David De Sousa Loura

Mr. David De Sousa Loura

Hospital de Dona Estefânia, Lisbon, Lisboa, Portugal
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orcid

Research Focus & Metrics

Academic Career Length

7Years (2020-Present)

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

Representative Publications

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1 January 2022 in Revista Brasileira de Enfermagem
Verified
Journal Article
Open access
DLDavid De Sousa Loura
David De Sousa Loura
RBRafael Bernardes
Rafael Bernardes
Cristina Lavareda BaixinhoCristina Lavareda Baixinho
Cristina Lavareda Baixinho
HHHelga Rafael Henriques
Helga Rafael Henriques
IFIsa Brito Félix
Isa Brito Félix
MGMara Pereira Guerreiro
Mara Pereira Guerreiro
Objective: To identify the learning outcomes and skills obtained of undergraduate nursing students involved in research projects. Methods: This was an integrative literature review, based on a research protocol in the CINAHL Complete databases; Cochrane Central Register of Controlled Trials; Cochrane Database of Systematic Reviews; Cochrane Methodology Register; MedicLatina; MEDLINE, Scopus and JBI, including primary and secondary studies, published between 2015 and 2020. Results: A total of five heterogeneous articles were included, which were categorized using Kirkpatrick's (adapted) model. Seventeen learning outcomes acquired through participation in research projects were identified, from the learning of new knowledge and skills to the development of new attitudes and behaviors. Final considerations: The involvement of nursing students in research projects is important to their professional development. Future investment in research on this topic can help cement the potential of this type of student involvement.

11 July 2024 in BMC Pediatrics
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Journal Article
Open access
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DLDavid De Sousa Loura
David De Sousa Loura
AFAna Margarida Ferreira
Ana Margarida Ferreira
JRJoana Romeiro
Joana Romeiro
Zaida CharepeZaida Charepe
Zaida Charepe
Background: The prevalence of complex chronic conditions (CCC), which cause serious limitations and require specialized care, is increasing. The diagnosis of a CCC is a health-illness transition for children and their parents, representing a long-term change leading to greater vulnerability. Knowing the characteristics of these transitional processes is important for promoting safe transitions in this population. This scoping review aimed to map the available evidence on health-illness transition processes in children with complex chronic conditions and their parents in the context of healthcare. Methods: Six databases were searched for studies focusing on children aged 0–21 years with CCC and their parents experiencing health-illness transition processes, particularly concerning adaptation to illness and continuity of care, in the context of healthcare. Studies within this scope carried out between 2013 and 2023 and written in Portuguese or English were identified. The articles were selected using the PRISMA methodology. The data were extracted to an instrument and then presented with a synthesizing approach supporting the interpretation of the results. Results: Ninety-eight methodologically broad but predominantly qualitative articles were included in this review. Children with CCC have specific needs associated with complex and dynamic health-illness transitions with a multiple influence in their daily lives. Several facilitating factors (p.e. positive communication and a supportive therapeutic relationship with parents and professionals, as well as involvement in a collaborative approach to care), inhibiting factors (p.e. the complexity of the disease and therapeutic regime, as well as the inefficient organization and coordination of teams) and both positive (p.e. well-being and better quality of life) and negative response patterns (p.e. negative feelings about the chronic illness) were identified. Some interventions to support the transitional process also emerged from the literature. Pediatric palliative care is seen as a good practice and an integrative approach for these children and families. Conclusion: Health professionals play a fundamental role in supporting the transitional process and promoting positive response patterns. More significant investment is needed at the clinical and academic levels regarding production and dissemination of knowledge in this area to ensure the awareness of children with CCC and that their needs are fully enhanced. Review registration: https://doi.org/10.17605/OSF.IO/QRZC8.

6 September 2022 in Geriatrics
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Journal Article
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Andreia CostaAndreia Costa
Andreia Costa
DLDavid De Sousa Loura
David De Sousa Loura
Paulo NogueiraPaulo Nogueira
Paulo Nogueira
MSMaria da Graça Melo Silva
Maria da Graça Melo Silva
IGIdalina Delfina Gomes
Idalina Delfina Gomes
Adriana HenriquesAdriana Henriques
Adriana Henriques
Health literacy (HL) allows people to access, understand and evaluate health information. Informal caregivers’ levels of HL may impact long-term care outcomes. ‘Informal caregivers’ profile in Lisbon county: a health community approach’ is a nurse-led research project aiming to assess informal caregivers’ health literacy and associated factors in Lisbon county, as well as to foster the development of a local-specific health literacy strategy. A survey to identify a health/social caregiver profile, including questions about HL (HLS-EU-PT), was submitted to a representative sample of carers. Descriptive and bivariate inferential analysis was developed. Informal caregivers’ level of HL was mostly sufficient (n = 99, 38%). More than 60% of caregivers have limited HL regarding health promotion. ‘Access’, ‘Appraisal’ and ‘Use’ are the information processing stages with lower mean scores of HL. Carers with low HL levels appear to be older and to have less education, low knowledge of community resources and decreased wellbeing (p < 0.05). A strategy focused on health promotion-related HL through primary care resources can potentially improve caregivers’ knowledge, competencies and motivation, as well as health system sustainability. Reported HLS-EU-PT scores deserve special attention. Future work should emphasize the role of HL-associated factors and health outcomes for caregivers and cared-for persons.

14 February 2025 in Healthcare
Verified
Journal Article
Open access
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EFEduarda Freitas
Eduarda Freitas
DLDavid De Sousa Loura
David De Sousa Loura
MIMariana Inês
Mariana Inês
CMCarla Martins
Carla Martins
IDInês Duarte
Inês Duarte
Background: Sickle cell anemia (SCA) affects a significant number of children worldwide, for whom the progression of the disease can lead to functional disability-impaired development. Nurses are pivotal in providing holistic care to these children and their families. This review aims to identify recent evidence on the role of nurses in intervening with children with SCA and their families in a hospital setting. Methods: A rapid review reported under the PRISMA methodology was carried out in the CINAHL, MEDLINE, and Scopus databases with the expression (sickle cell anemia OR sickle cell disease) AND (child* OR family OR pediatric*) AND (nurs* OR “nursing interventions” OR “pediatric nursing”) AND (hospital*), considering studies between 2019 and 2024, written in English, identifying articles with insights about the role of nurses in this context. Articles other than primary or secondary studies were excluded. Data were analyzed through a rapid qualitative approach. Results: Fifty-two studies were identified and seventeen articles were included. The nurse’s role is key and multidisciplinary, focusing on the child and family (care management and therapeutic education), the team (training, and the promotion of safety and quality of care), and the health system (optimizing access to care and promoting adequate resources for its implementation). Such a role is important for short-term clinical problems and to prevent long-term complications. Conclusions: Nurses play a central role in empowering families and coordinating multidisciplinary care. Greater investment is needed at a clinical level, through a more effective response to the needs of these patients, and in research, through experimental studies and other designs focused on multidisciplinary interventions.

7 July 2020
Verified
Book Chapter
Open access
PDF file
DLDavid De Sousa Loura
David De Sousa Loura
RBRafael Bernardes
Rafael Bernardes
CBCristina Lavareda Baixinho
Cristina Lavareda Baixinho
HRHelga Rafael
Helga Rafael
IFIsa Félix
Isa Félix
MGMara Guerreiro
Mara Guerreiro
Introduction: The development of research and the evidence-based practice paradigm pose a challenge for the education of future health professionals, who are required to have search skills, and be able to appraise and correctly use research results in clinical practice. Objectives: To identify what nursing students learn from being involved in research projects during their undergraduate degree. Methods: This integrative literature review was carried out according to a protocol, defining the eligibility criteria for primary studies, obtained from EBSCO, JBI and Scopus search engines. Results: Students can be involved in all phases of the research process, contributing to their satisfaction with learning, with positive impact on motivation, reflection and integration of knowledge, development of communication skills, scientific writing, time management and critical judgment. Involving these students also benefits the research process. Conclusions: Students’ involvement in research projects contributes to a range of learning opportunities. Our results suggest that classroom education on research should be associated with other strategies for the development of research knowledge, skills and attitudes.

12 March 2021
Verified
Book Chapter
Open access
PDF file
DLDavid De Sousa Loura
David De Sousa Loura
AAAna Eva Arriscado
Ana Eva Arriscado
AKAfke Kerkstra
Afke Kerkstra
CNCarla Nascimento
Carla Nascimento
IFIsa Félix
Isa Félix
CBCristina Baixinho
Cristina Baixinho
The paradigm of collaborative health care delivery drove the development of interprofessional competency frameworks (ICFs). The Train4Health project, funded by the Erasmus+ program, aims to improve healthcare students’ competencies in behaviour change support to optimize self-care in chronic diseases. As part of this project, we surveyed the landscape of ICFs in health. Our aim was to characterize ICFs in health and its translation into learning outcomes embedded in academic curricula. An integrative review was conducted between March and September 2020 based on a predefined protocol. The search was performed in EBSCO, B-On, Scopus, Web of Science and Joanna Briggs Institute databases. Four articles were eligible, describing ICFs in different domains in health, such as digital healthcare environment, simulation and genetic healthcare. Generally, ICFs were planned and developed by a committee. Students were involved in all four ICFs. These frameworks supported the development of learning outcomes-based curricula, organized in a tiered or straightforward structure, with different learning outcomes depending on their complexity and specialization level. Despite the overlap in some areas across health professions, we found only four ICFs that can guide collaborative education and are linked to learning outcomes. Pursuing this integrated approach, ideally resorting to structured scientific methods, may facilitate competencies attainment and merits further attention.