Prevalência de infeções urinárias em pessoas institucionalizadas em instituições particulares de solidariedade social

Enquadramento: Nas pessoas idosas institucionalizadas, a infeção urinária é a mais comum, envolvendo 12% a 30% desta população, com pelo menos um episódio por ano, onde diversos fatores de risco influenciam a sua ocorrência. Objetivo: Determinar a prevalência das infeções urinárias em pessoas institucionalizadas numa instituição particular de solidariedade social e identificar os fatores de risco. Metodologia: Estudo epidemiológico observacional transversal. Os participantes são pessoas institucionalizadas numa instituição particular de solidariedade social e que pertencem a três valências diferentes. Amostra por conveniência. A colheita de dados realizou-se durante 8 meses, com registo do número total de utentes das várias valências (n = 171). Resultados: A prevalência de infeção urinária na instituição foi de 18,1%. Ocorreram mais casos em mulheres (p = 0,641) e em pessoas com idade superior a 75 anos (p = 0,269), mas sem diferenças significativas. O local de internamento demonstrou ter influência no risco de desenvolvimento de infeção urinária (p = 0,024). Conclusão: Das 171 pessoas internadas, 31 desenvolveram infeção urinária. São necessárias atitudes educativas e preventivas

Cuidadores Informais em Portugal: Formação ao longo da vida

A obra que se apresenta, surgiu após desenvolvimento de dois cursos de formação conducentes a microcredenciali, no âmbito da capacitação de equipas de profissionais de referência que trabalham quotidianamente com cuidadores informais e também da capacitação destes mesmos cuidadores. O desenvolvimento destes cursos decorreu após identificação de necessidades de formação especificas, pela Escola Superior de Saúde (ESSS) do Politécnico de Santarém em estreita articulação com entidades parceiras do IPSantarém e da comunidade em geral, visando respostas e estratégias de operacionalização do Decreto-Lei nº. 1/2022, de 10 de janeiro, referente à implementação do Estatuto do Cuidador Informal em Portugal. Por outro lado a ESSS assume-se como responsável direta pelo desenvolvimento da atividade académica de ensino, investigação e formação na área da saúde, ao serviço da sociedade, empenhada na qualificação de alto nível dos cidadãos; visa a produção e difusão do conhecimento, criação, transmissão e difusão do saber de natureza profissional, da cultura, da ciência, da tecnologia, da investigação orientada e do desenvolvimento experimental, centralizada nos estudantes/formandos e na comunidade envolvente, num quadro de referência internacional. Um diagnóstico das necessidades de oferta formativa desenvolvido recentemente na ESSS com diferentes stakeholders (Reis et al., 2021)ii, identificou a necessidade de preparação da comunidade para os cuidados aos mais velhos, considerando que a realidade do apoio à pessoa idosa, denota preocupação na oferta de cuidados especializados no âmbito da saúde e do social. A preocupação manifestada assenta na realidade loco-regional e nacional quando se analisam nos últimos anos essencialmente os elevados índices nacionais de envelhecimento, de dependência total e de dependência dos idosos. Foi neste alinhamento que foram planeados de entre outros, os processos formativos dos cursos conducentes a microcredenciais a serem desenvolvidos por docentes do Politécnico de Santarém e por técnicas superiores do Instituto da Segurança Social que gentilmente acederam a uma colaboração que resultou perfeita. Visou-se promover o desenvolvimento de competências para o acompanhamento de cuidadores informais, valorizando-se as especificidades da trajetória do cuidar de cada cuidador informal. Pretendeu-se assim a capacitação dos profissionais de referência, para o acompanhamento de cuidadores informais. Entenderam-se aqui estes profissionais, como aqueles que são referenciados pelos serviços competentes de saúde e da segurança social da área de residência da pessoa cuidada, competindo-lhes o acompanhamento de proximidade e a mobilização dos recursos disponíveis para assegurarem, de forma adaptada e organizada, os apoios e serviços, por forma a responderem às necessidades ao nível dos cuidados de saúde e de apoio social. Nesta obra, são mobilizados os diferentes constructos onde se alicerça o processo de atribuição/aquisição do Estatuto de Cuidador Informal, através da partilha de projetos piloto, pretendendo-se fornecer ao leitor, contributos para a sensibilização individual e experiencial na avaliação do processo de acompanhamento dos cuidadores informais, através da reflexão critico-reflexiva como ferramenta de desenvolvimento de competências dos profissionais das equipas de referência mas também dos que são efetivamente cuidadores informais, numa perspetiva sinergética de trabalho em equipa.info:eu-repo/semantics/publishedVersio

Nursing Students' Perceptions on Healthcare-Associated Infection Control and Prevention Teaching and Learning Experience: Development and Validation of a Scale in Four European Countries

[EN] Healthcare-associated infections are one of the major concerns worldwide. This study presents the development and the validation process of the InovSafeCare scale and aimed at identifying and measuring the ecosystem variables related to healthcare-associated infection (HCAI) prevention and control practices in European nurse students. Qualitative and quantitative approaches were used to (1) elaborate an item pool related to the educational environment, the healthcare setting environment, and the attitudes, beliefs, and performance of the nursing students regarding HCAI prevention and control and (2) analyze psychometric properties of the scale using factor analysis. The validated InovSafeCare scale was applied to undergraduate nursing students of five European Higher Education Institutions. The partial least square structural equation modeling (PLS-SEM) method with SMART-PLS3 software was used. The study sample consists of 657 nursing students, who responded a self-report inventory. From the analyzed data were identified 14 factors. The InovSafeCare scale reveals good validity and reliability of the dimensions in different European countries

Nursing Students' Perceptions on Healthcare-Associated Infection Control and Prevention Teaching and Learning Experience: Development and Validation of a Scale in Four European Countries

Healthcare-associated infections are one of the major concerns worldwide. This study presents the development and the validation process of the InovSafeCare scale and aimed at identifying and measuring the ecosystem variables related to healthcare-associated infection (HCAI) prevention and control practices in European nurse students. Qualitative and quantitative approaches were used to (1) elaborate an item pool related to the educational environment, the healthcare setting environment, and the attitudes, beliefs, and performance of the nursing students regarding HCAI prevention and control and (2) analyze psychometric properties of the scale using factor analysis. The validated InovSafeCare scale was applied to undergraduate nursing students of five European Higher Education Institutions. The partial least square structural equation modeling (PLS-SEM) method with SMART-PLS3 software was used. The study sample consists of 657 nursing students, who responded a self-report inventory. From the analyzed data were identified 14 factors. The InovSafeCare scale reveals good validity and reliability of the dimensions in different European countries.info:eu-repo/semantics/publishedVersio

PROCES KSZTAŁCENIA W ZAKRESIE PROFILAKTYKI I KONTROLI ZAKAŻEŃ ZWIĄZANYCH Z OPIEKĄ ZDROWOTNĄ W EUROPEJSKICH INSTYTUCJACH SZKOLNICTWA WYŻSZEGO – BADANIE JAKOŚCIOWE

[EN] Healthcare-associated infections (HCAIs) affect the lives of patients through prolonged stay in hospital, illness, or even death, incurring signifi cant costs to both healthcare systems and society. Research shows that during a stay in a hospital, approximately 20% to 30% of patients are diagnosed with at least one infection. Openness, fi ne interpersonal and communication skills as well as adequate opportunities for training courses for healthcare staff contribute to promoting HCAI/HAI prevention. HCAI/HAI-related education should contribute to widening knowledge and mastering practical skills. It is assumed that lecturers, professional instructors, and coordinators create a signifi cant foundation for professional development and social interactions by applying interactive pedagogical models. [POL] Zakażenia związane z opieką zdrowotną (Healthca- re associated infections, HCAI) wpływają na życie pacjentów poprzez przedłużony pobyt w szpitalu, chorobę, a nawet śmierć, powodując znaczne koszty zarówno dla systemów opieki zdrowotnej, jak i spo- łeczeństwa. Badania pokazują, że podczas pobytu w szpitalu u około 20% do 30% pacjentów diagnozuje się co najmniej jedną infekcję Otwarte podejście, wysokie umiejętności interpersonalne i komu- nikacyjne, a także odpowiednie możliwości szkoleń dla personelu medycznego przyczyniają się do promowania profi laktyki HCAI/ HAI. Kształcenie w zakresie HCAI/HAI powinno przyczynić się do poszerzenia wiedzy i opanowania praktycznych umiejętności. Zakłada się, że wykładowcy, profesjonalni instruktorzy, koordy- natorzy tworzą istotne podstawy rozwoju zawodowego i interakcji społecznych poprzez stosowanie interaktywnych modeli pedago- gicznych

Nursing Students’ Perceptions on Healthcare-Associated Infection Control and Prevention Teaching and Learning Experience in Portugal

Healthcare-associated infections (HAI) are one of the major concerns worldwide, posing significant challenges to healthcare professionals’ education and training. This study intended to measure nursing students’ perceptions regarding their learning experiences on HAI prevention and control. In the first phase of the study, a cross-sectional and descriptive study with a convenience sample composed of undergraduate nursing students from Portugal, Spain, Poland, and Finland was conducted to develop the InovSafeCare questionnaire. In the second phase, we applied the InovSafeCare scale in a sample of nursing students from two Portuguese higher education institutions to explore which factors impact nursing students’ adherence to HAI prevention and control measures in clinical settings. In phase one, the InovSafeCare questionnaire was applied to 1326 students internationally, with the instrument presenting adequate psychometric qualities with reliability results in 14 dimensions. During phase two, the findings supported that Portuguese nursing students’ adherence to HAI prevention and control measures is influenced not only by the curricular offerings and resources available in academic settings, but also by the standards conveyed by nursing tutors during clinical placements. Our findings support the need for a dedicated curricular focus on HAI prevention and control learning, not only through specific classroom modules, innovative resources, and pedagogical approaches, but also through a complementary and coordinated liaison between teachers and tutors in academic and clinical settings.info:eu-repo/semantics/publishedVersio

Communicating with migrants: children's health literacy, digital technology, health promotion tools.

Being a migrant can enact road blocks in the process of integration, if language barriers persist in the communication between health professionals and migrants. Moreover, health literacy levels (HL) can differ, based on different cultural contexts or conceptions of health and illness. This research aims at exploring migrants (digital) HL and the mediating role of migrant’s children in primary health care setting. Health professionals' resort to migrants’ children as interpreters and mediators has been highlighted with the younger generations’ digital literacy, as critical tools to overcome such barriers. Assessing and promoting migrant’s HL is a public health mandate in the promotion of individual and family health to establish a common ground base for communication. Methods A qualitative and ethnographic study based on narratives, participant observation, focus group and ethno biographic interviews with nurses, migrants, medical doctors and intercultural mediators, involved 52 participants in a primary health care setting in Santarém district, Portugal. Partnership with the Observatory for Migration, the High Commission for Migration (ACM) and with migrant associations, enabled the completion by migrants of an online questionnaire focusing on digital HL. Results Migrants’ children were identified as facilitators in the clinical setting at three levels: the communication, HL promotion and adherence to continuity of care. Conclusions Improve migrant’s HL and health decisions is feasible when considering several strategies to overcome cultural barriers. Migrants’ children are potential mediators in the process of communication between health professionals and adults. Awareness of their potential allows adjustments in the primary health care sector. The need to further investigate migrants’ HL and digital HL (e.g. telephone translation services, Internet-based tools for scheduling health appointments) are some tasks that need further research.info:eu-repo/semantics/publishedVersio

Health Literacy questionnaire development for 9 and 10 years old: a discussion of assessment tools!

With Health literacy (HL) investments - to promote health and self-care during people’s life cycles (childhood, especially) health professionals approach is multi-dimensional: within the family, school settings and community. The objective of this study is to explore the feasibility and usability of a questionnaire to characterize HL levels among 9 and 10 years old. It is expected that this will help health care personal to better focus health promotion initiatives in the school setting. Methods: The CrAdLiSa project in conjunction with the HLCA German Consortium, implemented a field test for the newly developed HL assessment tool for children in the Portuguese context. This is a deductive-inductive, exploratory-descriptive study including 16 children, with 9 and 10 years old, from 2 different elementary schools in Santare´m District (rural and urban areas). Semi-structured interviews aim at exploring the cognitive appraisal of concepts and indicators at the base of the questionnaire developed to assess HL levels. Data was subjected to content analysis, with a priori and a posteriori categorization. Results: Preliminary results point to the cognitive comprehension by children of the feasibility of an instrument to assess their HL levels. It depicts discriminatory capabilities (to allow characterization of low, medium or high levels of HL). Children living in urban areas, having better financial resources are less likely to develop obesity, or low weight. Better self-perception of school performance, good relationship with family members, parents with higher education or higher levels of HL appear to have better quality of life. Conclusions: Results suggest the need to invest in children’s and families’ HL, while taking into consideration personal, environmental and socioeconomic determinants. School settings should be considered as a natural arena to improve children’s (and, as a result, families’ and communities’) HL levels.info:eu-repo/semantics/publishedVersio

Migration and integration: the case of health literacy (HLS-EU-PT) as a foundation to promote cultural sensitiveness

Portugal has experienced trough-out his recent history successive migration patterns. Lately, with instability in Syria and the Mediterranean routes of migration between Africa and Europe, new challenges have emerged. One of them is related to migrants’ health and their navigation of health care system. In order to better understand cultural patterns of migrants, this research aims to explore their health literacy (HL) in the context of the European Health Literacy Survey framework (HLS-EU). Methods: A total of 748 participants from the different offices of a company in the financial sector (Portugal, main land and autonomous territories) participated in a cross sectional survey (CAWI). Age ranged from 25 to 65 years and HL was measured using the HLSEU instrument validated to Portuguese (HLS-EU-PT). Each participant was allocated to one of the groups, either of satisfactory HL (when scores 30) or insufficient HL (when scores <30). In order to access the migrant condition, a proxy variable considered the participant’s parents origin: at least one of the parents was born in a foreign country. Results: Out of the 748 participants, 4.1% (n = 31) were considered migrants. Of the migrant participants, 6.9% have inadequate, 51.7% problematic, 24.1% sufficient and 17.2% excellent HL (HLS-EU-PT). Migrants have lower levels of HL when compared with nationals in this sample (respectively 58.6% and 45.8% for insufficient HL) but this difference is not statistically significant. Conclusions: Although results didn’t show an association between being migrant and lower levels of HL (when compared with nationals), it is nevertheless relevant to consider that more than 1 in every two migrants (58.6%) have insufficient HL levels. Special consideration should be given to this group to promote HL levels and further research is needed to better understand how HL and cultural sensitiveness may work for a better integration of migrants.info:eu-repo/semantics/publishedVersio