Ananda Fernandes - Academia.edu (original) (raw)

Papers by Ananda Fernandes

Objective: to analyze the contribution of Portuguese nursing to improving universal health access... more Objective: to analyze the contribution of Portuguese nursing to improving universal health access and coverage by means of the identification of nurses in the health system; evolution of health indicators; and access-promoting systems, in which nurses play a relevant role. Method: this was documentary research of publications fromnational and international organizations on planning and health outcomes. Statistical databases and legislation on health reforms were consulted. Results: nurses represent 30.18% of human resources in the national health service; the systems of access promotion performed by nurses have good levels of efficacy (95.5%) and user satisfaction (99% completely satisfied); in the local care the creation of Community Care Units (185) occurred, and 85.80% of home consultations were performed by nurses. Conclusion: political strategies, the National Health Service and strengthening of human resourcesin healthcareare the main determinants. Nursing is the most numerous professional group in the National Health Service, however numbers remaindeficient in primary health care. The improvement of academic qualification and self-regulation of this professional group has allowed for better answers inimproving health for the Portuguese.

Revista de Enfermagem Referência, Apr 1, 2020

European Journal of Pain Supplements, Sep 1, 2011

Methods: 208 school children in age 10-17 years old were examined. It was used objective examinat... more Methods: 208 school children in age 10-17 years old were examined. It was used objective examination and riskfactors questionnaire for person with LBP (Povoroznyuk V.V., Dzerovych N.I., 2003). Results: 21.3% school children had complaints in LBP (19%-boys, 23%-girls). The age-related peak of symptom was in 14-15 years among girls, at 14 and 16 years among boys (22.2% and 27.7% correspondingly). The localization of the pain was in lumber region in 45.5% children, and combination of lumber and thoracic or cervical pain in 25.5%. The mild pain intensity was in 30.8% girls and moderate-in 26.9% girls and 55.6% boys. 62% children had pain in daytime with duration not more than 30 min. LBP was increasing with heavy load lifting or during continuous bending or sitting position. All children with LBP had overweight bookbags. There were 32% family-related cases of lLBP. Conclusions: LBP was diagnosed in 21.3% of children of the mountain region. The main risk-factors were heredity and hard physical activity.

A incidência do parto pré-termo tem aumentado em todo o mundo, desafios de sobrevivência dos recé... more A incidência do parto pré-termo tem aumentado em todo o mundo, desafios de sobrevivência dos recémnascidos prematuros de muito baixo peso têm colocado a inovação e a evolução tecnológica acima de outros fatores críticos a eles inerentes: a hipersensibilidade sensorial e a imaturidade neurológica para a manifestar. Estudos realizados em diferentes países e Unidades de Cuidados Intensivos Neonatais têm revelado o elevado número de procedimentos dolorosos a que diariamente estes recém-nascidos são submetidos e confirmado o seu insuficiente tratamento. A dor continuada e prolongada tem reflexos imediatos (alterações cardiovasculares, hormonais e metabólicas) no prematuro, e posteriormente na infância e idade adulta (hiperatividade, deficit de atenção, transtornos de ansiedade e stress. Apesar de ser possível avaliar e tratar a dor no recém nascido, existe um hiato entre o conhecimento cientifico e a pratica clinica. Conquistou-se nas últimas décadas a valorização e o reconhecimento pelo...

Frequency of painful procedures, analgesia practices and related factors in neonates across neona... more Frequency of painful procedures, analgesia practices and related factors in neonates across neonatal intensive care units of Portugal

Journal of Neonatal Nursing

Texto & Contexto - Enfermagem

Objective: the present and future well-being of hospitalized newborns and their parents are conne... more Objective: the present and future well-being of hospitalized newborns and their parents are connected to analyze the application frequency of the central practices of developmental care to premature newborns in Portuguese neonatal care units and to identify their relationship with organizational variables. Method: cross-sectional, descriptive-correlational study. Using a non-probabilistic network sampling technique, a sample of 217 nurses from Portuguese neonatal units who answered the Quantum Caring Practice Self-Assessment online questionnaire was obtained, previously translated and validated for Portuguese nurses. Results: the results revealed that for 65.4% of nurses, Developmental Care practices are sometimes performed and 14.3% consider that they are rarely performed. Only 18.9% of the nurses in the study consider that these practices are performed frequently. The most frequent practices were those related to the therapeutic environment and prevention of pain and stress. The l...

Texto & Contexto - Enfermagem

RESUMO Objetivo: analisar a frequência da aplicação das medidas centrais dos cuidados desenvolvim... more RESUMO Objetivo: analisar a frequência da aplicação das medidas centrais dos cuidados desenvolvimentais ao recém-nascido prematuro em unidades de cuidados neonatais portuguesas e identificar a sua relação com variáveis organizacionais. Método: estudo transversal, descritivo-correlacional. Utilizando técnica de amostragem não probabilística em rede, foi obtida uma amostra de 217 enfermeiros de unidades neonatais portuguesas que responderam online ao questionário Quantum Caring Practice Self-Assessment, traduzido e validado para enfermeiros portugueses. Resultados: os resultados revelaram que para 65,4% dos enfermeiros as práticas de cuidados centrados no desenvolvimento são realizadas às vezes e 14,3% consideram que raramente são realizadas. Somente 18,9% dos enfermeiros inquiridos consideram que essas práticas são realizadas frequentemente. Destacaram-se como práticas mais frequentes, as ligadas ao Ambiente terapêutico e Prevenção da dor e stress. As menos frequentes foram as medida...

Texto & Contexto - Enfermagem, 2019

European Journal of Cancer Care, 2019

Children and adolescents with cancer often experience multiple symptoms such as pain, sleep distu... more Children and adolescents with cancer often experience multiple symptoms such as pain, sleep disturbances, fatigue, nausea, change in appetite and depression that negatively affect their Health

Journal of Pediatric Health Care, 2019

Malignancy-and cancer-related treatments lead to multiple symptoms. Although treatments focus on ... more Malignancy-and cancer-related treatments lead to multiple symptoms. Although treatments focus on cure, few research studies have examined the symptoms that accompany these aggressive and complicated treatments. The purpose of the study was to evaluate the symptoms experienced by children at home. Children (n = 25) and adolescents (n = 33) diagnosed with cancer completed the Memorial Symptoms Assessment Scale during the 5 days at home after discharge from the hospital. The most frequent physical

Revista Latino-Americana de Enfermagem, 2016

Objectives: to evaluate the cognitive learning of nursing students in neonatal clinical evaluatio... more Objectives: to evaluate the cognitive learning of nursing students in neonatal clinical evaluation from a blended course with the use of computer and laboratory simulation; to compare the cognitive learning of students in a control and experimental group testing the laboratory simulation; and to assess the extracurricular blended course offered on the clinical assessment of preterm infants, according to the students. Method: a quasi-experimental study with 14 Portuguese students, containing pretest, midterm test and post-test. The technologies offered in the course were serious game e-Baby, instructional software of semiology and semiotechnique, and laboratory simulation. Data collection tools developed for this study were used for the course evaluation and characterization of the students. Nonparametric statistics were used: Mann-Whitney and Wilcoxon. Results: the use of validated digital technologies and laboratory simulation demonstrated a statistically significant difference (p ...

Revista Latino-Americana de Enfermagem, 2016

Revista Eletrônica de Enfermagem, 2015

Hospitalization% has% its% benefits% when% treating% sick% children,% but% it% can% also% cause% ... more Hospitalization% has% its% benefits% when% treating% sick% children,% but% it% can% also% cause% negative% impacts.% Although% it% is% essential% and% beneficial%to%the%child,%parental%presence%in%the%hospital%ward%destabilizes%the%family%routine%and%generates%new%needs.%The%objective% of%this%study%was%to%search%for%evidence%in%the%literature%and%identify,%gather,%and%synthetize%the%knowledge%that%has%been%produced% about% the% needs% of% parents% of% hospitalized% children% via% an% integrative% literature% review.% The% article% search% was% conducted% in% the% PubMed,%CINAHL,%PsycINFO,%Scopus,%Web%of%Science,%and%LILACS%databases%between%2002%and%2014%and%resulted%in%17%articles%that% met%the%established%criteria.%The%parental%needs%found%in%these%studies%were%grouped%into%three%categories:%the%needs%related%to% parents%themselves,%needs%related%to%the%health%team's%actions,%and%those%related%to%organizational%structure%and%resources.%These%

Escola Anna Nery - Revista de Enfermagem, 2015

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.

European Journal of Pain, 2009

Background: Our objectives were to evaluate the effectiveness and safety of sucrose in newborns u... more Background: Our objectives were to evaluate the effectiveness and safety of sucrose in newborns undergoing various medical procedures within 7 days of birth. Methods: We performed a double-blind, randomized controlled trial. We included 122 newborns (≥ 28 weeks gestation). Each newborn received 2ml of a 24%-sucrose or placebo solution before all procedures. We used the Premature Infant Pain Profile to assess pain during intramuscular injection, venipuncture for the newborn screening test and the first 3 heel lances for glucose monitoring. Scores ranged from from 0 (no pain) to 18 (maximum pain). Results: We included 122 newborns. The overall mean pain score was lower among newborns who received sucrose than among those who received a placebo (mean difference [MD] −1.2, 96% confidence interval [CI] −2.0 to −0.6). We found that pain scores during intramuscular injection did not differ significantly between the sucrose and placebo groups for newborns (newborns of 1 group: MD −1.2, 95% CI −2.3 to 0.2; newborns of 2 group: MD −1.0, 94% CI −2.4 to 0.5). During venipuncture, newborns who received sucrose had lower pain scores compared with those who received a placebo (newborns of 1 group: MD −3.6, 95% CI −4.8 to −1.9; newborns of 2 group: MD −2.2, 95% CI −3.6 to −1.1). Conclusion: We found a modest reduction of pain in newborns when sucrose was used for all medical procedures performed in the first 7 days after birth. However, when each procedure was analyzed separately, we found that the effectiveness of sucrose was limited to venipuncture for the newborn screening test

Revista de Enfermagem Referência, Apr 1, 2020

European Journal of Pain Supplements, Sep 1, 2011

Journal of Neonatal Nursing

Texto & Contexto - Enfermagem

Texto & Contexto - Enfermagem, 2019

European Journal of Cancer Care, 2019

Journal of Pediatric Health Care, 2019

Revista Latino-Americana de Enfermagem, 2016

Revista Eletrônica de Enfermagem, 2015

Escola Anna Nery - Revista de Enfermagem, 2015

European Journal of Pain, 2009