Enfermeria Clinica最新文献

{"title":"Experiencia de familias de pacientes supervivientes en unidades de cuidados críticos: un análisis de teoría fundamentada","authors":"Yulieth María Zabaleta Polo,&nbsp;Angela María Henao-Castaño","doi":"10.1016/j.enfcli.2026.502488","DOIUrl":"10.1016/j.enfcli.2026.502488","url":null,"abstract":"<div><h3>Introduction</h3><div>Being a family member of a critically ill survivor often involves a process of familial and physical changes during recovery and rehabilitation at home.</div></div><div><h3>Objective</h3><div>Understanding the experiences of families of patients discharged from the intensive care unit.</div></div><div><h3>Method</h3><div>A qualitative study using grounded theory, the constructivist approach of Kathy Charmaz. Data collection was conducted through in-depth interviews and journals written by fourteen family members during hospitalization and ninety days after discharge from critical care. Data analysis used clustering, focused coding, and selective coding.</div></div><div><h3>Results</h3><div>The participants were 14, spouses and children, ages 23 to 68 years. The central category included experiencing positive and negative emotions and physical changes and experiencing different emotions during the recovery process at home.</div></div><div><h3>Conclusion</h3><div>After discharge, different situations also make the family's experience variable, with positive and negative emotions. These emotions always depended on the patient's clinical condition or the recovery process and limitations on basic needs, such as eating and sleeping, manifesting as physical changes related to weight loss.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 5","pages":"Article 502488"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861930","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":"Abordaje por la matrona de la respuesta de agitación a la lactancia materna en un contexto de lactancia en tándem. Caso clínico","authors":"Ester Sierra-García","doi":"10.1016/j.enfcli.2026.502526","DOIUrl":"10.1016/j.enfcli.2026.502526","url":null,"abstract":"<div><div>Breastfeeding aversion response (BAR) is a little-recognized phenomenon characterized by a sudden compulsion to remove the infant, accompanied by abrupt physical and emotional discomfort during feeding, particularly in prolonged and tandem breastfeeding due to increased physical and sensory demands. This case report describes a mother who developed BAR while tandem nursing in a context of high emotional load, fragmented sleep, and limited support. The midwife, through a series of visits, identified the triggering factors, which were related to exhaustion, overload, accumulated stress, and an increase in night-time feedings. The professional intervention included education about the phenomenon, emotional validation, promotion of self-care, and sensory- and relationship-based coping strategies, along with adjustments to the tandem breastfeeding routine and a respectful weaning process for the older child. Follow-up showed significant improvements: reduced distress, decision-making aligned with maternal values, and recovery of a positive breastfeeding experience with the younger child. The gradual weaning was successfully completed without compromising the mother-child bond. This case highlights BAR, emphasizes the importance of empathetic and multidimensional support, and underscores the need for further research to optimize its clinical management.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 5","pages":"Article 502526"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148859292","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":"Bienestar profesional en el turno nocturno: implicaciones para la seguridad del paciente en Urgencias","authors":"Ester Canut-Fusté","doi":"10.1016/j.enfcli.2026.502506","DOIUrl":"10.1016/j.enfcli.2026.502506","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 5","pages":"Article 502506"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148859281","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":"Factores de riesgo psicosocial vinculados al trabajo y a la competencia cultural en profesionales sanitarios en Ceuta","authors":"Sergio José Toribio-Martínez,&nbsp;Paloma Echevarría-Pérez,&nbsp;Francisca Sánchez-Ayllón,&nbsp;José Luis Gómez-Urquiza","doi":"10.1016/j.enfcli.2026.502554","DOIUrl":"10.1016/j.enfcli.2026.502554","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the work-related psychosocial risk factors and the level of clinical and cultural competence among healthcare professionals in the Ceuta Health District (Spain), and to provide a descriptive analysis of both dimensions within this population.</div></div><div><h3>Method</h3><div>An observational, descriptive, cross-sectional study was conducted in four public health centres in the city of Ceuta and in the 061 Primary Care facility (October 2020-March 2021). All healthcare professionals (doctors, nurses, nursing assistants, and physiotherapists) who met the inclusion criteria were invited to participate. With regard to the calculated sample size, 278 participants were initially. A self-administered questionnaire with 146 items was used, including questions on sociodemographic and occupational factors, health habits and psychosomatic symptoms, as well as instruments validated in Spanish to assess psychosocial risks and clinical-cultural competence. The data were analysed using descriptive statistics.</div></div><div><h3>Results</h3><div>A response rate of 38.2% was obtained (134 questionnaires). Most participants were women (82.1%), predominantly nurses (56.7%) with more than 10 years’ service, mostly working full-time. Relatively favourable health habits were observed (low consumption of alcohol and tobacco and perception of good health), although there was a significant presence of psychosomatic symptoms. In the psychosocial sphere, unfavourable levels of exposure were identified in areas such as conflict, perceived leadership and working conditions. In terms of clinical-cultural competence, more than half of the professionals showed intermediate levels of knowledge and skills to care for a culturally diverse population, coexisting with areas for improvement in awareness and specific training.</div></div><div><h3>Conclusions</h3><div>Healthcare professionals are highly exposed to certain psychosocial risks linked to the organisation of work and the healthcare context, along with intermediate levels of clinical-cultural competence. This highlights the need to develop organisational strategies to reduce psychosocial risks and implement structured training programmes in cultural competence adapted to the uniqueness of Ceuta as a border and multicultural enclave.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 5","pages":"Article 502554"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148859297","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":"Perspectivas y desafíos en la participación de pacientes en investigación e innovación: un diálogo entre pacientes e investigadoras","authors":"Verónica Tíscar-González,&nbsp;Miriam Sainz Ramos,&nbsp;Ane Zumarraga Cuesta,&nbsp;Elena Galve Calvo","doi":"10.1016/j.enfcli.2025.502420","DOIUrl":"10.1016/j.enfcli.2025.502420","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the perspectives of patients and healthcare researchers on their participation in clinical studies, in order to identify barriers and propose actions that promote more active, informed and equitable participation.</div></div><div><h3>Method</h3><div>Qualitative study with a phenomenological approach, based on a focus group technique. The session included five patients with experience in clinical trials and two oncology researchers. It was audio-recorded, transcribed verbatim, and analyzed through thematic coding in three phases (open, axial and selective), following COREQ quality standards.</div></div><div><h3>Results</h3><div>Four main categories emerged: (1) the value of participation in clinical trials, with patients and professionals highlighting benefits such as safety, access to innovation, and knowledge generation; (2) the need for clear and adapted communication, pointing out the challenges of informed consent and the importance of trust-based relationships; (3) the key role of patient associations as intermediaries between the healthcare system and the community; and (4) the integration of a gender perspective, especially regarding conditions with a strong impact on young women. Structural, communicative and organizational barriers were identified.</div></div><div><h3>Conclusions</h3><div>Active patient involvement in research improves the quality, relevance and equity of generated knowledge. Specific proposals are presented, including the creation of accessible information spaces, citizen participation channels and expert patient committees. These actions aim to promote more inclusive and person-centered research practices.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 5","pages":"Article 502420"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861926","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":"Concordancia inter-observador en casos simulados con el «sistema de triaje Manchester» en los servicios de urgencias del Principado de Asturias","authors":"Víctor Cabrera,&nbsp;Pablo Avanzas,&nbsp;Graciela Álvarez-Cuervo,&nbsp;Tatiana Cuartas-Álvarez,&nbsp;Rafael Castro-Delgado","doi":"10.1016/j.enfcli.2026.502449","DOIUrl":"10.1016/j.enfcli.2026.502449","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the inter-observer concordance of the Manchester Triage System (MTS) through clinical vignettes among emergency nurses in Asturias, Spain.</div></div><div><h3>Method</h3><div>Prospective multicenter study in seven emergency departments using questionnaires containing 40 simulated triage cases based on real cases. Interobserver agreement was calculated, as well as the level of accuracy (correctness) and the level of inaccuracy in triage (over- and under-triage).</div></div><div><h3>Results</h3><div>A total of 100 nurses participated in the study (median age: 39.1 years). <em>Substantial</em> inter-observer agreement was observed (κ=0.681; 95% <span>C</span>I 0.614-0.759; p&lt;0.001). The median number of correctly triaged vignettes was 30 (SD=3.93). A positive correlation was found between accuracy and MTS experience was r=0.250; p=0.012. Among the 4,000 vignettes evaluated, 403 (10.1%) were undertriage, while overtriage occurred in 253 vignettes (6.3%). Sensitivity was 83.7% and specificity was 94.8%, with undertriage (10%) was more frequent than overtriage (6%).</div></div><div><h3>Conclusion</h3><div>The study demonstrated <em>substantial</em> inter-observer agreement among emergency nurses in seven hospitals using the MTS, with an overall accuracy of 80%. Triage accuracy has a slight correlation with increased years of experience.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 5","pages":"Article 502449"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148859296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Percepciones sobre las prácticas de gestión entre directivos de enfermería españoles: estudio transversal utilizando el instrumento E-EPTGE","authors":"Estefanía Canedo,&nbsp;Paula San Martín-González,&nbsp;Natalia Quintero-Flórez,&nbsp;María Manuela Martins","doi":"10.1016/j.enfcli.2025.502417","DOIUrl":"10.1016/j.enfcli.2025.502417","url":null,"abstract":"<div><h3>Aim</h3><div>To explore Spanish nurse managers’ perceptions of their professional activities using the validated Spanish version of the Nursing Managers’ Work Perception Scale (E-EPTGE).</div></div><div><h3>Methods</h3><div>A cross-sectional, descriptive-correlational study was conducted between December 2024 and April 2025. Using non-probabilistic snowball sampling, 140 nurse managers participated via an online survey promoted by national nursing organisations. The E-EPTGE (42 items, eight dimensions) measured the frequency of managerial activities on a 4-point Likert scale. Descriptive and non-parametric statistical analyses (Mann-Whitney, Kruskal-Wallis) were performed.</div></div><div><h3>Results</h3><div>The sample was predominantly female (81.4%), aged 41–50 (45.7%), with substantial nursing experience. The E-EPTGE showed excellent internal consistency (α<!--> <!-->=<!--> <!-->.961). Mean overall item score was 3.19, reflecting frequent engagement in managerial activities. Highest-rated dimensions included Professional, Ethical and Legal Practice (M<!--> <!-->=<!--> <!-->3.54) and Planning and Organisation (M<!--> <!-->=<!--> <!-->3.49). The lowest-rated was Political Intervention and Advisory (M<!--> <!-->=<!--> <!-->2.70), suggesting reduced participation in institutional governance. Significant differences were found across age and experience groups (p &lt;<!--> <!-->.05), indicating a positive correlation between maturity and perceived managerial competence.</div></div><div><h3>Conclusions</h3><div>Spanish nurse managers’ report strong involvement in ethical leadership and operational planning but show limited engagement in strategic roles. Enhancing leadership training and institutional inclusion is critical. The E-EPTGE demonstrates to be a robust tool for evaluating managerial competencies and informing evidence-based strategies for nursing leadership development.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 5","pages":"Article 502417"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influencia de la autopercepción corporal en el funcionamiento sexual de la mujer adulta","authors":"Isabel Navarro-López,&nbsp;María del Carmen de Diego-Castell,&nbsp;Juan José Criado-Álvarez,&nbsp;Vanesa Muñoz-Rodríguez,&nbsp;Montserrat Serrano-Arenas,&nbsp;Jaime González-González","doi":"10.1016/j.enfcli.2026.502477","DOIUrl":"10.1016/j.enfcli.2026.502477","url":null,"abstract":"<div><h3>Objective</h3><div>Sexuality is a fundamental human characteristic influenced by a multitude of factors, including body image self-perception. Women are more vulnerable to alterations in their body image, a factor that can affect their sexual health. This study analyzed the association between body image self-perception and female sexual function in a sample of adult women residing in Talavera de la Reina health area (Toledo, Spain).</div></div><div><h3>Method</h3><div>An observational, cross-sectional and descriptive study was conducted with 420 participants selected through age-stratified sampling. The Body Shape Questionnaire –BSQ-14– and The Female Sexual Function Index –FSFI– were administered. A descriptive and bivariate analysis was performed, associations were examined using parametric tests and Pearson correlation coefficients, and regression models were applied to identify associated factors, with 95% confidence intervals.</div></div><div><h3>Results</h3><div>Findings indicate that greater body satisfaction is associated with better sexual function, showing a weak but statistically significant correlation (p<!--> <!-->&lt;<!--> <!-->0.01). Sociodemographic factors such as age, body mass index, menopause, and the presence of chronic diseases also influence sexual function and body image self-perception.</div></div><div><h3>Conclusions</h3><div>The influence of body self-perception on female sexual function requires a comprehensive approach to women's sexual health, in which midwives and primary care nurses play an essential role in sexual education programs, prevention, and the management of sexual dysfunctions.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 5","pages":"Article 502477"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861929","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":"Relación entre el malestar psicológico, el apoyo social y la adherencia al tratamiento en pacientes hipertensos en Nigeria","authors":"Oluwaseyi Isaiah Olabisi,&nbsp;Dolapo Ajala,&nbsp;Chika Odira,&nbsp;Grace Olayanju,&nbsp;Igmac Ituh,&nbsp;Adetunmise Oluseyi Olajide","doi":"10.1016/j.enfcli.2026.502480","DOIUrl":"10.1016/j.enfcli.2026.502480","url":null,"abstract":"<div><h3>Background</h3><div>Medication adherence among patients with hypertension is a major concern among healthcare practitioners because of its implications for the health status of those affected. This study determined the level of medication adherence, psychological distress, social supports, and the relationship between the three concepts</div></div><div><h3>Method</h3><div>A descriptive cross-sectional study was conducted among 282 hypertensive patients attending the cardiology unit of the University of Ilorin Teaching Hospital. The scale was used to collect data from the respondents including multidimensional scale of perceived social support (MPSS), the Morisky medication adherence scale, and the Kessler psychological distress scale (K10 Scale). Data collected were analyzed using descriptive (frequency, percentages, mean, and standard deviation) and inferential statistics (ANOVA, t-test, and person correlation), with significance set at p &lt;<!--> <!-->0.05.</div></div><div><h3>Results</h3><div>Out of 282 respondents, 174 (61.7%) were more than forty-five years of age, and 199 (70.6%) were females. The majority (64.2%) had low medication adherence, and 250 (88.7%) experienced severe psychological distress. Medication adherence was negatively correlated with psychological distress (r<!--> <!-->=<!--> <!-->-0.262 [significant correlation at the 0.05 level, 1-tailed], p&lt;<!--> <!-->0.001), positively correlated with significant order social support (r<!--> <!-->=<!--> <!-->0.159 [significant correlation at the 0.01 level, 2-tailed], p<!--> <!-->=<!--> <!-->0.007), and family social support (r<!--> <!-->=<!--> <!-->0.119, p<!--> <!-->=<!--> <!-->0.046). Also, there was an association between medication adherence and age (t<!--> <!-->=<!--> <!-->2.432; p<!--> <!-->=<!--> <!-->0.016), educational qualification (f-test<!--> <!-->=<!--> <!-->3.627; p<!--> <!-->=<!--> <!-->0.014), and residence (t<!--> <!-->=<!--> <!-->3.087, p<!--> <!-->=<!--> <!-->0.002).</div></div><div><h3>Conclusion</h3><div>Significant order and family social support promote medication adherence, and experience of psychological distress negatively affects adherence. Age, education qualification, and residence of the patients are determining factors for adherence. Therefore, nurses should create more awareness on the importance of significant order and family social support</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 5","pages":"Article 502480"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148859299","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":"Un año del Marco Estratégico para los Cuidados de Enfermería: del compromiso político a la transformación del sistema","authors":"Sonia Betsabé Gómez-Arribas,&nbsp;Paloma Ángela Calleja-Toledano,&nbsp;Marina Zancajo-Alejandre,&nbsp;Cristina García-Herranz","doi":"10.1016/j.enfcli.2026.502602","DOIUrl":"10.1016/j.enfcli.2026.502602","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 5","pages":"Article 502602"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148859294","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}