Grupos Investigadores

Líneas de Investigación

  • El desarrollo profesional de las enfermeras para promover un cuidado centrado en la persona.
  • Diseño, adaptación cultural y/o validación de instrumentos que promueven un cuidado centrado en la persona.
  • El cuidado de las personas que viven procesos crónicos y avanzados.
  • La relación interpersonal enfermera-persona/familia cuidada.
  • Modelos de la Práctica Profesional de Enfermería Y Desarrollo de la Identidad profesional

Palabras Clave

  • Competencias
  • Comunicación e imagen social
  • Instrumentos
  • Metodologías e intervenciones
  • Modelos practica profesional
  • Procesos cronicos y avanzados
  • Relación enfermera-persona cuidada

Publicaciones Científicas desde 2018

  • Autores: Vázquez Calatayud, Mónica (Autor de correspondencia); Eseverri Azcoiti, María Carmen
    Revista: JOURNAL OF CLINICAL NURSING
    ISSN: 0962-1067 Vol.32 N° 19-20 2023 págs. 6849 - 6862
    Resumen
    BackgroundThere is a gap in the literature on identifying and describing effective interventions for the retention of newly graduated registered nurses in hospital settings. To the best of our knowledge, no systematic review has been conducted on this issue. AimTo identify effective interventions that promote the retention of newly graduated registered nurses in the hospital setting and their components. DesignA systematic review was conducted according to PRISMA 2020 Statement. MethodsInformation derived from the PubMed, CINAHL, Scopus, PsycINFO and Cochrane Library databases was reviewed, for the period January 2012-October 2022. Screening, data extraction and quality appraisal were conducted independently by two reviewers. The Joanna Briggs Institute Critical Appraisal tools were used for descriptive, quasi-experimental and cohort studies. Disagreements between the two reviewers were resolved through discussion. ResultsFollowing the critical appraisal, nine studies were included. The evidence reveals the heterogeneity of programmes developed in the hospital context to promote the retention of newly graduated registered nurses, clarifies the three competencies to be addressed (core, cross-cutting and specific), their components (programme development framework, duration, content and support components), and shows significant improvements after their implementation. ConclusionsThis systematic review identifies that either nurse residency or individualised mentoring programmes, lasting 1 year, and multi-component, addressing core and specific competencies and including preceptor or mentor components seem to be the most comprehensive and effective in promoting the retention of new nurses in the hospital setting. Relevance to Clinical PracticeThe knowledge provided by this review will contribute to developing and implementing more effective and context-specific strategies directed at retaining newly graduated registered nurses and subsequently enhancing patient safety and healthcare costs. No Patient or Public ContributionGiven the study design and focus.
  • Autores: González Luis, Hildegart; Errasti Ibarrondo, María Begoña (Autor de correspondencia); Iraizoz Iraizoz, Andrea; et al.
    Revista: INTERNATIONAL NURSING REVIEW
    ISSN: 0020-8132 Vol.70 N° 3 2023 págs. 425 - 443
    Resumen
    AimTo systematically review the available evidence from research exploring the image of nurses in the media. BackgroundNurses have historically faced many challenges and have received media attention for such efforts. However, the image of nursing traditionally conveyed by media has failed to represent the real character and a positive image of the nursing profession. Review methodsFor this scoping literature review, a search was conducted in PubMed, CINAHL, Scopus, PsycINFO, Web of Science and Dialnet to identify studies written in English, Spanish or Portuguese from the earliest date in the databases until February 2022. Four authors were involved in a two-stage screening process. Data were subjected to quantitative content analysis. A decade-by-decade analysis was performed to track the evolution of the research. ResultsSixty studies were included. The analysis shows (1) an increasing interest in analysing the portrayal of nurses and nursing in media over time, especially from 2000 onwards; (2) a prevailing trend of focusing on one form of media when analysing the portrayal of nurses; (3) qualitative designs as the most frequent method for exploring the image of nursing; and (4) a predominantly negative image conveyed by media. ConclusionsThere is a notable body of scientific evidence about the image of nurses and nursing portrayed in media. The interest in analysing media depictions of nursing has a long history. The included studies' samples showed heterogeneity, as they were obtained from different media, periods and countries. Implications for nursingThis scoping review is the first systematic review to provide a comprehensive map of what has been studied thus far regarding media depictions of nursing. It confirms the imperative need for nurses in different settings (academic, assistance or management fields) to maintain a proactive attitude towards addressing images of nursing and ensuring accurate representations.
  • Autores: León-García, M.; Wieringa, T. H.; Esppinosa Suárez, N. R.; et al.
    Revista: BMJ OPEN QUALITY
    ISSN: 2399-6641 Vol.12 N° 4 2023 págs. e002311
    Resumen
    Background: The objective is to examine and synthesise the best available experimental evidence about the effect of ambulatory consultation duration on quality of healthcare.MethodsWe included experimental studies manipulating the length of outpatient clinical encounters between adult patients and clinicians (ie, therapists, pharmacists, nurses, physicians) to determine their effect on quality of care (ie, effectiveness, efficiency, timeliness, safety, equity, patient-centredness and patient satisfaction).Information sourcesUsing controlled vocabulary and keywords, without restriction by language or year of publication, we searched MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials and Database of Systematic Reviews and Scopus from inception until 15 May 2023.Risk of biasCochrane Risk of Bias instrument.Data synthesisNarrative synthesis.Results11 publications of 10 studies explored the relationship between encounter duration and quality. Most took place in the UK's general practice over two decades ago. Study findings based on very sparse and outdated evidence-which suggested that longer consultations improved indicators of patient-centred care, education about prevention and clinical referrals; and that consultation duration was inconsistently related to patient satisfaction and clinical outcomes-warrant low confidence due to limited protections against bias and indirect applicability to current practice.ConclusionExperimental evidence for a minimal or optimal duration of an outpatient consultation is sparse and outdated. To develop evidence-based policies and practices about encounter length, randomised trials of different consultation lengths-in person and virtually, and with electronic health records-are needed.Trial registration numberOSF Registration DOI:10.17605/OSF.IO/EUDK8.
  • Autores: Olano Lizarraga, Maddi; Wallstrom, S.; Martín Martín, Jesús (Autor de correspondencia); et al.
    Revista: EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING
    ISSN: 1474-5151 Vol.22 N° 2 2023 págs. 113 - 125
    Resumen
    Aims The symptom burden of patients with chronic heart failure (CHF), together with social determinants and psychosocial factors, results in limitations to maintain adequate social life and roles, participate in social events and maintain relationships. This situation's impact on health outcomes makes it of utmost importance to develop meaningful social networks for these patients. The primary objective aimed to identify randomized controlled trials that impact the social dimension of people with CHF. The secondary objectives were to analyze the methodological quality of these interventions, establish their components, and synthesize their results. Methods and results A systematic review following PRISMA guidelines was conducted in Pubmed, Scopus, Cochrane CENTRAL, PsychINFO, and CINAHL databases between 2010 and February 2022. The Revised Cochrane risk-of-bias tool for randomized trials was used. The protocol was registered in PROSPERO. Eight randomized controlled trials were identified, among which two were at 'high risk of bias.' Interventions were synthesized according to the following categories: delivery format, providers and recipients, and the intervention content domains. Half of the studies showed statistical superiority in improving the intervention group's social support in people with CHF. Conclusion This review has highlighted the scarcity of interventions targeting the social dimension of people with CHF. Interventions have been heterogeneous, which limits the statistical combination of studies. Based on narrative review and vote counting, such interventions could potentially improve social support and self-care, which are important patient reported outcomes, thus warrant further research. Future studies should be co-created with patients and families to be adequately targeted. Registration PROSPERO CRD42021256199
  • Autores: Iraizoz Iraizoz, Andrea; García García, Raquel (Autor de correspondencia); Navarrete Muro, Andrea; et al.
    Revista: INTENSIVE AND CRITICAL CARE NURSING
    ISSN: 0964-3397 Vol.75 2023 págs. 103368
    Resumen
    Objective: To explore the existing knowledge in the literature about nurses' clinical leadership in the intensive care unit.Methods: A scoping review was conducted according to Arksey & O'Malley's methodology. The search process encompassed five main online databases, PubMed (including MEDLINE), CINAHL, PsycINFO, Scopus and Cochrane, for the period January 2007-September 2022. Data abstraction, quality appraisal and narrative syn-thesis were conducted in line with the Preferred Reporting Items for Systematic reviews and meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines.Results: Eleven studies were included. The evidence reveals that idealised influence, motivational inspiration, intellectual stimulation and intrinsic individual consideration are the key clinical nurse leader competencies needed in the intensive care unit. The compatible leadership styles in this setting are situational and trans-formational. Communication skills and professional experience seem to be determinants to consider in the strategies to promote clinical leadership in intensive care units.Conclusions: This scoping review provides broad and comprehensive knowledge, which helps to understand, in a single study, the key competencies, leadership styles, determinants and strategies needed to promote intensive care unit nurses' clinical leadership.
  • Autores: Garcia-Diez, R.; Vázquez Calatayud, Mónica (Autor de correspondencia)
    Revista: ENFERMERIA INTENSIVA
    ISSN: 1130-2399 Vol.34 N° 4 2023 págs. 228 - 229
  • Autores: Vázquez Calatayud, Mónica (Autor de correspondencia); González Luis, Hildegart
    Revista: ENFERMERIA INTENSIVA
    ISSN: 1130-2399 Vol.34 N° 2 2023 págs. 57 - 59
  • Autores: Vázquez Calatayud, Mónica (Autor de correspondencia); García García, Raquel
    Revista: ENFERMERIA INTENSIVA
    ISSN: 1130-2399 Vol.34 N° 1 2023 págs. 1 - 3
  • Autores: Errasti Ibarrondo, María Begoña; La Rosa Salas, Virginia (Autor de correspondencia); Lizarbe Chocarro, Marta; et al.
    Revista: ANALES DEL SISTEMA SANITARIO DE NAVARRA
    ISSN: 1137-6627 Vol.46 N° 2 2023 págs. e1039
    Resumen
    Background. Person-centred practices - following national and international developments in health-care policies - have become a key approach in healthcare. The Person-Centred Practice Inventory - Staff is an instrument based on the theo-retical framework Person-Centred Practice that focuses on the staff's perspective and how they experience person -cen-tred practices. Here, the aim of this study is to obtain the first Spanish version of the PCPI-S translated and adapted into the Spanish context. Methods. The translation and adaptation of the instrument followed the Translation and Cultural Adaptation of Patient Reported Outcomes Measures - Principles of Good Practice, which included a consulting session with experts. Content va-lidation measures on clarity and relevance were assessed for every item (I-CVI) and the survey as a whole (S-CVI/Ave). Results. No major difficulties were registered to reach an agree-ment on the 12 items that needed to be clarified. Regarding cla-rity and relevance. The validity index per item (I-CVI) obtained excellent scores for clarity in 53 items and for relevance in 59; the S-CVI/Ave showed excellent results (>= 90). Conclusions. This first version of the Person-Centred Practice Inventory - Staff instrument adapted to the Spanish context is conceptually and semantically equivalent to the original one. This valuable tool will be of great help to identify the perception of healthcare professionals on person-centred practices.
  • Autores: Errasti Ibarrondo, María Begoña; Choperena Armendáriz, Ana (Autor de correspondencia); Wilson, D. M.
    Revista: TEACHING AND LEARNING IN NURSING
    ISSN: 1557-3087 Vol.18 N° 1 2023 págs. 166 - 175
    Resumen
    Background: Innovative teaching methods are needed to ensure end-of-life care is provided by nurses through a person-centered approach. Aims: This study was designed to (a) explore the self-identified impact of reading dying patient experiential narrative accounts on undergraduate nursing students; and (b) explore the teaching usefulness of patient experiential narrative accounts for enhanced undergraduate nursing student awareness of the need to pro- vide person-centered end-of-life care. Methods: Qualitative descriptive study, with 31 undergraduate nursing students reading experiential narra- tive accounts of dying patients and reflecting on them. A thematic analysis was carried out on the written student reflections. Descriptive statistics were used to summarize student socio-demographic data and their answers to questions on a reaction response sheet designed to assess how useful this activity had been from their perspective. Findings: Three main themes were identified: (1) gaining an insightful understanding of the relationship between the nurse and the person with advanced-terminal illness; (2) gaining awareness of themselves as nurses in their clinical practice; (3) pointing out how nurses should behave and what they should do to place the person living with advanced-terminal illness at the center of nursing practice. Among all respondents, 87.09% of students thought this was a useful learning activity. Conclusions: Reflecting on patient experiential accounts is an innovative teaching method, which help with nursing students value and gain insight into person-centered end-of-life care.
  • Autores: Choperena Armendáriz, Ana; Olza Moreno, Inés; Pardavila Belio, Idoia; et al.
    Revista: NURSE EDUCATION IN PRACTICE
    ISSN: 1873-5223 Vol.67 2023 págs. 103562
    Resumen
    Aim: The aims of this paper are (1) to present the results of the development, content validation and imple-mentation study of the Relationship Competencies Guiding Tool; (2) to provide examples of how each item in the tool is reflected in clinical narratives written by nurses and justify the corresponding scores after the evaluation; (3) to present how the language and content of the narratives are interpreted with the tool and to describe an exemplar; and (4) to present barriers to and facilitators of the application of the tool. Background: From a person-centered care approach, the fostering of authentic relationships with patients is key to achieving therapeutic benefits. Therefore, it is essential to help nurses establish meaningful relationships with patients and help them acquire these abilities. Clinical narratives can be used as a way to promote reflective practice and professional competency development among nurses. A tool to evaluate the knowledge, skills, at-titudes and values necessary for developing authentic encounters with patients through clinical narratives was developed, validated and implemented.Design: An instrument-development study comprised of three steps: (1) conceptualization; (2) item generation and content validity; and (3) implementation of the tool and linguistic evaluation.Methods: This study was conducted in three major steps. Step one entailed conceptualization. Step two included the generation of items and content validation. In step three, the tool was used to independently evaluate 25 narratives. One of these narratives was also linguistically analysed to provide a comprehensive view of the interpretative strategies deployed by evaluators.Results: The Relationship Competencies Guiding Tool was developed, validated and implemented. It could help nurses work on nursing relationship-based professional competencies, guided the evaluators in the process of assigning scores to the corresponding items and helped the researchers identify certain barriers and facilitators before and during the narrative evaluation process.Conclusions: The tool has been shown to be clear, relevant and conceptually and linguistically suitable for evaluating clinical narratives. The Relationship Competencies Guiding Tool could be applied to interpret how nurses reflect professional competencies in a clinical narrative as a preliminary step in the construction of a mea-surement tool.Tweetable abstract: From a person-centered relationship-based care approach, clinical narratives can be used to promote professional competencies between nurses. The Relationship Competencies Guiding Tool may help eval-uate the knowledge, skills, attitudes and values necessary for developing authentic encounters with persons/ families, as reflected by nurses' clinical narratives.
  • Autores: Choperena Armendáriz, Ana (Autor de correspondencia)
    Revista: NURSE EDUCATION IN PRACTICE
    ISSN: 1471-5953 Vol.66 2023 págs. 103509
    Resumen
    Aims: To analyze the personal experiences of Jane Stuart Woolsey in Hospital Days (1868), an inspiring nurse who brought order, training and quality to nursing activities in the context of the American Civil War (1861-1865). Background: In a restrictive context where the general access of women to public sphere activities was rather limited and where nursing was not a formally regulated professional activity, Jane Woolsey wrote Hospital Days to recount her wartime nursing experiences as the superintendent of Fairfax Seminary Hospital in Virginia. Design: Historical research. Methods: Historical research methods were used to analyze Hospital Days. Data gathered from primary and secondary sources were synthesized and discussed in terms of their historical context and significance. Results: Unlike other triumphal narratives at the time, Woolsey develops a compelling account describing the work expected of a nurse and denouncing the lack of training among most nurses working in the war context. Conclusion: Jane Woolsey was a pioneering nurse who improved the quality of nursing care amidst the American Civil War. Her personal experiences collected in Hospital Days reflect her desire for the proper training of nurses and her contributions to emerging professional nursing activities built on the integration of previous domestic values, good training and good administration.
  • Autores: Olabe Armendariz, M.; González Luis, Hildegart (Autor de correspondencia); Vidaurreta Fernandez, M.; et al.
    Revista: REVISTA ROL DE ENFERMERIA
    ISSN: 0210-5020 Vol.46 N° 6 2023 págs. 57 - 59
    Resumen
    Schizophrenia is a complex neuropsychiatric disorder, whose main treatment focuses on a pharmacological approach with antipsychotics. More and more non-pharmacological interventions, such as music therapy, are being proposed as an alternative to complement their approach and improve the quality of life of affected people. The objective of this research is to examine the characteristics and effects of intervention studies based on music therapy carried out by nurses and aimed at adults with schizophrenia during the hospitalization process. A systematic search of the literature was carried out, which provided 7 intervention studies based on music therapy for people with schizophrenia in hospitalization units and led by nursing. All interventions showed beneficial effects of this therapy in improving psychiatric symptoms and increasing quality of life.
  • Autores: Robles-Sanchez, M. A. (Autor de correspondencia); Moharra, M.; Bosch-Farre, C.; et al.
    Revista: JOURNAL OF NEUROSCIENCE NURSING
    ISSN: 0888-0395 Vol.55 N° 5 2023 págs. 164 - 170
    Resumen
    BACKGROUND: Patients with multiple sclerosis (MS) may experience decisional conflict during treatment choice. Shared decision making (SDM), whereby patients and health professionals, primarily nurses, collaborate in making decisions, reduces this decisional conflict. It requires understanding large amounts of information and may be complex, especially when decisions affect patients' autonomy and quality and prolongation of life. Patient decision aids are tools in facilitating SDM. This study aimed to identify the key elements from the perspective of patients with relapsing-remitting MS to create a patient decision aid in the Spanish sociocultural context. METHODS: This is a qualitative study using focus groups led by a clinical nurse specialist. Semistructured interviews included healthcare needs and demands, the SDM process, and general characteristics of a peer support program. After the transcription of interview recordings, data were analyzed by thematic analysis and a constructivist naturalistic approach. RESULTS: Patients with MS (27) from Spain participated in 4 focus groups of 90 to 120 minutes each. Three overarching themes were identified: information access to sufficient high-quality data; knowledge of available treatment options, including efficacy, adverse effects, frequency, administration route, and the impact on daily life; decision-making role, engaged versus nonengaged patients. The former require support in facilitating their active involvement in decisions, whereas the latter prefer more passive health models. CONCLUSION: The needs identified by patients with relapsing-remitting MS regarding treatment choice in the Spanish setting align with those reported by other studies. The identified themes provide valuable information to design and develop a virtual patient decision aid jointly by clinical MS nurses and patients according to the International Patient Decision Aid Standards Collaboration criteria. This aid will help improve understanding between nurses and patients during SDM and facilitate the process.
  • Autores: Domingo Osle, Marta (Autor de correspondencia); La Rosa Salas, Virginia; Elizondo Rodríguez, Nerea; et al.
    Revista: ENFERMERIA ONCOLOGICA
    ISSN: 1576-5520 Vol.25 N° 1 2023 págs. 1 - 10
    Resumen
    Introducción: La calidad de vida de los supervivientes de cáncer y de sus familiares se ve afectada por la falta de atención a sus necesidades. Por ello se necesitan intervenciones educativas que formen a los futuros profesionales de enfermería para cuidar a los largos supervivientes de cáncer y a sus familiares. Objetivo: Describir el protocolo para la fase piloto de una intervención compleja, diseñada para abordar la formación de estudiantes de enfermería en larga supervivencia de cáncer y en familia. Diseño: Estudio piloto controlado aleatorizado Métodos: Los participantes serán estudiantes de 3º de grado de enfermería. El grupo intervención recibirá el programa Learning & Care durante un período de 3 meses. El grupo de control continuará con formación del grado de enfermería. El piloto ayudará a determinar la viabilidad, aceptabilidad y calidad del programa educativo. Los datos recopilados antes y después de la intervención proporcionarán estimaciones de los efectos preliminares de la intervención sobre la variable principal (conocimiento, habilidad, actitud) y el grado de satisfacción de los estudiantes al realizarlo. Discusión: Si los resultados del estudio piloto mostrarán que la intervención Learning & Care es un programa educativo interdisciplinar en el que el alumno es líder de su aprendizaje y se forma en el área de la supervivencia de cáncer, se podrá incorporar al curriculum de grado de enfermería. Las organizaciones sanitarias podrían beneficiarse de la incorporación de nuevas enfermeras con formación en cuidados en larga supervivencia de cáncer y en familia que cuiden de forma holística a esta población.
  • Autores: Domingo Osle, Marta; La Rosa Salas, Virginia (Autor de correspondencia); García Vivar, Cristina
    Revista: JOURNAL OF FAMILY NURSING
    ISSN: 1074-8407 Vol.29 N° 3 2023 págs. 248 - 262
    Resumen
    A randomized pilot study was conducted involving 69 third-year nursing students (ClinicalTrials.gov ID: NCT05270252). Students were randomly assigned to the CG (n = 34) or the intervention group (n = 35), using computer-generated randomization. The CG completed the third-year nursing, and the intervention group received in addition the Learning & Care educational intervention. The aim of this study was to determine the effectiveness, feasibility, and acceptability of the Learning & Care for students to acquire the knowledge, skills, and attitudes necessary to care for survivors and their families. The intervention group significantly improved in knowledge (p = .004; -1.15, 95% confidence interval [CI] [-1.94, -0.37]), skills (p <= .0001; -13.51, 95% CI [-15.19, -11.83]), and attitudes (p = .006; -5.61, 95% CI [-8.81, -2.42]). The students' satisfaction was found to be high (93.75%). Offering a family nursing approach improves students' competence to care for long-term cancer survivors and their families.
  • Autores: Domingo Osle, Marta; La Rosa Salas, Virginia (Autor de correspondencia); Ulibarri-Ochoa, A.; et al.
    Revista: INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
    ISSN: 1660-4601 Vol.20 N° 2 2023 págs. 1571
    Resumen
    The number of cancer survivors is increasing exponentially thanks to early screening, treatment, and cancer care. One of the main challenges for healthcare systems and professionals is the care of cancer survivors and their families, as they have specific needs that are often unmet. Nursing students, as future healthcare professionals, need education to face these new health demands. They will need to develop specific competencies to help them care for and empower this emerging population. The aim of the study was to co-design and validate an educational intervention on long-term cancer survivorship for nursing, through a multidisciplinary panel of experts. Group interviews were conducted with a panel of 11 experts, including eight professionals from different backgrounds (oncology, cancer nursing, pharmacology, and education), a long-term cancer survivor, a family member of a cancer survivor, and a nursing student. The experts validated a pioneer educational intervention to train nursing students in long-term cancer survival. The co-design and validation of the intervention from an interdisciplinary perspective and with the participation of long-term cancer survivors and their families was considered relevant as it included the vision of all the stakeholders involved in long-term cancer survivorship.
  • Autores: Manterola, C. (Autor de correspondencia); Hernández Leal, María José; Otzen, T.; et al.
    Revista: INTERNATIONAL JOURNAL OF MORPHOLOGY
    ISSN: 0717-9367 Vol.41 N° 1 2023 págs. 146 - 155
    Resumen
    Los estudios de corte transversal (ECT) inician en la década de los 40 en países Europeos. Los ECT corresponden a investigaciones de tipo observacional que permiten estudiar prevalencia de enfermedad, determinar asociación entre variables y el desarrollo de un efecto de interés, conocer propiedades de una prueba diagnóstica, y censar poblaciones; describiendo las características de una población en un momento y lugar determinado. Esto implica, que no se requieren periodos de seguimiento, que no son prospectivos ni retrospectivos; características que permiten que sean más baratos y fáciles de realizar en relación a los estudios longitudinales. Por otro lado, al ser de carácter descriptivo sirven como insumo y evidencia preliminar para estudios de mayor complejidad metodológica, como estudios de cohortes. Sin embargo, tienen limitantes y sesgos que deben ser considerados por los investigadores. El objetivo de este manuscrito fue generar un documento de estudio para revisar características esenciales, fortalezas y debilidades; discutir cuestiones metodológicas de los ECT en ciencias de la salud; y proporcionar algunos ejemplos obtenidos de la literatura, para mejor comprensión del diseño.
  • Autores: García Bautista, A.; Kamath, C.; Ayala, N.; et al.
    Revista: MAYO CLINIC PROCEEDINGS. INNOVATIONS, QUALITY & OUTCOMES
    ISSN: 2542-4548 Vol.7 N° 4 2023 págs. 248 - 255
    Resumen
    Objective: To compare the agreement between patient and clinician perceptions of care-related financial issues. Patients and Methods: We surveyed patient-clinician dyads immediately after an outpatient medical encounter between September 2019 and May 2021. They were asked to separately rate (1-10) patient¿s level of difficulty in paying medical bills and the importance of discussing cost issues with that patient during clinical encounters. We calculated agreement between patient-clinician ratings using the intraclass correlation coefficient and used random effects regression models to identify patient predictors of paired score differences in difficulty and importance of ratings. Results: 58 pairs of patients (n=58) and clinicians (n=40) completed the survey. Patient-clinician agreement was poor for both measures, but higher for difficulty in paying medical bills (intraclass correlation coefficient=0.375; 95% CI, 0.13-0.57) than for the importance of discussing cost (¿0.051; 95% CI, ¿0.31 to 0.21). Agreement on difficulty in paying medical bills was not lower in encounters with conversations about the cost of care. In adjusted models, poor patient-clinician agreement on difficulty in paying medical bills was associated with lower patient socioeconomic status and education level, whereas poor agreement on patient-perceived importance of discussing cost was significant for patients who were White, married, reported 1 or more long-term conditions, and had higher education and income levels. Conclusion: Even in encounters where cost conversations occurred, there was poor patient-clinician agreement on ratings of the patient¿s difficulty in paying medical bills and perceived importance of discussing cost issues. Clinicians need more training and support in detecting the level of financial burden and tailoring cost conversations to the needs of individual patients.
  • Autores: Manterola, C.; Otzen, T.; Hernández Leal, María José; et al.
    Revista: REVISTA CHILENA DE INFECTOLOGIA
    ISSN: 0716-1018 Vol.41 N° 1 2023
    Resumen
    La eficacia y efectividad de una nueva intervención se establece generalmente a través de ensayos clínicos (EC) con asignación aleatoria (AA). Sin embargo, entre otros tantos desafíos metodológicos, el especificar la hipótesis de un EC con AA, sigue siendo un problema complejo de resolver para los investigadores clínicos. En este manuscrito discutimos las características de tres variantes de los EC con AA: EC de superioridad (ECS), EC de no-inferioridad (ECNI), y EC de equivalencia (ECE). Estos tres tipos de EC tienen supuestos diferentes sobre los efectos de una intervención, por lo que plantear hipótesis y definir objetivos requiere conocer algunos supuestos subyacentes a estos EC, incluso hasta elementos relacionados con la estimación del tamaño de muestra para cada cual El objetivo de este manuscrito fue describir las diferencias metodológicas entre ECS, ECNI y ECE
  • Autores: Vázquez Calatayud, Mónica; Olano Lizarraga, Maddi (Autor de correspondencia); Quesada Melero, Ana María; et al.
    Revista: CONTEMPORARY NURSE
    ISSN: 1037-6178 Vol.59 N° 6 2023 págs. 443 - 461
    Resumen
    BackgroundDifficulty in adherence to treatment and self-care behaviours is a leading cause of preventable readmission in people with chronic heart failure (CHF). Although there is evidence of benefits of health coaching for the management of this situation, few interventions have been tested in the hospital setting.AimTo evaluate a coaching programme (H-Coaching) designed to develop nursing capacity in health coaching for chronic heart failure inpatients.MethodsA quasi-experimental pre-post study including all nurses in a single centre cardiology ward (N = 19). The intervention consisted of two training packages: (1) five theoretical-practical sessions on health-coaching competencies, emotional intelligence, communication and support of chronic heart failure patients in their illness in the hospital setting; and (2) training sessions seven months after the first training package to reinforce the theoretical and practical knowledge. On four occasions, the Competence Instrument of Health Education for the Nursing professional was used to measure nurses' knowledge, skills and attitudes in health coaching for chronic heart failure patients.ResultsThe difference between the preintervention and postintervention scores were statistically significant for knowledge [mean difference = 1.00 (95% CI -1.45 to -0.51; p = 0.000)], skills in general [mean difference = 0.50 (95% CI -1.41 to -0.21; p = 0.015)] and personal/social skills [mean difference = 1.00 (95% CI -1.10 to -0.01; p = 0.048)]. While attitudinal and affective domains did not differ, there were differences in knowledge and skills.ConclusionThe H-Coaching programme proved to be effective for building nursing capacity in health coaching CHF inpatients. Similar programmes designed to improve knowledge in verbal and nonverbal communication techniques, and skills for coaching interventions adapted to meet the needs of individual patients, should be tested in future interventional experimental studies.Clinical Trial Registration NumberNCT05300880Impact statementTo our knowledge, this is the first nursing training intervention in health coaching for chronic heart failure the inpatient setting. This study has demonstrate improvements in both the knowledge and personal and social skills of cardiology nurses with regard to the development of health coaching in a hospital setting. Given the study design, further research is warranted.Plain Language SummaryMany patients with chronic heart failure have problems in adhering to the treatment and self-care behaviours and this is one of the main causes of preventable readmission. To promote self-care, patients need to be empowered to integrate these habits into their daily lives and we should implement innovative strategies to achieve this. Health coaching is an ideal alternative to this but very few nurses in the hospital cardiology setting are experienced in health coaching. Our study has shown preliminary results demonstrating that a structured theoretical and practical training programme for nurses can improve nurses' knowledge and skills in health coaching for inpatient patients with chronic heart failure. This study provides an opportunity for future research to demonstrate whether nurses with this training have a positive impact on the health outcomes of chronic heart failure patients and, more specifically, on their levels of self-care and empowerment.
  • Autores: Reigada, C.; Sandgren, A.; Rivas Borrell, Sonia; et al.
    Revista: BMC PALLIATIVE CARE
    ISSN: 1472-684X Vol.22 N° 1 2023 págs. 46
    Resumen
    IntroductionThe message of palliative care can be promoted using creative thinking and gamification. It can be an innovative strategy to promote changes in behaviour, promote thinking, and work on skills such as empathy.AimDesign, test and evaluate a gamified social intervention to enhance palliative care awareness among young university students from non-health background.MethodsParticipatory action research study with mixed methods, Design Thinking and using the Public Engagement strategy. Forty-three undergraduate students participated in a Palliative Care Stay Room and completed the Test of Cognitive and Affective Empathy (TECA) before and after the game. At the end of the game, a ten-minute debriefing was held with the participants, which was concluded with an open conversation. The content analysis was done independently and the sum of the scores of each dimension was compared before and after the activity.FindingsThe Stay Room improved the participants' knowledge and new perspectives about palliative care. Before the game, their views focused on the end of life and after the game on their values, highlighting the dedication of the healthcare professionals who do not treat death but the life until death. After de game, participants (N = 43: female = 23; male = 20; x 19.6 years old) presented higher values in perspective adoption (intellectual ability to put oneself in the other's place) p = 0.046 and in emotional understanding (ability to recognize emotional states) p = 0.018, and had high scores on empathic joy (p = 0.08).ConclusionGamification can be used in teaching and transmitting positive attitudes. Palliative Care and can help young university students to think positively about care issues.
  • Autores: Regaira Martínez, Elena; Ferraz-Torres, M.; Mateo-Cervera, A. M. (Autor de correspondencia); et al.
    Revista: JOURNAL OF PROFESSIONAL NURSING
    ISSN: 8755-7223 Vol.48 2023 págs. 15 - 21
    Resumen
    Background: Nurses' perceptions of preceptorships for undergraduate nursing students are crucial for designing effective and tailor-made strategies to improve nurses' involvement, motivation, commitment, and satisfaction in preceptorships. Objectives: The aim of this study was to determine nurses' perceptions of preceptorships for nursing students in two hospitals located in northern Spain.Settings: This study was conducted in two highly specialized, medium-large, university tertiary care hospitals, including one public and one private hospital, located in northern Spain. Participants: The participants of this study were clinical nurses in private and public health centers who had been preceptors for at least one year. Methods: A descriptive cross-sectional study was carried out between October 2021 and April 2022, with a total sample of 307. The validated Involvement, Motivation, Satisfaction, Obstacles and Commitment (IMSOC) questionnaire was used. Descriptive statistics and bivariate analysis were carried out. The variables included sex, age, educational level, preceptorship training, professional experience, work sector, work setting, and type of contract.Results: The mean global questionnaire score was 115.25 +/- 33.86 (95 % CI: 111.62-123), with the highest score obtained for the Involvement dimension (29.96; SD: 9.23; 95 % CI: 29.01-34.87). Age showed statistically significant negative correlations with the overall and dimension scores (p < 0.05). Comparisons by work sector and type of contract reflected that nurses working in the private sector and those with permanent contracts had higher motivation and commitment scores.Conclusions: Preceptors had positive perceptions of their role in undergraduate nursing students' education. Age, work sector, type of contract and time allocation should be considered when designing strategies to enhance the involvement, motivation, commitment, and satisfaction of nurses in their experiences as preceptors for under-graduate nursing students. Improving the preceptorship experience will benefit both nurses and students by improving preparation, satisfaction, and retention.
  • Autores: Olano Lizarraga, Maddi; Martín Martín, Jesús; Zaragoza Salcedo, Amparo; et al.
    Revista: EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING
    ISSN: 1474-5151 Vol.22 N° Supl. 1 2023 págs. I104
  • Autores: Leon Garcia, M.; Espinoza Suarez, N.; Soto Jacome, C.; et al.
    Revista: PATIENT EDUCATION AND COUNSELING
    ISSN: 0738-3991 Vol.109 2023 págs. 43 - 44
    Resumen
    Background Patients and clinicians often mention time as a barrier for patient participation in cancer treatment decision making. Yet, little is known about how patients, their decision partners, and clinicians perceive the role of time in effective patient participation in cancer treatment decision making, and which strategies can be applied to overcome time-related barriers to patient participation. Our aims are to 1) understand the role of time in patient participation in making decisions about their cancer treatment, and 2) identify strategies to overcome time-related barriers. Methods We carry out a scoping review and conducted a literature search in seven biomedical databases: PubMed, EMBASE.com, Emcare (via Ovid), The Cochrane Library (via Wiley), CINAHL and APA Psycinfo (both via EBSCO) and Web of Science, from their inception until October 5th 2021. Publications are eligible if they report on the role of time in the participation of adult patients (18+) with cancer, and/or on strategies to overcome time-related barriers to patient participation. Reviewers work independently and in pairs to select publications and extract data. We will analyze the data thematically. Findings Our literature search identified 3657 publications. After deduplication, 2064 publications were left for title/abstract screening. We selected 789 publications for full-text screening, which is currently ongoing. Discussion Based on our scoping review findings, we aim to develop: 1) a conceptual model of the role of time in the participation of patients in cancer treatment decision making, and 2) an inventory of strategies to overcome time-related barriers to patient participation. Both outcomes will help to understand how and when time can be used most effectively for patients with cancer to participate in treatment decision making.
  • Autores: Rodríguez-Matesanz, I.; Ambrosio Gutierrez, Leire; Domingo Osle, Marta; et al.
    Revista: CANCER NURSING
    ISSN: 0162-220X Vol.45 N° 1 2022 págs. E134 - E145
    Resumen
    Background Cancer survivors (CSs) have needs that can negatively impact their quality of life (QoL). Oncology nurses play a key role in providing comprehensive care in cancer survivorship, although little is known about their impact on health outcomes. Objective The aim of this study was to determine the effectiveness of nursing interventions to improve QoL and satisfaction with care of CSs. Methods A systematic review was conducted. PubMed, CINAHL, PsycINFO, and Cochrane databases were searched for experimental studies. The Joanna Briggs Institute Checklist for Randomized Controlled Trials was used to verify the quality of the studies (Prospero reference: CRD42020148294). Results Of the 8 clinical trials eligible for inclusion, 5 demonstrated that interventions conducted by nurses improved the overall QoL or some of its domains in CSs. The included studies focused on short-term survival; no studies in long-term CSs were identified. Two studies assessed satisfaction with care of survivors, obtaining positive results. Conclusions Nursing interventions seem to improve the QoL of short-term CSs. However, because of the low number of studies identified, the findings of this systematic review should be interpreted with caution. Implications for practice Further studies are necessary to strengthen the implementation of effective nursing intervention in cancer practice. Research should particularly be conducted with long-term CSs as there is lack of data on this specific stage of cancer.
  • Autores: Ania González, Noelia; Olano Lizarraga, Maddi (Autor de correspondencia); Vázquez Calatayud, Mónica
    Revista: JOURNAL OF ADVANCED NURSING
    ISSN: 0309-2402 Vol.78 N° 2 2022 págs. 363 - 376
    Resumen
    Aims To identify the most effective interventions to empower cardiorenal patients. Design A systematic review of the literature has been carried out. Data sources The PubMed, CINAHL, PsycINFO and Cochrane databases were reviewed, and journals in the field were manually searched between January and February 2020. Review methods Five randomized clinical trials and quasi-experimental studies that met the selection and CONSORT & TREND methodological quality criteria were selected. Results The evidence supports that there are no existing interventions aimed at empowering cardiorenal patients. However, the interventions to empower people with chronic kidney disease and heart failure suggest that their integration should address seven domains: patient education, sense of self-management, constructive coping, peer sharing, enablement, self-efficacy and quality of life. Conclusion A gap has been revealed in the literature regarding the empowerment of cardiorenal patients. This review provides relevant information to help design, implement and evaluate interventions to empower these patients by describing the strategies used to empower people experiencing both chronic conditions and the tools used for their assessment. Impact There is a need for further research to design, implement and evaluate a multidimensional intervention that favours the empowerment of cardiorenal patients by using valid and reliable instruments that measure the domains that constitute it in an integrated manner. Interventions aimed at empowering the cardiorenal patient should include seven domains: patient education, sense of self-management, constructive coping, peer sharing, enablement, self-efficacy and quality of life.
  • Autores: Ania González, Noelia; Martín Martín, Jesús (Autor de correspondencia); Amezqueta Goñi, María Pilar; et al.
    Revista: JOURNAL OF RENAL CARE
    ISSN: 1755-6678 Vol.48 N° 4 2022 págs. 230 - 242
    Resumen
    Background: Integrating the family of patients with kidney failure on comprehensive conservative care could benefit patients, families, and the health care system. However, there is a knowledge gap in this phenomenon since no systematic review has focused on the families' needs who care for individuals with kidney failure on comprehensive conservative care. Objectives: To understand the primary needs of families who care for people with kidney failure on comprehensive conservative care. Method: A systematic literature review of qualitative studies, followed by a content analysis was carried out. PubMed, CINAHL, and PsycINFO databases were used to search for articles published in English and Spanish between 2010 and 2021. The ENTREQ guideline was used for reporting. Results Five relevant studies were included in this study. The analysis has allowed identifying key aspects of knowledge, psychological, social and spiritual needs of family members of patients with kidney failure on comprehensive conservative care. Conclusions: This systematic review has revealed that families experience a lack of information and continuity of care by health care professionals. Added to this is the psychological burden they bear due to the feeling of indefinite care in time and uncertainty about the death of their loved one. All this, without the necessary support from their immediate family environment and social institutions. In light of these data, a paradigm shift in society and the health care received by these families is essential.
  • Autores: Olano Lizarraga, Maddi; Wallstrom, S.; Martín Martín, Jesús (Autor de correspondencia); et al.
    Revista: HEALTH AND SOCIAL CARE IN THE COMMUNITY
    ISSN: 0966-0410 Vol.30 N° 4 2022 págs. E842 - E858
    Resumen
    Chronic heart failure (CHF) is a progressive and disabling condition that significantly impacts patients' daily lives. One of its effects is decreased opportunities to participate in social life, leading to reduced social interaction, loneliness, social isolation and lack of social support to continue with their daily life activities. This study aimed to explore the causes, experiences, and consequences of the impact of CHF on the social dimension of the person. According to the Arksey & O'Malley method, a scoping review of the literature was conducted to examine existing knowledge in the area, summarise existing evidence and identify gaps in the literature. The search was conducted in the PubMed, CINAHL, PsychINFO, Scopus, and Web of Science databases from January 2010 to November 2021. Twenty-six articles were identified. The reasons why CHF influences the social dimension of the person were multifactorial and related to physical aspects, sociodemographics, lifestyle changes and the feelings experienced by these patients. Social relationships play a key role, and the benefits of good social relationships and the impact of poor or inadequate social support were identified. Furthermore, the influence of alterations in the social dimension on the CHF patient's clinical outcomes was described. This approach will help to detect and better understand the bidirectional influence that exists in each person between social isolation, relationships, and support life experiences, self-care activities, and morbi-mortality rates. These findings have shown the importance of detecting higher-risk groups and systematically assessing factors related to the social dimension in all patients with CHF.
  • Autores: Elizondo Rodríguez, Nerea; Ambrosio, L. (Autor de correspondencia); La Rosa Salas, Virginia; et al.
    Revista: JOURNAL OF ADVANCED NURSING
    ISSN: 0309-2402 Vol.78 N° 1 2022 págs. 48 - 62
    Resumen
    Aim Survivorship care plans (SCPs) are recommended as a tool for the care of cancer survivors. SCPs have been implemented with a multidisciplinary approach; however, the specific role of nurses in the SCP is unknown. Our aim is to determine the role of nurses and their degree of participation in cancer SCPs. Design Integrative review of the literature with systematic methodology. Data sources PubMed, CINAHL, PsycINFO, Web of Science, Cochrane and Cancerlit databases were reviewed. Articles published up to March 2021 were included. Review method Of the 2,638 publications identified, 22 studies met our inclusion criteria. Quality of included studies was assessed using Joanna Briggs Institute quality assessment tools. Results The studies showed that nurses play a key role and participate in different phases of the SCP, including design, delivery, monitoring and coordination among different levels of care, with varying degrees of involvement and responsibility; design and delivery of the SCP are the phases with the highest nurse participation (18 out of 22 studies). The majority of SCPs are implemented in specialized, hospital-based care and focus on short-term cancer survivors, who are actively undergoing oncological treatments. Conclusion This review shows that nurses actively participate in the design, implementation and coordination of SCPs. However, SCPs focus on the acute survival and treatment phases, and there is a gap in their use in long-term cancer survivorship. This gap may be one reason the needs of long-term cancer survivors are not covered. Impact This review contributes to the current body of knowledge by addressing the role of nurses in cancer SCPs. We recommend the involvement of an advanced practice nurse as SCP coordinator to improve communication between cancer specialists and primary care providers and to promote continued care throughout the different phases of cancer survivorship, including long-term survival.
  • Autores: Guibert Lacasa, Carlota; Vázquez Calatayud, Mónica (Autor de correspondencia)
    Revista: JOURNAL OF NURSING MANAGEMENT
    ISSN: 0966-0429 Vol.30 N° 4 2022 págs. 913 - 925
    Resumen
    Aim This study aims to identify the most effective interventions to facilitate nurses' clinical leadership in the hospital setting. Background There is a gap in the literature on the identification and measurement of effective interventions for leadership skill development among clinical nurses in hospitals. To the best of our knowledge, no systematic review has been performed on this issue. Evaluation A systematic review was conducted. The PubMed, CINAHL, PsycINFO and Cochrane databases were reviewed. Data extraction, quality appraisal and narrative synthesis were conducted in line with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Key issues The evidence reveals that interventions designed to promote nurses' clinical leadership are complex, requiring that cognitive, interpersonal and intrinsic competencies as well as psychological empowerment, emotional intelligence and critical reflexivity skills be addressed. Conclusions The development of multicomponent, theory-based and mixed-format programmes may be more suitable to facilitate nurses' clinical leadership in the hospital setting. Implications for Nursing Management Strategies to facilitate nurses' clinical leadership in the hospital setting should address simultaneously the knowledge and ability of bedsides nurses to solve the practical problem collaboratively with a sense of control, competency and autonomy. Hence, it would promote high quality care, satisfaction and retention of bedside nurses.
  • Autores: Villero Jiménez, Ana Isabel; Martínez Torregrosa, Naomi; Olano Lizarraga, Maddi (Autor de correspondencia); et al.
    Revista: ANALES DEL SISTEMA SANITARIO DE NAVARRA
    ISSN: 1137-6627 Vol.45 N° 2 2022
    Resumen
    El autocuidado diádico en la insuficiencia cardiaca crónica (ICC) es clave para garantizar la continuidad del tratamiento, disminuir las complicaciones y los reingresos, y minimizar la sobrecarga del cuidador, pero demanda estrategias específicas. El objetivo fue identificar las intervenciones de autocuidado diádico en la ICC en el contexto hospitalario mediante una revisión sistemática de la literatura en PubMed, CINAHL y PsycInfo; la calidad metodológica se valoró según las herramientas de CASPe y del Joanna Briggs Institute. Se identificaron los principales componentes de las intervenciones: formato de administración; dimensiones y estrategias utilizadas (cognitivo-actitudinal, afectiva-emocional y conductual); proveedores y receptores; instrumentos de medida utilizados; y efectividad. La mayoría de estudios mejoraron los resultados, especialmente síntomas de depresión y/o ansiedad, adherencia al tratamiento, dieta y control del peso. Se recomiendan intervenciones innovadoras que incluyan componentes de las tres dimensiones identificadas y el uso de escalas válidas, fiables y específicas para medir los resultados.
  • Autores: Iraizoz Iraizoz, Andrea; Errasti Ibarrondo, María Begoña (Autor de correspondencia); Martín Martín, Jesús
    Revista: ÉTICA DE LOS CUIDADOS
    ISSN: 1988-7973 Vol.15 2022 págs. e13936
    Resumen
    Introducción: La muerte súbita cardíaca constituye un problema de salud pública mundial que repercute en la experiencia familiar de duelo. La atención que proporcionan los profesionales es crucial para el afrontamiento y desarrollo de un duelo natural. Objetivo: Conocer la experiencia de duelo de las familias que han sufrido la muerte súbita cardíaca de un ser querido. Metodología: Se realizó una bu¿squeda bibliográfica con metodología sistemática en PubMed, CINAHL, Psycinfo, Cochrane Library, Scopus, CUIDEN, MEDES y Scielo (abril-mayo, 2021), y una síntesis crítica interpretativa de los estudios seleccionados. Resultados: Se seleccionaron 6 estudios. Los resultados se agruparon en cinco temas relacionados con el impacto emocional y psicológico, la falta de información, la comunicación deficiente, la presencia familiar en la resucitación y la carencia de apoyo formal. Conclusión: Esta revisión evidencia la escasez de investigaciones y la importancia de reconducir la práctica de los profesionales para responder a las necesidades familiares.
  • Autores: González Luis, Hildegart; Azurmendi Adarraga, Ana; Santillán-García, A. (Autor de correspondencia); et al.
    Revista: JOURNAL OF NURSING MANAGEMENT
    ISSN: 0966-0429 Vol.30 N° 7 2022 págs. 2379 - 2382
    Resumen
    Aim This commentary aims to spark debate on the ethical, legal, professional and institutional challenges faced by nurses' use and interactions when using traditional, mass and social media. Background Freedom of expression is a core value of democratic systems. However, it appears to be a complex right when exercised by nurses in traditional media and/or during online interactions. Active use of these types of media can help promote healthcare incentives and reach larger audiences, or even influence public policy. Nevertheless, with the increase in social media use, some nurses have been found to have engaged in unprofessional practices, which, in some serious cases, have led to their dismissal. Evaluation We identified specific instances of conflicts-most commonly related to breach of privacy, inappropriate interactions on social media or a simple lack of knowledge or guidance regarding its use-and formal complaints concerning nurses' freedom of expression. Key Issues While nursing codes do exist, professional guidelines concerning the use of mass and social media are still much needed. With the advent of social media, there may be ambiguity regarding how nurses engage with and make use of these platforms. In order to ensure that nurses interact professionally with any form of media, clear ethical, legal and professional frameworks of use are needed. Specific codes exist, such as the new ICN code of ethics or the NMC code, among other initiatives, but more comprehensive guidance is needed in order to support nurses in using better judgement regarding their media interactions. While the existence of such frameworks may not fix the problem of incorrect use, it can help those nurses looking for clear guidance when interacting with mass media or using social media. Also, it is important that more professionals are aware that such guidance exists, since understanding the limits and dangers of certain interactions would ultimately protect nurses' and patients' rights. Conclusion The increasing use of media platforms by nurses calls for further professional guidance regarding its professional utilization. To date, limited guidance exists to support media interactions. In an interconnected world that favours media interaction in both professional and private spheres, the development and widespread dissemination of clear guidance for professionals must also detail two essential points: how professionals can better interact with media platforms and also how they can avoid having unethical media interactions in the first place. Implications for Nursing Management The existence of a solid, comprehensive framework for generalized media use should ensure that nurses can exercise their right to freedom of expression. Clearer limitations should support nurses' professional presence and interactions in the media.
  • Autores: Vázquez Calatayud, Mónica (Autor de correspondencia); García-Diez, R.
    Revista: ENFERMERIA INTENSIVA
    ISSN: 1130-2399 Vol.33 N° 2 2022 págs. 55 - 57
  • Autores: Vázquez Calatayud, Mónica; Regaira Martínez, Elena (Autor de correspondencia); Rumeu Casares, María del Carmen; et al.
    Revista: JOURNAL OF NURSING MANAGEMENT
    ISSN: 0966-0429 Vol.30 N° 1 2022 págs. 79 - 89
    Resumen
    Aim To explore experiences of frontline nurse managers during COVID-19. Background The COVID-19 pandemic has complicated care provision and healthcare management around the world. Nurse managers have had to face the challenge of managing a crisis with precarious resources. Little research has been published about the experiences of nurse managers during the COVID-19 pandemic. Methods A qualitative descriptive study of 10 frontline nurse managers at a highly specialized university hospital in Spain was carried out. Semi-structured interviews were conducted between June and September 2020. The Consolidated Criteria for Reporting Qualitative Research checklist was used for reporting. Results Six themes emerged: constant adaptation to change, participation in decision-making, management of uncertainty, prioritization of the biopsychosocial well-being of the staff, preservation of humanized care and 'one for all'. Conclusions This study provides evidence for the experiences of nurse managers during the COVID-19 pandemic. In addition, analysing these experiences has helped identify some of the key competencies that these nurses must have to respond to a crisis and in their dual role as patient and nurse mediators. Implications for Nursing Management Knowing about the experiences of frontline nurse managers during the pandemic can facilitate planning and preparing nurse managers for future health disasters, including subsequent waves of COVID-19.
  • Autores: Choperena Armendáriz, Ana (Autor de correspondencia); La Rosa Salas, Virginia
    Revista: COLLEGIAN
    ISSN: 1322-7696 Vol.29 N° 4 2022 págs. 444 - 447
    Resumen
    Background: In a period of hopelessness motivated by a restrictive Victorian society that confined women to the domestic realm, Florence Nightingale wrote the cathartic Cassandra (1852) in an attempt to transform her despair into rebellion. Aims: To discuss Nightingale's approach to women's role in Cassandra. Methods: Historical Research was used to analyse Cassandra. Data gathered from primary and secondary sources were synthesised and reported in terms of their historical context and significance. Findings: Adopting the genre of `sage writing¿, Nightingale positions herself as a female messiah in an autoreferential narrative that projects women's future possibilities for release. Discussion: Assuming the identity of a prophetic Greek heroine cursed to never be believed, Nightingale's Cassandra claims professional work as the liberating solution for Victorian women. Conclusion: For the first time, Nightingale predicts in Cassandra some incipient prerequisites for a future nursing path for women's change.
  • Autores: Lizarraga Amilibia, Blanca (Autor de correspondencia); González Luis, Hildegart; Elizondo Rodríguez, Nerea
    Revista: TESELA
    ISSN: 1887-2255 N° 30 2022 págs. e14205
    Resumen
    Introducción. Las decisiones políticas en el ámbito de la gestión sanitaria resultan fundamentales con impacto directo en la salud. Los profesionales en gestión sanitaria, entre ellos enfermeras, están llamados a participar en la toma de decisiones políticas. Objetivo. Conocer que¿ evidencia científica hay disponible sobre programas educativos formales e informales para formar en participación y en la toma de decisiones políticas de salud dirigidos a enfermería. Analizar cuáles son las características que definen los programas educativos en participación y toma de decisiones políticas para enfermeras. Método. Revisión bibliográfica sistemática en las principales bases de datos. Resultados. No se han hallado programas formativos en el contexto español. Se analizan los programas formativos existentes en base a similitudes y diferencias entre ellos identificadas en la revisión. Discusión. El desarrollo de las competencias de gestión en enfermería abarca más que gestión de la práctica clínica. La formación completa en gestión en enfermería incluye el liderazgo, la participación y toma de decisiones políticas mediante el desarrollo de múltiples habilidades de comunicación y la aplicación de la ética, entre otras. Conclusiones. La inexistencia de programas formativos en toma de decisiones políticas para enfermeras en España, justifica el desarrollo de nuevos estudios a nivel nacional e internacional que complementen y profundicen en el tema abordado en esta revisión. Implicaciones para la práctica. Desarrollar programas formativos en toma de decisiones políticas para enfermeras impulsará al desarrollo de perfiles gestores mejor formados y capacitados para ocupar puestos de responsabilidad en la toma de decisiones estratégicas en salud.
  • Autores: Vázquez Calatayud, Mónica; Oroviogoicoechea Ortega, Cristina (Autor de correspondencia); Rumeu Casares, María del Carmen; et al.
    Revista: CLINICAL NURSE SPECIALIST
    ISSN: 0887-6274 Vol.36 N° 6 2022 págs. 317 - 326
    Resumen
    Purpose/Aims To explore nurses' perceptions of clinical nurse specialist practice as implemented in a highly specialized university hospital in Spain. Design A descriptive qualitative study was carried out in 3 inpatient wards, with a clinical nurse specialist within the team, at a high specialized university hospital in Spain. Method Semistructured interviews were conducted by purposive sampling with 17 selected nurses with at least 2 years of professional experience who voluntarily agreed to participate and signed the informed consent form. Analysis of the qualitative data was conducted according to Burnard's method of content analysis. The Consolidated Criteria for Reporting Qualitative Research checklist was used. Results Four main categories emerged from the analysis of the data: "qualities of the role-holder," "role competencies in practice," "integration with the team," and "impact of the role" on nursing, the patient, and the organization. Conclusions The findings of this study have interesting implications for the development and implementation of clinical nurse specialist practice in healthcare organizations. They also provide evidence of the benefit of implementing clinical nurse specialist practice for improving the quality of care, patient outcomes, and healthcare efficiency.
  • Autores: Vázquez Calatayud, Mónica; Fernández-Moreno, I. (Autor de correspondencia); Álvarez-Lerma, F.
    Revista: ENFERMERIA INTENSIVA
    ISSN: 1130-2399 Vol.33 N° Supl. 1 2022 págs. S8 - S16
    Resumen
    El impacto negativo de la pandemia sobre las tasas de infecciones controladas ha evidenciado la necesidad de reanudar la aplicación de las recomendaciones de los Proyectos Zero (PZ). En este artículo, en primer lugar, se realiza un análisis de la situación de las unidades de cuidados intensivos de España durante la pandemia. A continuación se presenta la adaptación de las recomendaciones de cada uno de los cuatro PZ y su grado de cumplimiento y riesgo de que existan infecciones relacionadas con dispositivos invasivos y/o bacteriemias multirresistentes. Para ello, se han tenido en cuenta: 1) el documento publicado en octubre de 2020 por el Consejo Asesor del Programa de Seguridad de pacientes críticos, y 2) el estudio exploratorio realizado, un año después, por el Consejo Asesor de los PZ, junto con los líderes de los proyectos de las unidades participantes del registro ENVIN. Por último, y en base a los hallazgos encontrados, se formulan cinco recomendaciones tentativas y prioritarias.
  • Autores: Choperena Armendáriz, Ana; Gavela Ramos, Yvonne; Lizarbe Chocarro, Marta (Autor de correspondencia); et al.
    Revista: ANALES DEL SISTEMA SANITARIO DE NAVARRA
    ISSN: 1137-6627 Vol.45 N° 3 2022 págs. e1016
    Resumen
    Background. Person-centered care has become a key global approach that seeks to provide answers to all factors of the complex health care-related processes. This has led to the development of theoreti-cal frameworks that represent the components of person-centered care. The internationally recognized Person-Centred Practice Framework (PCPF) (McCormack and McCance) allows multidisciplinary teams to understand and operationalize the dimensions for the development of person-centered care. The aim of this study was to obtain the first Spanish version of the PCPF translated and adapted to the Spanish con-text. Methods. We translated the PCPF following the Translation and cul-tural adaptation process for Patient-Reported Outcomes (PRO) Measures guidelines. A consulting session with experts was part of the process and content validation on clarity and relevance for each domain was performed. Results. We encountered no significant difficulties to reach agree-ments on most of the terms except for Having a sympathetic presence. Not only was a complex term to translate but also to trans-culturally adapt. Regarding relevance and clarity, the content index by construct (I-CVI) and the global framework (S-CVI/Ave) were consistent with their original counterparts (>= 0.90). Conclusions. The adapted Spanish version is clear, significant, and conceptually equivalent to the original PCPF. It will allow a better com-prehension of the person-centered practice framework in the Spanish context and facilitate the implementation of this approach in clinical practices.
  • Autores: Wilson, D. M. (Autor de correspondencia); Underwood, L.; Kim, S.; et al.
    Revista: NURSING OUTLOOK
    ISSN: 0029-6554 Vol.70 N° 1 2022 págs. 55 - 63
    Resumen
    Background Nurses' political engagement is needed for societal advancements. Purpose The purpose of this study was to explain why and how nurses became politically active, and what they achieved. Methods Qualitative, constant-comparative data analysis was used for this study. After 10 elected or politically-active Canadian nurses were interviewed, data saturation was confirmed. Findings All were motivated by early life events to realize the importance of social justice and good government. Their nursing education and work equipped them to be capable of engaging in political spheres. All had developed knowledge of relevance for political purposes; in addition to confidence, communication skills, and other abilities to be effective politically. All highlighted the importance of being encouraged and assisted to engage politically. Positive micro-, meso-, and macro-level benefits of this involvement were identified. Conclusions More nurses should be inspired and helped to become active politically. It is critically important for nurses to inform and advance public policy, through direct political activities.
  • Autores: Guillen Chalezquer, Maria Angeles; Regaira Martínez, Elena (Autor de correspondencia); Vázquez Calatayud, Mónica
    Revista: INDEX DE ENFERMERIA
    ISSN: 1132-1296 Vol.31 N° 2 2022 págs. 77 - 81
    Resumen
    Objetivo principal: Evaluar el nivel de satisfacción de las enfermeras nóveles con la simulación clínica de alta fidelidad en la formación de RCP, durante la Covid-19. Metodología: Estudio observacional descriptivo transversal. Se utilizó la Escala de Satisfacción en Simulación Clínica de Alta Fidelidad, cuestionario validado de 33 ítems con respuesta tipo Likert. Se utilizó estadística descriptiva, e inferencial no paramétrica (correlación de Spearman) para analizar la correlación entre las variables. Resultados principales: N=35 (100%). La satisfacción global media fue de 4,97±0,17. Los ítems relativos a la adecuación de los casos a los conocimientos de los participantes, la capacidad para proporcionar cuidados a los pacientes, el beneficio de la simulación e impacto en la mejora de sus habilidades técnicas fueron los mejores puntuados (media de 4,97). Se encontró una relación positiva y fuerte entre los ítems: 4-9, y 27-9 (rho= 0,804; p=0,000). Conclusión principal: El nivel de satisfacción de las enfermeras de nueva incorporación con la simulación clínica de alta fidelidad fue elevado, lo que confirma su utilidad en el proceso de aprendizaje en RCP durante la Covid-19 o brotes pandémicos de la misma naturaleza. Palabras clave: Enfermería. Enseñanza mediante Simulación de Alta Fidelidad. Reanimación Cardio-Pulmonar. Satisfacción. Formación Continuada. Covid-19.
  • Autores: Fernández-Moreno, I.; García-Díez, R. (Autor de correspondencia); Vázquez Calatayud, Mónica
    Revista: ENFERMERIA INTENSIVA
    ISSN: 1130-2399 Vol.33 2022 págs. S40 - S44
    Resumen
    During the COVID-19 pandemic, the world's healthcare systems were extremely strained. Intensive care units were stretched to capacity and healthcare facilities were forced to set up spaces to care for critically ill patients. Professionals were required to work in strenuous conditions, completely disrupting their work routines.In this scenario, hand hygiene and the use of gloves by healthcare professionals became a critical point of transmission risk.The results of the ENVIN study in 2020 and 2021, corresponding to the pandemic period, showed worrying data on the increase in infection rates, with rates rising by 250% at the worst moments of the pandemic. This suggested that excessive risk situations were occurring for the patient. Any preventive strategy must place correct hand hygiene and proper use of gloves among its priority objectives. For this reason, the Project Zero Advisory Board made a series of adaptations and recommendations based on available evidence and expert opinion related to hand hygiene and glove use during the pandemic situation to promote best practice in extreme situations. This article reviews the key aspects of hand hygiene as part of the WHO safety strategy, the main barriers to compliance and the main adaptations proposed by the Advisory Board of the Zero projects.
  • Autores: González Luis, Hildegart
    Revista: TESELA
    ISSN: 1887-2255 Vol.30 2022 págs. e14041
    Resumen
    Diversos estudios confirman que no existe una sintonía entre lo que las enfermeras son y lo que la sociedad conoce de ellas. Esta disociación genera consecuencias negativas en las propias enfermeras, en los pacientes y en el conjunto de la sociedad. Este artículo describe y aporta evidencia sobre una de las posibles causas que puede explicar por qué se produce esa desinformación. La hipótesis de partida es que las enfermeras no han recibido la formación adecuada para desarrollar la competencia comunicativa con todos los grupos de interés con los que interactuarán en su trayectoria profesional. La carencia es notoria cuando tienen que interactuar con los medios de comunicación. La mayoría de las enfermeras no han sido formadas para poder responder de manera eficaz a las demandas informativas que los periodistas pueden solicitarles. La escasa presencia de enfermeras en las informaciones que se publican sobre salud podría justificarse por lo tanto no sólo por el desconocimiento que los periodistas tienen sobre esta profesión, sino también por la falta de formación que las enfermeras han recibido al respecto durante su etapa universitaria. El artículo concluye animando a una reflexión / diálogo sobre esta cuestión desde los cuatro ámbitos en los que las enfermeras ejercen su profesión: asistencial, gestor, académico e investigador. Se confía en que este debate sea el germen que contribuya a que las enfermeras se formen para crear su propia narrativa. Con ello se favorecerá que la
  • Autores: Arias-Rivera, S.; Jam-Gatell, R. (Autor de correspondencia); Nuvials-Casals, X.; et al.
    Revista: ENFERMERIA INTENSIVA
    ISSN: 1130-2399 Vol.33 2022 págs. S17 - S30
    Resumen
    The SARS-Cov-2 pandemic has had a negative impact on the implementation of the Zero Pneumonia recommendations and has been accompanied by an increase in rates of ventilator- associated pneumonia (VAP) in intensive care units in Spain. With the aim of reducing the current rates to 7 episodes per 1000 days of MV, the recommendations of the initial project have been updated.Twenty-seven measures were identified and classified into 12 functional measures (semi- sitting position, strict hand hygiene, airway manipulation training, daily assessment of possible extubation, protocolisation of weaning, early tracheostomy, non-invasive ventilation, microbiological surveillance, tubing change, humidification, respiratory physiotherapy, post- pyloric enteral nutrition), 7 mechanical measures (pneumotap pressure control, subglottic suction tubes, subglottic suctioning of tubes, subglottic suctioning of tubes, post-pyloric enteral nutrition, subglottic suction tubes, small-bore/small-bowel tube nutrition, closed/open circuit secretion suctioning, respiratory filters, tooth brushing, negative pressure techniques for secretion suctioning) and 8 pharmacological (selective digestive decontamination, oropharyngeal decontamination, short course of antibiotics, chlorhexidine mouth hygiene, inhaled antibiotics, antibiotic rotation, probiotics, monoclonal antibodies).Each measure was analysed independently, by at least two members of the working group, through a systematic review of the literature and an iterative review of recommendations from scientific societies and/or expert groups.For the classification of the quality of the evidence and strength of the recommendations, the GRADE group proposal was followed. To determine the level of recommendation, each measure was scored by all members of the working group in relation to its effectiveness, tolerability and applicability in Spanish ICUs in the short term. The support of external experts was requested for some of the measures reviewed. Those measures that achieved the highest score were selected.
  • Autores: Laza Vásquez, C.; Hernández Leal, María José; Carles Lavila, M.; et al.
    Revista: INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
    ISSN: 1660-4601 Vol.19 N° 3 2022 págs. 1406
    Resumen
    This study explored the barriers and facilitators to the implementation of a risk-based breast cancer screening program from the point of view of Spanish health professionals. A cross-sectional study with 220 Spanish health professionals was designed. Data were collected in 2020 via a web-based survey and included the advantages and disadvantages of risk-based screening and barriers and facilitators for the implementation of the program. Descriptive statistics and Likert scale responses analyzed as category-ordered data were obtained. The risk-based screening was considered important or very important to reduce breast cancer mortality and promote a more proactive role for women in breast cancer prevention, to increase coverage for women under 50 years, to promote a breast cancer prevention strategy for women at high risk, and to increase efficiency and effectiveness. Switching to a risk-based program from an age-based program was rated as important or very important by 85% of participants. As barriers for implementation, risk communication, the workload of health professionals, and limited human and financial resources were mentioned. Despite the barriers, there is good acceptance, and it seems feasible, from the perspective of health professionals, to implement a risk-based breast cancer screening program in Spain. However, this poses a number of organizational and resource challenges.
  • Autores: Martín Martín, Jesús; Pérez Diez del Corral, Mercedes (Autor de correspondencia); Olano Lizarraga, Maddi; et al.
    Revista: JOURNAL OF FAMILY NURSING
    ISSN: 1074-8407 Vol.28 N° 1 2022 págs. 17 - 30
    Resumen
    Currently, the dying process in Spain is moving to the home environment where responsibility for care falls largely on the family, thereby challenging and testing the stability of the family. Previous research has focused on the impact of illness on the primary caregiver; therefore, a knowledge gap exists. This study aimed to understand families' unitary experiences of providing home care to terminally ill family member. Using the "Model of Interpersonal Relationship Between the Nurse and the Person/Family Cared For," narrative research included family and individual interviews with nine families (9 groups/23 individuals). Thematic narrative analysis was used to interpret the interviews. The results highlight the impact of illness on family well-being as a whole. Family members often felt abandoned while caring for an ill family member and wished to be cared for themselves. However, their immediate community and the nurses caring for their ill family member neglected them. A paradigm shift is required by society and in home care at the end of life to better support the family.
  • Autores: Vázquez Calatayud, Mónica; Rumeu Casares, María del Carmen; Olano Lizarraga, Maddi (Autor de correspondencia); et al.
    Revista: NURSING AND HEALTH SCIENCES
    ISSN: 1441-0745 Vol.24 N° 1 2022 págs. 123 - 131
    Resumen
    Understanding the unique experience of nursing students providing frontline support in COVID-19 hospital wards is crucial for the design of strategies to improve crisis management and mitigate future pandemic outbreaks. Limited research concerning this phenomenon has been published. This qualitative study aimed to understand the experience of providing support from COVID-19 frontline nursing students' perspective. Online interviews were conducted with nine nursing students from April to May 2020; interview data were analyzed by content analysis using Burnard's method. Six main categories emerged from the data analysis: "experiencing a rapid transition from student to professional," "fear and uncertainty of the unknown," "resilience throughout the crisis," "sense of belonging to a team," "shared responsibility," and "importance of the profession." Based on these findings, multicomponent strategies that function in parallel with practical contexts should be developed to enable students to diligently adapt their abilities to their new role and cope with health crises.
  • Autores: Olano Lizarraga, Maddi; Martín Martín, Jesús (Autor de correspondencia); Pérez Diez del Corral, Mercedes; et al.
    Revista: HEART AND LUNG
    ISSN: 0147-9563 Vol.51 N° 2022 2022 págs. 32 - 39
    Resumen
    Background: Chronic heart failure (CHF) is a syndrome that greatly impacts people's lives. Due to the poor prognosis of CHF, together with the frequent exacerbations of symptoms, death is a topic that is very present in the lives of patients with CHF. Objective: To explore thoughts about death experienced by patients with chronic heart failure in their daily lives. Methods: A hermeneutic phenomenological study was carried out. Conversational interviews were conducted with 20 outpatients with chronic heart failure. Analysis of the responses was based on the method proposed by van Manen. Results: From the analysis, four main themes emerged: (1) Feeling afraid of the possibility of dying; (2) Acceptance of the possibility of death; (3) Desiring death for relief from suffering; and (4) Striving to continue living to enjoy family. Conclusions: This study presents, as a novel finding, that people with CHF experience the possibility of near death on a daily basis. This experience, which they must encounter on their own, makes them afraid. In addition, some of them, in view of the discomfort they are living, wish to die, with some even considering committing suicide. (C) 2021 The Authors. Published by Elsevier Inc.
  • Autores: Wolf, A.; Martín Martín, Jesús; Wallstrom, S. W.; et al.
    Revista: EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING
    ISSN: 1474-5151 Vol.21 N° SUPP_1 2022 págs. I92 - I92
    Resumen
    Introduction Chronic heart failure (CHF) is a progressive and disabling illness that affects daily life. Decreased opportunities to participate in social life are among the most common aspects experienced by these patients, leading to reduced social interaction, loneliness, social isolation, and lack of social support to continue their activities of daily living. These experiences, in turn, have significant consequences for the health of patients with CHF, increasing the risk of comorbidities and complications. Purpose This study aimed to identify the consequences of the altered social dimension on the health of those with CHF. [...]
  • Autores: Olano Lizarraga, Maddi; Martín Martín, Jesús; Cobo Sánchez, J. L.; et al.
    Revista: EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING
    ISSN: 1474-5151 Vol.21 N° SUPP_1 2022 págs. I102 - I103
    Resumen
    hronic heart failure (CHF) is characterized by a progressive deterioration in the patient's health state that significantly impacts their whole life. Most of the scales available for its assessment show that the physical dimension is still given great prominence, even when they aim to address quality of life. Purpose This study aimed to design a scale to know the experience of living with CHF. [...]
  • Autores: Vázquez Calatayud, Mónica; Errasti Ibarrondo, María Begoña (Autor de correspondencia); Choperena Armendáriz, Ana
    Revista: NURSE EDUCATION IN PRACTICE
    ISSN: 1471-5953 Vol.50 2021 págs. 102963
    Resumen
    Nurses' continuing professional development (CPD) improves the quality of nursing care, patients' safety, nurses' satisfaction and healthcare costs. However, evidence has shown that nurses do not always participate in their CPD and that CPD does not always address nurses' real needs. To examine this issue, a systematic review of the literature on nurses' experiences regarding their CPD in the clinical context was carried out. The studies selected for this review (n = 9) were analyzed thematically, through which three themes were identified: The relevance of CPD to nurses; the intrinsic and extrinsic motivations of nurses to participate in CPD; and the specific needs of nurses to participate in CPD. The findings of this review highlight that nurses' experiences regarding their CPD is a key issue that has not been deeply studied. For nurses, their CPD continues throughout their professional career, and keeping their knowledge and skills up to date is important. The goals, motivations and needs that nurses may have to lead and participate in their CPD may vary according to their age and position. Organizations should consider nurses' specific professional situation as well as their actual needs to boost their CPD through different approaches and enhance nurses¿ retention at hospitals.
  • Autores: Wilson, D. M. (Autor de correspondencia); Anafi, F.; Roh, S. J.; et al.
    Revista: HEALTH COMMUNICATION
    ISSN: 1041-0236 Vol.36 N° 13 2021 págs. 1616 - 1622
    Resumen
    When someone is terminally ill, it is often a very stressful time for the dying person and their family. It would not be unusual for intra-family conflict, involving one or more family members and even the dying person, to occur. However, this type of conflict has not been identified as an end-of-life issue needing to be noticed and addressed or prevented when possible. This lack of attention could be because it is not known how common or how impactful this type of conflict is. A scoping research literature review was conducted for available 2004-2019 evidence on the incidence or prevalence of intra-family conflict, factors contributing to it or causing it, and the outcomes or impact of it. A search for published peer-review articles identified 18 research reports for a scoping review. The 18 studies, all conducted in developed countries, revealed intra-family conflict is often present; and with a range of harmful effects for the dying person, the family as a whole or individual family members, and other persons and organizations. The identified factors contributing to or predisposing intra-family conflict were grouped into three categories: (a) family disagreements over curative treatment and/or end-of-life care and decisions, (b) previous family conflict and other family dynamic matters, and (c) the dying process itself. The evidence identified through this scoping review, although relatively minimal, should be useful for planning future research and for [...]
  • Autores: Alonso-Fernández, S. (Autor de correspondencia); Vázquez Calatayud, Mónica
    Revista: ENFERMERIA INTENSIVA
    ISSN: 1130-2399 Vol.32 N° 4 2021 págs. 227 - 229
  • Autores: Choperena Armendáriz, Ana (Autor de correspondencia)
    Revista: JOURNAL OF ADVANCED NURSING
    ISSN: 0309-2402 Vol.77 N° 3 2021 págs. 1422 - 1431
    Resumen
    Aims To analyse the evolving social role of female nurses in the American Civil War context in terms of gender, class and race and to examine whether their caring efforts correspond to the beginnings of a new nursing professional identity. Design Historical research. Methods Thirteen American Civil War nurses' triumphal narratives written between 1865-1902 were analysed. The search and work were carried out between 2012-2020. Women's history and thematic analysis provided, respectively, the theoretical and analytical frameworks. Results The arrival of the war was the catalyst for change. The nurses' autobiographies were written in a hostile environment where class and racial tensions had to be released. This analysis points to nursing care being transformed from its traditional domestic traits to a progressive and intentional professional dimension. Conclusion American Civil War nurses' autobiographies offer an innovative vision of their lives and their nursing work. Specifically, the autobiographical accounts provide new perspectives on the evolution of the authors' social dimension in terms of class, race and gender as well as the development of a new nursing professional identity in that context. Impact Illuminating overlooked meanings hidden in nurses' autobiographies improves women's visibility and their contribution to the history of nursing
  • Autores: Wilson, D. M. (Autor de correspondencia); Errasti Ibarrondo, María Begoña
    Revista: EVALUATION AND PROGRAM PLANNING
    ISSN: 0149-7189 Vol.89 2021 págs. 101987
    Resumen
    A study of the bereavement programs provided by hospices in Ireland and the Canadian province of Alberta was done to determine if and how these are evaluated for efficacy. All but one hospice offered multiple different bereavement programs, with routine in-house evaluations of all programs performed. In all cases, staff and client unsolicited and solicited comments made during and at the end of each program provided data for continuing program refinement. Most hospices also routinely employed a self-devised questionnaire to gain specific sought information to retain or change programs. Other information, including news about program developments elsewhere, was also actively sought for program adoption or for the improvement of existing programs. With most bereavement programs having been in place for many years, participants were confident their programs are needed, safe, and effective. Their continuing quest for high-quality programming, however, meant they were active in monitoring these programs and in seeking developments in this field.
  • Autores: Mason, S. (Autor de correspondencia); Ling, J.; Mosoiu, D.; et al.
    Revista: JOURNAL OF PALLIATIVE MEDICINE
    ISSN: 1096-6218 Vol.24 N° 12 2021 págs. 1867 - 1871
    Resumen
    Background: Nominal group technique (NGT) is a well-established research method for establishing consensus. Owing to the COVID-19 pandemic, research methods need to be adapted to engage with participants online. Objective: To determine the feasibility and acceptability of adapting NGT to an online format. Setting: Palliative care clinicians (n = 31) in Greece, Romania, and Spain. Methods: NGT discussions were used to elicit palliative care clinicians' opinions, and to rank priorities regarding their understanding and needs about clinical research. Preliminary online training of country-based facilitators was followed by content analysis of debriefing reports to capture learning related to the online NGT format. Results/Implementation: Three NGT sessions used online platforms (Zoom/MS Office/Mentimeter) for the meetings. Analysis of the facilitator reports generated three themes: preparation/facilitation/timing; optimizing technology; and interactions. Conclusions: Conducting NGT meetings online is viable and may be advantageous when compared with traditional face-to-face meetings, but requires careful preparation for participants to contribute effectively.
  • Autores: Arbea Moreno, Leire (Autor de correspondencia); Beitia Berrotaran, Guadalupe; Vidaurreta Fernández, Marta; et al.
    Revista: EDUCACION MEDICA
    ISSN: 1575-1813 Vol.22 N° Suppl. 5 2021 págs. 437 - 441
    Resumen
    La educación interprofesional (EIP) es clave para garantizar el aprendizaje integrado de los alumnos de diferentes titulaciones, que ejercerán una labor profesional basada en el cuidado centrado en la persona, de manera conjunta. El proyecto de EIP de la Universidad de Navarra pretende dar a los alumnos de medicina, enfermería y farmacia los conocimientos, habilidades y actitudes necesarias para trabajar de manera interprofesional, centrándonos en trabajo en equipo, conocimiento y respeto de roles, resolución de conflictos y comunicación interprofesional. Para ello, el equipo de docentes implicados en este proyecto ha tenido que trabajar colaborativamente, experimentando las claves de este trabajo interprofesional, centrado en el alumno, constituyendo una experiencia enriquecedora, constructiva, y que ha aportado las claves del trabajo en equipo necesario para llevar a cabo un proyecto docente de EIP.
  • Autores: Olano Lizarraga, Maddi; Martín Martín, Jesús (Autor de correspondencia); Oroviogoicoechea Ortega, Cristina; et al.
    Revista: CLINICAL NURSING RESEARCH
    ISSN: 1054-7738 Vol.30 N° 2 2021 págs. 171 - 182
    Resumen
    The complicated situation experienced by chronic heart failure (CHF) patients affects their entire well-being but clinical practice continues to fail to adequately respond to their demands. The aim of this study was to understand the meaning of living with CHF from the patient¿s perspective. A hermeneutic phenomenological study was conducted according to Van Manen's phenomenology of practice method. Individual conversational interviews were held with 20 outpatients with CHF. Six main themes emerged from the analysis: (1) Living with CHF involves a profound change in the person; (2) The person living with CHF has to accept their situation; (3) The person with CHF needs to feel that their life is normal and demonstrate it to others; (4) The person with CHF needs to have hope; (5) Having CHF makes the person continuously aware of the possibility of dying; (6) The person with CHF feels that it negatively influences their close environment.
  • Autores: Paloma Mora, Beatriz; Olano Lizarraga, Maddi (Autor de correspondencia); Rumeu Casares, María del Carmen; et al.
    Revista: ANALES DEL SISTEMA SANITARIO DE NAVARRA
    ISSN: 1137-6627 Vol.44 N° 3 2021 págs. 351 - 360
    Resumen
    Fundamento. Conocer el nivel de empoderamiento de las personas con insuficiencia cardiaca crónica hospitalizadas es crucial para identificar a las personas con un nivel de empoderamiento más bajo y fundamentar el diseño de estrategias efectivas para mejorar su control sobre las decisiones y acciones que afectan a su salud y bienestar. La falta de estudio de este fenómeno en esta población y contexto, sugiere que estos pacientes no están siendo atendidos adecuadamente. Material y métodos. Estudio descriptivo, prospectivo. Se utilizó el Cuestionario de empoderamiento del paciente con enfermedad crónica, traducido y validado al español, que consta de 47 ítems, agrupados en tres dimensiones: Actitud positiva y sentido del control, Toma de decisiones compartida e informada, y Búsqueda de información y compartir entre iguales. Fue distribuido para su cumplimentación en las 24 horas previas al alta hospitalaria. Resultados. Se recogieron 25 cuestionarios (81%). La puntuación global media de empoderamiento fue de 165,92 ± 20,9. La dimensión Actitud positiva y sentido de control fue la peor puntuada, con una media de 3,4 ± 0,5. Se encontró una relación inversa y débil entre el nivel de empoderamiento y la edad (rho¿=¿-0,240; p¿=¿0,000) y una relación débil y positiva con la supervivencia a los 10 años (rho¿=¿0,316; p¿=¿0,01). Conclusión. El nivel de empoderamiento de los pacientes de este estudio fue medio-alto. Las estrategias para abordar la atención de esta población deberían centrarse en trabajar su actitud respecto a la enfermedad y percepción de control de la situación e individualizarse conforme a la edad.
  • Autores: Rebolledo de la Calle, Marta (Autor de correspondencia); González Luis, Hildegart; Olza Moreno, Inés
    Revista: INTERFACE - COMUNICAÇÃO, SAUDE, EDUCAÇÃO
    ISSN: 1807-5762 Vol.25 2021 págs. e200606
    Resumen
    This study is an analysis on the Spanish media coverage of the Covid-19 crisis and the role of information on health and healthcare professionals within it. We studied the treatment given to healthcare sources and topics in news broadcasts released by Radiotelevisión Española (RTVE) between December 31, 2019, and June 8, 2020. To this end, we conducted a quantitative content analysis on 452 news items from 21 news broadcasts. The results showed that debates on political issues were the main topics and politicians were the main sources, in the broadcasts analyzed, ahead of health issues and healthcare professionals. Our study thus confirms the lack of visibility of healthcare professionals in the television news coverage of the Covid-19 crisis in Spain.
  • Autores: Lizarraga-Cía, A.; Vázquez Calatayud, Mónica (Autor de correspondencia)
    Revista: GEROKOMOS
    ISSN: 1134-928X Vol.32 N° 3 2021 págs. 172 - 177
    Resumen
    Presentación del caso: Paciente de 76 años residente en un centro geriátrico, con Alzheimer en fase moderada, que manifiesta agitación y estrés ante una situación incómoda. Ante la aparición de estos cambios conductuales, tanto la enfermera a su cuidado como la familia desconocen cómo actuar. Objetivos: Identificar, con base en la literatura científica, las intervenciones de enfermería más efectivas para manejar y prevenir cambios conductuales en una persona con Alzheimer en fase moderada y valorar la integración familiar en dichas estrategias de cuidado. Revisión bibliográfica: Se realizó una búsqueda bibliográfica en las bases de datos CINAHL y PubMed, seleccionándose 7 artículos. Resultados: Se han identificado cuatro tipos de intervenciones de enfermería para el manejo y prevención de cambios conductuales: sensitivas, ambientales, físicas y psicoemocionales. Existen escasas intervenciones desarrolladas en centros geriátricos que integren a la familia en el cuidado de los pacientes. Conclusión: La ejecución de las intervenciones de enfermería seleccionadas podrá favorecer una mejoría tanto en el manejo como en la prevención de los cambios conductuales. La realización de dichas actividades por parte de la unidad familiar incrementa los efectos positivos en la familia, la residente y en el equipo de enfermería. Sin embargo, se precisa un número mayor de estudios que integren a la familia para poder generalizar los resultados.
  • Autores: Vázquez Calatayud, Mónica (Autor de correspondencia); Alonso Fernandez, S.
    Revista: ENFERMERIA INTENSIVA
    ISSN: 1130-2399 Vol.31 N° 3 2020 págs. 154 - 156
  • Autores: Pérez Paloma, Patricia; González Urmeneta, Itziar; Roda Casado, Cristina; et al.
    Revista: ANALES DEL SISTEMA SANITARIO DE NAVARRA
    ISSN: 1137-6627 Vol.43 N° 3 2020 págs. 393 - 403
    Resumen
    El empoderamiento del paciente con insuficiencia cardiaca crónica es clave para mejorar su calidad de vida, autonomía, autoestima, nivel de satisfacción y los costes sanitarios. Sin embargo, las estrategias diseñadas para educar y cambiar su comportamiento no siempre tienen en cuenta a los pacientes como parte activa de su proceso. El objetivo de esta revisión sistemática fue identificar cuáles son las intervenciones de enfermería más efectivas para favorecer el empoderamiento del paciente con insuficiencia cardiaca crónica en el medio hospitalario. Para ello, se realizó una búsqueda en las principales bases de datos: CINAHL, Scopus, PhyINFO, PubMed y en revistas especializadas, seleccionándose ocho artículos para revisión, de los que cuatro fueron experimentales, dos cuasi-experimentales y dos revisiones sistemáticas. Del análisis de estos estudios se identificaron 3 tipos de intervenciones para empoderar a este tipo de paciente en este contexto: educativas, cognitivo-comportamentales y combinadas, siendo estas últimas las más efectivas. Los resultados de esta revisión también revelaron la caracterización de estas intervenciones, enfatizando su carácter holístico e individualizado. Por último, se aboga por el uso del Empowerment Questionnaire como un instrumento válido y fiable para medir el empoderamiento del paciente crónico hospitalizado. Esta revisión pone de manifiesto la escasez de estudios sobre esta temática, por lo que se recomiendan futuras investigaciones
  • Autores: Olano Lizarraga, Maddi; Zaragoza Salcedo, Amparo (Autor de correspondencia); Martín Martín, Jesús; et al.
    Revista: JOURNAL OF ADVANCED NURSING
    ISSN: 0309-2402 Vol.76 N° 1 2020 págs. 275 - 286
    Resumen
    Aim To explore the perception of normality in life experienced by patients with chronic heart failure. Design A hermeneutic phenomenological study was conducted. Methods Individual conversational interviews were held with 20 outpatients with chronic heart failure between March 2014-July 2015. Van Manen's phenomenology of practice method was used for data analysis. Results From the analysis, four main themes emerged: (a) Accepting my new situation; (b) Experiencing satisfaction with life; (c) Continuing with my family, social and work roles; and (d) Hiding my illness from others. Conclusions The present study makes a novel contribution to understanding the importance of the perception of normality in the lives of patients with chronic heart failure. It was found that patients need to incorporate this health experience into their lives and reach a 'new normal', thus achieving well-being. Several factors were identified that can help promote this perception in their lives; therefore, nursing interventions should be designed to help develop scenarios encouraging this normalization process. Impact Although the implications of having a sense of normality or experiencing 'normalization' of the illness process in life have been studied in other chronic patient populations, no studies to date have examined how patients with chronic heart failure experience this phenomenon in their lives. For the first time, the results of this research prove that the perception of normality is a key aspect in the experience of living with chronic heart failure.
  • Autores: Choperena Armendáriz, Ana; Pardavila Belio, Idoia; Errasti Ibarrondo, María Begoña (Autor de correspondencia); et al.
    Revista: NURSE EDUCATION TODAY
    ISSN: 0260-6917 Vol.87 2020 págs. 104360
    Resumen
    Background: Clinical narratives may be used as a means to improve the acquisition of clinical competences. Even though there are studies that recognize the potential value of clinical narratives to promote nursing professional development, there is no evidence that shows their value as a tool to improve nurses' competences to provide person-centred nursing care. Purpose: To evaluate the preliminary efficacy of narratives for the development of three nursing professional competences -respect, intentional presence and knowing the person- for providing person-centred care. Method: Using a pre-post quasi-experimental design, a pilot study with a total of 34 nurses enrolled in a training course of nursing specialization was conducted between September 2016 and June 2017. All the nurses received a multi-component intervention based on the Critical Reflective Inquiry model. The strategies of this programme consisted of writing three narratives, attending two masterclasses, participating in a discussion group, and participating in a face-to-face interview. The NarratUN Evaluation tool was used to assess the outcomes. Changes among nurses were analysed using the Wilcoxon signed Rank test. Results: The difference in the means between the pre- and post-intervention scores were statistically significant for respect [0.59 (95% CI 0.23-0.95; p = 0.001)], intentional presence [0.75 (95% CI 0.32-1.17; p < 0.0001)] and knowing the person [0.62 (95% CI 0.25-0.99; p = 0.001)]. The difference in the mean score for use of the narrative and reflection also increased significantly [0.65 (95% CI 0.32-0.98, p < 0.001)]. Conclusions: The use of narratives combined with other reflective strategies (masterclass sessions and discussion groups) proved to be effective for the development of professional competences of nurses.
  • Autores: Pereira Sánchez, Miriam (Autor de correspondencia); Zaragoza Salcedo, Amparo
    Revista: EVIDENTIA
    ISSN: 1697-638X Vol.17 2020 págs. e12051
    Resumen
    Objetivo principal: Conocer la evidencia existente acerca del fenómeno del conocimiento del paciente desde la perspectiva de las enfermeras. Metodología: Se ha realizado una revisión sistemática de la bibliografía, en la que se encontraron nueve estudios. Resultados principales: Tras realizar un análisis temático de los artículos seleccionados, se identificaron cuatro temas, que pueden ayudar a explicar cómo es la experiencia de las enfermeras acerca del conocimiento del paciente. Conclusión principal: Además de confirmar la relevancia y el impacto del concepto en el proceso del cuidado y en los resultados de salud del paciente, la revisión de la literatura ha permitido profundizar sobre qué conocen y cómo conocen las enfermeras, así como identificar los factores facilitadores e inhibidores de ese conocimiento los cuales están relacionados en su mayoría con el profesional de enfermería y el entorno de la práctica. Palabras clave: Conocimiento del paciente. Relación enfermera-paciente. Experiencia. Enfermería. Revisión bibliográfica.
  • Autores: Vázquez Calatayud, Mónica; Oroviogoicoechea Ortega, Cristina (Autor de correspondencia); Pittiglio, L.; et al.
    Revista: JOURNAL OF CLINICAL NURSING
    ISSN: 0962-1067 Vol.29 N° 23 - 24 2020 págs. 4806 - 4817
    Resumen
    Aim: To describe and explain nurses' protocol-based care decision-making. Background: Protocol-based care is a strategy to reduce variability in clinical practice. There are no studies looking at protocol-based care decision-making. Understand this process is key to successful implementation. Method: A multiple embedded case study was carried out. Nurses' protocol-based care decision-making was studied in three inpatient wards (medical, surgical and medical-surgical) of a university hospital in northern Spain. Data collection was performed between 2015 and 2016 including documentary analysis, non-participant observations, participant observations and interviews. Analysis of quantitative data involved descriptive statistics and qualitative data was submitted to Burnard's method of content analysis (1996). The data integration comprised the integration of the data set of each case separately and the integration of the findings resulting from the comparison of the cases. The following the thread method of data integration was used for this purpose. The SRQR guideline was used for reporting. Results: The multiple embedded case study revealed protocol-based care decision-making as a linear and variable process that depends on the context and consists of multiple interrelated elements, among which the risk perception is foremost. Conclusion: This study has allowed progress in protocol-based care decision-making characterisation. This knowledge is crucial to support the design of educational and management strategies aimed at implementing protocol-based care. Relevance to clinical practice: Strategies to promote protocol-based care should address the contexts of practice and the ability of professionals' to accurately assess the degree of risk of clinical activity. Hence, it will promote quality of care, patient safety and efficiency in healthcare cost.
  • Autores: Regaira Martínez, Elena; Vázquez Calatayud, Mónica
    Revista: INDEX DE ENFERMERIA
    ISSN: 1132-1296 Vol.29 N° 4 2020 págs. e12805
    Resumen
    Objetivo: Describir el uso que hacen los profesionales de enfermería de las TIC. Metodología: Estudio descriptivo transversal, mediante encuesta auto-administrada, diseñada en base a la literatura, que mide el uso que los profesionales realizan de las TIC. Este instrumento consta de 14 preguntas cerradas y dos abiertas. Resultados: La tasa de respuesta fue del 25,7% (264/1.026). El 86% utilizaba el teléfono móvil para conectarse a internet. Las herramientas digitales menos utilizadas fueron las bases de datos electrónicas (41%) y la biblioteca virtual (27%). La edad fue un factor condicionante del nivel de conocimientos y uso de las TIC (rho=-0,413; p=0,000). Conclusiones: Este estudio ha proporcionado evidencia sobre el uso poco extendido de las TIC entre los profesionales de enfermería y su disminución conforme aumenta la edad, motivada por la falta de conocimientos y capacitación. Este conocimiento permitirá diseñar estrategias educacionales y de gestión de implantación de las TIC adecuadas.
  • Autores: Sarasa Monreal, María del Mar (Autor de correspondencia); Olano Lizarraga, Maddi
    Revista: ANALES DEL SISTEMA SANITARIO DE NAVARRA
    ISSN: 1137-6627 Vol.42 N° 3 2019 págs. 309 - 324
    Resumen
    El enfoque de los profesionales de la salud está cambiando, pasando de centrarse en la enfermedad a orientarse hacia la salud y la experiencia individual de cada persona. Sin embargo, aunque esta perspectiva se considera relevante para los pacientes trasplantados cardíacos, la atención sanitaria actual se sigue centrando en la prevención y el tratamiento de las complicaciones médicas, dejando de lado otros aspectos importantes de su vivencia. El objetivo de esta revisión sistemática de la literatura fue explorar la experiencia de vivir con un corazón trasplantado y las implicaciones vitales que esto supone. Se realizó una búsqueda en las bases de datos Pubmed, Cinahl, Scielo, Scopus, Dialnet, Cuiden y PsyINFO, y en revistas especializadas y se incluyeron 25 artículos cuyo análisis e interpretación se basó en la metodología propuesta por Dixon-Woods y col y por Evans. Los resultados se agruparon en siete categorías: repercusiones espirituales, repercusiones psicológicas, repercusiones sociales, relación con el donante y el órgano, repercusiones en el ámbito físico y calidad de vida, estrategias de afrontamiento, y sentimientos hacia los profesionales. Los resultados confirman la necesidad de que haya un cambio en la atención que se presta a las personas trasplantadas cardíacas. Se ha visto que aunque el trasplante mejora la calidad y la cantidad de vida, tiene múltiples repercusiones psicosociales que afectan al bienestar y al día a día de estos pacientes.
  • Autores: Wilson, D. M. (Autor de correspondencia); Errasti Ibarrondo, María Begoña; Low, G.
    Revista: AGEING RESEARCH REVIEWS
    ISSN: 1568-1637 Vol.51 2019 págs. 78 - 84
    Resumen
    Population ageing is escalating rapidly now worldwide. This is an important time to determine if ageism or discrimination against older people is of concern, such as it being prevalent and/or increasing in prevalence. Over the years, many ageism measurement tools have been developed, with research findings from their use of prime consideration then for determining the prevalence of ageism and any prevalence trends. All print and open access English-language research articles published in 1953+ that used one or more ageism measurement tools in a study were sought using the Directory of Open Access Journals and EBSCO Discovery Service. A total of 25 ageism measurement tools were identified. However, only six had been used one or more times to measure the prevalence of ageism. The identified prevalence levels varied considerably, but most investigations using small convenience samples, with limited generalizability of findings. This paper highlights the need to continue developing ageism measurement tools to estimate ageism or use other measures, such as census and population representative polling, to assess the extent and impact of ageism. This foundational measurement is needed, as ageism could be prevalent and growing in effect.
  • Autores: Jiménez Sádaba, A. M.; Olano Lizarraga, Maddi; Jiménez Navascués, L. M.
    Revista: EVIDENTIA
    ISSN: 1697-638X Vol.16 N° e11351 2019 págs. 1 - 5
    Resumen
    Objetivo principal: Identificar las necesidades que presentan los pacientes con dolor crónico, cómo repercute en su vida y determinar terapias que contribuyen a mejorar el control del dolor. Metodología: Presentación de un caso, mujer de 81 años con úlcera venosa asociada a dolor crónico que afecta a su bienestar. Se realizó una revisión bibliográfica en las bases de datos Pubmed, Cinhal, Cuiden y Dialnet llegando a la inclusión de 11 artículos para su análisis. Resultados principales: Los pacientes con dolor crónico ven alteradas sus necesidades físicas, psicológicas y sociales. Se identifican factores que influyen positiva y negativamente en la experiencia con la enfermedad. Se comprueba la existencia de diversas terapias no farmacológicas eficaces en el control de los síntomas. Conclusión principal: El dolor crónico es una enfermedad que afecta de forma holística a la persona y que podría ser abordado con terapias complementarias a la farmacológica.
  • Autores: de Juan Pardo, María Ángeles; Saracíbar Razquin, María Isabel; Crespo, I.; et al.
    Revista: REVISTA CLINICA ESPAÑOLA
    ISSN: 0014-2565 Vol.218 N° 8 2018 págs. 435 - 444
    Resumen
    Background and objective Pain assessment in individuals with advanced dementia and communication problems continue to be underdiagnosed and undertreated due to the difficulty in performing this assessment. This review explores and synthesizes how pain in individuals with advanced dementia and communication problems are being assessed in the context of Spanish healthcare. Materials and methods A systematic review of the literature was conducted following the PRISMA criteria. We reviewed the databases of PubMed, Web of Science, Cinahl, Scopus, Dialnet and Cuitatge up to December 2017. Four independent reviewers identified studies that included instruments to assess pain in individuals with dementia and communication problems in the Spanish healthcare context. We performed a narrative synthesis of the included articles. Results After applying the inclusion criteria, 10 studies were included. Of these, 4 were methodological studies validating Spanish versions of scales (Abbey, Algoplus, Doloplus and PAINAD-Sp), and 1 was on the development of the original EDAD scale. We also identified 3 studies conducted in Spain that used a translation of the PAINAD, 1 study that used a Spanish translation of Doloplus2 and 1 publication that included the use in Spain of a scale not validated for this patient profile (Pain-VAS). Conclusions There are currently several instruments validated in Spanish to assess pain in individuals with advanced dementia and communication problems (Abbey, Algoplus, Doloplus y PAINAD-Sp). However, these instruments have still not been widely used in research, and their psychometric properties could be improved.
  • Autores: de Juan Pardo, María Ángeles (Autor de correspondencia); Saracíbar Razquin, María Isabel; Crespo, I. ; et al.
    Revista: REVISTA CLINICA ESPAÑOLA
    ISSN: 0014-2565 Vol.218 N° 8 2018 págs. 435 - 444
    Resumen
    Background and objective: Pain assessment in individuals with advanced dementia and communication problems continue to be underdiagnosed and undertreated due to the difficulty in performing this assessment. This review explores and synthesises how pain in individuals with advanced dementia and communication problems are being assessed in the context of Spanish healthcare. Materials and methods: A systematic review of the literature was conducted following the PRISMA criteria. We reviewed the databases of PubMed, Web of Science, Cinahl, Scopus, Dialnet and Cuitatge up to December 2017. Four independent reviewers identified studies that included instruments to assess pain in individuals with dementia and communication problems in the Spanish healthcare context. We performed a narrative synthesis of the included articles. Results: After applying the inclusion criteria, 10 studies were included. Of these, 4 were methodological studies validating Spanish versions of scales (Abbey, Algoplus, Doloplus and PAINAD-Sp), and 1 was on the development of the original EDAD scale. We also identified 3 studies conducted in Spain that used a translation of the PAINAD, 1 study that used a Spanish translation of Doloplus2 and 1 publication that included the use in Spain of a scale not validated for this patient profile (Pain-VAS). Conclusions: There are currently several instruments validated in Spanish to assess pain in individuals with advanced dementia and communication problems (Abbey, Algoplus, Doloplus y PAINAD-Sp). However, these instruments have still not been widely used in research, and their psychometric properties could be improved. (C) 2018 Elsevier Espana, S.L.U. and Sociedad Espanola de Medicina Interna (SEMI). All rights reserved.
  • Autores: Wilson, D. M. (Autor de correspondencia); Shen, Y.; Errasti Ibarrondo, María Begoña; et al.
    Revista: SOCIETIES
    ISSN: 2075-4698 Vol.8 N° 4 2018 págs. 112
    Resumen
    Background: Concern has existed for many years about the extensive use of hospitals by dying persons. In recent years, however, a potential shift out of hospital has been noticed in a number of developed countries, including Canada. In Canada, where high hospital occupancy rates and corresponding long waits and waitlists for hospital care are major socio-political issues, it is important to know if this shift has continued or if hospitalized death and dying remains predominant across Canada. Methods: Recent individual-anonymous population-level inpatient Canadian hospital data were analyzed to answer two questions: (1) what proportion of deaths in provinces and territories across Canada are occurring in hospital now? and (2) who is dying in hospital now? Results: In 2014-2015, 43.9% of all deaths in Canada (excluding Quebec) occurred in hospital. However, considerable cross-Canada differences in end-of-life hospital utilization were found. Some cross-Canada differences in hospital decedents were also noted, although most were older, male, and they died during a relatively short hospital stay after being admitted from their homes and through the emergency department after arriving by ambulance. Conclusion: Over half of all deaths in Canada are occurring outside of hospital now. Cross-Canada hospital utilization and inpatient decedent differences highlight opportunities for enhanced end-of-life care service planning and policy advancements.
  • Autores: Álvarez Lerma, Francisco (Autor de correspondencia); Palomar Martínez, Mercedes; Sánchez García, Miguel; et al.
    Revista: CRITICAL CARE MEDICINE
    ISSN: 0090-3493 Vol.46 N° 2 2018 págs. 181-188
    Resumen
    Implementation of the bundle measures included in the "Pneumonia Zero" project resulted in a significant reduction of more than 50% of the incidence of ventilator-associated pneumonia in Spanish ICUs. This reduction was sustained 21 months after implementation.
  • Autores: Rumeu Casares, María del Carmen; Oroviogoicoechea Ortega, Cristina; Jones, D. A.; et al.
    Revista: TESELA
    ISSN: 1887-2255 Vol.22 2018
    Resumen
    Es preciso desarrollar entornos de la práctica que permitan realizar un trabajo de enfermería acorde a sus objetivos y capacitación, y a las necesidades de salud de las personas/familias. Las organizaciones están desarrollando modelos de práctica profesional de enfermería (MPPE), para empoderar a sus enfermeras y mejorar la calidad de sus intervenciones. Se presenta el MPPE de la Clínica Universidad de Navarra. Su estructura y valores están basados en el Modelo de relación interpersonal entre la enfermera y la persona/familia cuidada, obtenido de la investigación. Además, se han identificado y definido las características del entorno de la práctica profesional enfermera. La implicación más importante de su definición y desarrollo tiene que ser la mejora de la práctica de enfermería y de la relación que las enfermeras establecen con la persona/familia. Este hecho está asociado con una satisfacción de las enfermeras y de las personas/familia y de los resultados obtenidos.
  • Autores: Rumeu Casares, María del Carmen; Llácer, T.
    Libro: Mentoring in nursing through narrative stories across the world
    ISSN: 9783031252037 2023 págs. 581 - 588
    Resumen
    Globally, the profession of nursing underwent major changes in the twentieth century. Many of these changes pertain to the way in which the nursing profession should be viewed and the manner in which clinical practice should be defined and studied. Redefining roles and competencies and sharing the outcomes of practice internationally can reshape the vision of our profession. This vision appears to be transformative for patients¿ lives and healthcare settings, as has become apparent during the COVID pandemic. To pursue this aim of attaining clarity regarding the foundations of our profession, it is very helpful to identify a professional practice model in each environment of practice, which can allow us to establish clear goals for nurses and clarify the scope of practice that is expected and aligned with the mission, vision, and values of each healthcare environment. The development of new healthcare professionals requires a clear conception of nursing. At Clinica Universidad de Navarra, we found the Nursing Professional Practice Model useful when aligning novice nurses with the vision, mission, and values that we wanted to translate to the new setting. This chapter discusses the ways in which a newly hired chief nurse officer was mentored by the chief nurse executive of the hospital with respect to translating the NPPM into a new setting and the effectiveness of this framework with regard to understanding the context of nursing practice at our hospital.
  • Autores: Hernández Leal, María José
    Libro: Dones economistes: dels inicis de la ciència econòmica a l'actualitat
    ISSN: 978-84-1365-052-4 2023 págs. 65 - 68
  • Autores: Hernández Leal, María José
    Libro: Dones economistes: Dels inicis de la ciència econòmica a l'actualitat
    ISSN: 978-84-1365-052-4 2023 págs. 73 - 76
  • Autores: Muro Sans, J.; González, L.; La Rosa Salas, Virginia
    Libro: Nursing and Informatics for the 21st Century-Embracing a Digital World, 3rd Edition Book 2-Nurisng Education and Digital Health Strategies
    ISSN: 9781003281009 2022 págs. 183 - 200
    Resumen
    New innovative methodologies in simulation are transforming healthcare education while promoting patient safety and improving outcomes. The decision to use simulation to achieve certain outcomes is based on a needs assessment, specific learning objectives and KSA (Knowledge, Skills and Attitudes). The Standards of Best Practice¿ developed by INACSL guide the development of simulation-based experiences. This work is the first to offer recommendations on how to use simulation as an effective educational tool based on current evidence and best practice. This association along with the Association for Simulated Practice in Healthcare (ASPiH) emphasizes the role of debriefing as an essential component of the simulation methodology. Additionally, the preparation of the simulation-based experience requires defined learning objectives in addition to a quality prebrief. Moving forward, we will witness the inclusion of more virtual, augmented reality simulations to augment traditional clinicals.

Proyectos desde 2018

  • Título: Traducción, adaptación cultural y validación de la escala Person-Centred Practice Inventory-Staff (PCPI-S) y la escala Centred practice inventory-student (PCPI-ST)
    Código de expediente: PI20/01644
    Investigador principal: ANA CARVAJAL VALCARCEL.
    Financiador: INSTITUTO DE SALUD CARLOS III
    Convocatoria: 2020 AES Proyectos de investigación
    Fecha de inicio: 01-01-2021
    Fecha fin: 31-12-2024
    Importe concedido: 58.080,00€
    Otros fondos: Fondos FEDER
  • Título: Diseño y validación del instrumento UNAV-ENF-Conocer el significado que tiene para la persona vivir con una Insuficiencia Cardíaca Crónica
    Código de expediente: PI17/00195
    Investigador principal: MARIA ISABEL SARACIBAR RAZQUIN, MARIA ISABEL SARACIBAR RAZQUIN, MADDI OLANO LIZARRAGA.
    Financiador: INSTITUTO DE SALUD CARLOS III
    Convocatoria: AES2017 PROYECTOS DE INVESTIGACIÓN
    Fecha de inicio: 01-01-2018
    Fecha fin: 30-05-2022
    Importe concedido: 12.551,33€
    Otros fondos: Fondos FEDER
  • Título: A+ (Adolescencia en positivo)
    Investigador principal: MAIDER BELINTXON MARTIN
    Financiador: UNIVERSIDAD DE NAVARRA
    Convocatoria: 2020 Convocatoria PIUNA, 2021 Convocatoria PIUNA
    Fecha de inicio: 01-09-2020
    Fecha fin: 31-08-2022
    Importe concedido: 14.200,00€