http://hdl.handle.net/20.500.12253/1256 2026-08-24T14:00:54Z http://hdl.handle.net/20.500.12253/1605 Title: Intervenção Especializada Para a Gestão da Doença Crónica Authors: Gomes, Mila Aracy Moreira Abstract: A Enfermagem configura-se uma disciplina científica e profissional em contínua evolução, exigindo aos seus profissionais não apenas atualização permanente de conhecimentos, mas também capacidade crítica e reflexiva para responder à crescente complexidade das necessidades em saúde, particularmente no contexto da doença crónica. A qualidade dos cuidados em Enfermagem depende do domínio técnico, da capacidade relacional e da integração da melhor evidência científica disponível na prestação de cuidados. Neste enquadramento, a formação especializada em Enfermagem Médico-Cirúrgica, na área da pessoa em situação crónica, é determinante para a promoção de cuidados seguros, humanizados e centrados na pessoa e na família, com ênfase na capacitação, continuidade de cuidados e prevenção de complicações. O presente relatório, integrado no Mestrado em Enfermagem Médico-Cirúrgica, descreve e analisa, de forma crítico-reflexiva, o desenvolvimento de competências de enfermeiro especialista e mestre, com base nas experiências no serviço de internamento de Medicina e na Unidade de Hemodiálise. Estes contextos permitiram a prestação de cuidados a pessoas com doença crónica, nomeadamente drepanocitose e doença renal crónica, exigindo vigilância clínica contínua, gestão terapêutica complexa e tomada de decisão, articulada com a equipa interdisciplinar. Foram desenvolvidas competências na avaliação das necessidades, planeamento, implementação e avaliação de cuidados individualizados, capacitação da pessoa, família e cuidadores, prevenção de complicações, gestão do risco e planeamento da alta. Destacam-se dois estudos de caso, a participação num projeto de planeamento precoce da alta e intervenções educativas dirigidas à pessoa e família, promovendo autonomia, literacia em saúde e autogestão da doença. Realizou-se ainda uma scoping review sobre intervenções de enfermagem na hemodiálise, integrando evidência científica atual. Os referenciais de Dorothea Orem e Afaf Meleis sustentaram a abordagem centrada na capacitação, adaptação e gestão das transições, reforçando a importância da intervenção especializada na promoção da autonomia e continuidade de cuidados. 2026-05-01T00:00:00Z http://hdl.handle.net/20.500.12253/1604 Title: Implementation and Evaluation of the Patient Reported Incident Management System (PRIM) Authors: Moreira, Paulo Abstract: This study aims to identify the nature and prevalence of patient safety incidents and the design, development, and implementation of a patient-reported incident management system. The system’s effectiveness in capturing patient-reported incidents and promoting patient empowerment was also evaluated. Findings reveal that nearly 33.8% of patients reported experiencing a patient safety incident, with 81.6% of these incidents identified by the patients themselves. After the implementation of the system, 47% of reported incidents were addressed by staff, indicating a significant improvement in patient empowerment. Furthermore, there was a 71% increase in overall incident reporting. Following the introduction of the patient-reported incident management system, 67% of patients reported feeling more empowered, and 53% provided positive feedback regarding the system’s user-friendliness. 2025-01-01T00:00:00Z http://hdl.handle.net/20.500.12253/1603 Title: Core competencies for diabetes specialist nurses: a scoping review protocol Authors: Moreira, Paulo Abstract: Introduction: Diabetes is a serious health condition that challenges a person's daily life, emotional well-being and perceived quality of life. It increases one's risk of developing other health-related complications and encountering an early death. People with diabetes require comprehensive and meticulous management through a collaborative clinical multidisciplinary team. Optimal management reduces the risk of diabetes-related health issues. Significantly, people's knowledge of diabetes and its management depends, to a large extent, on the adequacy and effectiveness of the diabetes-related care and education they receive. Diabetes specialist nurses (DSNs) are essential in diabetes care and education. The management of diabetes is rapidly changing, with advances in technologies to monitor glycaemic control, growth in new therapies and devices, and new ways of interacting with people with diabetes instead of traditional face-to-face consultations. DSNs are at the forefront in delivering diabetes care and have had to adapt their practice and learn new skills to embrace these changes. Meanwhile, the competency framework has evolved to keep abreast of these changes and ensure that nurses provide high-quality care for people with diabetes. A scoping review of the global core competencies of DSNs and identifying a worldwide framework of core competencies holds significant importance for their professional growth and role standardisation worldwide. Methods and analysis: The scoping review will be conducted in accordance with Arksey and O'Malley's framework and the Joanna Briggs Institute methodology. Moreover, this protocol will be reported in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols checklist. The following online databases will be searched from the earliest available record to 4 October 2024, including CINAHL (EBSCO), Embase, PubMed, Scopus and Web of Science. Grey literature will be retrieved through OAIster, Google Scholar and OpenGrey, supplemented by targeted manual searches of official websites of national diabetes associations of different countries. Study selection and data extraction of the full text will be done independently by two reviewers based on the inclusion criteria and a predetermined data extraction form. In the event of any discrepancies, they will be resolved through discussion with the third reviewer. The extracted data will be summarised and exhibited in tabular or graphical form. Ethics and dissemination: This study does not require ethical approval, as all data will be collected from published and grey literature. The findings will be presented at relevant conferences and submitted to peer-reviewed journals for publication. 2025-11-09T00:00:00Z http://hdl.handle.net/20.500.12253/1602 Title: Comparing core competencies for diabetes specialist nurses across different countries Authors: Moreira, Paulo Abstract: Abstract Aims This review aims to identify the current status of the core competencies of Diabetes Specialist Nurses (DSNs) as referenced in available international literature. It identifies specific categories and important components of the core competencies identified internationally, which lacks attention for now. Methods A scoping review was conducted using electronic databases including CINAHL (EBSCO), Embase, PubMed, Scopus, and Web of Science. The latest Joanna Briggs Institute (JBI) scoping review methodology was aligned with. Results After initial analysis, 27 competencies were extracted from 11 studies, and then categorized into eight domains: Diabetes professional knowledge, Supporting self-management, Clinical Management Practice and Integration, Administration and research, Professional technique, Complication care, Teaching and learning, and Cultural Competence. The PRISMA extension for Scoping Reviews (PRISMA-ScR) was applied. Conclusions The compilation of the currently identified core competencies for DSNs, coupled with an analysis of the core competency standards in the assessment of these professionals, can contribute to facilitate the establishment of a uniform standard of professionalism in the delivery of diabetes care on a global scale. This would facilitate the development of an internationally applicable core competency framework for DSNs. Clinical trial number Not applicable. What is already known Core competencies for diabetes specialist nurses seek to define the fundamental knowledge, skills and abilities required at each level of the wider continuum of diabetes care. Some countries have developed a core competency framework in accordance with their respective medical systems and the specific requirements of diabetes prevention and control. At present, the training model of diabetes specialist nurses is still in the exploratory stage, and its core competency has not been established in some developing countries. 2025-10-31T00:00:00Z