Nuestros investigadores

Idoia Pardavila Belio

Enfermería Comunitaria y Materno-Infantil
Facultad de Enfermería. Universidad de Navarra
Líneas de investigación
Promoción de la Salud

Publicaciones científicas más recientes (desde 2010)

Autores: Alfaro Díaz, Cristina; Esandi Larramendi, Nuria (Autor de correspondencia); Canga Armayor, Navidad; et al.
ISSN 1074-8407  Vol. 26  Nº 3  2020  págs. 240 - 253
The beliefs of nursing professionals who care for families experiencing illness are fundamental to the quality of the nurse-family relationship and the level of the nurse's involvement in the therapeutic process of Family Systems Nursing. It is essential to have valid and reliable instruments for assessing nurses' illness beliefs, especially in the Spanish context where no instruments have been identified to date. The Iceland Health Care Practitioner Illness Beliefs Questionnaire (ICE-HCP-IBQ) is a reliable and valid measure of professionals' beliefs about their understanding of the meaning of the illness experience of families. The purpose of this study was to adapt and psychometrically test the Spanish version of the ICE-HCP-IBQ (N= 249 nurses). The exploratory factor analysis showed one-factor solution with good internal consistency (Cronbach's alpha = .91) and test-retest reliability (r= .72,p< .01). This questionnaire is a promising tool for mapping nurse's illness beliefs and monitoring the effectiveness of family nursing educational interventions in the Spanish context.
Autores: Choperena Armendáriz, Ana; Pardavila Belio, Idoia; Errasti Ibarrondo, María Begoña (Autor de correspondencia); et al.
ISSN 0260-6917  Vol. 87  2020  págs. 104360
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: Pardavila Belio, Idoia; Ruiz-Canela, Miguel (Autor de correspondencia); Canga Armayor, Navidad
ISSN 1389-4986  Vol. 20  Nº 5  2019  págs. 765 - 775
An effective strategy to quit smoking should consider demographic aspects, smoking-related characteristics and psychological factors. This study examined potential predictors of smoking cessation in Spanish college students. A total of 255 college student smokers (18¿24 years old), recruited to a cessation trial (Spain, 2013¿2014), comprised an observational cohort. The main outcome was biochemically verified (urine cotinine) abstinence at the 6-month follow-up. Baseline potential predictors included socio-demographic, smoking-related and psychological variables (Fagerström Test for Nicotine Dependence (FTND), expired monoxide level (CO), intention to quit, previous quit attempts, participation in previous multicomponent programmes and confidence in quitting). Logistic regression models were used to identify potential predictors, the area under the ROC curve (AUC) was used to discriminate the capacity of the predictors and the Hosmer¿Lemeshow goodness-of-fit test was used to assess model calibration. After 6 months of follow-up, variables related to high nicotine dependence, FTND and expired CO levels were associated with lower odds of quitting smoking (OR¿=¿0.69 [95% CI 0.54¿0.89] and 0.84 [0.77¿0.92], respectively). Furthermore, being prepared to change (OR¿=¿3.98 [1.49¿10.64], p¿=¿0.006) and being confident to quit (OR¿=¿4.73 [2.12¿10.55], p¿<¿0.001) were also potential predictors of smoking cessation. The model that combined all these variables had the best predictive validity (AUC¿=¿0.84 [0.78¿0.91], p¿=¿0.693) and showed good predictive capacity (¿2¿=¿10.36, p¿=¿0.241). Findings highlight that, in this population of college student smokers, having a lower level of nicotine dependence, being prepared to quit and having the confidence in the ability to quit were associated with smoking cessation, and these factors had good predictive capacity.
Autores: Pardavila Belio, Idoia; Canga Armayor, Ana; Duaso Ansó, María José; et al.
ISSN 1869-6716  Vol. 9  Nº 1  2019  págs. 58 - 66
Background: Although beliefs, self-efficacy and intention to quit have been identified as proximal predictors of initiation or quitting in young adults, few studies have studied how these variables change after a smoking cessation intervention. Purpose: To evaluate the changes in the beliefs, self-efficacy and intention to avoid smoking, and determine if these are potential mediators in quitting, following a smoking cessation intervention, aimed at tobacco-dependent college students. Design: Single-blind, pragmatic randomized controlled trial with a 6-month follow-up. Method: A total of 255 smoker students were recruited from September 2013 to February 2014. Participants were randomly assigned to intervention group (n=133) or to control group (n=122). The students in the intervention group received a multi-component intervention based on the Theory of Triadic Influence. The strategies of this program consisted of a 50-minute motivational interview conducted by a nurse and online self-help material. The follow-up included a reinforcing e-mail and group therapy. The smoking-related Self-efficacy, Belief and Intention scale was used to assess outcomes. Results: Intention to quit smoking is partial moderator explaining 36.2% of the total effects in smoking cessation incidence. At 6-month follow-up, the differences in the mean scores of self-efficacy and intention related to stopping smoking were significantly higher in the intervention than in the control group. Conclusions: A multicomponent intervention based on the Theory of Triadic Influence, tailored to college students positively increased the self-efficacy to avoid smoking, and the intention to quit, suggesting intention as potential mediator of quitting.
Autores: Pueyo Garrigues, María; Whitehead, D.; Pardavila Belio, Idoia (Autor de correspondencia); et al.
ISSN 0020-7489  Vol. 94  2019  págs. 131 - 138
OBJECTIVES: The concept of health education has traditionally focused on enabling people to change unhealthy behaviours and lifestyles. Although, at the theoretical level, there exist definitions of the concept, it remains complex and ambiguous. Furthermore, nurses often confuse the concept with other related terms, such as health information or health promotion. The aim here is to report a concept analysis of health education and elucidate a current definition. DESIGN: Rodgers' evolutionary concept analysis. DATA SOURCES: A systematic search was conducted using PubMed and CINAHL for articles written in English or Spanish, published between 1986 and 2017. A manual search was performed, and grey literature was also reviewed. A pre-determined template of study inclusion-related questions assisted the process. REVIEW METHODS: Rodgers' evolutionary method guided the narrative analysis. The attributes of health education, as well as its antecedents, consequences, related terms and contextual bases were extracted and synthesized. RESULTS: Based on the review of 31 studies on health education, the attributes are a learning process, health-oriented, multidimensional, person-centred and partnership. The antecedents are professional awareness of health education, training of health professionals, available resources, individual's willingness to act, and health as an individual's priority in life. The consequences are the increase in knowledge, skills and/or attitudes; change in health-related behaviours, individual capability and empowerment; positive health outcomes; and positive social/economic impact. The related terms are health information, patient education, counselling, health coaching and health promotion. Health education is defined as a continuous, dynamic, complex and planned teaching-learning process throughout the lifespan and in different settings that is implemented through an equitable and negotiated client and health professional 'partnership' to facilitate and empower the person to promote/initiate lifestyle-related behavioural changes that promote positive health status outcomes. Health education takes into account individuals'/groups' internal and external factors that influence their health status through potentially improving their knowledge, skills, attitudes and beliefs in relation to their health-related needs and behaviour, within a positive health paradigm. CONCLUSIONS: The theoretical definition and conceptual framework provided in this study contribute to and extend the current knowledge base among nurses and other health care providers. The findings elucidate the clinical role of health educators, enabling them to identify the realities of its practice, building a common reference point, and highlighting the main recommendations for its use at the clinical, education, policy and research interface.
Autores: Pardavila Belio, Idoia; Lizarbe Chocarro, Marta (Autor de correspondencia); Canga Armayor, Navidad
ISSN 1137-6627  Vol. 42  Nº 1  2019  págs. 41 - 47
Background. To determine attitudes towards smoking, perception of self-efficacy, and the intention of smoking cessation in college student smokers, and their variation according to the stage of the tobacco cessation process. Methods. Cross-sectional study with 255 college students (18-24 years old) smokers of >= 1 cigarette per week. Instruments used: a personal interview, Fagestrom test, transtheoretical change model, scale of Attitudes, self-efficacy and intention to quit smoking in college smokers and CO in exhaled air. Results. Sample with a majority of women (62%), average age 20.3 years, users of 9.2 cigarettes/day for 5.7 years, with mild dependence on nicotine; 69% were in the stages of pre-contemplation and contemplation. Although smoking was considered to be negative for health and the environment for more than 70%, and 96.7% had negative attitudes towards tobacco, only 45.1% were aware of the associated morbidity and mortality. More than 60% considered tobacco to be a social facilitator, thus anxiety (72.6%) and having friends who smoke (69.4%) are factors considered negative for tobacco cessation. Ninety-one percent believed that they would smoke next year, but 86% stated that they would not be a smoker within five years. One hundred percent of the subjects in pre-contemplation considered that they will smoke during the next year as opposed to 83.5% of those in the stage of preparation. Conclusion. College student smokers show positive attitudes, erroneous beliefs and a low perception of self-efficacy about smoking cessation. All students in the pre-contemplation phase do not even consider smoking cessation in the medium and long term.
Autores: López de Dicastillo Sáinz de Murieta, Olga; Canga Armayor, Navidad; Mujika Zabaleta, Agurtzane; et al.
ISSN 0213-9111  Vol. 31  Nº 3  2017  págs. 269 - 272
The World Health Organization states that health promotion is a key strategy to improve health, and it is conceived as a global process of enabling people to increase control over, and to improve, their health. Health promotion does not focus solely on empowering individuals dealing with their knowledge, attitudes and skills, but it also takes political, social, economic and environmental aspects influencing health and wellbeing into account. The complexity of applying these concepts is reflected in the five paradoxes in health promotion; these arise in between the rhetoric in health promotion and implementation. The detected paradoxes which are described herein involve the patient versus the person, the individual versus the group, disease professionals versus health professionals, disease indicators versus health indicators, and health as an expense versus health as an investment. Making these contradictions explicit can help determine why it is so complex to put the concepts related to health promotion into practice. It can also help to put forward aspects that need further work if health promotion is to put into practice. (C) 2017 SESPAS: Published by Elsevier Espaila, S.L.U.
Autores: Pueyo Garrigues, Sara; Pueyo Garrigues, María; Pardavila Belio, Idoia
ISSN 1134-928X  Vol. 26  Nº 3  2015  págs. 94 - 96
Los cuidados al final de la vida se ofrecen en una variedad de contextos en todo el mundo, incluyendo los centros residenciales. El objetivo de este trabajo es profundizar en las necesidades de la familia de un paciente terminal institucionalizado en un centro residencial. Para ello, se presenta un caso clínico que, junto con la evidencia científica, nos ayuda a determinar cuáles son las necesidades de la familia en este momento. El análisis del caso se estructura en cuatro subtemas: necesidad de contacto y comunicación entre la familia y los profesionales sanitarios, necesidad de presencia médica, necesidad de presencia enfermera y necesidades emocionales y sociales. Este trabajo evidencia la importancia de desarrollar, por parte del profesional de enfermería, un plan de identificación y atención de las necesidades familiares. Este enfoque familiar permitirá proporcionar una asistencia de mayor calidad, que derivará en una mejora de la salud de los miembros de la familia.
Autores: Pardavila Belio, Idoia; García Vivar, Cristina; Marçal Pimenta, Adriano; et al.
ISSN 0965-2140  Vol. 110  Nº 10  2015  págs. 1676-83
Autores: Mijangos-Fuentes, K. I. ; Canga Armayor, Navidad; Pardavila Belio, Idoia
ISSN 1988-3439  Vol. 20  2014 
Introducción: las necesidades de Prevención y Promoción de la Salud en los jóvenes universitarios son cada día más complejas. Por esto, es necesario adaptar los programas y las intervenciones de salud a las características de esta población. Esto podría efectuarse mediante consultas de enfermería en los campus universitarios. Objetivo: estudiar las características y el impacto de la Consulta de Enfermería en el ámbito universitario. Metodología: se realizó una revisión bibliográfica en las bases de datos de Pubmed, CINAHL, ISI Web of Knowledge y PsychINFO (Ovid). Además, se revisaron las listas de referencia de los artículos seleccionados. Resultados: tras la revisión de los artículos y la aplicación de los criterios de inclusión fueron seleccionados 26 artículos. Del análisis de los mismos se obtuvieron tres categorías: a) Factores que favorecen y/o obstaculizan el correcto funcionamiento de los servicios de salud universitarios; b) Estrategias que se desarrollan en la consulta de enfermería universitaria para un mayor impacto de los programas; c) Rol de la Enfermería en la consulta de Educación Para la Salud en la Universidad. Conclusiones: los resultados de esta revisión muestran que los programas desarrollados a través de una consulta de enfermería en el ámbito universitario, tienen un impacto positivo en la modificación de conductas y estilos de vida de los estudiantes.
Autores: García Vivar, Cristina; Pardavila Belio, Idoia; del Barrio Linares, Miriam Begoña; et al.
ISSN 0210-5020  Vol. 36  Nº 10  2013  págs. 660 - 666
A nivel internacional, se ha identificado el impacto que tiene la EPA en el sistema sanitario, reduciendo el número y la duración de las estancias hospitalarias así como consiguiendo una mayor satisfacción de los usuarios. Respecto al contexto nacional queda manifiesto el interés sobre esta temática, a pesar de que la implantación de este rol de práctica avanzada es una asignatura pendiente.
Autores: Rincón Burgui, Raquel; Jimeno San Martín, Leticia; Elorza Mateos, Jennifer; et al.
ISSN 1130-2399  Vol. 24  Nº 2  2013  págs. 89-94
Este trabajo evidencia la importancia de instaurar un plan de cuidados protocolizado para los pacientes portadores de asistencia ventricular permanente en la UCI, lo que evitaría complicaciones en el post-operatorio inmediato, reduciría los costes y el tiempo de hospitalización.
Autores: Pardavila Belio, Idoia; García Vivar, Cristina; Canga Armayor, Navidad
ISSN 0210-5020  Vol. 36  Nº 5  2013  págs. 52 - 58
Autores: Pardavila Belio, Idoia; García Vivar, Cristina
ISSN 1130-2399  Vol. 23  Nº 2  2012  págs. 51-67
Autores: Fernandez Eito, J.; Pardavila Belio, Idoia; García Vivar, Cristina
ISSN 1134-928X  Vol. 23  Nº 4  2012  págs. 162 - 168
Autores: Vázquez Calatayud, Mónica; Pardavila Belio, Idoia; Lucia Maldonado, María; et al.
ISSN 1362-1017  Vol. 16  Nº 4  2011  págs. 178-185
The observation of the patient's behaviour during the turning and the physiological changes produced allow professionals to objectify pain in critical patients with verbal communication difficulties. Moreover, our results also highlight the need to administer of additional analgesia before a painful procedure, particularly in post-surgical patients.