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Unravelling Uncertainty Inception: When We Really Know That We Don't Know?

Cunha, Lara Daniela Matos; Ventura, Filipa; Pestana‐Santos, Márcia; Lomba, Lurdes; Reis Santos, Margarida

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 uncertainty is a challenge that nurses face in clinical practice daily....


Empowering nursing educators' pedagogical practices in Healthcare-Associated In...

Santos-Costa, Paulo; Paiva dos Santos, Filipe Manuel; Parreira, Pedro; Salgueiro-Oliveira, Anabela; Lomba, Lurdes; Pardal, João; Silén-Lipponen, Marja

Background: Healthcare-associated infections (HAIs) pose a significant challenge in Southeast Asia. Despite various reforms in the curricula of this region, health courses have not adequately addressed the prevention of HAIs. Objective: To evaluate the perceptions of nursing educators in Southeast Asia regarding an innovative educational approach developed by the PrevInf project consortium. Methods: A pilot stu...


“A Certainty for you Does Not Mean That it is a Certainty for Science”: A Pheno...

Cunha, Lara D. M.; Pestana-Santos, Márcia; Lomba, Lurdes; Reis Santos, Margarida

Purpose: To explore the experiences of uncertainty in the clinical reasoning of nurses in the postanesthesia care unit (PACU). Design: A phenomenological descriptive design, following Colaizzi’s analysis. Methods: Semistructured interviews were conducted with 14 nurses from a PACU on their experience of uncertainty in clinical reasoning. The interviews were digitally audio-recorded and transcribed verbatim. Two...


Simulation as a teaching method for nursing education in healthcare-associated ...

Thi Thu Hien, Do; Thi Dieu Hang, Dinh; Thi Cam Hung, Pham; Thi Thuy, Dam; Thi Hue, Nguyen; Thi Hai, Vu; Thi Thanh Phuong, Pham; Thi Xuyen, Dinh

Background: Applying simulation for nursing education, especially in healthcare-associated infection prevention and control (HAI-PC) in developing countries has limited evidence. The study was conducted to explore educators’ perceptions of simulation as a teaching method for nursing education in HAI-PC in two Vietnamese and two Cambodian universities. Methods: An exploratory qualitative design was applied. A fo...


Experiences of the nursing student in learning HAI prevention and control in As...

Em, Sovannarith; Song, Chhiay; Korhonen, Ulla; Silén-Lipponen, Marja; Nhem, Vannarith; Eam, Mao; Sek, Sophon; Ouch, Bory; Koponen, Leena

Background: Healthcare-associated infections (HAIs) have posed a major threat to both patients and to the safety healthcare personnel worldwide. According to the World Health Organization, 10% of hospitalized patients are affected by HAIs worldwide. Objective: The objective of this study was to explore the experiences of nursing students in learning HAIs prevention and control by the application of the scenario...


Nursing students’ learning experience with healthcare-associated infection prev...

Nget, Manndy; Neth, Barom; Y, Sokchhay; Vouch, Phisith; Kry, Chhay; Soksombat, Toun; Gnan, Channoeun; Thida, Dam; Koponen, Leena; Silén-Lipponen, Marja

Background: Healthcare-associated infection prevention and control (HAI-PC) education programs in Asian countries seem limited and require improvement and support. Objective: This study explored students’ learning experiences with HAI-PC education programs in Asian countries (two Vietnamese and two Cambodian universities) to support a pedagogical model in HAI-PC. Method: A qualitative exploratory study design w...


Uncertainty in post-anaesthesia nursing clinical reasoning: An integrative revi...

Cunha, Lara Daniela Matos; Pestana-Santos, Márcia; Lomba, Lurdes; Reis Santos, Margarida

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 reasoning. Given the dynamic processes required to come to a di...


Nurses’ Views on How to Best Design a Program to Prevent Adolescents’ Anxiety i...

Pestana-Santos, Marcia; Pestana-Santos, Adriana; Cabral, Ivone Evangelista; Reis Santos, Margarida; Lomba, Lurdes

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 pediatric department of a university hospital. A purposive criterion ...


Adolescents’ perioperative experiences in relation to inpatient and outpatient ...

Pestana‐Santos, Marcia; Pestana‐Santos, Adriana; Reis Santos, Margarida; Lomba, Lurdes

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 their perioperative experiences will permit an understanding of ...


Nonpharmacological interventions used in the perioperative period to prevent an...

Pestana-Santos, Márcia; Pires, Rita; Goncalves, Andreia; Parola, Vitor; Reis Santos, Margarida; Lomba, Lurdes

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 prevent anxiety in the perioperative period in adolescents must be appropriate t...


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