Nuestros investigadores

Ana Canga Armayor

Líneas de investigación
Procesos Crónicos y Cuidados al Final de la Vida. Promoción de una Familia Cuidadora Sostenible (FCS)

Publicaciones científicas más recientes (desde 2010)

Autores: Pueyo Garrigues, María; Pardavila Belio, Idoia (Autor de correspondencia); Whitehead, D.; et al.
ISSN 0309-2402  Vol. 77  Nº 2  2021  págs. 715 - 728
Autores: Alfaro Díaz, Cristina; Canga Armayor, Ana (Autor de correspondencia); Gutiérrez Alemán, Teresa; et al.
ISSN 1137-6627  Vol. 43  Nº 1  2020  págs. 17 - 33
Background. Nursing professionals are one of the groups most affected by work-related stress, which may affect the professional's quality of life and the quality of nursing care. At the international level, the Demand-Control-Support Questionnaire (DCSQ) has proved to be a brief, valid and reliable tool for assessing psychosocial stress at work. The objective of this study was to obtain a Spanish version of the DCSQ for nursing professionals. Methods. The linguistic validation proceeded in two phases: 1) forward-translation, back-translation and linguistic adaptation of the instrument and 2) content validation of the instrument using a panel of seven experts, and evaluation of the applicability and comprehension of the adapted version in a sample of twenty-one nursing professionals. Results. Phase 1) In the translation process, one item required semantic changes, while five items required syntactic changes. The back-translation versions were similar, and the most relevant doubts were found in item 5, identified as a problematic item throughout the entire process. Phase 2) The content validity analysis showed excellent values (content validity index >= 0.90 and Kappa index values >= 0.65); moreover, the pilot study confirmed the adequate comprehensibility and applicability of the questionnaire. Conclusions. The use of a systematic and rigorous methodology made it possible to obtain a Spanish version of the DCSQ that is conceptually and linguistically equivalent to the original instrument and suitable for assessing psychosocial stress of nursing professionals in the workplace in a multidimensional manner.
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: Alfaro Díaz, Cristina; Canga Armayor, Ana (Autor de correspondencia); Gutiérrez Alemán, Teresa; et al.
ISSN 1137-6627  Vol. 43  Nº 1  2020  págs. 17 - 33
Fundamento. Los profesionales de enfermería son uno de los grupos más afectados por el estrés laboral, lo que puede afectar la calidad de vida del profesional y comprometer la calidad de los cuidados de enfermería. A nivel internacional, el Demand-Control-Support Questionnaire (DCSQ) ha demostrado ser una herramienta breve, válida y fiable para evaluar el estrés laboral. El objetivo de este estudio fue obtener una versión adaptada al español del DCSQ para profesionales de enfermería. Método. La validación lingüística se realizó en dos fases: 1) traducción-retrotraducción y adaptación lingüística del instrumento y 2) validación de contenido del instrumento mediante un panel de siete expertos y evaluación de la aplicabilidad y comprensión de la versión adaptada en una muestra de veintiún profesionales de enfermería. Resultados. Fase 1) En el proceso de traducción, un ítem precisó cambios semánticos, mientras que cinco ítems precisaron cambios sintácticos. Las retrotraducciones fueron similares. Las dudas más relevantes se encontraron en el ítem 5, identificado como un ítem problemático a lo largo de todo el proceso. Fase 2) El análisis de la validez de contenido mostró excelentes resultados (índice de validez de contenido ¿ 0,90 y valores de kappa ¿ 0,65); además, el estudio piloto confirmó la adecuada comprensibilidad y aplicabilidad del cuestionario. Conclusiones. El empleo de una metodología sistemática y rigurosa ha permitido obtener una versión adaptada al español del D
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; 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: Alfaro Díaz, Cristina; Esandi Larramendi, Nuria (Autor de correspondencia); Gutiérrez Alemán, Teresa; et al.
ISSN 0309-2402  Vol. 75  Nº 11  2019  págs. 2299 - 2312
Aims To identify, appraise and describe the characteristics and measurement properties of instruments assessing nurses' attitudes towards the importance of involving families in their clinical practice. Design Psychometric systematic review. Data Sources The PubMed, CINAHL, PsycINFO, Web of Science, and Cochrane Library databases were searched from their time of inception to June 2018. Review Methods Two reviewers independently assessed the eligibility of studies, extracted data, and appraised the methodological quality of the studies using the COSMIN checklist. Results A total of 19 studies representing 5 instruments were included. Two instruments-a revised version of the Families' Importance in Nursing Care: Nurses' Attitudes scale (FINC-NA-R) and the Family Nurse Practice Scale (FNPS)-obtained higher scores for most of their properties. The instruments used in the remaining eight studies require further assessment of their psychometric properties. Conclusion This psychometric review offers a synthesis of the quality of the available instruments and gives a better understanding of nursing theory-based tools. The FNPS and FINC-NA-R instruments seem to be the most suitable measures of nurses' attitudes towards the importance of involving families in their clinical practice. Impact The growing emphasis on improving nurse-family relationships and the quality of care provided makes it necessary to have valid and reliable instruments for assessing nurses' attitudes towards the importance of involving families in their clinical practice. This paper provides evidence that will help clinicians and researchers make decisions about the most suitable instrument based on a critical appraisal and comparison of the measurement properties according to a rigorous methodology.
Autores: Esandi Larramendi, Nuria; Nolan, M.; Alfaro Díaz, Cristina; et al.
ISSN 0016-9013  Vol. 58  Nº 2  2018  págs. E56 - E67
Background and Objectives: Historically, research, practice, and policy on Alzheimer's family care has been largely focused on dyadic relationships and the experience of burden and stress, often failing to capture the complex caring dynamics as they unfold over time. This study sought to develop a more nuanced understanding of how people with Alzheimer's disease (AD) and their families are affected by the disease and how they respond to the challenges AD poses. Research Design and Methods: Using constructivist grounded theory, the study explored the experiences of living with AD for native Spanish families residing in Navarra. Data were collected from a series of 26 interviews with seven family units living with early stage AD and further validated with three focus groups with 14 caregivers of people with mid/advanced AD. Data were analyzed to capture the main processes involved and charted how these evolved over time. Results: Keeping things in balance describes the way family works to preserve a balance between caring and their lives before the onset of AD. Three main temporal stages to the experience of early AD, along with their associated processes, were identified: (a) what's going on here and the processes of noticing, suspecting, and confirming; (b) our life is changing underpinned by the processes of watching and redefining; and (c) keeping things together and its associated balancing process. These reinforced the dynamic nature of living with AD over time. Discussion and Implications: This study was novel in its design as it included the person with AD as part of the functioning family unit. The temporal stages and the key social processes identified have the potential to inform the development of "stage-specific" interventions for the support of the whole family at various points in time.
Autores: Acero, A. R.; Cano Prous, Adrián; Castellanos, G.; et al.
ISSN 0046-2772  Vol. 47  Nº 5  2017  págs. 611 - 627
There is a growing amount of research showing that a shared social identity and the sense of belonging to a family have a potential effect on health. However, little is known about the effects of severe mental illness on family identity. The authors carried out this thematic synthesis based on a systematic review of literature on family narratives of severe mental illness and family identity. The main findings indicate that in many families (i) their identity¿as a shared social identity¿undergoes a transformation process by which the identity aspects of being a family are reinforced; (ii) family members often take on a caring role as their main family role; and finally, (iii) a cultural component shapes this transformation process. The authors describe implications for research and application in the mental health field. All in all, family identity is transformed by the experience of severe mental illness
Autores: Esandi Larramendi, Nuria; Canga Armayor, Ana
ISSN 0212-6567  Vol. 48  Nº 4  2016  págs. 265-269
Autores: Esandi Larramendi, Nuria; Canga Armayor, Ana
ISSN 1134-928X  Vol. 27  Nº 1  2016  págs. 25 - 26
Autores: Esandi Larramendi, Nuria; Canga Armayor, Ana
ISSN 1137-6627  Vol. 39  Nº 2  2016  págs. 319 - 322
Autores: Pardavila Belio, Idoia; García Vivar, Cristina; Marçal Pimenta, Adriano; et al.
ISSN 0965-2140  Vol. 110  Nº 10  2015  págs. 1676-83
Autores: Villanueva Lumbreras, Amaya; García Vivar, Cristina; Canga Armayor, Navidad; et al.
ISSN 1137-6627  Vol. 38  Nº 1  2015  págs. 93-104
Autores: Esandi Larramendi, Nuria; Canga Armayor, Ana
ISSN 0264-5033  Vol. 24  Nº 9  2014  págs. 20-25
Autores: Canga Armayor, Ana
ISSN 1137-6627  Vol. 37  Nº 1  2014  págs. 147-150
Autores: Canga Armayor, Ana
ISSN 1137-6627  Vol. 36  Nº 3  2013  págs. 383-386
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: Canga Armayor, Ana; Naval, Concepción; García Vivar, Cristina
ISSN 1577-5585  Vol. 33  2012  págs. 16-20
Autores: Canga Armayor, Ana; García Vivar, Cristina; Naval, Concepción
ISSN 1137-6627  Vol. 34  Nº 3  2011  págs. 463-469
Autores: García Vivar, Cristina; Canga Armayor, Ana; Canga Armayor, Navidad
ISSN 1132-1296  Vol. 20  Nº 1-2  2011  págs. 91-95
Autores: Esandi Larramendi, Nuria; Canga Armayor, Ana
ISSN 1134-928X  Vol. 22  Nº 2  2011  págs. 56 - 61
La enfermedad de Alzheimer (EA) constituye una de las principales causas de dependencia en las personas mayores. Como consecuencia, la atención a la familia que cuida de estos enfermos dependientes ha cobrado relevancia nacional. Una revisión de la literatura indica que la mayoría de los estudios dirigidos al cuidado familiar de los enfermos de Alzheimer están enfocados en el cuidador principal, mientras que existe una limitada trayectoria de investigación en enfermería dirigida a la unidad familiar. Afrontar la enfermedad supone para la familia tener que redefinir roles, modificar expectativas, asumir alteraciones en las relaciones y responder a situaciones, a menudo, difíciles. Los profesionales de la salud y concretamente la Enfermería necesitan proporcionar una atención no solo al enfermo y al cuidador principal, sino a toda la unidad familiar.
Autores: Carrascosa Gil, Rocío; Vázquez Calatayud, Mónica; Canga Armayor, Ana
Revista: Gerokomos
ISSN 1134-928X  Vol. 21  Nº 4  2010  págs. 146 - 152
Autores: Canga Armayor, Ana
ISSN 1134-928X  Vol. 21  Nº 3  2010  págs. 94-95
Autores: Canga Armayor, Ana; Esandi Larramendi, Nuria; Alfaro Díaz, Cristina; et al.
Libro:  Pesquisar, ensinar e cuidar de familias: desafios, avanços e perspectivas
2019  págs. 156 - 172
Autores: García Vivar, Cristina; Canga Armayor, Ana; López de Dicastillo Sáinz de Murieta, Olga; 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.
Autores: Canga Armayor, Ana; Canga Armayor, Navidad; García Vivar, Cristina
Libro:  Familia y sociedad en el siglo XXI
2016  págs. 95-102
Autores: Moriones Jiménez, Olalla; Canga Armayor, Ana; Flamarique Chocarro, Begoña; et al.
Libro:  Nuevos significados en los cuidados de enfermería de salud mental.
2015  págs. 694-701
Autores: Canga Armayor, Ana; García Vivar, Cristina
Libro:  El cuidado de las personas dependientes ante la crisis del estado de bienestar
2013  págs. 237 - 251
Autores: Canga Armayor, Ana; García Vivar, Cristina; Naval, Concepción
Libro:  Engaging People in Health Promotion & Well-being. New opportunities and challenges for qualitative research
2012  págs. 59 - 60