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Baixinho CL, Ferreira ÓR, Medeiros M, de Oliveira ESF. Participation of Nursing Students in Evidence-Based Practice Projects: Results of Two Focus Groups. IJERPH 2022; 19:ijerph19116784. [PMID: 35682366 PMCID: PMC9180395 DOI: 10.3390/ijerph19116784] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/21/2022] [Revised: 05/30/2022] [Accepted: 05/31/2022] [Indexed: 11/21/2022]
Abstract
The development of true evidence-based practice requires that practitioners have the knowledge and skills to research, analyze, and use evidence. These skills must be acquired in pre-graduate training. The objective of the present study was to analyze the contributions of students’ participation in knowledge translation projects to clinical practice for evidence-based learning. This was a qualitative, descriptive, and exploratory study that used focus groups. Scripted interviews were administered. The design of the study included five phases and took place in the partnering institutions of the Safety Transition Project, involving fifteen participants. The study was authorized by the Research Ethics Committee. The data were analyzed following the steps encoding the categories, storage and recovery, and (3) interpretation and using computer software (WebQDA®, Ludomédia, Aveiro, Portugal). Four categories were identified: learning evidence; communicating science; evidence-based practice; and developing skills. The successful implementation of evidence-based practice education resulted in students who understand its importance and use it competently. Further research should explore the skills developed by nurses involved in similar projects and their contribution to an EBP culture.
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Affiliation(s)
- Cristina Lavareda Baixinho
- Nursing School of Lisbon, Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), 1900-160 Lisbon, Portugal;
- Center for Innovative Care and Health Technology (ciTechCare), Polytechnic of Leiria, 2411-901 Leiria, Portugal
- Correspondence: ; Tel.: +35-19-3325-4269
| | - Óscar Ramos Ferreira
- Nursing School of Lisbon, Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), 1900-160 Lisbon, Portugal;
| | - Marcelo Medeiros
- Nursing School, Federal University of Goiás, Goiânia 74690-900, Brazil;
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Baixinho CL, Ferreira Ó, Medeiros M, de Oliveira ESF. From Evidence Synthesis to Transfer: Results from a Qualitative Case Study with the Perspectives of Participants. Int J Environ Res Public Health 2022; 19:ijerph19095650. [PMID: 35565044 PMCID: PMC9105498 DOI: 10.3390/ijerph19095650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/12/2022] [Revised: 05/03/2022] [Accepted: 05/05/2022] [Indexed: 12/04/2022]
Abstract
The increase in health research brings challenges to the production, synthesis, and use of research findings in clinical practice. In the case of undergraduate training in nursing, it is necessary to think about the curricular contents and create opportunities to develop skills for learning evidence-based practice. The objective of this study was to analyze nurses’ perspectives regarding the effects of their participation in a project of translation of knowledge into clinical practice during undergraduate nursing education, specifically involving knowledge, attitudes, and competencies related to the use of evidence. This is a qualitative case study grounded in the knowledge-to-action theoretical framework. The participants were 13 nurses who were involved in a project about the translation of knowledge into clinical practice during the last term of their undergraduate course. The data were collected by applying interviews between December 2020 and April 2021. Content analysis was carried out by using the qualitative data analysis software tool webQDA®. The following categories emerged from the content analysis carried out on the material gathered during the interviews: understanding evidence; learning how to use evidence; transferring evidence; adjusting to the context; and observing the advantages of evidence-based practice. Extracurricular activities were perceived as an opportunity to understand what evidence is and observe in loco the advantages of health care for clients, teams, and services. During the project, the participants developed cross-sectional competencies and envisaged changes to their professional activity as a result of changes in their attitude regarding evidence and its use. We concluded that the opportunity to develop evidence-related activities allows for the development of skills and influences the attitude towards evidence-based practice and knowledge use.
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Affiliation(s)
- Cristina Lavareda Baixinho
- Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Nursing School of Lisbon, 1900-160 Lisbon, Portugal;
- Center for Innovative Care and Health Technology (ciTechCare), Polytechnic of Leiria, 2410-541 Leiria, Portugal
- Correspondence: ; Tel.: +351-933254269
| | - Óscar Ferreira
- Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Nursing School of Lisbon, 1900-160 Lisbon, Portugal;
| | - Marcelo Medeiros
- Nursing School, Federal University of Goiás, Goiânia 74690-900, Brazil;
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Brasil CCP, Oliveira ESFD, Higa EDFR. “The Fantastic Octet”: use and contributions to qualitative research. Ciênc saúde coletiva 2022. [DOI: 10.1590/1413-81232027275.05452021en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Ferreira ÓR, Baixinho CL, Medeiros M, Oliveira ESFD. Learning to use evidence at nursing undergraduation: a contribution to collective health. Ciênc saúde coletiva 2022. [DOI: 10.1590/1413-81232022275.15672021en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Abstract There is universal agreement that health professionals have not implementing evidence-based practice as would be desirable and recommended by science and international institutions with responsibility for the guidelines issued for health contexts. This focus group with eight participants aimed to understand the perspective of students from the undergraduate nursing course on their involvement in a project of knowledge transfer to the clinic. Qualitative analysis followed the coding steps; storage/retrieval and interpretation of the findings and it was carried out by using a software for qualitative data analysis. This study is authorized by an Ethics Committee and respected the principles inherent to the investigation. The four categories that emerged from the content analysis were: Belonging, Using Evidence, Improving Care and Developing Competencies. The analysis of categories, subcategories and verbatim transcripts allowed us to conclude that participation in transference projects for clinics, according to the students, generates learning opportunities about the implementation and communication of evidence, facilitates integration in the service, participation, collaborative work and the development of transversal skills.
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Brasil CCP, Oliveira ESFD, Higa EDFR. "The Fantastic Octet": use and contributions to qualitative research. Cien Saude Colet 2022; 27:1700. [PMID: 35544799 DOI: 10.1590/1413-81232027275.05452021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Ferreira ÓR, Baixinho CL, Medeiros M, Oliveira ESFD. Learning to use evidence at nursing undergraduation: a contribution to collective health. Cien Saude Colet 2022; 27:1723-1730. [PMID: 35544802 DOI: 10.1590/1413-81232022275.15672021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2021] [Accepted: 11/15/2021] [Indexed: 11/21/2022] Open
Abstract
There is universal agreement that health professionals have not implementing evidence-based practice as would be desirable and recommended by science and international institutions with responsibility for the guidelines issued for health contexts. This focus group with eight participants aimed to understand the perspective of students from the undergraduate nursing course on their involvement in a project of knowledge transfer to the clinic. Qualitative analysis followed the coding steps; storage/retrieval and interpretation of the findings and it was carried out by using a software for qualitative data analysis. This study is authorized by an Ethics Committee and respected the principles inherent to the investigation. The four categories that emerged from the content analysis were: Belonging, Using Evidence, Improving Care and Developing Competencies. The analysis of categories, subcategories and verbatim transcripts allowed us to conclude that participation in transference projects for clinics, according to the students, generates learning opportunities about the implementation and communication of evidence, facilitates integration in the service, participation, collaborative work and the development of transversal skills.
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Affiliation(s)
- Óscar Ramos Ferreira
- Departamento de Fundamentos de Enfermagem, Escola Superior de Enfermagem de Lisboa. Av. Prof. Egas Moniz. 1600-190 Lisboa Portugal.
| | | | - Marcelo Medeiros
- Faculdade de Enfermagem, Universidade Federal de Goiás. Goiânia GO Brasil
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Oliveira ESFD, Presado MH, Baixinho CL. Aspects of qualitative research in times of pandemic. Rev Bras Enferm 2022; 75:e750301. [DOI: 10.1590/0034-7167.2022750301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
| | - Maria Helena Presado
- Researcher at the Nursing Research, Innovation and Development Centre of Lisbon, Portugal
| | - Cristina Lavareda Baixinho
- Researcher at the Nursing Research, Innovation and Development Centre of Lisbon, Portugal; Researcher at the Centro de Inovação em Tecnologias e Cuidados de Saúde (ciTechCare), Portugal
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Affiliation(s)
- Maria Helena Presado
- Docente de Enfermagem na Escola Superior de Enfermagem de Lisboa. Investigadora no Centro de Investigação, Inovação e Desenvolvimento em Enfermagem de Lisboa. Lisboa, Portugal
| | - Cristina Lavareda Baixinho
- Docente de Enfermagem na Escola Superior de Enfermagem de Lisboa. Doutora em Enfermagem. Investigadora no Centro de Investigação, Inovação e Desenvolvimento em Enfermagem de Lisboa e no Centro de Inovação em Tecnologias e Cuidados de Saúde. Leiria, Portugal
| | - Ellen Synthia Fernandes de Oliveira
- Docente do Programa de Pós-graduação em Saúde Coletiva da Universidade Federal de Goiás. Pós-Doutora em Saúde Coletiva pela Faculdade de Ciências Médicas da Universidade Estadual de Campinas. Goiânia, Goiás, Brasil
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Ribeiro JM, Oliveira ESFD, Gonçalves RFL. Contexts of qualitative research in health. Rev Bras Enferm 2021; 74:e740101. [PMID: 33787803 DOI: 10.1590/0034-7167.2021740101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Affiliation(s)
- Jaime Moreira Ribeiro
- Universidade de Aveiro & Center for Innovative Care and Health Technology - CiTheCare, Centro de Investigação em Didática e Tecnologia na Formação de Formadores, Politécnico de Leiria. Leiria, Portugal
| | | | - Rui Filipe Lopes Gonçalves
- Unidade de Investigação em Ciências da Saúde: Enfermagem, Escola Superior de Enfermagem de Coimbra. Coimbra, Portugal
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Silva PHBD, Barros LCND, Barros NFD, Teixeira RAG, Oliveira ESFD. Professional Training in Integrative and Complementary Practices: the meanings attributed by Primary Health Care workers. Cien Saude Colet 2021; 26:399-408. [PMID: 33605317 DOI: 10.1590/1413-81232021262.40732020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Accepted: 05/26/2020] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE To understand the meanings attributed by Primary Health Care workers to the professional training process in Integrative and Complementary Practices. METHOD Descriptive, exploratory study with a qualitative approach, carried out with 20 professionals from 14 health units in three municipalities in the Metropolitan Region of Goiânia, state of Goiás, Brazil. Data were collected through semi-structured interviews, transcribed and analyzed using the thematic content analysis. RESULTS Based on the analysis, the thematic category about training trajectories in Integrative and Complementary Practices emerged. It discusses that the training takes place through training provided by federal and municipal management or professional councils, via distance, semi-presential learning or in-person training. Furthermore, training courses are held at private educational institutions funded by the professionals themselves. Additionally, informal sources of information are used to obtain knowledge (internet, books and magazines). CONCLUSION The results show, on the one hand, insufficient and diffuse training, with limited supply and quality and, on the other hand, the need to increase educational strategies to improve the training of health professionals aiming at providing different Integrative and Complementary Practices in the Primary Health Care.
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Affiliation(s)
- Pedro Henrique Brito da Silva
- Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal de Goiás. Av. Esperança s/n, Chácaras de Recreio Samambaia. 74690-900 Goiânia GO Brasil.
| | - Leylaine Christina Nunes de Barros
- Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal de Goiás. Av. Esperança s/n, Chácaras de Recreio Samambaia. 74690-900 Goiânia GO Brasil.
| | | | - Ricardo Antônio Gonçalves Teixeira
- Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal de Goiás. Av. Esperança s/n, Chácaras de Recreio Samambaia. 74690-900 Goiânia GO Brasil.
| | - Ellen Synthia Fernandes de Oliveira
- Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal de Goiás. Av. Esperança s/n, Chácaras de Recreio Samambaia. 74690-900 Goiânia GO Brasil.
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Barros LCND, Oliveira ESFD, Hallais JADS, Teixeira RAG, Barros NFD. Práticas Integrativas e Complementares na Atenção Primária à Saúde: Percepções dos Gestores dos Serviços. Esc Anna Nery 2020. [DOI: 10.1590/2177-9465-ean-2019-0081] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
RESUMO Objetivo Compreender os sentidos atribuídos pelos gestores dos Serviços da Região Metropolitana de Goiânia sobre a oferta de Práticas Integrativas e Complementares (PIC) na Atenção Primária à Saúde (APS). Método Estudo descritivo e exploratório, de abordagem qualitativa, realizado entre agosto e dezembro de 2017, com 21 gestores, mediante utilização de entrevistas semiestruturadas que foram gravadas, transcritas e analisadas com a técnica de análise de conteúdo temática. Resultados Os entrevistados demonstraram compreender o contexto em que as PIC estão inseridas, embora tenham apresentado dificuldades e insegurança na sua conceituação. Dos resultados emergiram três categorias, quais sejam: PIC para gestores; aspectos positivos e negativos da oferta das PIC para a equipe de saúde; aspectos positivos e negativos da disponibilização das PIC para os usuários dos serviços. Conclusão e implicações para a prática Conclui-se que há forte influência do modelo biomédico em detrimento da integralidade na organização dos serviços de APS, o que implica com a baixa e descontínua oferta das PIC na Região Metropolitana de Goiânia. Esta conclusão convida para a ampliação dos espaços de reflexão sobre a pluralidade de racionalidades de cuidado no Sistema Único de Saúde.
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Silva NMD, Teixeira RAG, Cardoso CG, Siqueira Junior JB, Coelho GE, Oliveira ESFD. Chikungunya surveillance in Brazil: challenges in the context of Public Health. Epidemiol Serv Saude 2018; 27:e2017127. [PMID: 30183867 DOI: 10.5123/s1679-49742018000300003] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2017] [Accepted: 02/18/2018] [Indexed: 11/02/2022] Open
Abstract
OBJECTIVE to describe the challenges in implementing the chikungunya surveillance and prevention system in Brazil. METHODS this was a descriptive study of suspected cases of the disease based on records held on the Notifiable Diseases Information System (Sinan) for the period 2014-2016. RESULTS more than 100,000 probable chikungunya cases were notified in Brazil in this period, with the largest concentration in the Northeast states (83.3% between 2014 and 2015; 91.0% in 2016); Sinan provided an excellent opportunity for closing records of cases occurring between 2014 and 2015 (85%) and high completeness of obligatory variables. CONCLUSION given the imminence of the introduction of chikungunya in Brazil in 2014, advance public health preparation took place in order to minimize its effects on society; implementation of the surveillance system improved collection of information regarding the disease, however many challenges can be seen in practice, in view of increasing case incidence. This requires greater handling capacity in this sector.
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Affiliation(s)
- Nayara Messias da Silva
- Secretaria de Estado da Saúde de Goiás, Laboratório Estadual de Saúde Pública Dr. Giovanni Cysneiros, Goiânia, GO, Brasil
| | | | - Clever Gomes Cardoso
- Universidade Federal de Goiás, Instituto de Ciências Biológicas, Goiânia, GO, Brasil
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Pedro Costa A, Fernandes de Oliveira ES, Dantas Brito Neri de Souza DC. Pesquisa qualitativa: desenvolvimento e perspectivas no campo da promoção da saúde. RBPS 2016. [DOI: 10.5020/18061230.2016.sup.p1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
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Pessoa JPDM, Oliveira ESFD, Teixeira RAG, Lemos CLS, Barros NFD. Control of dengue: Consensus views of Endemic Disease Control Agents and Community Health Agents on their integrated action. Cien Saude Colet 2016; 21:2329-38. [PMID: 27557006 DOI: 10.1590/1413-81232015218.05462016] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2016] [Accepted: 03/03/2016] [Indexed: 11/21/2022] Open
Abstract
Dengue is one of Brazil's most important public health challenges. Activities for its prevention and control have been based on the strategy of integrated management proposed in health policies, in which the central actors are the Endemic Disease Control Agent(ACE) and the Community Health Agent (ACS). This study analyzes consensus opinions produced by ACSs and ACEs on theactions for incorporating ACEs into the teams of the Family Health Strategy (ESF). It is a qualitative study from a large municipality in Brazil in which dengue is endemic, using a focus group of professionals that is subsequently analyzed using Collective Subject Discourse Analysis, supported by WebQDA. The results indicate consensus positions in relation to the following subjects: I) difficulty in the process of integration of ACSs and ACEs for control of dengue; II) inclusion of ACEs in the primary healthcare of the ESF; and III) absence of monitoring and assessment of the integrated actions. In conclusion, there are needs: to make participants more aware, seeking changes in behavior; to offer an environment of support to those involved with training courses about dengue; and to monitor the process of integration, and evaluate it periodically, creating indicators of quality and quantity.
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Affiliation(s)
- João Paulo de Morais Pessoa
- Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal de Goiás. Av. Universitária 1593, Cidade Universitária. 74605-010 Goiânia GO Brasil.
| | - Ellen Synthia Fernandes de Oliveira
- Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal de Goiás. Av. Universitária 1593, Cidade Universitária. 74605-010 Goiânia GO Brasil.
| | - Ricardo Antônio Gonçalves Teixeira
- Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal de Goiás. Av. Universitária 1593, Cidade Universitária. 74605-010 Goiânia GO Brasil.
| | - Cristiane Lopes Simão Lemos
- Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal de Goiás. Av. Universitária 1593, Cidade Universitária. 74605-010 Goiânia GO Brasil.
| | - Nelson Filice de Barros
- Departamento de Saúde Coletiva, Faculdade de Ciências Médicas, Universidade Estadual de Campinas. Campinas SP Brasil
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Cançado MSM, Barbosa MA, Teixeira RAG, Oliveira ESFD. Perceptions of representatives of a committee against dengue in the health education actions, Goiás, Brazil. Rev Esc Enferm USP 2015; 48 Spec No. 2:94-9. [PMID: 25830742 DOI: 10.1590/s0080-623420140000800015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2014] [Accepted: 07/16/2014] [Indexed: 11/22/2022] Open
Abstract
This study aimed to analyze how the educational actions of prevention and control of dengue are performed in Goiás, from the perspective of representatives of the State Mobilization Committee against Dengue. It is a cross-sectional descriptive-analytical study, carried out in Goiânia with 43 representatives of public-private institutions, members of the State Mobilization Committee against Dengue of Goiás, in 2013. The data collection was done through questioning about the perception of health education for dengue prevention. Data were analyzed using content analysis and the WebQDA software. Three dimensions emerged from the analysis: educational aspects, management aspects, and community involvement. Respondents recognized the importance of health education for the prevention of dengue, and of the planning to strengthen the activities of the Committee.
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Santos KCD, Siqueira Júnior JB, Zara ALDSA, Barbosa JR, Oliveira ESFD. Avaliação dos atributos de aceitabilidade e estabilidade do sistema de vigilância da dengue no estado de Goiás, 2011. Epidemiol Serv Saúde 2014. [DOI: 10.5123/s1679-49742014000200006] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
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Borges RA, Arruda W, Oliveira ESFD, Cavasin GM, Silva HHGD, Silva IGD. MECANISMOS DA AÇÃO LARVICIDA DO DIFLUBENZURON SOBRE Aedes aegypti EVIDENCIADOS PELAS ALTERAÇÕES ULTRAESTRUTURAIS. Rev Patol Trop 2012. [DOI: 10.5216/rpt.v41i2.19326] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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