Cristina Maria Alves Marques-Vieira

Background/Objectives: Policies for residential long-term care seek to safeguard quality, dignity and residents’ rights, yet their translation into practice remains uneven. This review synthesised textual evidence on policies, guidelines and regulatory frameworks for long-term care facilities in European countries with public or universal health systems. Methods: A Joanna Briggs Institute systematic review of textual evidence was conducted (PROSPERO CRD420251132804). CINAHL, MEDLINE, ProQuest Dissertations and Theses, MedNar and Google Scholar were searched (March–May 2025; updated May 2026), with citation searching and targeted searches of EU and OECD repositories. Two reviewers independently screened, appraised and extracted data; findings were integrated through thematic synthesis. Results: Of 2468 records identified, 35 sources (1993–2026) were included: three policy or guidance texts and 32 empirical, review or policy-analysis publications (eight policy analyses or conceptual papers, 20 primary studies and four reviews). Five themes were developed: governance and regulation; guideline implementation; workforce and organisational dynamics; rights, autonomy and ethics; and anticipated pressures and emerging care models. Staffing instability, limited training, fragmented governance and organisational constraints affected implementation. Conclusions: Participatory governance, workforce investment, relational implementation strategies and human rights principles emerge as priorities, with nursing leadership central to translating policy into care. Source heterogeneity and the interpretative synthesis limit generalisability.

Background: Women sustain falls throughout the maternity cycle, which can lead to maternal‐child injuries. To avoid fall‐related negative outcomes in the maternity cycle, it is necessary that nurses and midwives are aware of interventions focused on fall prevention. Objective: To identify and map nursing and midwifery interventions for fall prevention in women in the maternity cycle. Methods: The search was conducted in the following databases: CINAHL Ultimate, MEDLINE Ultimate, Cochrane Central Register of Controlled Trials, Cochrane Clinical Answers, Cochrane Database of Systematic Reviews, Cochrane Methodology Register, MedicLatina, RCAAP, SciELO, Scopus, and Web of Science. All types of reports related to nursing and midwifery interventions for fall prevention in women in the maternity cycle were included, in all contexts, published until May 5, 2025, in English, French, Portuguese, and Spanish. Results: Regarding interventions for fall prevention, a total of 22 reports were found: 11 for the postpartum period; 6 for pregnancy; 4 for the three stages of the maternity cycle; and 1 for both pregnancy and the postpartum period. There are specific interventions for fall prevention for each maternity stage. Some interventions are transversal to the three maternity stages. When developing care plans, nurses and midwives should consider the following: fall risk assessment, documentation of interventions and their results, managing a safe environment, organizing care, and monitoring safety indexes. The interventions should include educating women about this issue, the risk factors, and the preventive interventions. These interventions are applicable to inpatient settings and to the community. In the community, nurses and midwives can use public statements and social media to promote women’s awareness. Conclusions: Interventions for fall prevention in women in the maternity cycle vary, according to the stage. Nurses and midwives can use this knowledge during decision‐making, in their practice, whether at an individual level or in the community.

This scoping review examines the underexplored impact of the transition to residential care on conjugal relationships among older couples in long-term care facilities (LTCFs). With an aging population and evolving care policies, understanding marital experiences in residential care settings becomes increasingly essential. Using the Joanna Briggs Institute methodology and the Population, Concept, and Context framework, a systematic search across six databases identified 17 studies from 529 articles. These studies were classified into three living arrangements: spouses in LTCFs with partners in the community, co-residing couples, and those addressing both scenarios. Findings reveal variations in living arrangements and the emotional complexity of these transitions, emphasizing the importance of maintaining marital bonds and relational identity. Influenced by institutional care policies and staff training, these outcomes highlight the need for longitudinal, quantitative and intervention-based research. Policy recommendations advocate relationship-centred care to promote privacy, marital continuity, and interventions enhancing marital well-being in LTCFs.

Background/Objectives: Since nursing students will be future promoters of immunization, it is essential to compare the attitudes and behaviors toward vaccination among nursing students in Portugal and Spain, to provide a comparative and contextualised view of the perceptions and practices of future health professionals in two countries with similar health systems and training structures, but influenced by different socio-cultural frameworks. Therefore, allows for the identification of similarities and divergences in the disposition towards vaccination, which is key for the design of more effective and culturally sensitive educational and public health strategies. Methods: This cross-sectional study assessed and compared attitudes and behaviors toward vaccination among nursing students from the Portuguese Catholic University (Lisbon, Portugal) and the Complutense University of Madrid (Spain). The study included 928 students from all four years of the nursing degree program, who completed the Questionnaire on Attitudes and Behaviors toward Vaccination in Health Sciences Students (ACVECS). Results: The results showed significant differences between both countries. Spanish students presented more favorable attitudes and behaviors toward vaccination compared to Portuguese students (p < 0.001). Women and native students obtained higher scores. Differences were observed according to academic year: in Spain, students in higher years showed better attitudes, while in Portugal it was first-year students who obtained higher scores. These differences could be influenced by cultural, educational, and pandemic-related factors. Conclusions: Spanish students showed significantly more favorable attitudes and behaviors toward vaccination than Portuguese students. Native students had a better attitude toward vaccination in both countries, this difference being especially notable in behaviors oriented toward vaccination among Portuguese students. Clinical trial number: Not applicable.

Objetivo: Mapear las evidencias científicas disponibles sobre rehabilitación en el cotidiano de personas con secuela neurológica post covid-19. Metodología: Se trata de una scoping review según las directrices del Joanna Briggs Institute. Los estudios incluidos se basaron en la estrategia mnemónica participants/ problem (personas adultas con secuela neurológica), concept (rehabilitación en lo cotidiano) y context (pandemia covid-19), con espacio temporal de 2020 a 2022, disponibles en las siete bases de datos seleccionadas, en los idiomas portugués, inglés y español, recogidos y analizados según PRISMA-ScR. Resultados: Fueron recuperados 1.027 estudios, siendo que la muestra fue compuesta por 11 artículos que presentaron programas de rehabilitación para las secuelas: fatiga, anosmia, trastornos cognitivos y neuropsicológicos. Entre los principales programas de rehabilitación encontrados, destacan: caminata de progresión, ejercicios respiratorios; entrenamiento olfativo usando aceites esenciales y abordajes cognitivos. A partir de los hallazgos, el proceso de rehabilitación ha demostrado ser eficaz para el manejo de las secuelas neurológicas post-covid-19, debiendo ser iniciado precozmente. Conclusiones: Se recomienda que los programas de rehabilitación cuenten con la participación de un equipo multiprofesional, ya que la enfermedad presenta síntomas persistentes multisistémicos, que implican un enfoque holístico y abarcan aspectos de comportamiento relacionados con el autocuidado, rehabilitación física, apoyo emocional y educación en salud, promoviendo la recuperación y mejora de la calidad de vida de los individuos afectados por la enfermedad.

RESUMO Objetivo Compreender a vivência do autopreconceito e do preconceito social no cotidiano de pessoas com lesão medular e de suas famílias. Métodos Estudo interpretativo, qualitativo, desenvolvido com 21 participantes (12 pessoas com lesão medular e 9 familiares), de um Centro Especializado de Reabilitação no sul do Brasil, cujas fontes de evidências foram entrevistas individual e duas oficinas que corroboram para validação dos dados. Para o agrupamento e organização dos dados, utilizou-se o software Atlas.ti e a análise dos dados [...] RESUMO Objetivo Compreender a vivência do autopreconceito e do preconceito social no cotidiano de pessoas com lesão medular e de suas famílias. Métodos Estudo interpretativo, qualitativo, desenvolvido com 21 participantes (12 pessoas com lesão medular e 9 familiares), de um Centro Especializado de Reabilitação no sul do Brasil, cujas fontes de evidências foram entrevistas individual e duas oficinas que corroboram para validação dos dados. Para o agrupamento e organização dos dados, utilizou-se o software Atlas.ti e a análise dos dados