Mafalda Lopes

BACKGROUND The European Health Data Space Regulation is a European Union (EU) initiative aimed at promoting the sharing and safe use of health data across the EU. Its creation is based on the European Digital Strategy for Data (EC). COM/2020/66) and allows the European Community (EC) to fulfil its objectives of improving public health, reducing health inequalities, and promoting a more social Europe. OBJECTIVE To summarise the available scientific evidence on the application of the European Health Data Space Regulation and identify the primary challenges and successes of its implementation Europe. METHODS A comprehensive literature search conducted on May 22, 2025, identified 321 references. After removing 149 duplicates, 172 records remained for the title and abstract screening. Of these, 68 were excluded because they did not meet the study's inclusion criteria. The remaining 114 full-text articles were retrieved for a detailed assessment of eligibility. A total of 114 studies were assessed for eligibility. Data were extracted using a predetermined form, including various parameters such as author, year, and outcomes. RESULTS : A total of 45 studies were included in this review. Three overarching themes emerged: Governance and Regulatory Policies (45 studies), Technologies and Infrastructure (38 studies), and Stakeholder Participation (31 studies). As several studies addressed multiple themes, these categories are not mutually exclusive. The findings indicate that the successful implementation of the European Health Data Space (EHDS) hinges on the synergistic interaction among governance mechanisms, technological infrastructures, and stakeholder engagement. CONCLUSIONS These findings underscore the potential of evidence to the successful implementation of EHDS requires coordinated efforts to align policies, enhance interoperability, and address legal and security challenges. Clear governance, stakeholder involvement, and robust data systems are key to fostering trust and ensuring effective deployment. Despite these challenges, the EHDS holds great potential for enhancing healthcare and research through secure cross-border data sharing.

Introduction: In Portugal, scientific production in nursing is embedded within a trajectory shaped by historical, educational, and political transformations, framed by a research context of significant growth. Aim: This study aims to map the scientific production in nursing by Portuguese affiliated co-authors. Methods: Scientometric approach with a quantitative and descriptive analysis of 2,617 scientific records (1968-2022) retrieved from the Web of Science Core Collection. Results: The study identified three evolutionary periods in Portuguese nursing science: Genesis (1968–2009), Early Development (2010–2018), and Consolidated Production (≥2019). Of the total records, 67.9% were articles, with English as the predominant language (90.64%), and an average of three authors per article (18.4%). Discussion: The development of nursing science in Portugal can be categorised into three chronological stages, influenced by changes in the organisation, teaching curricula, and the structuring of knowledge production processes. There has been a significant international projection of nursing research, particularly through co-authorship with Spain and Brazil. On the thematic level, a strong focus on research and scientific production has emerged in relation to professional practice, the nursing profession, and nursing education. Conclusions: The study demonstrates that nursing research in Portugal is in consolidation. Factors such as the development of academic curricula, university degrees and the integration into research centres and networks have contributed to this progress. Research patterns are also recognised, identifying collaborations and themes addressed, thereby supporting researchers and policymakers in promoting initiatives for the advancement and training in nursing.

Open Science has emerged as an epistemological paradigm that promotes open and dynamic access to knowledge, fostering the sharing of scientific findings, collaboration between academia and society, and enhancing innovation and transparency. However, comprehensive studies on the adoption of Open Science practices remain limited, particularly in the nursing academic context. This study aimed to identify the current Open Science practices within a Portuguese higher nursing education institution community. An exploratory, descriptive study was conducted in two phases. In the first phase, a questionnaire was adapted and piloted through a focus group. In the second phase, the final version of the questionnaire, with 34 questions, was distributed digitally to 747 teachers, researchers and students. The study included 35 respondents, predominantly faculty members. While 77.8% reported engaging with Open Science publications, fewer respondents demonstrated familiarity with practices such as study preregistration and open-source coding. The principles of Open Science were widely accepted, particularly those emphasizing ethics, the democratization of knowledge, and scientific collaboration. Participants frequently used tools like EBSCOhost, Medline, and Scopus, whereas platforms such as Zenodo and OpenUP Hub remained underutilized. Participants highlighted training priorities, especially in open access publishing, data management, and the implementation of Open Science recommendations. The low response rate may indicate limited awareness of Open Science among professionals and an institutional culture in which such practices have not been fully embedded within academic routines. Although all participants agreed with the principles of Open Science, most reported not knowing its policies and not all were familiar with the various formats. These findings underscore the importance of investing in skills training and raising awareness of Open Science practices, particularly within the nursing school context. Furthermore, they underscore the need for in-depth investigation into the motivations, barriers, and enabling conditions that influence adherence to Open Science in higher education.

Open Science has emerged as an epistemological paradigm that promotes open and dynamic access to knowledge, fostering the sharing of scientific findings, collaboration between academia and society, and enhancing innovation and transparency. However, comprehensive studies on the adoption of Open Science practices remain limited, particularly in the nursing academic context. This study aimed to identify the current Open Science practices within a higher nursing education institution community. A cross-sectional, observational, and descriptive study was conducted in two phases. In the first phase, a questionnaire was adapted and piloted through a focus group. In the second phase, the final version of the questionnaire, with 34 questions, was distributed digitally to 747 teachers, researchers and students. The study included 35 respondents, predominantly faculty members, with 50% holding a Ph.D. and 61.1% affiliated with research groups. While 77.8% reported engaging with Open Science publications, fewer respondents demonstrated familiarity with practices such as study preregistration and open-source coding. The principles of Open Science were widely accepted, particularly those emphasizing ethics, the democratization of knowledge, and scientific collaboration. Participants frequently used tools like EbscoHost, Medline, and Scopus, whereas platforms such as Zenodo and OpenUP Hub remained underutilized. Participants highlighted training priorities, especially in open access publishing, data management, and the implementation of Open Science recommendations. A notable finding of this study was the low participation in the study, suggesting the need to enhance awareness among the higher education community regarding the importance of Open Science. Although all participants agreed with the principles of Open Science, most reported not knowing its policies and not all were familiar with the various formats. This study emphasized the need for investment in skills training for Open Science practices and for in-depth studies on motivation, adherence and enabling conditions, particularly in the context of Higher Education.

Open Science (OS) is a set of principles and practices that aims to make all areas of scientific research accessible, bringing benefits to both researchers and society. In a health context, OS can accelerate the dissemination and disclosure of research results, offering advantages for researchers, health professionals, and society. This short communication aims to analyze the contribution of OS to the dissemination of research results, the potential gains for citizens, and the ethical implications of such sharing. Research ethics is fundamental to ensuring that the conduct of researchers is aligned with ethical principles and standards, ensuring the credibility and reliability of the results, and protecting the rights of participants. Thus, OS must integrate ethical principles that promote the sharing of knowledge, accessibility, and reuse of data, while ensuring safety by monitoring and evaluating the integrity of research. In the field of Health Sciences, it is crucial to consider the importance of OS in the dissemination of research results and in developing tools that enable ethical sharing. However, while OS promotes a more collaborative and transparent science, it is essential to address the associated ethical challenges carefully, protect the rights of participants, and ensure integrity and accountability.

Objetivo: Descrever as atividades que visam o cumprimento dos Objetivos de Desenvolvimento Sustentável (ODS), implementadas por uma instituição de ensino superior politécnico, da região norte de Portugal.

Objective: Describe the activities aimed at achieving the Sustainable Development Goals (SDGs), implemented by a polytechnic higher education institution, in the northern region of Portugal.

Estudo de análise da obra “Manual do Infermeiro”, obra de 1889 da autoria de Julio Cardoso e incluída na coleção “Bibliotheca do Povo e das Escolas”. Num contexto de promoção da literacia das populações, esta obra insere-se no âmbito de uma coleção com distribuição em Portugal e no Brasil. De autoria de um médico militar, a obra versa sobre o papel do enfermeiro como prestador de cuidados em auxílio ao médico, apresentando uma organização que reflete os primórdios das especialidades em enfermagem, como as emergências, o doente crítico, a enfermagem pediátrica, a enfermagem em psiquiatria ou a enfermagem obstétrica.

Ciência Aberta em Enfermagem de Saúde Mental: transparência, reprodutibilidade, cooperação e acessibilidade

Describe the activities aimed at achieving the Sustainable Development Goals (SDGs), implemented by a polytechnic higher education institution, in the northern region of Portugal. This is an experience report from a Higher Education Institution, which characterizes the contribution to the SDGs, within the scope of teaching, research, campus and leadership. In total, 1247 activities were mapped, with a preponderance in the “people” dimension (685 activities), with SDG 3 being the most prominent. Scientific articles contribute significantly to the SDGs, with a notable discrepancy between automatic (Scopus) and manual classifications, indicating a tendency to underestimate the impact of nursing studies. The results demonstrate the significant contribution of this institution to the SDGs, with a special focus on health and education. This contribution reflects the mission of the institution, which involves training competent and socially conscious health professionals, but simultaneously the need for greater awareness and training of the teaching staff.