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  • Item type: Publicação , Access status: Acesso aberto ,
    Telemedicine as a support tool in remote and operational settings: A qualitative study with early-career physicians and nurses
    (2026-06-26) Chandrinou , Angeliki; Bamidis, Panagiotis; Spyrou, Stergiani
    The delivery of healthcare in remote and operational settings presents persistent challenges related to limited resources, geographic isolation, and restricted access to specialized medical expertise. Telemedicine has emerged as a promising digital health intervention to support healthcare professionals working under such conditions. This qualitative study explores how telemedicine functions as a support tool for early-career physicians and nurses delivering care in rural healthcare facilities and operational medical contexts in Greece, including military-related environments. Using a qualitative research design, semi-structured interviews were conducted with early-career healthcare professionals (n=7) to capture their experiences, perceptions, and practices related to telemedicine-supported clinical decision-making. The data were analyzed using thematic analysis, enabling the identification of key themes related to clinical support, workflow integration, technological challenges, professional confidence, and perceived impact on care delivery. Findings suggest that telemedicine contributes to enhanced clinical confidence, improved access to specialist guidance, and perceived improvements in patient management, while also revealing socio-technical challenges such as connectivity limitations, workflow disruptions, and training needs. By focusing on the lived experiences of early-career clinicians, this study contributes to the understanding of telemedicine as a socio-technical support mechanism rather than solely a technological solution. The findings have implications for healthcare organizations and policymakers seeking to design, implement, and scale telemedicine services in remote and operational healthcare settings.
  • Item type: Publicação , Access status: Acesso aberto ,
    Development of a web-app using AI for staging and risk prediction of pressure injuries
    (2026-06-26) Kouroutzis , Ioannis; Bamidis, Panagiotis; Billis, Antonis
    Despite the existence of international guidelines, pressure injury (PI) staging and risk prediction remain a complex and subjective process in clinical practice. Variability staging accuracy, documentation gaps and organizational barriers indicate the need for a digital solution. Artificial intelligence (AI) has demonstrated promising diagnostic performance in PI assessment. However, healthcare professionals’ acceptance and workflow integration affect the successful implementation. The aim of this study was to explore nurses’ experiences, perceived challenges and expectations regarding PI staging and risk assessment, in order to inform the development of an AI-assisted web application for staging and risk prediction. A qualitative study was conducted using semi-structured, face-to-face interviews with 12 nurses working in diverse settings, and data were analysed using thematic analysis. The Technology Acceptance Model was used as the theoretical framework of this study. The study highlighted 7 main themes: clinical complexity and organizational barriers in pressure injury staging, documentation and communication gaps, improvements, requirements, expectations, trust and AI acceptance and workflow integration. The determinants of intention to use which were expressed by the participants were conditional acceptance of AI, emphasizing perceived usefulness, ease of use, transparency, data security, and preservation of clinical authority. According to the findings, such tools should prioritize usability, workflow compatibility, ethical safeguards, and support of clinical judgment. The user-centered design may enhance adoption and contribute to improved staging accuracy, documentation quality, and patient care.
  • Item type: Publicação , Access status: Acesso aberto ,
    Despedimento disciplinar no ordenamento jurídico português: Breve análise crítica de jurisprudência
    (2026-09-14) Cinho, Sérgio; Alves, Maria Luísa Teixeira
    A presente dissertação, subordinada ao tema "O Despedimento Disciplinar no Ordenamento Jurídico Português: Análise Crítica da Jurisprudência", tem como objetivo analisar o regime jurídico do despedimento disciplinar no contexto do Direito do Trabalho português, articulando a dimensão constitucional, legal e jurisprudencial. O estudo inicia-se com o enquadramento do princípio da segurança no emprego, consagrado no artigo 53.º da Constituição da República Portuguesa, enquanto limite estruturante ao poder de despedir, bem como com a evolução legislativa da cessação do contrato de trabalho e o regime atualmente previsto no Código do Trabalho. Segue-se a análise da justa causa disciplinar, incidindo sobre o comportamento culposo do trabalhador, a gravidade da infração e a inexigibilidade da manutenção da relação laboral, assim como sobre os requisitos formais do procedimento disciplinar e as questões relativas à prova. A investigação aborda ainda a invalidade do despedimento disciplinar, os vícios procedimentais e os mecanismos de tutela jurisdicional, evidenciando o papel dos tribunais do trabalho na fiscalização da legalidade das decisões de despedimento e na aplicação das respetivas consequências jurídicas, designadamente a reintegração ou a indemnização. Por fim, procede-se a uma análise crítica da construção jurisprudencial da justa causa, identificando tendências decisórias, dificuldades de uniformização e desafios para a previsibilidade e segurança jurídica, incluindo uma breve referência comparativa ao direito marroquino.