Nuestros investigadores

Cristina Oroviogoicoechea Ortega

Publicaciones científicas más recientes (desde 2010)

Autores: Vázquez Calatayud, Mónica; Oroviogoicoechea Ortega, Cristina (Autor de correspondencia); Pittiglio, L.; et al.
ISSN 0962-1067  Vol. 29  Nº 23 - 24  2020  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.
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: Choperena Armendáriz, Ana (Autor de correspondencia); Oroviogoicoechea Ortega, Cristina; Zaragoza Salcedo, Amparo; et al.
ISSN 0309-2402  Vol. 75  Nº 8  2019  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.
Autores: Vázquez Calatayud, Mónica; Oroviogoicoechea Ortega, Cristina; Saracíbar Razquin, María Isabel; et al.
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: Vázquez Calatayud, Mónica (Autor de correspondencia); Martín Pérez, Sonsoles; Oroviogoicoechea Ortega, Cristina
ISSN 1022-6508  Vol. 7  Nº 1  2017  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.
Autores: Saracíbar Razquin, María Isabel; Oroviogoicoechea Ortega, Cristina; Martin, J. M.; et al.
ISSN 1474-5151  Vol. 16  Nº 1 suppl  2017  págs. S67 - S68
Autores: Olano Lizarraga, Maddi; Oroviogoicoechea Ortega, Cristina; Errasti Ibarrondo, María Begoña; et al.
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; Simón-Ricart Cenizo, Aurora; Ara Lucea, María Pilar; et al.
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: Oroviogoicoechea Ortega, Cristina; Carvajal Valcárcel, Ana; Soteras Ramírez, María Ángeles; et al.
ISSN 1137-6627  Vol. 38  Nº 2  2015  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.
Autores: Zurita Garaicoechea, Ana; Reis de Carvalho, Joana Sofía; Ripa Aisa, Irantzu; et al.
ISSN 1130-8621  Vol. 25  Nº 5  2015  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
Autores: Olano Lizarraga, Maddi; Ara Lucea, María Pilar; Simón-Ricart Cenizo, Aurora; et al.
ISSN 1879-0844  Vol. 17  Nº Supl 1  2015  págs. 395
Autores: Ibarrola Izura, Sagrario; Vázquez Calatayud, Mónica; Oroviogoicoechea Ortega, Cristina; et al.
ISSN 1138-7262  Vol. 17  Nº 4  2014  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.
Autores: Olano Lizarraga, Maddi; Ara Lucea, María Pilar; Simón-Ricart Cenizo, Aurora; et al.
ISSN 0300-8932  Vol. 67  Nº Supl 1  2014  págs. 272
Autores: Martín Pérez, Sonsoles; Vázquez Calatayud, Mónica; Lizarraga Ursúa, Yolanda; et al.
ISSN 0210-5020  Vol. 36  Nº 5  2013  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
Autores: Oroviogoicoechea Ortega, Cristina; Beortegui Urdanoz, Elena; Asin, Maria
ISSN 1538-2931  Vol. 31  Nº 8  2013  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.
Autores: Beortegui Urdanoz, Elena; García Vivar, Cristina; Canga Armayor, Navidad; et al.
ISSN 0210-5020  Vol. 35  Nº 12  2012  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.
Autores: Ibarrola Izura, Sagrario; Beortegui Urdanoz, Elena; Oroviogoicoechea Ortega, Cristina; et al.
ISSN 1575-4146  Vol. 53  Nº 2  2012  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.
Autores: Vázquez Calatayud, Mónica; Ibarrola Izura, Sagrario; Beortegui Urdanoz, Elena; et al.
ISSN 1575-4146  Vol. 55-56  2012  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.
Autores: Oroviogoicoechea Ortega, Cristina; Watson, Roger; Beortegui Urdanoz, Elena; et al.
Revista: Journal of Clinical Nursing
ISSN 0962-1067  Vol. 19  Nº 1-2  2010  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.
Autores: Oroviogoicoechea Ortega, Cristina; Beortegui Urdanoz, Elena; Beorlegui Murillo, Patricia; et al.
ISSN 1462-3889  Vol. 14  Nº Suppl. 1  2010  págs. S61-S61
Autores: Oroviogoicoechea Ortega, Cristina
Libro:  Jornadas sobre Rol Avanzado en Enfermería
2010  págs. 29 - 45
Autores: Infanti , J; Sixsmith, J.; Barry, M.; et al.
There is an impressive body of literature on risk communication relevant to the prevention and control of communicable diseases. This literature is complicated, however, by blurred definitions and overlap between risk communication and crisis communication. It is also widely dispersed across academic disciplines, lacking rigorous empirical evidence to demonstrate effectiveness, challenged by the complex and unpredictable ways that individuals perceive risk and the environmental, social, cultural and linguistic factors through which risk communication is viewed. At the European level, there is a need to bring the work on risk communication for communicable diseases together on many levels: Theoretical models of risk communication must be integrated across disciplines. The bridge between academic research and risk communication in practice needs to be strengthened (that is, findings of research need to be better communicated to end users and built into risk communication planning, guidance documents, training modules). Risk communicators should be collaborating more closely with community-level health providers and media. In addition, there is consensus in much of the literature reviewed on the need for coordinated leadership at the European level to ensure structured and systematic approaches to risk communication planning, preparedness and response. We have a clearer picture today than a decade ago about the requirements, parameters and challenges of communicating risks of co
Autores: García Vivar, Cristina; Portillo Vega, María Carmen; Arantzamendi Solabarrieta, María; et al.