Enfermeria ClinicaPub Date : 2025-09-01DOI: 10.1016/j.enfcli.2025.502200
Ana Magdalena Vargas-Martínez , Daniel Guillén-Martínez , Tamara Domingo Pérez , Alba Soilán Enríquez , José Antonio Zafra-Agea , Itziar Hoyos Cillero , Marta Lima-Serrano , Lorena Tarriño-Concejero
{"title":"Análisis de la función gestora de la enfermera escolar en España: uso de registros e interacción con atención primaria, comunidad educativa y otras instituciones","authors":"Ana Magdalena Vargas-Martínez , Daniel Guillén-Martínez , Tamara Domingo Pérez , Alba Soilán Enríquez , José Antonio Zafra-Agea , Itziar Hoyos Cillero , Marta Lima-Serrano , Lorena Tarriño-Concejero","doi":"10.1016/j.enfcli.2025.502200","DOIUrl":"10.1016/j.enfcli.2025.502200","url":null,"abstract":"<div><h3>Aim</h3><div>To analyse the managerial function of school nurses in Spain.</div></div><div><h3>Method</h3><div>A cross-sectional descriptive study with a sample of 376 school nurses from non-university public, private, and charter educational centres, as well as special education centres nationwide. Data collection was conducted through a self-administered and anonymous questionnaire designed by experts in school nursing, carried out from March to June 2023 via an online platform.</div></div><div><h3>Results</h3><div>The managerial function of school nurses in Spain is evident in their interaction with both educational and healthcare domains. The results underscore the importance of intersectoral collaboration. 96.28% of nurses maintain clinical records. The integration of school nurses into primary care is significantly associated with the service that employs the nurse, contract type, contractual situation, type of educational centre, and membership in rural or socially transformative areas.</div></div><div><h3>Conclusions</h3><div>School nurses play a crucial role in promoting a healthy and safe educational environment. Clinical data recording is essential for monitoring and ensuring care quality. The data highlight the need to implement policies that provide legal assurance for the activities of school nurses and ensure safety for students and the entire educational community.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 5","pages":"Article 502200"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145120324","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.2025.502333
Jose Alberto Florez-Hernández , Laura Cristina Zapata-Henao , Fernando Antonio Cardona-Restrepo , Camilo Duque-Ortiz
{"title":"Modelo Cuidarte: adopción institucional de un modelo de cuidado enfermero basado en la teoría de King","authors":"Jose Alberto Florez-Hernández , Laura Cristina Zapata-Henao , Fernando Antonio Cardona-Restrepo , Camilo Duque-Ortiz","doi":"10.1016/j.enfcli.2025.502333","DOIUrl":"10.1016/j.enfcli.2025.502333","url":null,"abstract":"<div><div>Basing care practice on a theoretical approach is useful for reasoning and critical thinking, making practice more orderly and effective. This article presents the experience of structuring a Conceptual-Theoretical-Empirical (CTE) system that guided the creation of the «Modelo Cuidarte» (Cuidarte Model) at a clinic in Medellín, Colombia. The objective of this work was to build a theoretical framework, based on King's proposals, to underpin this care model.</div><div>The experience took place at a high-complexity, Catholic, university clinic between August 2023 and August 2024. The initial five phases of the methodology proposed by Fawcett and DeSanto-Madeya for developing theoretical models were followed: 1)<!--> <!-->formulating an idea or vision; 2)<!--> <!-->forming a working group; 3)<!--> <!-->structuring a planning committee and a long-term plan; 4)<!--> <!-->reviewing institutional and nursing department strategic documents, and 5)<!--> <!-->building and developing the CTE.</div><div>As a result, Imogene M. King's Conceptual System and Theory of Goal Attainment were selected as the theoretical bases to ground the practice of the institution's nursing team.</div><div>King's conceptual model establishes the vision of care, while her theory, through the transaction model, guides its practical articulation. This theoretical framework drives the Cuidarte Model, which fosters patient- and family-centered care, promotes their participation in the Nursing Care Process, and encourages nurse autonomy and decision-making.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 5","pages":"Article 502333"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145120326","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.2024.10.011
Cristina Sacristán-Galisteo , Tamara del Corral , Daniel López-Padilla , M. Carmen Gómez , Ibai López-de-Uralde-Villanueva , Patricia Martín-Casas
{"title":"Monitorización de la actividad física mediante acelerometría en pacientes con enfermedad pulmonar obstructiva crónica","authors":"Cristina Sacristán-Galisteo , Tamara del Corral , Daniel López-Padilla , M. Carmen Gómez , Ibai López-de-Uralde-Villanueva , Patricia Martín-Casas","doi":"10.1016/j.enfcli.2024.10.011","DOIUrl":"10.1016/j.enfcli.2024.10.011","url":null,"abstract":"<div><h3>Objectives</h3><div>The main objective of the study was to analyze the characteristics of physical activity in people with Chronic Obstructive Pulmonary Disease. Secondarily, the association between the number of steps per day and the baseline sociodemographic and clinical characteristics of the sample was evaluated.</div></div><div><h3>Methods</h3><div>A multicenter longitudinal descriptive study was carried out in four Primary Care centers in Madrid. The participants were 80 people diagnosed with COPD. In a face-to-face interview, sociodemographic information and clinical characteristics were collected. Physical activity was measured over a week with a three-axis accelerometer that recorded wear time, number of steps per day, walking time, and time spent performing light, moderate, vigorous, and very vigorous physical activity.</div></div><div><h3>Results</h3><div>The average time of use of the accelerometer was 6.84<!--> <!-->±<!--> <!-->0.4 days. The number of daily steps taken was 6902.24<!--> <!-->±<!--> <!-->3994.01 with a walking time of 78.07<!--> <!-->±<!--> <!-->41.85<!--> <!-->minutes/day. The time of light physical activity was 69.66<!--> <!-->±<!--> <!-->46.42<!--> <!-->minutes/day, of moderate activity 92.76<!--> <!-->±<!--> <!-->42.91<!--> <!-->minutes/day, of vigorous activity 9.93<!--> <!-->±<!--> <!-->13.6<!--> <!-->minutes/day and of very active activity vigorous 0.26<!--> <!-->±<!--> <!-->0.64<!--> <!-->minutes/day.</div></div><div><h3>Conclusions</h3><div>The participants mainly carried out physical activity of light and moderate intensity, complying with current recommendations, while the time dedicated to vigorous and very vigorous activities was reduced and was insufficient.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 5","pages":"Article 102160"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145120413","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.2025.502365
Azucena Pedraz-Marcos
{"title":"El reto de la reto de incorporar la participación ciudadana en la investigación en cuidados","authors":"Azucena Pedraz-Marcos","doi":"10.1016/j.enfcli.2025.502365","DOIUrl":"10.1016/j.enfcli.2025.502365","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 5","pages":"Article 502365"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145120419","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 : 2025-07-01DOI: 10.1016/j.enfcli.2025.502298
Marta Ferraz-Torres , Maria Elena Sancho-Sena , Amaya Eguillor de la Torre , Laura Cambra Vidart , Maria Belén Suarez-Mier , Maria Ines Corcuera-Martinez
{"title":"Análisis de los factores de riesgo asociados a flebitis en el catéter venoso periférico. Proyecto Flebitis Zero","authors":"Marta Ferraz-Torres , Maria Elena Sancho-Sena , Amaya Eguillor de la Torre , Laura Cambra Vidart , Maria Belén Suarez-Mier , Maria Ines Corcuera-Martinez","doi":"10.1016/j.enfcli.2025.502298","DOIUrl":"10.1016/j.enfcli.2025.502298","url":null,"abstract":"<div><h3>Introduction</h3><div>It is necessary to know the rate of phlebitis associated with its use and the risk factors associated with peripheral vascular catheter management that directly influence the presence of phlebitis.</div></div><div><h3>Methodology</h3><div>observational descriptive study, carried out after the implementation of the Zero Phlebitis Project in a large-capacity (>1,000 beds) urban tertiary hospital of reference in Navarra. The implementation of the Zero Phlebitis Project was carried out progressively, incorporating 4 units (2 medical and 2 surgical) per year, ending in February 2023. Subsequently, data collection for the present study began in May 2023.</div></div><div><h3>Results</h3><div>687 catheters were included, 48.3% (332) catheters were implanted in men versus 51.7% (355) in women with a mean age of 68 (SD 18.64). A phlebitis rate of 11.93% was detected, with catheter caliber and insertion site factors being directly related to the presence of phlebitis.</div></div><div><h3>Conclusions</h3><div>The presence of phlebitis is marked by both modifiable factors, being recommended the use of small caliber devices and the forearm area the indicated ones to decrease the rate of phlebitis.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 4","pages":"Article 502298"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144720827","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 : 2025-07-01DOI: 10.1016/j.enfcli.2025.502284
Sonia Casanova-Vivas , Pablo López-Guardiola
{"title":"Gestión del cuidado y mantenimiento de los dispositivos de accesos vasculares: un reto para el cuidado enfermero","authors":"Sonia Casanova-Vivas , Pablo López-Guardiola","doi":"10.1016/j.enfcli.2025.502284","DOIUrl":"10.1016/j.enfcli.2025.502284","url":null,"abstract":"<div><div>The use of vascular access devices (VADs) is highly prevalent in patients in the hospital and out-of-hospital settings. Short peripheral venous catheters are the most common used devices. Use of DAVs is not without complications. The literature includes several studies on the prevalence and characteristics of VADs (location, device, fixation, etc.) in hospitalized patients, but few studies have assessed whether the status of this vascular access met the quality standard or not. Quality standards in this care can be obtained by evaluating compliance with the variables that define the adequate care and maintenance of vascular access through observation and daily monitoring of its condition and possible complications. The role of the nurse in this care is fundamental. Evaluating the management and maintenance of VADs to improve the quality of care and patient safety through training and monitoring of good practices for nursing professionals is the objective of the initiative of the nursing research group INCATIV® in the Valencian Community.</div><div>The implementation of this study has led to the evolution of the improvement of the results progressively. Ongoing training and monitoring significantly improve the quality and safety of VAD care. The success of the INCATIV® initiative in adult and paediatric populations underscores the importance of standardized practices and the critical role of nurses in the management of VADs.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 4","pages":"Article 502284"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144722202","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 : 2025-07-01DOI: 10.1016/j.enfcli.2024.07.007
Mario I. Ortiz , Juan de Dios Bautista-Montiel , Héctor Carreto-Díaz , Eduardo Fernández-Martínez , Carlo E. Medina-Solís
{"title":"Dolor y ansiedad debidos a punción venosa en población adulta","authors":"Mario I. Ortiz , Juan de Dios Bautista-Montiel , Héctor Carreto-Díaz , Eduardo Fernández-Martínez , Carlo E. Medina-Solís","doi":"10.1016/j.enfcli.2024.07.007","DOIUrl":"10.1016/j.enfcli.2024.07.007","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate anxiety and pain induced by venipuncture and its statistical association with sociodemographic variables and history of previous venipuncture in the adult population.</div></div><div><h3>Method</h3><div>An observational, cross-sectional, quantitative and analytical study was conducted. A questionnaire was used to collect data on sociodemographic variables and variables related to pain and anxiety induced by venipuncture in the adult population attending a Mexican ambulatory care center. A descriptive and inferential analysis of the variables studied was performed using the IBM program SPSS®.</div></div><div><h3>Results</h3><div>A total of 2,157 adults participated, of whom 1,464 (67.9%) were men. The mean age (± standard deviation) of the participants was 34.9 (12.7) years. Of the total venipunctures, 1592 (73.8%) were painful and 1,206 (55.9%) were classified as distressing. Age, gender, history of previous venipuncture and venipuncture anxiety were statistically significant risk factors for venipuncture pain. On the other hand, age, venipuncture pain and history of previous venipuncture were risk factors for anxiety during venipuncture.</div></div><div><h3>Conclusions</h3><div>A high incidence of pain and anxiety due to venipuncture was found, as well as several factors that may increase it in the Mexican adult population. Healthcare professionals should consider pharmacological and non-pharmacological interventions to reduce venipuncture anxiety and pain, which would facilitate patient self-management and outpatient visits for therapeutic, diagnostic, preventive, or rehabilitative care as needed.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 4","pages":"Article 102143"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144720828","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 : 2025-07-01DOI: 10.1016/j.enfcli.2024.502187
Mònica Maqueda-Palau , Jaime González-Sánchez
{"title":"Ensayo clínico: comparación de sistemas presurizados de infusión con suero salino con y sin heparina para el mantenimiento de accesos vasculares en el paciente crítico","authors":"Mònica Maqueda-Palau , Jaime González-Sánchez","doi":"10.1016/j.enfcli.2024.502187","DOIUrl":"10.1016/j.enfcli.2024.502187","url":null,"abstract":"<div><h3>Aim</h3><div>To evaluate the efficacy of 0.9% saline solution versus heparinized solution for maintaining the patency of intravascular catheters.</div></div><div><h3>Method</h3><div>Single-center, randomized, controlled, single-blind clinical trial. Population: patients with intravascular arterial and/or central venous catheters. Variables: age, sex, admission diagnosis, catheter type and location, duration of catheter placement, catheter functionality, reason for removal, antiplatelet treatment, Activated Partial Thromboplastin Time (APTT), and International Normalized Ratio (INR) values. Data collection was carried out using an ad hoc questionnaire. SPSS v.26 software was used for statistical analysis, including descriptive analysis (median and IQR), Mann-Whitney U test, variable association (chi-square test), and logistic regression. A p-value <.05 was considered the indicator of a significant difference.</div></div><div><h3>Results</h3><div>Data were collected from 373 patients, of whom 68,4% were male. Heparin was administered to 202 patients (54,2%) and 0.9% saline to 171 patients (45,8%). A total of 595 catheters were analyzed: 221 (37,1%) arterial catheters, 229 (38,5%) centrally inserted central venous catheters, and 145 (24,4%) peripherally inserted central venous catheters. A total of 51 complications (8,6%) were detected, with a higher incidence in the heparin group (10,4% versus 6,3%). Among all complications, significant differences were observed by catheter type, with an incidence of 11,8% in arterial catheters, compared to 7,4% in centrally inserted central venous catheters and 5,5% in peripherally inserted central venous catheters.</div></div><div><h3>Conclusions</h3><div>No significant differences were observed in maintaining catheter patency between systems using heparinized pressurization and those using 0.9% saline solution.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 4","pages":"Article 502187"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144722203","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 : 2025-07-01DOI: 10.1016/j.enfcli.2024.08.005
Saloa Unanue-Arza , Orlaith Hernon , Selene Lurueña-Rodríguez , Caitriona Duggan , Victoria Armenteros-Yeguas , Peter J. Carr
{"title":"Instrumentos para medir la calidad de vida de los pacientes que portan dispositivos de acceso vascular de inserción periférica: una revisión de alcance","authors":"Saloa Unanue-Arza , Orlaith Hernon , Selene Lurueña-Rodríguez , Caitriona Duggan , Victoria Armenteros-Yeguas , Peter J. Carr","doi":"10.1016/j.enfcli.2024.08.005","DOIUrl":"10.1016/j.enfcli.2024.08.005","url":null,"abstract":"<div><h3>Objective</h3><div>To identify studies that assess the quality of life of people with a peripheral intravenous catheter (PIVC), a midline catheter (MC) and a peripheral insertion central catheter (PICC).</div></div><div><h3>Method</h3><div>Using a scoping review design we included studies that reported the quality of life of adult patients with the aforementioned vascular access devices. With a specific keyword search strategy performed in December 2023 we searched, CINAHL, Embase, Cochrane, Scopus and ProQuest databases. There were no restrictions on the date of publication and studies in English, Spanish or Portuguese were included. Following our inclusion an exclusion criteria, extracted findings reported with the patterns, advances, gaps, evidence for practice and research framework.</div></div><div><h3>Results</h3><div>Of 6317 sources we included 151 papers for full text screening and included 21 studies for data extraction and interpretation. PICCs were the primary catheter reported in seven studies. All remaining studies included more than one device. The most frequently used questionnaire was European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (eight studies) followed by the Short Form Health Survey, the Karnofsky scale, Functional Living Index-Cancer questionnaire, Palliative Care Outcome Scale FACT-B questionnaire. In eight studies a researcher developed without validated questions were used alone or combined with other validated instruments.</div></div><div><h3>Conclusion</h3><div>There are no validated questionnaires measuring patient quality of life with specifically for three of the most commonly inserted vascular access devices used in healthcare to date. Opportunities exist to develop and validate a patient related and catheter device specific quality of life instrument.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 4","pages":"Article 102145"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144720830","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 : 2025-07-01DOI: 10.1016/j.enfcli.2025.502256
Orlaith Hernon , Edel McSharry , Caitríona Duggan , Iain MacLaren , Peter J. Carr
{"title":"Transición a la práctica. Experiencia de estudiantes de enfermería en el aprendizaje de la venopunción y la canulación intravenosa periférica","authors":"Orlaith Hernon , Edel McSharry , Caitríona Duggan , Iain MacLaren , Peter J. Carr","doi":"10.1016/j.enfcli.2025.502256","DOIUrl":"10.1016/j.enfcli.2025.502256","url":null,"abstract":"<div><h3>Objective</h3><div>This study explores final-year nursing students’ experiences with venepuncture and peripheral intravenous cannulation, focusing on both educational and clinical practice settings.</div></div><div><h3>Methods</h3><div>This study is qualitative descriptive design. Data were collected from three focus group sessions using a semi-structured interview approach. Interviews were transcribed verbatim, and data analysis was guided by Braun and Clarke's six-step model for thematic analysis.</div></div><div><h3>Results</h3><div>Eight final-year nursing students participated, with each student attending one focus group session. Data analysis resulted in four main themes 1) Practice, practice, practice 2) Not the way it's done here 3) Luck of the draw and 4) Experiential learning. The results highlight what hindered and helped students learn these skills in both the educational and clinical environment.</div></div><div><h3>Conclusion</h3><div>Improvements are recommended which can be made to the teaching of nursing students on these skills. The findings of this study can inform educational programmes which incorporate these types of skills.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 4","pages":"Article 502256"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144720834","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}