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Physical activity levels are typically undesirably low in chronic kidney disease patients, especially in those undergoing haemodialysis, and particularly on dialysis days. Intradialytic exercise programmes could be a solution to this issue and have been reported to be safe and relatively easily implemented in dialysis clinics. Nevertheless, such implementation has been failing in part due to barriers such as the lack of funding, qualified personnel, equipment, and patient motivation. Intradialytic aerobic exercise has been the most used type of intervention in dialysis clinics. However, resistance exercise may be superior in eliciting potential benefits on indicators of muscle strength and mass. Yet, few intradialytic exercise programmes have focused on this type of intervention, and the ones which have report inconsistent benefits, diverging on prescribed exercise intensity, absent or subjective load progression, equipment availability, or exercise supervision. Commonly, intradialytic resistance exercise interventions use free weights, ankle cuffs, or elastic bands which hinder load progression and exercise intensity monitoring. Here, we introduce a recently developed intradialytic resistance exercise device and propose an accompanying innovative resistance exercise training protocol which aims to improve the quality of resistance exercise interventions within dialysis treatment sessions. [ABSTRACT FROM AUTHOR]

Background: The implementation of evidence-based practice (EBP) in clinical contexts is recommended due to its positive impact on health, but it remains under the desirable. The training of undergraduate nursing students in the use of EBP is crucial, and, for that, there must be valid and reliable measures of EBP learning. Objective: To translate and to cross-cultural adapt into European Portuguese of the EBP Beliefs Scale (EBPB), EBP Implementation Scale for Students (EBPI-S), and Organizational Culture & Readiness for School-wide Integration of Evidence-based Practice Survey for Students (OCRSIEP-ES). Methodology: Translation and cross-cultural adaptation according to international recommendations. Preliminary validation in Portuguese undergraduate nursing students from nine institutions. Results: In the pre-final versions of the instruments, the participants suggested including the optional answer "I do not have sufficient knowledge to be able to answer" and increasing the recall period in the EBPI-S instrument. Phase 2 included 167 participants. The α for EBPB, EBPI-S, and OCRSIEP-ES was 0.854, 0.943, and 0.970, respectively. Conclusion: Preliminary results showed good internal consistency. Further validation studies with robust samples are required to test the reliability and validity of the instruments. [ABSTRACT FROM AUTHOR]

Knowing the therapeutic effects of regular physical exercise on kidney toxicity induced by a single dose of doxorubicin (DOX) in animal models, the aim of this study is to verify the effectiveness of regular voluntary running on kidney histology after a prolonged DOX administration, mimicking a chemotherapy protocol. Thirty-four male Wistar rats were randomly divided into two clusters: DOX (n = 17) and SSS (sterile saline solution, n = 17), receiving a weekly intraperitoneal injection of DOX (2 mg/kg) or vehicle for 7 weeks, respectively. Two weeks after the last injection, five animals from each cluster (SSSG, n = 5; DOXG, n = 5) were euthanized, while the remaining ones were divided into sedentary (DOXsed, n = 6; SSSsed, n = 6) and active subgroups (DOXact, n = 6; SSSact, n = 6). Active animals were placed individually in cages with a running wheel for regular voluntary activity. After 2 months, the animals were euthanized and kidneys were histologically examined. Compared to SSSG, kidneys from DOXG revealed higher levels of damage, more collagen content and thickening of Bowman’s capsule (p < .05). The levels of damage and thickness of Bowman’s capsule increased in DOXsed as compared to DOXG (p < .05). Compared to DOXsed, the DOXact presented an overall improvement in kidney structure (p < .05), with a decrease in collagen content and of the thickness of Bowman’s capsule. The results allow concluding that regular voluntary running attenuate the long-term harmful effects on kidney structure induced by a prolonged DOX treatment. These results, supporting the potential benefit of physical activity in patients under DOX treatment, need to be tested in humans. [ABSTRACT FROM AUTHOR]

Purpose This paper describes the effectiveness of cognitive stimulation therapy (CST) on cognition and depressive symptoms in older adults in nursing homes (NHs). Design A randomized controlled trial, carried out from 2012 to 2013, included 56 residents from four NHs, 36 women and 20 men (randomized into experimental and control groups). Eight participants dropped out. Methods Participants of the experimental group underwent 14 CST sessions (7 weeks) in groups of six to eight older adults, and participants of the control group received usual care. The Montreal Cognitive Assessment, the Geriatric Depression Scale-15, and the Barthel Index of activities of daily living (ADLs) were administered at baseline and postintervention. Findings Repeated measures revealed that CST increased cognition ( F = 8.581; p = .005; partial η squared = 0.157; power = 0.82). There were no statistically significant differences in depressive symptoms ( F = 1.090; p = .302). Baseline level of ADLs did not affect the outcomes. Conclusions CST had significantly improved cognition, explaining the 15.7% variability, but there was no statistical evidence of its effectiveness on depressive symptoms. This improvement was not affected by the baseline level of dependence-independence in ADLs. Clinical Relevance CST offers a range of activities, providing general stimulation for thinking, concentration, and memory, usually in a social setting. These results will support implementation of CST in NHs. In addition to the impact on elderly independence and autonomy, CST may also have an economic impact by reducing the direct costs of the impact of elders' cognitive frailty. [ABSTRACT FROM AUTHOR]

The document chronologically presents the most significant dates and facts related to Nursing Education in Portugal. The main goal is to convey, in a practical and didactical form, synthesized information to the reader. Legislation and relevant events for the development of schools, the education and the research in Coimbra are pointed out starting in the year of 1881, when the oldest Portuguese Nursing School was founded, until nowadays. [ABSTRACT FROM AUTHOR]

The document chronologically presents the most significant dates and facts related to Nursing Education in Portugal. The main goal is to convey, in a practical and didactical form, synthesized information to the reader. Legislation and relevant events for the development of schools, the education and the research in Coimbra are pointed out starting in the year of 1881, when the oldest Portuguese Nursing School was founded, until nowadays. [ABSTRACT FROM AUTHOR]

Context: evidence suggests that cognitive stimulation (CS) has a positive effect on cognition, depressive symptomatology (DS), and autonomy in elderly people. Objectives: to analyze the effectiveness of cognitive stimulation on cognition, DS, and autonomy in instrumental activities of daily living (IADL) of the senior community. Methodology: experimental study with pre- and post-test, with a sample of 23 elders, 30.43% men and 69.57% women, mean age of 77.66, SD 7.73 years. We used the Portuguese versions of the Montreal Cognitive Assessment, the Geriatric Depression Scale-15 and the Lawton Brody Scale for Instrumental Activities of Daily Living. The experimental group received 14 treatment sessions with CS. Results: elders undergoing CS improved their cognitive state and the intervention explained the variation of 17.86%. Although the evidence is not conclusive about the effect of CS in DS and IADL, 20% and 17%, respectively, more of the elders improved their clinical condition compared to those who were not treated. Conclusions: the cognitive stimulation improved senior's cognitive condition therefore we recommend its implementation as a component of care for the elderly in a community context. Further studies ought to include larger samples as well as maintenance program and follow-up in order to strengthen and clarify these results. [ABSTRACT FROM AUTHOR]

Context: evidence suggests that cognitive stimulation (CS) has a positive effect on cognition, depressive symptomatology (DS), and autonomy in elderly people. Objectives: to analyze the effectiveness of cognitive stimulation on cognition, DS, and autonomy in instrumental activities of daily living (IADL) of the senior community. Methodology: experimental study with pre- and post-test, with a sample of 23 elders, 30.43% men and 69.57% women, mean age of 77.66, SD 7.73 years. We used the Portuguese versions of the Montreal Cognitive Assessment, the Geriatric Depression Scale-15 and the Lawton Brody Scale for Instrumental Activities of Daily Living. The experimental group received 14 treatment sessions with CS. Results: elders undergoing CS improved their cognitive state and the intervention explained the variation of 17.86%. Although the evidence is not conclusive about the effect of CS in DS and IADL, 20% and 17%, respectively, more of the elders improved their clinical condition compared to those who were not treated. Conclusions: the cognitive stimulation improved senior's cognitive condition therefore we recommend its implementation as a component of care for the elderly in a community context. Further studies ought to include larger samples as well as maintenance program and follow-up in order to strengthen and clarify these results. [ABSTRACT FROM AUTHOR]

Background: Research Initiation Rotations (RIRs) fall under the Development Strategic Axis for Researchers' Training of the Health Sciences Research Unit: Nursing as part of the Young Researcher Window opportunities. Undergraduate nursing students volunteer to integrate research teams that develop activities linking teaching and research. Objective: To analyze the results of the five editions of the RIR Program involving undergraduate nursing students (2014/2015 to 2018/2019). Main topics under analysis: Thirty-two research projects involved 202 RIRs, 133 of which were successfully completed. In addition to the skills acquired as part of the research project teams, students attended nine training activities that were specifically designed for them. Conclusion: Successfully completed RIRs are included in the diploma supplement. Despite the limited time available due to curriculum demands, students have rated this experience as very positive. The integration of this program into the curriculum is a step to be taken in the future. [ABSTRACT FROM AUTHOR]

Background: In the literature, reminiscence therapy (RT) stands out as a non-pharmacological intervention commonly implemented in groups of elderly people with cognitive impairment. Objective: To identify the best available evidence on the effectiveness of RT in cognition, depressive symptoms, and quality of life in elderly people using community support structures. Method of Review: The methodology proposed by the Joanna Briggs Institute was followed. Studies focused on group RT, including elderly people (≥ 65 years old) with cognitive impairment and using community support structures, were considered. Critical analysis, extraction, and synthesis of results were conducted by 2 independent researchers. Presentation and interpretation of results: Two randomized controlled trials and 2 quasi-experimental studies were included (n = 502); the heterogeneity of the studies precluded meta-analysis. Two studies evidenced the benefits of RT to cognition. None of the studies showed the positive impact of the intervention on depressive symptomatology. Regarding quality of life, inconsistent results were found. Conclusions: The RT seems to have a beneficial effect on improving cognition in elderly people with cognitive impairment in a community context. [ABSTRACT FROM AUTHOR]

Background: In the literature, reminiscence therapy (RT) stands out as a non-pharmacological intervention commonly implemented in groups of elderly people with cognitive impairment. Objective: To identify the best available evidence on the effectiveness of RT in cognition, depressive symptoms, and quality of life in elderly people using community support structures. Method of Review: The methodology proposed by the Joanna Briggs Institute was followed. Studies focused on group RT, including elderly people (≥ 65 years old) with cognitive impairment and using community support structures, were considered. Critical analysis, extraction, and synthesis of results were conducted by 2 independent researchers. Presentation and interpretation of results: Two randomized controlled trials and 2 quasi-experimental studies were included (n = 502); the heterogeneity of the studies precluded meta-analysis. Two studies evidenced the benefits of RT to cognition. None of the studies showed the positive impact of the intervention on depressive symptomatology. Regarding quality of life, inconsistent results were found. Conclusions: The RT seems to have a beneficial effect on improving cognition in elderly people with cognitive impairment in a community context. [ABSTRACT FROM AUTHOR]

Context: Non-pharmacological interventions are valuable therapeutic strategies aimed at people with cognitive impairment. Reminiscence Therapy (RT) is one of the strategies highlighted in the literature. Objectives: To identify the best evidence available on the effectiveness of RT in improving the cognition, depressive symptoms, and quality of life of older people in institutional settings. Method of Review: The methodology proposed by the Joanna Briggs Institute will be used. A specific search strategy will be developed for each database/repository to identify relevant studies. Titles and abstracts will be analyzed, and articles that do not meet the protocol criteria will be excluded. The methodological quality of the remaining articles will be assessed. Data will be extracted from the included articles. Presentation and interpretation of results: The critical analysis of existing data on the effectiveness of RT in these domains and settings will contribute to the dissemination of the best evidence available on the topic. Conclusion: The best evidence should be disseminated to guide healthcare professionals in the implementation and development of RT programs focused on older adults with cognitive impairment in several institutional contexts. [ABSTRACT FROM AUTHOR]

Objectives: To promote evidence-based practices related to the prevention of adverse events associated with medication administration (only chemotherapy) in a hospital service. Introduction: The medication management process in a hospital setting is highly complex, going through multiple stages from drug selection, procurement and storage, to prescription, validation, dispensing, preparation, administration and monitoring. Methods: An evidence implementation project based on an audit and feedback approach was conducted from December 2019 to April 2021 using the JBI Practical Application of Clinical Evidence System and Getting Research into Practice. Results: The results of the baseline audit showed that the 10 audit criteria were mostly met; however, two of the criteria (criterion 6: the expiry date of medication is checked before use and criterion 7: the nurse who prepares the medication administers the medication to the patient) had low compliance (respectively, 0 and 67.9%). After identifying the barriers and implementing strategies to deal with the identified barriers, we verified a significant improvement in compliance with best practices (criterion 6 improved to 64.3% and criterion 7 to 78.6%). Conclusion: This implementation project was a success, achieving a great improvement of the implementation of evidence-based guidelines concerning the prevention of adverse events associated with medication administration in a hospital in central Portugal. More such projects should be planned to sustain the implementation of evidence-based methods to improve health outcomes, patient safety, costs and health systems. [ABSTRACT FROM AUTHOR]

Objectives: To promote evidence-based practices related to the prevention of adverse events associated with medication administration (only chemotherapy) in a hospital service. Introduction: The medication management process in a hospital setting is highly complex, going through multiple stages from drug selection, procurement and storage, to prescription, validation, dispensing, preparation, administration and monitoring. Methods: An evidence implementation project based on an audit and feedback approach was conducted from December 2019 to April 2021 using the JBI Practical Application of Clinical Evidence System and Getting Research into Practice. Results: The results of the baseline audit showed that the 10 audit criteria were mostly met; however, two of the criteria (criterion 6: the expiry date of medication is checked before use and criterion 7: the nurse who prepares the medication administers the medication to the patient) had low compliance (respectively, 0 and 67.9%). After identifying the barriers and implementing strategies to deal with the identified barriers, we verified a significant improvement in compliance with best practices (criterion 6 improved to 64.3% and criterion 7 to 78.6%). Conclusion: This implementation project was a success, achieving a great improvement of the implementation of evidence-based guidelines concerning the prevention of adverse events associated with medication administration in a hospital in central Portugal. More such projects should be planned to sustain the implementation of evidence-based methods to improve health outcomes, patient safety, costs and health systems. [ABSTRACT FROM AUTHOR]

Background: Parental cancer affects children, adolescents, and the family unit. The implementation of intervention programs leads to the development of parental skills and positive outcomes for children in terms of understanding their parents’ cancer, developing coping mechanisms, improving parent-child communication and relationships, and empowering the family to cope with cancer. Objective: To map the available intervention programs for children, adolescents, and parents experiencing parental cancer (patients with cancer). Review method: Scoping review methodology proposed by the Joanna Briggs Institute. The process of data analysis, extraction, and synthesis will be performed by independent reviewers. Presentation and interpretation of results: Mapping the programs will allow identifying the interventions developed by health professionals for children, adolescents, and parents experiencing parental cancer. Conclusion: The review resulting from this protocol will allow selecting the best interventions for designing a nursing intervention program for adolescents and parents experiencing parental cancer. [ABSTRACT FROM AUTHOR]

Background: Musculoskeletal pain is a very common problem in workers from different sectors. Exercise can contribute to preventing and reducing this phenomenon. Objective: To map exercise programs for work-related musculoskeletal pain. Review method: The JBI PCC (Participants, Concept, and Context) strategy will be used. A search will be carried out in CINAHL Complete, PubMed, Scopus, SciELO, PEDro, and SPORTDiscus databases. DART-Europe, OpenGrey, and RCAAP databases will be used to search unpublished studies. Studies published in English, Spanish, and Portuguese will be considered for inclusion and analysis. Two independent reviewers will select the studies and extract and synthesize the data. Presentation and interpretation of results: Data will be presented in a diagrammatic or tabular form, or using a descriptive summary. Conclusion: The mapping of exercise programs for preventing work-related musculoskeletal pain can lead to a reflection on the most appropriate programs and the identification of priority areas. [ABSTRACT FROM AUTHOR]

Background: Musculoskeletal pain is a very common problem in workers from different sectors. Exercise can contribute to preventing and reducing this phenomenon. Objective: To map exercise programs for work-related musculoskeletal pain. Review method: The JBI PCC (Participants, Concept, and Context) strategy will be used. A search will be carried out in CINAHL Complete, PubMed, Scopus, SciELO, PEDro, and SPORTDiscus databases. DART-Europe, OpenGrey, and RCAAP databases will be used to search unpublished studies. Studies published in English, Spanish, and Portuguese will be considered for inclusion and analysis. Two independent reviewers will select the studies and extract and synthesize the data. Presentation and interpretation of results: Data will be presented in a diagrammatic or tabular form, or using a descriptive summary. Conclusion: The mapping of exercise programs for preventing work-related musculoskeletal pain can lead to a reflection on the most appropriate programs and the identification of priority areas. [ABSTRACT FROM AUTHOR]

Background: The lack of structured intervention programs aimed at older people with cognitive impairment in Portugal has been identified as one of the main obstacles to the effectiveness of reminiscence therapy (RT) programs in institutional settings. Thus, well-defined and replicable RT programs should be developed and validated to fill in the gap. Objectives: To develop and validate an RT program. Methodology: The Medical Research Council framework for the development of complex interventions was fol- lowed. The program was developed in four distinct phases, including preliminary phase, modeling, field testing, and consensus conference. Results: The validation process resulted in a program consisting of a core component and a follow-up component, in a total of 21 sessions for group intervention. Conclusion: The RT program, which was designed and validated during this study, demonstrated characteristics adjusted to the context and the construct was meaningful to the target population. The effectiveness of the RT program will be tested in a future pilot study. [ABSTRACT FROM AUTHOR]

Theoretical framework: Depressive symptoms are common among the elderly, and it is important to have access to a reliable and easy-to-use screening scale. Objectives: To contribute to the validation of the Portuguese versions of the 15-item, 10-item and 5-item Geriatric Depression Scale (GDS). Methodology: The GDS-15 was hetero-applied to 889 elders, with a mean age of 78.02 years. The factor structure of the GDS-15 and the internal consistency of the three versions were analysed. Results: The three-factor solution of the GDS-15 explains 45.89% of the variance, but four items load on two factors. The internal consistency of the GDS-5, GDS-10 and GDS-15 versions, as well as of factor 1 is satisfactory, with Cronbach’s alpha values ranging between 0.78 and 0.84, but it is modest in relation to factors 2 and 3, with 0.62 and 0.59 values, respectively. The GDS-5 and the GDS- 10 are strongly correlated with the GDS-15. Conclusion: The GDS versions revealed good psychometric properties and may be used to screen depressive symptoms in the elderly; however, the GDS-15 revealed same fragility related to factor structure. [ABSTRACT FROM AUTHOR]

Theoretical framework: Depressive symptoms are common among the elderly, and it is important to have access to a reliable and easy-to-use screening scale. Objectives: To contribute to the validation of the Portuguese versions of the 15-item, 10-item and 5-item Geriatric Depression Scale (GDS). Methodology: The GDS-15 was hetero-applied to 889 elders, with a mean age of 78.02 years. The factor structure of the GDS-15 and the internal consistency of the three versions were analysed. Results: The three-factor solution of the GDS-15 explains 45.89% of the variance, but four items load on two factors. The internal consistency of the GDS-5, GDS-10 and GDS-15 versions, as well as of factor 1 is satisfactory, with Cronbach’s alpha values ranging between 0.78 and 0.84, but it is modest in relation to factors 2 and 3, with 0.62 and 0.59 values, respectively. The GDS-5 and the GDS- 10 are strongly correlated with the GDS-15. Conclusion: The GDS versions revealed good psychometric properties and may be used to screen depressive symptoms in the elderly; however, the GDS-15 revealed same fragility related to factor structure. [ABSTRACT FROM AUTHOR]