Enfermeria Clinica最新文献

{"title":"Explorando la relación entre el bienestar espiritual y el respeto por la privacidad del paciente entre enfermeras y matronas en Turquía","authors":"Kemal Macit Hisar ,&nbsp;Sabriye Uçan Yamaç","doi":"10.1016/j.enfcli.2024.502162","DOIUrl":"10.1016/j.enfcli.2024.502162","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to examine the relationship between of nurses and midwives spiritual well-being and respect for patient privacy.</div></div><div><h3>Methods</h3><div>The target population of this descriptive research consisted of nurses and midwives employed in healthcare institutions in a district located in the Mediterranean Region of Turkey. The data were collected from 494 nurses and midwives between January 18 and April 29, 2022 using a demographic information form, the Spiritual Well-Being Scale, and the Patient Privacy Scale.</div></div><div><h3>Results</h3><div>The sample consisted of 494 participants, 422 (85.4%) females and 72 (14.6%) males. The findings revealed that the midwives had significantly higher levels of respect for patient privacy and spiritual well-being than the nurses. Moreover, the participants’ spiritual well-being and respect for patient privacy were positively correlated with age and clinical experience but negatively associated with weekly working hours.</div></div><div><h3>Conclusions</h3><div>In light of these findings, increasing midwives’ and nurses’ awareness of spiritual well-being and patient privacy through formal education, in-service training, drama activities, and case analyses can contribute to improving the quality of care. In further research, it may be recommended to evaluate the perceptions, opinions and practices of midwives and nurses regarding patient privacy and spiritual well-being.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 2","pages":"Article 502162"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807629","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 cuidar: ser mujer, madre y cuidadora de pacientes diagnosticados con mucopolisacaridosis","authors":"Marcela Campos-Sánchez ,&nbsp;Nolly Nataly Castañeda-Ibáñez","doi":"10.1016/j.enfcli.2024.502167","DOIUrl":"10.1016/j.enfcli.2024.502167","url":null,"abstract":"<div><h3>Introduction</h3><div>Rare or orphan diseases represent a challenge for the health system and the quality of life of patients and their families. In Colombia, mothers assume the main role of caregivers, facing physical, emotional, and financial challenges. This study aims to understand the experience of women who are mothers and caregivers of patients with Mucopolysaccharidosis in Colombia, and the variables associated with caregiver burden.</div></div><div><h3>Method</h3><div>A mixed study was conducted in which the Zarit Caregiver Overload Scale was applied to 48 female caregivers of children with Mucopolysaccharidosis, and they were given an individual structured interview.</div></div><div><h3>Results</h3><div>The Zarit scale showed that 92% of the participants did not have overload. However, the interviews revealed a variety of negative emotions and feelings, such as loneliness, sadness, fear, and guilt. The women expressed an unfinished life project, with overloaded social roles and a constant permanent crisis. The main emotional resource and support wase faith in God. Tensions were found in the relational fabric with the child or patient, between overprotection and independence.</div></div><div><h3>Conclusions</h3><div>Understanding the experience of the caregivers of patients with MPS allowed unveiling the complex elements of caregiving through the 3<!--> <!-->intertwined roles: being a woman, being a mother and being a caregiver. The use of religiosity as an indicator of physical and mental well-being confirms its benefit in the processes of coping with the difficulties related to the experience of diagnosis and treatment.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 2","pages":"Article 502167"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143808230","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":"Reducción del miedo al entorno sanitario en niños usando espacios simulados: un ensayo controlado aleatorizado","authors":"Nelia Soto-Ruiz ,&nbsp;Paula Escalada-Hernández ,&nbsp;Cristina García-Vivar ,&nbsp;Marta Ferraz-Torres ,&nbsp;Amaia Saralegui-Gainza ,&nbsp;Leticia San Martín-Rodríguez","doi":"10.1016/j.enfcli.2024.06.006","DOIUrl":"10.1016/j.enfcli.2024.06.006","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to evaluate the effectiveness of an intervention that involved interactions within a simulated health care space to reduce medical fear among children in infant classes.</div></div><div><h3>Methods</h3><div>An experimental study involving 86 children divided into an intervention group and a control group with pre- and postintervention measurements was undertaken. The intervention, known as the Health-Friendly Program, consisted of showing children various scenarios that simulated different medical contexts so that they could interact in them, experiment with the materials and ask questions. Medical fear was evaluated using the Spanish version of the revised «Child Medical Fear Scale», which provides a score of the medical fear level ranging between 0 and 34 points. The pretest and posttest levels of medical fear in the intervention and control groups were compared with Student's t test.</div></div><div><h3>Results</h3><div>The children in the intervention group experienced a significant reduction in fear by 3.21 points (SD: 6.50) compared to the children in the control group. This reduction in fear was shown in all four dimensions of the scale: intrapersonal fears, procedural fears, environmental fears and interpersonal fears.</div></div><div><h3>Conclusion</h3><div>The Health-Friendly Program provides an innovative intervention to reduce medical fear among children based on information, confrontation strategies and simulation scenarios. This study suggests the potential benefit of incorporating educational interventions in schools in collaboration with university and health care simulation centers.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 2","pages":"Article 102126"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143808232","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":"Aplicación de la ecografía vesical para reducir sondajes en pacientes con sospecha de retención aguda de orina: una revisión sistemática","authors":"Iván Fernández-Prada ,&nbsp;Sendoa Ballesteros-Peña","doi":"10.1016/j.enfcli.2024.502163","DOIUrl":"10.1016/j.enfcli.2024.502163","url":null,"abstract":"<div><h3>Aim</h3><div>To evaluate the impact of the use of bladder ultrasound in the reduction of urinary catheterization in patients suspected of acute urinary retention or at risk of suffering from it.</div></div><div><h3>Method</h3><div>A systematic literature review was conducted across various databases to identify studies comparing the use of bladder ultrasound to standard practice in managing acute urinary retention. Both observational and experimental studies that reported the number of urinary catheterizations performed were included.</div></div><div><h3>Results</h3><div>A total of 8 studies involving 3210 participants were included. The findings indicated that the use of bladder ultrasound was associated with a significant reduction in the number of urinary catheterizations, with decreases ranging from 20 to 90% compared to control groups. Even in studies where a reduction in the number of catheterizations was not observed, there was a decrease in adverse effects associated with this procedure, such as urinary tract infections and extended hospital stays.</div></div><div><h3>Conclusions</h3><div>This systematic review provides evidence on the benefits of bladder ultrasound in diagnosing and managing acute urinary retention, enabling a reduction in the number of urinary catheterizations. Implementing this technology, along with proper training for nursing staff, could enhance patient care and safety, as well as the efficiency of healthcare systems.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 2","pages":"Article 502163"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807632","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":"Navegando por el panorama ético de los profesionales sanitarios en las redes sociales: reflexiones para evitar naufragios","authors":"Sara Chiquero-Valenzuela ,&nbsp;Joan Enric Torra-Bou ,&nbsp;Pablo López-Casanova ,&nbsp;Luis Aranton-Areosa","doi":"10.1016/j.enfcli.2025.502194","DOIUrl":"10.1016/j.enfcli.2025.502194","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 2","pages":"Article 502194"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807977","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":"Nuevos desafíos: Enfermera de Práctica Avanzada y genómica en la atención personalizada y de precisión al paciente oncológico","authors":"Celia Diez de los Ríos de la Serna ,&nbsp;Paz Fernández-Ortega","doi":"10.1016/j.enfcli.2025.502218","DOIUrl":"10.1016/j.enfcli.2025.502218","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 2","pages":"Article 502218"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807627","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":"Manejo interdisciplinar y cuidados enfermeros anestésicos a un paciente pediátrico con epidermólisis ampollosa","authors":"Luis García-Costa ,&nbsp;Susana Raquel Pérez-Rayo ,&nbsp;Alejandro Bosch-Alcaraz ,&nbsp;Andrea Ruiz-Romero","doi":"10.1016/j.enfcli.2024.10.007","DOIUrl":"10.1016/j.enfcli.2024.10.007","url":null,"abstract":"<div><div>Epidermolysis bullosa (EB) is a rare disease characterized by the formation of blisters and vesicles on the skin and mucous membranes. There are 4 types: simple, junctional, dystrophic, and Kindler syndrome. They can have serious complications such as difficult airway, syndactyly, wound superinfection, or squamous cell carcinoma.</div><div>We present the case of a 6-year-old male patient with severe generalized recessive dystrophic EB, surgically intervened for syndactyly in the left upper limb and cures in both lower limbs.</div><div>These patients have a high risk of suffering adverse events related to the surgical process secondary to the fragility of their tegumentary system, mucous membranes, and noble organs. For this reason, prior to the surgical procedure, an anamnesis and planning was performed, confirming that the patient had a difficult airway as evidenced by previous anesthesia and by the Mallampati scale, a mouth opening greater than or equal to 3<!--> <!-->cm and a reduced degree of head-neck mobility. Therefore, minimally invasive measures were taken such as a single venoclysis and maintenance of spontaneous breathing and control of this through nasal glasses with capnography and pulse oximetry. An alternative plan was considered in case these measures failed. In addition, special care was applied, such as the use of dressings and vaseline for skin protection, avoiding friction in mobilizations, pain management with intravenous analgesia and nerve blocks, and anxiolysis through family accompaniment.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 2","pages":"Article 102155"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143808233","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":"Violencia obstétrica durante la pandemia del SARS-CoV-2 en España: estudio descriptivo","authors":"Desirée Mena-Tudela ,&nbsp;Susana Iglesias-Casás ,&nbsp;María Jesús Valero-Chillerón ,&nbsp;Irene Llagostera-Reverter ,&nbsp;Julián Mahiques-Llopis","doi":"10.1016/j.enfcli.2024.10.003","DOIUrl":"10.1016/j.enfcli.2024.10.003","url":null,"abstract":"<div><h3>Aim</h3><div>The aim of this study was to describe women's perceptions of obstetric violence, medicalisation, and interventionism at childbirth in Spain during the SARS-CoV-2 pandemic.</div></div><div><h3>Method</h3><div>A cross-sectional design was used. For data collection, an online questionnaire with closed questions was designed and distributed via social media. Women who gave birth between March 2020 and April 2021 in Spain were recruited.</div></div><div><h3>Results</h3><div>The sample consisted of 6,060 questionnaires. Sixty-two percent of respondents thought that the measures taken were arbitrary and ineffective in curbing the pandemic. For the following variables, statistically significant differences were found between groups related to maternal SARS-CoV-2 diagnosis: feeling rejected for suspected positive SARS-CoV-2 status (p<!--> <!-->&lt;<!--> <!-->0.001), being encouraged to breastfeed (p<!--> <!-->=<!--> <!-->0.048), offering bottles without consent (p<!--> <!-->&lt;<!--> <!-->0.001), not being allowed to be accompanied (p<!--> <!-->&lt;<!--> <!-->0.001), and separating the healthy baby from the mother at birth (p<!--> <!-->=<!--> <!-->0.009). Women who tested positive were also less satisfied with their care and felt less empowered. Thirty-three point five percent of women (n<!--> <!-->=<!--> <!-->2,030) report having suffered obstetric violence. Of these, 67.8% (n<!--> <!-->=<!--> <!-->1,376) believe that such obstetric violence is not justified by the pandemic.</div></div><div><h3>Discussion</h3><div>Understanding these experiences during a pandemic provides an opportunity to develop specific protection policies for women in the event of future health crises.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 2","pages":"Article 102151"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807628","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":"Diseño y consenso Delphi sobre un cuestionario de información, conocimientos y promoción del trasplante renal de donante vivo","authors":"Laura Rota-Musoll ,&nbsp;Xavier Palomar-Aumatell ,&nbsp;Meritxell Mondéjar-Pont ,&nbsp;Guillermo Pedreira-Robles ,&nbsp;Sergi Cazorla-Calderon ,&nbsp;Mireia Subirana-Casacuberta","doi":"10.1016/j.enfcli.2024.10.010","DOIUrl":"10.1016/j.enfcli.2024.10.010","url":null,"abstract":"<div><h3>Objective</h3><div>To match the items of a questionnaire on the information process of renal replacement therapy and the degree of information and promotion of living donor kidney transplantation by nephrology nurses, taking into account the gender perspective.</div></div><div><h3>Methods</h3><div>This study was developed in 2 phases: 1) elaboration of an initial questionnaire by the research team, which consisted of 4 nurses, and 2) completion of two rounds of the Delphi method to agree on the research team's proposal.</div></div><div><h3>Results</h3><div>16 specialist nurses from all areas of nephrology nursing participated. Of the original questionnaire with 35 questions, 31 items were agreed upon. After the two Delphi rounds, consensus was reached on all questions and a new question was included, which was introduced by the panelists. The consensus made it possible to identify 7 dimensions, which were grouped into 4 themes: Profile of professionals, type of information on renal replacement therapy, knowledge and promotion of kidney transplantation in vivo.</div></div><div><h3>Conclusions</h3><div>This research has made it possible to create a questionnaire agreed by experts to identify the type of information that nephrology nurses give to people with kidney disease and how the gender perspective influences the information process. At the same time, this tool will facilitate the identification of nurses’ level of knowledge about living donor kidney transplantation and the way they promote this renal treatment to the people they care for.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 2","pages":"Article 102159"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807631","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 de enfermeras y estudiantes de Enfermería sobre su conocimiento y satisfacción en el manejo de infecciones en heridas. Estudio transversal","authors":"Javier Sánchez-Gálvez ,&nbsp;Míriam Sánchez-Hernández ,&nbsp;Eva Vegue-Parra ,&nbsp;José María Rumbo-Prieto ,&nbsp;Daniel Fernández-García ,&nbsp;Santiago Martínez-Isasi","doi":"10.1016/j.enfcli.2024.502165","DOIUrl":"10.1016/j.enfcli.2024.502165","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze the perception and satisfaction of nurses and nursing students regarding their knowledge of the clinical management of infected wounds in Spain.</div></div><div><h3>Methods</h3><div>A cross-sectional descriptive study was conducted using an ad hoc questionnaire with 18 questions on knowledge of infected wounds, divided into three sections, and was distributed electronically to nurses and nursing students over a two-month period. The questionnaire was piloted with a group of nurses and students, and data were collected anonymously and voluntarily.</div></div><div><h3>Results</h3><div>A total of 520 completed questionnaires were collected, including 158 from professionals and 362 from students. Professionals demonstrated a significantly higher average knowledge score than students (4.7<!--> <!-->±<!--> <!-->0.13 vs 3.8<!--> <!-->±<!--> <!-->0.09; <em>P</em> <!-->&lt;<!--> <!-->.001). Students performed worse in questions related to biofilm and assessment of subtle and manifest signs of infection in wounds. Specifically, only 45% of students correctly identified the role of bacterial biofilm in wound infections. Significant differences were observed in various items (<em>P</em> <!-->&lt;<!--> <!-->.05) favoring non-clinical professionals over clinical professionals, particularly regarding biofilm and the use of topical antiseptics. Overall, professionals expressed significant satisfaction with their knowledge compared to students (<em>P</em> <!-->&lt;<!--> <!-->.05).</div></div><div><h3>Conclusion</h3><div>Nursing professionals, especially those with teaching, research, and/or managerial roles, demonstrate a greater perception of knowledge in specific areas. However, both professionals and students exhibit gaps in perceived knowledge regarding the management of wound infections, highlighting the importance of continuous education and the review of teaching strategies to address these deficiencies. Implementing a specific mandatory subject is suggested to ensure the quality of nursing education in this area from undergraduate level.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 2","pages":"Article 502165"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807630","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}