Almeida, M

Avelar, FG

Bernardo, F

Cunha, AS

Martinho, H

Pardal, M

Pedro, AR

Raposo, B

European Journal of Public Health

English

Repositório da Universidade Nova de Lisboa

individual differences in mortality. The median hazard ratio(MHR) is used as a summary measure of this generalcontextual effect. We assess trends separately by sex and agecategories and broad cause of death groups, as well as adjustfor different individual- and family-level sociodemographiccharacteristics.Results:The preliminary results show that the contribution of thefamily level to individual mortality risk is substantial. Thefamily effect shows an increasing trend over three decades andis largest among younger individuals aged 30-49.Conclusions:The overall relevance of the family context to mortality isconsiderable and has grown over time. From a public healthperspective, policy and interventions should place moreimportance on family-level influences on health.Key messages: The family context and whom you live with are increasinglyimportant for health and mortality. Family-oriented health care and services that considerfamily-level influences should be developed further.Abstract citation ID: ckad160.1714Understanding the concerns of people living withHeart Failure in Portugal - a qualitative approachBeatriz RaposoB Raposo1, FG Avelar1, AS Cunha1, H Martinho2, M Almeida2,M Pardal3, F Bernardo3, AR Pedro1,41Public Health Research Center, CISP, NOVA National School of PublicHealth, NOVA University Lisbon, Lisbon, Portugal2Medical Affairs, AstraZeneca Portugal, Barcarena, Portugal3Evidence Generation, AstraZeneca Portugal, Barcarena, Portugal4Comprehensive Health Research Centre, CHRC, NOVA National School ofPublic Health, NOVA University Lisbon, Lisbon, PortugalContact: bmf.raposo@ensp.unl.ptBackground:Heart failure (HF) is a complex chronic clinical syndrome thatresults of cardiac functional impairment secondary to manyaetiologies, leading to significant struggles to an optimal caremanagement. Person-centred care is an effective approach tointegrate care and shared decision-making. Understanding thehealth concerns of the people with the disease, is fundamentalto adapt and establish an integrated disease management. Thisstudy aims to comprehensively identify the main concerns ofpeople living with HF.Methods:Three focus group and two group interviews were conducted,involving 23 individuals where: 12 were people with HF and 11healthcare professionals (HCP) following people with HF inPortugal. A convenience sampling (nonprobabilistic) was usedto maximize the differences within participants’ characteristics.The inclusion criteria for people with HF were documentationof reduced or preserved ejection fraction, with or withoutdecompensation for more than one year with different NYHAclassifications. Regarding HCP were included physicians andnurses following people with HF. Data were analysed usingthematic analysis and performed in MAXQDA.Results:Following data analysis, nine themes of concern wereidentified. Each theme was composed of several items ofconcern (codes) and were related to: 1) personal and family; 2)monetary costs; 3) changes in lifestyle; 4) autonomy andfunctionality; 5) health status; 6) symptoms and signs; 7)medication; 8) surgical procedures; 9) healthcare.Conclusions:Several aspects of the daily life of the person with HF wereidentified. Those were not limited to concerns related toclinical conditions. Data reinforce the complexity of HF withseveral and broad implications in daily life. Based on theseresults we recommend a quantitative approach to measure therelevance and impact of each concern, enhancing the creationof more effective healthcare strategies that prioritize people’needs and management.Key messages: The concerns of people with HF are not limited to clinicalaspects, they cover several areas of the person’s daily life. Heart Failure is a complex, high-prevalence disease, withseveral implications in daily-life, requiring specific copingmechanisms to face different challenges.Abstract citation ID: ckad160.1715‘We just had to try it’ - Virtual mentoring experiencesof students and their lecturers- NamibiaSithulisiwe NdlovuS Ndlovu1, V Niranjan11Nkurenkuru, Welwitchia Health Training Centre, Nkurenkuru, NamibiaContact: sithulisiwendlovu115@yahoo.comBackground:Mentoring is the backbone of nursing in the classroom andclinical practice. Online learning became the teaching mode ofchoice during the Covid-19 pandemic. Nurse training institu-tions were caught off guard with the sudden changes as theywere not prepared for the imposed restrictions. Reliance onface-to-face mentoring (FFM) was greatly disrupted because ofrestrictions on public gatherings and closure of schools.Students needed to continue learning, lectures needed tokeep their jobs and nurse training institutions needed to beviable in the midst of the Covid-19 crisis. This study exploredvirtual mentoring (VM) experiences among third-and-fourthnursing students and their lecturers.Methods:An exploratory qualitative design was used. Purposivesampling was used for students and convenient sampling onlecturers. Data collection instrument was designed and pilottested. Six focus groups from students (n = 46) wereconducted. Telephone interviews were conducted withlecturers (n = 18). Data were analysed using NVivo 12.Results:Five key themes were identified on both groups; (i)Preparation of adequate teaching content is crucial, (ii)problem-solving scenarios to promote student expertise, (iii)group work and use of social media platforms promotesocialisation, (iv) personalized feedback important for psy-chological support and (v) use of videos during lectures wasparamount for nonverbal communication. Institutional sup-port and learning of IT skills to navigate through the LearningManagement System were recommended as ways of strength-ening VM experiences.Conclusions:Although both FFM and VM produced positive mentoringexperiences, mentoring activities such as modelling, scaffold-ing, coaching, articulation, reflection and exploration were notclearly understood as mentoring activities. Future researchshould explore teaching pedagogies to strengthen VM.Key messages: Innovative techniques for nonverbal communication areimportant during online learning as they mentor studentson communication skills and boost self-esteem. Knowledge on navigation of the LMS and its variousfeatures that support virtual mentoring is paramount bothfor students and lecturers to meet learning outcomes.16th European Public Health Conference 2023 ii683Downloaded from https://academic.oup.com/eurpub/article/33/Supplement_2/ckad160.1714/7328710 by guest on 03 November 2023

a qualitative approach

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a qualitative approach

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