Enfermeria Clinica最新文献

{"title":"Repensar el mundo del manejo del acceso vascular, poniendo un foco en la colaboración","authors":"Sally M. Havers , Claire M. Rickard","doi":"10.1016/j.enfcli.2025.502334","DOIUrl":"10.1016/j.enfcli.2025.502334","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 4","pages":"Article 502334"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144720826","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":"Reflexiones y experiencias de la realización de una encuesta europea con relación a las prácticas clínicas sobre dispositivos de acceso vascular para terapia sistémica contra el cáncer","authors":"Caitriona Duggan ,&nbsp;Martha Killilea ,&nbsp;Veronica McInerney ,&nbsp;Onagh O’Grady ,&nbsp;Jacqueline Daly ,&nbsp;Aoife Lowery","doi":"10.1016/j.enfcli.2025.502248","DOIUrl":"10.1016/j.enfcli.2025.502248","url":null,"abstract":"<div><h3>Background</h3><div>Intravenous infusion is the principal way of providing systemic anti-cancer therapy (SACT) for the vast majority of malignant diseases with approximately one million infusions conducted worldwide each day. A recent scoping review discovered a significant deficit in the literature covering clinical aspects of vascular access device (VAD) selection, insertion, and, in particular, training and education. To answer some of these questions, we are conducting a quantitative survey throughout Europe to investigate healthcare professionals’ current practices surrounding vascular access devices used for systemic anti-cancer therapy.</div></div><div><h3>Methods</h3><div>This methods paper describes the actions that a research team studying vascular access took to carry out a comprehensive survey across Europe. The purpose of this paper is to share some reflections regarding the survey design. It also covers the steps involved in creating a high-quality questionnaire, the extent, quality, and impact of Public Patient Involvement (PPI) in survey design, the methodologies used to measure the questionnaire's face and content validity, and the experiences gained about stakeholder engagement and dissemination.</div></div><div><h3>Conclusion</h3><div>This paper summarizes some of the findings acquired from integrating and interacting with PPI during different stages of clinical research. It also provides practical tactics for managing a large global team of collaborators, as well as an explanation of the many methodologies used to increase the survey's validity and accuracy.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 4","pages":"Article 502248"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144722200","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":"CuidaVen®, una app para el cuidado de las personas con accesos vasculares. Proyecto de innovación en cuidados","authors":"Jesús Bujalance-Hoyos ,&nbsp;Margarita Enríquez de Luna-Rodríguez ,&nbsp;Ana Carmen González-Escobosa ,&nbsp;Ana María Oña-González ,&nbsp;María José Fernández Álvarez ,&nbsp;Raquel López Suárez","doi":"10.1016/j.enfcli.2025.502297","DOIUrl":"10.1016/j.enfcli.2025.502297","url":null,"abstract":"<div><div>Venous catheters are the most common invasive devices used in hospitals. There are multiple complications associated with its use, such as phlebitis and bacteremia, with clinical variability in care and poor patient involvement in their own self-care being the main reasons that justify these complications.</div><div>Clinical apps, as innovation tools, can be a tool that helps professionals access reliable information for care and patients in their own self-care. CuidaVen® is an app designed specifically to improve adherence to best practices in the care of people with venous catheters, and to increase health education and involvement of patients in their own clinical safety and self-care. The implementation of CuidaVen® has led to an improvement in nurses’ adherence to good practices, a decrease in complications associated with the use of venous devices and an increase in patient knowledge through NOC indicators.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 4","pages":"Article 502297"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144722225","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":"Equipos de infusión y acceso vascular como estrategia para afrontar los desafíos futuros de la terapia intravenosa","authors":"Miguel Ángel Rodríguez-Calero ,&nbsp;Peter J. Carr ,&nbsp;Paulo Santos-Costa ,&nbsp;Ian Blanco-Mavillard","doi":"10.1016/j.enfcli.2025.502217","DOIUrl":"10.1016/j.enfcli.2025.502217","url":null,"abstract":"<div><div>This special article addresses a highly relevant issue in healthcare, where the demand for care and attention has significantly increased, coinciding with a progressively aging population and the prevalence of multiple chronic conditions. These factors pose considerable challenges for contemporary healthcare systems. Vascular access devices, including peripheral intravenous catheters, are widely utilized for intravenous therapy in hospitals; however, they are associated with risks and complications. Nearly 50% of these catheters are removed in an unplanned manner, which exacerbates the problem of catheter-associated bloodstream infections, leading to serious consequences such as increased mortality and higher hospital costs.</div><div>Despite the interventions proposed by governmental organizations aimed at reducing these complications and enhancing healthcare quality, achieving this goal requires comprehensive knowledge and resources. This includes the use of various lancing devices and technologies, highlighting the imperative need for coordinated and collaborative actions by multidisciplinary teams. Moreover, the importance of professional specialization is crucial for transforming work dynamics into effective collaborative practices. In this context, Vascular Access Specialist Teams (VAST) have the potential to improve patient health, alleviate the discomfort associated with catheterization, and enhance patient satisfaction. They present a promising solution for optimizing the delivery of intravenous therapy and future challenges in this field.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 4","pages":"Article 502217"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144720831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"La ciencia de la implementación: potencial transformador para el avance de las enfermeras en el cuidado del acceso vascular","authors":"Enrique Castro-Sánchez ,&nbsp;Ismael Fernández-Fernández ,&nbsp;Ian Blanco-Mavillard","doi":"10.1016/j.enfcli.2025.502306","DOIUrl":"10.1016/j.enfcli.2025.502306","url":null,"abstract":"<div><div>This special article addresses the complexity of vascular access care and explores how implementation science can act as a catalyst to optimize vascular nursing practice. Although vascular access care is crucial, its quality is often unsatisfactory due to the diversity of procedures, technologies, and the need to adapt to each patient. Despite numerous improvement interventions, high complication rates and suboptimal use of these vascular devices persist.</div><div>Implementation science can be a crucial strategy to overcome these identified challenges, recognizing the behaviors of healthcare professionals, especially nurses, and their relevance to ensure quality care within the local and organizational context. In this sense, it is challenging to integrate implementation science into the nursing practice of vascular care, such as resistance to change and resource constraints, but it also offers opportunities for innovation and interdisciplinary collaboration. We suggest reevaluating specialized nursing roles to focus on implementation of interventions and optimizing care decisions related to vascular access. This integration requires the development of new competencies and an understanding of the organizational context, key elements to ensure the sustainability and effectiveness of interventions.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 4","pages":"Article 502306"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144722201","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":"GloVANet y WoCoVA: plataformas que integran evidencia y práctica en el acceso vascular","authors":"Gloria Ortiz Miluy ,&nbsp;Timothy Spencer","doi":"10.1016/j.enfcli.2024.502166","DOIUrl":"10.1016/j.enfcli.2024.502166","url":null,"abstract":"<div><div>Vascular access globally has experienced exponential development in recent years in all aspects. The speed with which these advances have become part of clinical practice recommendations requires quick and easy communication between professionals, accessibility to impact scientific publications, updating of procedural protocols and the implementation of new models of care to guarantee the quality of health care. In a world full of social, economic and demographic challenges, initiatives that promote the int</div><div>egration of scientific evidence into clinical practice in a standardized manner are essential. Under this premise, the Global Vascular Access Network (GloVANet), together with the World Congress on Vascular Access (WoCoVA) seeks to establish a platform for the dissemination of knowledge, training and research in vascular access, while formalizing the role of professionals specialized in this field.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 4","pages":"Article 502166"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144720832","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 los pacientes en cuanto a inserción ecoguiada de un catéter intravenoso: estudio cualitativo","authors":"Renz Rivera ,&nbsp;Steve He ,&nbsp;Craig McManus ,&nbsp;Nicholas Mifflin ,&nbsp;Ton Tran ,&nbsp;Lorenza Harrowell ,&nbsp;Karla Kuzmins ,&nbsp;John Rihari-Thomas ,&nbsp;Peta Drury ,&nbsp;Steven A. Frost ,&nbsp;Evan Alexandrou","doi":"10.1016/j.enfcli.2024.09.002","DOIUrl":"10.1016/j.enfcli.2024.09.002","url":null,"abstract":"<div><h3>Background</h3><div>Peripheral intravenous catheter (PIVC) insertion is the most performed invasive procedure in healthcare. However, it often presents challenges in patients with non-visible or non-palpable veins, leading to unsuccessful cannulation attempts and associated complications. Ultrasound-guided PIVC insertion is a promising solution for patients with difficult venous access (DiVA). However, there remains a gap in the literature regarding patient experiences with this technique.</div></div><div><h3>Aim</h3><div>This study aimed to describe the characteristics and experiences of patients referred to a specialised DiVA team for ultrasound-guided PIVC insertion and compare their experiences with previous traditional cannulation.</div></div><div><h3>Method</h3><div>A qualitative study was conducted at an Australian 980-bed metropolitan tertiary referral centre. Thirteen patients were recruited through purposive sampling and interviewed post-ultrasound-guided cannulation. Data collection was conducted using one-on-one interviews followed by thematic analysis.</div></div><div><h3>Results</h3><div>The study identified three major themes: the improved patient experience resulting from the expertise of the DiVA team with ultrasound cannulation; the impact of limited equipment and trained personnel on patient experience and outcomes; and the significance of acknowledging patients’ prior cannulation experiences. Participants reported a stark contrast in their experiences between ultrasound-guided and traditional cannulation, with the former significantly reducing physical discomfort, stress and anxiety and improving success rates.</div></div><div><h3>Conclusions</h3><div>Ultrasound-guided PIVC insertion by trained clinicians significantly enhances the experience for patients with DiVA. However, challenges remain, including the availability of equipment and trained staff. The study highlights the need for policy changes and training in ultrasound-guided cannulation to improve patient care and outcomes. Future research should focus on broader and more diverse populations to validate these findings.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 4","pages":"Article 102149"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144720829","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":"Preservación de la integridad y salud del árbol vascular: consideraciones clave sobre los riesgos del acceso vascular","authors":"Nancy Moureau","doi":"10.1016/j.enfcli.2025.502302","DOIUrl":"10.1016/j.enfcli.2025.502302","url":null,"abstract":"<div><div>Vascular access is the most common invasive procedure in hospitalized patients, with over 90% requiring intravenous therapy. Despite its routine nature, improper selection and management of acceso vascular devices (VADs) can lead to complications such as infections, thrombosis, and device failure. Preserving the integrity of the vascular system is essential for ensuring safe and effective treatment delivery across healthcare settings.</div><div>This paper describes the key principles of the Vessel Health and Preservation (VHP) model, highlighting its implementation as a structured, evidence-based clinical pathway for optimizing vascular access outcomes, preserving vascular integrity, and reducing complications. It also outlines a stepwise approach to vascular access planning, device selection, management, and escalation based on patient-specific factors and risk profiles.</div><div>The VHP model is structured around four main stages: assessment and device selection, insertion, management, and outcome evaluation. Key findings and recommendations include early device planning within 24<!--> <!-->hours of admission and placement within 48<!--> <!-->hours, daily reassessment to align access with evolving treatment needs, use of clinical pathways to guide device selection based on diagnosis, therapy type, and duration, emphasis on minimizing the number of device lumens, choosing the least invasive device, and using vascular access teams for assessment and the identification of high-risk patients requiring specialty placement and escalation to interventional radiology or surgical teams.</div><div>Implementing a VHP program across institutions requires leadership support, interprofessional education, and integration into electronic health records. Adopting this proactive model improves first-attempt insertion success, reduces delays in therapy, and lowers complication rates. In complex cases, timely advancement to specialty placement ensures continued vascular health while maintaining access to essential treatments.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 4","pages":"Article 502302"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144720833","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":"Percepción de cuidado humanizado otorgado por las enfermeras: adaptación cultural y validación del cuestionario ECCOE-Es","authors":"Laia Wennberg-Capellades ,&nbsp;Montserrat Rus-García ,&nbsp;Laia Cruells-Francisco ,&nbsp;Rosa María Collado-Cabezas ,&nbsp;Xavier Teixidó-Huertas ,&nbsp;Maria Luisa Martin-Ferreres","doi":"10.1016/j.enfcli.2025.502250","DOIUrl":"10.1016/j.enfcli.2025.502250","url":null,"abstract":"<div><h3>Aims</h3><div>To adapt and validate for use in Spain the ECCOE questionnaire for assessing nurse caring behaviours from the perspective of nurses; to apply the adapted questionnaire to a sample of hospital registered nurses in Spain and to examine the perceptions of humanised care behaviours.</div></div><div><h3>Methods</h3><div>Multi-centre cross-sectional study. Validity evidence based on the ECCOE-Es internal structure through confirmatory factor analysis and convergent and divergent validity in the relationships with moral sensitivity and burnout, respectively. Reliability was also examined through Cronbach's alpha and temporal stability with Pearson's correlation of test scores. Descriptive and comparative analysis of nurses’ responses to the ECCOE-Es was performed.</div></div><div><h3>Results</h3><div>A total of 462 nurses’ questionnaires were analysed. Temporal stability (r<!--> <!-->=<!--> <!-->0.908) and internal consistency were adequate (α<!--> <!-->&gt;<!--> <!-->0.76 for the subscales and α<!--> <!-->=<!--> <!-->0.96 for the total scale). Confirmatory factor analysis supported the structure of the original instrument with 7 subscales. ECCOE-Es were positively correlated with moral sensitivity (r<!--> <!-->=<!--> <!-->0.454) and negatively correlated with burnout (r<!--> <!-->=<!--> <!-->−0.265). Humanism subscale was perceived as the most important, whereas items related to individualised care were less frequently endorsed.</div></div><div><h3>Conclusions</h3><div>ECCOE's Spanish adaptation has adequate psychometric properties, and its original properties and structure are confirmed as a suitable tool for assessing nurses’ perceptions of humanised care. Overall, they perceived themselves as delivering humanised care, and there was a scope for improvement in this respect.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 3","pages":"Article 502250"},"PeriodicalIF":0.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144194874","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 estado emocional de los pacientes candidatos a terapia CAR-T: rol de la enfermera de práctica avanzada","authors":"Mercedes Montoro-Lorite ,&nbsp;Gloria García ,&nbsp;Cristina Moreno-García ,&nbsp;Ariadna Domènech ,&nbsp;Pilar Ayora ,&nbsp;Carla Ramos","doi":"10.1016/j.enfcli.2024.502188","DOIUrl":"10.1016/j.enfcli.2024.502188","url":null,"abstract":"<div><h3>Introduction</h3><div>CAR-T therapy is indicated in patients with refractory disease who usually present comorbidities, toxicities associated with previous treatments, and disease instability. Additionally, they must travel close to the infusion center, incurring financial and psychosocial costs. Our study aims to describe the quality of life and psycho-emotional state of candidates for CAR-T therapy.</div></div><div><h3>Methods</h3><div>An observational study was conducted from January to December 2022. The inclusion criteria were being 18<!--> <!-->years or older, eligible for CAR-T therapy, and able to understand Spanish. Sociodemographic, clinical variables and Hospital Anxiety and Depression and Quality of Life scales were collected.</div></div><div><h3>Results</h3><div>One hundred and four participants were recruited, among them, seventy percent did not live in their usual residence. Seventy-five percent of the participants had depression, 76% anxiety, and 78% emotional function impairment. No statistically significant differences between the presence of anxiety/depression associated with not residing in their usual address (<em>P</em> <!-->=<!--> <!-->.056) or receiving psychological care in their center of origin (<em>P</em> <!-->=<!--> <!-->.583) were found. However, a correlation between the presence of anxiety/depression among participants referred to the psychology service by the Advanced Practice Nurse (APN) (<em>P</em> <!-->&lt;<!--> <!-->.001) was found.</div></div><div><h3>Conclusions</h3><div>In conclusion, assessing the quality of life and psycho-emotional state of candidates for CAR-T therapy with validated scales allows us to identify candidates presenting anxiety and depression with the goal of improving the management of their emotional health. The APN's role is crucial in detecting complications and facilitating early referral to the psychology team.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 3","pages":"Article 502188"},"PeriodicalIF":0.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144194875","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}