Margarida Reis Santos

• PhD
• Professor (Full) at Centre for Health Technology and Services Research

Introduction With the increase in the number of informal caregivers, their training becomes essential. The supervisory programs implemented by nurses play a leading role in caregiver training. Objectives To map the supervisory programs implemented by nurses to caregivers in the community. Methods A scoping review will be developed according to th...

Introduction: Trauma is a leading cause of death and disability worldwide. In addition to acute pain caused by trauma, victims often face discomforts during pre-hospital care, such as cold, anxiety, and fear, which may worsen their condition and hinder care. Objective: To identify the types of discomforts reported by trauma victims and map pharmaco...

Objetivo: caracterizar o perfil de gestantes que não praticam exercícios físicos. Métodos: pesquisa descritiva de abordagem quantitativa, realizada no período entre outubro e dezembro de 2021, por meio de questionário disponibilizado pelo Google Forms® com 65 gestantes que não praticavam exercícios físicos. As participantes foram captadas por meio...

Introduction: Nurse managers with emotional competences recognise, understand and manage their own emotions and those of the professionals they lead, contributing to a work environment conducive to excellent practice. Learning the emotional skills that enable you to be emotionally competent is emotional literacy. The development of emotional litera...

Introduction: Incivility is characterized as discourteous behaviour that violates workplace norms. It is described as deviant behaviour, of low intensity, with a dubious intention to prejudice the employee. A behavioural and contextual target that arises occasionally is related to conditioning the performance of clinical practice through ambiguity...

Introduction: Clinical reasoning refers to the process of applying knowledge and expertise in order to develop a solution to manage a clinical problem. The diagnostic process in complex clinical contexts can be surrounded by uncertainty that can permeate clinical judgment. However, little is known about nurses' attitudes towards uncertainty in thei...

Through technical rationality, healthcare professionals address instrumental problems by applying the theory and technique arising from scientific knowledge. Nevertheless, the divergent situations of practice characterised by uncertainty, instability, and uniqueness place nurses in a positivist epistemological dilemma. Decision-making under uncerta...

Background Spinal immobilization, a widely used trauma prehospital intervention, is known to cause discomfort, yet little is known about interventions to reduce this discomfort. Objective This scoping review aims to evaluate prehospital interventions to reduce discomfort from spinal immobilization in adult trauma patients. Method This scoping rev...

Nursing work is increasingly complex and demanding. In this sense, the development of emotional competencies by nurse managers is crucial as a response to current challenges in health management. This scoping review aims to map the emotional competencies of nurse managers. The scoping review will be carried out according to the guidelines establish...

Objective: To map the nursing focus in the existing literature on school-age children undergoing ENT surgery and their families, as well as their respective clinical data, nursing diagnoses, and nursing interventions. Methods: This scoping review will adhere to the Joanna Briggs Institute guidelines for Scoping Reviews and will consider published a...

Background: Immobilization is an intervention widely administered to trauma victims and aims to reduce the victim’s movements, ensuring the alignment of anatomical structures suspected of being injured. Despite the benefits of immobilization, it is responsible for the occurrence of pressure injuries, increases in intercranial pressure, pain, and di...

Os profissionais envolvidos com a saúde materno-infantil devem participar da vigilância, realizando a investigação dos óbitos, a fim de contribuir na construção do percurso da gestante/ mulher/criança que levou a este desfecho, evidenciando ações que poderiam ter sido feitas para impedir novos casos semelhantes. Objetivo: descrever a trajetória de...

The aim of this scoping review is to map the evidence on self-instructed bedside decision strategies applied by nurses to support clinical reasoning. The ability to perform solid clinical reasoning is essential for providing healthcare with favourable patient outcomes. Accordingly, nurses should play an active role in developing clinical reasoning...

Os desconfortos físicos, emocionais e psicológicos enfrentados por vítimas de trauma no pré-hospitalar são frequentemente ignorados, com o foco primordialmente na dor aguda. Torna-se crucial destacar a importância de uma abordagem mais abrangente ao desconforto, visando um cuidado humanizado. O cuidado pré-hospitalar apresenta-se como um desafio co...

Objetivo: identificar potencialidades e fragilidades da Sistematização da Assistência de Enfermagem no período puerperal. Método: estudo descritivo exploratório qualitativo desenvolvido entre agosto e dezembro de 2021 com 17 enfermeiros que atuam em equipes de Estratégia de Saúde da Família em um município do Rio Grande do Sul. Os dados foram colet...

Background Continuing education is important for the quality of clinical practice because it complements it and focuses primarily on producing qualified pre-hospital nurses with operationally defined competence in nursing standards. The objective of this study was to assess pre-hospital nurses’ opinion of the impact of professional development sess...

Objectives: to describe Nurses’ perception of the Nursing Process and its relationship with leadership. Methods: action research conducted between September/2021 and April/2022 with nurses from a medium-sized hospital in southern Brazil. The data investigated, one of the stages of the method, was collected using the Focus Group technique and submi...

Objectives to describe Nurses’ perception of the Nursing Process and its relationship with leadership. Methods action research conducted between September/2021 and April/2022 with nurses from a medium-sized hospital in southern Brazil. The data investigated, one of the stages of the method, was collected using the Focus Group technique and submitt...

Objective to analyze the needs of adolescents experiencing parental cancer. Method an exploratory and descriptive qualitative study. Data collection was carried out through semi-structured interviews in 2021. The convenience sample was composed of adolescents aged 14-19, with parents with oncological disease in the treatment phase, followed in a P...

Objective to analyze the needs of adolescents experiencing parental cancer. Method an exploratory and descriptive qualitative study. Data collection was carried out through semi-structured interviews in 2021. The convenience sample was composed of adolescents aged 14-19, with parents with oncological disease in the treatment phase, followed in a P...

Objective to analyze the needs of adolescents experiencing parental cancer. Method an exploratory and descriptive qualitative study. Data collection was carried out through semi-structured interviews in 2021. The convenience sample was composed of adolescents aged 14-19, with parents with oncological disease in the treatment phase, followed in a P...

Objective: To create and evaluate a digital educational game (DEG) for preschool children for the prevention of iron deficiency and iron deficiency anemia. Methodology: The DEG software was developed by a multidisciplinary team, according to Chandler's methodology, in Engine Unity. The game is a 2D platformer, for Android, with three different phas...

This article aims to explore the perception of pregnant women regarding collective prenatal care facilitated by educational technology, in the light of complexity thinking. Qualitative, exploratory and descriptive study conducted between August and November 2022. The participants were 19 pregnant women from a Family Health Strategy in the central r...

Objective: To develop a nursing intervention model for adolescents and parents experiencing parental cancer. Method: Multimethod research, which integrated five studies: a scoping review and four qualitative studies. Considering the results of these studies, a nursing intervention model was constructed based on two theoretical frameworks, such as t...

Objective: To develop a nursing intervention model for adolescents and parents experiencing parental cancer. Method: Multimethod research, which integrated five studies: a scoping review and four qualitative studies. Considering the results of these studies, a nursing intervention model was constructed based on two theoretical frameworks, such as t...

Introdução: A Supervisão Clínica em Enfermagem objetiva o desenvolvimento de competências pessoais e profissionais, o suporte dos enfermeiros e contribuir para a melhoria da qualidade e segurança dos cuidados, sendo significativa para a consolidação da identidade profissional. O supervisor clínico desempenha um papel fundamental no desenvolvimento...

Introduction: Nurses' participation in data collection is crucial to the development of nursing research. The contributions are also important in the introduction of updated scientific knowledge into the clinical practice. Objective: To assess the views of pre-hospital nurses on the impact that their participation in data collection for a research...

Objective: To describe and analyse barriers and facilitators to managing uncertainty in nurses' clinical reasoning in post-anaesthesia care units. Background: The diagnostic process in complex clinical settings often involves uncertainty. This can bias clinical reasoning and compromise the safety of healthcare. Still, little is known about how nurs...

INTRODUCTION: Parental cancer is the experience of cancer at an early age in adulthood in people with dependent children, leading to changes in parent-child interaction, family dynamics, the performance of the parental role and socio-economic difficulties. OBJECTIVE: To analyze parents’ perspectives who are undergoing cancer treatment to understand...

Introduction: Hospital-at-home and classic hospitalization are two models of care. The sustainability of the National Health Service is a current issue given the scarcity of resources; the implementation of home hospitalization contributes to the discussion about its economic impact. Objective: Identify and synthesize the best available evidence o...

Background: Acute pain is an important complaint reported by trauma victims, however, the relationship betweenit and other types of discomfort, such as discomfort caused by cold, discomfort caused by immobilization, andpsychological distress such as fear, anxiety, and sadness is limitedly studied and documented.Aim: To assess the relationship betwe...

Objective to identify toddlers’ eating habits. Method a cross-sectional study of quantitative analysis, with a sample of 808 toddlers who attended day care centers in the district of Viseu, Portugal, between November 2018 and September 2019. Data were collected using a questionnaire directed at parents. Results the prevalence of children who ate...

Objective to identify toddlers’ eating habits. Method a cross-sectional study of quantitative analysis, with a sample of 808 toddlers who attended day care centers in the district of Viseu, Portugal, between November 2018 and September 2019. Data were collected using a questionnaire directed at parents. Results the prevalence of children who ate...

Through technical rationality, healthcare professionals address instrumental problems by applying the theory and technique arising from scientific knowledge. Nevertheless, the divergent situations of practice characterised by uncertainty, instability, and uniqueness place nurses in a positivist epistemological dilemma. Decision-making under uncerta...

Resumo O objetivo deste artigo é conhecer a percepção de gestantes sobre o pré-natal coletivo mediado por tecnologia educativa, à luz do pensamento da complexidade. Pesquisa qualitativa, exploratória e descritiva realizada entre os meses de agosto e novembro de 2022. Participaram da pesquisa 19 gestantes de uma Estratégia de Saúde da Família da reg...

Introduction: Although there are studies related to patients' experience of uncertainty in illness, there is a scarcity of research on healthcare providers' experiences of uncertainty, especially nurses. This ubiquity is worthy of attention, as nurses deal with uncertainty in order to attend to the safe delivery of care. Objectives: To explore the...

Introduction: Clinical reasoning refers to the process of the application of knowledge and expertise to a clinical situation in order to develop a solution and to manage a clinical issue. The diagnostic process in complex clinical settings may be surrounded by uncertainty, which can potentially disrupt clinical reasoning and compromise the safety o...

Background: With the growth of digital nursing, several studies have focused on recording patients' views on remote care, or specialised nurse staffing aspects. This is the first international survey on telenursing focused exclusively on clinical nurses that analyses the dimensions of usefulness, acceptability, and appropriateness of telenursing f...

Background – There is a paucity of research on healthcare providers' experiences of navigating uncertainty, especially nurses. This phenomenon deserves attention as nurses deal with uncertainty in order to attend to the safe delivery of care. Providing adequate working conditions appears to be closely linked to patient safety, since patient outcome...

Introduction: Post-anaesthesia nursing care occurs in an uncertain and changing environment. Concomitantly, the post-operative nursing practice is complex, highly challenging and demands quick and efficient decision making through accurate clinical reasoning. To successfully navigate clinical reasoning uncertainty in this complex and ambiguous sett...

Introduction: Every year, millions of children and adolescents undergo surgery, 50%-75% of them experience fear and anxiety. Children are particularly susceptible to stress and anxiety surrounding surgery as a result of their cognitive development, previous experiences, and knowledge about healthcare; this leads to additional interventions to preve...

O trauma é uma importante causa de mortalidade e morbilidade, um fenómeno altamente prevalente e impactante, que exige uma resposta complexa devido à sua apresentação clínica multiforme (Mota, Cunha, et al., 2021). Acresce a essa importante repercussão hemodinâmica imediata, cuja gravidade cursa frequentemente em choque hipovolémico e morte, dor ag...

Background Parents' perception of children's body image may assume an important role in children's development. Aims to assess parental perception on toddlers' nutritional status. Methods Study conducted with toddlers' parents who attended nurseries in the district of Viseu, Portugal. Data collection instruments: a survey which included questions...

Introduction Postanesthesia nursing plays an important role in the early detection and treatment of clinical deterioration after surgery and/or anesthesia and the effectiveness of postoperative care is highly dependent on the accurate analysis and synthesis of clinical data and the quality of diagnostic decisions through clinical reasoning. Given t...

Introduction Adolescents undergoing surgery have expressed a willingness to obtain information about their surgery and to be involved in the decisions about their health care process. Around 80% of adolescents experience anxiety before undergoing surgery. On the basis of the adolescents' shared experiences, areas of possible nursing intervention ha...

Objective To describe and analyze the experience of an adolescent experiencing parental cancer, based on A Model of Children’s Adjustment to Parental Cancer, and to prescribe nursing interventions in classified language. Method This is a single case study, qualitative, of a 16-year-old adolescent experiencing maternal cancer. We analyzed a semi-st...

Objective To describe and analyze the experience of an adolescent experiencing parental cancer, based on A Model of Children’s Adjustment to Parental Cancer, and to prescribe nursing interventions in classified language. Method This is a single case study, qualitative, of a 16-year-old adolescent experiencing maternal cancer. We analyzed a semi-st...

Background: Existing surveys on telenursing refer to specific areas of nursing after the implementation of a programme, but telenursing in general has not been fully evaluated from a prospective approach. Aim: Design and statistical validation of a telenursing questionnaire. Methods: A new questionnaire was designed with 18 paired (to avoid leading...

Objective: The objective of this review is to identify the level of discomfort caused by immobilization as reported by trauma victims, and to map all the interventions in the prehospital context where they have been implemented and evaluated in order to reduce discomfort in adult victims of trauma. Introduction: Immobilization is a cause of disc...

Contexto: Gerir recursos humanos, atividades e processos administrativos, são desafios diários que se pretendem traduzir na qualidade assistencial aos utentes. As mudanças no paradigma de gestão nas unidades de saúde em Portugal determinam que os enfermeiros gestores de saúde mental e psiquiatria contribuam para a qualidade e produtividade dos serv...

Introduction: Caregivers do not usually have the knowledge and skills to provide care. Nurses have a decisive role in the quality of care and people's health outcomes. Clinical supervision of nurses is a strategic and formal process that requires a cohesive supervisory relationship. Objective: To map the supervisory strategies used by nurses in the...

Introdução: O envelhecimento demográfico mundial determinará um número crescente de pessoas com necessidades de cuidados de longa duração, em particular nas Estruturas Residenciais para Pessoas Idosas. É difícil atrair e reter enfermeiros qualificados para estes contextos. Importa os enfermeiros supervisores deterem competências em enfermagem geron...

Introduction: External bleeding is the leading preventable cause of death from traumatic injuries. Implementation of guidelines for its control have been associated with a significant reduction in mortality. The objectives of this study were to provide a characterisation of trauma patients with external bleeding and to compare the outcomes from spe...

Problem identification: Post-anaesthesia nursing plays an important role in the early detection and treatment of clinical deterioration after surgery and/or anaesthesia. Concomitantly, the effectiveness of post-operative care is highly dependent on the accurate analysis, synthesis of patient data and quality of diagnostic decisions through clinical...

Objective To describe and analyze the effectiveness of nurses’ interventions in pain reduction among patients with traumatic injury. Methods Prospective cohort study conducted in the Immediate Life Support Ambulances in Portugal from March 1, 2019 to April 30, 2020. We have collected data on the kind of interventions implemented and the time elaps...

Objetivo Descrever e analisar a eficácia das intervenções levadas a cabo pelos enfermeiros para reduzir a dor dos doentes com lesões traumáticas. Métodos Estudo de coorte prospetivo realizado junto das Ambulâncias de Suporte Imediato de Vida em Portugal, entre 1 de março de 2019 e 30 de abril de 2020. Foram recolhidos dados sobre o tipo de interve...

Introduction Postanesthesia nursing plays an important role in the early detection and treatment of clinical deterioration after surgery and/or anesthesia. Concomitantly, the effectiveness of postoperative care is highly dependent on the accurate analysis, synthesis of patient data and the quality of diagnostic decisions through clinical reasoning....

Purpose To describe the nurses' views for consideration when designing a program to prevent adolescents' anxiety in the perioperative period. Design A qualitative descriptive case study using focus group and thematic analysis was conducted. Methods Three face-to-face focus group interviews were conducted in October and November 2019 in the pediat...

Resumo O sono é entendido como um importante indicador de saúde e um determinante da qualidade de vida. A duração do sono diminui com a idade, sendo variável entre as crianças. O tempo diário engloba o sono da noite e o das sestas. Realizou-se um estudo exploratório, descritivo de abordagem quantitativa. Amostra: pais de toddlers que frequentam cre...

Resumo Objetivos mapear programas de intervenção para crianças, adolescentes e pais, ou díade (doentes oncológicos e filhos) a vivenciar o cancro parental. Método scoping review segundo a metodologia recomendada pelo Joanna Briggs Institute (JBI) e o Preferred Reporting Items for Systematic Reviews - Scoping Reviews (PRISMA-ScR). Resultados foram i...

Abstract Aim: To evaluate the effectiveness of family-centred educational interventions on the anxiety, pain and behaviours of children and adolescents (three to 19 years old) and their parents’ anxiety during the perioperative journey. Design: Systematic review of effectiveness and meta-analysis. Data sources: MEDLINE, CINAHL, PsycINFO, Cochrane C...

Objective to understand the use of time by nurse managers in psychiatry and mental health units, as they carry out their daily tasks. Methods cross-sectional study, carried out by 48 managers from public psychiatric units and from the social sector. Data collection was made through an online questionnaire that is part of the Scale of Perception of...

Resumo Objetivo Avaliar o padrão de sono de crianças de 12 a 36 meses. Método Estudo transversal, realizado em uma amostra de 808 crianças com 12–36 meses de idade, que frequentavam creches no distrito de Viseu, Portugal. Coleta de dados realizada por meio de questionário aplicado aos pais, entre novembro de 2018 e setembro de 2019. Estudo aprovado...

Abstract: The effectiveness of postoperative care is highly dependent on the accurate clinical reasoning. Given the dynamic processes required to come to a diagnosis, uncertainty is expected during practice, nevertheless, it may permeate the foundations of clinical reasoning, which can jeopardize diagnostic accuracy and consequently safety of the h...

Objective to understand, in the light of Betty Neuman’s Systems Model, the experience of a woman-mother with cancer, and identify the woman-mother’s needs and prescribe nursing interventions in classified language. Method a qualitative case study of a woman-mother of a teenager experiencing cancer. Data collection carried out in Coimbra, Portugal,...

Objective to understand, in the light of Betty Neuman’s Systems Model, the experience of a woman-mother with cancer, and identify the woman-mother’s needs and prescribe nursing interventions in classified language. Method a qualitative case study of a woman-mother of a teenager experiencing cancer. Data collection carried out in Coimbra, Portugal,...

Objetivo: Apresentar o protocolo de um estudo que procura desenvolver uma escala para avaliação do desconforto provocado pela imobilização nas vítimas de trauma e um modelo de maca eficaz na imobilização da vítima de trauma em desenvolvimento. Método: Realizar-se-ão quatro estudos sequenciais: Estudo descritivo, exploratório de abordagem quantitati...

Background Perioperative experience can be very distressing in adolescence if not managed properly by healthcare professionals. In the clinical context, the emotional expression of the adolescent is less spontaneous, which makes the assessment of anxiety, pain or even the desire to be involved in the perioperative process, difficult. Listening to...

Introduction: Quality in health is one of the key requirements that clients demand. To improve their practice nurses use quality indicators as an important strategy for assessment and changes in care. Objective: To identify the indicators that nurses of Integrated Continuous Care at Home Teams consider adequate to monitor the quality of their prof...

RESUMO Objetivo: Identificar o número de dias necessários à obtenção de ganhos em independência e quais estes ganhos, em indivíduos com acidente vascular cerebral internados num serviço de Medicina Física e Reabilitação, após intervenção do Enfermeiro de Reabilitação. Métodos: Estudo quantitativo, descritivo e retrospetivo. Analisados os registros...

Introduction: Clinical supervision is a process that involves a professional relationship in which the supervisor facilitates the development of the supervisee, helps them to critically reflect on their practice, behaviors and decisions, provides opportunities for learning, support and professional guidance. Objetive: To understand the representat...

Introdução: O desarranjo metabólico resultante do trauma é responsável por uma exaustão fisiológica que culminará no ciclo vicioso denominado de Tríade Letal: acidose metabólica, hipotermia e coagulopatia (Johnson et al 2017). A hipotermia, clinicamente importante quando temperatura axilar inferior a 35ºC, é responsável pelo aumento da mortalidade...

Abstract Aims To evaluate the effectiveness of non-pharmacological interventions to manage anxiety in adolescents in the perioperative period. Design Systematic review of effectiveness and meta-analysis. Data sources MEDLINE, CINAHL, PsycInfo, Cochrane Central Register of Controlled Trials, SciELO, sources of unpublished studies and grey literature...

Objective: To implement the nursing process, based on the Neuman Systems Model and the International Classification of Nursing Practice terminology, in the care of an adolescent who underwent corrective surgery for juvenile idiopathic scoliosis. Method: This is a qualitative study of the type of single case, with triangulation of data collection...

Abstract Objective: The objective of this scoping review was to examine and map the range of nonpharmacological interventions used in the perioperative period to prevent anxiety in adolescents. Introduction: Undergoing surgery involves experiencing fears and uncertainties that lead to an increase in anxiety levels. The interventions used to p...

Aim: To identify the factors that facilitate and limit the integration process of newly admitted nurses. Method: Qualitative, exploratory and descriptive study, carried out in a Hospital in the North of Portugal, approved by the institution's Board of Directors. Data collection by semi-structured interview. Participated twelve newly integrated nurs...

Background: Hypothermia in trauma patients causes increased morbidity and mortality. Swift recognition and treatment are important to prevent any further heat loss. In addition, patient discomfort from cold decreases satisfaction with care. The administration of active and passive rewarming measures is important in the prevention and treatment of...

Enquadramento: O trauma é um problema de saúde pública com considerável impacto social e económico. Contudo, a evidência nacional sobre a sua caracterização e o papel da enfermagem na sua gestão é ainda escassa. Objetivos: Avaliar a eficácia da intervenção de enfermagem na estabilização da pessoa vítima de trauma, prestada pelos enfermeiros das Amb...