BackgroundDifficulty in adherence to treatment and self-care behaviours is a leading cause of preventable readmission in people with chronic heart failure (CHF). Although there is evidence of benefits of health coaching for the management of this situation, few interventions have been tested in the hospital setting.AimTo evaluate a coaching programme (H-Coaching) designed to develop nursing capacity in health coaching for chronic heart failure inpatients.MethodsA quasi-experimental pre-post study including all nurses in a single centre cardiology ward (N = 19). The intervention consisted of two training packages: (1) five theoretical-practical sessions on health-coaching competencies, emotional intelligence, communication and support of chronic heart failure patients in their illness in the hospital setting; and (2) training sessions seven months after the first training package to reinforce the theoretical and practical knowledge. On four occasions, the Competence Instrument of Health Education for the Nursing professional was used to measure nurses' knowledge, skills and attitudes in health coaching for chronic heart failure patients.ResultsThe difference between the preintervention and postintervention scores were statistically significant for knowledge [mean difference = 1.00 (95% CI -1.45 to -0.51; p = 0.000)], skills in general [mean difference = 0.50 (95% CI -1.41 to -0.21; p = 0.015)] and personal/social skills [mean difference = 1.00 (95% CI -1.10 to -0.01; p = 0.048)]. While attitudinal and affective domains did not differ, there were differences in knowledge and skills.ConclusionThe H-Coaching programme proved to be effective for building nursing capacity in health coaching CHF inpatients. Similar programmes designed to improve knowledge in verbal and nonverbal communication techniques, and skills for coaching interventions adapted to meet the needs of individual patients, should be tested in future interventional experimental studies.Clinical Trial Registration NumberNCT05300880Impact statementTo our knowledge, this is the first nursing training intervention in health coaching for chronic heart failure the inpatient setting. This study has demonstrate improvements in both the knowledge and personal and social skills of cardiology nurses with regard to the development of health coaching in a hospital setting. Given the study design, further research is warranted.Plain Language SummaryMany patients with chronic heart failure have problems in adhering to the treatment and self-care behaviours and this is one of the main causes of preventable readmission. To promote self-care, patients need to be empowered to integrate these habits into their daily lives and we should implement innovative strategies to achieve this. Health coaching is an ideal alternative to this but very few nurses in the hospital cardiology setting are experienced in health coaching. Our study has shown preliminary results demonstrating that a structured theoretical and practical training programme for nurses can improve nurses' knowledge and skills in health coaching for inpatient patients with chronic heart failure. This study provides an opportunity for future research to demonstrate whether nurses with this training have a positive impact on the health outcomes of chronic heart failure patients and, more specifically, on their levels of self-care and empowerment.

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.

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.

Understanding the unique experience of nursing students providing frontline support in COVID-19 hospital wards is crucial for the design of strategies to improve crisis management and mitigate future pandemic outbreaks. Limited research concerning this phenomenon has been published. This qualitative study aimed to understand the experience of providing support from COVID-19 frontline nursing students' perspective. Online interviews were conducted with nine nursing students from April to May 2020; interview data were analyzed by content analysis using Burnard's method. Six main categories emerged from the data analysis: "experiencing a rapid transition from student to professional," "fear and uncertainty of the unknown," "resilience throughout the crisis," "sense of belonging to a team," "shared responsibility," and "importance of the profession." Based on these findings, multicomponent strategies that function in parallel with practical contexts should be developed to enable students to diligently adapt their abilities to their new role and cope with health crises.

Fundamento. Conocer el nivel de empoderamiento de las personas con insuficiencia cardiaca crónica hospitalizadas es crucial para identificar a las personas con un nivel de empoderamiento más bajo y fundamentar el diseño de estrategias efectivas para mejorar su control sobre las decisiones y acciones que afectan a su salud y bienestar. La falta de estudio de este fenómeno en esta población y contexto, sugiere que estos pacientes no están siendo atendidos adecuadamente. Material y métodos. Estudio descriptivo, prospectivo. Se utilizó el Cuestionario de empoderamiento del paciente con enfermedad crónica, traducido y validado al español, que consta de 47 ítems, agrupados en tres dimensiones: Actitud positiva y sentido del control, Toma de decisiones compartida e informada, y Búsqueda de información y compartir entre iguales. Fue distribuido para su cumplimentación en las 24 horas previas al alta hospitalaria. Resultados. Se recogieron 25 cuestionarios (81%). La puntuación global media de empoderamiento fue de 165,92 ± 20,9. La dimensión Actitud positiva y sentido de control fue la peor puntuada, con una media de 3,4 ± 0,5. Se encontró una relación inversa y débil entre el nivel de empoderamiento y la edad (rho¿=¿-0,240; p¿=¿0,000) y una relación débil y positiva con la supervivencia a los 10 años (rho¿=¿0,316; p¿=¿0,01). Conclusión. El nivel de empoderamiento de los pacientes de este estudio fue medio-alto. Las estrategias para abordar la atención de esta población deberían centrarse en trabajar su actitud respecto a la enfermedad y percepción de control de la situación e individualizarse conforme a la edad.

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.

Partnering in research across disciplines and across countries can be challenging due to differing contexts of practice and culture. This study sought to demonstrate how central constructs that have application across disciplines and countries can be studied while concurrently considering context. Groups of nurses from Botswana, Ireland, Israel, New Zealand, and Spain partnered to identify how to measure the constructs of caring for self, burnout, and compassion fatigue, replicating a study by Johnson (2012), who found that caring for self had a moderately strong negative relationship with both compassion fatigue and burnout. While these constructs were of interest to all five groups, the conversation of contextual influences varied. All five groups used the same instruments to measure the central constructs. Levels of burnout and compassion fatigue varied by country but were moderated by caring for self. Partnering across countries made it possible to understand that caring for self moderates the negative impact of burnout and compassion fatigue in all five countries. This study gives insight into methods for partnering across disciplines and contexts.

Globally, the profession of nursing underwent major changes in the twentieth century. Many of these changes pertain to the way in which the nursing profession should be viewed and the manner in which clinical practice should be defined and studied. Redefining roles and competencies and sharing the outcomes of practice internationally can reshape the vision of our profession. This vision appears to be transformative for patients¿ lives and healthcare settings, as has become apparent during the COVID pandemic. To pursue this aim of attaining clarity regarding the foundations of our profession, it is very helpful to identify a professional practice model in each environment of practice, which can allow us to establish clear goals for nurses and clarify the scope of practice that is expected and aligned with the mission, vision, and values of each healthcare environment. The development of new healthcare professionals requires a clear conception of nursing. At Clinica Universidad de Navarra, we found the Nursing Professional Practice Model useful when aligning novice nurses with the vision, mission, and values that we wanted to translate to the new setting. This chapter discusses the ways in which a newly hired chief nurse officer was mentored by the chief nurse executive of the hospital with respect to translating the NPPM into a new setting and the effectiveness of this framework with regard to understanding the context of nursing practice at our hospital.

The book explores how mentoring, theoretical background of mentoring and how mentoring is used by nurses in all arenas where they work in health care, education, research, policy, politics, and academia in supporting nurses with their professional and career development. Over 300 mentors and mentees, from a wide range of countries across all continents, share their stories of mentoring reflecting on their development in leadership, clinical practice, education, research and politics. The book describes various types of mentoring including more traditional types of mentoring as well as virtual, online and peer mentoring. During the mentorship trajectories the nurses address an inclusive collection of issues that they are faced with and share supporting strategies. The book highlights the importance of mentoring for nurses to support their personal, and professional leadership development. Also, it emphasizes the importance of mentoring for when nurses engaged in variety of projects that could entail or encompass evidence-based clinical practice, development within education, research in the clinical arena, policy formation, political affairs, or cultural inclusion that present significant impact in patient care and healthcare outcomes within and across countries. With The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity report from the National Academies of Sciences, published in 2021, the role of nursing will become ever more dynamic and therefore the profession of nursing must be visible in improving and securing the future for patients, families, and communities across the globe. Mentoring practices to build the profession¿s leaders are forever essential, acute, and imperative. This book shows how mentoring can support nurses in further developing nursing as a profession and scientific discipline across countries to support clinical application of evidence based practice, and nursing education and research dissemination. Accordingly, this book shares essential, diverse and pioneering expertise through wide range of narrative stories that will benefit nurses at all years of experience, from early career nurses, emerging leaders, nurse educators, leaders, policy makers and nurse scientists around the globe. The nursing profession must magnify its position in health care and nurses need to proliferate their contributions throughout the globe. They can accomplish that through mentoring and ¿growing and nurturing other nurses¿ to advance and thrive in today¿s world.

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.