Objective to determine the content validity of Nursing interventions to prevent skin lesions in h... more Objective to determine the content validity of Nursing interventions to prevent skin lesions in hospitalized newborns, with an experts committee. Method a content validation methodological research study conducted by means of an online form between April and June 2018. The participants were five nurses from different Brazilian regions, with experience in the neonatal area: two professors, two stomatherapists, and one assistance nurse. The interventions evaluated were constructed based on scientific knowledge, resorting to the literature based on the available evidence, technical manuals and books, in addition to the researchers' experience in care for the newborn. The content was validated in two rounds. First, each intervention and its set were evaluated regarding agreement, using a minimum Committee Agreement Index (CAI) of 80%. Subsequently, a minimum Content Validity Index (CVI) of 0.8 was used to validate the clarity and relevance of the interventions. Results a total of 29...
Introduction: Sensitization and formation of health professionals in the area of pain was a natio... more Introduction: Sensitization and formation of health professionals in the area of pain was a national strategic option since 2001, but its impact on care is unknown. The aim was to evaluate the impact of sensitizing and formatting events conducted over the past ten years in the care provided by nurses for hospitalized children, in the area of pain. Methods and materials: An observational, descriptive, cross-sectional retrospective study of records within 24 hours, performed by nurses in the clinical process of children until the 18 years. Results: Of the 830 cases analyzed clinical history of pain was recorded at 47.8%, being well prepared and performed in the first 24 hours of hospitalization. Within eight hours the record of the pain assessment was 36.7%. The choice of the pain scale was adequate in 59.3% of cases. Approximately 79.9% of the children showed no or mild pain was 12.5%. There was a good pain management in 92.5% of the children. In about 42.2% of the cases were no repo...
Background and Aims: Although it has been recognized that most of the pain experienced by the new... more Background and Aims: Although it has been recognized that most of the pain experienced by the newborn can be prevented or substantially relieved. This study aimed to determine the prevalence and severity of the pain experienced by newborns receiving intensive care, as well as the effectiveness of the non-pharmacological therapeutic measures. Methods: At a Neonatal Intensive Care Unit, 170 newborns were studied during one year, resulting in 844 observations. Data were collected based on newborn observation, an interview with parents and nurses who provide care, and a retrospective analysis of the clinical records. Pain intensity was measured using the Echelle Douleur et d'Inconfort du Nouveau-Né. Results: During 8 hours of observation, 94.8% of the 844 observations showed a high prevalence of pain, mostly mild pain (72.7%). Non-pharmacological interventions were applied to 88.7% of the observations, especially related to positioning, massage and comfort techniques. The prevalence of the daily assessment of pain intensity was 21.7%, and the intensity of the pain experienced by the newborn was not influenced by the frequency of pain assessment or its treatment. Conclusions: Despite the high prevalence of pain, about 3 / 4 of the observations show that newborns experience mild pain or no pain at all. The assessment of pain intensity should be promoted and considered when deciding on the treatment. Nurses use nonpharmacological measures of comfort, massage and positioning often and effectively, but other techniques should also be promoted, such as the use of sucrose, glucose or maternal breastfeeding.
43rd Biennial Convention (07 November - 11 November 2015), Mar 21, 2016
Background and aims As pain is both subjective and multidimensional, tools that allow the assessm... more Background and aims As pain is both subjective and multidimensional, tools that allow the assessment of other dimensions of pain besides intensity are needed. As far as we know, no multidimensional tool is available to assess pain in Portuguese children. The Adolescent Pediatric Pain Tool (APPT) is a comprehensive self-report measure that is widely used in North-american children diagnosed with a variety of conditions. 1 The APPT was originally developed to assess pain in English-speaking hospitalized children aged 8-17 years old. APPT assesses not only pain intensity, but also pain location and pain quality. It has three components: the Body Outline Diagram, the Word Graphic Rating Scale and a List of pain descriptors. The aim of this study is to examine the psychometric properties of the Portuguese version of the Adolescent Pediatric Pain Tool (APPT-PT) in Portuguese children with cancer. Methods Prospective methodological study with 150 Portuguese children with cancer aged 8-17 years-old. Data collection occurred both in outpatients and inpatients. Hospitalized children reported their pain during a maximum of 4 times. Children completed the Portuguese version of the APPT according to their pain at the moment or their last pain episode. At the same time, the Visual Analogue Scale (VAS) was used to report pain intensity.
International Journal of Environmental Research and Public Health
The cultivation of critical thinking and decision-making skills promotes student autonomy. Only a... more The cultivation of critical thinking and decision-making skills promotes student autonomy. Only a few instruments measure nursing students’ autonomy, and the PALOP® Scale is one of them. This study aimed to semantically and culturally adapt the PALOP® Scale to European Portuguese and assess the psychometric properties of a short version. A methodological study was conducted with 530 second and fourth-year undergraduate nursing students. Content validity was assessed using exploratory and discriminant factor analysis, and reliability was determined through analyses of internal consistency, temporal stability, and floor and ceiling effects. The analysis of the psychometric properties of a short version of the PALOP®—PT Scale revealed complete agreement (100%) among panel members for content validity. The scale also showed discriminative capacity among second- and fourth-year students (t (528) = −7.907, p < 0.001) with a five-factor structure, with a total explained variance of 57.2...
Quality of life among children with cancer: agreement between child and parent reports Qualidade ... more Quality of life among children with cancer: agreement between child and parent reports Qualidade de vida em crianças com câncer: concordância entre crianças e pais Calidad de vida de niños con cáncer: concordancia entre niños y padres
The developmental suitability of facial pain scales for children below 8-years-old has been under... more The developmental suitability of facial pain scales for children below 8-years-old has been under question. This study assumes that any valuable pain metrics is at least interval level. It uses integration tasks and FM methodology to examine how children of 6-7 years-old integrate pain related information. In one experiment, the WB and the FPS-R pain scales were taken as factors, with their constituent faces as levels, in a factorial design. Participants were presented with pairs of faces (one from each scale), said to represent the pain of two children, and evaluated the overall amount of pain in each pair. Virtually every child used an extremity weighting averaging rule for the integration. In two further experiments, inner features (eyes, eyebrows, mouth) of the hand drawn faces composing each scale were used as factors (varied along three levels). For most children, these features were integrated according to an averaging rule.
Quality of life among children with cancer: agreement between child and parent reports Qualidade ... more Quality of life among children with cancer: agreement between child and parent reports Qualidade de vida em crianças com câncer: concordância entre crianças e pais Calidad de vida de niños con cáncer: concordancia entre niños y padres
Objectives To understand healthcare professionals’ experiences and perceptions of nurses’ potenti... more Objectives To understand healthcare professionals’ experiences and perceptions of nurses’ potential or ideal roles in pharmaceutical care (PC). Design Qualitative study conducted through semi-structured in-depth interviews. Setting Between December 2018 and October 2019, interviews were conducted with healthcare professionals of 14 European countries in four healthcare settings: hospitals, community care, mental health and long-term residential care. Participants In each country, pharmacists, physicians and nurses in each of the four settings were interviewed. Participants were selected on the basis that they were key informants with broad knowledge and experience of PC. Data collection and analysis All interviews were conducted face to face. Each country conducted an initial thematic analysis. Consensus was reached through a face-to-face discussion of all 14 national leads. Results 340 interviews were completed. Several tasks were described within four potential nursing responsibil...
ObjectivesSafe pharmaceutical care (PC) requires an interprofessional team approach, involving ph... more ObjectivesSafe pharmaceutical care (PC) requires an interprofessional team approach, involving physicians, nurses and pharmacists. Nurses’ roles however, are not always explicit and clear, complicating interprofessional collaboration. The aim of this study is to describe nurses’ practice and interprofessional collaboration in PC, from the viewpoint of nurses, physicians and pharmacists.DesignA cross-sectional survey.SettingThe study was conducted in 17 European countries, each with their own health systems.ParticipantsPharmacists, physicians and nurses with an active role in PC were surveyed.Main outcome measuresNurses’ involvement in PC, experiences of interprofessional collaboration and communication and views on nurses’ competences.ResultsA total of 4888 nurses, 974 physicians and 857 pharmacists from 17 European countries responded. Providing patient education and information (PEI), monitoring medicines adherence (MMA), monitoring adverse/therapeutic effects (ME) and prescribing...
Objective to determine the content validity of Nursing interventions to prevent skin lesions in h... more Objective to determine the content validity of Nursing interventions to prevent skin lesions in hospitalized newborns, with an experts committee. Method a content validation methodological research study conducted by means of an online form between April and June 2018. The participants were five nurses from different Brazilian regions, with experience in the neonatal area: two professors, two stomatherapists, and one assistance nurse. The interventions evaluated were constructed based on scientific knowledge, resorting to the literature based on the available evidence, technical manuals and books, in addition to the researchers' experience in care for the newborn. The content was validated in two rounds. First, each intervention and its set were evaluated regarding agreement, using a minimum Committee Agreement Index (CAI) of 80%. Subsequently, a minimum Content Validity Index (CVI) of 0.8 was used to validate the clarity and relevance of the interventions. Results a total of 29...
Introduction: Sensitization and formation of health professionals in the area of pain was a natio... more Introduction: Sensitization and formation of health professionals in the area of pain was a national strategic option since 2001, but its impact on care is unknown. The aim was to evaluate the impact of sensitizing and formatting events conducted over the past ten years in the care provided by nurses for hospitalized children, in the area of pain. Methods and materials: An observational, descriptive, cross-sectional retrospective study of records within 24 hours, performed by nurses in the clinical process of children until the 18 years. Results: Of the 830 cases analyzed clinical history of pain was recorded at 47.8%, being well prepared and performed in the first 24 hours of hospitalization. Within eight hours the record of the pain assessment was 36.7%. The choice of the pain scale was adequate in 59.3% of cases. Approximately 79.9% of the children showed no or mild pain was 12.5%. There was a good pain management in 92.5% of the children. In about 42.2% of the cases were no repo...
Background and Aims: Although it has been recognized that most of the pain experienced by the new... more Background and Aims: Although it has been recognized that most of the pain experienced by the newborn can be prevented or substantially relieved. This study aimed to determine the prevalence and severity of the pain experienced by newborns receiving intensive care, as well as the effectiveness of the non-pharmacological therapeutic measures. Methods: At a Neonatal Intensive Care Unit, 170 newborns were studied during one year, resulting in 844 observations. Data were collected based on newborn observation, an interview with parents and nurses who provide care, and a retrospective analysis of the clinical records. Pain intensity was measured using the Echelle Douleur et d'Inconfort du Nouveau-Né. Results: During 8 hours of observation, 94.8% of the 844 observations showed a high prevalence of pain, mostly mild pain (72.7%). Non-pharmacological interventions were applied to 88.7% of the observations, especially related to positioning, massage and comfort techniques. The prevalence of the daily assessment of pain intensity was 21.7%, and the intensity of the pain experienced by the newborn was not influenced by the frequency of pain assessment or its treatment. Conclusions: Despite the high prevalence of pain, about 3 / 4 of the observations show that newborns experience mild pain or no pain at all. The assessment of pain intensity should be promoted and considered when deciding on the treatment. Nurses use nonpharmacological measures of comfort, massage and positioning often and effectively, but other techniques should also be promoted, such as the use of sucrose, glucose or maternal breastfeeding.
43rd Biennial Convention (07 November - 11 November 2015), Mar 21, 2016
Background and aims As pain is both subjective and multidimensional, tools that allow the assessm... more Background and aims As pain is both subjective and multidimensional, tools that allow the assessment of other dimensions of pain besides intensity are needed. As far as we know, no multidimensional tool is available to assess pain in Portuguese children. The Adolescent Pediatric Pain Tool (APPT) is a comprehensive self-report measure that is widely used in North-american children diagnosed with a variety of conditions. 1 The APPT was originally developed to assess pain in English-speaking hospitalized children aged 8-17 years old. APPT assesses not only pain intensity, but also pain location and pain quality. It has three components: the Body Outline Diagram, the Word Graphic Rating Scale and a List of pain descriptors. The aim of this study is to examine the psychometric properties of the Portuguese version of the Adolescent Pediatric Pain Tool (APPT-PT) in Portuguese children with cancer. Methods Prospective methodological study with 150 Portuguese children with cancer aged 8-17 years-old. Data collection occurred both in outpatients and inpatients. Hospitalized children reported their pain during a maximum of 4 times. Children completed the Portuguese version of the APPT according to their pain at the moment or their last pain episode. At the same time, the Visual Analogue Scale (VAS) was used to report pain intensity.
International Journal of Environmental Research and Public Health
The cultivation of critical thinking and decision-making skills promotes student autonomy. Only a... more The cultivation of critical thinking and decision-making skills promotes student autonomy. Only a few instruments measure nursing students’ autonomy, and the PALOP® Scale is one of them. This study aimed to semantically and culturally adapt the PALOP® Scale to European Portuguese and assess the psychometric properties of a short version. A methodological study was conducted with 530 second and fourth-year undergraduate nursing students. Content validity was assessed using exploratory and discriminant factor analysis, and reliability was determined through analyses of internal consistency, temporal stability, and floor and ceiling effects. The analysis of the psychometric properties of a short version of the PALOP®—PT Scale revealed complete agreement (100%) among panel members for content validity. The scale also showed discriminative capacity among second- and fourth-year students (t (528) = −7.907, p < 0.001) with a five-factor structure, with a total explained variance of 57.2...
Quality of life among children with cancer: agreement between child and parent reports Qualidade ... more Quality of life among children with cancer: agreement between child and parent reports Qualidade de vida em crianças com câncer: concordância entre crianças e pais Calidad de vida de niños con cáncer: concordancia entre niños y padres
The developmental suitability of facial pain scales for children below 8-years-old has been under... more The developmental suitability of facial pain scales for children below 8-years-old has been under question. This study assumes that any valuable pain metrics is at least interval level. It uses integration tasks and FM methodology to examine how children of 6-7 years-old integrate pain related information. In one experiment, the WB and the FPS-R pain scales were taken as factors, with their constituent faces as levels, in a factorial design. Participants were presented with pairs of faces (one from each scale), said to represent the pain of two children, and evaluated the overall amount of pain in each pair. Virtually every child used an extremity weighting averaging rule for the integration. In two further experiments, inner features (eyes, eyebrows, mouth) of the hand drawn faces composing each scale were used as factors (varied along three levels). For most children, these features were integrated according to an averaging rule.
Quality of life among children with cancer: agreement between child and parent reports Qualidade ... more Quality of life among children with cancer: agreement between child and parent reports Qualidade de vida em crianças com câncer: concordância entre crianças e pais Calidad de vida de niños con cáncer: concordancia entre niños y padres
Objectives To understand healthcare professionals’ experiences and perceptions of nurses’ potenti... more Objectives To understand healthcare professionals’ experiences and perceptions of nurses’ potential or ideal roles in pharmaceutical care (PC). Design Qualitative study conducted through semi-structured in-depth interviews. Setting Between December 2018 and October 2019, interviews were conducted with healthcare professionals of 14 European countries in four healthcare settings: hospitals, community care, mental health and long-term residential care. Participants In each country, pharmacists, physicians and nurses in each of the four settings were interviewed. Participants were selected on the basis that they were key informants with broad knowledge and experience of PC. Data collection and analysis All interviews were conducted face to face. Each country conducted an initial thematic analysis. Consensus was reached through a face-to-face discussion of all 14 national leads. Results 340 interviews were completed. Several tasks were described within four potential nursing responsibil...
ObjectivesSafe pharmaceutical care (PC) requires an interprofessional team approach, involving ph... more ObjectivesSafe pharmaceutical care (PC) requires an interprofessional team approach, involving physicians, nurses and pharmacists. Nurses’ roles however, are not always explicit and clear, complicating interprofessional collaboration. The aim of this study is to describe nurses’ practice and interprofessional collaboration in PC, from the viewpoint of nurses, physicians and pharmacists.DesignA cross-sectional survey.SettingThe study was conducted in 17 European countries, each with their own health systems.ParticipantsPharmacists, physicians and nurses with an active role in PC were surveyed.Main outcome measuresNurses’ involvement in PC, experiences of interprofessional collaboration and communication and views on nurses’ competences.ResultsA total of 4888 nurses, 974 physicians and 857 pharmacists from 17 European countries responded. Providing patient education and information (PEI), monitoring medicines adherence (MMA), monitoring adverse/therapeutic effects (ME) and prescribing...
Uploads
Papers by Luís Batalha