Enfermeria Clinica最新文献

{"title":"Identidad profesional y desempeño: el complejo desequilibrio entre esfuerzo y recompensa","authors":"Ester Arimon-Pagès","doi":"10.1016/j.enfcli.2024.11.001","DOIUrl":"10.1016/j.enfcli.2024.11.001","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 6","pages":"Pages 427-428"},"PeriodicalIF":0.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142723919","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":"Desarrollo y Validación de una propuesta de Carta de Derechos y Compromisos de los ciudadanos frente a la e-salud","authors":"Fernando Campaña-Castillo ,&nbsp;Olga Paloma-Castro ,&nbsp;José Manuel Romero-Sánchez","doi":"10.1016/j.enfcli.2024.06.012","DOIUrl":"10.1016/j.enfcli.2024.06.012","url":null,"abstract":"<div><h3>Background</h3><div>There is a new technological paradigm in health care which has been reinforced following the outbreak of the Covid-19 pandemic. Technological innovations create both challenges and opportunities to which citizens, healthcare professionals, and healthcare organizations must adapt to this reality. Although most health services have charters of citizens’ general rights and commitments, there is no specific charter concerning eHealth.</div></div><div><h3>Objectives</h3><div>To develop and validate a proposal of a minimum set of citizens’ rights and commitments to e-Health.</div></div><div><h3>Methods</h3><div>Experts in a discussion group developed a charter composed of twenty items, ten rights and ten commitments to e-Health. Two rounds of consensus were necessary to obtain a final version of the charter. The twenty items were validated for content and assessed for appropriateness, relevance, and understandability using an internet-based 2-round Delphi approach in which 134 experts, patients and healthcare professionals participated. They rated the assessed attributes for each item on a 5-point Likert scale for consensus. The content validity index was calculated with kappa statistic, a consensus measure of inter-rater agreement.</div></div><div><h3>Results</h3><div>In the first round, 18 items were validated, leaving only two commitments with unacceptable indices. Both were modified using the experts’ contributions and entered a second round of evaluation, after which the indices met the established requirements.</div></div><div><h3>Conclusions</h3><div>A proposal for a chart of patient rights and commitments to eHealth was developed and showed adequate content validity and inter-observer reliability. This chart is expected to become a starting point for the debate on the role of technology in the way patients, professionals, and health services interact in the current context.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 6","pages":"Pages 478-492"},"PeriodicalIF":0.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142723926","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 del análisis Rasch en la investigación enfermera: una introducción metodológica","authors":"José Verdú-Soriano ,&nbsp;Héctor González-de la Torre","doi":"10.1016/j.enfcli.2024.10.005","DOIUrl":"10.1016/j.enfcli.2024.10.005","url":null,"abstract":"<div><div>The design and validation of tools constitutes a fundamental pillar of nursing research, where it is essential to incorporate the most current methodologies and analyses in order to guarantee validity and reliability in their clinical application.</div><div>The aim of this paper is to describe the characteristics of the Rasch analysis and the methodology for its development as well as to discuss its relevance and applicability in nursing research, highlighting its potential contribution to the improvement of the qual</div><div>ity and accuracy of measurement instruments in the discipline.</div><div>Through a narrative synthesis, the theoretical foundations of Rasch analysis are described and the characteristics and assumptions that must be fulfilled to carry out this type of analysis are presented. Subsequently, the implementation methodology is presented in 11 steps: definition of objectives and preparation, instrument design, data collection, initial and unidimensionality analysis, goodness-of-fit assessment (infit-outfit, reliability and separation), item local independence assessment (Yen's Q3 coefficient), item calibration and estimation of skills, measurement invariance analysis (DIF analysis), review and modification of the instrument, final analysis and validation, interpretation of results. Examples of use are presented, as well as the advantages and limitations of the method. In conclusion, the Rasch analysis provides a valuable methodology for the evaluation of clinical competencies and skills, as well as for the development and validation of measurement instruments of great utility for research in care, although it would be necessary to promote training and standardization in its use.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 6","pages":"Pages 493-506"},"PeriodicalIF":0.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142723825","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":"Análisis del esfuerzo terapéutico y el coste económico que se producen en la actividad asistencial a un grupo de pacientes ingresados en proceso de final de vida","authors":"Estela Hernández-Bello ,&nbsp;Raquel Sánchez-Recio ,&nbsp;Àngel Gasch-Gallén","doi":"10.1016/j.enfcli.2024.08.001","DOIUrl":"10.1016/j.enfcli.2024.08.001","url":null,"abstract":"<div><h3>Aim</h3><div>There are social inequalities in access to health care that affect therapeutic effort. The aim of the present study was to determine whether there are differences in expenditure according to days of admission and tests performed by age, sex and population of origin in patients at the end of life.</div></div><div><h3>Methods</h3><div>Cross-sectional descriptive study, with review of clinical histories of terminally ill patients admitted to a hospital, recruited on the basis of the administration of transfusions, who underwent numerous tests and interventions during their last admission before death. Sociodemographic and clinical variables were studied, as well as the cost of admission and tests.</div></div><div><h3>Results</h3><div>The 140 patients were hospitalized for an average of 17.41 days (SD: 14.323), with an average cost of €8,264.19 (SD: 6,799.8788) per stay. They underwent 59 tests, which amounted to €532,209.68. Being male, of advanced age and of rural origin saw an increase in the number of days of admission. Older people and women received more tests. No relationship was found between days of hospitalization and expenditure with sociodemographic and clinical variables. There was a relationship between surgical interventions and sex (p<!--> <!-->=<!--> <!-->0.047); between age and receiving oncological treatments (p<!--> <!-->&lt;<!--> <!-->0), other techniques (p<!--> <!-->&lt;<!--> <!-->0), nuclear medicine tests (p<!--> <!-->=<!--> <!-->0.02) and electrocardiograms (p<!--> <!-->=<!--> <!-->0.052).</div></div><div><h3>Conclusions</h3><div>Many palliative patients die in hospitals receiving numerous tests that increase the number of days of hospitalization and costs. Advanced age determines hospital admissions, but not sex or population of origin.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 6","pages":"Pages 458-467"},"PeriodicalIF":0.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142723924","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":"Calidad de vida y necesidades espirituales de los pacientes diagnosticados de cáncer en un hospital terciario del sudoeste de Nigeria","authors":"Deborah Tolulope Esan ,&nbsp;Falilat Idowu Bolarinwa ,&nbsp;Blessed Obem Oyama ,&nbsp;Oluwaseyi Isaiah Olabisi ,&nbsp;Joel Adeleke Afolayan ,&nbsp;Carlos Guillermo Ramos ,&nbsp;Oladimeji Akeem Bolarinwa","doi":"10.1016/j.enfcli.2024.08.004","DOIUrl":"10.1016/j.enfcli.2024.08.004","url":null,"abstract":"<div><h3>Objective</h3><div>In Africa, cancer is considered a death sentence. Its impact can be debilitating for the patient and those who care for them. This study therefore assessed the spiritual needs and quality of life of cancer patients in a tertiary hospital in Nigeria.</div></div><div><h3>Methods</h3><div>This study utilized a cross-sectional descriptive design. We systematically recruited 302 cancer patients who visited the cancer registry and outpatient departments. A standardized and validated Spiritual needs questionnaire (SpNQ) and WHO Quality of Life (WHOQL) were used to collect data. Data was analyzed with SPSS version 23 with a significance level set at <em>P</em> &lt;<!--> <!-->0.05.</div></div><div><h3>Results</h3><div>The preponderance cancer among respondents was breast cancer (146, 48.4%) followed by prostate cancer (41, 13.6%). Most of the respondents admitted having «strong» spiritual needs. Categorization of the spiritual need score was below average in 20% of the respondents which indicated those with low spiritual needs and the majority (241, 79.8%) of the patients had high spiritual needs. Most respondents had poor quality of life in all 4<!--> <!-->domains. The spiritual care needs of respondents were significantly associated with the quality of life of the respondents particularly in the psychological domain (<em>P</em> <!-->=<!--> <!-->0.040) and social domain (<em>P</em> <!-->=<!--> <!-->0.005).</div></div><div><h3>Conclusion</h3><div>This study revealed high spiritual needs and poor quality of life among cancer patients. Healthcare practitioners should provide for the spiritual needs of cancer patients to enhance their quality of life.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 6","pages":"Pages 468-477"},"PeriodicalIF":0.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142723925","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":"Propuesta de abordaje de cuidados en un paciente con prurigo crónico: caso clínico","authors":"Sara Chiquero Valenzuela ,&nbsp;Francisco Pedro García Fernández ,&nbsp;María Piedad García Ruíz ,&nbsp;María Dolores López Franco","doi":"10.1016/j.enfcli.2024.07.002","DOIUrl":"10.1016/j.enfcli.2024.07.002","url":null,"abstract":"<div><div>We present the clinical case of an 87-year-old man who presents with chronic prurigo without skin treatment.</div><div>The aim is to apply an individualized care plan that allows, based on the latest evidence, to achieve skin integrity, which is deteriorated, and improve its quality of life due to the current failure toad dress the pathology.</div><div>Several NANDA International diagnostic labels were identified using the NNNConsult online tool and the expected outcomes were plan along with the planned nursing interventions.</div><div>The care plan shows the intrinsic difficulty of a multifactorial pathology that is little known and rare but that entails a notable impact on the quality of life and skin integrity, especially when new treatment approaches are currently emerging that are un explored by patients and professionals. This situation makes it necessary to expose and train cases like the one presented, update treatment path ways, real involvement of professionals for adaptation, individualization and continuous search to meet the needs and problems suffered by the people we care for, as well as the need to know new skin approaches.</div><div>This work outlines a line of skin care that respects skin integrity, following the latest evidence, and points out the therapeutic medical approach without going into depth as it is not the aim of the work or nursing competence.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 6","pages":"Pages 507-513"},"PeriodicalIF":0.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142723826","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":"Efectividad de la implantación de recomendaciones de una Guía de Buenas Prácticas para manejar el dolor en los pacientes oncológicos hospitalizados","authors":"Ana-Isabel Alcañiz-Mesas ,&nbsp;María-Victoria Ruiz-García ,&nbsp;María-Pilar Córcoles-Jiménez ,&nbsp;María-José Caballero-García ,&nbsp;María Teresa González Álvarez","doi":"10.1016/j.enfcli.2024.07.001","DOIUrl":"10.1016/j.enfcli.2024.07.001","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the effectiveness of implementing the Clinical Best Practice Guideline (BPG) “Assessment and Management of Pain” recommendations for pain control in oncological/oncohaematological hospitalized patients.</div></div><div><h3>Methods</h3><div>Ambispective cohort study. Sample and Setting: Adults admitted to oncological unit in Hospital of Albacete. Intervention: Implementation of GBP recommendations. Variables: 1) Demographic data; 2) On implementation of GBP recommendations; 3) Outcome in patients: pain intensity in the first 24<!--> <!-->h after admission and maximum intensity during admission Tools: Numeric and Visual Scales. Data collection: indicators exported from clinical history for evaluation of the BPSO® program. Ethical aspects: anonymous data. Data analysis (SPSS®): Descriptive during periods: baseline (T0<!--> <!-->=<!--> <!-->December 2015); initial (T1<!--> <!-->=<!--> <!-->2017); consolidation (T2<!--> <!-->=<!--> <!-->2018-2019); sustainability (T3<!--> <!-->=<!--> <!-->2021-2022). Measurements of central tendency and dispersion, absolute and relative frequencies. Comparison of proportions (Chi-Square) and averages (Student t-test, ANOVA). Statistical significance: <em>P</em>&lt;.05.</div></div><div><h3>Results</h3><div>Included 572 patients, 61.5% (352) men. Daily intervention of pain detection was performed in 94.6% (538) of patients (20%-T0; 98.3%-T1; 98.4%-T2; 91.2%-T3; <em>P</em>&lt;.001), pain assessment using an appropriate scale in 97.6% (558) (0%-T0; 98.3%-T1; 99.2%-T2; 100%-T3; <em>P</em>&lt;.001); 93.7% (535) had a care plan for assessment and management of pain (0%-T0; 98.3%-T1; 96.3%-T2; 92.3%-T3; <em>P</em>&lt;.001). The percentage of patients who had severe pain (6-10) during the first 24<!--> <!-->hours was reduced from T1 to T3 (5.1%-T1; 6.6%-T2; 2.1%-T3; <em>P</em>=.145), but throughout hospitalization increased from T1 to T3 (19.2%-T1; 17%-T2; 22.5%-T3; <em>P</em>=.21).</div></div><div><h3>Conclusions</h3><div>Implementation of recommendations has led to a statistically significant improvement over the periods in the study; however, no effectiveness has been shown to reduce pain intensity.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 6","pages":"Pages 448-457"},"PeriodicalIF":0.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142723923","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 descriptivo sobre el nivel de sobrecarga del cuidador principal de pacientes oncológicos con astenia tumoral","authors":"Samuel Jiménez-Sánchez ,&nbsp;Eduardo José Fernández-Rodríguez ,&nbsp;Alberto García-Martín ,&nbsp;Celia Sánchez-Gómez ,&nbsp;María Isabel Rihuete-Galve","doi":"10.1016/j.enfcli.2024.05.003","DOIUrl":"10.1016/j.enfcli.2024.05.003","url":null,"abstract":"<div><h3>Introduction</h3><div>The incidence of oncology patients is increasing due to the ageing of the population and advances in research leading to early diagnoses. This has resulted in an increase in the care required for patients at all stages of their illness. To describe the current situation of the overload of informal caregivers of cancer patients with tumour asthenia belonging to the Medical Oncology Service of the University Health Care Complex of Salamanca and the Palliative Care Unit of the Hospital de los Montalvos, we employed the following.</div></div><div><h3>Methods</h3><div>This is a cross-sectional descriptive observational study conducted at the Complejo Asistencial Universitario de Salamanca and the Palliative Care Unit of the Hospital de los Montalvos from February to May 2023. The study involved 75 informal caregivers of oncology patients with tumour asthenia. Data was collected through interviews, which included sociodemographic information and measurement scales. The study employed the Barthel Scale, PERFORM questionnaire, and Reduced Zarit Caregiver Overload Scale to assess the informal caregivers’ ability to care for cancer patients with tumour asthenia.</div></div><div><h3>Results</h3><div>Of the caregivers, 58.7% were female, and the mean age was 60.0 years (± 14.10). Over half (50.7%) of the caregivers experienced high levels of overload, making it impossible to care for the patient. Among patients with tumour asthenia, 37.3% were totally dependent, and 8.0% were moderately dependent. Of these caregivers, 58.7% had no prior caregiving experience, 80.7% had no training, and 77.3% never received help in caring for the patient.</div></div><div><h3>Conclusions</h3><div>In the Medical Oncology service of the Complejo Asistencial Universitario de Salamanca (CAUSA) and the Palliative Care Unit of the Hospital de los Montalvos, over one third of caregivers of oncology patients with tumour asthenia experienced caregiver overload. Variables such as the patient's age, the caregiver's age, the number of care hours, and the willingness to seek help can influence the perception of overload. This can worsen the effective care of the patient. It is important to consider these factors when providing care.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 6","pages":"Pages 439-447"},"PeriodicalIF":0.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142723922","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":"Inteligencia artificial como herramienta de prevención de errores en la atención clínica","authors":"Claudia Patricia Cañadas-Aragón ,&nbsp;Angela Andrea González Orjuela","doi":"10.1016/j.enfcli.2024.09.001","DOIUrl":"10.1016/j.enfcli.2024.09.001","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 6","pages":"Pages 514-515"},"PeriodicalIF":0.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142723918","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":"Experiencias de duelo en hombres por la muerte de un ser querido: revisión integrativa","authors":"Daniel Martínez-Esquivel ,&nbsp;Maureen Araya-Solís ,&nbsp;Alfonso Miguel García-Hernández","doi":"10.1016/j.enfcli.2024.02.005","DOIUrl":"10.1016/j.enfcli.2024.02.005","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze the current state of knowledge regarding men's mourning experiences following the death of a loved one.</div></div><div><h3>Method</h3><div>An integrative review was conducted using quantitative, qualitative, and mixed-methods studies published in English or Spanish between 2017 and 2022 that investigated men's mourning experiences. Studies focused on grief in participants with different sexes or gender identities, maladaptive grief, persistent complex bereavement disorder, prolonged grief disorder, bereavement over pets, or losses other than a human death were excluded. Additionally, reviews, books, theses, editorials, and opinion pieces were not included. The search was conducted in CINAHL, PubMed, and Scopus in 2023. JBI tools were used for quality appraisal, and the analysis employed the constant comparative method.</div></div><div><h3>Results</h3><div>Our analysis of eight English-language documents with evidence levels IV-VI, informed by the Socio-Ecological Model of Men's Grief, revealed that factors at individual, interpersonal, community, and public policy sublevels interact significantly to shape men's grief experiences. Themes emerged along a continuum of intuitive and instrumental coping responses, including adaptive and maladaptive coping strategies, loneliness and social support needs, the influence of societal constructions of masculinity and the grieving process in men.</div></div><div><h3>Conclusions</h3><div>Men's mourning experiences are complex and multifaceted, influenced by diverse expressions of masculinity and the interaction of various contextual factors. The Mental Health Nursing Process should prioritize understanding and addressing the unique experiences of bereaved men.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 6","pages":"Pages 429-438"},"PeriodicalIF":0.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142723921","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}