NUNO NOVAIS MARTINS SANTOS

Dr. NUNO NOVAIS MARTINS SANTOS

orcid

Research Focus & Metrics

Academic Career Length

2Years (2025-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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24 February 2026 in Nursing Reports
Verified
Journal Article
Open access
PDF file
LVLeonor Pereira Velez
Leonor Pereira Velez
PCPatrícia Costa
Patrícia Costa
NSNUNO NOVAIS MARTINS SANTOS
NUNO NOVAIS MARTINS SANTOS
MIMafalda Inácio
Mafalda Inácio
Ana Rita FigueiredoAna Rita Figueiredo
Ana Rita Figueiredo
PLPedro Lucas
Pedro Lucas
Background: Teamwork promotes the quality and safety of care. The TeamSTEPPS® program enhances communication and teamwork among healthcare professionals and students, as well as the associated benefits. Currently, there are no studies that comprehensively explore the benefits achieved through the implementation of TeamSTEPPS® across different contexts (educational and clinical practice). Objective: This scoping review aimed to map the existing evidence on the benefits of implementing TeamSTEPPS® in educational and professional settings, emphasizing its contribution to sustainable teamwork, patient safety, and organizational learning. Methods: A scoping review was conducted following the Joanna Briggs Institute methodology and reported according to the PRISMA-ScR guidelines. Searches were performed in CINAHL Ultimate, Medline Ultimate, Scopus, the Portuguese Open Access Scientific Repository, Web of Science and Psychology and Behavioral Sciences Collection, with no time restrictions. Studies were selected based on the PCC framework, focusing on healthcare students and professionals (Population), TeamSTEPPS® implementation (Concept), and academic or clinical settings (Context). A descriptive and thematic analysis was used, enabling the identification of emerging categories and recurring patterns among the included studies. Results: Twenty-eight articles published between 2009 and 2025, predominantly from the United States of America and conducted in hospital settings, were found. The included studies comprised quantitative (n = 11), qualitative (n = 4) and quasi-experimental study (n = 13) designs. From the analysis, four thematic categories emerged: academic education, interprofessional education and simulation; professional transition and professional development; clinical implementation of the TeamSTEPPS® program in real-world settings; and patient safety culture as a central focus. Conclusions: The available evidence suggests that the TeamSTEPPS® program may strengthen teamwork and promote safe and high-quality care in both educational and clinical settings. While short-term training leads to immediate improvements in team dynamics, continuous training demonstrates greater long-term effectiveness. The consolidation of the TeamSTEPPS® methodology relies on organizational commitment, leadership engagement, and the integration of interprofessional training from the academic level onward.

21 August 2025 in Healthcare
Verified
Journal Article
Open access
PDF file
NSNUNO NOVAIS MARTINS SANTOS
NUNO NOVAIS MARTINS SANTOS
RBRita Vaz Pinto Baharona
Rita Vaz Pinto Baharona
Paulo Jorge Marcos CruchinhoPaulo Jorge Marcos Cruchinho
Paulo Jorge Marcos Cruchinho
ENElisabete Nunes
Elisabete Nunes
Introduction: Negative behaviors in nursing undermine well-being, erode team cohesion, and jeopardize patient safety. Rooted in systemic stressors—workload, emotional strain, and power imbalances—they have far-reaching effects on job satisfaction and care quality. Objective: To systematically map the scientific evidence on negative behaviors among nurses in healthcare organizations. Methods: A scoping review was conducted using five databases: CINAHL, MEDLINE, Scopus, Psychology & Behavioral Sciences Collection, and RCAAP (for grey literature). The review followed the Joanna Briggs Institute methodology and PRISMA-ScR reporting guidelines. Two independent reviewers conducted data extraction and synthesis. Results: Eighteen studies published between 2017 and 2024 met inclusion criteria from an initial pool of 88 references. Eleven thematic domains emerged: (1) the cycle of violence; (2) victims profile; (3) perpetrator profile; (4) negative behaviors spectrum; (5) negative behaviors prevalence; (6) risk predictors; (7) protective predictors; (8) impact of negative behaviors on nurses; (9) impact of negative behaviors on patients; (10) impact of negative behaviors on healthcare organizations; (11) organizational strategies and the role of the nurse managers. Conclusions: The findings highlight the multidimensional nature of negative behaviors and the variability in how they are defined and assessed. This review highlights the need for conceptual clarity and standardized tools to address negative behaviors in nursing. Nurse managers, as key organizational agents, play a critical role in fostering psychological safety, promoting ethical leadership, and ensuring accountability. System-level strategies that align leadership with organizational values are essential to protect workforce well-being and safeguard patient care.

14 May 2025 in Preprints.org
Verified
Preprint
Open access
PDF file
NSNUNO NOVAIS MARTINS SANTOS
NUNO NOVAIS MARTINS SANTOS
RBRita Vaz Pinto Baharona
Rita Vaz Pinto Baharona
Paulo Jorge Marcos CruchinhoPaulo Jorge Marcos Cruchinho
Paulo Jorge Marcos Cruchinho
PLPedro Lucas
Pedro Lucas
ENElisabete Nunes
Elisabete Nunes
Negative behaviors in nursing - including bullying, incivility and lateral violence - pose substantial threats to the well-being of nurses, caregivers and organizations alike. This scoping review aims to map the scientific evidence relating to these behaviors in healthcare settings. A systematic search was carried out using CINAHL, MEDLINE, Scopus, Psychology & Behavioral Sciences Collection and RCAAP as grey literature according to the Joanna Briggs Institute methodology and presentation according to the PRISMA-ScR guidelines. Data extraction and synthesis was carried out independently by two reviewers. Of the 88 initial references, 18 studies published between 2017 and 2024 met the inclusion criteria and reported a total of 10 measurement instruments and 6 thematic domains to characterize negative behaviours among nurses. The domains found in the literature were: Spectrum of Negative Behaviors; Prevalence of Negative Behaviors; Protective and Risk Factors of Negative Behaviors; Profiles of Victims and Aggressors; Impacts of Negative Behaviors; The Nurse Manager in Mitigating Negative Behaviors. The diversity of instruments and domains highlights the multidimensionality and scope of negative behaviors in nursing. The diversity of instruments and domains highlights the multidimensionality and scope of negative behaviors in nursing. Their conceptual heterogeneity prevents comparability between institutions and health units, underlining the urgent need for standardization, clear operational definitions and validated instruments to guide evidence-based interventions.