Enfermeria Clinica最新文献

{"title":"Consecuencias de la pandemia COVID-19 en la salud mental de los enfermeros de los servicios de emergencias extrahospitalarias españoles","authors":"","doi":"10.1016/j.enfcli.2024.02.004","DOIUrl":"10.1016/j.enfcli.2024.02.004","url":null,"abstract":"<div><h3>Objective</h3><p>To analyse the impact of the COVID-19 pandemic on the mental health of nurses in Spanish out-of-hospital Emergency Services, identifying predictor factors of greater severity.</p></div><div><h3>Method</h3><p>A multicentre cross-sectional descriptive study was designed, including all nurses working in any Spanish out-of-hospital Emergency Services between 01/02/2021 and 30/04/2021. The main outcomes were the level of depression, anxiety and stress assessed through the DASS-21 scale. Sociodemographic, clinical, and occupational information was also collected. Univariate and multivariate analyses were conducted to determine possible associations between variables.</p></div><div><h3>Results</h3><p>The sample included 474 nurses. 32.91%, 32.70% and 26.33% of the participants had severe or extremely severe levels of depression, anxiety and stress, respectively. Professionals with fewer competencies to handle stressful situations, those who had used psychotropic drugs and/or psychotherapy on some occasion before the pandemic onset, or those who had changed their working conditions presented more likelihood of developing more severe levels of depression, anxiety and/or stress.</p></div><div><h3>Conclusion</h3><p>Nurses in Spanish out-of-hospital Emergency Services have presented medium levels of depression, anxiety and stress during the pandemic. Clinical and occupational factors have been associated with a higher degree of psychological distress. It is necessary to adopt strategies that promote professionalś self-efficacy and mitigate the triggers of negative emotional states.</p></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 4","pages":"Pages 312-321"},"PeriodicalIF":0.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1130862124000275/pdfft?md5=8206074371d2ca3b32349efd3ac79050&pid=1-s2.0-S1130862124000275-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141394093","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":"Validez de constructo y fiabilidad de la escala BARRIERS en el contexto español","authors":"Héctor González-de la Torre ,&nbsp;David Díaz-Pérez ,&nbsp;Claudio Alberto Rodríguez-Suárez ,&nbsp;Ricardo José Pinto-Plasencia ,&nbsp;José Verdú-Soriano ,&nbsp;M. Ángeles Cidoncha-Moreno","doi":"10.1016/j.enfcli.2024.02.008","DOIUrl":"10.1016/j.enfcli.2024.02.008","url":null,"abstract":"<div><h3>Objective</h3><p>To establish the construct validity of the Spanish version of the BARRIERS scale.</p></div><div><h3>Method</h3><p>Methodological study of validation of a measurement instrument based on data from previously published studies. The study population consisted of nurses from the Basque Health Service and the Canary Health Service. The following variables were extracted and unified: Years of professional experience, possession of a specialist nursing degree, possession of a doctorate, type of activity performed by the professional and field of work. For construct validation, a confirmatory factor analysis (CFA) was performed based on the initial model proposed for the scale and Rasch analysis. A polychoric correlation matrix, factor extraction by unweighted least squares and PROMIN oblique rotation were used. For the Rasch analysis, the Joint Maximun Likelihood estimation (JMLE) method was used; the fit of the items and persons were estimated by means of outfit - Unweighted Mean Square fit statistic (UMS) and infit -Weighted Mean Square Fit Statistic (WMS), as well as the reliability and separation of items and persons.</p></div><div><h3>Results</h3><p>A total of 1200 nurses and midwives made up the final validation sample (n<!--> <!-->=<!--> <!-->1200), with a mean professional experience of 21.22<!--> <!-->±<!--> <!-->9.26 years. The CFA presented a good fit to the data (KMO<!--> <!-->=<!--> <!-->0.935 [95% <span>C</span>I:0.921-0.945]), changing the factorial assignment in 6 items, while 5 items received factorial scores in more than one factor. The fit values for the 4-factor solution were RMSEA<!--> <!-->=<!--> <!-->0.026 [95% CI:0.026-0.027] and GFI<!--> <!-->=<!--> <!-->0.991 [95% CI<!--> <!-->=<!--> <!-->0.986-0.991]. In the Rasch analysis most items presented infit-WMS and outfit-UMS values with a good fit.</p></div><div><h3>Conclusions</h3><p>The Spanish version of the BARRIERS scale has adequate construct validity although there are changes in the assignment of items to the dimensions compared to the original model. The Rasch analysis indicates adequate fit for both persons and items.</p></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 4","pages":"Pages 259-270"},"PeriodicalIF":0.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1130862124000329/pdfft?md5=66ee1432f7d9b051c5f9743a65bf2844&pid=1-s2.0-S1130862124000329-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141951323","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":"Metodología deductiva del cuidado: descripción y prueba de los modos de investigación acerca del cuidado","authors":"José María Santamaría-García ,&nbsp;Alexandra González-Aguña ,&nbsp;Marta Fernández-Batalla ,&nbsp;Sara Herrero-Jaén ,&nbsp;María Lourdes Jiménez-Rodríguez ,&nbsp;León Atilano González-Sotos","doi":"10.1016/j.enfcli.2023.10.004","DOIUrl":"https://doi.org/10.1016/j.enfcli.2023.10.004","url":null,"abstract":"<div><h3>Objective</h3><p>Define the modes of procedure of the Deductive Care Methodology (DCM) in the generation of knowledge about person's health care.</p></div><div><h3>Methodology</h3><p>Design and test of the DCM modes based on three phases: mapping of the MDC, generation of models from this methodology and testing of the models through studies in a clinical context.</p></div><div><h3>Results</h3><p>The MDC presents five levels of abstraction with three modes broken down to 16 types. The modes are: Philosophical Mode to conceptualize and obtain generalities about reality, Mathematical Mode to operate with generalities, and Physical Mode to operationally verify, validating the results and the predictive capacity of the model. This MDC allows the creation of three models: Knowledge Model about Person Care, an ontology of care, Vulnerability Model about the person and Taxonomic Triangulation Model for knowledge management. All models generate products for computational knowledge management. In addition, the models are applied in teaching and generate research with more than a hundred participations in conferences and journals, of which five impact publications (from 2008 to 2022) classified in the categories of Nursing and Informatics are analysed.</p></div><div><h3>Conclusions</h3><p>The MDC collects prior knowledge to work with certainties, evidence and applying inferences that do not depend on the number of cases or inductive designs. This research presents a formal structure of the MDC with an interdisciplinary orientation between Health Sciences and Computer Sciences.</p></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 3","pages":"Pages 194-206"},"PeriodicalIF":0.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1130862124000342/pdfft?md5=aa090797ffe46f4abe767ab73c533da2&pid=1-s2.0-S1130862124000342-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141424429","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":"Creencias y factores condicionantes de la adherencia a la vacunación COVID-19 entre el profesorado universitario en Nigeria","authors":"Deborah Tolulope Esan ,&nbsp;Moses Eterigho Emetere ,&nbsp;Blessed Obem Oyama","doi":"10.1016/j.enfcli.2024.02.001","DOIUrl":"10.1016/j.enfcli.2024.02.001","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 3","pages":"Pages 235-236"},"PeriodicalIF":0.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140767222","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":"Claves metodológicas y estratégicas para estudios basados en encuestas online: un análisis basado en la iniciativa Checklist for Reporting Results of Internet E-Surveys","authors":"María-Carmen Torrejón-Guirado ,&nbsp;Isabel San Martín-Erice ,&nbsp;Leticia San Martín-Rodríguez ,&nbsp;Marta Lima-Serrano","doi":"10.1016/j.enfcli.2024.02.009","DOIUrl":"10.1016/j.enfcli.2024.02.009","url":null,"abstract":"<div><p>The use of online surveys has become a valuable and widely employed tool in health research. However, the use of such instruments necessitates methodological rigor and optimization in their design to achieve the best response rates. Drawing upon relevant literature and the international CHERRIES guidelines for the development of online surveys, this article addresses methodological aspects related to ethical considerations and data protection (with reference to the Association of Internet Research's online ethics guide), study design and validation, recruitment, data collection processes, and data management and analysis. In conclusion, given the context of overexposure to online surveys, which can influence recruitment and response rates, strategies for their maximization are provided, encompassing both static and dynamic aspects of survey design.</p></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 3","pages":"Pages 207-213"},"PeriodicalIF":0.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1130862124000330/pdfft?md5=aa96464a8131e34bfc0059637586afb9&pid=1-s2.0-S1130862124000330-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141030610","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":"Determinantes asociados a la activación en pacientes con tratamiento anticoagulante oral: un estudio transversal","authors":"Alba Vall-Vargas ,&nbsp;Mireia Constans ,&nbsp;Nuria Torà ,&nbsp;Anna Arnau ,&nbsp;Albert Altes ,&nbsp;M. Ángeles de Juan Pardo","doi":"10.1016/j.enfcli.2024.04.003","DOIUrl":"10.1016/j.enfcli.2024.04.003","url":null,"abstract":"<div><h3>Aims</h3><p>The terms “patient activation” and “patient empowerment” are used to describe the extent to which individuals are able to manage their own healthcare. Health outcomes and quality of life improve in patients who are more active in health care. The aim of this study was to identify sociodemographic, clinical, sociological and psychological determinants associated with activation in a group of chronically anticoagulated patients.</p></div><div><h3>Methods</h3><p>Cross-sectional study of patients treated with oral antivitamin-k drugs attended at a specialized outpatient anticoagulant unit between November 2021 and June 2022. The main dependent variable was the level of patient activation according to the 13-item Patient Activation Measure (PAM-13). Simple and multiple linear regression models were conducted to identify the determinants associated with PAM-13 score.</p></div><div><h3>Results</h3><p>A total of 137 patients who met all the inclusion criteria were recruited for the study. The mean age was 59.6 years (SD 13.8; range 22 - 86) and 60.6% were male. Sixty per cent presented a level IV of activation according to the PAM-13 scale. Mean patient activation score was 73.9 (SD 15.4). The factors independently associated with significantly lower activation were: emergency department visits in the past 12 months, intermediate social risk, anxiety symptoms, stress symptoms and low self-efficacy.</p></div><div><h3>Conclusions</h3><p>Five determinants were found to be associated with activation. Knowing the factors that modify the level of activation can help to identify subgroups of chronic anticoagulated patients who are less likely to engage in self-management and are therefore candidates for tailored educational interventions.</p></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 3","pages":"Pages 148-160"},"PeriodicalIF":0.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141133537","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 eficacia del Escape Room como metodología educativa en el Código Infarto","authors":"Cristina Acebo-Seguín ,&nbsp;Sandra Jiménez-Jiménez ,&nbsp;Andrea Valdés-Castiello ,&nbsp;Marta Berenguer-Almudaina ,&nbsp;Jordi Castillo-García","doi":"10.1016/j.enfcli.2024.02.003","DOIUrl":"10.1016/j.enfcli.2024.02.003","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the efficacy of an educational intervention (escape room) in the acquisition and retention of knowledge in relation to the Infarction Code, and to compare the knowledge of other teaching methodologies related to the Infarction Code.</p></div><div><h3>Methods</h3><p>A pre-post study was designed without a control group. After one month of the master class on the Infarction Code given to master's degree (doctors and nurses), an educational intervention was carried out consisting of an Escape Room on the same content, with a questionnaire that collected various sociodemographic data, and a knowledge test on the Infarction Code, which was repeated immediately after the activity and at the end of 2 months after the activity, and a test of knowledge on the Infarction Code. immediately after the activity and 2 months after the master class. Likewise, after the activity, a gamified experience evaluation questionnaire (GAMEX) was completed.</p></div><div><h3>Results</h3><p>Thirty-two students received the educational intervention (12 physicians and 20 nurses), and differences were observed between medical and nursing professionals in terms of initial knowledge of simulation and gamification. After the activity, and based on the initial knowledge test, the score increased by 3.49 points, an increase that was also reflected in the test taken two months after the master class, where an increase of 2.08 points was maintained. The participants rated the experience positively, with no significant overall differences between the two professional groups.</p></div><div><h3>Conclusions</h3><p>The nurses had greater knowledge and contact with clinical simulation, virtual reality and gamification. The escape room showed to be a valid method for the assimilation and retention of knowledge in master's degree students. Medical professionals experienced a greater degree of immersion in the activity.</p></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 3","pages":"Pages 187-193"},"PeriodicalIF":0.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140398582","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 preliminar del proceso de gestión de datos en salud en España","authors":"V. Tíscar-González ,&nbsp;J. Cayón-De las Cuevas","doi":"10.1016/j.enfcli.2024.06.002","DOIUrl":"https://doi.org/10.1016/j.enfcli.2024.06.002","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 3","pages":"Pages 232-233"},"PeriodicalIF":0.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141423752","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":"Transformación del sistema sanitario a través de los datos: acceso y gobernanza como elementos pivotales","authors":"V. Tíscar-González ,&nbsp;J. Cayón-De las Cuevas","doi":"10.1016/j.enfcli.2024.06.001","DOIUrl":"https://doi.org/10.1016/j.enfcli.2024.06.001","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 3","pages":"Pages 145-147"},"PeriodicalIF":0.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141424427","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 humanizados de las enfermeras oncológicas en persona con cáncer gástrico: Estudio de un caso","authors":"Dayana Mondol-Hernández ,&nbsp;Ana Laura Solano-López","doi":"10.1016/j.enfcli.2024.03.005","DOIUrl":"10.1016/j.enfcli.2024.03.005","url":null,"abstract":"<div><p>Cancer impacts the person's physical health, psychosocial and spiritual wellbeing. The humanization of care is an essential element to achieve integral wellbeing of the individual. The aim of this article is to present a clinical case, using the nursing process with the NANDA, NOC and NIC taxonomies, and based on the principles of Watson's theory of humanized care. The participant is a 45-year-old woman with gastric cancer in palliative stage. The assessment was performed using Gordon's functional patterns and the Watson Caritas Patient Score scale to evaluate the care received previously in the health system. Eight nursing diagnoses were identified, prioritizing 3<!--> <!-->diagnoses using the clinical reasoning web (decisional conflict, anxiety, and ineffective self-management of health). Expected outcomes and nursing interventions were planned and implemented through moments of care using health education through tele-nursing and the intentional use of Caritas processes of care in the transpersonal relationship. The results were evaluated with the scales of the indicators and anxiety was also evaluated with the Beck Anxiety Inventory. Health education in oncology nursing contributed to improve informed decision making, reducing anxiety and providing emotional support to facilitate self-management of health. The participant perceived as humanized care throughout the sessions, reflected in the final evaluation with the Watson Caritas Patient Score scale.</p></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 3","pages":"Pages 224-231"},"PeriodicalIF":0.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141029875","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}