Vanda Varela Pedrosa

Prof. Dr. Vanda Varela Pedrosa

orcid

Research Focus & Metrics

Academic Career Length

4Years (2023-Present)

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

Representative Publications

View All Publications
19 May 2025 in Healthcare
Verified
Journal Article
Open access
PDF file
CCCélio Cruz
Célio Cruz
Ana QueridoAna Querido
Ana Querido
VPVanda Varela Pedrosa
Vanda Varela Pedrosa
Background: The quality of palliative care (PC) services is closely linked to the effectiveness of interdisciplinary collaboration. A coordinated approach among professionals from different fields fosters holistic, person-centered care, ensuring comprehensive support for patients with complex conditions and their families. In hospital settings, In-Hospital Palliative Care Support Teams (EIHSCPs) play a key role in delivering specialized care, enhancing interdepartmental communication, training other healthcare professionals, and optimizing resources. Strong leadership by PC specialists, combined with effective team management, contributes to symptom relief, improved quality of life, and cost reduction. However, interdisciplinary collaboration presents challenges, including competing priorities, resource constraints, and communication barriers. Despite its recognized benefits, research on its implementation in PC, particularly in Portugal, remains scarce. Objective: This study explores the perspectives and practices of professionals within an EIHSCP, examining team dynamics, interprofessional collaboration, and key facilitators and barriers. Methods: Twelve semi-structured interviews were conducted with physicians, nurses, psychologists, and social workers from the EIHSCP in the Médio Tejo region. Data were analyzed using Braun and Clarke’s reflexive thematic analysis. Results: The interview findings were organized into three themes: (1) Social Representations and Interdisciplinary Practice; (2) Competencies for Interdisciplinary Practice; and (3) Challenges in Interdisciplinary Practice. Participants consistently highlighted that interdisciplinary collaboration enhances communication between services and improves care quality. While teamwork is central, patient- and family-centered care remains the priority. Key competencies include empathy, ethics, active listening, and cultural sensitivity, alongside structural and procedural elements such as team meetings, integrated communication, and clear referral criteria. Continuous education and professional development are essential. Challenges primarily stem from limited human and material resources, staff workload and stress, communication gaps between hospital and community teams, and insufficient institutional recognition. Suggested improvements focus on investing in ongoing training, strengthening communication and inter-institutional collaboration, and revising the organizational model of PC within Portugal’s National Health Service. Conclusions: Interdisciplinary collaboration in PC is fundamental for holistic, patient-centered care but is hindered by structural and organizational barriers.

27 June 2025 in Cancers
Verified
Journal Article
Open access
PDF file
DDDaniela Filipa dos Santos Domingos
Daniela Filipa dos Santos Domingos
Ana QueridoAna Querido
Ana Querido
VPVanda Varela Pedrosa
Vanda Varela Pedrosa
Background/Objectives: Population aging and the rise in chronic diseases challenge healthcare systems to adopt person-centered approaches, especially in palliative care (PC), where symptom management remains limited. Physiotherapy plays a key role in alleviating discomfort but faces inconsistent integration in Portugal due to lack of recognition. Variations in intervention methods hinder uniform care delivery, limiting timely patient access to comfort-focused treatments and knowledge. This study aims to deepen the understanding of physiotherapy’s role in Portuguese PC to improve its integration into teams and enhance patient access to comfort care. Methods: This study used a descriptive qualitative approach with online focus groups (FG), guided by Krueger and Casey’s methodology and adhering to the COREQ checklist. A non-probabilistic convenience sample of physiotherapists working in palliative care across mainland Portugal and the islands was selected based on inclusion criteria. Three FGs were planned with up to ten participants each. However, due to availability and attendance issues, only 15 physiotherapists participated: 5 in FG1 (in-hospital PC units), 6 in FG2 (inpatient units), and 4 in FG3, the minimum appropriate number from community-based units. Results: Physiotherapy plays a crucial yet underrecognized role in PC, emphasizing the need for its full integration into care teams rather than reliance on late, on-call referrals. Techniques such as positioning, mobilization, pain and dyspnea relief, adapted exercises, massage, music therapy, and emotional support are employed. Conventional physiotherapy tools are used and personalized according to the patient’s context, duration, setting, dosage, and individual needs. Conclusions: Physiotherapy should be recognized as a fundamental part of PC, contributing not only to the prolongation of life but also to ensuring comfort and dignity for patients and their families. To achieve this, its role within multidisciplinary teams must be strengthened and supported by regulations that guarantee access and the formal integration of physiotherapists. However, a significant gap remains in patients’ regular access to comfort-focused interventions at the appropriate time, perhaps due to the considerable variation in physiotherapy practices depending on the patient and care setting, which presents a challenge for knowledge development both in Portugal and globally.


18 June 2024
Verified
Conference Paper
Open access
PDF file
VPVanda Varela Pedrosa
Vanda Varela Pedrosa
ILInês Sousa Lopes
Inês Sousa Lopes
Cristina Raquel Batista CosteiraCristina Raquel Batista Costeira
Cristina Raquel Batista Costeira
To change behaviours regarding Patient Safety (PS), it is important to select the right pedagogical strategy to promote it. The PS huddle strategy, implemented was based in a role-play situation, based on a topic included in the Portuguese National Patient Safety Plan. This strategy seems to have contributed to raising twelve students' of first edition of postgraduate course in clinical supervision awareness and interest in the PS subject. All the students indicated the strategy as a methodology that facilitates learning in class, promote creativity, critical mind and emotional inteligence development. It was also described as easily replicable for the various healthcare scenarios, regardless of the level of action. The use of new active teaching approaches in higher education are an important way to help student´s developing them soft and hard skills and should be integrated more often in the postgraduate courses.They indicated the importance of replicating in future editions.

1 October 2024
Verified
Book
Closed access
Montserrat Santamaría-VázquezMontserrat Santamaría-Vázquez
Montserrat Santamaría-Vázquez
VPVanda Varela Pedrosa
Vanda Varela Pedrosa
SMSamuel Rodríguez Martín
Samuel Rodríguez Martín
NSNoelia Martínez de Albéniz Santamaría
Noelia Martínez de Albéniz Santamaría
ERElisabete Jorge da Costa Roldao
Elisabete Jorge da Costa Roldao
La guía en Lectura Fácil Consejos para hacer las actividades de la vida diaria después del cáncer de mama está dividida en dos volúmenes y parte de Guía práctica para facilitar las actividades cotidianas después del cáncer de mama (Universidad de Burgos). Esta adaptación en Lectura Fácil ha sido realizada por los profesionales del servicio Más Fácil de Plena inclusión Canarias. Tiene como objetivo trasmitir recomendaciones fundamentales sobre el autocuidado tras el cáncer de mama a las mujeres con dificultades de comprensión lectora. Por esta razón, estos volúmenes ofrecen una amplia variedad de consejos de forma clara, concisa y con las explicaciones necesarias para llegar a un público amplio. Esta guía cumple las pautas y recomendaciones de la Norma UNE 153101 EX y ha sido validada por un equipo de validación profesional con dificultades de comprensión lectora y amplia experiencia en el ámbito. Este trabajo se deriva del estudio llevado a cabo por terapeutas ocupacionales en una muestra de más de 170 mujeres, españolas y portuguesas, sobre las limitaciones que pueden aparecer, tras haber pasado por un tratamiento oncológico para el cáncer de mama. De este estudio, se desprenden una serie de actividades cotidianas que las mujeres afectadas señalaron como más difíciles o costosas de hacer en su día a día. Para cada actividad, la guía en Lectura Fácil muestra una serie de consejos y sugerencias, basados en el conocimiento propio del terapeuta ocupacional, que pueden contribuir a simplificar la actividad y a adaptarla según la sintomatología que se presente. Asimismo, para cada sugerencia, se muestran distintos productos de apoyo que pueden contribuir a la realización de dichas tareas. La presente adaptación a Lectura Fácil hace posible que cada persona lea aquellas actividades que para ella son costosas de realizar y pueda incluir en su día a día los cambios que mejor se ajusten a su situación particular.

29 October 2026
Verified
Book Chapter
Open access
PDF file
Patricia SantosPatricia Santos
Patricia Santos
PSPhilippe Schneider
Philippe Schneider
VPVanda Varela Pedrosa
Vanda Varela Pedrosa
IMIsabel Margot-Cattin
Isabel Margot-Cattin
Panagiotis PapantoniouPanagiotis Papantoniou
Panagiotis Papantoniou
IGIsabelle Gelinas
Isabelle Gelinas
The demographic shift toward an ageing population highlights the need to sustain mobility, independence, and well-being among older adults. Driving remains central to community mobility and social participation, yet age-related changes challenge safe performance. This paper provides a multidisciplinary reflection on driving in later life, developed within the COST Action Building Opportunities for Participation and Accessibility through Lifelong Community Mobility (BOPALiM – CA23101). It examines functional demands, driving as a social determinant of health, ethical dilemmas surrounding continuation or cessation, and evidence-based strategies to maintain driving capacity. Evidence indicates that cognitive training, physical conditioning, and self-regulation improve driving performance, while screening tools and continuous monitoring support early risk detection and personalized interventions. The findings support a shift toward individualized, function-based approaches integrated into interdisciplinary care pathways. Ensuring equitable access remains a key challenge. Overall, maintaining driving capacity is framed as a public health priority to promote safety, autonomy, and social inclusion.