Revistas
Revista:
JOURNAL OF NURSING MANAGEMENT
ISSN:
0966-0429
Año:
2022
Vol.:
30
N°:
1
Págs.:
79 - 89
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.
Revista:
CLINICAL NURSE SPECIALIST
ISSN:
0887-6274
Año:
2022
Vol.:
36
N°:
6
Págs.:
317 - 326
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.
Revista:
CLINICAL NURSING RESEARCH
ISSN:
1054-7738
Año:
2021
Vol.:
30
N°:
2
Págs.:
171 - 182
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.
Revista:
NURSE EDUCATION TODAY
ISSN:
0260-6917
Año:
2020
Vol.:
87
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.
Revista:
JOURNAL OF CLINICAL NURSING
ISSN:
0962-1067
Año:
2020
Vol.:
29
N°:
23 - 24
Págs.:
4806 - 4817
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.
Revista:
JOURNAL OF ADVANCED NURSING
ISSN:
0309-2402
Año:
2019
Vol.:
75
N°:
8
Págs.:
1637 - 1647
Aim To explore the literature regarding how nursing narratives have been used to enhance reflective practice. Design Theoretical review. Data sources A literature search from 1990 - 2017 was conducted in PubMed, CINHAL and PsycINFO databases. Review methods After applying the selection criteria, 13 studies were identified. The quality of articles was evaluated. Results Three themes were identified as the main components of an ongoing narrative process based on looking back to past clinical experiences, creating spaces for dialogue and bringing the worlds of theory and practice closer together. Conclusions This review provides a forum for exploring the use of narratives to enhance reflective practice, which may lead to the acquisition of professional competences.
Revista:
TESELA
ISSN:
1887-2255
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.
Revista:
REVISTA IBEROAMERICANA DE EDUCACION
ISSN:
1022-6508
Año:
2017
Vol.:
7
N°:
1
Págs.:
21-32
Objetivo: evaluar una intervención en enfermeras de nueva incorporación dirigida a mejorar la capacidad investigadora de las profesionales de enfermería de nueva incorporación.
Métodos: estudio pre-post intervención llevado a cabo en un hospital universitario. La intervención consistió en la realización de un programa teórico-práctico de Enfermería Basada en la Evidencia (EBE) con una duración de cinco meses. Para evaluar dicha intervención se utilizó el Cuestionario Investigación Enfermería diseñado y validado en España, que mide la cultura de investigación en enfermería.
Resultados: al comparar el conocimiento de las enfermeras en investigación, entre el T0 (datos preintervención) y T2 (datos post-intervención) se han encontrado diferencias significativas tanto en la mejoría de la puntuación global (z= -4,205, p= 0,000) como en cuatro de los aspectos del conocimiento: diseño de estudios (z= -6,042, p= 0,000), análisis de datos cuantitativos (z= -3,082, p= 0,002), escribir proyectos (z= -5,149, p= 0,000), e informática (z= -2,889, p= 0,004). También existieron diferencias significativas cuando se compara el uso de la investigación en la práctica por parte de las enfermeras entre el T0 y T2 (z= -2,904, p= 0,004).
Discusión/Conclusiones: el programa de EBE tiene un impacto positivo a corto plazo sobre el conocimiento en investigación, sobre la actitud de las enfermeras hacia la investigación y sobre el uso que hacen de la investigación en la práctica.
Revista:
CONTEMPORARY NURSE
ISSN:
1037-6178
Año:
2017
Vol.:
53
N°:
2
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.
Revista:
JOURNAL OF CLINICAL NURSING
ISSN:
0962-1067
Año:
2016
Vol.:
25
N°:
17-18
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 [...]
Revista:
ENFERMERIA CLINICA
ISSN:
1130-8621
Año:
2015
Vol.:
25
N°:
5
Págs.:
239-244
Los principales factores que influyen en la infranotificación son la falta de conocimientos y de motivación de los profesionales. Para solventar estos problemas las principales intervenciones parten de la educación, la motivación y la constancia
Revista:
ANALES DEL SISTEMA SANITARIO DE NAVARRA
ISSN:
1137-6627
Año:
2015
Vol.:
38
N°:
2
Págs.:
225-234
Todos los participantes (n=40) completaron el estudio. La consistencia interna con el alpha de Cronbach fue de 0,71 y la armonía interjueces obtuvo un índice de Kappa moderado y bueno en la mayoría de los ítems (k=0,4-0,81) excepto en ¿lengua y encía¿ (k=0,33-0,37). La validez concurrente con la escala de la mucositis dela OMS fue aceptable (r=0,458). Todas las enfermeras (n=6) consideraron que la escala era fácil de entender y útil en la práctica clínica. Los pacientes dijeron que no les pareció incómoda la valoración de la boca con la escala.Conclusiones. La versión española dela OAG es un instrumento válido y fiable en pacientes con cáncer. Es una escala fácil de usar en la práctica clínica y bien aceptada por los pacientes.
Revista:
METAS DE ENFERMERIA
ISSN:
1138-7262
Año:
2014
Vol.:
17
N°:
4
Págs.:
16-32
La satisfacción de las enfermeras con la educación al paciente antes y después de la intervención no fue significativa (z= -0,455, p= 0,115), aunque hubo una mejora considerable en los aspectos relacionados con los recursos disponibles para la educación en el grupo intervención. Conclusiones: la intervención es efectiva en cuanto al nivel de conocimientos de los pacientes, aunque su efecto en el perfil de hábitos saludables no es tan notable. Este hecho puede deberse a la edad los pacientes o a que la modificación de hábitos precise de mayor tiempo.
Revista:
REVISTA ROL DE ENFERMERIA
ISSN:
0210-5020
Año:
2013
Vol.:
36
N°:
5
Págs.:
22-8
We propose to have an effective intraprofessional communication in order to ensure patient safety. In addition the transmission of information during the shift change should be done through a systematic process in a quiet place without interruptions
Revista:
CIN-COMPUTERS INFORMATICS NURSING
ISSN:
1538-2931
Año:
2013
Vol.:
31
N°:
8
Págs.:
388-393
Communication failures have been identified as the main cause of safety-related incidents in patient care. Shift handover, as communication between two shifts of nurses about patients' situations, is important in the exchange of information. Automation and use of computer technology are considered key for more effective and standardized communication. The aim of the study was to assess nurses' perceptions of the use of a computerized tool for shift report writing in a teaching hospital in Spain. A comparative-descriptive study was carried out. A questionnaire was designed and distributed among nurses in hospital wards; 87 nurses (72%) completed the questionnaire. Most deemed the tool useful: it conveyed the most important information about the patient and enhanced the quality of the information, and a decrease in time needed for report writing was perceived by nurses. Surgical wards had a more positive perception than medical wards. In conclusion, nurses' perception of the use of a computerized tool for shift handover report writing was positive and acknowledged the pivotal role of computerization.
Revista:
ENFERMERIA EN CARDIOLOGIA
ISSN:
1575-4146
Año:
2012
Vol.:
55-56
Págs.:
22-26
En la elaboración del folleto han participado todas las personas implicadas en el proceso educativo: pacientes, familia y profesionales. Este folleto podrá reforzar la educación que se proporciona al paciente al alta facilitando que alcance los conocimientos necesarios para su pronta recuperación y autocuidado.
Revista:
ENFERMERIA EN CARDIOLOGIA
ISSN:
1575-4146
Año:
2012
Vol.:
53
N°:
2
Págs.:
27-33
La satisfacción del paciente y la percepción del personal son positivas. Ha habido concordancia entre los ítems más positivos percibidos por el paciente y el personal. La identificación de la enfermera y la información al alta han sido los aspectos que se han priorizado como área de mejora.
Revista:
REVISTA ROL DE ENFERMERIA
ISSN:
0210-5020
Año:
2012
Vol.:
35
N°:
12
Págs.:
46-52
The changes that have taken place in society favor the development of new nursing profiles, which have a positive impact on the institutions, nursing practitioners, patients and families.
Revista:
Journal of Clinical Nursing
ISSN:
0962-1067
Año:
2010
Vol.:
19
N°:
1-2
Págs.:
240 - 248
AIM:
To develop and validate a questionnaire to explore the perceptions of nurses about the implementation of a computerised information system in clinical practice.
BACKGROUND:
A growing interest in understanding nurses' experience of developing and implementing clinically relevant Information Technology systems and the lack of measurement tools in this area, justifies further research into the development of instruments to provide an insight into nurses' experience.
DESIGN:
Survey and questionnaire development.
METHOD:
An initial draft of the questionnaire was developed based on the literature and expert opinion. The questionnaire was piloted by ten nurses to check face validity, reliability and test-retest reliability. A revised version of the questionnaire was distributed to nurses working in the in-patient area of a university hospital in Spain (n = 227). Principal components analysis with oblique rotation was carried out to test theoretically developed underlying dimensions and to test construct validity. Cronbach's alpha coefficient was used to determine internal consistency.
RESULTS:
Cronbach's alpha for all the items included in the different scales was 0.88 in the pilot questionnaire and test-retest reliability was adequate. Principal components analysis of items related to mechanisms produced a three-component structure ('IT support', 'usability' and 'information characteristics'). The three factors explained 48.6% of the total variance and Cronbach's alpha ranged from 0.66-0.79. Principal components analysis of items related to outcomes produced a three factor solution ('impact on patient care', 'impact on communication' and 'image profile'). The factors explained 65.9% of the total variance and Cronbach's alpha ranged from 0.64-0.85.
CONCLUSION:
The study provides a detailed description and justification of an instrument development process. The instrument is valid and reliable for the setting where it has been used.
RELEVANCE TO CLINICAL PRACTICE:
The instrument could provide insight into nurses' experience of IT implementation that will guide further development of systems to enhance clinical practice.
