Enfermeria Clinica最新文献

{"title":"Inteligencia artificial y cuidados de enfermería: de la adopción tecnológica a la cocreación disciplinar","authors":"V.M. González-Chordá, M.A. Rodríguez-Calero, M. Lima-Serrano, H. González de la Torre, P. Fernández-Ortega, R. Camacho-Bejarano","doi":"10.1016/j.enfcli.2026.502513","DOIUrl":"10.1016/j.enfcli.2026.502513","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 3","pages":"Article 502513"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"La enfermería ante la inteligencia artificial: ética, formación y cuidado","authors":"Edwin Gustavo Estrada-Araoz","doi":"10.1016/j.enfcli.2025.502416","DOIUrl":"10.1016/j.enfcli.2025.502416","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 3","pages":"Article 502416"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inteligencia Artificial aplicada a los cuidados (I): origen y conceptos generales","authors":"Reyes Grangel ,&nbsp;María Victoria Ibáñez Gual ,&nbsp;Amelia Simó Vidal ,&nbsp;Juan Carlos Amengual Argudo ,&nbsp;Óscar Belmonte Fernández","doi":"10.1016/j.enfcli.2026.502486","DOIUrl":"10.1016/j.enfcli.2026.502486","url":null,"abstract":"<div><div>Since the emergence of ChatGPT in November 2022, Artificial Intelligence has gained significant popularity, extending to multiple areas of daily and professional life. However, Artificial Intelligence encompasses much more than Generative Intelligence, including techniques that allow data analysis and support decision-making, especially in contexts such as healthcare. This boom necessitates efforts to ensure transparency and explainability of the predictive models and techniques used, to build trust among the healthcare professionals who must apply them.</div><div>This article provides a summary of the main predictive Artificial Intelligence techniques applicable to the nursing care process. Data-centric methods are described (Machine Learning, Deep Neural Networks and Generative Artificial Intelligence), as well as process-centric techniques (Predictive Process Monitoring). Each technique is illustrated with practical examples from the healthcare field, with the aim of facilitating their understanding by healthcare professionals. Finally, the main limitations of these techniques and their prospects are presented.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 3","pages":"Article 502486"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comprender las reacciones emocionales y las estrategias de afrontamiento en enfermeros y estudiantes de enfermería marroquíes durante la COVID-19: un análisis de regresión múltiple","authors":"Imane Attar ,&nbsp;Fatine Hadrya ,&nbsp;Meftaha Senhaji ,&nbsp;Igor Cigarroa ,&nbsp;Abdenbi Bendriss ,&nbsp;Anis Sfendla","doi":"10.1016/j.enfcli.2025.502309","DOIUrl":"10.1016/j.enfcli.2025.502309","url":null,"abstract":"<div><h3>Objective</h3><div>To predict the emotional responses and coping strategies of Moroccan professional nurses and nursing students during COVID-19 pandemic.</div></div><div><h3>Methods</h3><div>From April 2021 to June 2021, a quantitative comparative study was conducted with 68 professional nurses and 50 nursing students. Participants’ responses were based on a self-administered questionnaire that included sociodemographic variables, the Positive and Negative Affect Schedule Scale (PANAS), and the brief Coping Orientation to Problems Experienced Inventory (COPE).</div></div><div><h3>Results</h3><div>A total of 118 participants complete responses, with mean ages ranging from 19 to 58 (M<!--> <!-->=<!--> <!-->27.59, SD<!--> <!-->±<!--> <!-->8.98), and majority were female (n<!--> <!-->=<!--> <!-->79, 66.9%). In terms of avoidance coping, male professional nurses reported significantly higher mean score (27.73, SD<!--> <!-->±<!--> <!-->3.69) than female nurses (25.71, SD<!--> <!-->±<!--> <!-->3.98) (t<!--> <!-->=<!--> <!-->−2.085, p<!--> <!-->=<!--> <!-->0.041). The result of multiple regression showed that for professional nurses, approach and avoidance coping are associated with age (β<!--> <!-->=<!--> <!-->.76, p<!--> <!-->&lt;<!--> <!-->.001; β<!--> <!-->=<!--> <!-->.98, p<!--> <!-->&lt;<!--> <!-->.001; respectively), seniority in the profession (β<!--> <!-->=<!--> <!-->−.94, p<!--> <!-->&lt;<!--> <!-->.001; β<!--> <!-->=<!--> <!-->−1.13, p<!--> <!-->&lt;<!--> <!-->.001; respectively), and positive affect scores (β<!--> <!-->=<!--> <!-->.33, p<!--> <!-->&lt;<!--> <!-->.01; β<!--> <!-->=<!--> <!-->.32, p<!--> <!-->&lt;<!--> <!-->.01; respectively). Conversely, nursing students revealed a different profile, with age significantly associated with approach coping (β<!--> <!-->=<!--> <!-->.95, p<!--> <!-->&lt;<!--> <!-->.001) and avoidance coping (β<!--> <!-->=<!--> <!-->.95, p<!--> <!-->&lt;<!--> <!-->.001). Notably, in contrast to avoidance coping, approach coping increased significantly with a positive affect score (β<!--> <!-->=<!--> <!-->.29, p<!--> <!-->&lt;<!--> <!-->.01).</div></div><div><h3>Conclusion</h3><div>The use of various coping strategies by nurses in challenging situations highlights the crucial need for training in effective coping techniques for managing emotional reactions, as they have a considerable impact on mental well-being and the quality of nursing care.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 3","pages":"Article 502309"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"La experiencia de la enfermera clínica en la tutorización de pares recién graduados, Chile","authors":"Patricia Espinoza-Lagos ,&nbsp;Alejandra-Ximena Araya ,&nbsp;María Eugenia Espinoza Lagos ,&nbsp;Carla Andrea Claeys Mercado","doi":"10.1016/j.enfcli.2025.502243","DOIUrl":"10.1016/j.enfcli.2025.502243","url":null,"abstract":"<div><h3>Objective</h3><div>To know and understand the experience lived by clinical nurses who tutor newly graduated peers during their hiring stage in hospitals and other health organizations in the country.</div></div><div><h3>Method</h3><div>Qualitative study of phenomenological approach carried out in Chile between the months of September 2019 to January 2020, COVID-19 prepandemic. An in-depth interview was conducted with fifteen clinical nurses. The data analysis was guided by the methodological principles of Alfred Schütz's social phenomenology, the results in the light of his theory and the scientific references associated with the subject.</div></div><div><h3>Results</h3><div>Three categories and twelve themes emerged in this study. Despite differences in their sociodemographic data, all fifteen participants reported similar experiences in the role of peer tutoring recent graduates. They all mentored from their own mentoring experience and without guidelines from their organization, faced the same difficulties and needs, and raised the same criticisms for improvement related to changes that would allow them to improve their performance.</div></div><div><h3>Conclusions</h3><div>From the perspective of the fifteen nurses it was possible to know and understand how they live the experience of mentoring newly graduated peers in the workplace, however, the results should be taken with caution due to the limitations of the study. Further research on this topic is recommended.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 3","pages":"Article 502243"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efectividad del uso de un software integrado con el ECOE para la enseñanza de la administración de medicamentos en pediatría a estudiantes de enfermería","authors":"Mery Luz Valderrama Sanabria,&nbsp;Felipe Andrés Corredor Chavarro,&nbsp;Javier Eduardo Martínez Baquero,&nbsp;Sandra Carolina Montaño Contreras","doi":"10.1016/j.enfcli.2025.502246","DOIUrl":"10.1016/j.enfcli.2025.502246","url":null,"abstract":"<div><h3>Objective</h3><div>The use of teaching methods that challenge and stimulate students’ interest and clinical decision-making skills is pertinent. The appropriate use of educational software can reduce teaching problems and facilitate learning in pediatric medication administration. The objective was todetermine the effectiveness of the use of software in the training of nursing professionals at the University de los Llanos.</div></div><div><h3>Method</h3><div>Quantitative quasi-experimental pre-post study with a control group. The competence administration of medications in pediatrics were evaluated by means of the instrument called structured objective clinical examination, which is recognized by the acronym ECOE which has constructed validity and an alpha value of 0.68, it is known and used for the evaluation of clinical competencies.</div></div><div><h3>Results</h3><div>The students of both groups received training in the selected procedure and performed the ECOE for the administration of medications in pediatrics. The intervention group was administered the software. Statistical analysis was performed with ANCOVA, students who learned with the software presented on average 0.75 more score or rating, compared to those of traditional teaching.</div></div><div><h3>Conclusions</h3><div>It was possible to determine that learning with educational software and the clinical simulation favored learning in the administration of medications in pediatrics; this study provides solid evidence that demonstrates the need for further research in this area to improve the knowledge, skills and attitudes of future nursing professionals.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 3","pages":"Article 502246"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Conocimientos sobre el VIH y las ITS, factores asociados en los pacientes que acuden a una consulta de enfermería hospitalaria especializada","authors":"Cristina Lao-López ,&nbsp;Neus Garriga-Comas ,&nbsp;Anna Arnau ,&nbsp;Manuel Crespo ,&nbsp;Rafel Pérez-Vidal ,&nbsp;Josefina Goberna-Tricas","doi":"10.1016/j.enfcli.2025.502357","DOIUrl":"10.1016/j.enfcli.2025.502357","url":null,"abstract":"<div><h3>Aims</h3><div>To determine the level of knowledge about HIV, HIV transmission, Sexually Transmitted Infections (STIs), hepatitis, Pre-Exposure Prophylaxis (PrEP), and Post-Exposure Prophylaxis (PEP) in heterosexual, homosexual, and bisexual-other individuals attending a hospital-based nursing STI consultation. To analyze sociodemographic, clinical, sexual behavior, substance use, social support, and stigma factors associated with the level of knowledge about these infections.</div></div><div><h3>Methods</h3><div>Observational, cross-sectional, analytical, single-center study in a hospital in Spain, with 259 patients consecutively recruited between November 2021 and July 2022. The European Men to Men Internet Survey (EMIS) was used, and bivariate and multivariate statistical analysis was applied.</div></div><div><h3>Results</h3><div>The 66.0% of the participants were heterosexual, 25.5% homosexual, and 8.5% bisexual-other. The median age was 52 years [41.5–59.0]. The highest level of HIV knowledge was observed in homosexual individuals (69.7%). 93% of heterosexuals were unaware of PrEP and PEP. Factors associated with lower knowledge were: heterosexual orientation, age over 40, female gender, lower educational level and income, unemployment, alcohol and drug use, limited internet use, fewer sexual partners, lack of safe sex, and lower social integration.</div></div><div><h3>Conclusions</h3><div>It is necessary to strengthen education on HIV and STIs, especially among heterosexuals, women, older adults, and bisexual-other individuals. Interventions should be adapted to each group, demystify HIV transmission, promote PrEP and PEP, and reduce stigma, contributing to the design of more inclusive and effective educational strategies to reduce the prevalence of STIs and HIV.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 3","pages":"Article 502357"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiencia de violencia de pareja en mujeres embarazadas que acuden a centros de salud en Nigeria","authors":"Oluwaseyi Isaiah Olabisi ,&nbsp;Tolulope Esther Olabisi ,&nbsp;Ajibola Omobola Ojo ,&nbsp;Chizoma Millicent Ndikom","doi":"10.1016/j.enfcli.2025.502296","DOIUrl":"10.1016/j.enfcli.2025.502296","url":null,"abstract":"<div><h3>Aim</h3><div>Intimate partner violence (IPV) against pregnant women during pregnancy is a major concern to healthcare practitioners globally due to the negative impact on the health of the woman and her unborn child. This study determined the level of IPV experienced among pregnant women and the factors influencing the occurrence.</div></div><div><h3>Method</h3><div>A cross-sectional descriptive research design was employed, and data were collected from 394 pregnant women attending two selected public healthcare facilities in Lagos State, Nigeria. The World Health Organization Multi-Country Study on Women's Health and Domestic Violence Against Women questionnaire was used to collect the information. Frequency and percentage were used to determine the experience of IPV and Binomial regression was used to predict the associated factors on the experience of IPV at significance set at p<!--> <!-->&lt;<!--> <!-->0.05.</div></div><div><h3>Results</h3><div>The results revealed that 28.45 of pregnant women had experienced IPV. The Pregnant women who are married were 2.4 times more likely to experience IPV compared to those who are pregnant but not married (adjusted OR<!--> <!-->=<!--> <!-->2.392, 95% CI 1.854 – 3.954; p<!--> <!-->=<!--> <!-->0.030). Pregnant women who did not planned for the pregnancy were 4 times more likely to experience IPV (adjusted OR<!--> <!-->=<!--> <!-->4.012, 95% CI 2.119 – 8.333; p<!--> <!-->=<!--> <!-->0.008). Also, pregnant women from polygamous settings were more likely to experience IPV compared with those in monogamous family (adjusted OR<!--> <!-->=<!--> <!-->3.420, 95% CI 1.979 – 6.321; p<!--> <!-->=<!--> <!-->0.026).</div></div><div><h3>Conclusion</h3><div>This study concluded that about one quarter of the pregnant women had experienced IPV. Some of the factors contributing to the experience are the low monthly income of the pregnant women, polygamous settings and unplanned pregnancy. Therefore, there is a need for more enlightenment on the factors responsible for IPV among pregnant women.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 3","pages":"Article 502296"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Compromiso laboral y factores de estrés en residentes de enfermería en España: estudio transversal","authors":"Anxela Soto-Rodríguez ,&nbsp;Paula Fernández-Lopo ,&nbsp;Nuria Martínez-Blanco ,&nbsp;Catarina Livana Fernández-Traba ,&nbsp;Noelia Freire-González ,&nbsp;Raquel Leirós-Rodríguez","doi":"10.1016/j.enfcli.2025.502405","DOIUrl":"10.1016/j.enfcli.2025.502405","url":null,"abstract":"<div><h3>Objective</h3><div>To describe stress factors and the level of commitment among residents of different nursing specialties.</div></div><div><h3>Methodology</h3><div>A descriptive, cross-sectional study was conducted with 395 nursing residents in Spain. Data collection was conducted using a Google Forms questionnaire between December 2024 and February 2025. Two instruments were used: the <em>Utrecht Work Engagement Scale for Students</em> (UWES-S) to measure the level of commitment and the KEZKAK questionnaire to identify stressors. The study was approved by the Research Ethics Committee of Pontevedra-Vigo-Ourense (code: 2025/039).</div></div><div><h3>Results</h3><div>High levels of stress were observed (M<!--> <!-->=<!--> <!-->1,82/DE<!--> <!-->=<!--> <!-->0,52), especially in women (women: M<!--> <!-->=<!--> <!-->1,87/DE<!--> <!-->=<!--> <!-->0,50; men: M<!--> <!-->=<!--> <!-->1,53/DE<!--> <!-->=<!--> <!-->0,60; p &lt;<!--> <!-->0.001), with overload, helplessness, and uncertainty being the main stressors. Commitment to learning was high, especially among Obstetrics-Gynecology residents (p<!--> <!-->=<!--> <!-->0.006), first-year residents (p<!--> <!-->=<!--> <!-->0.004), and residents with limited work experience (p<!--> <!-->=<!--> <!-->0.016).</div></div><div><h3>Conclusion</h3><div>Despite high levels of stress, nursing residents maintained a medium-high professional commitment. These findings underscore the importance of implementing emotional support strategies and effective mentoring and programs, not only to protect residents’ mental health but also to optimize their professional performance and ensure the quality of clinical care.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 3","pages":"Article 502405"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Percepciones y experiencias de los familiares en la sala de espera de la UCI","authors":"Mònica Maqueda-Palau ,&nbsp;Xisca Verd-Aulí ,&nbsp;Begoña Guardiola-Grau ,&nbsp;Miquel Àngel Gili-Rosselló ,&nbsp;Alberto Rodríguez-Salgado","doi":"10.1016/j.enfcli.2025.502359","DOIUrl":"10.1016/j.enfcli.2025.502359","url":null,"abstract":"<div><h3>Aims</h3><div>To explore the perceptions and experiences of family members and/or companions in the ICU waiting room, identify determining factors, and describe proposals for improvement.</div></div><div><h3>Method</h3><div>Qualitative phenomenological hermeneutic study. Participants: Family members and/or companions of patients admitted to the ICU, recruited through intentional sampling. Data collection was performed between March 2022 to January 2023. Semi-structured interviews were conducted, transcribed, and analyzed by all researchers. The analysis followed the phases of discovery, coding, and interpretation. To ensure methodological rigor, data were triangulated, and reflexivity was maintained among the researchers throughout the process.</div></div><div><h3>Results</h3><div>A total of 12 interviews were conducted. The perceptions of family members in the waiting room were classified into three main categories: 1) Experience in the waiting room in our ICU was perceived as an emotionally stressful space; 2) Perceptions related to the design and physical space: participants described the environment as hostile, inhospitable, and cold, with a lack of warmth and emotional privacy; 3) Proposed changes to improve the waiting room experience, where participants emphasized the need to balance design, comfort, and to improve communication during the waiting period.</div></div><div><h3>Conclusions</h3><div>The time that family members spend in the ICU waiting room is perceived as a stressful experience filled with uncertainty. In this shared physical space, a disequilibrium of emotions and a lack of emotional privacy arise during moments of heightened vulnerability. This environment can negatively impact family members, exacerbating their distress and anxiety. These findings suggest the need for interventions focused on space design and communication improvement to reduce stress and enhance the well-being of family members in the ICU.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 3","pages":"Article 502359"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}