Enfermeria ClinicaPub Date : 2025-09-01DOI: 10.1016/j.enfcli.2024.502164
Mónica Regalado Chamorro , Aldo Medina Gamero
{"title":"Salud mental en las enfermeras: desafíos y oportunidades en el contexto pospandémico","authors":"Mónica Regalado Chamorro , Aldo Medina Gamero","doi":"10.1016/j.enfcli.2024.502164","DOIUrl":"10.1016/j.enfcli.2024.502164","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 5","pages":"Article 502164"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145120328","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}
Enfermeria ClinicaPub Date : 2025-09-01DOI: 10.1016/j.enfcli.2025.502190
Sara Gonçalves , Rita S. Matos
{"title":"Comprender la fatiga emocional: revisión sistemática de sus causas, consecuencias y estrategias de afrontamiento","authors":"Sara Gonçalves , Rita S. Matos","doi":"10.1016/j.enfcli.2025.502190","DOIUrl":"10.1016/j.enfcli.2025.502190","url":null,"abstract":"<div><div>Emotional fatigue, a significant component of burnout, is increasingly recognized as a critical issue affecting healthcare professionals and other high-stress occupations. This systematic review identifies the causes, consequences, and coping strategies associated with emotional fatigue in healthcare workers. A comprehensive search of peer-reviewed articles was conducted across multiple databases. The selection criteria focused on studies that explicitly addressed emotional fatigue, its determinants, impacts, and coping mechanisms. The review identified common causes of emotional fatigue, such as prolonged exposure to high-stress environments, lack of social support, and insufficient recovery time. Consequences include decreased job performance, increased absenteeism, and a higher risk of mental health disorders. Coping strategies include mindfulness practices, organizational support, and the implementation of work-life balance interventions. The findings underscore the importance of addressing emotional fatigue through both individual and systemic approaches. While coping strategies can mitigate some effects, organizational changes are essential to create a supportive work environment. Emotional fatigue is a critical issue that requires attention at both the individual and organizational levels.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 5","pages":"Article 502190"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145120415","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":"Estudio de la relación entre la calidad de vida relacionada con la salud y de la motivación para aprender de los estudiantes de enfermería en la pandemia de covid-19: estudio transversal","authors":"Fatemeh Dadashzadeh , Tayebeh Samieizadeh-toosi , Hosein Hoseini , Mohammad Saeed Jadgal , Khaled Badpa","doi":"10.1016/j.enfcli.2025.502192","DOIUrl":"10.1016/j.enfcli.2025.502192","url":null,"abstract":"<div><h3>Introduction and objective</h3><div>The issue of quality of life and its relationship with learning motivation is very important in different sections of the society, especially people who have special physical, mental and psychological conditions. The aim of this study was to determine the status of the health-related quality of life and its relationship with students’ learning motivation during the Covid-19 era.</div></div><div><h3>Methods</h3><div>In this cross-sectional descriptive analytical study, 63 students of Chabahar nursing faculty participated in the study. Data collection tools were demographic information, SF-36 health related quality of life questionnaire and learning motivation questionnaire. Data analysis was done in SPSS version 16 statistical software. Descriptive (mean, standard deviation, and percentage) and analytical (Spearman, Mann-Whitney, and Kruskal-Wallis tests) tests were used to analyze the data.</div></div><div><h3>Results</h3><div>The physical function subscale related to physical health had a significant relationship with all the mental health subscales (role disruption due to emotional health: <em>r</em> <!-->=<!--> <!-->0.4, <em>P</em> <!-->=<!--> <!-->0.001; energy/fatigue: <em>r</em> <!-->=<!--> <!-->0.3, <em>P</em> <!-->=<!--> <!-->0.013; emotional well-being: <em>r</em> <!-->=<!--> <!-->0.3, <em>P</em> <!-->=<!--> <!-->0.019; social functioning: <em>r</em> <!-->=<!--> <!-->0.2, <em>P</em> <!-->=<!--> <!-->0.05 and learning motivation: <em>r</em> <!-->=<!--> <!-->0.3, <em>P</em> <!-->=<!--> <!-->0.029) in the students participating in the study. There was no significant relationship between learning motivation and general physical health (<em>r</em> <!-->=<!--> <!-->0.2, <em>P</em> <!-->=<!--> <!-->0.113).</div></div><div><h3>Conclusion</h3><div>The findings of the present study showed that there is a strong and significant relationship between students’ mental health and their motivation to learn. In this way, increasing students’ mental health has a positive effect on their motivation to learn. Therefore, in order to increase the motivation to learn among students, providing special care in the field of mental health can be useful for this group and provide a basis for improving their quality of life.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 5","pages":"Article 502192"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145120420","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}
Enfermeria ClinicaPub Date : 2025-09-01DOI: 10.1016/j.enfcli.2024.502161
María José Rodríguez-Castro , Alda Elena Cortés Rodríguez
{"title":"Eficacia del plasma rico en plaquetas en el rejuvenecimiento facial: una revisión sistemática","authors":"María José Rodríguez-Castro , Alda Elena Cortés Rodríguez","doi":"10.1016/j.enfcli.2024.502161","DOIUrl":"10.1016/j.enfcli.2024.502161","url":null,"abstract":"<div><h3>Aim</h3><div>To evaluate the effects of platelet-rich plasma (PRP) in facial rejuvenation.</div></div><div><h3>Methods</h3><div>A systematic review was conducted from November 2022 to September 2024. Literature searches were performed in the databases PubMed, CINAHL, SCOPUS, Cuiden and Scielo using the terms platelet rich plasma, rejuvenation, skin, plasma skin regeneration, and platelet rich plasma rejuvenation. Studies published with participants over 18<!--> <!-->years old, using exclusively PRP for facial rejuvenation, were selected. Reviews and meta-analyses, as well as studies involving patients with conditions that could affect the treatment, were excluded.</div></div><div><h3>Results</h3><div>Nine clinical trials and two observational study were included. Clinically, four studies indicated that PRP improved wrinkles and skin texture. Histologically, this substance induced a cascade of growth factors that increased dermal density, reducing wrinkles and improving skin luminosity and hydration. Despite these observations, discrepancies were observed regarding the different application techniques (topical or injected) and doses administered. Adverse effects were rare, including bruising and edema caused by injections and occasionally, papules, scaling, and dryness at the injection site.</div></div><div><h3>Conclusion</h3><div>Platelet-rich plasma may be effective for facial rejuvenation based on histological results and patient references. However, further studies are needed to determine the most the most appropriate procedure for its administration.</div><div>PROSPERO register number: CRD42024513433.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 5","pages":"Article 502161"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145120416","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":"Conocimiento sanitario específico de los pacientes en hemodiálisis y factores asociados: un estudio transversal en Marruecos","authors":"Loubna Mazzi , Abdelhafid Benksim , Mounia Amane , Mohamed Cherkaoui","doi":"10.1016/j.enfcli.2025.502249","DOIUrl":"10.1016/j.enfcli.2025.502249","url":null,"abstract":"<div><h3>Objective</h3><div>The complexity of hemodialysis care imposes self-care requiring an adequate health literacy level adapted to the context of this disease. This study aimed to assess and determine the predictive factors of health literacy specific to hemodialysis patients in the Marrakech-Safi region of Morocco.</div></div><div><h3>Method</h3><div>This was a quantitative cross-sectional study of hemodialysis patients in public hemodialysis centers in the Marrakech-Safi region. The specific literacy of hemodialysis patients was assessed using a validated questionnaire consisting of 26 items and 7 sub-dimensions, which was either self-administered or administered by the investigator during the hemodialysis session. The predictive factors of health literacy in hemodialysis patients were identified using multiple linear regression.</div></div><div><h3>Results</h3><div>A total of 380 patients were included in the study. Women accounted for 58.2% of the patients. A percentage of 72.9% were under 65 years of age, 56.1% were illiterate, 61.8% were married, and 52.4% lived in urban areas. The mean duration of hemodialysis was 2.36<!--> <!-->±<!--> <!-->0.53 years, 62.4% had hypertension, 57.4% had a high Interdialytic Weight, and 15.3% were diabetic. The mean total score was 10.46<!--> <!-->±<!--> <!-->4.16 out of 26. Communicative literacy, critical literacy, and patient safety had the lowest mean scores. Multiple regression analysis revealed that patients with higher education levels, those living in urban areas, single individuals, and those with longer hemodialysis experience were more likely to have a higher total score.</div></div><div><h3>Conclusion</h3><div>Considering the results of our study, most hemodialysis patients in the Marrakech-Safi region had inadequate literacy about their own health.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 5","pages":"Article 502249"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145120417","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}
Enfermeria ClinicaPub Date : 2025-09-01DOI: 10.1016/j.enfcli.2025.502305
Ana María Porcel-Gálvez , José Miguel Morales-Asencio
{"title":"Enfoques metodológicos para la planificación de la ratio enfermera/paciente en los sistemas de salud: qué sabemos y qué necesitamos saber","authors":"Ana María Porcel-Gálvez , José Miguel Morales-Asencio","doi":"10.1016/j.enfcli.2025.502305","DOIUrl":"10.1016/j.enfcli.2025.502305","url":null,"abstract":"<div><div>The nurse-to-patient ratio planning presents a global challenge in healthcare systems, with significant disparities across countries. It is a widely studied phenomenon, yet methodological and conceptual gaps persist. In Spain, the nurse-to-1,000-inhabitant ratio (6.2) remains below the OECD average (8.8), resulting in an estimated shortage of 100,000 nurses. This issue is exacerbated by political decisions influenced by economic, cultural, and organisational factors.</div><div>This work aims to review existing methodological approaches for determining nurse staffing levels, identifying their strengths, limitations, and potential improvements to ensure the efficient and safe allocation of resources.</div><div>Five methodological approaches are analysed: expert judgement, distribution-based methods, time measurement, correlation between staffing levels and adverse events, and stratification by patient complexity. National and international data are compared, and their impact on safety, efficiency, and costs is assessed.</div><div>The study confirms that higher nurse staffing levels reduce mortality and adverse events. Models based on patient complexity, such as INICIARE, provide a more precise and adaptable approach.</div><div>In conclusion, nurse staffing planning should be based on a model that stratifies patient complexity levels according to care dependency while minimising institutional variability. It should be linked to clinical outcomes, patient safety, staff competencies, and workforce stability. Additionally, research should extend to primary and social care settings, where evidence remains limited.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 5","pages":"Article 502305"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145120325","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}
Enfermeria ClinicaPub Date : 2025-09-01DOI: 10.1016/j.enfcli.2024.10.006
Şahika Şimşek Çetinkaya, Canan Kaş, Demet Güney
{"title":"Efecto del etnocentrismo y las actitudes profesionales en la sensibilidad moral en matronas y enfermeras: un estudio transversal y correlacional basado en la web","authors":"Şahika Şimşek Çetinkaya, Canan Kaş, Demet Güney","doi":"10.1016/j.enfcli.2024.10.006","DOIUrl":"10.1016/j.enfcli.2024.10.006","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to investigate relation between ethnocentrism, professional attitudes and moral sensitivity of midwives and nurses working in Turkey using linear regression model.</div></div><div><h3>Method</h3><div>A descriptive and cross-sectional and correlational study was adopted. Data were collected online between 20/10/2023-25/12/2023. The study was completed with total of 400 nurses and midwives. Data were collected through a personal information form, the Generalised Ethnocentrism Scale (GENE), the Moral Sensitivity Questionnaire (MSQ) and Inventory of Professional Attitude at Occupation (IPAO).</div></div><div><h3>Results</h3><div>Nurses’ and midwives’ ethnocentric attitudes were high and their professional and moral sensitivity was moderate. A negative and statistically significant relationship was found between GENE and MSQ (r<!--> <!-->=<!--> <!-->−0.150 and <em>P</em> <!--><<!--> <!-->.05). Moreover, it is concluded that ethnocentrism and professional attitudes have a negative effect on the moral sensitivity of nurses and midwives.</div></div><div><h3>Conclusions</h3><div>Based on these results, interventions aimed at improving the ethnocentric and professional attitudes of nurses and midwives will also contribute to improve their moral sensitivity.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 5","pages":"Article 102154"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145120414","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":"Impulsando la excelencia en el cuidado del paciente pediátrico en el marco del proyecto Nursing Research Challenge","authors":"Patricia Monserrat Rodríguez Camacho , Bárbara González Álvarez","doi":"10.1016/j.enfcli.2025.502199","DOIUrl":"10.1016/j.enfcli.2025.502199","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 5","pages":"Article 502199"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145120329","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}
Enfermeria ClinicaPub Date : 2025-09-01DOI: 10.1016/j.enfcli.2025.502189
Marta Sánchez-Zaballos , David Zuazua-Rico , Lucía Alonso-Méndez , Yolanda Queipo-Herías , María Pilar Mosteiro-Díaz , Alba Maestro-Gonzalez
{"title":"Cambios en la actitud de los profesionales sanitarios frente a la vacunación antigripal tras la pandemia por COVID-19","authors":"Marta Sánchez-Zaballos , David Zuazua-Rico , Lucía Alonso-Méndez , Yolanda Queipo-Herías , María Pilar Mosteiro-Díaz , Alba Maestro-Gonzalez","doi":"10.1016/j.enfcli.2025.502189","DOIUrl":"10.1016/j.enfcli.2025.502189","url":null,"abstract":"<div><h3>Objective</h3><div>To analyse the attitude of health professionals towards influenza vaccination before and during the COVID-19 pandemic, as well as to identify differences between them and with respect to sociodemographic and occupational variables.</div></div><div><h3>Methods</h3><div>Cross-sectional descriptive study comparing the results of the 2017-2018 and 2020-2021 influenza vaccination campaigns. Sociodemographic, occupational, and vaccination-related variables were collected. A descriptive and bivariate analysis were performed, as well as a binary logistic regression model.</div></div><div><h3>Results</h3><div>A total of 973 health professionals participated, with an average age of 41,13 (SD 11,16), showing a higher prevalence of vaccination during the 2020-2021 season (OR<!--> <!-->=<!--> <!-->1,04; IC 95% 1,03-1,05; p <<!--> <!-->0,001). The percentage of men who were vaccinated was higher in the 2020-2021 campaign <em>(P</em>=.02), in which a greater number of professionals with a non-stable contract <em>(P</em><.001) and lower mean age <em>(P</em>=.03) were also vaccinated. There were multiple statistical differences when comparing the reasons for accepting or refusing the vaccine, with more people being more likely to be vaccinated during the pandemic if there was a favourable atmosphere in the work or family environment <em>(P</em><.001).</div></div><div><h3>Conclusions</h3><div>Health professionals áttitude towards influenza vaccination during the COVID-19 pandemic showed better results than the previous campaign, with a higher number of professionals vaccinated and a better perception of immunisation. Differences were also found between the campaigns and socio-demographic variables (sex, age, and type of employment contract).</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 5","pages":"Article 502189"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145120418","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}