Enfermeria Clinica最新文献

{"title":"Competencias profesionales de las enfermeras oncológicas: reconociendo la Práctica Avanzada en Enfermería","authors":"Sergio Muñoz-Villaverde ,&nbsp;María Martínez-García ,&nbsp;Leticia Serrano-Oviedo ,&nbsp;Ana María Sobrado-Sobrado ,&nbsp;María Ángeles Cidoncha-Moreno ,&nbsp;Paloma Garcimartin","doi":"10.1016/j.enfcli.2023.06.006","DOIUrl":"10.1016/j.enfcli.2023.06.006","url":null,"abstract":"<div><h3>Objective</h3><p>To identify the competency profile of advanced practice nurses involved in the care process of cancer patients.</p></div><div><h3>Methods</h3><p>Cross-sectional and descriptive study. The study included all nurses involved in the cancer patient care process in a tertiary hospital in Barcelona. Competence profile data were collected using the instrument for defining the role of the advanced practice nurse (APRD), as well as sociodemographic and occupational variables. Sociodemographic and occupational data were compared against the performance of advanced practice activities.</p></div><div><h3>Results</h3><p>A total of 29 (82.9%) nurses participated with a mean age of 42.6<!--> <!-->±<!--> <!-->12.54 years. Nine (31%) nurses were identified as meeting the standard in all 6 domains on the APRD scale to be considered advanced practice nurses. Of these 9 (31%) nurses, 7 (24.1%) met the training standards required by the International Council of Nurses (ICN) with an official master's degree and 2 (6.9%) with a PhD.</p></div><div><h3>Conclusions</h3><p>There are nurses who carry out their activity in the oncology field of the Hospital del Mar with the EPA profile. The identification of advanced practice nurses (APNs) in our health system is essential to be able to recognize the competencies of these professionals and create specific positions that help to address chronicity, patients’ quality of life, their survival, and the optimization of health resources. Our study highlights the importance of chronicity and cancer as areas for the development of the APNs.</p></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"33 5","pages":"Pages 338-345"},"PeriodicalIF":0.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41745996","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":"Evolución de los cuidados al final de la vida desde la perspectiva enfermera: formación, investigación y compromiso profesional","authors":"Alfonso Miguel García Hernández","doi":"10.1016/j.enfcli.2023.07.001","DOIUrl":"10.1016/j.enfcli.2023.07.001","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"33 5","pages":"Pages 313-315"},"PeriodicalIF":0.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46145891","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":"Cuidados enfermeros frente al reto planetario de la crisis climática: si no ahora, ¿cuándo?","authors":"Enrique Castro-Sánchez","doi":"10.1016/j.enfcli.2023.05.001","DOIUrl":"10.1016/j.enfcli.2023.05.001","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"33 4","pages":"Pages 247-250"},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46963040","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":"Resultados neonatales tras parto en el agua: Estudio de cohortes retrospectivo","authors":"Susana Iglesias-Casas ,&nbsp;María Reyes Pérez-Fernández ,&nbsp;María Sol Montenegro-Alonso ,&nbsp;María Esther Parada-Cabaleiro ,&nbsp;Lorena Sanmartín-Freitas ,&nbsp;Desirée Mena-Tudela","doi":"10.1016/j.enfcli.2023.05.005","DOIUrl":"10.1016/j.enfcli.2023.05.005","url":null,"abstract":"<div><h3>Objective</h3><p>To compare neonatal outcomes between water births, births with immersion only during labour, and births in which immersion was never used.</p></div><div><h3>Methods</h3><p>A retrospective cohort study was performed including mother-baby dyads attended between 2009 and 2019 at the Hospital do Salnés regional hospital (Pontevedra, Spain). These women were categorised into 3 groups: water birth; immersion only during dilation; and women who never used immersion. Several sociodemographic-obstetric variables were studied and the main outcome was the admission of the neonate to the intensive care unit (NICU). Permission was obtained from the responsible provincial ethics committee. Descriptive statistics were used and between-group comparisons were performed using variance for continuous variables and chi-square for categorical variables. Multivariate analysis was performed with backward stepwise logistic regression and incidence risk ratios with 95%<span>C</span>I were calculated for each independent variable. Data were analysed using IBM SPSS® statistical software.</p></div><div><h3>Results</h3><p>A total of 1,191 cases were included. 404 births without immersions; 397 immersions only during the first stage of labor; and 390 waterbirths were included. No differences were found in the need to transfer new-borns to a NICU (<em>P</em> = .735). In the waterbirth cohort, neonatal resuscitation (<em>P</em> &lt; .001, OR: 0,1), as well as respiratory distress (<em>P</em> = .005 OR: 0,2) or neonatal problems during admission (<em>P</em> &lt; .001, OR: 0,2), were lower. In the immersion only during labor cohort, less neonatal resuscitation (<em>P</em> =.003; OR: 0,4) and respiratory distress (<em>P</em> = .019; OR: 0,4) were found. The probability of not breastfeeding upon discharge was higher for the land birth cohort (<em>P</em> &lt; .001, OR: 0,4;).</p></div><div><h3>Conclusions</h3><p>The results of this study indicated that water birth did not influence the need for NICU admission, but was associated with fewer adverse neonatal outcomes, such as resuscitation, respiratory distress, or problems during admission.</p></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"33 4","pages":"Pages 292-302"},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46511066","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":"¿Restricción, rutina o personalización de los fluidos? Una perspectiva para enfermería","authors":"Raquel Ferrero-Franco ,&nbsp;Alejandro González-Castro ,&nbsp;Carmen Blanco Huelga","doi":"10.1016/j.enfcli.2023.05.002","DOIUrl":"10.1016/j.enfcli.2023.05.002","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"33 4","pages":"Pages 311-312"},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47163540","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":"Influence of educational intervention on nurse-midwives' knowledge and management practices of Intimate Partner Violence (IPV) in healthcare Facilities in Ekiti-State, Nigeria.","authors":"T. O. Bamigboye, O. Irinoye, E. O. Ayandiran, A. Olowokere, O. Adedeji, D. Esan","doi":"10.1016/j.enfcli.2023.05.006","DOIUrl":"https://doi.org/10.1016/j.enfcli.2023.05.006","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"33 5 1","pages":"316-326"},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54301599","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":"Valoración clínica y funcional de pacientes ingresados pluripatológicos con disfagia según el modo de alimentación: a través de una sonda de gastrostomía o vía oral","authors":"Cristina López-Muñoz ,&nbsp;Marta Aranda-Gallardo ,&nbsp;Francisco Rivas-Ruiz ,&nbsp;Ana Belén Moya-Suárez ,&nbsp;José Miguel Morales-Asencio ,&nbsp;José Carlos Canca-Sanchez","doi":"10.1016/j.enfcli.2023.05.003","DOIUrl":"10.1016/j.enfcli.2023.05.003","url":null,"abstract":"<div><h3>Introduction</h3><p>Multipathological patients are a vulnerable population with high comorbidity, functional impairment, and nutritional risk. Almost 50% of these hospitalized patients have dysphagia. There is no consensus on whether placement of a percutaneous endoscopic gastrostomy (PEG) tube provides greater clinical benefit. The purpose of this study was to know and compare 2 groups of multipathological patients with dysphagia according to the mode of feeding: PEG vs. oral.</p></div><div><h3>Method</h3><p>Retrospective descriptive study with hospitalized patients (2016-19), pluripathological, with dysphagia, nutritional risk, over 50 years with diagnoses of: dementia, cerebrovascular accident (CVA), neurological disease, or oropharyngeal neoplasia. Terminally ill patients with jejunostomy tube or parenteral nutrition were excluded. Sociodemographic variables, clinical situation, and comorbidities were evaluated. Bivariate analysis was performed to compare both groups according to their diet, establishing a significance level of <em>P</em>&lt;.05.</p></div><div><h3>Results</h3><p>1928 multipathological patients. The PEG group consisted of 84 patients (n=122). A total of 84 were randomly selected to form the non-PEG group (n_434). This group had less history of bronchoaspiration/pneumonia <em>(P</em>=.008), its main diagnosis was stroke versus dementia in the PEG group <em>(P</em>&lt;.001). Both groups had more than a 45% risk of comorbidity <em>(P</em>=.77).</p></div><div><h3>Conclusions</h3><p>Multipathological patients with dysphagia with PEG usually have dementia as their main diagnosis, however, stroke is the most relevant pathology in those fed orally. Both groups have associated risk factors, high comorbidity, and dependence. This causes their vital prognosis to be limited regardless of the mode of feeding.</p></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"33 4","pages":"Pages 251-260"},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45506697","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":"Perfil sociodemográfico y descripción del síntoma de presentación en mujeres con cáncer de mama en un estudio de base poblacional: implicaciones y papel de las enfermeras","authors":"Maria Angustias Diaz-Santos ,&nbsp;Alba Marcos-Delgado ,&nbsp;Pilar Amiano ,&nbsp;Eva Ardanaz ,&nbsp;Marina Pollán ,&nbsp;Juan Alguacil ,&nbsp;en nombre del equipo de investigadores del estudio MCC-SPAIN","doi":"10.1016/j.enfcli.2023.02.004","DOIUrl":"10.1016/j.enfcli.2023.02.004","url":null,"abstract":"<div><h3>Objective</h3><p>To describe the frequency and typology of the presenting symptom of women diagnosed of breast cancer in Spain and their socio-demographic profile.</p></div><div><h3>Methods</h3><p>Descriptive study nested in a population epidemiological study (MCC-SPAIN) in 10 Spanish provinces. Between 2008 and 2012, 836 histologically confirmed incident cases of breast cancer were recruited who reported some symptom prior to diagnosis in a direct computerized interview. For the comparison of 2 discrete variables, the Pearson Chi square test was used.</p></div><div><h3>Results</h3><p>The most frequent presenting symptom among women who reported at least one symptom was noticing a «lump in the breast» (73%), followed far behind by noticing «changes in the breast» (11%). The frequency of the presenting symptom showed some geographic heterogeneity as well as with menopausal status. No association was observed between the type of presenting symptom and the rest of the sociodemographic variables explored, except for the educational level in which women with a higher educational level tended to proportionally report other symptoms different from the «lump in the breast» more frequently than less educated. Postmenopausal women reported noticing changes in the breast (13%) more frequently than premenopausal women (8%), although without reaching statistical significance (<em>P</em> <!-->=<!--> <!-->.056).</p></div><div><h3>Conclusions</h3><p>The most frequent presenting symptom is «breast lump», followed by «breast changes». There could be sociodemographic heterogeneity in the type of presenting symptom to be taken into account by nurses in their socio-sanitary interventions.</p></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"33 4","pages":"Pages 303-310"},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42235182","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":"Ansiedad y miedo ante la muerte en los profesionales sanitarios de los servicios de urgencias hospitalarios en Aragón","authors":"Daniel Vázquez-García ,&nbsp;Marisa de-la-Rica-Escuín ,&nbsp;Concepción Germán-Bes ,&nbsp;Ana-Luisa Caballero-Navarro","doi":"10.1016/j.enfcli.2023.03.002","DOIUrl":"10.1016/j.enfcli.2023.03.002","url":null,"abstract":"<div><h3>Objectives</h3><p>To describe the levels of anxiety in the face of death in professionals from emergency hospital services of Aragon. To analyze its association with sociodemographic, perception and labor variables.</p></div><div><h3>Methodology</h3><p>Observational, descriptive and cross-sectional study. Population and context of the study were health professionals of the hospital emergency services of Aragon. A non-probabilistic sampling selection was applied (n<!--> <!-->=<!--> <!-->230 participants). The “Collet-Lester-Fear-of-Death-Scale” instrument was introduced to measure death anxiety. The data was collected with a self-applied telematic questionnaire. Descriptive and inferential statistics were performed to analyze the association between the study variables.</p></div><div><h3>Results</h3><p>Anxiety in the face of death mean values of 94,58<!--> <!-->±<!--> <!-->21,66 with 95% CI: (91,76-97,39) (scale range: 28-140 points) were obtained. A significant association was obtained with the variables professional category (physicians, medical residents, nurses, and nursing assistants) (p: 0,006), sex (p: 0,001), level of training in emotional self-management (p: 0,03), self-perceived level of mental health (p: 0,07) and perception of lack of support from palliative care/mental health professionals (p: 0,006). This association was not obtained with the variables age (Sig.: 0.558), total professional experience (p: 0.762) and in emergencies (p: 0.191).</p></div><div><h3>Conclusion</h3><p>The levels of anxiety in the face of death in the emergency hospital services are lower than those presented in other hospital units. Variables such as professional category, degree of training in emotional self-management and self-perceived level of mental health are related to levels of anxiety in the face of death and their study requires further work.</p></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"33 4","pages":"Pages 269-277"},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44005637","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":"Análisis de las necesidades de atención paliativa en pacientes hospitalizados","authors":"Joana Maria Julià-Móra ,&nbsp;Ian Blanco-Mavillard ,&nbsp;Araceli Prieto-Alomar ,&nbsp;Enriqueta Márquez-Villaverde ,&nbsp;Margalida Terrassa-Solé ,&nbsp;Juan Pablo Leiva-Santos ,&nbsp;Miguel Ángel Rodríguez-Calero","doi":"10.1016/j.enfcli.2023.04.002","DOIUrl":"10.1016/j.enfcli.2023.04.002","url":null,"abstract":"<div><h3>Aim</h3><p>To determine the prevalence of palliative care needs in patients in an acute care hospital and to analyze the profile of these patients.</p></div><div><h3>Design</h3><p>We conducted a prospective cross-sectional study in an acute care hospital, in April 2018. The study population consisted of all patients over 18 years of age admitted to hospital wards and intensive care units. Variables were collected on a single day by six micro-teams using the NECPAL CCOMS-ICO© instrument. The descriptive analysis, on patient mortality and length of stay, was performed at a one-month follow-up.</p></div><div><h3>Results</h3><p>We assessed 153 patients, of whom 65 (42.5%) were female, with a mean age of 68.17<!--> <!-->±<!--> <!-->17.03 years. A total of 45 patients (29.4%) were found to be SQ+, of which 42 were NECPAL+ (27.5%), with a mean age of 76.64<!--> <!-->±<!--> <!-->12.70 years. According to the disease indicators, 33.35% had cancer, 28.6% had heart disease, and 19% had COPD, resulting in a ratio of 1:3 between patients with cancer and non-cancer disease. Half of the inpatients in need of palliative care were in the Internal Medicine Unit.</p></div><div><h3>Conclusions</h3><p>Almost 28% of patients were identified as NECPAL+, most of them not identified as under palliative care in clinical records. Greater awareness and knowledge from healthcare professionals would facilitate the early identification of these patients and avoid overlooking palliative care needs.</p></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"33 4","pages":"Pages 261-268"},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45704244","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}