http://hdl.handle.net/10884/1224 2026-05-17T16:15:20Z http://hdl.handle.net/10884/1697 Title: O impacto que a Liderança Transformacional tem, na saúde mental dos colaboradores Authors: Azevedo, Telma Catarina Candeias Abstract: O presente estudo teve como objetivo analisar o impacto da liderança transformacional na saúde mental dos colaboradores, considerando também a satisfação no trabalho como uma variável mediadora dessa relação. A investigação foi conduzida com base numa metodologia quantitativa, de natureza descritivo-correlacional, aplicada a uma amostra de 304 trabalhadores provenientes de diversos setores organizacionais. Recorreu-se à aplicação de um questionário estruturado, que avaliou quatro dimensões da liderança transformacional — carisma/influência idealizada, motivação inspiradora, estimulação intelectual e consideração individualizada —, bem como indicadores de saúde mental como stress, ansiedade, depressão, função social e bem-estar geral. Os resultados revelaram correlações estatisticamente significativas entre comportamentos de liderança transformacional e níveis mais elevados de bem-estar psicológico, assim como menores níveis de stress e sintomas depressivos. As dimensões motivação inspiradora e consideração individualizada destacaram-se como as mais impactantes. Estes dados confirmam a relevância do estilo de liderança transformacional como fator promotor de saúde emocional no trabalho. A investigação oferece implicações práticas para a gestão de pessoas, sugerindo que o investimento em competências de liderança transformacional pode concontribuir para ambientes de trabalho mais saudáveis, produtivos e sustentáveis. 2025-09-01T00:00:00Z http://hdl.handle.net/10884/1685 Title: What influences interruption of continuous renal replacement therapy in intensive care unit patients: Authors: Xiaomei, Xia; Yuliang, Chong; Jianhong, Qiao; Moreira, Paulo; Xiujuan, Xue Abstract: Background: Evidence suggests that 8%–10% of ICU patients receive renal replacement therapy. However, there is a high rate of unplanned CRRT interruption, ranging between 17% and 74%. Studies on unplanned interruption of CRRT mainly focused on the retrospective investigation of related risk factors and conclusions have been diverse. Aims: This article aims to clarify the main influencing factors related to unplanned interruption of continuous renal replacement therapy (CRRT) in adult patients in intensive care units (ICUs). Study Design: A literature review and meta-analysis were undertaken. Following the application of the Newcastle–Ottawa Scale (NOS), a total of 15 articles were included in a total of 2132 patients who underwent 3690 CRRT procedures and 2181 unplanned interruption times. The methodological guideline of a scoping review was applied for the evidence synthesis while applying the meta-analysis quantitative methodological guideline to identify and clarify main influencing factors related to unplanned interruption of CRRT. The reporting Prisma Protocol was followed. Results: Longer filter life and prothrombin activation time, higher red blood cell count, greater transmembrane pressure, faster blood flow rate, intermittent saline irrigation, lower creatinine level, low prothrombin activity and pre-dilution are factors identified to potentially affect unplanned CRRT in ICU patients. Conclusions: Available evidence suggests four clinical challenges associated with unplanned CRRT interruption, namely: (a) effects of red blood cell count, filter life, cross-mode pressure, blood flow velocity, prothrombin activity and activated partial thrombin time on unplanned interruption; (b) influence of dilution mode on unplanned interruption; (c) influence of intermittent saline irrigation on unplanned interruption; (d) influence of Scr level on unplanned interruption. Relevance to Clinical Practice: The potential to increase the ability to better manage unplanned CRRT in ICUs has been identified in this article and constitutes a relevant potential health care management contribution that can be implemented by nurses. 2024-09-15T00:00:00Z http://hdl.handle.net/10884/1683 Title: Insights into uncovered public health risks. The case of asthma attacks among archival workers: Authors: Yang, Liu; Xinting, Chen; Aie, Zhang; Ruiqi, Xu; Moreira, Paulo; Mei, Dou Abstract: Objective: To ascertain the prevalence of asthma attacks among archivists and identify the associated occupational factors in this understudied professional population. Methods: We conducted a cross-sectional, questionnaire-based study among 1,002 archival workers. A multiple logistic regression was conducted to identify the association between asthma attacks and occupational exposures. The Strobe Protocol was applied. Results: 999 workers were included in the final analysis with the asthma prevalence of 33.3%. Main factors associated with asthma attacks (OR [95% CI]) were the presence of chemically irritating odors (2.152 [1.532–3.024]), mold odors (1.747 [1.148–2.658]), and insects (1.409[1.041–1.907]). A significant synergistic effect was observed between chemical irritants and mold, the odds ratio was 7.098 (95% CI, 4.752–10.603). Conclusion: There was a high prevalence of asthma attacks among archival workers, an under-studied population. Chemical irritants, molds and insects were associated with their asthma attacks. Notably, this study’s data analysis has revealed a strong synergy (OR = 7.098) between chemical odors and molds in the workplace. While the existing international literature on this specific interaction remains somewhat limited, previous studies have already demonstrated the potential for chemical irritants, such as sulfur dioxide and ozone, to synergistically interact with inhalable allergens, including fungi, molds and dust mites. Consequently, this interaction seems to exacerbate asthma symptoms and perpetuate untreated exposure. Furthermore, in damp and damaged buildings, the presence of microbial components, such as cellular debris or spores released during fungal growth can trigger an inflammatory response, potentially served as a shared pathway for the development of asthma among individuals exposed to these hazardous factors. 2024-08-21T00:00:00Z http://hdl.handle.net/10884/1681 Title: Mobile apps for cancer patients: Identifying positive impacts and concerns Authors: Leidong, Wei; Monachino, Michelle; Lloyd-Williams, Don; Nguyen, Thi Le Ha; Dsouza, Brayal; Paulo, Moreira Abstract: Background: Mobile health is being increasingly considered as a strategy to deliver healthcare to people with chronic diseases. This stands particularly true for cancer management where treatment is being progressively administered at home, requiring more involvement, education, and changes in behavior from patients. This article aims to identify the main axes of intervention for behavioral change of mHealth in cancer management and its relative impacts, as well as identify recent evidence on user preferences for optimal engagement in mHealth-based behavioral change strategies. Methodological Approach: A literature search was carried out in the Databases PubMed and Cochrane during the period October–December 2023. The search retrieved 505 initial entries narrowed down to 21 articles included in this commentary. Results: Evidence is available on Mobile apps for cancer management being used to successfully promote behavioral changes in the areas of treatment adherence, symptoms self-management, communication with healthcare professionals, and holistic well-being in cancer patients. These are activities traditionally relevant in healthcare management interventions and contribute to further developing the relevance of the field of Digital Health in healthcare management. Relevance to Clinical Practice: The article contributes to a practical understanding of how Mobile interventions are being applied to promote higher self-care, a better emotional status, lesser adverse impacts, and, ultimately, increased survival rates for cancer patients. Several cancer patients’ preferences were identified for the promotion of user engagement related to app design, available features, interoperability, and app creation process, as well as advanced healthcare management intervention. Preferences were found to be different for adolescents and young adult cancer patients when compared to other cohort groups. 2024-11-21T00:00:00Z