Conference Abstracts: European Academy of Nursing Science Summer Conference 2019
2019; BioMed Central; Volume: 18; Issue: S2 Linguagem: Inglês
10.1186/s12912-019-0370-y
ISSN1472-6955
Tópico(s)Family and Patient Care in Intensive Care Units
ResumoPOSTER ABSTRACTSP1 Fundamentals of care in critical care nursing: back to basics and moving forwardCandida Durao, Helga Rafael HenriquesEscola Superior de Enfermagem de Lisboa, Lisbon, PortugalCorrespondence: Candida Durao (candida.durao@esel.pt ) Background The fundamentals of care is not recognized as it should, resulting in patient safety threats, dehumanised care and poorer care outcomes. In critical care settings the challenge is to maintain humanity when using technology to promote a more in depth knowledge of clients. The technology becomes an extension of the nurses' hands, eyes, ears and other senses. The Portuguese Nursing Council established that critical care nursing competencies are developed in postgraduate or second cycle studies. At ESEL 150 nurses completed their master in critical care nursing. The aim was to highlight the fundamentals of care most valued by ESEL’s critical care nursing master students in their final reports. Materials and Methods Data were collected from the final reports of the student that completed the program until 2018. The Fundamentals of Care Framework guided the analysis. Results The relationship between the patient and the nurse was one of the core themes. The integration of care – Psychosocial, Physical and Relational - was the most valued dimensions. Conclusions To move forward in European critical care nursing is essential to be aware of the Fundamentals of care dimensions. Being technologically competent allows nurses to assess the patients including specific data that they could not obtain otherwise.P2 Leveraging eNursing to address the needs of older people with chronic diseasesHelga Rafael Henriques1, Emília Brito1, Andreia Costa1, Mara Guerreiro1, Luís Lapão2, Isabel Pereira1, Miriam Almeida1, Sara Luz1, Adriana Henriques1 1 Escola Superior de Enfermagem de Lisboa, Lisbon, Portugal; 2 Global Health and Tropical Medicine, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, Lisboa, PortugalCorrespondence: Helga Rafael Henriques (hrafael@esel.pt ) Background Ageing and chronic diseases are increasing dramatically. Shortages in human resources and health care costs demand innovation by combining integrated nursing care with digital technologies. The aim was to describe a multidisciplinary research programme to develop and evaluate eNursing complex interventions in older people with chronic diseases. Materials and Methods We followed the next steps: 1) forming the multidisciplinary team across Institutions; 2) Deciding on the methodological approach; 3) Reviewing the literature; 4) Defining the nature, target and scope of the interventions in light of unmet needs. Results Seven researchers (nursing, pharmacy, public health and engineering) and four nursing doctoral students comprise the multidisciplinary research team. To ensure that eNursing interventions are clinically relevant and rigorous, the Medical Research Council (MRC) framework for complex interventions was chosen. Based on Design Science Research Methodology (DSRM), a digital platform for eNursing will be developed and implemented to support older people with chronic diseases, such as diabetes, cardiovascular diseases, chronic obstructive pulmonary disease and rheumatoid arthritis. Conclusions A research programme to address unmet needs of older people with chronic disease was set up. Next steps entail defining the components of the interventions and integrating the potential stakeholders. This will encompass health literacy and health status monitoring, addressing European patient-centeredness.P3 Promotion of self-care in patients with chronic illnesses; contributions of information and communication technologies (ICT)Maria do Céu Sá1,2, Ana Sofia Campos Nabais1 1Escola Superior de Enfermagem de Lisboa (ESEL), Lisbon, Portugal; 2UI&DE, Lisboa, PortugalCorrespondence: Maria do Céu Sá(ceu.sa@esel.pt) Background Chronic diseases are the leading causes of disability and morbidity that cause major health problems. Information and Communication Technologies (ICT) provide a framework for patient engagement and a new model of care that enables rapid response to the needs of the person / family. The promotion of self-care is one of the major challenges of health care, particularly for nurses, and technologies are increasingly used by patients to seek information and knowledge about their health status. The aim was to verify the extent to which ICT help patients with chronic diseases to promote their self-care and to manage their disease. Materials and Methods We performed a systematic literature review and the key-words used were: chronic disease, self-care, self-management and information systems. Five articles were selected. Results ICT improves people's health knowledge, promotes healthy lifestyles and changes behavior. They also reduce stress and anxiety, improve self-efficacy and self-management of chronic disease, reducing hospitalizations and the demand of health professionals. Conclusions ICTs help promote self-care for people with chronic illnesses by empowering them to make informed decisions and solve daily self-management problems. These tools are also important because they provide reliable information and can be easily queried.P4 How nursing students use ICT in their learning and practiceAna Sofia Campos Nabais1, Maria do Céu Sá1,2 1Escola Superior de Enfermagem de Lisboa (ESEL), Lisbon, Portugal; 2UI&DE, Lisboa, PortugalCorrespondence: Ana Sofia Campos Nabais (ana.nabais@esel.pt) Background Health and Information and Communication Technologies (ICT) are subjects that are present in our daily life in different domains of knowledge. The comprehension of the interaction of these areas implies recognizing health as a theme of vital importance for the human nature and the society made up by it and for it. The use of ICT’s in education has grown rapidly in the last decades, who not only changed the way we live and work but also created the need to transform the way we learn. The aim was to understand the importance attributed to ICT in the learning process among nursing students. Materials and Methods We performed individual interviews with nursing students, and the Data were treated through content analysis. Results Nursing students mainly use computer and mobile phone, they consider that these equipment facilitating the development of scientific, theoretical and theoretical-practical competences. ICT facilitates communication between people, especially between students and teachers and between health professionals and patients and helps the person with chronic illness manage their condition. Conclusions The results of the present study provide useful baseline information about which ICT devices students are using and how they are using them.P5 The person with dementia and the family caregiver: determinants of institutionalization. Preliminary descriptive resultsCátia Rosa, Graça MeloSuperior de Enfermagem de Lisboa (ESEL), Lisbon, PortugalCorrespondence: Cátia Rosa (catia.rosa@campus.esel.pt) Background Dementia is one of the biggest causes of disabilities in aging and providing care for the person with dementia living at home presents a complex challenge, sometimes impossible to manage. The aim was to determine the circumstances and living conditions of people with dementia, who live at home and receive formal professional care. Materials and Methods 20 consecutive patients with dementia and their family caregivers, living at home. A prospective study design was used, based on RightTimePlaceCare European project protocol. Results Patients: mean age 82, 80% women; education years 3,4±2,01; 45% of the participants were diagnosed with Alzheimer´s disease, 30% marked as unknown. Family caregivers: mean age 60.8, 60% women, 70% married; education years 8,7±4,88; 35% of the family caregivers have children under 18 living with them; 50% work. 60% of the participants were at risk of institutionalization, though only 40% were in a waiting list for placement in an institutional nursing care facility. The reasons indicated by the formal caregivers were heterogeneous ranging from reasons related to the severity of the dementia and increased necessity for care to carer-burden and employment status. Conclusions These are preliminary results of an ongoing study that will be further developed for robust conclusions.P6 What matters for nurses to document in health information systems? The case of hypertensionFernanda Bastos, Inês Cruz, Natália Machado, Alice Brito, Antónia Paiva e Silva, Alexandrina Cardoso, Paula Sousa, Paulo ParenteSuperior Enfermagem Porto, CIDESI, PortugalCorrespondence: Fernanda Bastos (fernandabastos@esenf.pt) Background Hypertension, or high blood pressure, affects hundreds of millions of persons worldwide. What is important for nurses to document about it in a Nursing Information Systems (NIS)? The aim was to identify the data, diagnoses and interventions related to hypertension to be incorporated in an Ontology -NursingOntos, using ISO18104 and ICNP®, for any NIS. Materials and Methods A qualitative study including content analysis of the national parameterization of Portuguese nursing information system, literature review and validation of contents to be included in the ontology by a focus group. Results We have identified that several records focus on hypertension. Two categories: hypertension as an event or as a chronic disease. In first case, interventions aim at early identification and referral to the physician. In second case new data, diagnoses and interventions directed towards the person's ability to manage, control and prevent the consequences of the disease are necessary. Conclusions The NursingOntos covers documentation on the alterations in bodily process, but also suggests the inclusion of aspects related to self-management. NursingOntos do not just use ICNP® and ISO18104 but suggests the use of theoretical models of nursing.P7 The self-management style of clients with chronic cancer pain: influence on the medication regimen managementNadine Rodrigues1, Fernanda Bastos2, Alice Brito2 1Instituto Português de Oncologia do Porto, Porto, Portugal; Fernanda Bastos, F. B.; 2Escola Superior Enfermagem Porto (ESEP) / UNIESEP, Porto, PortugalCorrespondence: Nadine Rodrigues (nadine.p.rodrigues@gmail.com) Background In a chronic cancer pain context, the individual is challenged to incorporate a set of new behaviours to ensure symptomatic control and quality of life. Individual’s attitude towards self-care has a significant impact on the way the person manages chronic illness. The aim of the study was to identify and describe the self-management style of clients with chronic cancer pain, explore the nature of this style’s influence in the adherence to the medication regime and in the therapeutic management skills. Materials and Methods A quantitative, cross-sectional, descriptive study was conducted, based on a non-probabilistic sample of 50 individuals. A form was applied, evaluating the self-management style, therapeutic management skills and the treatment adherence. Results The self-management style was predominantly responsible (60%). Adherence levels tend to be high, but a moderate negative association was observed with the negligent score. The most responsible group and the least formally guided group presents better management skills values. Conclusions More complex regimens are prescribed to clients with better management skills. Individuals whose follow-up time in a chronic cancer pain unit is longer, have more complex drug regimens and lower peak pain intensity. This indicates that nursing therapies implemented play an important role in promoting the development of management skills.P8 Caring of the caregiver: characterization of the caregivers' profiles of dependent elderly in an integrated continuing care teamAna Sofia Rato Santos Loureiro Pasadas1, Idalina Delfina Gomes2 1Departamento de Psiquiatria e Saúde Mental do Hospital Beatriz-Ângelo, Loures, Portugal; 2Escola Superior de Enfermagem de Lisboa, Lisbon, PortugalCorrespondence: Ana Sofia Rato Santos Loureiro Pasadas (enf.ana.loureiro@gmail.com) Background In Europe, the majority of care provided to dependent elderly is carried out by the family caregivers (FC) (80%) with implications for their health and life (Teixeira et al, 2017). The Integrated Continuing Care Teams (ECCI) play a key role in promoting the care of the self (Gomes, 2016). The aim was to characterize the profile and to identify the difficulties of the FC of dependent elderly registered in a Portuguese ECCI. Materials and Methods Descriptive analytical quantitative study performed to 28 FC of dependent elderly. The collection of data was done by interviews with survey. Data were analyzed by descriptive statistics. Results The mean age of FC is around 66 years old, predominantly female (60.7%), caring of the spouse (78.6%) and their parents (32.1%). FC spend more than 12 hours per day on care (60.7%). About 64.3% of the FC relate health implications due to the caring. As difficulties, FC mentioned restrictions of social life, lack the family and professional support, physical demands of the care and financial problems. Conclusions The characterizations of FC allows intervention based on their real needs and the establishment of an Intervention Protocol to promote The Care of the Self. References Gomes, I. D. (2016). Promover o cuidado de si: parceria entre o enfermeiro e a pessoa idosa. A construção do processo de parceria num contexto de vulnerabilidade e dependência. Saarbrucken/Deutsche: Novas Edições Académicas.Teixeira, A. R., Alves, B., Augusto B, Fonseca, C., Nogueira, J. A., Almeida, M. J. ... Nascimento, R. (2017). Medidas de intervenção junto dos cuidadores informais. Documento Enquadrador, Perspetiva Nacional e Internacional.P9 New method of teaching-learning as way to develop students’ clinical competencesMaria José Lumini, Cristina BarrosoSuperior de Enfermagem do Porto, Porto, PortugalCorrespondence: Maria José Lumini (lumini@esenf.pt) Background The creation of tools that assist nursing students in responsible decision making has been the subject of current studies. However, in their clinical practice nursing students are often faced with some difficulties in developing their clinical skills. The study aims to identify new methods of teaching-learning that can be used to develop the students’ clinical skills in their clinical practices. Materials and Methods Retrospective, descriptive exploratory study conducted during the year 2018. The data were obtained from the analysis of 40 action plans, instrument adopt from Perez (2009) filled by the nursing students of the 3.º year of Undergraduate Degree in Nursing. Ethical approval was obtained according to the Declaration of Helsinki. Results The main goals mentioned by the students are: Communication with patients and family caregivers, knowledge about drugs, stress management, knowledge of pathophysiology, time management, instrumental skills, organizing and prioritize care, integration of knowledge in practice, improve care planning to make decisions autonomously and data collection in patient interview. Conclusions According to the findings and the actual learning environment, we agree that the creation of an informatic platform can help the students to reach their clinical goals.P10 eNursing intervention in people with rheumatoid arthritisAna Almeida Ribeiro1, Madalena Cunha2, Maria Adriana Henriques3 1Tondela-Viseu Hospital Center, Viseu, Portugal; 2Polytechnic Institute of Viseu, Viseu, Portugal; 3Escola Superior de Enfermagem de Lisboa, Lisbon, PortugalCorrespondence: Ana Almeida Ribeiro (anaalmeidaribeiro@hotmail.com ) Background People with rheumatoid arthritis (RA) present complex and multidimensional limitations, which impact their fundamental care leads to the need to focus nursing care, placing people with RA at the center of planning and decision making. Building health programs focusing in self-management improves self-efficacy and well-being, which enables the empowerment and consequent active participation of people in managing their own disease. It is essential to integrate differentiated and primary care. Through the use of eNURSING - use of technology to convey Nursing care and conduct Nursing practice – we will be able to assist health professionals and users equipped, emancipated and involved, in a partnership, aiming at the improvement of care delivery, increasing their quality of life, by cultivating proximity and care, sharing the decisions and responsibilities. The aim was to identify the typology of nursing interventions in relation to the person with RA in the Rheumatology consultation of a central Hospital Center and to implement an information system that promotes inter-institutional communicability. Materials and Methods Designing eNURSING interventions is complex and encompasses a variety of components, transporting us to the Complex Health Interventions. These will be guided by the Medical Research Council board, and the Design Science Research Methodology. Results Multi-studies and mixed methods will be used, with sequential activities being implemented such as systematic literature reviews; conducting a focus group, listening to the needs of people with RA and differentiated and primary health care professionals. Conclusions Co-production of complex interventions with the participants, to test their feasibility in promoting health literacy, self-care, quality of life and monitoring wellbeing of people with RA, will have implications in the community for the use of scientific knowledge to develop guidelines that imply the projection of good nursing practices.P11 Pain management in patients unable to self-report: nursing interventionMagda Alcobia, Conceição Barros, Eunice HenriquesSuperior de Enfermagem de Lisboa, Lisbon, PortugalCorrespondence: Eunice Henriques (eunice.henriques@esel.pt ) Background Pain control is a patient´s right, a nurse´s obligation and a fundamental step for the effective humanization of care. Studies confirm that despite regularly receiving analgesia, the vast majority of critically ill patients continue to suffer from pain, resulting in prolonged ICU stay, the need for invasive mechanical ventilation and increased incidence of sequelae. The aims of the study are (1) to understand how pain diagnosis is performed with mechanically ventilated patients who are unable to self-report; (2) to analyse factors that influence both the diagnosis of pain and the decision making processes to control it; and (3) to identify evidence-based recommendations for effective pain management in ventilated patients unable to self-report. Materials and Methods An integrative literature review using Whittemore and Knafl’s integrative review method will be performed through MEDLINE, CINAHL and the Cochrane Library with articles published between January the 1st of 2012 and January the 31st of 2019. The review includes studies with patients unable to self-report, critically ill and mechanically ventilated. Results Results will be reported. Conclusions Nurses tend to underestimate patient´s pain and to misinterpret some behavioural manifestations. Frequent and structured pain assessment, through valid and reliable tools, combined with the use of pain management protocols, reduces the incidence of false-based routines and increases the effectiveness of pain management.P12 Antenatal breastfeeding educational program: its impact on breastfeeding knowledge, attitudes, self-efficacy and perceived barriers among pregnant women in GreeceMaria Iliadou1,2, Panagiota Kalatzi1, Styliani Tziaferi1 1Department of Nursing, University of Peloponnese, Sparti, Greece; 2Department of Midwifery, University of West Attica, Athens, GreeceCorrespondence: Styliani Tziaferi (stylianitziaferi216@gmail.com) Background The goal of antenatal breastfeeding education is to influence breastfeeding indicators. In Greece, a country with low breastfeeding rates, the impact of this kind of intervention on the modifiable factors of breastfeeding knowledge, attitudes, self-efficacy and perceived barriers has not been yet evaluated. The primary outcome was to evaluate the impact of an educational intervention on the breastfeeding indicators. Materials and Methods This was a quasi-experimental study that employed a pre-post design, with an intervention (n=103 pregnant women) and a control group (n=100 pregnant women), at a tertiary hospital in Athens- Greece, during May 2016 - January 2017. Data were collected by using various scales. Results Pre intervention there were no significant differences between control and intervention group in any of the scales. Post intervention, women in the intervention group had a more positive attitude towards breastfeeding (73.5% versus 66.1%, p<0.001), greater knowledge (14.6% versus 13.1%, p<0.001) and increased breastfeeding self-efficacy (51.4% versus 45.6%, p<0.001) compared to the control group. Furthermore, they had significantly less perceived barriers regarding breastfeeding (27.4% versus 31.0%, p<0.001). Conclusions Antenatal breastfeeding education has a remarkable positive impact on breastfeeding indicators compared to routine care. References Mora ADL, Russell DW, Dungy CI, Losch M, & Dusdieker L. The Iowa infant feeding attitude scale: analysis of reliability and validity. Journal of Applied Social Psychology 1999;29 p: 2362-2380.Dennis CL, and Faux S. Development and psychometric testing of the Breastfeeding Self-Efficacy Scale. Research in Nursing and Health 1999;22 p: 399-409.Casal CS, Lei A, Young SL, & Tuthill EL. A Critical Review of Instruments Measuring Breastfeeding Attitudes, Knowledge, and Social Support. Journal of Human Lactation 2016;doi:0890334416677029.P13 Ageing immunosenescence and vaccine efficacyPanagiota Kalatzi1, Maria Iliadou2, Styliani Tziaferi2 1Department of Nursing, University of Peloponnese, Sparti, Greece; 2Department of Midwifery, University of West Attica, Athens, GreeceCorrespondence: Styliani Tziaferi (stylianitziaferi216@gmail.com) Background The age- dependent decrease in immunological competence results in greater susceptibility to infection and reduced responses to vaccination. The present study aims to increase the understanding of immunosenescence and investigate strategies to overcome vaccine ineffectiveness. Materials and Methods Literature review in PubMed, Cinahl and Google Scholar was conducted between February and March 2018 with the following keywords: immunosenescence, vaccination, elderly and efficacy. English written reports published in or after 2010 that examined the impact of age related immune deficiency and vaccine failure were included. Results Age related immunological alterations include reduction in natural killer T- cell and B- cell cytotoxicity and disturbances in macrophage- derived cytokine release. Thymic atrophy, reduced output of anergic memory cells, deficiencies in the cytokine production, uncertain antigen presentation and coinfection with persistent viruses results in further declination of the cellular immunity among older adults. New formulations such as booster vaccinations, different immunization routes, high dose vaccines and the use of adjuvants are approaches that are under investigation and may improve the efficacy and effectiveness of immunization. Conclusions Understanding mechanisms of immunological aging and designing more effective vaccines may strengthen infectious diseases prevention among older adults. This study has a great relevance for public health nursing science across the Europe. References Boraschi D, Italiani P. Immunosenescence and vaccine failure in the elderly: Strategies for improving response. Immunology Letters. 2014;162(1):346-353.Fuentes E, Fuentes M, Alarcon M, Palomo I. Immune System Dysfunction in the Elderly. An Acad Bras Cienc. 2017;89(1):285-299.Loukov D, Naidoo A, Bowdish D. Immunosenescence: implications for vaccination programs in the elderly. Vaccine: Development and Therapy. 2015;5:17-29.P14 Results of Data Collection from the Limoxis System for the Control and Management System of Hospital Acquired InfectionsFilippos Gozadinos1, Styliani Tziaferi2, Athina Lazakidou1 1University of Peloponnese, Department of Economics, Tripolis, Greece; 2University of Peloponnese, Department of Nursing, Sparta, GreeceCorrespondence: Styliani Tziaferi (stylianitziaferi216@gmail.com) Background Limoxis can be utilized in the Hospital Units as a useful tool to collect all necessary data for Hospital Acquired Infections. Participants were 10 Hospital Units of the 6th Health District and 1 Public Hospital Unit of Attica. Materials and Methods A total of 1330 cases of notifiable-disease and bacteraemia reporting forms from period 2010-2016 of 10 Hospital Units of the 6th Health District and Public Hospital Unit of Attica were digitized for epidemiological study and applied to the newly-developed information system. Results The total of 42.3% of all patients suffered from Hospital Acquired Infections caused by pathogen Acinetobacter and 38.8% from pathogen Klebsiella. Depending on the categories of HAIs, bloodstream ones prevail against pneumonia (34.4%) and urinary track ones (22.3%). Depending on the types of bacteraemia, primary bacteraemia prevails with 61.5%. Most patients have had a hospital stay of more than 28 days. Conclusions The Limoxis Information System enables data entry and electronic storage, which takes less time than printed forms and also allows fast access to stored data. Finally, there are important options such as statistical analysis, provides the antibiotics under surveillance, provides also a reliable estimate of antibiotic consumption and the geographical mapping of data useful for Healthcare Professionals and Hospital Administration.P15 Cultural Adaptation in Greek language and Validation of the instrument «Bullying in Nursing Education Questionnaire (BNEQ)» to university nursing studentsKalafati Maria1, Tziaferi Styliani2, Nieri Alexandra Stauvroula1, Dede Maria Niki2, Karanikola Maria3, Mpouzika Meropi3, Lemonidou Chryssoula1 1Faculty of Nursing, National and Kapodistrian University of Athens, Athens, Greece; 2Faculty of Nursing, University of Peloponnese, Peloponnese, Greece; 3Faculty of Nursing, Cyprus University of TechnologyCorrespondence: Tziaferi Styliani (stylianitziaferi216@gmail.com) Background Bullying is a phenomenon that observed in nursing students and related to negative effects on physical and mental health. The aim of the study was validation and cultural adaptation of the questionnaire "Bullying in Nursing Education Questionnaire (BNEQ)" in Greek university Students of Nursing. Materials and Methods A pilot correlational study was performed in a sample of 25 nursing students. The BNEQ was translated from English into Greek, and backward, and its cultural adaptation took place. Cronbach's αand test-retest reliability (Wilcoxon, Spearman) and x2 test were applied at statistical significance α = 0.05. Results The Cronbach alpha coefficient was equal to 0.96. All questions were significantly correlated (p 0.05), with the exception of the questions "Yelling or shouting in rage to you from ....", "Inappropriate, nasty, rude or hostile behavior to you from ...", and "Negative or disparaging remarks about becoming a nurse...". Conclusions The pilot data support the reliability and validity of the BNEQ scale.P16 Development and feasibility of a psychoeducational intervention to promote adolescents' mental health literacy in a school contextTânia Morgado1, Luís Loureiro2, Maria Antonia Rebelo Botelho3 1Pedopsiquiatria, Centro Hospitalar e Universitário de Coimbra, EPE, Coimbra, Portugal; 2 Escola Superior de Enfermagem de Coimbra, Coimbra, Portugal; 3 Escola Superior de Enfermagem de Lisboa, Lisbon, PortugalCorrespondence: Tânia Morgado (tmorgado@gmail.com ) Background Mental Health Literacy was defined as knowledge and beliefs about mental disorders that aid in its recognition, management or prevention. Portugal is the European country with the highest prevalence of mental illness (22.9%) and anxiety disorders are the most common (16.5%). Portugal School Health Program 2015 evidences the promotion of health literacy and anxiety as areas of intervention in adolescence. The aim was to identify evidence about adolescents’ anxiety mental health literacy in school context; Design a psychoeducational intervention; Validate the content of that intervention; Evaluate its feasibility. Materials and Methods Medical Research Council framework for development and evaluation of complex interventions using mixed methods throughout development and feasibility stages: 1) systematic reviews; 2) health/education professionals’ and adolescents’ focus group; 3) experts’ e-Delphi; 4) feasibility study; 5) pilot study. Results The psychoeducational intervention has different methods and pedagogical techniques, consists of 4 sessions of 90 minutes each. We observed clinically and statistically significant impact. Conclusions This psychoeducational intervention increased adolescents’ anxiety mental health literacy and allow them to access, understand and use information on prevention, recognition and management of anxiety. This study has a high relevance for nursing science in Portugal and Europe. Trial Registration: ClinicalTrials.gov ID: NCT03872817.P17 Mapping antenatal care policy for low-risk pregnant women in Portugal and comparable countries: A scoping reviewAndreia S Gonçalves1, Isabel M Ferreira1, Ana Paula Prata2, Christine McCourt3, António Correia de Campos4 1ASG and IMF, Instituto de Ciências Biomédicas Abel Salazar, University of Porto; 2APP, Escola Superior de Enfermagem do Porto, Porto, Portugal; 3CMc, School of Health Sciences, City University London, London, United Kingdom; 4ACC, Conselho Económico Social, Lisboa, PortugalCorrespondence: Andreia S Gonçalves (avasgoncalves@gmail.com) Background It is recognised that in high-income countries more can be done so that women can experience a safe and positive pregnancy. Midwives were identified as the key practitioners to provide this when compared to other models of care1. In Portugal antenatal care of low-risk healthy pregnant women is provided by family-doctors despite having available nurse-midwives who are specially trained to maintain “normality”2. The aim of the study was to map antenatal care policy in high income countries comparable to Portugal, with the ultimate goal of informing future policy and identify the viability of the adoption of a midwifery-led-care model to the Portuguese context. Materials and Methods A search was conducted in MEDLINE, CINAHL, Academic Search Complete, Web of Science and Scopus. A hand search of grey literature of published policy documents followed and for the countries whose policies were not available key persons were contacted. Search results were exported and data extracted using charting forms. Data will be synthesised using narrative description. Results The authors are still working on the data but preliminary results show a wide variability in nature, content and range of the policies References Sandall, J., Soltani, H., Gates, S., Shennan, A., & Devane, D. (2016). Midwife-led continuity models versus other models of care for childbearing women. Cochrane Database Syst Rev, 4(9), Cd004667. https://doi.org/10.1002/14651858.CD004667.pub5Publication charges for this supplement were funded by the conference.
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