentos distintos. Resultados: O PF levou a mudanças das atitudes nas dimensões: medo e neutralidade (EAPAM) e verificaram-se diferenças significativas no coping com a própria morte e com a morte dos outros (ECM), revelando uma capacitação nesta área. O PF foi classificado como muito bom (EAIP). Conclusão: A implementação do programa evidencia ser uma estratégia interventiva de empoderamento nestes enfermeiros, na autogestão emocional perante a morte.
Complementary therapies in clinical practice, 2018
Anxiety disorders are a current public health issue, as an estimated 16.5% of the Portuguese popu... more Anxiety disorders are a current public health issue, as an estimated 16.5% of the Portuguese population suffers from this condition. The goal of this descriptive study was to analyze the efficiency of the treatment of integrative medicine (acupuncture and therapeutic massage) to reduce anxiety disorders and to describe the sociodemographic characteristics of Integrative Medicine Institute (IMI) patients. To this end, a documental analysis from the data base of the clinical reports of IMI was performed, with the approval of the Ethics Committee of the Health Sciences Research Unit with informed consents being signed by all patients. Between January and August 2017, 259 IMI patients were treated. Of these, 30,5% had been diagnosed with an anxiety disorder. Ten sessions of Integrative Medicine (IM) using acupuncture techniques combined with therapeutic massage were applied. Each session consisted of an initial treatment of acupuncture for 30 min, followed by a therapeutic massage for a...
A Energia é um conceito cada vez mais utilizado quer pelo senso comum quer pelas diversas áreas c... more A Energia é um conceito cada vez mais utilizado quer pelo senso comum quer pelas diversas áreas científicas. No sentido de confrontar as duas posições supracitadas, realizou-se o seguinte estudo com análise qualitativa para avaliar se a idade, o sexo e a profissão influenciavam as opiniões e definições pessoais sobre Energia. Para concretizar este projecto foram enviados 30 questionários por email, dos quais foram reenviados 15 instrumentos de colheita de dados. Cada questionário foi elaborado com 3 questões. Os resultados obtidos revelaram que, as variáveis sexo, idade e profissão, não influenciaram os resultados uma vez que todos os respondentes consideraram, afirmativamente, que o ser humano é um é um ser energético. As definições de Energia obtidas, pelo questionário, revelaram-se abstractas para ambos os sexos e para todas as faixas etárias. Apenas se verificaram nuances divergentes, entre os indivíduos das profissões das ciências exactas e os das restantes áreas profissionais, uma vez que se obtiveram definições com linguagem mais lógica para os primeiros. Das 15 respostas recebidas, encontramos 9 que assumiam a Energia como objecto de estudo de todas as áreas do conhecimento científico actual, que foram fornecidas como hipóteses.
Complementary therapies in clinical practice, 2018
Anxiety disorders are one of the most common mental health concerns with a major contribution to ... more Anxiety disorders are one of the most common mental health concerns with a major contribution to the global burden of disease. When not treated, anxiety can be aggravated to more serious and complicated health problems. Pharmacology and psychotherapy stand for the conventional treatment for anxiety disorders but these present limited efficacy, especially in the case of chronic anxiety, with high relapse rates and often causing adverse side effects. Clinical research studies render acupuncture as a valid treatment therapy for anxiety disorders without significant adverse effects. The objective of this paper is to review the literature on the effectiveness of acupuncture and electroacupuncture for the treatment of patients with anxiety disorders in order to find strong scientific evidence for its regular practice in Western culture. The systematic review of the clinical research was focused on published clinical trials (controlled, randomized and non-randomized) regarding the treatmen...
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Papers by Cristina Costeira