Nuestros investigadores

María Isabel Saracíbar Razquin

Líneas de investigación
ÁREA DE INVESTIGACIÓN: GRUPO DE INVESTIGACIÓN: INNOVACIÓN PARA UN CUIDADO CENTRADO EN LA PERSONA

Publicaciones científicas más recientes (desde 2010)

Autores: Olano-Lizarraga, Maddi; Zaragoza-Salcedo A, (Autor de correspondencia); Martín, J; et al.
Revista: JOURNAL OF ADVANCED NURSING
ISSN 1365-2648  Vol. 76  Nº 1  2020  págs. 275 - 286
Abstract 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 norma
Autores: Saracíbar-Razquin, M; Crespo, I. ; et al.
Revista: REVISTA CLINICA ESPAÑOLA
ISSN 0014-2565  Vol. 218  Nº 8  2018  págs. 435 - 444
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: Saracíbar-Razquin, M; Crespo, I.; et al.
Revista: REVISTA CLINICA ESPAÑOLA
ISSN 0014-2565  Vol. 218  Nº 8  2018  págs. 435 - 444
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: Vázquez-Calatayud, Mónica; Oroviogoicoechea, Cristina; Saracíbar-Razquin, M; et al.
Revista: CONTEMPORARY NURSE
ISSN 1037-6178  Vol. 53  Nº 2  2017  págs. 217 - 234
Although the concept of Transforming care' is promising for improving health care, there is no consensus in the field as to its definition. The aim of this concept analysis is to develop a deeper understanding of the term Transforming care' within the nursing discipline, in order to facilitate its comprehension, implementation, and evaluation. We performed a comprehensive literature review on electronic databases such as Medline (PubMed), Cinahl (Ebsco), Cochrane Library, PsycINFO (Ovid), Web of Science, Wiley-Blackwell, ScienceDirect, and SpringerLink and used Walker and Avant's approach to analyse the concept. From the 20 studies selected for this analysis, 3 main attributes of Transforming care' were identified: patient-centredness, evidence-based change, and transformational leadership driven. We suggest an operational definition to facilitate the implementation of the concept in practice. Furthermore, we propose that implementation is guided by the following key ideas: (1) fostering a culture of continuous improvement; (2) encouraging bottom-up initiatives; (3) promoting patient-centred care; and (4) using transformational leadership. Lastly, the evaluation of Transforming care' initiatives should assess care processes and professionals' and patients' outcomes.
Autores: Saracíbar-Razquin, M; Oroviogoicoechea, Cristina; Martin, J. M.; et al.
Revista: EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING
ISSN 1474-5151  Vol. 16  Nº 1 suppl  2017  págs. S67 - S68
Autores: Martín, J, (Autor de correspondencia); Olano-Lizarraga, Maddi; Saracíbar-Razquin, M;
Revista: INTERNATIONAL JOURNAL OF NURSING STUDIES
ISSN 0020-7489  Vol. 64  2016  págs. 1 - 12
Introduction: One of the key aspects of the care of terminal patients is care delivered in their own home. Increasingly, the process of dying is moving from hospitals to homes. Although this process is directly related to the support of the social health environment, the involvement of family caregivers is essential. Given the impact that caring for a terminally ill family member has on people's lives, it is necessary to comprehend their personal experience in a holistic way. Objective: To reveal the experience of family caregivers who are caring for a terminal patient in their home. Design: A qualitative systematic review of articles published from 2000 to 2015 was conducted between March and September of 2015. The following databases were consulted: CINAHL, PubMed, PsycINFO, Cochrane Library, SciELO and Dialnet. After applying the selection criteria, 12 relevant studies were identified. Subsequently, two of the reviewers jointly performed a qualitative content analysis of them. Results: The analysis permitted the caregivers' experiences to be grouped into five themes: 1) Learning the diagnosis: uncertainty about the future and the prospects of death; 2) Feeling the physical and emotional burden of care; 3) Experiencing a limited life; 4) Redefining the relationship with the person being cared for; and 5) Valuing the importance of the support of the environment. Conclusions: This review shows that caring for a family member with advanced illness in the home has a great impac
Autores: García, Noelia; Carvajal Valcarcel, A; Saracíbar-Razquin, M; et al.
Revista: EUROPEAN JOURNAL OF CANCER CARE
ISSN 0961-5423  Vol. 25  Nº 4  2016  págs. 551 - 569
The aim of the study was to understand the experience of people living with advanced-stage cancer through literature. The search included The Cochrane Library, PubMed, PsycInfo, CINAHL and Cuiden. Thirteen studies were included. A qualitative meta-synthesis was conducted. One thread emerged from the thematic synthesis: the desire to live as normally as possible, despite being aware of the proximity of death. Three themes also emerged: "a process that is unique" with its four sub-themes; "support network" and "health context," each of them having two sub-themes. This study concludes that living with advanced-stage cancer is a unique and complex process which has both positive and negative aspects. The review provides a comprehensive view of the experience, which considers the importance of the support network and the health context in which the person lives. In this study, "normalcy" is the adjustment to the new reality and living as closely as possible to the way one lived before the disease, while developing a new relationship with being finite and death. A better understanding of the experience of living with advanced-stage cancer will help health professionals to identify the needs of the patients in order to plan individual, high-quality care.
Autores: Olano-Lizarraga, Maddi; Oroviogoicoechea, Cristina; Errasti-Ibarrondo, B; et al.
Revista: JOURNAL OF CLINICAL NURSING
ISSN 0962-1067  Vol. 25  Nº 17-18  2016  págs. 2413 - 2429
AIMS AND OBJECTIVES: To determine, from a systematic literature review, the experience of living with heart failure and to propose some practice guidelines and research questions. BACKGROUND: Chronic heart failure has been one of the fastest growing illnesses in recent decades, with almost 23 million people affected worldwide. This complex syndrome has multiple causes and appears when underlying heart disease is advanced. Currently, heart failure has no cure and leads to a significant deterioration in patients' quality of life. DESIGN: Qualitative meta-synthesis. METHODS: A qualitative meta-synthesis was conducted to extract and analyse qualitative research from the Cochrane, PubMed, CINAHL, PsycINFO, Web of Science and Cuiden databases. Snowball sampling and a manual search were performed to identify other relevant studies. RESULTS: Twenty-five qualitative studies were selected. The findings indicate that there are three main themes that describe the phenomenon. The first theme refers to the experiences related to the beginning of the process. The second theme is connected with the effects on the person: physical, emotional, social and spiritual changes. The third theme is linked with how to live with heart failure despite the illness, including the adjustment and coping process and how external resources can help them to manage. CONCLUSIONS: Heart failure has a major impact on the entire person, but some areas have not been addressed. By creating new tools to underst [...]
Autores: Olano-Lizarraga, Maddi; et al.
Revista: EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING
ISSN 1474-5151  Vol. 15  Nº Supl 1  2016  págs. S22 - S23
Background: Chronic heart failure (HF) is a complex syndrome that causes progressive deterioration in the state of health and has a large impact on the well-being and lives of patients. The continually changing circumstances and vital threat that accompanies HF results in some patients having the need to attain hope, an important aspect that will help them to carry on with their lives.
Autores: Olano-Lizarraga, Maddi; et al.
Revista: EUROPEAN JOURNAL OF HEART FAILURE
ISSN 1879-0844  Vol. 17  Nº Supl 1  2015  págs. 395
Autores: Olano-Lizarraga, Maddi; et al.
Revista: REVISTA ESPAÑOLA DE CARDIOLOGIA
ISSN 0300-8932  Vol. 67  Nº Supl 1  2014  págs. 272
Autores: Arantzamendi, María; Addington-Hall, J.; Saracíbar-Razquin, M; et al.
Revista: INTERNATIONAL JOURNAL OF PALLIATIVE NURSING
ISSN 1357-6321  Vol. 18  Nº 12  2012  págs. 597-605
ICS Objective: To describe Spanish nurses' preparedness to care for hospitalised terminally ill patients and how this translates into care delivery. Methods: An exploratory, sequential mixed methods study with two stages. Stage I used unstructured observations of 22 hospital nurses over 235 hours to understand their daily reality, followed by semi-structured interviews with 21 nurses to elicit their perspectives. Stage 2 was a regional survey (65% response rate) concerned with hospital nurses' opinions of caring for terminally ill patients and their perceived competence. Results: The nurses felt competent to provide physical but not emotional care for terminally ill patients. They reported that care could be improved, particularly through providing more emotional care. This coincided with an observed focus on physical care. The nurses reported a lack of support in caring for terminally ill patients and wanted more education on emotional issues and dealing with their own feelings. Conclusion: There is a need for an integrative approach in Spain that combines an educational programme with a supportive environment, focusing on developing nurses' competence to deliver emotional care and deal with their own feelings. Promoting a supportive environment might enable nurses to change their behaviour when caring for terminally ill patients and deal with patients' emotional as well as physical needs.
Autores: Corchón, Silvia; Portillo, María Carmen; Watson, R.; et al.
Revista: JOURNAL OF CLINICAL NURSING
ISSN 0962-1067  Vol. 20  Nº 17-18  2011  págs. 2479-2489
Keywords: evaluation research; intervention; nursing research; quasi experiment; research capacity; research culture Aims and objectives.¿ To evaluate a contextually framed intervention to increase nursing research capacity among clinical nurses in a Spanish hospital. Background.¿ In Spain, there has been a paucity of nursing research and a lack of nursing research culture. Currently, with the European Convergence of educational programmes and qualifications, there is a growing interest in promoting nursing research in this country. Design.¿ A quasi-experimental design. Methods.¿ Using a control (n = 81) and an intervention group (n = 89) of nurses, pre- and postintervention data were collected from both groups to evaluate the impact of the intervention at three times. The intervention, implemented over one year, consisted of the establishment of a mentors¿ network and an educational programme with research courses and journal clubs. Data collection methods included questionnaires, objective tests and scales. Results.¿ The nursing research capacity of the hospital developed moderately after the intervention, with an increase in participants¿ research capability (knowledge, skills and attitudes) and a decrease in some of the inhibiting factors identified in the context. Conclusions.¿ A new comprehensive and contextually framed intervention to develop nursing research capacity has been designed, implemented and evaluated in a hospital. It contributed to the development of the nursing research culture in the context. Relevance to clinical practice.¿ An increase in nursing research activity could improve the quality of nursing care through the incorporation of research evidence in practice. This intervention could be used as a model in other hospitals, and it should be evaluated in other contexts.
Autores: Corchón, Silvia; Watson, R.; Arantzamendi, María; et al.
Revista: Journal of Clinical Nursing
ISSN 0962-1067  Vol. 19  Nº 1-2  2010  págs. 217 - 226
Autores: Garcia-Vivar, C; Canga-Armayor, A.; Lopez-Dicastillo, O; et al.
Libro:  Libro de Actas IX Jornadas de Profesorado de Centros Universitarios de Enfermería ¿La Investigación en Enfermería¿. Conferencia nacional de decanos y decanas de enfermería
2016  págs. 42 - 50
Introduction. The new university demands require redefining the management model of nursing research in order to consolidate its quality and socio-health impact. Aim. To present the strategies used in the implementation of a management model for the development of nursing research at the University of Navarra (UN). Methodology. The four phases of Marchette (the simulation, the individualistic, the unified and the balanced phases) are the framework to present the management model implemented by the UN to foster research in Nursing. Results. The following strategies are described: organizing conferences and meetings on research; research investment in teacher training; approval of the research areas as organizational structures for the development of nursing knowledge; creation of the Chair Maria Egea for research; implementation of the Research Strategic Plan 2013-2018; approval of the Doctoral Program in Nursing Science. Conclusions. There is a need to adopt and adapt new management structures that encourage disciplinary knowledge, the development of competitive research teams, interdisciplinary research, teamwork, and training of new researchers. Also, these structures must respond to new health and social demands, and promote clinical nursing practice of excellence.

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